VOLUME 18 NO. 8 n inside.dukemedicine.org n August 2009 Work Culture scores show solid growth Results add to decade of improvements, point to areas for progress Recognizing ndicating a strong commitment to Iimproving the work environment and “Research shows a strong relationship quality care providing superior patient care, the between employee engagement and AHA honors DUHS ’ Health System’s most commitment to quality, safety recent Work Culture Survey results satisfaction and patient satisfaction.“ posted the largest gains in the 10 years uke University was since the survey began. — William J. Fulkerson, Jr., M.D., one of three U.S. hospitals senior vice president for clinical affairs D In the 2009 results, the Work Culture to be recognized in July by the Index, an averaged score of 11 represen- American Hospital Association tative questions designed to measure how (AHA) for leadership and in- health system employees feel about where novation in quality, safety and they work, increased by 7.5 percentage commitment to patient care. points from 2008, moving from 61.3 percent to 68.8 percent. “This award acknowledges what we believe sets DUH apart — our ongoing com- mitment to excellence and to a culture of encouraging safe choices.“ — Kevin Sowers, CEO, Duke University Hospital

The AHA selected DUH as the recipient of the Citation of Merit, in recognition of the hospital’s That score has increased an impres- leadership engagement, the use of sive 24 percentage points since 1999. various process improvement tools For more than 10 years now, and health information technology, employees of Duke University Health Work Culture Index Favorability Rate as well as the strong nursing pres- System have helped shape improvements ence and staff enthusiasm observed in workplace and patient care through shows significant improvement during the selection committee’s the Work Culture Survey. Among the The Work Culture Index Favorability Rate has increased by almost 24 percentage visit. topics surveyed are perceptions of points since 1999. The index is the averaged score of 11 representative questions “We are honored that the AHA DUHS’s reputation, the quality of work- that measure how employees feel about the workplace. recognized DUH for our commit- ing conditions, benefits, the way patients Full surveys sent to the entire health system workforce, which include the index ment to quality and safety as we questions, were conducted in 1999, 2002 and every year since 2004. see WORK CULTURE, p 3 see AHA, p 2

construction inquiry benefits Going, going ... Innovation Are you ready and recognition for some football? See the historic Bell Building come down, from the safety Read about award winning Come join your colleagues of your computer, thanks to scientists and their latest for some free gridiron fun. a new webcam. research findings. Page 7 Page 8 Page 5 2 Inside Duke Medicine August 2009

ACCOLADES

DUH ranks among Top 10 best U.S. Hospitals The outstanding work of physician faculty, nurses, technologists and all staff throughout Duke University Hospital has again been recognized with the naming of DUH among the top 10 best hospitals in America in U.S. News & World Report's annual best hospital edition.

In the latest report, DUH tied for 10th place overall, and ranked among the top 10 in eight of the 16 specialties measured.

“The ranking is a wonderful credit to the continued outstanding teamwork of all the people of Duke University Hospital,” said Kevin Sowers, the hospital’s CEO. “The daily efforts of each person to put the patient at the center of our organiza- tion and to continually seek ways to improve add up collectively to what Duke Hospital is and what is recognized with these rankings.”

Among specialties, DUH ranked fourth in gynecology, fifth in geriatrics, sixth in orthopaedics, sixth in respiratory disease/ pulmonary, sixth in urology, seventh in ophthalmology, eighth in heart and heart surgery, ninth in , 11th in kidney disorders, 13th in psychiatry, 17th in digestive disorders, 18th in neurology and neurosurgery and 22nd in diabetes and endocrine disorders.

The hospital has appeared in the U.S. News rankings for 20 years. DUH is the only hospital in and the Southeast ranked among the top 10 in AHA, continued “We are honored that the AHA recognized DUH for the country. work daily to provide patients with our commitment to quality and safety as we work All of the 21 medical centers named as the very best of care,” said CEO the part of the honor roll this year had to Kevin Sowers, MSN, RN, FAAN. daily to provide patients with the very best of care.“ demonstrate a breadth of excellence by “This award acknowledges what we — Kevin Sowers, CEO, Duke University Hospital achieving a high ranking in no fewer believe sets DUH apart from other than six of the 16 specialties, according hospitals — our ongoing commit- and reporting systems, enhanced Health Forum Leadership Summit in to the magazine. ment to excellence and to a culture information technology and efforts San Francisco on Thurs., July 23. The top 10 hospitals in the U.S. News & of encouraging safe choices.” to encourage active patient and The American Hospital World Report's rankings were, respec- The hospital’s unique Safe community involvement are only Association-McKesson Quest for tively: Johns Hopkins Hospital, the Mayo Choices program was also a few of the countless initiatives Quality Prize is presented annu- Clinic, UCLA Medical Center, Cleveland recognized as a distinctive effort conducted on an ongoing basis to ally and supported by grants from Clinic, Massachusetts General Hospital, New York-Presbyterian University ensure we continue to meet and the McKesson Foundation and to improve quality and safety. Hospital, University of California-San The Safe Choices program was exceed national standards across all McKesson Corporation. Francisco, Hospital of the University of developed and is facilitated by aspects of patient care,” said Mary At the summit, AHA also Pennsylvania Barnes-Jewish Hospital/ DUH leadership to empower staff Ann Fuchs, chief nursing and patient recognized Duke Raleigh Hospital Washington University, Brigham and to improve safety by understanding care services officer for DUH and with the NOVA Award for two Women's Hospital and Duke University Medical Center. the importance of behavioral Duke University Health System. community health education pro- choices in everyday patient care. Duke was presented the award grams. Learn more at http://inside. Read the full report at: http://health. “Innovative safety programs at the opening session of the AHA dukemedicine.org. n usnews.com/hospitals

■ ■ INSIDE Volume 18, Issue 8 Inside Duke Medicine, the employee Contact us Staff newspaper for the Duke University Health Campus mail: DUMC 104030 Editor: Anton Zuiker System, is published monthly by Duke Deliveries: 2200 W. Main St., Managing Editor: Mark Schreiner Medicine News & Communications. Suite 910-B, Durham, NC 27705 Science Editor: Kelly Malcom Phone: 919.660.1318 Designer: Vanessa DeJongh Your comments, story ideas and photo E-mail: [email protected] Inside Online Editors: Bill Stagg and Erin Pratt contributions are always welcome and appreciated. Deadline for submissions Copyright © 2009 Duke University Health System is the 15th of each month. August 2009 Inside Duke Medicine 3

on the cover

WORK CULTURE, continued to quality care, customer focus and and fellow employees are treated and respect for employees in the workplace on resources for career advancement. had the highest scores in this year’s Overall, 11,190 respondents com- survey, and compared the best against pleted the survey this spring, making national benchmarks, Smith said. for a record response rate of 88 percent. “We have made great strides in Employees who work in the hospitals, improving our work culture over the Private Diagnostic Clinics, Patient last decade,” Smith said. “But we Revenue Management Organization, still have room for improvement in Duke Primary Care, Duke Homecare developing a best-in-class work culture and Hospice, clinics, clinical labs and that puts the patient first in everything corporate services are invited each May we do.” to take the online survey. Over the last decade, important “The record-high participation rate programs have been created or reflects the level of commitment our enhanced based in part on feedback employees have to helping improve the from the Work Culture Survey. work culture and ultimately the service These include manager training, and care we provide to patients,” said leader visibility and engagement, the Steve Smith, chief human resources Clinical Ladder and the Professional officer for Duke University Health “The record–high participation rate reflects the level of Development Institute, enhanced System. “The Work Culture Survey of- performance management, Duke’s fers employees a voice and has enabled commitment our employees have to helping improve the Employee Tuition Assistance Program them to be a vital part of changes that work culture and ultimately the service and care we pro- and the Strength, Hope and Caring have led to our success.” recognition efforts. Employees serving on work culture vide our patients.“ — Steve Smith, DUHS chief human resources officer In the 2009 survey, respondents committees at each of the entities use indicated a desire for even greater the results each year to help identify op- “Research shows a strong and addressing employee concerns emphasis on work-life balance and portunities for continued improvement. relationship between employee en- raised in this survey.” career growth and development. The survey, which is managed by gagement and satisfaction and patient This year’s survey included bench- As in previous surveys, the details an outside vendor to ensure no one satisfaction,” said William J. Fulkerson mark comparisons with other academic of the entity and department survey can see any individual employee’s Jr., M.D., senior vice president for medical centers and health systems results will be shared with managers in responses, fits in with Duke University clinical affairs. “The Work Culture across the country. Duke University the coming month. These results will Health System’s commitment to Survey 2009 results are encouraging Health System’s scores placed it above then be shared with employees and providing the best possible care to for Duke University Health System and more than 60 percent of the nation’s used to inform the efforts of the work patients and families, who are at the a reason to celebrate, but we remain academic medical centers. culture improvement committees in center of the organization’s mission. committed to continuous improvement Questions about commitment creating programs for improvement. n

Here are some milestones of the work culture at DUHS. Many of these changes were initiated by data collected through the Work Culture Work Culture Survey and other employee engagement. While every initiative may not have directly impacted every employee, collectively these efforts have helped create a better work environment for all employees. Find the complete list of work culture milestones milestones at Inside Online, http://inside.dukemedicine.org. Search for 'Work Culture Survey.' 2009 2007 2004 2001 • Tuition Assistance Program expanded to • Nursing Tuition Assistance Program • Guidelines for planning and managing • Employee advisory groups created at three $5,250 per calendar year for tuition introduced to cover 90 percent of tuition for flexible work options introduced. hospitals to provide feedback on Human related to an employee’s job and/or study toward a master’s degree or post- Resources initiatives. continued career growth at Duke when master’s degree certificate at the Duke • Low-cost health plan, Duke Basic, intro- documented as part of the employee’s University School of Nursing. duced to expand health insurance options. • Pay and Performance study initiated to professional development plan. design new approach for compensation that • Nursing referral program increased to aligns goals and creates a stronger link • Memorial Day added as a designated $5,000 bonus to reward staff for referring between pay and individual performance. holiday, which means that DUHS nurses who are hired by a DUHS hospital. 2003 employees working on Memorial Day • Personal Benefits Statements and financial 2000 receive holiday pay. planning tools made available online through 2006 the new Retirement Manager Web site. • Action teams created for Rewards & • Professional Development Institute starts Recognition and Opportunities for Learning & First Time Supervisor Program. • Financial Fitness Week introduced to help Development to develop recommendations 2008 employees with financial planning. for improvements. • Duke@Work, the self-service Web site for employees, was introduced to offer 2005 • Guide to “Managing at Duke” program staff the ability to log in, view, and make 2002 initiated. changes to their personnel information. • Duke established new starting pay rate of $10 per hour. • Professional Development Institute created • Recognition programs introduced across to enhance internal staff promotions. 1999 DUHS entities, including “Thanks,” • DUHS implemented final phase of the Pay & Strength, Hope and Caring; Spirited Performance initiative, introduces pay structure • Private Diagnostic Clinic and Durham • Duke University Health System established Leader Award, and DHTS Stars. and policies to create consistency in how jobs Regional Hospital implement Clinical Ladder and first Work Culture Survey conducted. are categorized and pay is administered. for registered nurses. 4 Inside Duke Medicine August 2009

the big picture BULLETINS

Georgiade appointed interim chief of Plastic Surgery

Gregory S. Georgiade, M.D., Professor and Vice Chair of Financial Affairs for the Department of Surgery, has been ap- pointed Interim Chief of the Division of Plastic and Reconstructive Surgery.

This appoint- ment was effective July 1, 2009. Dr. gregory s. georgiade, m.d. Georgiade has been a faculty member in the division since 1980 and will work closely with Danny O. Jacobs, M.D., MPH, David C. Sabiston Jr. Professor and Chair of the Department of Surgery, to address core missions linked to faculty endeavors within the Division of Plastic and Reconstructive Surgery.

Children and volunteers follow African dance instructor Sherone Price as he guides them through each step during Moul receives honor an activity session during Congenital Heart Defect Symposium held July 24 at Duke Children's. (From left: Caran from Castle Connolly Brewer, 7, Sydnie Smith, 5, Mya Booth, 4, and volunteer Briana Axar). Photo by Melissa Schwarting Judd W. Moul, M.D., chief of the Division of Urology and director of the Duke Prostate Center, is one of only three physicians nationally who received a 2009 GOOD IDEAS Clinical Excellence Award from Castle Connolly Medical Ltd.

The award recognizes physicians who exemplify excellence in clinical medical Applying the ‘Minimum Necessary’ standard practice.

ealth Insurance Portability and Moreover, broadly stated requests for Earlier this year, Moul, who is James H. Semans, M.D. Professor of Surgery, was Accountability Act (HIPAA) information — for example, a request H elected to a regulations require that reasonable that asks for any and all records — three-year term steps be taken to limit the use of, will be clarified with the requestor. on the board of disclosure of, and requests for The clarification will identify the directors of the protected health information (PHI) to ATE intended purpose of the request National the minimum amount of information and ultimately the specific informa- Association for PRIV Continence, and necessary to accomplish the intended tion needed. was recognized at purpose unless for treatment purposes. Further information regarding the 56th-annual The Minimum Necessary the Minimum Necessary Standard Kimbrough judd w. moul, m.d. Standard applies to the Duke can be found in the DUHS poli- Urological University Health System workforce. cy “Applying the Minimum Seminar in Washington, D.C., by former U.S. Sen. DUHS employees may be Necessary Standard for Bob Dole, who thanked Moul for helping granted access to PHI to carry out Using, Disclosing, and to care for him from 1991 to 2004 in their work. If performing duties DUHS processes Requesting Protected Health relation to his prostate cancer treatment. requires accessing PHI, then the Information” or the HIPAA Privacy all routine disclosures Moul serves on the editorial boards of protected health information accessed Rule. This link, abbreviated here for of PHI. Urology, Brazilian Journal of Urology and in the patient’s record must be limited A routine ease of communication, will take World Journal of Robotic Surgery, and is to the information needed to complete disclosure is defined as a disclosure you to the policy posted to a secure co-editor of Prostate Cancer and Prostatic the job or accomplish the task. made on a recurring basis. When the DUHS Web site: http://tinyurl.com/ Diseases. Accessing information that isn’t MinimumNecessaryStandard department receives an authorized He has published more than 500 medical needed to perform the job is consid- request for PHI, only the information Address questions or concerns and scientific manuscripts and book ered unauthorized access and could requested or needed will be disclosed. to a supervisor or compliance officer, chapters and has lectured at national and lead to termination. For instance, if a requestor asked or contact the Integrity Line at (800) international meetings. The Release of Information 826-8109. for a CT scan of the chest performed In 2006, Moul was selected as chairman of Unit in the Health Information on a specific date, only that specific Also, see http://staff.dukehealth the newly founded American Urological Management (HIM) departments of CT information will be disclosed. org/compliance for more information. n Association Foundation Education Council. The Science & Research Supplement to Inside Duke Medicine

VOLUME 18 NO. 8 n inside.dukemedicine.org n August 2009 best practices News

AIDS research consortium High blood pressure honors young Duke scientists and cancer treatment Drugs that block the formation of new blood vessels that feed tumor growth are helping some cancer patients enjoy longer lives. But they come with a price: Studies show that up to a third of all patients who take the anti-angiogenesis drugs develop high blood pressure. Scientists at Duke may have figured out why.

“Anti-angiogenesis drugs like Avastin, Sutent or Nexavar inhibit an important substance called vascular endothelial growth factor (VEGF) that stimulates the creation of new vessels that support malignant growth,” says Thomas Coffman, M.D., a professor of medicine, cell biology An automated alert system could help and immunology at Duke and the senior cut down infections. FILE PHOTO author of the study appearing online in the journal Hypertension. “Our studies in mice show that blocking VEGF causes hyperten- Scanning electron micrograph of HIV-1 budding from cultured lymphocyte. Reducing device sion because it disrupts an important PHOTO COURTESY WIKIMEDIA COMMONS related infections biological system — the nitric oxide path- way that regulates blood vessel health.” Duke Infection Control & Epidemiology staff recently presented “Automated Queries Aid he Collaboration for AIDS Vaccine safer and more effective vaccines and Scientists discovered the connection in Prompt Notification of Device Related TDiscovery (CAVD) has recog- immune-based therapies that could be through experiments in mice. Carie Infections” and “A Model for Infection nized two young scientists in Duke used against drug-resistant strains of Facemire, Ph.D., a researcher in Coffman’s Prevention in Ambulatory Care Facilities” at University’s Human Vaccine Institute tuberculosis. Like Verkoczy, she thrives lab and lead author on the study, used an the 36th Annual Educational Conference for significant contributions toward the on the quest for better vaccines. antibody to block a key VEGF receptor and International Meeting of the called VEGFR2 in the animals. She found organization’s goal of controlling the “I am inspired by the complexity Association for Professionals in Infection that after about a week, all of the mice Control and Epidemiology. spread of HIV/AIDS. of nature and science and how every that received the antibody experienced a Laurent Verkoczy, Ph.D., an organism fits into its own niche on “rapid and sustained” increase in blood Lisa Cooper, RN, BSN; Sheila Vereen, RN, assistant professor of medicine at Duke the planet. That complexity inspires pressure. Animals that got a placebo BSN, CIC; Judie Bringhurst, RN, BSN, ICP; maintained normal blood pressure. Mary Oden, RN, MSH; Deverick Anderson, and the director of the laboratory of B me to work to find novel and creative MD, MPH; along with Ryan Melton and Jeff cell immunoregulation at DHVI, is the solutions.” To further determine what role nitric oxide Harger from Performances Services collabo- most recent recipient of the Young and Both Verkoczy and Lee work under dysregulation plays in promoting rated on a project to develop an automated Early Career Investigator Recognition. the direction of Barton Haynes, M.D., hypertension, Coffman gave the mice in notification system to provide ICU leadership Verkoczy’s work focuses on un- professor of medicine at Duke, director the placebo group a compound to block with timely notification of device related derstanding the function of the body’s of the Center for HIV/AIDS Vaccine nitric oxide pro=duction. Sure enough, infections (DRI) after the ICU leadership those mice developed high blood approached Infection Control (IC) for B- cell system and how it might be Immunology and director of the Haynes pressure, too, just like the group that got assistance with “real time” feedback manipulated to create a more powerful Vaccine Discovery Consortia, one of the VEGFR2 antibody. regarding device related infections. response against HIV. 19 research collaboratives around the He is passionate about his work. world supported by CAVD and the Bill Coffman says as cancer patients live longer, The system consisted of two components. side effects like hypertension, which might First, Performance Services created a query to “HIV is a unique virus that will and Melinda Gates Foundation. once have seemed less important, take on identify DRIs entered into the Duke Infection require thinking outside the box to Haynes says Lee and Verkoczy new meaning. “Long-term hypertension Control & Epidemiology database by the ICPs overcome, and as a basic immunologist, represent the best in the new genera- can have serious consequences,” he says. to search for infections that occurred within that is a particularly exciting, albeit tion of young scientists at Duke and Herbert Hurwitz, M.D., a medical the 7 days prior to the query run date. agonizing aspect of this type of research. nationwide. “They are both creative, Second, if DRIs were identified by this query, oncologist at Duke and one of the first to an automated email was generated and sent I have always been intense about my independent thinkers yet are willing document how Avastin and other to appropriate ICU personnel. The email led work, and want to finish any job in front to also work with others to speed anti-angiogenesis drugs provide benefit the ICU personnel to a website that provided of me, so if that results in being able to progress on problems that are of great to cancer patients, says for most patients, details of the infection. contribute a small piece to this daunting importance to society such as solving the anti-angiogenesis drugs are helpful and any resulting hypertension is usually medical puzzle, that would bring me problems of prevention of HIV and TB As a result, the ICU staff is now able to manageable with traditional blood investigate each DRI shortly after it occurs. tremendous satisfaction.” transmission. At their young ages, they pressure medications. “However, these The unit Quality Improvement team reviews Sunhee Lee, Ph.D., also an as- already are making great contributions.” new findings are important since they each DRI and assesses whether any specific sistant professor of medicine at DHVI, The Bill and Melinda Gates point to specific ways to better protect targets for improvement are required. This was designated one of the first re- Foundation created the Collaboration against the risks of long-term hyperten- automated notification system has allowed cipients of the Young and Early Career for AIDS Vaccine Discovery in 2006 sion. They also suggest ways to protect for each DRI to be analyzed more quickly patients against other serious but and has improved the relationship between Investigator Recognition in July. to accelerate the pace of HIV vaccine uncommon side effects, like stroke or ICU leadership and IC. Lee is working on developing research. (See http://www.cavd.org) n heart attack.” 6 Inquiry August 2009

NEWS

Common ailments, cutting-edge research

terine fibroids are an under wound healing leading to fibrosis. of early fibroid development: serum Uresearched but very common Members of her laboratory, includ- starvation of cells from the middle layer condition in women during child-bearing ing Liping Feng, M.D. and Friederike of the uterine wall in culture and then years. By age 50, about 70 percent of Jayes, DVM, Ph.D., have demonstrated introducing serum, a process that the Caucasian women and 80 percent of that TSP-1, a protein found in the cells perceive as a signal of “wounding”. African American women will develop outside of cells elevated in early This process stimulates the cells to fibroids. Fibroids are the most com- wound healing, plays a role in forming produce TSP-1 and TGF, a key player in mon reason for hysterectomy in the the initiation of fibrosis. United States. Leppert has found that fibroids, They are now pursuing Phyllis Leppert, M.D., Ph.D, vice commonly regarded as benign therapeutic targets to treat chair for research of the Department of uterine fibroids medically by Obstetrics and Gynecology, is making tumors, are not tumors at all. investigating the mechanisms of strides toward understanding why they action of several novel agents, develop. Leppert, who came to Duke fibroids. They are actively studying such as TGF inhibitors. in 2006 from the National Institutes of the role of TSP-1 in the activation of “Instead of tackling fibroids Health, has found that fibroids, com- Transforming Growth Factor–1 and 3, through surgery, we could look at ways monly regarded as benign tumors, are which play a role in cellular prolifera- at preventing their formation by sup- Micrograph of a uterine fibroid. not tumors at all. Instead, fibroids appear tion, including fibroids. pressing this abnormal wound healing Photo COURTESY OF WIKMEDIA COMMONS to form through a process of abnormal They established a cell culture model process,” said Leppert. n

Duke-GMS Professor A new way to study single neurons receives accolades Michael Chee, M.D., was named National cientists at Duke University and Outstanding Clinician Scientist at the National Sthe University of North Carolina Medical Excellence Awards (NMEA) 2009 have devised a chemical technique that Ceremony. The NMEA celebrates medical and promises to allow neuroscientists to research excellence against the backdrop of discover the function of any popula- Singapore’s biomedical sciences initiatives. tion of neurons in an animal brain, He is professor at the Duke-NUS Graduate and provide clues to treating and preventing brain disease. Singapore and the principal investigator of the Cognitive Knowing what a Neuroscience Lab. His functional brain particular type of neuron imaging work on the sleep-deprived brain in a specific brain region seeks to discover michael chee, m.d. vulnerable points in does will help researchers the brain that lose function when we are sleep deprived. He is find the root of certain keen to determine why some people are diseases so they can be more vulnerable to sleep deprivation and to use sleep deprivation as a ‘cognitive stress effectively treated. test’ that might prove useful in the evalua- Pyramidal neuron in the hippocampus of an epileptic patient. tion of cognitive modulators. Photo courtesy WIKIMEDIA COMMONS The National Outstanding Clinician Scientist With the technique they describe and co-senior author of the paper. function; or activating entire brain Award is Professor Chee’s latest achievement. in the journal Neuron online on July “Elaborating on this method promises structures invasively and observing He was one of the pioneer recipients of the prestigious Singapore Translational Research 15, scientists will be able to noninva- to let scientists engineer different the resulting behavior. Investigator (STAR) Awards last year. sively activate entire populations of kinds of mutant mice in which single Knowing what a particular type individual types of neurons within a groups of neurons will be activated of neuron in a specific brain region brain structure. by this chemical, so scientists can does will help researchers find the “We have discovered a method understand the behaviors mediated by root of certain diseases so they can be in which systemic administration each of these groups.” effectively treated, said McNamara, Science Editor: Kelly Malcom of an otherwise inert chemical to a Right now, most scientists gain an expert in epilepsy. He pointed out Inquiry features science and research- mutant mouse selectively activates knowledge of brain function by that the human brain contains billions related news items from Duke Medicine News correlating brain activity with certain of neurons that are organized into a single group of neurons,” said and Communications and other Duke James McNamara, M.D., chair of the behaviors; connecting a damaged thousands of distinct groups that need departments. To submit content, contact us Duke Department of Neurobiology brain area with an observed loss of to be studied. n at [email protected] August 2009 Inside Duke Medicine 7

working@duke in brief

In appreciation: Free tickets to ■ ■ live for life Support to help football opener for Duke employees break the habit

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QuitSmart combines proven treatments to help you break free. Classes include the QuitSmart Stop Smoking Kit. The class series is currently being offered at Duke Raleigh Hospital.

All classes are 6-7 p.m. in the Dogwood meeting room:

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To register or for more information visit http://www.hr.duke.edu/tobaccofree or call the LIVE for LIFE office at (919) 684-3136, Option 1.

■ ■ skills development

As part of Duke Appreciation, Duke faculty and staff are invited to participate in the Sept. 5 opener of the second season under Medical Spanish classes football coach David Cutcliffe, left. file photo offered this fall

Learn valuable lessons in classes geared uke football kicks off its second season under Test your Duke football IQ, win prizes toward spoken Spanish and tailored to your DCoach David Cutcliffe on Sept. 5, and faculty needs. and staff are invited to celebrate the 2009 opener as 1. Who was the first coach of Duke’s football team? part of Duke Appreciation. Starting on Sept. 21 through Dec. 3, 10-week courses are offered by El Centro The festivities, sponsored by Duke Athletics 2. Duke played in the 1942 Rose Bowl in Durham instead of Hispano in collaboration with Duke School and Human Resources, begin at 4 p.m. at K-ville Pasadena, Calif., because of World War II. If it had not moved, how much would it have cost students to pay for the “Blue of Nursing and the Latino Health Project at Quad, where employees and family members can Devil Special” trip to California that included one ticket and Duke University. enjoy a buffet meal, games, music and the “Blue a hotel room? Two-hour classes will be held weekly as Devil Alley” football team march to Wallace Wade follows: Stadium before the 7 p.m. game against University 3. Duke Head Coach David Cuctliffe has coached two Super Bowl MVPs in Peyton and Eli Manning. What’s the name of of Richmond. Level 1: No previous Spanish knowledge the third Manning brother Cutcliffe has not coached? “The support we received from the Duke required. 5:30–7:30 p.m., Monday, Duke South Clinic; 3:30–5:30 p.m., Thursday, community last year was simply outstanding,” 4. How many NFL Hall of Fame members played football at Durham Regional Hospital. Cutcliffe said. “Our fans play a vital role in creating Duke? a great home game atmosphere for our team, and 5. How many football fans celebrated Duke football’s 2008 Level 2: Prerequisites are basic grammar, we want Duke employees to be a huge part of that season opening 31-7 win over James Madison University simple medical dialogues. 5:30–7:30 p.m., Wednesday, Duke South Clinic; 3:30-5:30 experience.” with Coach Cutcliffe? p.m. Monday, Durham Regional Hospital. Reserve free tickets to the game and celebration 6. What was the original name of at http://www.goduke.com/employee or call (919) before it opened in 1929? Level 3: Prerequisites are verbs present 681-8738. Tickets are limited to four per employee. tense, numbers, direct and indirect pronouns and medical vocabulary. As part of the football season spirit, Duke 7. How many years did Steve Spurrier coach at Duke? 5:30-7:30 p.m., Thursday, Duke South employees are invited to participate in a Duke 8. In 1931, the Duke and University of North Carolina Clinic. football trivia contest (see sidebar). Five trivia at Chapel Hill football teams combined to play a charity participants will be randomly drawn to receive game. What was the name of this Duke-UNC team? Level 4: Prerequisites are verbs past tense and command, idiomatic expressions, prizes, which include (clean) game-worn jerseys, 9. What is the largest crowd in Wallace Wade Stadium history? medical vocabulary. 5:30-7:30 p.m., and a mini football autographed by Cutcliffe. Tuesday, Duke South Clinic. Entries must be received by Aug. 14. 10. What former Duke football player was named as the team’s Most Valuable Player twice and now works for Duke E-mail answers, along with name and phone The cost is $200 per student. Book not as an assistant coach? included. Payment by check or credit cards. number, to [email protected], and label the No refunds. $10 off when you bring a new Answers & Winners Aug. 19 at entry “football trivia.” You can also send answers http://inside.duke student. Register now to secure your place. through campus mail to Working@Duke, Box medicine.org For information or other options contact 90496. Winners and answers will be posted on To reserve your tickets, visit goduke.com/employee or call Adriana at (919) 687-4635, ext 40 or at Inside Online, http://inside.dukemedicine.org (919) 681-8738. [email protected] on Aug. 19. n 8 Inside Duke Medicine August 2009

happenings Webcam records Bell project he July start on deconstruction of structure and watch a video on the Tthe Bell Research Building closes historic landmark and its early days one of the most significant chapters in in groundbreaking research. the history of Duke University School The photos on the construction of Medicine. But it also opens a new and renovation Web site are updated chapter as we continue to grow and approximately every three minutes. prepare for expanding future needs Also look for periodic updates on for our services. the status of various Duke Medicine You can witness history in the construction projects that are helping making from the convenience of your Duke Medicine create and improve office or home computer via a new facilities in which we provide our Web site that features a webcam view world-class care. of various construction and renova- Among the current ones are the tion projects on the Duke University new Sands Parking Structure, PG-9, Medical Center campus. that is scheduled to open in 2010 and You can access the website at an underground utility vault being http://www.dukemedicine.org/ constructed to provide a dedicated, construction, or on Inside Duke protected space for the important Medicine online at www.inside. utilities and steam tunnels that supply dukemedicine.org (Click on “A look the Duke University Medical Center back at the Bell Research Building,” and Duke’s East Campus. to read more), where you also can The photos on this page show read articles on the 62-year-old what you’ve been missing. n Snyderman Award honorees named

ames Browne, M.D., who recently The award winner receives a Jcompleted his residency at Duke certificate and a cash prize of $1,000, in the Program of Orthopaedic and has their name engraved on a Surgery, has received the 2009 Ralph plaque with the names of previous Snyderman, M.D. GME Research winners. To select a winner, a faculty Award. panel reviews all submissions in a Browne was recognized for his blinded fashion. All authors receive paper, “Resident Duty Hour Reform feedback from the evaluation. Associated with Increased Morbidity The Snyderman Award was Following Hip Fracture.” established in 2004 to encourage Papers were also submitted by and recognize excellence in research Nicholas Steinour, M.D., an emergen- involving graduate medical education. cy medicine resident who presented Snyderman is emeritus chancellor research entitled “Improving Resident for health affairs at Duke University Evaluation,” and Christopher Roth, and James B. Duke Professor of M.D., who submitted a paper entitled, Medicine. He oversaw the develop- “Implementation of Graphic User ment of the Duke University Health James Browne, M.D., center, who completed his orthopaedics residency at Duke, is congratulated as the 2009 winner of the Snyderman Award by, left, William T. Hardaker Interface Screen Capture Solution for System and is a passionate advocate Jr., M.D., program director of the Duke orthopaedics residency, and John Weinerth, Workflow and Quality Assessment of for medical education and excellence M.D., director of Graduate Medical Education. Abdominal MR Examinations.” in teaching. n

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