2011-2012 ANNUAL REPORT Department of Internal Medicine University of New Mexico School of Medicine Pope L. Moseley, M.D. Regents’ Professor and Chair 2 TABLE OF CONTENTS Key Departmental Accomplishments ............................................................................................................................ 5 Offices of the Vice Chairs of the Department .............................................................................................................. 13 Office of Education .................................................................................................................................................. 15 Graduate Medical Education ............................................................................................................................... 17 Undergraduate Medical Education ...................................................................................................................... 20 Office of Faculty Development ................................................................................................................................ 23 Office of Quality, Safety & Clinical Operations ........................................................................................................ 27 Office of Research .................................................................................................................................................... 33 Office of VA Affairs .................................................................................................................................................. 43 Academic Divisions ...................................................................................................................................................... 51 Cardiology ................................................................................................................................................................ 53 Clinical Immunology and Rheumatic Diseases......................................................................................................... 65 Endocrinology .......................................................................................................................................................... 71 Epidemiology and Preventive Medicine .................................................................................................................. 81 Gastroenterology and Hepatology .......................................................................................................................... 97 General Internal Medicine ..................................................................................................................................... 111 Geriatrics and Palliative Medicine ......................................................................................................................... 125 Hematology/Oncology ........................................................................................................................................... 131 Hospital Medicine .................................................................................................................................................. 147 Infectious Diseases ................................................................................................................................................ 155 Nephrology ............................................................................................................................................................ 167 Pulmonary, Critical Care and Sleep Medicine ........................................................................................................ 177 Centers and Projects .................................................................................................................................................. 191 Allergy Service ....................................................................................................................................................... 193 Center for Global Health ........................................................................................................................................ 197 Center for Occupational and Environmental Health Promotion ........................................................................... 207 Center for Project ECHO ........................................................................................................................................ 211 Academic Directory ................................................................................................................................................... 223 Internal Medicine Faculty 2011-2012 .................................................................................................................... 225 Internal Medicine Fellows 2011-2012 ................................................................................................................... 233 Internal Medicine Housestaff 2011-2012 .......................................................................................................... 236 Housestaff – Program Year 1 ............................................................................................................................. 236 Housestaff – Program Year 2 ............................................................................................................................. 238 Housestaff – Program Year 3 ............................................................................................................................. 239 3 4 KEY DEPARTMENTAL ACCOMPLISHMENTS ANNUAL REPORT: JULY 1, 2011 – JUNE 30, 2012 Pope L. Moseley, M.D. Reva A. Skelton Endowed Research Professor Regents' Professor of the University of New Mexico Chairman, Department of Internal Medicine 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. Work RVUs increased 4.2% over the prior year which is a reflection of the increased Clinical FTE. Collections per work RVU increased over 8% from FY10 and 2% from FY11. Clinical Contracts through the UNMMG increased 32% over FY11. Our research and contract total awards have consistently topped $30 million for the last 6 years (includes extramural awards received by DoIM faculty in the UNM Cancer Center, Clinical and Translational Science Center, and Department faculty located at Albuquerque VA Medical Center). F&A generated on external funding overall since FY10 has increased over 5%. Faculty salaries on extramural sources increased 14% in FY12 over. The Department continues to carefully manage its resources. In FY12 the Department secured $6 Million gift to establish a Kidney research Institute in the Department of Internal medicine. The Institute will focus on research and training to prevent and treat end stage renal disease in New Mexico. Project ECHO receives $8.5 million HHS Health Care Innovation Award The Department of Internal Medicine’s Project ECHO will receive nearly $8.5 million over three years from the U.S. Department of Health and Human Services Health Care Innovation Awards. Project ECHO is a transformative model of medical education and health care delivery that brings high-quality care to very sick patients wherever they live. It was created by social innovator Sanjeev Arora, M.D. ARORA The award, one of 26 nationwide, is administered through HHS’s Center for Medicare and Medicaid Innovation, and estimated to save more than $11 million in health care costs over the same time period. The department says the 26 awardees were selected for offering innovative solutions to health care challenges facing their communities and a focus on creating a well-trained health care workforce. Under the grant, UNM will identify 5,000 high-cost, high-utilization, high-severity patients in New Mexico and Washington State, and use a team of primary care “intensivists” trained to care for complex patients with multiple chronic diseases, working with area managed care organizations and care providers. Project ECHO will train as many as 300 workers to help increase primary care physicians’ capacity to treat and manage complex patients. 5 CLINICAL PRACTICE UNM Cardiology Clinic The UNM Cardiology Clinic located at 4808 McMahon Blvd., NW, opened Monday, July 18, 2011. Patients have access to a full range of outpatient cardiovascular diagnostic services provided by a team of board certified cardiologists, specialized technicians, and office staff using the most advanced equipment and technologies. Cardiologist Robert