www.anes.upmc.edu/anesnews
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Clinical |
Clinical:
Allegheny
Anesthesiology Associates Joins Forces With UPP Anesthesiology
As of July 1, 2002, Allegheny Anesthesiology Associates (AAA) partnered
with UPMC and UPP Anesthesiology to provide services to UPMC hospitals.
Allegheny Anesthesiology will supplement inpatient and outpatient anesthesia
services provided by UPP Anesthesiology staff. Specifically, AAA will
provide 33 anesthesiologists to be based at UPMC Presbyterian, UPMC Shadyside,
Children’s Hospital, UPMC Passavant, and St. Clair Hospital. Details
of the agreement were not disclosed. According to a report published in
The Pittsburgh Business Times (7/02/2002), Allegheny General
Hospital switched anesthesiology service providers July 1 in the midst
of a legal dispute with Allegheny Anesthesiology, in which, among other
disagreements, AAA contended that the Hospital was illegally trying to
recruit the firm’s employees.
Initially, members of the AAA staff will rotate through several UPMC facilities,
to familiarize themselves with the broad spectrum of settings and services
provided in our network and by our staff. They will have the opportunity
to select a particular site where they feel most comfortable and where
their expertise or special interests are best matched.
Allegheny Anesthesiology Associates formerly provided general and subspecialty
anesthesiology services to Allegheny General Hospital and Allegheny Outpatient
Surgery Center. The partnership between AAA and UPMC is not unprecedented,
since Tri-State Neurosurgical Associates and UPMC entered into a similar
agreement a few years ago.
A reception was held at the Duquesne Club to formally welcome and introduce
our new colleagues, many of whom either trained at UPMC or were once affiliated
with the Health System. We are very pleased to welcome the following new
clinical faculty members of our Department:
Clinical
Associate Professor
Ned Teeple, MD
Clinical
Assistant Professors |
|
| Jeffrey Astbury, MD David Beaudrea, MD Bruce Ben-David, MD Todd Biagini, DO Karen Boretsky, MD Joseph Casario, DO Steven Chernus, MD Saryu Desai, MD Debbie DiVenanzo, MD Christine Edelmann, MD Marla Gendelman, MD Joe Grenan, MD Edward Heres, MD John Koval, MD Jose Marquez, MD Richard McHugh, MD |
Dmitriy Mnuskin, MD Isabella Picciotti, MD Brenda Raphael, MD Randy Rawa, MD David Solosko, MD Vincent Stonebraker, MD Stephen Strelec, MD Michael Suvick, MD Joel Swanson, MD Mark Taylor, MD Stanley Weber, MD Frederick Weniger, MD Louis Wickas, MD Karl Wieneke, MD Elizabeth L Williams, MD |
UPMC South Side Update (June 2002)
The Division of Anesthesiology at UPMC South Side has undergone considerable
change in the past year, including the relocation of two physicians from
the Oakland campus: Dr. Michael Kentor succeeded Dr. Ray Schwartz as chief
of the Division, and Dr. Brian Williams became a staff anesthesiologist
at our site. Both bring to UPMC South Side their considerable interest
and expertise in regional anesthesia. Other recent personnel changes include
a shift of Dr. Steve Orebaugh from half-time to full-time anesthesiology,
and the pending addition of Dr. Steve Mosier as a half-time provider of
anesthesia at this site.
The arrival of Drs. Kentor and Williams at UPMC South Side coincided with
that of several orthopedists from the UPMC Sports Medicine program; the
primary focus of these practices has been on knee- and shoulder-surgery
cases. Our operating room has experienced a 25% increase in cases in the
past 14 months, and about a 50% increase over the past three years.
As the caseload increases at UPMC South Side, so does the level of interest
of our physicians-in-training. Third-year medical students now regularly
train at UPMC South Side, whereas their presence was infrequent in the
past. Additionally, a CA-3 rotation in regional anesthesia was initiated
last year, to take advantage of the considerable number of cases requiring
regional anesthetic techniques for analgesia and anesthesia.
The influx of new sports medicine cases generated plans to upgrade the
physical plant at UPMC South Side. Construction on two new operating rooms
is scheduled to begin this summer. The new space will also include offices
for the Anesthesiology Division and a “wet lab” for orthopedic
teaching.
The first Pittsburgh International Symposium on Regional Anesthesia and
Pain Management will be held this August, under the direction of Drs.
Williams and Kentor, along with Dr. Jacques Chelly. Dr. Williams presented
two
abstracts at the American Society of Regional Anesthesia and Pain
Medicine (ASRA) 2002 Annual Spring Meeting on Regional Anesthesia, and
two
abstracts at the International Anesthesia Research Society (IARS)
76th Clinical and Scientific Congress. The abstracts concerned regional
anesthesia techniques and operating room efficiency. At the ASRA meeting,
Dr. Williams also conducted a workshop related to interscalene blocks.
Dr. Steve Orebaugh published a review article, “Difficult
airway management in the emergency department,” in the Journal
of Emergency Medicine, January 2002.
Research:
[top]
Division of Hepatic Transplantation Anesthesiology,
recent publications
| 1. | Abstract published in ILTS and presented at ILTS 2002 Annual Meeting
on June 13, 2002 in Chicago, IL.: RM Planinsic, S Aggarwal, I Hilmi, JJ Fung, B Eghtesad: Timing of Epidural Catheter Removal in Living Related Liver Donors. ILTS, Liver Transplantation and Surgery 2002 8(6):C-1(4), 2002. |
| 2. | Abstracts to be published in Transplantation in August 2002 for
the 19th International Congress of the Transplantation Society: RM Planinsic, S Aggarwal, I Hilmi, C Boucek, A Chalasani, E Pretto, G Bond, K Abu-Elmagd, C Harris: Determination of Coagulation Status in Small Bowel Transplant Recipients: Coagulation Profiles vs.Thromboelastography. Transplantation 2002 (in press). S Aggarwal, RM Planinsic, CD Boucek, A Chalasani, E Pretto, I Hilmi, C Martin, B Eghtesad: In Vitro Study: Effects of Incremental Doses of Thymoglobulin on Coagulation. Transplantation 2002 (in press). |
| 3. | Abstracts to be published in Transplantation in August 2002 for
the 19th International Congress of the Transplantation Society, and
presented at Congress in Miami FL.: B Pettiford, TV Cacciarelli, B Eghtesad, A Jain, R Planinsic, J Reyes, JJ Fung, RL Kormos: Simultaneous Heart-Liver Transplantation - A Worthwhile Effort? Transplantation 2002 (in press). |
Education:
[top]
Academic Opportunities in Human
Simulation at Pitt
Dear Colleagues:
With the occasion arising in the next few weeks to make career choices
and plans, I would like to provide some general information about exciting
changes upcoming this year concerning the University of Pittsburgh’s
initiative in human simulation, led by members of our Department (John
Williams, myself, and others). Academic opportunities will be available
for instructors at various levels of interest in this new and rapidly
evolving teaching method in medicine.
Over the next two years, the Human Simulation Center established by Peter
M. Winter in 1995 will be evolving into the largest academic center of
its kind in the United States. It will be an inclusive, interdisciplinary
Institute with secured long-term funding from the Asmund S. Laerdal Foundation
for Acute Medicine and its primary partners: the Department of Anesthesiology,
the schools of Medicine and Nursing, and the UPMC Health System. Expansion
of existing facilities will occur in the late summer, with a targeted
spring move into a large permanent facility located conveniently in the
Medical Arts Building (3708 Fifth Ave., across from Children’s Hospital).
This site will become the Peter M. Winter Institute for Simulation Education
and Research (WISER), in honor of our former chairman. (For more information,
see http://www.wiser.pitt.edu/).
WISER will feature advanced instructional technology tools and curricula
in support of its mission of improving medical education – thereby
improving patient safety – through training and educational research.
The intention of the facility’s staff is to support and develop
teaching, publication, research, and presentation activities by providing
support services (Web authoring, multimedia generation, etc.), contacts
(local mentors and expertise, presentation and publication opportunities,
etc.), and training (simulator operation, programming, etc.). Whatever
your initial level of initial interest (instructor, course director, or
researcher), you will find ample, achievable, opportunities this coming
academic year in either existing or planned courses (see list
of courses). For further information, feel free to call or e-mail
the contacts provided, Rita Patel, or myself.
Many instructors have found simulation personally rewarding. This new
academic year offers a unique opportunity to “get in on the ground
floor" of a developing domain in academic medicine. Locally, nationally,
and internationally, expansion of the role of human simulation is a “virtual”
certainty.
Sincerely yours,
John J. Schaefer, III, MD
Assistant Professor of Anesthesiology
Director, Peter M. Winter Institute for Simulation Education and Research
UPMC Montefiore
200 Lothrop Street
Suite N. 469
Pittsburgh, PA 15213
Office: (412) 648-6073
Fax: (412) 648-6014
e-mail: schaeferjj@anes.upmc.edu
WISER Offers New Course
Beginning this academic year, a new simulation-based
training course in thoracic anesthesia will be offered to residents. A
pilot project of this course was held for the CA-III residents last May.
The objective of this course is for the trainee to obtain a working knowledge
and proficiency in the management of thoracic anesthesia cases. Didactic
training focuses on the relevant airway anatomy, bronchoscopic recognition,
indication for one-lung ventilation (OLV), methods for separation of lungs,
and a plan for the management of OLV. Simulator training emphasizes the
requisite psychomotor skills for lung separation using various devices,
verification of proper positioning, and troubleshooting problems during
OLV. After the skills training, residents are presented with a scenario
on the simulator, in which they manage the patient in real time to gain
experience and increased confidence in their skills.
Thoracic Anesthesia Simulation Training
is designed chiefly for residents entering their thoracic anesthesia rotation
for the first time. The course emphasizes a hands-on approach to clinical
problems commonly encountered in managing thoracic anesthesia. Course
materials, in the form of a Web-based multimedia presentation, are accessible
from the WISER Website. All residents
are encouraged to review this presentation.
A short version of this presentation will be given to the MS IV students
in their anesthesia elective rotation.
Course Director for Thoracic Anesthesia Simulation Training is Ajay
Chalasani, MD, FRCA
Administration: [top]
Marshall
W. Webster, MD is UPP’s New President and CEO
The following is a message to everyone in the University of Pittsburgh
Physicians organization from Loren H. Roth, MD, MPH, senior vice president,
Medical Services, UPMC Health System.
I am pleased to announce that Marshall W. Webster, MD has been selected
by the Board of the University of Pittsburgh Physicians (UPP), the UPMCHS,
and the University of Pittsburgh to become the new president and CEO of
the University of Pittsburgh Physicians, starting immediately.
Dr. Webster succeeds Dr. Richard L. Baron, who will be leaving Pittsburgh
in the fall to become the new chairman of the Department of Radiology
at the University of Chicago.
UPP, the UPMC Health System, and the University of Pittsburgh owe a great
debt to Dr. Baron, who was instrumental in forming UPP, and in strengthening
its operations over the last four years to its position as the largest
and most outstanding multispecialty academic physician practice group
in our region.
Dr. Webster, the Mark M. Ravitch Professor of Surgery and executive vice
chairman of the Department of Surgery, is well known to all. He is a graduate
of the Johns Hopkins University School of Medicine and the General and
Thoracic Surgery residency programs of the University of Pittsburgh Health
Center Hospitals. Virtually all of Dr. Webster's post-graduate career,
ever since 1973, has been served at the University of Pittsburgh and the
UPMC Health System.
Dr. Webster enjoys an outstanding reputation as an innovative vascular
surgeon, with a particular interest and expertise in the evaluation and
treatment of aortic aneurysms. He is highly admired as a gentleman, as
an educator, and as a collaborator in both academic and clinical-service
matters. Among his great contributions to the Health System are his special
expertise and planning with regard to perioperative care.
Please join me in welcoming Dr. Webster to his newest challenge at the
UPMC Health System and the University of Pittsburgh. I am certain that,
under Dr. Webster's leadership, UPP will make great strides and future
contributions to the Health System, to the School of Medicine, and to
the medical profession.
Loren H. Roth, MD
Senior Vice President, Medical Services
UPMC Health System