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Pulmonary & Critical Care Newsletter

Issue 1 • 2012

Welcome from Dr. Bharat Awsare, editor of Jefferson Pulmonary/Critical Care Newsletter

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Welcome to the Jefferson Pulmonary/Critical Care Newsletter. As current faculty and former fellow and resident at Jefferson (Yes, I am a Jefferson "lifer"), I am pleased to serve as editor and with the help of Connie Pedicone, administrative assistant for the pulmonary office, hope to send out editions of the newsletter 3-4 times per year.

The purpose of the newsletter is multi-fold and includes: 1. Provide information on the changes currently occurring at Jefferson which affect our division, 2. Create a mechanism for keeping in touch with former alumni of the division at a faculty and fellow level, 3. Highlight clinical, educational, and research accomplishments, 4. Provide information regarding divisional reunions at national conferences.

The current newsletter includes an introductory welcome by our divisional chief Dr. Mani Kavuru who has been our divisional director since September 2010. Trained at The Cleveland Clinic, Dr. Kavuru comes to Jefferson via East Carolina University and has transformed the scope of the division in the areas of clinical service, education, and research in a relatively short time period. These changes include expansion of critical care beds from 8 to 25 including a nurse practitioner-driven ICU, greater intensivist and fellow presence including nocturnal fellows, expansion of critical care services to Methodist hospital in south Philly, development of a pulmonary nodule clinic & screening low-dose CT for high risk patients, on-site PFT lab in the office to improve convenience for patients, development of pulmonary hypertension clinic at the Jefferson Heart Institute, development of interventional pulmonary program, and development of a new pulmonary and critical care grand round lecture series with local and national speakers.

Future newsletters will highlight some of these changes. In this newsletter, we will highlight the first annual Jefferson Pulmonary CME program which was held in March 2012 on campus.

We will also present features (“Where are they now”) on Dr. James Fish and Dr. Ali Musani.

Finally, a current fellow (Dr. Naveed Hasan) will present a clinicopathologic case.

The scope and content of the newsletter will change and any feedback is welcome (bharat.awsare@jefferson.edu).

Welcome from Dr. Mani Kavuru, Divisional Director of Pulmonary/Critical Care

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Welcome! This is an exciting time at Jefferson in pulmonary and critical care medicine. There is energy in the air in our tripartite mission of clinical excellence, education of future stewards of our specialty, and innovation into basic causes and cures for diseases we care for. As the new division chief, I am charged to provide leadership in balancing the various opportunities.

I was fortunate when I arrived here at Jefferson to inherit outstanding faculty who are dedicated academic clinician educators and researchers; so the task of assuming the division director role was easy with the talented faculty and staff in the division.

We have made several significant changes which I will highlight:

  1. Expansion of medical critical care at Jefferson; this includes the expansion of the number of beds [from 8 to 25], greater focus on systems of care to improve quality and reduce errors, greater bedside presence of providers with the greatest experience [in house fellow at night]; innovation in the form of alternative delivery models [nurse practitioners replacing housestaff in 8 bed MICU on 3 Gibbon]
  2. Presence of the division in critical care at Methodist hospital in south Philadelphia
  3. Greater emphasis on outpatient pulmonary specialty practice, including development of a full service on-site PFT lab as well as office procedures
  4. Greater role in sleep disorders at the Sleep Center
  5. Re-development of interventional bronchoscopy and procedural competence for our trainees; this will include critical care procedures, new technologies related to bronchoscopy suite (EBUS, EMNB, thermoplasty, etc)
  6. Continued emphasis in an already outstanding fellowship program by expanding the educational programs & workshops; greater emphasis on graduated autonomy for decision-making and procedural competence
  7. Start of a new lung biology translational research program
  8. Emphasis on education with development of weekly pulmonary and critical care grand rounds with renowned local and national speakers
  9. We are taking a targeted approach to recruitment to expand our services. Several new faculty to highlight:
  1. Dr. Urvashi Vaid, new graduate of our fellowship, will focus on critical care and fellow education
  2. Dr. Boyd Hehn is our new interventional bronchoscopist who will complement Dr. Rohit Kumar in further developing this program
  3. Dr. William Sexauer will assume directorship of critical care services at Methodist Hospital
  4. Dr. David Oxman will add further depth to our critical care program
  5. Dr. Ross Summer from BU will transfer an active lung biology translational program and will be part of the Clinical Translational Medicine within the department of Medicine

These are exciting times in healthcare in general, but particularly at Jefferson here in Philadelphia. We in pulmonary and critical care have renewed energy and want to engage our alumni. Jefferson is a special place and most graduates want to stay connected. We will facilitate that with these efforts towards our alumni!

Mani

Where are they Now?

Dr. James Fish

James-Fish

Editor's comments: A questionnaire was given to Dr. Fish and his responses are highlighted below. Dr. Fish is in many ways the father of Jefferson Pulmonary Associates and developed the division from its infancy. He has been a mentor, role model, teacher, and friend to those that have known him. I can recall when I was an intern in the MICU and upon learning Dr. Fish would be the attending the next day, all of the interns came in to the ICU the night before to thoroughly review every chart for next day's rounds…yes, his reputation preceded him then, and still does so today…

What years were you at Jefferson and in what capacity (ie attending, fellow, chief)?
1985-2002 Division Director
1991-1993 Acting Chair of Medicine

What are you currently doing professionally?
Executive Director, Global Scientific Affairs, Merck & Co., Inc.

What are your hobbies and interests outside your profession?

Golf, travel, reading, and fountain pen collecting

What have been your fondest or most interesting memories of Jefferson?

Playing a role in the professional development of fellows and faculty

Do you recall any humorous anecdotes from your time at Jefferson?
Too numerous to count and most, if revealed, would be too embarrassing for people

Please provide some information regarding your family which we can include in the piece.
Wife Pamela, still beautiful and aging gracefully. Two sons gainfully employed and married to beautiful women. And, 4 grandchildren who provide the greatest and most awkward amusement one can imagine.

What advice would you give for the outgoing class of Jefferson pulmonary fellows?
Your integrity, both personally and professionally, is your most valuable asset.

What advice would you give for the current Jefferson faculty?
My prior history disqualifies me from this question.

Describe one fact about yourself most people would not know.
I tend to be blunt.

Please provide any other information you think would be helpful to include in the newsletter to introduce yourself to those who may not know you.
Those who don't already know me would probably prefer to keep it that way.

Dr. Ali Musani

Ali-Musani

 Editor's comments:  Ali was a senior fellow when I was a fellow at Jefferson. Two things I remember about Ali as a fellow: he usually was better dressed than most of the attendings and his phenomenal bronchoscopy skills...

What years were you at Jefferson and in what capacity (ie attending, fellow, chief)?
1998-2001 as a fellow.

What are you currently doing professionally?
Interventional Pulmonologist at National Jewish Health and University of Colorado, Denver CO.

If you are no longer at Jefferson, what have you done since leaving Jefferson?
2001-2002 Interventional pulmonary fellowship at University of Pennsylvania
2002 -2008 Instructor and Assistant Professor of Medicine and Co-director of Interventional Pulmonology at UPENN
2008 -    Associate Professor of Medicine, National Jewish Health and University of Colorado. Director of Interventional Pulmonology Program at National Jewish Health.

What are your hobbies and interests outside your profession?
Hiking, cross-country skiing, and traveling.

What have been your fondest or most interesting memories of Jefferson?
Parties with fellows and faculty.

Do you recall any humorous anecdotes from your time at Jefferson?
I do but I can't tell you. I am sorry.

Please provide some information regarding your family which we can include in the piece.
Wife Pamela, still beautiful and aging gracefully. Two sons gainfully employed and married to beautiful women. And, 4 grandchildren who provide the greatest and most awkward amusement one can imagine.

What former Jefferson alumni do you keep in touch with?
Rudy (Pascual), Bharat (Awsare), Sandy (Khurana), Jim (Zangrilli).

Please provide some information regarding your family which we can include in the piece.
Lubna, my wife is a geriatrician in Lakewood Colorado. We have two children, Sara and Sef, 9 and 6. Our kids love skiing. They both did Loveland racing team training last winter. They were both doing Double black diamond when the season ended. We all love hiking and road trips.

What advice would you give for the outgoing class of Jefferson pulmonary fellows?
Do some electives outside Jefferson to see what you might not have seen at Jefferson. Penn would be a great place to do that. (Editor's note: I'm guessing Ali receives some commission for every fellow doing a rotation at Penn).

Questions?

Contact Dr. Bharat Awsare of the Jefferson Pulmonary Department

The Jefferson Foundation
925 Chestnut Street
Suite 110
Philadelphia, PA 19107
Alumni.Support @jefferson.edu

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