Dr. Grantham Awarded Duke AHEAD Grant

Ashley Grantham, PhD

Ashley Grantham, PhD

Duke Academy for Health Professions Education and Academic Development (Duke AHEAD) has awarded Duke Anesthesiology’s Ashley Grantham, PhD, and co-investigators a $5,000 research and innovations grant for her project, titled “The development, implementation, and evaluation of a learning community to support education research in the health professions.” This funding is aimed at improving health professions education through innovative approaches to instruction or assessment. Co-principal investigators include Deborah Engle, EdD, MS, and Kyle Covington, PT, DPT, PhD.

According to the project proposal, health professions education (HPE) research has the ability to improve the quality of teaching and learning in the health professions by providing insight into effective strategies, programs and practices. These findings have the ability to impact not only learner outcomes but patient outcomes as well (O’Sullivan & Irby, 2011). However, research in health professions education sometimes lacks the rigor found in traditional education research and clinical and basic science research.

Drs. Grantham, Engle and Covington assert that professional development devoted to HPE education, research and design will help increase participants’ knowledge of solid education research design and methodologies, addressing some of the needs established in the literature on HPE.

The investigators specifically aim to implement an interprofessional development program focused on improving the education research knowledge and skills of health professionals and professional staff working in HPE. They plan to use best practices in evaluation to assess the impact of an HPE research professional development program on 1) increasing participant knowledge of education research concepts and practices and 2) fostering research in HPE. They hypothesize that participation in this program will increase participant knowledge of education research concepts and scholarly productivity in the area of health professions education research.

Chris KeithDr. Grantham Awarded Duke AHEAD Grant
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Fellows Awarded Funding in Duke Competition

Drs. Dinesh Kurian, Kendall Smith, Christina Pedro

Duke Anesthesiology critical care medicine fellows, Drs. Dinesh Kurian and Kendall Smith, and obstetric anesthesiology fellow, Dr. Christina Pedro, along with their faculty support, have received $3,000 in funding for each of their projects submitted to the 2017 Duke Graduate Medical Education High-Value Care Quality Improvement Competition.

Dr. Kurian’s Project: “Appropriate Selection of Vasopressor Infusion in the Cardiothoracic ORs to Reduce Cost.” Faculty support: Dr. Cory Maxwell (Cardiothoracic Anesthesia)

Dr. Pedro’s Project: “Postoperative Opioid Use and Practices.” Faculty support: Dr. Ashraf Habib (chief, Women’s Anesthesia)

Dr. Smith’s Project: “Reducing Delirium via Non-pharmacologic Methods in the Surgical Intensive Care Unit.” Faculty support: Drs. Madan Kwatra (Basic Sciences) and Nazish Hashmi (Cardiothoracic Anesthesia)

Dr. Paul Wischmeyer is also recognized as faculty support for Duke Neurology’s Dr. Joshua VanDerWerf’s winning project, titled “Improving nutrition delivery in our critically ill.” This funding is made possible by a grant from The Duke Endowment to support Duke house staff in high-value care learning and practice.

Chris KeithFellows Awarded Funding in Duke Competition
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That’s a Wrap! Highlights from ASA 2017

That’s a Wrap! Highlights from ASA 2017We would like to thank all members of our department who helped make this year’s American Society of Anesthesiologists (ASA) meeting in Boston a huge success! Duke Anesthesiology made a big impression at this year’s event with 51 faculty and trainees participating in the conference, including 84 lectures, workshops, panel discussions, presentations, and more. Please join us in congratulating our team of authors who received the 2017 Anesthesia Patient Safety Foundation Resident Quality Improvement Recognition Award at the ASA for their video, titled “A Bedside Tool to Improve Safety and Efficiency of Cardiothoracic ICU Patient Transport: The Duke ICU Transition to OR (DITTO) Checklist.” Authors include: Suraj Yalamuri, MD, and Michael Plakke, MD (team leaders); John Haney, MD, AB, MPH; Brad Taicher, DO, MBA; Madhav Swaminathan, MD, FASE, FAHA; Cory Maxwell, MD (mentors); Hassan Amhaz, MD; Vinca Chow, MD; Heather Pena; Joseph Deblasio; Mollie Kettle; Jhaymie Cappiello; Jessica Lumbard; Rachel Gambino; Courtney Thurman.

During the conference, we hosted Duke Anesthesiology’s 29th Annual ASA Alumni Event at The Roof at Taj Boston. Nearly 200 guests (including departmental faculty, trainees, staff, alumni, donors and friends) joined us atop the 17th floor of Boston’s most iconic hotel, surrounded by panoramic views of the city’s Back Bay and skyline for a night of live jazz music, culinary cuisine and celebration. Guests enhanced their evening by bidding on 13 silent auction items (graciously donated by the department, faculty and staff) to benefit our Global Health Program. This year’s winning bidders raised nearly $2,500 which will help fund our residents’ travel expenses for their global health missions.

Two of the most anticipated highlights of the evening were: 1) the announcement of the Mark F. Newman Professorship in which we shared this inspirational video. Donors who generously endow this new professorship are not only ensuring the progress of medicine, research and academic excellence, they are giving a gift for future generations to come. Please consider donating to preserve Dr. Newman’s legacy. 2) the reveal of the 2018 DREAM Innovation Grant (DIG) recipients.

Qing Ma, MD

“The Role of Sirtuin-3 in Neuroinflammation and Perioperative Cerebral Injury”

Jamie Privratsky, MD, PhD

“The Role of Dendritic Cells in Acute Kidney Injury and Renal Healing”

DIGs are part of the Duke DREAM Campaign which was launched in 2007. These grants support innovative high-risk and potentially high-reward investigations to accelerate anesthesia and pain management research. Each DIG recipient can receive up to $30,000 in seed money for their pilot study which ultimately helps them apply for and obtain extramural funding. To date, $662,900 has been funded by DIGs which has led to nearly $8 million in extramural funding. We would like to express our appreciation to the DIG Application Review Committee and the donors who continue to support our research programs and initiatives, ultimately helping us transform the future of patient care.

It was also another successful fundraiser at the 8th Annual ASA Sponsored Run For The Warriors 5k race, dedicated to the men and women wounded during service, their families and families of the fallen. We’re proud to announce that for the seventh year in a row, the Duke Anesthesiology team won first place for fundraisinga total of $11,895! All proceeds from the race benefit wounded warriors and their families through the many Hope For The Warriors® programs. Thank you to the 42 race participants and donors who raised money for this nonprofit veteran service organization. A special congratulations goes to Dr. Atilio Barbeito (faculty), his son, Jose, and Dr. Stephanie Jones (fellow) who medaled for having one of the top three race times in their division (gender/age group). Dr. Barbeito placed 2nd in his division and 7th overall. Jose placed 2nd in his division and 5th overall. Dr. Jones placed 3rd in her division.

We sincerely appreciate your continued support of Duke Anesthesiology and your commitment to our mission of providing extraordinary care through a unique culture of innovation, education, research and professional growth. We are particularly grateful to those who worked in the operating rooms during the ASA so that others on our team could attend. Here’s to a successful 2018 and we look forward to celebrating at our ASA alumni event next October in San Francisco!

Chris KeithThat’s a Wrap! Highlights from ASA 2017
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Duke Anesthesiology Wins Resident Quality Improvement Award

The Anesthesia Patient Safety Foundation (APSF) has named a Duke Anesthesiology team as the winner of the 2017 APSF Resident Quality Improvement (RQI) Recognition Award.

The winning video is titled, “A Bedside Tool to Improve Safety and Efficiency of Cardiothoracic ICU Patient Transport: The Duke ICU Transition to OR (DITTO) Checklist.” Authors include: Suraj Yalamuri, MD, and Michael Plakke, MD (team leaders); John Haney, MD, AB, MPH; Brad Taicher, DO, MBA; Madhav Swaminathan, MD, FASE, FAHA; Cory Maxwell, MD (mentors), for the DITTO Team (Hassan Amhaz, MD; Vinca Chow, MD; Heather Pena; Joseph Deblasio; Mollie Kettle; Jhaymie Cappiello; Jessica Lumbard; Rachel Gambino; Courtney Thurman).

Dr. Eun Eoh accepting the APSF awardAccording to the project’s abstract, critically ill patients in the Cardiothoracic Intensive Care Unit often require invasive monitoring systems and life-sustaining medical therapies. When transport to the operating room for surgical procedures is needed, much coordination and preparation is required. Using a collaborative effort with stakeholders from several medical teams involved in critically ill patient transport, the authors were able to create and implement a checklist that both significantly improved efficiency and decreased variability of transport times. They were able to decrease transport times by more than 50 percent without increasing the stress and workload of the medical teams.

Winners were announced at the award ceremony on Sunday, October 22, at the annual meeting of the American Society of Anesthesiologists in Boston. Dr. Eun Eoh accepted the APSF award on behalf of the team leaders.

Chris KeithDuke Anesthesiology Wins Resident Quality Improvement Award
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2018 DIG Recipients Revealed

2018 DIG Recipients

The much anticipated 2018 DREAM Innovation Grant (DIG) recipients were announced at Duke Anesthesiology’s 29th Annual ASA Alumni Event at The Roof at Taj Boston on Saturday, October 21.

Congratulations to the 2018 DIG winners:

Qing Ma, MD

“The Role of Sirtuin-3 in Neuroinflammation and Perioperative Cerebral Injury”

Jamie Privratsky, MD, PhD

“The Role of Dendritic Cells in Acute Kidney Injury and Renal Healing”

DIGs support innovative high-risk and potentially high-reward investigations to accelerate anesthesia and pain management research. Each year, Duke Anesthesiology junior and senior faculty members compete for a DIG by submitting their most innovative research ideas to the DIG Application Review Committee. Dr. William Maixner, vice chair for research, announces the DIG recipients at the department’s annual ASA alumni event.

Each DIG recipient can receive up to $30,000 in seed money which supports their pilot study for one year and ultimately helps them apply for and obtain extramural funding. These grants are funded through a combination of private donors, private companies, alumni, faculty and executive board members. To date, $662,900 has been funded by DIGs which has led to nearly $8 million in extramural funding to further investigate the role of Alzheimer’s pathways, therapies to improve stroke outcomes, ways to prevent cognitive decline after surgery, sleep apnea during pregnancy, strategies to decrease bleeding after cardiac surgery and transplantation, blood cell rejuvenation, and more. Click here to view the 2011-2017 DIG recipients and learn more about their projects.

The DIG is part of the Duke DREAM Campaign which launched in 2007 to support Duke Anesthesiology’s research programs and initiatives. These grants create an avenue for healthy competition among faculty, inspire ingenuity, promote the careers of young physician investigators, enhance donor communication, and further the department’s academic mission. DIGs help to bridge the gap between training and progression to independent investigator status. Please consider making an online gift to the Duke DREAM Campaign to support our department’s research initiatives focused on improving patient care.

Chris Keith2018 DIG Recipients Revealed
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Dr. Terrando Receives Prestigious R01 Award

Niccolo Terrando, PhDThe National Institutes of Health/National Institute on Aging (NIH/NIA) has awarded Duke Anesthesiology’s Niccolò Terrando, BSc, DIC, PhD, a five-year, $2,815,756 R01 Award for his project, titled “Neurovascular dysfunction in delirium superimposed on dementia.”

Millions of Americans live with dementia and require common surgical interventions, such as orthopaedic surgery. According to the research statement, these potentially life-saving procedures often increase the risk for further cognitive deterioration and in many cases, even death. Dr. Terrando with his team of investigators at Duke University (Carol Colton, Gurpreet Baht, William Wetsel, Zhiquan Zhang, and Miles Berger) and University of Rochester Medical Center (Harris Gelbard) will address this public health concern by providing fundamental knowledge expected to help reduce the burdens of neurologic complications after common surgical procedures, and improve the quality of life for these high-risk patients.

The rationale for the proposed research is that successful completion of these studies will advance and expand the understanding of how surgery affects the blood-brain interface, and will provide new insights into molecular mechanisms of relevance to delirium, neurodegeneration and aging. Such knowledge is highly significant because it has the potential to improve surgical outcomes and quality of life for millions of vulnerable, elderly patients in the United States by using new therapeutic approaches tested in this grant.

As stated in the project’s abstract, impaired cognitive function after common surgical procedures is a growing concern, especially among the more than five million people in the nation who suffer from dementia, including Alzheimer’s disease (AD), and thus have a three-fold increased risk for fracture requiring surgical repair. After orthopaedic surgery, acute changes in cognitive function, often referred to as postoperative delirium, occur in up to 89 percent of patients with preexisting dementia, and associate with poorer prognosis and even two-fold greater risk for one-year mortality compared to patients without dementia or delirium. This proposal will attempt to model postoperative delirium superimposed on dementia after orthopaedic surgery using innovative approaches to understand, and possibly attenuate, the effects of surgery on the blood–brain interface, including the neurovascular unit (NVU) and the blood-brain barrier (BBB).

The long-term goal of Dr. Terrando and his team of investigators is to define the mechanisms that underlie surgery-induced cognitive dysfunction, and to provide safe and effective approaches to reduce this potentially devastating complication.

Dr. Terrando joined Duke in 2015 and is an assistant professor in anesthesiology, the director of the Neuroinflammation and Cognitive Outcomes Laboratory, a collaborator of Duke Anesthesiology’s Center for Translational Pain Medicine and a 2016 DREAM Innovation Grant (DIG) recipient for his research project, titled “The Systemic Milieu and its Role in Postoperative Cognitive Dysfunction.”

Chris KeithDr. Terrando Receives Prestigious R01 Award
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