Message Chairman by ert634


									                                                                                                         Department of Internal Medicine

N E W S L E T T E R   F R O M   T H E   U N I V E R S I T Y   O F   U TA H   D e p a r t m e n t   o f    M e d i c i n e

                                                Volume 4 • No. 1 • Winter/Spring 2010

                      Message                                         Graduate Medical
                                                                      Education (ACGME).
                                                                                                               IN THIS ISSUE:

                                f rom the                             This is the best that any       page
                                                                      physician training program
                                                                                                      1. Chairman’s Message
                                                                      can receive and only
                                                                                                      2. Residency Training Program
                                                                      reaffirms our excellent
                                                                                                      3. Division of Pulmonary
                       Dr. John R. Hoidal, M.D.                       training program. Getting
                                                                                                      3. Division of Nephrology
                       The Clarence M. and Ruth N. Birrer             this accreditation took a
                                                                                                      4. Cell Therapy Facility
                       Presidential Endowed Chair                     tremendous amount time.
                                                                                                      4. Epidemiology
                       Professor of Medicine                          We are very proud of their
                       Chairman, Department of Medicine                                               5. Madsen Internal Medicine Clinic
                                                                                                      6. Division of Cardiology
                                                                         Of course, the reason
                                                                                                      6. Veterans Health Administration
Since our founding in 1943, the Department of Medicine has been       we have such a strong
                                                                                                      7. Utah Diabetes Center
committed to excellence in teaching, research and patient care.       residency and fellowship
                                                                                                      8. The Society Supporting
   Our vision is to be one of the elite Departments of Medicine in    program is also because
                                                                                                         Leadership in Internal Medicine
the nation by: fulfilling a comprehensive academic mission;           of the caliber of trainee
developing new leaders in Internal Medicine; and improving the        we attract. As a group,
health and healthcare of residents of the Intermountain West by       graduates from this program score in the upper 10% on the
providing safe high quality care.                                     American Board of Internal Medicine Certifying Exam.
   We place the utmost importance on educating our residents.            The Department of Medicine and its 243 faculty remain
This major focus could not happen with out the outstanding            committed to educating and training the next generation
leadership and support of our residency program led by medicine       of medical leaders and practitioners.
program director Caroline Milne,
M.D., pediatric medicine director           “Our vision is to be one of the elite
Sara Lamb, M.D., IMC program
director Corwin Edwards, M.D.,          Departments of Medicine in the nation…
senior fellowship coordinator Anna
Beckstrom, residency coordinator
                                              We place the utmost importance
Aline Campbell, and office                       on educating our residents.”
coordinator Ellen King.
   This exceptional team works
very hard. In October 2008, they
were awarded a full five-year
accreditation from the
Accreditation Council for
Residency Training Program

Department of Medicine Training Program
Achieves Outstanding Accreditation
The residency training program in the
Department of Medicine continues to be a
major focus of the department. The program
has been active since 1938 when the Graduate
Medical Education office has documentation
of the first trainee. In 1944 the Department
offered its first class of trainees, welcoming
21 residents. The program was officially
accredited by the Accreditation Council of
Graduate Medical Education (ACGME)
in 1957. Since that time, the program has
continued to grow graduating over 1100 board
eligible internists from the time we were
accredited. In 1999 the free standing Internal
Medicine program at LDS Hospital and
the University of Utah’s Internal Medicine
training program combined, increasing the
total class size to 24. In 1994 the department
partnered with the Department of Pediatrics
starting a combined medicine/pediatric
training program which is currently approved
                                                  Front (L to R): Christopher Maxwell, John Hoidal, Caroline Milne, Peter Yarbrough; Back (L to R): Stacy Johnson, John Michael, Casey Owens
for 12 trainees over the four year program.
Last July we welcomed our largest class size to   During that time the acuity of the patients                             trainees work under the following guidelines:
date with 31 trainees entering the residency      in the hospital has increased, the length of                            1) no more than five new patients admitted
program in categorical internal medicine.         hospital stay has decreased, the time spent                             in a 24 hour period, 2) no more than ten total
We offer a large preliminary year training        training with subspecialists has increased,                             patients per intern, 3) no more than 30 hours
program in medicine for doctors planning          and the total time spent in the hospital                                “in house” at a time, 4) no more than 80 total
to train in non-medicine subspecialties           has decreased. These changes; especially the                            hours “in house” per week, and 5) ten hours out
requiring a first year of medicine with 21        work hours reform which started in the mid                              of the hospital between shifts. Our most recent
positions. Those programs include radiology,      1990s, has been particularly challenging to the                         ACGME program wide site visit occurred in
anesthesiology, physical medicine and             training program. In 1994, the ACGME made                               May 2008. In October 2008 we were awarded
rehabilitation, dermatology, ophthalmology,       the first work hours reform training guidelines                         a full six-year accreditation (the most allowed)
and radiation oncology.                           mandating a guaranteed day off each week                                with zero citations to the core program. This
   Training has changed significantly since       and issuing per-doctor patient load limits.                             positive site visit reflects the support of the
1938. The training length has remained            Since that time more regulations have been                              program from our department chairman and
stable at three years to board eligibility.       brought into the training mix and currently our                         our active faculty.
                                                                                                                             Last July we welcomed 54 new interns
  “The residency training program in the Department of                                                                    to our program (31 categorical trainees, 3
                                                                                                                          medicine/pediatric trainees, 21 preliminary
 Medicine continues to be a major focus of the department.                                                                trainees). The interns represented over 20
        The program has been active since 1938.”                                                                          different medical schools. Each intern is
                                                                                                                          unique and the program allows flexibility
                                                                                                                          in the second and third years to meet
                                                                                                                          individual training goals. Over the last
                                                                                                                          decade hospitalist medicine has become
                                                                                                                          very popular among trainees. Last year we
                                                                                                                          graduated 34 residents. Of those, 10 chose
                                                                                                                          to enter a pure hospital-based practice, 5
                                                                                                                          chose primary care, and 19 entered programs
                                                                                                                          for fellowship training. Of those 19 that
                                                                                                                          entered fellowship training, six entered
                                                                                                                          oncology/hematology training programs, 3
                                                                                                                          cardiology, 3 rheumatology, 2 pulmonary/
                                                                                                                          critical care, 2 infectious diseases, 1 allergy/
                                                                                                                          immunology, 1 endocrinology, and 1
                                                                                                                          nephrology. The training program continues
                                                                                                                          to evolve to meet the changing needs of
                                                                                                                          medicine nationally and locally.
Internal Medicine Graduating Class of 2009
Division of Pulmonary

Chronic Obstructive Pulmonary Disease Study
at the University of Utah
Building on its reputation of outstanding research in COPD, the                 The participants will be normal healthy smokers,
University of Utah is one of six centers in this research. Chronic           patients with mild COPD and a third group that
Obstructive Pulmonary Disease (COPD) is not a disease but multiple           will have moderate to severe COPD.
disorders that have a common final presentation.                                Other participating centers are being
    Every 8 seconds one person in the world will die due to the              University of California, San Francisco,
adverse effects of cigarette smoking. COPD is the major cause of             University of California, Los Angeles,
these deaths and is attended by staggering costs to society in terms         Columbia University, University of
of morbidity, mortality and economics. Despite efforts aimed at              Michigan and the Bowman Gray School
smoking cessation, little impact has been made on the incidence of           of Medicine at Wake Forest University.
COPD and current treatments are ineffective in slowing progression              The coordinating and genetics
of this devastating disease.                                                 center will be at the University of North Carolina and the radiology
    Spiromics is a study funded by the National Heart, Lung and Blood        center at the University of Iowa. Current plans are to complete
Institute of the National Institutes of Health that will try to subdivide    development of the protocols by early 2010, and to begin recruiting
COPD into specific subgroups and then characterize each subgroup             participants starting in the spring of 2010. It is anticipated that the
according to genetics and mechanisms of disease development and              findings will lead to a much better understanding and eventually new
progression. This will be done by imaging scans of the lungs, lung           therapies for this group of diseases. The ultimate goal is to develop
function studies, symptoms, changes in lung function over time, acute        specific treatments and methods of preventing the specific forms of this
flare-ups of symptoms over time, etc.                                        devastating group of disorders.

Division of Nephrology

University of Utah Is One of Five Network Centers
in NIH Clinical Trial to Test Blood Pressure Strategy
The University of Utah is one of five               estimates suggest that more than 900                 Study participants will be treated with
centers chosen to lead a $114 million               million adults have high blood pressure.           commonly available blood pressure
dollar National Institutes of Health-funded            Current clinical guidelines recommend          medications to achieve one of two different
randomized clinical trial to determine              systolic pressure (the top number in a blood      levels of blood pressure control—either less
whether maintaining blood pressure levels           pressure reading, which measures pressure         than 140 mm Hg (standard group) or less than
lower than current recommendations further          when the heart is pumping blood) of less          120 mm Hg (treatment group). Those in the
reduces the risk of cardiovascular and kidney       than 140 millimeters of mercury (mm Hg)           treatment group will take an average of three
diseases or age-related cognitive decline.                                                            to four medications; those in the standard
    Called the Systolic Blood Pressure                                                                group will take about two medications.
Intervention Trial (SPRINT), the nine-year                                                               SPRINT will enroll approximately 7,500
study will be conducted in more than 80                                                               participants nationwide, age 55 or older, with
clinical sites across the United States. The                                                          systolic blood pressure of 130 mm Hg or higher.
principal investigator for the Utah site is                                                           Participants will have a history of cardiovascular
Alfred K. Cheung, M.D., a kidney specialist                                                           disease; be at high risk for heart disease by
and professor of Internal Medicine and                                                                having at least one additional risk factor, such
Chief of Nephrology at the U of U School of                                                           as smoking or high blood cholesterol levels; or
Medicine. Intermountain Health Care also                                                              have chronic kidney disease.
is participating as a clinical center under the                                                          Enrollment for SPRINT is expected to
direction of the University.                                                                          begin in fall 2010 and will be followed for
    High blood pressure is one of the most                                                            at least four years. Researchers will then
common conditions among middle-aged                                                                   compare the groups to see if the participants
and older adults, and is a leading risk factor      for healthy adults, and 130 mm Hg for adults      in the lower blood pressure group had fewer
for stroke, heart disease, kidney failure, and      with kidney disease or diabetes. SPRINT will      heart attacks or strokes; were less likely
other conditions. High blood pressure is            evaluate the potential benefits of maintaining    to develop heart failure or chronic kidney
also a key contributor to the development           systolic blood pressure at less than 120 mm       disease; or had less decline in cognitive
and progression of chronic kidney disease.          Hg for adults who are at risk for heart disease   function. Deaths due to cardiovascular
Nearly one in three adult Americans                 or kidney disease. The study will also assess     disease and quality-of-life measures will
has high blood pressure, and worldwide              possible risks of this therapeutic strategy.      also be studied.
Cell Therapy Facility

U of U Cell Therapy Lab Collaborates
on Stem Cell Therapy to Fight Lou Gehrig’s Disease
With $5 million dollars in funding from the       brain and spinal cord. As these cells degener-
National Institutes of Health (NIH), Linda        ate, they loose the ability to send impulses
Kelley, Ph.D., Director of the University of      that control muscle movement for speech,
Utah’s Cell Therapy Facility, has teamed          breathing, limb movement, and other func-
up with Nicholas Maragakis, M.D., a Utah          tions, with death from respiratory failure
native, now at the Johns Hopkins University       typically occurring from two to five years
School of Medicine and University of Utah         after diagnosis. ALS affects roughly 30,000
spin-out Q Therapeutics to bring cell-based       people in this country.
therapy to the point of human clinical trials         The cell-based ALS therapy originates from
to treat amyotrophic lateral sclerosis (ALS),     research at the University of Utah by Mahen-           In bringing together cell therapy and neu-
also known as Lou Gehrig’s disease.               dra Rao, M.D., Ph.D., a co-founder of the Salt      rology, the collaboration focuses on two of
   Kelley, principal investigator on the grant    Lake City-based Q Therapeutics, Inc. The            seven life science industry sectors identified
and Professor of Internal Medicine at the         grant will fund pre-clinical studies intended to    by the State of Utah for long-term develop-
University of Utah School of Medicine, said       qualify for an Investigational New Drug (IND)       ment. “Given the current economic climate,
the project is a collaboration in the truest      application from the Food and Drug Admin-           this type of grassroots effort is critical to both
sense. “While the University will be home         istration (FDA). Pre-clinical studies include       near-term job preservation and long-term
to the grant, the stem cell technology that       manufacturing neural glial cells under Good         development of Utah’s life sciences indus-
Q Therapeutics brings to the table and the        Manufacturing Practices (GMP) that will be          try,” said Jason Perry, Chief of Staff to the
clinical expertise of Dr. Maragakis are es-       used to demonstrate toxicology, biodistribution,    Governor and former Executive Director of
sential to the project. We are pleased to bring   efficacy and safety in an animal model of the       the Governor’s Office of Economic Develop-
this ground breaking therapy to human use,”       disease. Historically, funding for these types of   ment. “This project is perfectly aligned with
Kelley said.                                      studies has been difficult to obtain, however,      the state’s targeted economic cluster for the
   ALS is a progressive neurodegenerative         the studies are required prior to FDA approval      Life Sciences and is a model for public and
disease that kills certain nerve cells in the     for use in humans.                                  private collaboration.”


University of Utah Home of New
Public Health Center of Excellence
After a national competition, the US Centers for Disease Control              “This funding award recognizes the partnerships between many
and Prevention (CDC) chose the University of Utah as the home of           different agencies that have characterized public health informatics
a new center of excellence (COE) in public health informatics. One         research and practice in Utah,” said Matthew H. Samore, M.D.,
of only four centers chosen nationwide, the Utah center, named the         Professor of Internal Medicine at the University of Utah School of
“Rocky Mountain Center for Translational Research in Public Health         Medicine and the Director of Informatics, Decision-Enhancement
Informatics,” joins Harvard Pilgrim Health Care, Indiana University,       and Surveillance Center at the Veterans Affairs Salt Lake City
and the University of Pittsburgh. The Utah center will receive             Health System, who will be the COE Director. “Technological
approximately $5 million during the next five years to develop and         strategies usually fail without cooperation,” he said. “In Utah, a
test novel systems to advance core public health missions, such as         framework of trust exists that allows organizations and individuals to
detection and response to known and emerging disease threats.              work together in support of health-care initiatives.”
   Cooperation among public health agencies and health-care                   The University of Utah is a national leader in health informatics—
organizations will be critical for the COE’s success. The center will      the use of information gathered from electronic medical records and
involve a partnership of many of the major health-care players in          other sources to combat disease and improve public health—and
the Intermountain area, including the University of Utah, the Utah         will use that multidisciplinary expertise to help the state and country
                         Department of Health, Salt Lake Valley            better prepare to track and stop epidemics. New communicable
                                   Health Department, Davis County         disease threats such as H1N1 flu and West Nile virus have heightened
                                   Health Department, Intermountain        concerns about the public health reporting system in the event of an
                                   Healthcare, ARUP Laboratories, and      outbreak or epidemic. The ultimate goal of these projects is to foster
                                   Denver Health. To make it a truly       communication and facilitate the exchange of information, allowing
                                   “Rocky Mountain Center,” the COE        public health departments, health-care facilities, clinical laboratories,
                                   will bring investigators and public     health-care providers, and schools to share critical information about
                                    health agencies from Colorado          disease outbreaks.
                                     together with Utahans.
Have you
considered a
planned gift?
You can make a meaningful contribution to future generations.

Planned giving is one way in which high-quality education
and research can be sustained. Such gifts at once memorialize
the commitment of the donor to learning and provide
continual support for research and other educational
programs far into the future.

The Department of Medicine has benefited from numerous
planned gifts creating endowed chairs, professorships, and
fellowships. We are grateful to our many donors. We would
welcome your considering a planned gift.

See reverse for more information.
    What are planned gifts,
    and why are they important?

    Planned gifts come in many shapes and sizes. They are
    charitable gifts that are typically committed now, but fulfilled
    later. Most often, they are made from estate assets such as
    retirement plan funds, a life insurance policy, stocks, bonds,
    cash, or a home or other residence. Some planned gifts offer
    attractive estate tax and/or income tax benefits. Others can be
    designed to provide you with income for the rest of your life or
    for the life of a loved one.

    Planned gifts can help provide a more secure financial future for
    the Department of Medicine. They also create opportunities for
    you to take steps toward providing for yourself, your family, and
    your charitable interests in your estate and financial planning.

    Through a planned gift, you can have a profound impact on
    future generations, and you may even be able to make a larger
    gift than you ever thought possible.

•   Name the Department of Medicine and Society Supporting
    Leadership in Internal Medicine (SSLIM) in your will
•   Name the Department of Medicine
    and SSLIM as a beneficiary of your retirement
    plan assets or life insurance policy
•   Create a charitable trust or gift annuity with a cash gift that
    provides you with income for the rest of your life
•   Make a gift of appreciated stock
•   Give your house to the Department
    of Internal Medicine and continue to live there for life

    For more information about the planned giving options that may
    be right for you, contact:

    Donald Dunn, Director of Development
    801.581.5550 •

               Department of Internal Medicine
Madsen Internal Medicine Clinic

Madsen Internal Medicine Clinic: Serving You!

The Madsen Internal Medicine Clinic, located
on the second floor of the Madsen Clinic, is
committed to the comprehensive, longitudinal
primary care of adults age 16 years and older.
The clinic provides scientific, evidence-based
health care for a wide variety of adult health
problems including (but not limited to) high
blood pressure, elevated cholesterol and other
lipid problems, obesity, diabetes, coronary heart
disease, heart failure, uncomplicated asthma
and chronic obstructive pulmonary disease,
peptic ulcer disease, osteoporosis, and many
more acute and chronic illnesses. Particular
emphasis is placed on age-appropriate
preventive health care and health maintenance
activities and on patient education to facilitate
patient self-management and participation in
their own health care.                                          “An onsite laboratory for blood-drawing, an onsite radiology
   The Madsen Internal Medicine Clinic is
staffed by three full-time and two part-time
                                                                 suite for basic x-ray studies and very available parking…
board-certified internal medicine physicians                           contributes to convenient ‘one-stop shopping’”
and by an outstanding staff of nurses, medical
assistants, and administrative support personnel               Two new areas of emphasis at the Madsen           analysis of their body composition. We also
dedicated to the provision of an exceptional                   Internal Medicine Clinic are multidisciplinary    provide a medical weight loss program before
patient experience. The physician staff at                     women’s health care and comprehensive             bariatric surgery.
Madsen Internal Medicine include Hanadi                        management of patients with obesity as a             In addition to patient care, the Madsen
Farrukh, M.D., Clinic Medical Director, and                    major health problem. The Women’s Midlife         Internal Medicine Clinic provides internal
Doctors Elicia Williams-King, Nathan Ragle,                    Assessment Clinic is a consultation clinic with   medicine residents with continuity clinics
Barry Stults, and Thomas Miller. Modular                       health care providers from many different areas   to enhance their outpatient clinical
scheduling allows for timely same-day or                       including Internal Medicine, Gynecology,          training under the direct supervision of
short wait-time appointments for urgent                        and Dermatology to provide the patient with       attending physicians. Third-year medical
health care problems. An onsite laboratory                     a comprehensive management of care. The           students have the opportunity to spend a
for blood-drawing, an onsite radiology suite                   patients also have access to health coaches and   3-week clinical rotation at Madsen Internal
for basic x-ray studies, and very available                    presentations on pertinent health issues. The     Medicine Clinic experiencing direct patient
parking immediately adjacent to the Madsen                     Weight Management Clinic provides care for        care, and hands-on-teaching in evidence-
Clinic contributes to convenient “one-stop                     obesity. Patients have nutritional and exercise   based ambulatory medicine.
shopping” for Madsen Clinic patients.                          counseling with a bioelectrical impedance            The supporting clinical staff are
                                                                                                                 highly skilled to respond to patients’
                                                                                                                 needs in a friendly and timely fashion, and
                                                                                                                 are committed to provide patients with
                                                                                                                 exceptional experience.

                                                                                                                 To schedule an appointment with a provider at
                                                                                                                 the Madsen Clinic call 801-581-8348.

Back (left to right): Tom Miller, MD; Nathan Ragle, MD; Barry Stults, MD                                         Back (left to right): Jason Hassard RN, Melissa Anderson MA;
Front (left to right): Elicia Williams-King, MD; Hanadi Farrukh, MD                                                                     Kristen Campbell MA; Sanja Watkins, MA
                                                                                                                 Front (left to right): PJ Rhodes; Margie Cook, MA; Hillary Mills, MA;
                                                                                                                                        Nora Ann Sooklaris, LPN; Shabnam Gill; Maxine Turner
Division of Cardiology

University of Utah Cardiologist Ivor J. Benjamin, M.D.,
Wins $2.5 Million NIH Pioneer Award
                       A pioneering model that a U       review process, the NIH chose Benjamin to               Until recently, reductive stress hasn’t
                       of U cardiologist proposes as     further investigate the idea as one of only 18       been looked at in the context of disease. But
                       a cause of heart disease is the   researchers to receive a Pioneer Award.              Benjamin showed that mice with too much
                       kind of creative thinking the        An estimated 3 million Americans suffer           reduced glutathione had increased heart
                       National Institutes of Health     from heart failure, with 500,000 new cases           failure rates, while those with normal levels of
                       (NIH) likes to see—and            diagnosed annually. Disease that leads to heart      the antioxidant did not develop heart failure.
                       reward with one of its most       failure long has been associated with oxidative      Given the role of antioxidants, the theory is
                       prestigious honors, a $2.5        stress, the process in which the body produces       counterintuitive, Benjamin acknowledges.
Ivor J. Benjamin, M.D.
                       million 2009 Pioneer Award.       “free radical” molecules in response to oxygen       But if he’s correct, it could lead to developing
    Ivor J. Benjamin, M.D., Professor of                 intake. Once they’re produced, free radicals         an entirely new class of “antireductant”
Internal Medicine and Biochemistry at the U              roam the body, creating chemical reactions           drugs to treat or even prevent heart disease
of U School of Medicine, believes that one               that damage organs and other tissue.                 caused by reductive stress. “Our findings
of the body’s most powerful antioxidants—                   To protect cells from free radicals, the          show that the potential for reductive stress
molecules generally believed to protect the              body makes antioxidants. Benjamin’s work             causing heart disease definitely warrants more
heart—actually might lead to disease in the              focuses on a particular antioxidant, reduced         investigation,” Benjamin says.
heart and other organs when a gene mutation              glutathione, which is produced when a protein           Although the Pioneer Award is in
causes the body to overproduce the molecule.             called alpha B-Crystallin unfolds inside of cells.   his name, Benjamin is quick to credit
His theory, which stirred some controversy               When mutated versions of the human gene              his laboratory team and colleagues with
when Benjamin presented it in a 2007 study               that makes alpha B-Crystallin were placed in         making the award possible. “I am honored
in the journal Cell, represents a paradigm               mice, however, certain metabolic pathways            and humbled to have been chosen for the
shift in understanding the causes of heart               were improperly activated, which led to              award,” he says. “But the real story is my
disease. But with the conviction that new and            excessive production of reduced glutathione          multidisciplinary team. They deserve a lot
unconventional ideas propel science forward,             and heart damage in the animals. Benjamin            of credit, too.”
and after a highly competitive and critical              terms this condition “reductive stress”.

Veterans Health Administration

Veterans Administration Research Tool
The Veterans Health Administration (VHA) took a commanding                                                             The first projects to use the
step in healthcare when it instituted the electronic health record                                                 VINCI structure are CHIR Use-Case
(EHR). VistA, the software application that supports patient care                                                  projects, addressing both medical
in VHA was implemented in the 1980’s to transition the healthcare                                                  research and informatics research
system from paper records to electronic records.                                                                   with application of Natural Language
   Now, more than 20 years later the VA has the leading role in                                                    Processing (NLP) developed by
transforming the data in the EHR into information that can be                                                      CHIR scientists. These projects were
used to improve healthcare for Veterans. The VINCI Program, in                                                     selected because they are important to
collaboration with the University of Utah, is building the computer                                                the VA and have a high likelihood of
systems and consolidating national data from VistA into functional                                                 success in one year. CHIR projects are
research databases. Comprehensive national data will provide                                                       also rigorous enough to ensure proof
scientists and clinicians opportunities to include all Veterans in VA’s                                            of the VINCI concept.
research mission.                                                                                                      Salt Lake City is a location
   Access to the data, along with analysis and reporting tools, will be                                            for VINCI because of local VHA
through secure virtual environments. Virtualization uses software to                                               groups such as the IDEAS Center,
create a Virtual Machine (VM) that emulates a physical computer.                   the Health Data Repository (HDR) and the VA Terminology
This creates a separate operating system (OS) environment that is                  and Standards group. The Principal Investigator for the VA, Dr.
logically isolated from the host server allowing systems administrators            Jonathan Nebeker (Associate Professor of Medicine, University
to optimize hardware utilization and facilitate compliance with                    of Utah, Division of Geriatrics) has essential experience in
security and auditing procedures.                                                  bioinformatics to lead this program.
   Initial services will be limited to researchers from the Consortium                VINCI will provide richer data to support the research community
for Healthcare Informatics Research (CHIR) and the Informatics,                    in ongoing population-based research. The goal is to support research
Decision Enhancement and Surveillance (IDEAS) Center in Salt Lake                  to improved longitudinal health care, improve population health
City. Partnering with CHIR offers feedback and close communication                 knowledge, and lead to confident decision support solutions.
with researchers while VINCI develops, tests, and refines processes.
Utah Diabetes Center

A Million-Dollar Hole-In-One

   On September 15th Mark Eaton, Brian Hymel and Frank Suitter
co-chaired the 1st annual Mark Eaton Celebrity Golf Classic
benefiting the Treasure Chest Fund at the University of Utah’s
Diabetes Center. This first class event was held at the Red Ledges
Golf Course in Heber, Utah, a newly designed Jack Nicklaus course.
   Thanks to the many sponsors, participants, and volunteers, a total
of $35,893.02 was raised to benefit the Treasure Chest Fund. The
Treasure Chest Fund helps patients at the Utah Diabetes Center
receive the medical care and education they need if they do not
have medical insurance or other means to pay for their care. Since
January 1, 2009, more than 900 patients have received help from
the Treasure Chest Fund.
   One of the most exciting things that took place at this tournament
was the million-dollar hole-in-one shot made by Jason Hargett,
from Springville, Utah. Jason was a late addition to the tournament,
joining it the day of as a guest of the Forever Young Foundation.
Jason made the 150-yard hole cut in the driving range. He hit a nine-
iron about 10 feet past the hole and the ball rolled back and in, giving
the 35-year-old restaurant manager the $1 million prize.
   This hole-in-one made news in every major city in the United
States and even made international news. A video on YouTube was
produced ( search: “Mark Eaton hole in one”).
It has had over 1.2 million views on YouTube, was on the cover of,, and was the top video on ESPN for a week.
In addition, Jason was the play of the day on ESPN, was on the CBS
Early Show and made a guest appearance on the Ellen Show.
   This tournament would not have happened without the generous
support of our participants, our generous host Mark Eaton and his
co-chairs, the wonderful volunteers, the staff at the Red Ledges, and
the staff of the Health Sciences Development Office. We want to take
this moment to simply say THANK YOU!
   Stay tuned for the 2nd annual Mark Eaton Celebrity Golf Classic         Jason Hargett, of Springville, UT,   Mark Eaton and representatives of the Utah Diabetes Center
to once again benefit the Utah Diabetes Center. You never know….           made a million-dollar hole-in-one
                                                                           shot at the 1st annual Mark Eaton
                                                                                                                award Jason Hargett for his shot
                                                                                                                Left to right: Donald Dunn, Brian Hymel, Amyee Hargett, Mark Eaton,
you might just win a Million Dollars when you join us next year.           Celebrity Golf Classic                              Jason Hargett, Todd Cates, Frank Suitter

                                                                                  “A total of $35,893.02 was raised to
                                                                                   help patients at the Utah Diabetes
                                                                                   Center receive the medical care and
                                                                                          education they need.

                                                                                   Since January 1, 2009, more than
                                                                                  900 patients have received help from
                                                                                      the Treasure Chest Fund.”

The Society Supporting Leadership
in Internal Medicine (SSLIM)
More than three years ago a group of very dedicated former faculty,
house staff and School of Medicine alumni met with Dr. John
Hoidal to talk about their vision and interest in creating the
Society Supporting Leadership in Internal Medicine (SSLIM).
They wanted to bring together a group of their peers to give
financial support to the Department as well as create an avenue
to re-connect with one another.
   Under the leadership of C. Hilmon Castle, MD and a terrific
executive committee, SSLIM became a reality. Since the creation
of SSLIM, 31 people have joined as lifetime members and 28 people
have joined as sustaining members. Our goal is to have at least 100
members of SSLIM. We invite you to join SSLIM if you have not
already done so. For those who are already members of SSLIM we
say thank you!

       “One of our priorities in the
  Department of Medicine is to recruit the
      best talent to join our faculty.
   We are doing this in part by assisting
 our junior faculty with some of the heavy                                  In this current environment of recruiting faculty, this loan
  burden of their medical school loans.”                                 repayment program has given us a competitive advantage. This
                                                                         would not have been possible without the generous support from
                                                                         SSLIM and its donors.
   One of our priorities in the Department of Medicine is to recruit        Finally, we would like to take this time to thank our current
the best talent to join our faculty. We are doing this in part by        SSLIM Executive Committee for their time and service: Drs. Jack
assisting our junior faculty with some of the heavy burden of their      Athens, Randy Burt, Hilmon Castle, Greg Elliott, John Hoidal, Gerry
medical school loans. Thanks to the generous support of SSLIM, we        Rothstein, Chuck Smith (Chair), Bob Wray, and Donald Dunn and
have developed the Junior Faculty Loan Repayment Program where           Elizabeth Napier.
the Department of Medicine and SSLIM will match our divisions
up to a certain amount each year for three years to help these junior    To become a member of SSLIM please contact Donald Dunn,
faculty. In turn, these faculty commit to teaching with us for one       Director of Development and Patient Relations at 801-581-5550 or
additional year for each year they receive this assistance.              by email at

LIFETIME MEMBERS                                                         SUSTAINING MEMBERS

Georgia and Jack Athens, M.D.       Amy and George Gee Jackson, M.D.     William H. Barry, M.D.             Kenneth Nielson, M.D.
Carter R. Bishop, M.D.              William M. Keane, M.D.               A. Bertrand Brill, M.D.            Theodore H. Noehren, M.D.
Norma and Harold Brown, M.D.        Pamela R. and G. Richard Lee, M.D.   Randall W. Burt, M.D.              Margie and William Odell, M.D.
Joseph and Saundra Buys, M.D.       Barbara and Donald Moore, M.D.       Grant W. Cannon, M.D.              Marilyn and Robert Paine, III, M.D.
Farrell M. Calton, M.D.             M. Nafees Nagy, M.D.                 Holly J. Carveth, MD               Jackie and Virgil Parker, M.D.
J. Michael Carroll, M.D.            Ettalue and Richard Nelson, M.D.     Maria and Antonio Cutillo, M.D.s   Keith M. Pearson, M.D.
Chris Cartwright, M.D.              Peggy and Charlie Nugent, M.D.       Merrill Daines, M.D.               Dennis Priebat, M.D.
Hilmon & Linda Castle, M.D.         Sharon Ondreyco, M.D.                William A. Dittman, M.D.           Ginny and Gerry Rothstein, M.D.
Harmon Eyre, M.D.                   Woody Renzetti                       Paul A. Galbraith, M.D.            Yvonne and Robert M. Satovick, M.D.
May Farr                            Alice and DuWayne Schmidt, M.D.      Charles Joe Goodner, M.D.          Judy and Charles Smith, M.D.
Stephen Ferney, M.D.                Robert R. Shreck, M.D.               Martin Gregory, M.D.               Kathie and Mark Supiano, M.D.
Cheryl and Clyde Ford, M.D.         M. Paul Southwick, M.D.              Richard Kanner, MD and             Marcia and John S. Trombold, M.D.
Herb Fred, M.D.                     Joanne and Woody Spruance, M.D.        Suzanne Stensaas, PhD            John Weis, M.D.
Margie and James Freston, M.D.      Alida W. Tyler                       Richard H. Keller, M.D.            Robert B. Wray, M.D.
Maria and Vincent L. Hansen, M.D.   Lyuba Varticovski, M.D.              Hip Kuida, M.D.
Judy and John Hoidal, M.D.                                               Don H. Nelson, M.D.
Some of our Junior Faculty in the Department of Medicine
Who are benefiting From this loan repayment program:
                        TiM Farrell, M.D.,                                    Jack h.                        Kalani worked in the laboratory for two years
                        joined the Division of                                MorSheDzaDeh, M.D.,            of his Nephrology training studying polycystic
                        Geriatrics with an adjunct                            joined the faculty at          kidney disease. He joined the faculty in July
                        appointment to the                                    the University of Utah’s       2009. His clinical work is primarily in Renal
                        Department of Family &                                Division of Cardiology after   Transplantation and General Nephrology.
                        Preventive Medicine in                                recently completing his        Kalani is married to Blanca Raphael who is the
                        September 2009. His                                   cardiology fellowship. He      Volunteer Coordinator at Huntsman Cancer
                        responsibilities include                              graduated with honors from     Hospital., they have two darling daughters,
                        direct patient care as well                           Northwestern University        ages 13 and 5.
as geriatrics education for the family medicine       with a degree in Biomedical Engineering.
residency. Tim served his family medicine             Jack attended medical school, completed his                                    JeSSica WalSh, M.D.,
residency at Brown University/Memorial                Internal Medicine Residency and his cardiology                                 is a Rheumatologist with
Hospital of Rhode Island and his geriatric            fellowship training all at the University of Utah.                             an interest in Spondyloar-
medicine fellowship at Brown University/Rhode         Between stays at the University of Utah, Jack                                  thritis. Her clinical research
Island Hospital. His interest in geriatrics began     spent time doing cardiovascular research at                                    is primarily in Psoriatic
early in residency; he found that working with        the Harvard-M.I.T., Division of Health Sciences                                Arthritis. She has a split
older patients was extremely rewarding, and           and Technology. He is married to Galina                                        appointment with Rheu-
he was also fortunate to have outstanding             Morshedzadeh; who has been working as a                                        matology and Dermatol-
mentorship in geriatrics. Tim’s wife, Dr. Julia       newborn intensive care unit nurse practitioner for                             ogy. In Rheumatology
Ozbolt, practices combined medicine and               over 10 years, at the University of Utah NBICU.        clinic, she sees both Spondyloarthritis patients
pediatrics at the Redwood Community Clinic.           They are both eagerly awaiting the arrival of their    and General Rheumatology patients. She is
Tim was raised in western Massachusetts and           first child early in 2010.                             phenotyping Psoriatic Arthritis patients partici-
he is a diehard Red Sox fan. His wife and he                                                                 pating in the Utah Psoriasis Initiative, which is
have enjoyed hiking in the mountains of Utah                                 naThan ragle, M.D.,             a large registry of psoriasis patients, who have
since their arrival this summer, and they are                                was born and raised in          been genotyped and cutaneously phenotyped.
looking forward to skiing here this winter.                                  Anchorage, Alaska. He           She is also developing a Spondyloarthritis clinic
                                                                             left Alaska to pursue an        at the VA and a multicenter VA Spondyloar-
                       STacy JohnSon,                                        undergraduate education         thritis registry. Jessica did her medical school,
                       M.D., recently joined the                             at the University of Puget      Internal Medicine Residency, Chief Medical
                       Division of General Internal                          Sound in Tacoma, Wash-          Residency, and Rheumatology Fellowship at the
                       Medicine’s hospitalist group                          ington. There he graduated      University of Utah. She enjoys the diagnostic
                       after completing a Chief                              with a major in Chemistry       complexity and multi-organ system involvement
                       Medical Resident year and      and minors in Math and Biology. Nathan then            of rheumatic conditions and likes the long-term
                       his house staff training       attended and received his medical degree from          patient-provider relationships that occur with
                       at the University of Utah.     Rosalind Franklin University of Medicine and           chronic diseases. Her husband’s name is also
                       He grew up in Spokane,         Science/The Chicago Medical School. After              Jess. He owns/runs a roofing company and
Washington, and attended the University of            graduating from medical school he moved to             the Trolley Wing Company, which specializes in
Washington where he earned his bachelors              Salt Lake City to finish his medical education as      chicken wings. They have a daughter who is 21
degree in Zoology. Medical School took him            an Internal Medicine Resident at the University        months old and have a second daughter due
to Chicago, Illinois, where he attended the           of Utah. Outside of practicing medicine Na-            in March. Jessie grew up in western Idaho and
Rosalind Franklin University of Medicine and          than’s interests include mountain biking, skiing       has lived in Salt Lake City for 10 years. Outside
Science/Chicago Medical School, but the lure          and many of the other great outdoor activities         of work she enjoys gardening and traveling.
of the mountains drew him westward. Stacy has         that Utah has to offer. In August of 2009, he
many interests outside of the hospital. He is an      began practicing as an Internal Medicine physi-                              peTer yarbrough,
avid mountain biker and enjoys climbing, fishing,     cian at the Madsen Clinic.                                                   M.D., joined the Division of
and telemark skiing, to name a few.                                                                                                General Internal Medicine
                                                                             kalani raphael, M.D.,                                 as a hospitalist in July
                                                                             was born and raised in                                2009. He completed his
                                                                             Honolulu, Hawaii. He at-                              residency at the University
                                                                             tended Gonzaga Universi-                              of Utah in 2008 and then
                                                                             ty prior to attending medi-                           served as Chief Medical
                                                                             cal school at the University                          Resident from 2008-2009.
                                                                             of Hawaii. He originally        He is interested in hospitalist medicine, medical
                                                                             came to the University of       student and resident education, and plans to
                                                                             Utah to become a Neurol-        pursue additional training in pain and palliative
                                                      ogy Resident and enjoyed Internal Medicine             care. He moved from Ohio, where he grew up
                                                      during his intern year so much that he decided         and completed medical school, to Utah in 2005
                                                      to complete Internal Medicine residency instead.       for training and proximity to the mountains–
                                                      He then served as Chief Medical Resident prior         the mountains serving as a common venue
                                                      to Nephrology Fellowship training which he             for hobbies.
                                                      received at the University of Utah.
                    INTERNAL MEDICINE


Department Chair: John Hoidal, M.D.
Vice Chair: John Michael, M.D.

Administrative Staff:
Steve Sutch               Chief Administrative Officer
Donald Dunn               Director of Development
Jessica Kuo               Administrative Manager
Chris LaSalle             Associate Director

PLEASE CONTACT:                                                                             University Health Sciences and Hospital — 2009

Donald Dunn, Director of Development
Department of Medicine                                                   Published by the
University of Utah                                                 Department of Medicine
30 N 1900 E, Rm 4C104                                          University of Utah School of Medicine
Salt Lake City, UT 84132                                        30 North 1900 East, Suite 4C104
Phone (801) 581-5550                                                Salt Lake City, Utah 84132
Fax (801) 581-5393                                                   Telephone 801-581-7606
                                                                         Fax 801-581-5393


                                                                                                                 U.S. Postage
        University of Utah School of Medicine                                                                Salt Lake City, Utah
        30 North 1900 East, Suite 4C104                                                                        Permit No. 3280
        Salt Lake City, Utah 84132


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