2010-2011 ANNUAL REPORT DEPARTMENT OF INTERNAL MEDICINE Pope L. Moseley, M.D. Regents’ Professor and Chair Table of Contents Key Departmental Accomplishments ....................................................................................... 1 Office of Faculty Development & Diversity .......................................................................... 12 Office of Education ................................................................................................................. 17 Graduate Medical Education ............................................................................................... 18 Undergraduate Medical Education ...................................................................................... 25 Office of Quality, Safety, and Clinical Operations ................................................................. 29 Office of Research .................................................................................................................. 40 Faculty List ............................................................................................................................. 45 Housestaff and Fellows List .................................................................................................... 56 Division of Cardiology ........................................................................................................... 61 Division of Endocrinology ...................................................................................................... 71 Division of Epidemiology and Preventive Medicine .............................................................. 80 Division of Gastroenterology and Hepatology ....................................................................... 95 Division of General Internal Medicine (UNM) .................................................................... 109 Integrative Medicine ......................................................................................................... 112 Hospital Medicine ............................................................................................................. 113 Division of Geriatrics ............................................................................................................ 123 Division of Hematology/Oncology ....................................................................................... 131 Division of Infectious Diseases ............................................................................................ 148 Division of Nephrology ........................................................................................................ 176 Division of Pulmonary, Critical Care and Sleep Medicine................................................... 182 Division of Rheumatology .................................................................................................... 200 Allergy Service ..................................................................................................................... 204 Center for Global Health ....................................................................................................... 208 Center for Occupational and Environmental Health Promotion (COEHP) .......................... 229 Center for Project ECHO ...................................................................................................... 234 VA Affairs ............................................................................................................................ 246 Key Departmental Accomplishments Resource Management has continued to refine its financial management, enhancing the Divisions Chiefs’ role in the financial success of his/her Division, with the establishment of a comprehensive revenue distribution model focusing on output and not historical allocations. The most important element of this change has been to align responsibility with authority at the divisional level, mimicking the relationship of Dean to Chair, at the departmental level between Chair and Chief. The Department has now gone through an extensive financial reporting redesign, engaging and achieving buy-in at all levels of the institution, which has dramatically reduced the complexity of the financial analyses and reporting for the Department and Divisions, separating operating activities from programmatic activities. These financial philosophies are a direct result of some of our improved clinical and research metrics. The Department has continued to improve our patient care documentation. In addition to improving care, our department work RVU increased 5.4% over the prior year which is a reflection of the increased Clinical FTE. The Collection per work RVU increased over 6% from FY10. Our research and contract total awards have consistently topped $30 million for the last 5 years (includes extramural awards received by DoIM Faculty in the UNM Cancer Center, UNM Center for Infectious Diseases, and Department faculty located at Albuquerque VA Medical Center). F&A generated on external funding increased over 8% from prior year. Faculty salaries on extramural sources held constant in from the prior year, less than a percent change without institutional-wide salary increases. The Department continues to carefully manage its resources, and achieved a Use of Reserves by transferring $1.5M to the UNM Foundation earmarked to begin funding an Endowed Chair. The Department also put an additional $2.5M in UNMMG Reserves from Clinical operations. This then lead to a reduction in our Reserves in FY11 coming into FY12. Thirty-nine UNM physicians were selected by their peers as 2010-11 “Top Docs” in the Albuquerque The Magazine. The following physicians were recognized in their field within the Department of Internal Medicine: Drs. Sanjeev Arora, Arthur Bankhurst, George Comerci, Carla Herman, Patti Kapsner, Susan Kellie, Robert Leverence, Edward Libby, Ian Rabinowitz, Bill Sibbitt, and Ann Simpson. The UNM School of Medicine has achieved a reputation for innovation, quality, and leadership in medical education. The Medical Education Scholars (MES) Program was established to ensure a continuum of educational leadership at UNM SOM. Each year, up to 10 faculty from the School of Medicine are selected from applicants to the MES Program. Participants develop their academic leadership skills and educational expertise in the two- year MES Program. 1 2010 Class of Medical Education Scholars from Internal Medicine: Michel Boivin, M.D. Devon Neale, M.D. Leonard Noronha, M.D. Elizabeth McGuire, M.D. Section Chief at Veterans Administration Medical Center has been elected to a two-year term as a board member of the Board of Directors’ of the New Mexico Cancer Care Alliance (NMCCA). The UNM Division of Geriatrics, within the UNM School of Medicine’s Department of Internal Medicine, recently received a $1M dollar grant from the Donald W. Reynolds Foundation to strengthen physicians’ geriatrics training. The grant was one of ten awarded nationally by the foundation. The awards were limited to institutions that have already demonstrated success in geriatrics physician training. The current awards represent the new phase of grantmaking under the Foundation’s Aging and Quality of Life program. This new initiative was designed to support additional ways to fill the continued need to train physicians in the care of older patients and reward the hard work and accomplishments of successful grantees from the first two cohorts that have already completed their initial projects. For 14 years, UNM Philip Zager, M.D. and Raj Shah, M.D. have worked together on the Zuni Kidney Project, gathering volumes of genetic, health and environmental data to combat the pueblo’s soaring rate of kidney disease. The final phase – developing evidenced-based medical, cultural and educational interventions – has begun. - Obesity has reached epidemic proportions nationwide among children, adolescents and adults and is considered one of the most serious health problems facing Americans today. It is more prevalent among ethnic minority groups and those with a low family income. - Supported by the National Institutes of Health’s IDeA Network of Biomedical Research Excellence, INBRE, project principal investigator Shah is developing a Translational Research plan acceptable to vital constituents with enough scientific rigors to continue support and provide meaningful results. The Zuni Health Initiative is community-based, participatory research conducting studies for educational and lifestyle interventions to create community engagement in modifying important behaviors. - The ultimate goal of the Zuni Health Initiative is to increase the spread and usage of effective, scientifically-vetted public health interventions so that the greatest health impact for an individual and community can be achieved with the greatest efficiency. - The aim is to eliminate health disparities of obesity and related chronic conditions in Zuni Indians by identifying and understanding the barriers and promoting a healthier lifestyleof exercise and nutritional interventions. The new Zuni fitness center is fully equipped, and will work with Zuni middle school children in prescribed exercise activities and one-on-one nutritional coaching. - At the opening of the fitness facility, Zuni Councilwoman Winona Pynesta said, “I’m so glad that you now have a facility to work out of. I’m sure the staff is excited to get started. I know I’m anxious to see the program start for the middle school kids.” The project