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past issues

 Published monthly for CC employees by Clinical Center Communications/

January 1998


From file clerk to supervisor

DTM staffers honored

Farewell to building 20

Save those receipts!

Record sets a record

Learning to juggle

From the director

Briefs

CFC

 

 

Construction continues

The south entry will temporarily become the main entry to the Clinical Center when the front entrance is closed for construction of the Mark O. Hatfield Clinical Research Center. The proposed area will include a three-lane, covered drop off area and sloping driveway.


CC introduces new program for local youth

If you're still looking for a New Year's resolution, here's an idea. The CC Office of Equal Employment Opportunity (EEO) is currently developing a mentoring program for local area high school and college students.

The program, which will be implemented next spring, came in response to an increasing number of community requests for internship opportunities at the NIH, as well as the CC's commitment to enhancing the field of clinical research training.

"We hope that this initiative will encourage volunteerism among CC staff, as well as increase students' awareness of careers in the research, health care, and science environments," said Walter Jones, CC deputy director for management and operations.

Program planners hope that all CC departments will participate in the program, allowing students to work throughout the hospital.

"Students will be placed in either research, science, or administrative positions based on their background, training and interests," said Carl Lucas, EEO chief. "The more departments participate, the greater breadth of opportunity we can provide to the students."

Staff time and commitment will vary depending on the needs of the schools that participate, but programmers stressed the importance of being committed to the students, now and in the future.

"We hope to track the students who participate in the program over time so we can see how many go into careers in research," said Jones.

If you are interested in being a mentor, contact Carl Lucas at 6-1584 or e-mail at Clucas@pop.cc.nih.gov. (by LaTonya Kittles)

 index


  (CCNews spotlight: This is the first in a series of articles designed to showcase exceptional employees within the Clinical Center. These individuals exemplify qualities that support the mission of the CC. Their dedication and hard work are true inspirations to all.)

"I first came to work at NIH in 1960. I was placed in a typing pool temporarily until I was hired to work full time in the Medical Record Department. There were several other young women who were hired as career conditional, like me, and detailed to positions to fill in all over the campus. After a week or so, a few of us noticed that we were not filling the vacant positions. We thought about that and figured out that we all had one thing in common: we all wore engagement rings. At that time, people thought that if they hired someone who was engaged, she would get married, have children, and leave her position. So on our next interview, we each took off our ring. And amazingly enough, we all got hired."

Mary Broadway, Medical Records Administrator, Medical Record Department (MRD)

From file clerk to supervisor, Boradway's done it all

Now, more than 37 years later, Mary prepares to retire from the CC and her long and outstanding career with the Medical Record Department. Co-workers marvel not only at her commitment to the department, but at her tenacity, and strong desire to succeed. She worked her way up from entry level to a professional level in the department.

"She has been an inspiration to me," said Jerry P. King, director of the Medical Record Department. "She was always willing to place herself in new environments and take on more responsibility and was known as a role model for others in the department."

When she arrived to be interviewed for this article, her organizational qualities were evident as she entered with notes in hand. Post-its, diagrams, and handouts outlined her life and experiences in the Clinical Center. She reminisced about the times when the campus had half as many building as it does now, and even drew a picture showing how a compass sketched in the ground of the main hallway helped her to learn her way around the often confusing corridors of the hospital.

But it's the story of how she climbed the Medical Record Department ladder that is truly an inspiration to everyone. She was hired in the research and statistics section in 1960 and worked there until 1966 when she transferred to the Department of Agriculture.

After 14 months, she returned to the record processing section of the MRD. She obtained her accreditation as medical records technician through a home-study program. Through years of persistence, King encouraged her to come out of her comfort zone and accept a position with even more responsibility. "He must have seen something in me that he felt made me right for this promotion," said Mary. "Finally after years of trying to get out of it, I accepted the position." She later became a physician liaison in the record processing section, which is now known as the documentation analysis and coding section. In 1989 she transferred into a professional position with the credentialing and protocol services section.

According to Mary, her favorite professional experience was as a physician liaison, where she was responsible for assuring that physicians met their medical record documentation responsibilities. "I was the most comfortable in that position," said Mary. "I think that's why it was my favorite."

Mary stressed the role of education in her professional life, and took advantage of training opportunities at Montgomery College, George Washington University, and the University of Maryland. But according to Mary, some learning opportunities, such as public speaking and computers, were harder for her than others. "When I attended computer classes, I was so excited, overwhelmed, and anxious that it was almost impossible for me to grasp it all," she said. "I later learned to slow down and evaluate the steps in order to accomplish all of my educational goals."

Her fear of public speaking was quelled after being encouraged by King to make presentations in front of the departmental staff. The speech classes at George Washington University aided in her public speaking abilities. During this period of time she learned to overcome her fear of speaking in front of a group of people. "That incident taught me that public speaking was an objective to be reached, not a path to be frightened by."

She also attributes her success to King, the MRD director, and the deputy director, Jennifer Bayless, among others.

Mary plans to enroll in self-enrichment courses, and perform volunteer duties with her church, the American Red Cross, and above all improve her golf game. (by LaTonya Kittles)

 index


DTM staffers honored

 Jacqueline Melpolder (left) and Jo Lynn Procter (right), DTM employees, recently received NIH Merit Awards for their outstanding service and support to clinical services, research, and patient care. Dr. Gallin presented the honors last month.

 

 

Farewell to building 20

Initial demolition of Building 20, which housed the former NIH Guest House, has recently begun. The building will make way for construction of the Mark O. Hatfield Clinical Research Center in coming months. Prior to demolition, the building was used to assist local firefighters with firefighting and rescue training.

 

 index

 

 Save your register receipts from Safeway and Giant to benefit the NIH School Program


Send them to: NIH School Program, Building 10, Room 10S235. Or call 6-2077.

Program ends Feb. 28, 1998

 index

 


Medical forms for a patient dating back to 1956 were recently sent to the Medical Record Department. Shown are Shannon Hall, (left) head of the MRD records management section, and Jerry King (right) director of the department, reviewing the documents.


Record sets a record?

If the Medical Record Department charged for overdue records, some recently discovered forms dating back to 1956 would prove quite costly.

The worn, brown records were anonymously forwarded to the department in a messenger envelope and easily stood out from the thick stacks of loose materials that are sent to the records management section every day.

"We usually receive patient records within one week of a visit," said Shannon Hall, head of the records management section. "So we thought it was interesting that this record dated back over 40 years and there hasn't been any patient activity over the past five."

Dr. Roscoe O. Brady, chief of the developmental and metabolic neurology branch of the National Institute of Neurological Disorders and Stroke, knows why that particular patient hasn't been back in the past few years. But he's just as puzzled as everyone else about where the records have spent the last 40 years.

It was under the care of Dr. Brady that this patient became the first to be enrolled in a clinical trial involving metabolic storage disorder. The clinical trial led to the identification of the defect in 1965 and the discovery of an enzyme therapy in 1991.

Since then, the therapy has been approved and is administered by physicians all around the world, including a private physician who now cares for this patient close to home.

According to Hall, the record will be updated, if necessary, and microfilmed.

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Breakthroughs to balance: learning to juggle

Balance. An interesting concept during a time of enormous change in the Clinical Center. While parking, construction, and the like seem to be on the minds of the NIH community, over 400 staff set aside time to attend "Breakthroughs to Balance," a seminar held in Masur Auditorium on December 11.

And as staff learned that the key to balance is making choices-many of which involve sacrifices and consequences-they also learned how to balance handouts on their laps, as they laughed, clapped, and listened to real-life stories narrated by the guest speaker.

Michael P. Scott, a nationally known writer and motivational speaker, has published over 50 articles and averages over 80 presentations each year. But it wasn't just his credentials that made guests listen, it was his story.

Scott's early professional life involved working long and arduous hours in an attempt to work his way up the ladder in the field of human resources. After his mother was diagnosed with cancer, hospital bills for his daughter topped $100,000, a troubled marriage and later divorce, and a relocation and re-marriage, Scott recognized the need to make some hard choices in his life.

"When I was stuck on a Chicago freeway in rush hour traffic, and a sandwich truck driver put the doors up and started selling food, I realized that I needed a change," he said.

It was then that Scott did what he says is hard for everyone, including himself, to do-recognize the precise life changes that need to be made. According to Scott, one of the most important things for people to do is to search within themselves and identify the things in their lives that are throwing them off balance. "The truth will set you free, but first it will make you miserable," he said. His soul searching led him to quit his job and pursue his current career.

The interactive seminar included lots of audience participation, and attendees spent time discussing life issues with neighbors, learning the major consequences of an unbalanced life, repeating phrases of encouragement, and rewarding one another with high five's.

Scott discussed three major breakthroughs to balance. They include:

Life-direction breakthroughs

According to Scott, life-direction breakthroughs involve three major areas:

    • Develop a sense of mission and purpose by asking yourself "why" you are doing what you do.
    • Identify values by deciding what's important to you.
    • Capture a vision based on your dreams, hopes, and aspirations.

"True commitment to a balanced life begins with a vision," said Scott. "Burnout occurs when you lose sight of your vision. Rustout occurs when you never had one."

Chaos-management breakthroughs

In discussing chaos-management breakthroughs, attendees learned the importance of planning ahead, saying no, asking for help, and taking advantage of peak energy periods.

To avoid chaos, according to Scott, focus on the important things. Citing the "Rule of 7," he said that people should focus on seven of the most important things to get done.

"It is more important to list your priorities of items to accomplish in a day rather than prioritize a long list of items."

Wellness breakthroughs

Wellness breakthroughs, according to Scott, may be the most critical piece in a balanced life. He used statistics to support the claim that many ailments are related to lifestyle, including diet and lack of exercise. Attendees were advised to BURP (break up recurring patterns) by finding other way of doing things, such as occasionally driving a different route to work. "Variety is the spice of life and you need to change your perspective on an ongoing basis," he said.

The event was sponsored by the NIH Quality of Work Life Committee and the NIH Chapter of Blacks in Government, and presented by the NIH Federal Credit Union and the NIH Recreation and Welfare Association. (by LaTonya Kittles)

 

 index


From the director


by Dr. John I. Gallin, CC director

If there's one word that describes our efforts over the past 12 months, it's growth.

Groundbreaking ceremonies in November signaled the beginning of an era of enormous physical growth for clinical research at NIH. We were honored to have on hand that day a host of dignitaries, including Vice President Al Gore, HHS Secretary Donna Shalala, and as the NIH community has pulled together to define, refine, and finalize the design of our new building.

Through the CC Board of Governors and the NIH Clinical Center Advisory Council, we have been able to build a tri-fold formula for good governance that offers external oversight, impartial operational management, and strong and crucial involvement of the institutes.

We have expanded our cooperative arrangement with Healthcare Management Television's CenterNet and the Association of Academic Health Centers to broadcast CC Grand Rounds to medical schools across the country. Joining our regular audience early last year were the more than 1,000 hospital subscribers to TiP-TV, a training and education network provided by GE Medical Systems. In September, the CC Roundtable, featuring panel discussions by NIH experts, was added to the network's lineup.

Last February, we offered a new venue for researchers to explore ideas together when we co-hosted NIH's first Clinical Research Day. That event celebrated the history of clinical research here and showcased current intramural work.

Our ability to carry out and support intramural clinical research grew in 1997 thanks in part to key staff appointments. New names and faces in the CC family include Dr. Nick Bryan, who was appointed director of the Department of Diagnostic Radiology and Clinical Center associate director for radiologic imaging sciences. As associate director, Dr. Bryan, who came here from Johns Hopkins, will oversee the Nuclear Medicine Department, the PET Department, and the Laboratory of Diagnostic Radiology Research.

Michele T. Lagana, former assistant vice president and controller at Providence Hospital in Washington, D.C., became our first chief financial officer. Bioethics program recruits included Dr. Christine Grady, who serves as the program's acting director, and Dr. Marion Danis from the University of North Carolina School of Medicine. Maureen Gormley, formerly special assistant to the CC director, was named chief of a new CC entity, the Office of Administrative Management and Planning.

Also growing and evolving rapidly over the past year were projects established to meet goals outlined in the Clinical Center's strategic plan, including:

Executive Information Systems. We awarded a contract to measure how well existing information systems provide institute and CC managers with accurate, timely online budget and management information. This program will enhance our ability to work better, smarter, and more cost effectively to support patient care and clinical research.

Contract Assimilation. We have looked closely at converting several large contracts to in-house operations in order to save money while preserving quality of care. Converting the contracts for PET technicians could save up to $147,000 during the first year. Doing the same for the administrative staff in the Department of Diagnostic Radiology is projected to save $124,000 the first year.

Core Course in Clinical Research. This study curriculum in how to effectively conduct clinical research is about to enter its fifth year. In 1997 the program grew to include more than 300 registrants. Also, lectures now are video-conferenced to locations in Arizona, Montana, and North Carolina.

Hospital Alliances. This collaborative agreement with Johns Hopkins and Suburban Hospital continues to evolve, and initial contacts for additional affiliations have been made with Georgetown University Hospital, the National Rehabilitation Hospital, and Children's National Medical Center. These alliances broaden the clinical exposure of NIH clinical staff and provide intramural investigators with access to patient populations not available at the Clinical Center.

Protocol Coordination Service Center. This project provides centralized and standardized support services for clinical research through an efficient, timely, and responsive process over the four phases of a protocol.

Stem Cell Facility. This new facility, which opened last summer, provides state-of-the-art research services to clinical investigators at NIH exploring cellular therapies.

Telemedicine. This project is designed to increase patient participation in clinical research studies from remote geographic locations; provide more extensive patient follow-up, review, and consultation; and expand the resource base of diagnostic and medical consultations. In 1997, we supported a clinical trial to administer immune-enhancing therapy to patients with tuberculosis in Harlingen, Texas, conducted three telesurgery pilots for training and consultative review by NIH surgeons, and extended videoconferencing to allow representatives from Australia to participate in international NIAID-sponsored meetings for collaborators.

Protocols on the World Wide Web. This protocol database available on the Clinical Center's home page (http://clinicalstudies.info.nih.gov/) is used more and more every day by patients and referring physicians seeking information on current clinical research studies. The clinical research studies site now averages about 20,000 visits a week.

Clinical research initiatives. By working more efficiently, the CC saved about $3 million in FY97. These savings will be reinvested through a competitive selection process in clinical research initiatives of the NIH institutes. This reinvestment will help stimulate grown in clinical research during 1998 and beyond.

I am proud of the work we have done over the past year, work that would not have been possible without dedication, tenacity, and vision. Those characteristics run deep among CC staff and will be keys to our successes in 1998. index


News briefs

Whitcup elected group's chair

Dr. Scott Whitcup, clinical director of the National Eye Institute, has been elected chairman of the Medical Executive Committee.

The committee develops and recommends policies governing standards of clinical care in the hospital.

"Clearly the medical executive committee can play an important role in making sure the NIH agenda of clinical research care is met," said Whitcup. "I am looking forward to ensuring that the committee meets these goals."

Initiatives planned by the committee include: quality of consultation services regarding patient care, infrastructure for conducting clinical research, and assuring that the new CRC meets the patient care and clinical research needs of the intramural community.

Grady named to national academy

Christine Grady, acting chief of the Department of Clinical Bioethics, has been elected to the American Academy of Nursing (AAN).

The AAN, which consists of 1,200 nursing leaders in education, management, practice and research, was designed to anticipate national and international trends in health care and address resulting issues of health-care knowledge and policy. Grady was among 35 individuals chosen for 1997.

"Being a part of the Academy is a great honor in the field of nursing," said Grady. "The Academy will play an important leadership role in the future of the field, and I hope to be a part of that."

Her clinical work, including over 14 years in the HIV clinical research and treatment arena, as well as experience with NINR, was among the vast criteria used to select her from a pool of more than 160 individuals.

Grady earned a bachelor's degree in nursing from Georgetown University, a master's in community health from Boston College, and a Ph.D. in ethics and philosophy from Georgetown.

Not too late

The 1997 Combined Federal Campaign will officially end on Jan. 15. At press time, the contributions were just a few thousand dollars short of this year's $90,000 goal. If you are still interested in donating, please contact your work site representative.


Clin path films holiday program

Clinical Pathology's hematology section recently filmed a Christmas carol program featuring their Heme Team Jazz Ensemble and the CPD Chorale. A tape, consisting of popular holiday songs, will be donated to the Children's Inn.

The ensemble consisted of Lynn Robertshaw, Dr. Candido Rivera, Dan Chao, Jeb Monestarial, Alison Cooper, Monica Stankus, and Elena Stantaballa. Elizabeth Chao conducted the group. Brenda Devrouax and Norma Ruschell provided AV support.

Heart disease

Male volunteers over 40 years of age are needed for a study to assess the effects of donating blood on prevention of heart disease. Participants should have donated blood no more than once in each of the last five years, and given fewer than 15 units in their lifetime. Blood studies and a carotid ultrasound will be done. Two outpatient visits are required. For more information call Xin Fu at 2-4482.

Board to meet

The CC Board of Governors will meet on Jan. 23 in the Medical Board Room at 9 a.m.

Program honors Martin Luther King, Jr.

The annual program at NIH dedicated to Dr. Martin Luther King, Jr. has been set for Friday, Jan. 16 at 11:30 a.m. in Masur Auditorium.

Martin Luther King III, son of the late civil rights activist, will be the keynote speaker. All are encouraged to attend.

 

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 Clinical Center News, 6100 Executive Blvd., Suite 3C01, MSC 7511, National Institutes of Health, Bethesda, Maryland 20892-7511. (301) 496-2563. Fax: 402-2984. Published monthly for CC employees by the Office of Clinical Center Communications, Colleen Henrichsen, chief. News, articles ideas, calendar events, letters, and photographs are welcome. Deadline for submission is the second Monday of each month.  Editor: LaTonya Kittles
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