Carilion MedicineSPRING/SUMMER 2019 In partnership with the Virginia Tech Carilion School of Medicine and Fralin Biomedical Research Institute at VTC As medical knowledge and technologies grow at exponential rates, education must keep pace. contents CARILION MEDICINE SPRING/SUMMER 2019 Departments 2 FROM THE CMO 3 IN BRIEF A hospital with a new expansion, a medical school with a new leader, a health sciences college with a new name 9 GRAND ROUNDS Education initiatives both classic and with a twist 44 THE ART OF MEDICINE: BEAUTY OF THE BLUE RIDGE A recent art show celebrated Virginia’s storied mountainous region. 46 CHEERS FOR PEERS 26 Carilion clinicians achieve recognition SKELETON KEY: Artist Jennifer Anderson Printz took the opportunity 48 BACKSTORY: ADVANCING to learn about the human form during “Anatomy for Artists and Other Curious HEALTH IN AMERICA Sorts,” the first Mini Medical School the Leading the American Hospital Association proved Virginia Tech Carilion School of Medicine an unprecedented opportunity to help effect change. offered to community members. BY NANCY HOWELL AGEE SPECIAL REPORT Building a Better Doctor Features 12 20 26 30 36 40 AMERICA’S NEXT SPECIAL LIFELONG MEDICINE IN HANDLE THERE’S TOP MODEL EFFECTS LEARNING MINIATURE WITH CARE NO PLACE In designing the Virginia Tech Carilion Clinic’s graduate Carilion Clinic’s Continuing Carilion Clinic and its Carilion Women’s new Carilion School of Medicine medical education program Medical Education program collaborators administer office-based treatment LIKE HOME from scratch, leaders were has grown with the region’s is keeping more and more doses of fun, informative program meets pregnant, Family medicine physician able to choose the best ele- needs—and attracted medical professionals at the medical education for opioid-dependent Edwin Polverino thrives in ments of medical education. top physician talent. top of their game. community members. patients where they are. the “medical home” model. BY CHARLES SLACK BY ANITA SLOMSKI BY VERONICA MEADE-KELLY BY MARYA JONES BARLOW BY JESSICA CERRETANI BY LINDA STALEY COVER ILLUSTRATION: OLIVER BURSTON/DEBUT ART LTD; PHOTOS, THIS SPREAD: DAVID HUNGATE (ABOVE), JARED LADIA (RIGHT) when i was in medical school, the pockets of my short white coat bulged with every manual Carilion Medicine imaginable. Although my neck sometimes ached, President and Chief Executive Officer carrying around what felt like an extra 20 pounds Nancy Howell Agee On the pulse of the was worth it, as the quick access to information Chief Medical Officer and Carilion Clinic community compensated for my lack of knowledge. Over the Executive Vice President years, my coat lightened, but even as a chief resident, Patrice M. Weiss, M.D. my pockets sagged. Editorial Advisory Panel in brief Today, students have plenty of information at Joel Bashore, P.A.-C., Nathaniel L. Bishop, D.Min.; Cesar Bravo, M.D.; John Burton, M.D.; Kimberly their fingertips—but it fits into a small, rectangular Carter, Ph.D., R.N.; Kimberly Dunsmore, M.D.; computer that weighs only a few ounces and can also Daniel Harrington, M.D.; Cynda Johnson, M.D., Carilion Roanoke be used to make phone calls. M.B.A.; Donald Kees, M.D.; Sam Nakat, M.D.; Michael Nussbaum, M.D.; John Pastor; Edwin Memorial Hospital Medical students today don’t have to worry about learning from CD-ROMs Polverino, D.O.; Paul Skolnik, M.D.; Robert or walking home from the library late at night. They don’t have to go to medical Trestman, M.D., Ph.D.; Fidel Valea, M.D. to Expand records to sign off on carts full of charts or to radiology to review an image. Now, Chief Administrative Officer electronic medical records make all the details accessible from anywhere. Jeanne Armentrout Carilion Clinic has announced plans to enlarge the footprint of Carilion Roa- Access to information isn’t all that’s changed about medical education. Four- Vice President Mike Dame noke Memorial Hospital. hour lectures in a large auditorium are a thing of the past. Many lectures are now “This is an exciting day, not just for Executive Editor online, and professors often find themselves addressing sparsely filled halls. And Carilion, but for our entire region,” said Linda Staley with a more case-based curriculum, students begin learning clinical skills from Nancy Howell Agee, president and chief day one, so the facts they’re learning are more immediately applicable. Editor executive officer of Carilion. “After several Paula Byron We didn’t start learning clinical skills until the second semester of our second years of careful planning, we are embark- Editorial Assistant ing on a major expansion that will address year. Our instructor would give us a patient’s name, then we’d pair up with a Tiffany Holland the growing needs of the one million pa- buddy to take a history, perform a physical, write up our findings, and present the Art Director tients we serve and continue the great case. Working with actual patients was so exciting that even when I went home on Laura McFadden momentum happening in the Roanoke weekends, I’d take my stethoscope and otoscope so I could listen to my parents’ Innovation Corridor.” Special Thanks The Roanoke Innovation Corridor is THE FUTURE SERVED UP: A rendering shows the Carilion Roanoke Memorial Hospital hearts and peer into their eyes and ears. My poor parents! Catherine Doss, Mark Lambert, Alison expansion at the location of aging tennis courts no longer in use. Still, I didn’t truly understand the information until I met patients who Matthiessen, Anne Shaver an initiative to build on the partnership between Virginia Tech and Carilion, the were suffering from the conditions I’d been studying. Take sickle cell crisis. I’d CARILION CLINIC merger of Jefferson College of Health and cost more than $300 million. The en floors that will make up Carilion’s memorized facts: I knew, for example, to administer oxygen rather than iron. 1 Riverside Circle P.O. Box 13727 Sciences with Radford University, and project is part of Carilion’s long-term Cardiovascular Institute, enabling all Although I knew the protocols, none of it really made sense to me until I was an Roanoke, VA 24036 Carilion’s investments to accelerate Roa- capital plan to invest at least $1 billion of Carilion’s Roanoke-based heart and OB/GYN resident admitting a pregnant woman in sickle cell crisis. CarilionClinic.org | 800-422-4842 noke’s development as a center for inno- in the region. vascular services to be consolidated into Much has changed over the past three decades when it comes to medical vation and a multimillion-dollar biomed- A new tower, to be built to the south one location. An additional building will education. You’ll read about some of that evolution in this issue, as we explore the ical and technology hub. of the hospital, will consist of two or house the Department of Psychiatry Construction, slated to begin later three floors of parking, an expanded and Behavioral Medicine. innovative ways the Virginia Tech Carilion School of Medicine is incorporating Carilion Medicine is published twice a year at: this year, is expected to take five years Emergency Department, and six or sev- The expansion project will add approx- collaboration, technology, and emotional intelligence into its curriculum. 213 McClanahan Street, Suite 200 imately 400,000 square feet to the med- How do today’s medical students differ from those of my generation? They are Roanoke, VA 24014 ical center. Once completed, the hospital adept with tools we couldn’t have imagined 30 years ago. Many have advanced Phone: 540-266-6586 Fax: 540-266-6608 will have 2.4 million square feet, making Email: [email protected] Medical School Approved Long Term it one of the largest in Virginia. degrees and extensive research experience. Yet the reasons they decided to Web: CarilionClinic.org/carilionmedicine become physicians are the same as those of the students of my day: the The Liaison Committee on Medical for American Medical Colleges and the “We are making real, definitive prog- ress,” Agee said. “New buildings are excit- desire to help others and be part of the healing process. Carilion Clinic is a nationally ranked integrated health Education (LCME) will continue full American Medical Association. care system headquartered in Roanoke, Virginia. Its accreditation for the Virginia Tech Carilion LCME visited the school in Octo- ing; they are a physical representation of flagship, Carilion Roanoke Memorial Hospital, is the the growth and innovation in our region. clinical affiliate of the Virginia Tech Carilion School of School of Medicine for a period of eight ber 2018 to evaluate the educational Medicine and Radford University Carilion (formerly years, the longest term possible. program and any changes made because What happens inside the buildings— Jefferson College of Health Sciences). The LCME, the nationally recog- of the medical school’s integration into the clinical care, the education, the re- © Copyright 2019 by Carilion Clinic. No part of this nized accrediting authority for medical Virginia Tech on July 1, 2018. The LCME search—is even more exciting to me. It’s publication may be reproduced or transmitted Patrice M. Weiss, M.D. education programs leading to the M.D., granted the Virginia Tech Carilion School the work of talented medical, health sci- Chief Medical Officer and Executive Vice President in any form or by any means without written permission from Carilion Clinic. All editorial rights is jointly sponsored by the Association of Medicine full