At the February BUSM faculty meeting Dr. Antman announced the images selected to be displayed around campus and on the flat screen panels located in the medical school lobby. “Please join me in congratulating our colleagues for their interesting and visually vibrant scientific contributions. It is impressive to note the creativity and variety of work they have produced.”

A gallery of the images is located at http://www.facebook.com/media/set/?set=a.382601751769569.107416.149595361736877&type=3

Douglas Hughes, MD

He has received numerous honors including the Preclinical Sciences Teaching Award for Excellence in Teaching, the Stanley L. Robbins Award for Excellence in Teaching and nomination for the Metcalf Award for Excellence in Teaching. In addition he has been recognized with BUSM “Special Educator” and Outstanding Mentoring honors. In addition to these awards, Dr. Hughes has demonstrated expertise and commitment to teaching across the medical curriculum. He directs courses and clerkships in all four years of the curriculum, lectures annually in Oncology and Dental, has been voted by the teaching faculty to chair the Clinical Curriculum Subcommittee that oversees third and fourth year curriculum for BUSM. He has served as Chair of the Appropriate Treatment of Medical Students Committee and on the LCME Admission Committee, LCME Medical Student Committee and the Academies of Advisors Program.

Dr. Hughes is recognized for his expertise in medical education and is the current chair of the Massachusetts Psychiatric Society’s Medical Education Committee and on the AAMC McGill Molson Image Initiative. Under his leadership as course director of Human Behavior in Medicine, Introduction to Clinical Medicine, DRX-5 Psychiatry and the Psychiatry Clerkship, objective measures rating the BUSM courses in psychiatry have consistently and markedly improved.

Dr. Hughes has served as president of the American Association of General Hospital Psychiatrists and the American Association for Emergency Psychiatry. He has written 29 peer reviewed articles, 18 as first author, six books and chapters, five reviews and several newspaper articles and newsletters. He also serves on the editorial boards of several journals including Psychiatric Issues in Emergency Care and is CME director of the Journal of Clinical Psychiatry. Dr. Hughes has lectured extensively both nationally and internationally.

Dr. Hughes earned his BS degree in Biology from the University of Arizona and received his medical degree from the University of Missouri School of Medicine. He completed his residency in Psychiatry at Tufts Medical Center. Dr. Hughes joined BUSM as Associate Professor, Psychiatry in 1997. Prior to that, he was affiliated with both Harvard Medical School and Tufts University School of Medicine.

Principles of Medical Education: Maximizing Your Teaching Skills
April 7–9, 2011 • Thursday–Saturday
Boston Marriott Cambridge, Cambridge, MA

Earn up to 20.5 AMA PRA Category 1 Credits ™
As a participant in prior Harvard Medical School CME courses, we invite you to join us for a comprehensive program designed to improve your teaching and enhance your development as a skillful clinician educator. The course, Principles of Medical Education: Maximizing Your Teaching Skills, will be held on April 7-9, 2011 in Cambridge, Massachusetts.

New or experienced teachers, from all specialties, will benefit from this highly-regarded course that teaches the educational principles and skills needed to teach successfully in a wide range of clinical settings. Through dynamic small group sessions, insightful plenaries, and experiential activities, participants will learn how to: assess a trainee and provide effective feedback, present a lecture, lead a case-based discussion, teach at the bedside, balance the needs of students and patients, use educational technology, and challenge learners to move from “knowing” to “understanding.”

Participants will network and engage with like-minded educators from across the country to discuss their educational challenges and share successful teaching strategies. Course facilitators are Harvard Medical School faculty members with advanced training in medical education and extensive experience teaching medical students, residents, and faculty.

To view the course description, program and faculty and to register online, visit:www.cme.hms.harvard.edu/courses/foundations

Please forward this e-mail to a friend or colleague who might benefit by attending.

We look forward to seeing you in April.

With best wishes,

Beth Lown, MD, Lori Newman, MEd
David Roberts, MD, Richard Schwartzstein, MD
Course Directors

Physicians and surgeons from all specialties who are involved in teaching students, residents, practicing physicians (CME), or allied health professionals, as well as professional educators who are interested in improving their understanding of educational principles and enhancing their teaching skills.

ACCREDITATION

Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Harvard Medical School designates this educational activity for a maximum of 17 AMA PRA Category 1 Credits™ [Course Only] or 20.5 AMA PRA Category 1 Credits™ [Course with Optional Evening Workshop]. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Offered by: Beth Israel Deaconess Medical Center, Carl J. Shapiro Institute for Education and Research

Register online
To ensure proper registration, please use SOURCE CODE: 2EM

Lynne Goldberg

Dr. Goldberg has published extensively in the areas of hair biology and skin diseases and is the author several book chapters on Hair and Scalp Diseases in the major reference textbooks in this field. She is known worldwide as an expert in these areas. She has also developed a notable program for web-based teaching about hair loss.

Dr. Goldberg earned her BS degree from the State University of New York at Binghamton, where she received the James Wilmoth Award for Excellence in Biology and was elected to Phi Beta Kappa Honor Society. She received her medical degree from the Downstate Medical Center, State University of New York, where she was elected to the AOA Honor Society. Dr. Goldberg completed a residency in Internal Medicine at New York University School of Medicine and a residency in Dermatology at Albert Einstein College of Medicine. She served as a fellow in Dermatopathology at BUSM where she subsequently took her initial academic appointment as an Assistant Professor in Dermatology and Pathology. In 2000 she was promoted to Associate Professor.

Dr. Goldberg has been an active member of the BUSM academic community serving on a number of committees including: Committee on Faculty Affairs; the Subcommittee on Teaching Resources for Faculty of the Medical School; Subcommittee on Educator of the Year; Ad Hoc Committee on Faculty Career Development, Committee of Faculty Affairs; Residency Selection Committee, Department of Dermatology; Ad Hoc Subcommittee on Evaluation of Chairs; Educator of the Year Awards Committee; International Student Admissions Committee; Chair, Logician Model Department Initiative, Department of Dermatology; and current member of the Boston Medical Center Credentials Committee.

From 1994-2004 she served as Director of the Dermatopathology Teaching Program in the Department of Pathology at BUSM, and until recently she served as the Director of the Dermatopathology Teaching Program in the Department of Dermatology, a role she took on in 1994. Since 2002 she has served as Director of the Medical Student Elective in Dermatopathology.

An Advisor-at-Large for the Chester Keefer Academy at BUSM, Goldberg has provided outstanding mentoring of medical students interested in dermatology and pathology. More than 30 medical students have worked directly with Dr. Goldberg in the Dematopathology elective at BUSM and several of these students have been able to publish manuscripts relevant to their work during the elective period. Since 1994 she has Dr. Goldberg’s has mentored more than 40 fellows.

Barnett is founder and director of the International Health clinical program at BMC and developed a family based model that creates efficiency as well as client satisfaction. This model has been a success because of the focus on teamwork among the health professionals and a multidisciplinary approach to the care of new immigrant families. Barnett has used this clinical experience to develop a strong teaching program for students, residents and fellows.

Barnett is also PI for the Boston Area Travel Medicine Network, a travel medicine research program funded by CDC. The network has developed several research protocols addressing acquisition of dengue fever by travelers, demographics of travelers, and knowledge, attitudes and practices of travelers and travel medicine providers. She has mentored both fellows and masters in science students at BUSM in research projects involving travelers and immigrant medicine. These projects have been presented at international meetings and are progressing to manuscripts.

After receiving her medical degree from BUSM, Barnett completed her internship and junior residency in pediatrics at Boston City Hospital and senior residency at Children’s Hospital, Boston. She returned to Boston City Hospital as chief pediatric resident and served as research fellow in pediatric infectious disease.

Since 2001, Barnett has authored nine first or last articles in high-visibility, peer reviewed journals and is co-editor of the textbook Immigrant Medicine. She has lectured for the American Academy of Pediatrics, the International Conference on Emerging Infectious Diseases, the American Society for Travel Medicine and Hygiene, and the International Society of Travel Medicine.

Total University Effort is the professional activity or effort for which an individual is compensated by the University. Total University Effort is not based on a “standard” work week. If an individual who is being compensated for a 100% appointment works 50 hours in a week, then 25 hours would represent 50% of their Total University Effort. If an individual who is being compensated for a 50% appointment works 30 hours in a week, 30 hours would represent 100% of their Total University Effort.

Total University Effort generally includes externally sponsored research activity, department research, teaching, clinical service, administrative duties, and proposal writing. Activities outside of Total University Effort include personal consulting and other non-BU compensated professional work as described in the External Compensated Activity Policy, volunteer individual community or public service, and Veterans Administration Hospital compensated activities documented in a Memorandum of Understanding (MOU).

Effort Commitments.  Sponsors generally consider estimates of effort in project proposals to be commitments if such proposals are subsequently awarded. Principal Investigators (PIs) and other key personnel for whom such commitments have been made are responsible for ensuring that the commitments are met. This includes commitments of effort for which salary support has not been requested (Voluntary Committed Cost Sharing) or is required by the sponsor (Mandatory Cost Sharing).

Before PIs or key personnel specifically named in a sponsored award reduce their effort by more than 25% during the current budget period or plan to be absent for any continuous period of 3 months or more, they must notify the Office of Sponsored Programs to determine whether prior sponsor approval is required. If a reduction in effort commitment is made, the salary must be reduced commensurate with the reduction in effort.

Maximum and Minimum Effort.  PIs cannot certify 0% effort on a sponsored project for the entire grant period. They must certify at least 1% effort on an effort statement during any one of the effort periods to accurately reflect their leadership of the project, unless specifically exempted by the sponsor. Such exemptions may include equipment and instrumentation grants, dissertation and training grants and limited purpose grants such as travel grants and conference support.

Most faculty are unable to devote 100% of their time to sponsored activities due to other responsibilities that include teaching, administrative work, patient care, competitive proposal writing, and service. Accordingly, unless the circumstances of a particular faculty member demonstrably warrant otherwise, the total effort and salary of a faculty member should normally not be 100% supported by sponsored projects in a given effort period. Such circumstances might include being on sabbatical, leave of absence, or having relief from teaching and other responsibilities. Salary support for time spent on non-sponsored activities must come from University funds.

The federal government tends to be very conservative and this is an area several institutions have been the subject of Department of Justice DOJ and / or various Office of Inspector General (OIG) investigations and settlements. Dartmouth College, Hopkins University and Yale University were the subject of such investigations with effort reporting being a major element of each. (See cases below.) Hopkins settled for $2.6 million in 2004 and Yale for $7.6 million in2008.

The basic premise is that most faculty cannot possibly devote 100% of their time to sponsored activities due to other responsibilities including teaching, administration, patient care and service. In addition, competitive proposal writing is also time that cannot be charged to grants, which is why it can be very hard to even justify research faculty being 100% grant supported. The only instance where it might be possible would be when a research faculty member is writing a non-competitive renewal and therefore this time would be applicable to the existing grant.

The 2007 COGR Effort Reporting Paper on pages 28 – 29 states, “Because competitive proposal writing and regular administrative duties usually are required of faculty, some institutions have established policies that restrict faculty from being charged 100% to sponsored awards. As a result, some form of institutional funding source is required to account for these other duties. The institution should conduct a periodic assessment to determine if 100% salary charges to sponsored awards are appropriate for applicable individuals.”

“FALSE CLAIMS ACT Settlements, Audits, and Enforcement Actions Involving Federal Research”, Hogan Lovells, LLP

Johns Hopkins University (JHU) February 2004

http://chronicle.com/article/Johns-Hopkins-Settles-Charges/35473/

Funding Source Department of Health and Human Services, NIH

Description Whistleblower brought charges under the False Claims Act that JHU had knowingly overcharged the government by overstating the amount of time researchers worked on federal research projects and in at least one case charging for more than 100% of an individual’s salary. NIH found that JHU failed to maintain adequate compliance procedures to reconcile proposed and actual effort or charge correct fringe benefit amounts, and found that documents relied on when submitting claims were not reliable.

Compliance Issues: Effort reporting. Payroll distribution

Settlement/Enforcement Actions: JHU paid $2.6 million to government. JHU agreed to investigate and identify any other unallowable costs already submitted and make appropriate adjustments with federal agencies

Dartmouth College September 2005

http://oig.hhs.gov/oas/reports/region1/10401506.htm

Funding Source: Department of Health and Human Services, NIH

Description: OIG audit reported that Dartmouth had overcharged an NIH grant by $37,780 for salary charged for effort not related to the grant. The OIG found that Dartmouth did not have adequate systems in place for identifying actual activities, adjusting for changes to planned activities, and accurately computing payroll distribution charges. The OIG also found that Dartmouth had inadequate procedures to account for grant application activity (100% of researchers’ time was charged to grants during a period in which they submitted many grant applications); to monitor subrecipient costs; and that it had not complied with HHS conditions when revising its payroll distribution system.
Compliance Issues: Effort reporting, Payroll distribution systems, Monitoring costs and activities of subrecipients
Settlement/Enforcement Actions: Dartmouth disputed the OIG’s audit findings, admitting only $1,512 in salary overcharges due to the miscalculation of the NIH salary cap. Dartmouth maintained that the researchers’ effort spent on grant applications was insignificant, was supported by other sources, or involved sending in Progress Reports for NIH grants, a legitimate grant activity. Dartmouth also asserted that the PI was relieved from administrative duties during the time period in which 100% of his effort was allocated to federal grants. In its response, the OIG continued to fault Dartmouth for not clearly instructing its faculty members on how to account for grant application activity.
Yale University December 2008

http://www.universitybusiness.com/newssummary.aspx?news=yes&postid=17751

Funding Source: Department of Health and Human Services, NIH Department of Defense National Science Foundation Department of Energy National Aeronautics and Space Administration (NASA) Several other federal agencies.
Description Yale cooperated with federal authorities in a broad, multi-year investigation of federal research grant accounting going back to 1999. Authorities alleged that Yale mischarged federal grants through improper cost transfers designed to “spend down” grant funds, and through inaccurate and overstated effort reports that resulted in salary overcharges to federal awards. For example, the government alleged that Yale researchers submitted effort reports for summer salary that wrongfully charged 100 percent of their summer effort to federal grants, when researchers expended significant effort on other work. Yale acknowledged that charging errors occurred, but Yale disagreed with the government on both the nature and extent of the errors.

Compliance Issues. Cost transfers. Effort reporting.

Settlement/Enforcement Actions. $7.6 million paid to the government. Yale significantly strengthened and improved it research compliance administration and infrastructure, which included several upgrades to its cost accounting and effort reporting system, and the issuance of revised and updated policies and procedures related to federally sponsored research.

Hwai-Chen Guo, Ph.D.

As director of the Macromolecular X-ray Crystallography Core Facilities, he has been instrumental in leading initiatives to upgrade the facilities through shared instrumentation grants. Guo also established an independent program on the structure function relationships involved in autoproteolysis, DNA binding of restriction endonucleases and reverse transcriptase. These research programs are supported through three NIH grants.

Guo is involved in many aspects of student affairs and education particularly pre-thesis, dissertation examination and qualifying committees. He is responsible for a major component of the graduate level course “Foundations of Biophysics and Structural Biology” and has lead “Special Topics/Student Seminar” courses, both of which are mandatory components of the Physiology and Biophysics Graduate Training Program. As director of the Macromolecular Crystallography Facility he is involved in one-on-one teaching and instruction of students from the laboratories of other faculty members in the practice of x-ray crystallography. He was a preceptor in the department’s previous T32 Training grant and will continue in this role in the recently submitted new T32 Structural Biology Molecular Biophysics grant. Guo has formally mentored several PhD students and postdoctoral fellows in his laboratory.

Guo received his PhD in molecular biology from Cornell University, and post doctoral training as a Cancer Research Institute fellow in structural biology at Harvard University. An active peer-reviewer for several scientific journals, Guo has authored more than 20 peer reviewed articles, and more than 20 abstracts, reviews, chapters and editorials. He has also given more than 15 invited lectures and presentations.

Shaffer received her medical degree from Tufts University School of Medicine and her PhD in anatomy from the University of Kansas. She completed her internship in medicine and surgery at Newton-Wellesley Hospital in Newton, Mass and served as a radiology resident at New England Medical Center, now known as Tufts Medical Center. After her residency, Shaffer received supplementary training in thoracic imaging as a fellow at Brigham and Women’s Hospital.

Shaffer has been received more than two-dozen honors and awards during her career. She is nationally recognized for her clinical research on thoracic, breast, and general oncologic imaging and has published in the areas of imaging of mammography, primary cardiac and pericardial tumors. Shaffer’s educational research centers on the use of digital methods – such as 3D modeling software – in anatomy and radiology teaching. She has published the results of multiple surveys on the use of digital methods across the country, and has presented on these topics at national meetings.

Currently, Shaffer serves on numerous editorial boards including eMedicine, Clinical Anatomy, and Cancer and works as an associate editor for medical journals including the Atlas of Diagnostic Oncology and Radiology.

Ellner joined the faculty at Case Western Reserve University as an assistant professor in 1976 and was promoted to professor of medicine and pathology in 1983. He served as chief of the division of infectious diseases at Case Western Reserve University and University Hospitals of Cleveland from 1979 through 1996. Ellner also served as vice-chair, executive vice chair and interim chair of the department of medicine at Case Western Reserve University.

He was director of the Tuberculosis Research Unit at Case Western Reserve University from 1994 through 1999. Ellner was recruited to UMD-New Jersey Medical School in 1999 as Emerging Pathogens Endowed Professor of Medicine and director of the Ruy V. Lourenço Center for the Study of Emerging and Re-Emerging Pathogens. He was appointed as the first University Professor of UMDNJ and served as vice-chair for research and chief of infectious diseases of the department of medicine, and then as interim chair before becoming chair of medicine June 2002.

Ellner is internationally recognized for his research on tuberculosis and its interactions with HIV infection. He has published more than 250 original articles in the peer-reviewed scientific literature. He was the principal architect of the Uganda-Case Western Reserve University Research Collaboration, which was extended to UNMNJ and is a founding member of the Academic Alliance for AIDS Care and Prevention in Africa.

Ellner is principal investigator of the recently awarded Clinical Diagnostics Research Consortium from the NIH which will evaluate investigation TB diagnostics in endemic areas.

Ellner´s accomplishments have been recognized by his election to the American Society of Clinical Investigation and the Association of American Physicians. He received the Squibb Award from the Infectious Diseases Society of America in 1990.

Ellner has served as chair of the Tuberculosis Panel of the U.S.-Japan, Cooperative Medical Sciences Program. He was member and chair of bacteriology and mycology-1 study section of the NIH, and a member of the National Advisory Allergy and Infectious Diseases Council, the Immunology of Mycobacterial Diseases Steering Committee of the World Health Organization and the Public Health Service Advisory Council for Elimination of Tuberculosis. He received the Northeast Ohio Live, Outstanding Achievement in Health/Medicine Award in 1998 and was named Best Doctor in New York, 2001 by New York Magazine and Top Doctor in New Jersey by New Jersey Monthly on numerous occasions.

Ellner was co-editor-in-chief of “Tuberculosis ” formerly known as “Tubercle and Lung Disease ” and section editor of the Journal of Immunology and currently serves as executive editor of Clinical and Translational Sciences. He is a member of the Scientific Advisory Panel of the Heiser Program on Tuberculosis and Leprosy and chairs the Scientific Advisory Panel of the Aurum Center for Global Health.