Angela Jackson Awarded Two-Year Grant for Medical Student Study Linking Advocacy and Professionalism Through Clinical Experiences

May 18th, 2012

Angela Jackson

Angela H. Jackson

Boston University School of Medicine Assistant Dean for Academic Affairs Angela H. Jackson, MD, has been awarded a two-year grant by the Josiah Macy Jr. Foundation and the Institute for Medicine as a Profession. This two-year award, “Inoculating Against the Hidden Curriculum: Professionalism through Advocacy” is one of only four grants awarded nationally.

This project will develop, implement and evaluate a longitudinal experience that links advocacy and professionalism through clinical experiences throughout all four years of the medical school curriculum. Students will have the opportunity to explore their future responsibility to society, and learn about the diverse roles as advocates that physicians play. “Most importantly, they will learn about the importance of connecting with patients as individuals within the context of their community,” explained Jackson. This curriculum is geared to help students identify events that constitute the “hidden curriculum” during clinical experiences and develop mechanisms to appropriately respond.

Dr. Jackson, who also serves as associate professor of Medicine in the department of Medicine, has served for many years as the director of the Internal Medicine Primary Care Training Program and as the principal investigator for many successfully funded Health Resources and Services Administration (HRSA) Title VII training grants.

March with BUMC at the Boston LGBT Pride Parade, June 9

May 17th, 2012

Gay Pride ParadeThe Office of Diversity and Multicultural Affairs invites the BUMC community to march with “PRIDE” and show support for LGBT students, faculty and staff in the Annual Boston LGBT Pride Parade on Saturday, June 9. Showing your support for LGBT friends and colleagues reaffirms our openness and strengthens the diverse fabric of our institution.

“The parade is a fun event which fosters change and progress in our society by embracing the LGBT community’s history, culture, and identity. Additionally, the parade promotes community engagement and inclusivity,” explained Associate Dean, Diversity and Multicultural Affairs Rafael Ortega, MD.

If you are interested in marching please contact the Office of Diversity and Multicultural Affairs by emailing Lance Martin, indicating that you plan to participate. The BUMC contingent will “line up” on Boylston St. at 11 a.m. on June 9. The Office will provide additional information and updates regarding the time and exact location of the the pre-march meeting.

Join us and march proudly under the BU Banner.

 

 

Study Shows First Case Series of Chronic Traumatic Encephalopathy in Blast-Exposed Military Service Personnel and Mechanism of Injury in Blast Neurotrauma

May 17th, 2012

Investigators from Boston University (BU) and the Veterans Affairs Boston Healthcare System have shown evidence of chronic traumatic encephalopathy (CTE) in brain tissue from blast-exposed military service personnel. Laboratory experiments conducted by the investigators demonstrated that exposure to a single blast equivalent to a typical improvised explosive device (IED) results in CTE and long-term brain impairments that accompany the disease. They also found that the blast wind, not the shock wave, from the IED blast leads to traumatic brain injury (TBI) and long-term consequences, including CTE.

This research, which represents the first case series of postmortem brains from U.S. military personnel who were exposed to a blast and/or a concussive injury, will be published online May 16 by Science Translational Medicine.

Lee Goldstein

Lee Goldstein

Lee Goldstein, MD, PhD, associate professor at Boston University School of Medicine (BUSM) and Boston University College of Engineering, and Ann McKee, MD, professor at BUSM and director of the Neuropathology Service for VA New England Healthcare System, led this international collaborative study and are the senior co-authors.

Ann Mckee

Ann Mckee

CTE, which can only be diagnosed postmortem, is a progressive neurodegenerative brain disorder that has been reported in athletes with multiple concussions or subconcussive injuries. In early stages, CTE is characterized by the presence of abnormal deposits of a protein called tau in the form of neurofibrillary tangles, glial tangles and neuropil threads throughout the brain. These tau lesions eventually lead to brain cell death. CTE has clinical features in common with TBI, including psychiatric symptoms and long-term cognitive disability involving memory and learning deficits. TBI can impact military personnel exposed to an explosive blast and may affect approximately 20 percent of the 2.3 million servicemen and women deployed since 2001.

In this study, investigators performed comprehensive neuropathological analyses on brain tissue from four military service personnel with known blast exposure and/or concussive injury. They compared these results with brain tissue samples from three young amateur American football players and a professional wrestler, all of whom had a history of repetitive concussive injury, and four samples from comparably-aged normal controls with no history of blast exposure, concussive injury or neurological disease.

The investigators found that CTE neuropathology in the brains of blast-exposed military veterans was similar to that found in young athletes with repetitive concussion and consistent with what has previously been observed in brain samples from other athletes with a history of repetitive concussive injury.

“Our results showed that the neuropathology from blast exposure, concussive injury, or both were virtually indistinguishable from those with a history of repeat concussive injury,” said McKee, who is the director of the Brain Banks for BU’s Alzheimer’s Disease Center and the Center for the Study of Traumatic Encephalopathy, which are based at the Bedford VA Medical Center. McKee said that these findings indicate that TBI caused by different factors may trigger similar disease pathways in the brain.

“The neuropsychiatric symptoms of CTE that have previously been associated with athletes diagnosed with CTE could also be attributed to military personnel who were exposed to blast,” said Goldstein, who also is affiliated with the BU Photonics Center and served as the study’s lead author.

To examine the impact of a single blast exposure, the investigators collaborated with leading experts in blast physics, experimental pathology and neurophysiology at Boston University, VA Boston Healthcare System, White River Junction VA Medical Center, New York Medical College, Fraunhofer Center for Manufacturing Innovation, University of Massachusetts Lowell, Lawrence Livermore National Laboratory, Massachusetts General Hospital and the University of Oxford. The team’s experimental data showed that one blast comparable to that experienced by military service personnel in the field resulted in both neuropathological and behavioral evidence of CTE. Surprisingly, the long-term impairments in brain function, including impaired learning and memory, were observed just two weeks after exposure to a single blast.

The blast wind from an IED can reach a velocity of up to 330 miles per hour, which is greater than the largest wind gust ever recorded on earth. “The force of the blast wind causes the head to move so forcefully that it can result in damage to the brain,” said Goldstein.

Based on the results, the investigators went a step further and explored how they could prevent the brain injury. They demonstrated that immobilizing the head during a blast exposure prevented the learning and memory deficits associated with CTE that occurred when the head was not immobilized.

“Our study provides compelling evidence that blast TBI and CTE are structural brain disorders that can emerge as a result of brain injury on the battlefield or playing field,” added Goldstein. “Now that we have identified the mechanism responsible for CTE, we can work on developing ways to prevent it so that we can protect athletes and our military service personnel.”

The study results provide a pathway for the development of novel diagnostic strategies for blast-related brain trauma, as well as to treat and rehabilitate those who have been exposed to blast and/or a concussive injury.

Researcher, Surgical Oncologist Receives National Award

May 16th, 2012

Maureen T. Kavanah

Maureen T. Kavanah

Maureen T. Kavanah, MD, an Associate Professor of Surgery at Boston University School of Medicine (BUSM) and a surgical oncologist at Boston Medical Center (BMC), has received the prestigious 2012 National Surgical Adjuvant Breast and Bowel Project (NSABP) Distinguished Investigator Lifetime Achievement Award for her extraordinary contributions and meritorious service to the NSABP in support of clinical research in breast and colorectal cancers.

During her nearly three decades of service at Boston University Medical Campus, Dr. Kavanah has exemplified the spirit of the award through her dedication to the promotion, publication and presentation of clinical research. “This award reflects not only Dr. Kavanah’s commitment to excellence in research and patient care, but to advancing treatment for breast cancer nationally and internationally,” said Gerard Doherty, MD, the James Utley Professor and chair of surgery at BUSM and chief of surgery at BMC.

Dr. Kavanah became a research investigator with the NSABP in 1981, and has held several leadership positions within the organization. As the Principal Investigator of the NSABP Clinical Research at BMC, she has led numerous NSABP-sponsored clinical studies in breast and bowel cancers. She has served on NSABP’s Board of Directors since 1988, and also serves as the Protocol Chair for The Breast Cancer Prevention Trial P-1. She also serves as the Chairman of the Ethics Committee.

In addition to her renowned scientific achievements, Dr. Kavanah has dedicated her time to the scientific community by serving as a faculty supervisor for many young investigators. In 1990, she established BMC as a full-member institution of the Southwest Oncology Group (SWOG) and served as its Principal Investigator until 1994. Dr. Kavanah belongs to numerous professional organizations and has been a member of the Board of Governors of the American College of Surgeons, the President of the Massachusetts chapter of the American College of Surgeons, President of the New England Cancer Society and has chaired the National Cancer Institute Central IRB (Institutional Review Board). She has lectured extensively and has been listed as a Top Doctor by Boston Magazine annually since 2008.

Dr. Kavanah received the 2012 award during a ceremony held in Scottsdale, on April 29 at the NSABP clinical trials annual meeting.

The NSABP Foundation, Inc., has a 50-year history of designing and conducting clinical trials that have changed the standard of treatment in breast and colorectal cancer. As a not-for-profit clinical trials cooperative, it’s supported primarily through grants from the National Cancer Institute and in part from the Tobacco Settlement Act and other sources. It pioneered breast cancer studies that led to the establishment of lumpectomy plus radiation over mastectomy as the standard surgical treatment for breast cancer. It also was the first to demonstrate that adjuvant therapy (treatment in addition to surgery) could alter the natural history of breast cancer, increasing survival rates, and demonstrating on a large scale the preventive effects of the drugs tamoxifen and raloxifene in reducing rates of invasive breast cancer.

 

Now Nearly Complete, BUSM Students Can Apply To Live at the Medical Student Residence

May 15th, 2012

Student residence and park

Student residence and park

Student residence lobby

Student residence lobby

Now nearly finished, construction on the Medical Student Residence (MSR) is quickly winding down. The work on the exterior of the building has been completed, the landscaping and park have been installed, furniture is being put in place, and systems within the residence are operational. The only thing left is to move-in the student residents for the 2012/2013 Academic Year!

An example kitchen layout

An example kitchen layout

Example bedroom layout

Example bedroom layout

 

 

 

Boston University’s Office of Rental Property Management is handling the rental of the 208 rooms in 104 two-person suites, and has put together a series of webpages with information about the MSR. Please click below to learn more about the following topics:

For more stories about the residence, click here

Any full-time Boston University School of Medicine student interested in living at the Residence should call Susan Trabucco at Rental Property at 617-353-4101 as soon as possible.

MED’s Robert Lowe a Metcalf Award Winner: Teaching students how to be empathetic physicians

May 15th, 2012

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Robert C. Lowe, a MED associate professor of medicine, will receive a Metcalf Award for Excellence in Teaching. Photo by Kalman Zabarsky

As a kid in New York City, Robert C. Lowe always knew he wanted to be a doctor. Teaching, however, never crossed his mind, he says, because he wasn’t the best public speaker in high school and college.

Fast forward several decades to 2010, when the School of Medicine’s graduating class selected the associate professor of medicine as its convocation speaker. Following a speech that was equal parts humor and wisdom (he opened with a quote from the Who’s Roger Daltrey), he received a standing ovation. Lowe won MED’s annual teaching award three years ago. And on Sunday, May 20, during Commencement ceremonies, he will receive one of the University’s highest teaching honors: a Metcalf Award for Excellence in Teaching.

“His exemplary commitment to the teaching of the art and science of medicine has shown students how to practice their profession with both expertise and compassion,” notes the award citation.

“Rob Lowe is a dedicated physician and inspiring educator,” says Karen Antman, dean of MED and Medical Campus provost. “We are delighted that his outstanding talent as an educator is now being recognized by the University.”

Lowe attended Harvard College and Harvard Medical School and completed his residency in internal medicine at Brigham and Women’s Hospital. He then trained in gastroenterology at Boston Medical Center. He joined the MED faculty in 2001 and later became the school’s educational director of the section of gastroenterology. His research focuses on liver disease, including viral hepatitis, cirrhosis, and advanced liver disease.

Despite his work as a physician and a researcher, Lowe says that teaching is “a real huge part of what I do.” He is a clinician educator, who in addition to teaching students is engaged in faculty development workshops as both a participant and an organizer. And he has honed his skills by taking health care education courses at Harvard’s Macy Institute.

“No matter how many times people tell me I’m good at this, I always want to see if there are things I can do to improve,” Lowe says. “And I really enjoy primarily watching the transformation of college students into physicians—both at the level of knowledge and skills, but also the attitude of becoming a physician.”

The first two years of medical school, Lowe explains, involve intense classroom time, with some exposure to clinical rounds, while the last two revolve around hospital and clinic experience. His aim has been to crossbreed these worlds in a more instructive way. “If you can give students a problem to chew on, then the stuff they’re learning…can be better applied,” he says. “I find that leads to a much better and deeper learning.”

Lowe, or “Doc,” as he prefers to be called, stresses the importance of empathy in medicine. He’s read the studies showing that medical students’ idealism dulls as they are exposed to the mental and emotional stresses inherent in medical school. He tries to counteract that by paying careful attention to how students talk or act in front of patients, leading by example and letting them know that even the smallest things they say or do may have huge impacts.

“There’s always been a tendency in medicine to tell students to dissociate themselves emotionally in order to maintain a certain calm,” he says. “But it’s a balancing act. You have to actually feel the emotions and control them. Getting rid of the emotions does not help. Patients do not appreciate unemotional doctors.”

Lowe has been cited for his skill as a physician as well as for his teaching. He has been named one of Boston’s Top Doctors three times by Boston magazine, most recently this year. Not surprisingly, he loves being a doctor.

“It allows you to actually help people as part of your daily life,” he says. “Many jobs in the world involve you succeeding at the expense of someone else. You win; they lose. You get something; someone else gives something. Here it’s not like that. Everybody wins and loses together essentially.”

His students’ admiration and respect for his devotion to medicine and teaching come across clearly in their letters recommending Lowe for a Metcalf award. “Dr. Lowe is awesome—he makes you marvel at the physiology of the GI tract!” wrote one. “He is an effective, compassionate, and knowledgeable physician,” said another. “He demonstrates how empathy itself can be healing,” from yet another. And last, but not least: “He is exactly the kind of physician I would hope to be in a few years.”

The Metcalf awards date to 1973 and are funded by a gift from the late BU professor and Board of Trustees chairman emeritus Arthur G. B. Metcalf (SED’35, Hon.’74). The Metcalf Cup and Prize winner receives $10,000, the Metcalf Award winners $5,000 each. A University committee selects winners based on nominees’ statements of teaching philosophy, supporting letters from colleagues and students, and classroom observations. This year’s Metcalf Cup and Prize winner is Andrew Duffy , a College of Arts & Sciences master lecturer in physics, and the other Metcalf Award winner is Marisa Milanese,  a CAS Writing Program senior lecturer.

This BU Today article was written by Leslie Friday. She can be reached at  lfriday@bu.edu

 

BUMC Housing Fair June 8

May 11th, 2012

Do you need to find a roommate, an apartment, or someone to sublet your place? The annual BUMC Housing Fair is free and open to the BUMC community including current and incoming students to the schools of Medicine, Public Health, Dental Medicine and division of Graduate Medical Sciences. The fair offers a great opportunity to meet with local area landlords, property owners, realty organizations, and BU offices who are there to talk and guide you through the housing search process. The Housing Fair serves as a good way to meet a number of potential roommates and landlords during a short period of time and also to find housing leads for this academic year. Representatives from companies providing furniture and transportation services will attend as well. Light brunch refreshments will be available for all fair participants.

If you have questions about the fair, please call 638-5125 or email ohr@bu.edu. For more information visit http://www.bumc.bu.edu/ohr/.

  • BUMC Housing Fair
  • Friday , June 8
  • 11 a.m.-1 p.m.
  • BUMC Instructional Building, Hiebert Lounge

BUSM’s Lowe to Receive Metcalf Award

May 4th, 2012

Robert C. Lowe

Robert C. Lowe

Robert C. Lowe, MD, Associate Professor of Medicine and Education Director for the Section of Gastroenterology at Boston Medical Center, will be presented with a Metcalf Award for Excellence in Teaching at Commencement exercises on May 20.

“This is one of the University’s highest teaching awards, and we are honored that Dr. Lowe will be recognized as one of the most outstanding faculty at Boston University,” said BU Medical Campus Provost and BUSM Dean Karen Antman, MD.

Students, faculty and alumni nominate candidates for the awards, which were established in 1973 by a gift from the late BU Board of Trustees Chairman Emeritus Arthur G.B. Metcalf. The Metcalf Award winners each receive a prize of $5,000.

“My approach to teaching is best described as using active learning principles and real-life cases to help students integrate the basic principles of medical science with the practical knowledge that underlies clinical medicine,” says Lowe. “In addition to teaching professional behavior, I try to instill a sense of the history and value of the medical profession as a whole. I take very seriously the trust and power that society gives us as physicians, and I explicitly remind students of their responsibility to individual patients and society as a whole.”

A native of New York City who now lives in Westford, Mass., Lowe joined the BU faculty in 2001 after a three-year appointment at Harvard Medical School. He earned his bachelor’s degree in biology from Harvard College and his MD from Harvard Medical School, with postdoctoral training at Brigham and Women’s Hospital and the Boston Medical Center. He recently was selected by Boston magazine as one of “Boston’s Top Doctors.”

 

 

 

BUSM Student Honored with Appropriate Treatment in Medicine Award

May 3rd, 2012

Marcel Tam

Marcel Tam

Marcel Tam, Boston University School of Medicine (BUSM) class of 2012, is the recipient of the Appropriate Treatment in Medicine (ATM) Award given annually to a BUSM student.

The award honors a medical student who promotes excellence in patient care and serves as a role model to his peers for personal integrity in team communication and promotion of health care. Tam was recognized by David McAneny, MD, BUSM associate professor of surgery, after identifying a life threatening complication in a patient.

In receiving the award, Tam spoke about the importance of students being able to raise concerns to their supervisors in order to create a safer environment for patients.

A duel MD/MBA candidate, Tam has spent the past three months completing a MBA internship with the Mount Auburn Cambridge Independent Practice Association (MACIPA), one of the first Accountable Care Organizations (ACOs). After graduation, Tam will begin his residency at the Swedish Family Medicine Residency-First Hill in Seattle, his hometown. Tam plans to practice family medicine while using the skills he acquired in the MBA program to improve the quality of healthcare delivery.

Two BUSM Students Honored as Massachusetts Medical Society Scholars

May 2nd, 2012

Two students at Boston University School of Medicine, Erkeda DeRouen and Aniruddha Hazra, have been named 2012 Massachusetts Medical Society Scholars.

Erkeda DeRouen

Erkeda DeRouen

Aniruddha Hazra

Aniruddha Hazra

The Society’s Scholar Awards are presented annually to fourth-year medical school students who demonstrate excellent academic performance, community involvement and financial need. Each honoree receives a $10,000 scholarship. Since the inception of the program in 1993, MMS Scholar Awards totaling $1,360,000 have been presented to 136 medical school students through 2012.

The Massachusetts Medical Society, with nearly 24,000 physicians and student members, is dedicated to educating and advocating for the patients and physicians of Massachusetts. The Society publishes the New England Journal of Medicine, a leading global medical journal and web site, and Journal Watch alerts and newsletters covering 13 specialties. The Society is also a leader in continuing medical education for health care professionals throughout Massachusetts, conducting a variety of medical education programs for physicians and health care professionals. Founded in 1781, MMS is the oldest continuously operating medical society in the country.

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May 18, 2012
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