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for assistance. For reliable, current information on this and other health topics, we recommend consulting the NIH Clinical Center at http://www.cc.nih.gov/
Training program adds more
The Clinical Center clinical
research training course, "Introduction to the Principles and Practice
of Clinical Research," began its sixth year in January with the addition
of five remote sites that will receive the training by videoconference.
Sites new to the program
this year are Children's National Medical Center, Washington, DC; U.S. Army
Medical Research Institute of Infectious Diseases, Fort Detrick, MD; State University
of New York, Binghamton, NY; State University of New York, Syracuse, NY; and
St. Jude Children's Research Hospital, Memphis, TN. Three former sites - National
Institute on Aging, Baltimore, MD, Georgetown University, and University of
Puerto Rico, San Juan - have joined in the program again this year.
"This program teaches
researchers how to design a good clinical trial," said Dr. John Gallin,
CC director. Dr. Gallin initiated the program in 1995. It covers epidemiological
methods and focuses on study design and development, protocol preparation, patient
monitoring, quality assurance and FDA issues. It also includes data management
and legal and ethical issues, including protection of human subjects.
Twenty-five students participated
in the course's first offering as a pilot. This year, 487 researchers, mostly
physicians, have registered, including 264 at the remote sites.
"This is an extraordinary
era of innovation and progress for medicine and science," notes Dr. Gallin.
"Clinical research can be beneficial and successful only when physician-researchers
have the necessary training and expertise to conduct it. Historically, medical
students depended on willing and able mentors to teach the intricacies of clinical
research. That approach simply doesn't work today."
The CC offers an excellent
environment for exploring new approaches to identifying and providing the tools
that researchers need. "Effective training in clinical research depends
on a thorough grounding in the basic techniques, rich opportunities for practical
application, and the flexibility to meet the changing needs of medical science
and healthcare consumers," said Dr. Gallin.
The course began Jan. 30
and will continue through May 21. Sessions meet on Tuesday and Wednesday in
appointed to editorial board of human research publication
Christine Grady was appointed to the editorial board of the only research
journal devoted to the ethics of research with human subjects.
Dr. Christine Grady, head
of the section on human subjects research in the Department of Clinical Bioethics,
has been appointed to the editorial board of the Institutional Review Board:
Ethics and Human Research journal, the only publication devoted exclusively
to the ethics of research with human subjects.
The journal, published by
The Hastings Center, a research institute based in New York, addresses fundamental
ethical issues in the areas of health, medicine, and the environment as they
affect individuals, communities, and societies.
"It's a great honor
to be selected," said Grady. "It's an area that I work in anyway,
and it's wonderful to participate in one of the few IRB publications in the
This month, the publication
revamped its focus and changed its name to draw more attention to human research
ethics. As part of the editorial board, Dr. Grady will play a part in directing
the new publication.
"We asked Dr. Grady
to serve on IRB's new editorial board based on her previously published work
on ethical issues in human subjects research and her reputation as a thoughtful,
articulate scholar," said Bette Crigger, editor of the publication. "We're
delighted to have her bring her expertise and perspective to bear as we redesign
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of Worklife Council embraces diversity
Have you heard?
The New Year has brought
some exciting changes to the CC Quality of Worklife Council. The main change
relates to diversity appreciation, a concept that encourages inclusion and recognition
of the differences we bring to work as a result of our varied backgrounds, interests,
Our council believes that
our understanding of, and value for, the diverse and unique qualities we all
possess, can strengthen us as an organization and help us better serve our diverse
customers. We advocate for and strongly encourage an inclusive and diverse CC
The CC as an organization
recently decided to place new emphasis on the importance of diversity appreciation,
including integrating this activity into its fiscal year 2001 strategic plan.
Management will seek a more focused approach toward achieving diversity goals
by obtaining input and support from our council.
What does this mean for the
The council will now begin
to develop a framework for identifying CC activities that foster a respectful
work environment and support diversity and quality of worklife goals and tenets.
The council will be enhancing its name and current goals to reflect the increased
focus on diversity. A retreat is planned for the near future to facilitate training
and goal setting. The council will continue to confer with other CC and/or NIH
groups and individuals working toward similar goals and collaborate wherever
possible. We will provide regular updates to you through the CC News and other
communication tools. We will continue to serve as an advisory group and a CC
resource on the subjects of quality of worklife and diversity.
The CC EEO Office will continue
to assist employees and managers with questions and activities that specifically
relate to EEO and affirmative action, two compliance-oriented functions. Current
council membership has been enhanced to include many new members. We will provide
a complete membership roster when it is complete. Anyone who would like to join
the council, propose ideas for activities or enhancements, or simply come to
meetings can contact the council co-facilitators, Sue Fishbein (435-0031) or
Jacques Bolle (594-9769).
The council meets on the
second and fourth Thursdays from 10:00 a.m. to 12 noon (locations are announced
prior to meetings). Other CC staff, including, Ms. Ellen Williams, CC EEO Office,
and Ms. Deborah Dozier-Hall, Social Work Department, will also provide support
to the council and serve as CC resources. Mr. Walter Jones serves as the CC
leader of the Quality of Worklife/Diversity Council initiative. We continue
to maintain two employee quality of worklife/diversity suggestion boxes. One
is in the B1-level cafeteria entrance and the other is located near the exit
of the second floor cafeteria, across from the vending machines.
Employee suggestions and
any proposed solutions you care to share are welcomed and may be submitted in
those boxes or sent directly to Fishbein or Bolle. As in the past, we will provide
responses in this column or directly to the suggestor. We are looking forward
to what we believe promises to be an exciting initiative and year. More information
will follow in upcoming CC News issues.
Sue Fishbein and Jacques Bolle
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cafeteria to open in spring
Unforeseen changes create a six month delay
Minor setbacks and planning
conflicts stopped the B1-level cafeteria from opening on its original date last
October. But with all of that behind them, workers are proceeding and plan to
have the cafeteria completed by spring 2001.
"We're moving forward
and people can see it is happening," said Dwayne Parris, concession manager
with the division of support services. "It was just a little more work
than was foreseen."
Renovation of the cafeteria
was expected to be completed by last fall, but as workers began to reconstruct
the space, they found that more modern-day equipment was needed for several
of the new eateries.
"People have been very
patient with us and they will see a quality food court with some changes, and
the changes will be positive," said Parris.
Eurest Dining Services is
redesigning the cafeteria into a food court that will include eateries such
as Sbarro, Blimpie and Memphis Barbeque. Based on employee requests there will
also be healthier selections such as fish, fruits and salads.
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offers steps of hope to hopeless patients
clinic members include (from l to r) Dr. Lynn Gerber, Dr. Monique Perry,
staff physiatrist; Dr. Galen Joe, staff fellow; Dr. Hereward Cattell, consultant
orthopedist; Dr. Ben Pearl, consultant/podiatrist, Dr. Holly Cintas, physical
therapist; Joe Shrader, physical therapist/pedorthist; Hany Bedair, medical
student; Chris Gracey, physical therapist/pedorthist; Karen Siegel, physical
Keith Sargent came into the
Rehabilitation Medicine Department's foot clinic hobbling painfully on partially
amputated feet. Before he left, he was running in the hallway.
"This feels great!
I don't feel any more pain. I have no pain," said Sargent.
Sargent is just one of hundreds
of patients who have come to the foot clinic with one last ounce of hope that
their foot problems will finally be solved by this 10-member team of doctors.
This year, the clinic celebrates
15 years of service.
The foot clinic has become
the last resort for patients with complicated foot problems that have been consistently
treated by podiatrists and surgeons without success. When all treatments have
been exhausted, the patients are then referred to Dr. Gerber and the foot clinic.
"We are determined to
improve our patients function," said Dr. Lynn Gerber, chief of the Rehabilitation
Medicine Department. Dr. Gerber heads up the foot clinic and has been a part
of it since its inception in 1986. "We challenge ourselves. We try our
best to avoid sending our patients out without helping them. We donÕt like to
say 'you deal with this.'"
Each of the 10 doctors represents
a different podiatric discipline that includes physical medicine, physical therapy,
pedorthists, biomechanists, podiatrists, orthopedists and students. During a
session, the doctors interview one patient, analyze the problems, and brainstorm
ideas among themselves to come up with the best remedy.
"You will never find
ten professionals in a room spending time with one patient anywhere," said
Karen Lohmann Siegel, physical therapist with the Rehabilitation Medicine Department
and a member of the foot clinic.
The clinic meets twice a
month for about two hours and examines one to four patients each session. According
to Gerber, the patients continue to attend sessions until they have shown improvement
and are able to return to normal activities.
Shrader preps Keith Sargent's foot for a cast that will serve as the mold
for his new Oregon Brace System that will help him walk better.
For Sargent, returning to
normal activity is his ultimate goal. "My first priority is to walk better
than before, then move on to hiking, then skiing," said Sargent. Five years
ago Sargent was cycling home when an accident caused his bike to go off the
road and into a river. The accident left him disoriented and stranded in frozen
water. Now Sargent stuffs the front of his shoes with tissues to fill out the
area his toes and part of his foot would occupy if frostbite had not caused
them to be amputated. The rest of his shoes are packed with gel and foam pads,
which have been futile in helping him return to his active lifestyle.
"This is the most positive
experience I've ever had with doctors," said Sargent, who received a temporary,
custom-made orthotic to replace the patchwork of foam pads and gels inserted
in his shoes. Sargent waited two hours as Chris Gracey and Joe Shrader, physical
therapists with the Rehabilitation Medicine Department, constructed the orthotic
and allowed Sargent to try it out. Based on Sargent's suggestions, Gracey and
Shrader sanded and glued until it was a perfect fit.
"I feel fortunate that
they aren't running off to one hundred other patients," said Sargent. "It's
like complete, customized service." Sargent will soon be the recipient
of a new device called the Oregon Brace System that will allow him to walk better
and ultimately return to regular activities.
Nancy Griffin also knows
how painful feet can halt normal activities. Last April, Griffin had three screws
placed in her right foot to hold it together after arthritis wore away the joints.
But since the surgery, Griffin's foot has remained red and swollen.
"I think the surgeon
screwed the screws in too tight," she joked as she showed the team of doctors
her foot. She can't walk on flat surfaces and has to wear flip-flops in the
shower just to be able to stand. She has gone through a variety of braces and
boots to ease the pain and help her walk, but all ave been unsuccessful until
"You don't know how
relieved I am to have all of those fine minds to help me find a way to walk
and be productive," said Griffin. "I have hope again." She has
hope because "a lot of physicians deal with management, not function,"
said Dr. Galen Joe, senior staff fellow with the Rehabilitation Medicine Department.
"We focus on function and day-to-day living."
Tanya C. Brown
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dream still not a reality
Speaker sheds light on the reality of racism in the health care
Dr. Martin Luther
King, Jr., had a dream. A dream that, according to Dr. Rodney Hood, president
of the National Medical Association, has not been realized, nor achieved even
33 years after the death of the civil rights leader.
Dr. Hood was
joined by the Morgan State University choir and the NIH Pre-School Song and
Dance Troupe in celebrating the life of Dr. Martin Luther King, Jr. during the
NIH 30th annual Martin Luther King, Jr. observance last month in Masur Auditorium.
Dr. Hood spoke on the theme "Health Parity in the 21st Century," which
he argued is unsatisfactory and for minorities has nearly remained stagnant
for 300 years.
Rodney Hood challenged NIH to create the MLK National Racism Institute to
begin exploring the reasons why racism is still playing a major role in
the medical treatment of minorities.
King were alive today, how would he judge the progress," asked Hood. "Everything
we know about who and what this man was suggests that he would be appalled and
saddened." Appalled by the "shameful condition" of health and
health care among African Americans and minority groups in America, said Dr.
Hood. And saddened by what Dr. Hood termed the slave health deficit - health
disparity and the death gap in the African American community, as compared to
other communities, that is rooted in discrimination that dates back to slavery.
Just as slaves
received some of the worst health care, the same is true today with African
Americans, said Dr. Hood. "African Americans suffer excessive morbidity
and mortality rates and have the highest death rate in fourteen of the sixteen
leading causes of death in the country," he said. "Many of these deaths
are preventable with known, basic, cost-effective medical treatment."
National Vital Statistics, in 1996, the average life expectancy of a black male
was 66 years, as opposed to 74 for other groups. When compared to other groups,
35 percent more blacks die of cancer, 40 percent more blacks die of heart disease
and the black population suffers on average 91,000 excess deaths each year that
are preventable, said Dr. Hood.
for the health gap in African Americans are certainly multi-factorial, however
the major, underlying insidious factor must be recognized and addressed,"
said Dr. Hood. "This factor is racism. Racism that was referred to by Dr.
King as chains of discrimination. Today, these chains are no longer visible,
but nonetheless, they are chains of the new racism that are manifested in actionÉwhether
intentional or unintentional," he said.
He added that
the manifestation of this racism dates back to 130 A.D. when Roman physician
Galen concluded that blacks have inferior brains, sharp teeth and chapped skin.
The teachings continued throughout the 17th, 18th and 19th centuries when European
and American physicians and scientists introduced racist teachings into medical
books, writing that blacks were inferior and subhuman.
During the 1700s,
Benjamin Rush, known as the "Father of American Psychiatry," presented
a paper "and he declared that the reason that black people have black skin
was because of a degenerative disease caused by leprosy," said Dr. Hood.
Dr. Samuel Cartwright, a physician in psychology, theorized that blacks should
"medically be treated differently due to the non-human biological peculiarities,"
said Dr. Hood. "Listen to what I said. They should be treated differently.
Is it happening today?" he asked.
Morgan State University Choir, directed by Dr. Nathan Carter, led the audience
in singing "We Shall Overcome." The world-renowned choir, which
consists of 150 members, has performed in Osaka, Japan and Prague, Czechoslovakia.
Dr. Hood answered yes by briefly citing a handful of studies out of the 400
that he has accumulated.
a study in Los Angeles, Hispanic patients were twice as likely to receive no
analgesia when presented to the emergency room with fresh bone fractures,"
said Dr. Hood. "The same group from Los Angeles found that black patients
with broken arms and legs were less likely than white patients to receive an
analgesia when presented to the emergency room." He added that a 1999 study
printed in the New England Journal of Medicine showed that blacks were less
likely than whites to receive surgical treatment for non-small-cell lung cancer,
a disease potentially curable by surgery. In the same study, blacks were found
more likely to die sooner than their white counterparts because of the inbalance.
is not an African American problem. This is an American problem," said
Dr. Hood. "Now is the time to support and eliminate the slave health deficit."
Just like Martin
Luther King, Jr., Dr. Hood has a dream, a solution for NIH to initiate the cure
for racial injustice in health care through the MLK National Racism Institute,
or the NRI.
is necessary to investigate social and scientific means to eliminate racism,
a cure that does not lie in biological research alone, but also considers the
influence of social-behavioral factors," said Dr. Hood. "But until
that time, we must all dedicate our energy and encourage our colleagues, pressing
our government, forcing our health institutions to engage in an honest and diligent
effort for the eradication of the aspects of racism all over America."
Tanya C. Brown
lot 10K to close in spring
of the NIH Fire Station beginning spring 2001 will require the closing of Parking
Lot 10K at the northwest corner of the main campus.
the parking needs of NIH employees, the Office of Research Services (ORS) is
expanding attendant-assisted parking in Lot 41A in the early spring. As with
other managed parking facilities on the campus, employees arriving first can
park and lock their cars in the existing striped spaces. Once the lot is full,
attendants will direct employees to established parking locations where employees
will leave their ignition keys and receive claim tickets. Vehicle keys will
be secured by attendants using key security locks. As self-park spaces open,
stacked cars will be moved into available spaces.
employee whose car is stack-parked will present their ticket, and attendants
will unsecure the key and move any blocking vehicles. Attendant operating hours
are 8 a.m. to 8 p.m., Monday through Thursday. The attendant booth located near
Building 41 will remain open and hold remaining keys for employees until 2 a.m.
Keys that are not picked up by 2 a.m. will be kept in a safe until the next
will be available at Lot 41A/B to transport employees around campus every 10
minutes. Shuttle bus services run from 6:30 a.m. to 6:30 p.m. An evening shuttle
bus runs between Building 10 and Lot 41 from 6:00 to 8:00 p.m. From 8:00 p.m.
to midnight, the shuttle driver is on call at the Bldg. 10 South Lobby. For
more information on parking and the shuttle schedules please visit the ORS website
at http://www.nih.gov/od/ors/ or call the Office of Facilities Planning at 496-5037.
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creates minor changes
Modifications to P3 parking lot begins mid-Feb.
construction process will soon redirect NIH staff to walk and drive different
February, vehicle access to the P3 parking garage from Memorial Drive will be
moved to create a new vehicle drive lane. This move will eventually become the
final entrance to the P3 level. However, over the course of the next year, construction
on the entrance to the P3 level will be shifted back and forth between this
entrance and the old one. Ample notification will be given when these moves
the fire stairwell that has served as an emergency egress and as a direct pedestrian
route to and from the CC to buildings 1 and 31, will be demolished.
To provide pedestrian
access to the CC from the Memorial Drive side, two temporary entrances have
been designated. The B1 entrance at the south end of the A wing provides access
from buildings 3, 5, 7, 8, 9, 50, and 1. The second point of access will be
the P3 garage elevators. This entrance should be convenient to staff from buildings
2, 4, 6, 31, and building 1. Access through the P3 garage to the elevators will
be clearly marked. It is highly recommended that users follow the signs, dedicated
walkways and remain alert because of the high volume of vehicle traffic. Clear
signage will be placed along the routes and at both entrances.
be distributed to offices in buildings 1 and 31 and will also be available at
the security desk in the main lobby of the Clinical Center. For questions and
further information regarding the changes, contact Don Sebastian, CRC project
officer, at 301-402-9243.
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shines at convention
Sixty speech-language pathologists and speech scientists attending the 65th National
Convention of the American Speech-Language Hearing Association in Washington
D.C., recently visited the Oral Pharyngeal Function and Ultrasound Imaging
Laboratory in the CC Department of Rehabilitation Medicine. Dr. Barbara
Sonies, chief of Speech-Language Pathology, along with Dr. Gloria Chi-Fishman,
Dr. Jeri Miller and Beth Solomon conducted live demonstrations of clinical
research tools used to study swallowing. Ultrasound imaging, 3D ultrasound
imaging of the tongue and electromyography as a biofeedback technique for
dysphagia were highlighted in the demonstration.
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Join the Manchester String
Quartet on February 12 at 12:30 p.m. in the Masur Auditorium for a free concert.
The quartet will perform the Mendelssohn Quartet in A Minor, Opus 13. For sign
language interpretation or accommodations for other disabilities, email Sharon
Greenwell at firstname.lastname@example.org or call 301-496-4713.
The NIH Management Intern
Program is accepting applications until March 12. The 12-month career development
program will accept up to five participants for the position at the GS-5, GS-7
and GS-9 levels. Employees above the GS-9 level must accept a downgrade but
may retain their previous salary levels. Graduates are eligible for noncompetitive
promotion to the GS-12 level. Apply online at http://internships.info.nih.gov.
For information call 496-2403.
The NIH Library invites all
employees to attend training classes on how to use electronic resources effectively,
including how to access full-text journals, order and receive articles via email,
and set up a recurring literature alert service. For more information call 301-496-1080
or visit the NIH Library website at http://nihlibrary.nih.gov.
Confused about what to do
when the government closes or delays due to bad weather? You can review the
Clinical Center policy on such matters at the following web site: http://ohrm.cc.nih.gov/benefits/emergency.html.
If you have any questions about these policies, discuss them with your supervisor.
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The National Institute of
Child Health and Human Development is seeking women, ages 18-42, to participate
in a study comparing bone density in healthy women. You may be eligible to participate
if you: have no medical conditions, a regular menstrual cycle, not pregnant,
nursing or planning pregnancy over the next three years, do not use oral contraceptives
or prescribed medications, smoke less than two cigarettes per day, and drink
less than two alcoholic drinks per day. Participation involves four visits over
a three-year period, blood test, bone density test, urine test and cognitive
testing. Compensation is provided. Call 301-435-7926 or 301-594-3839.
The National Institute of
Allergy and Infectious Diseases is seeking volunteers, ages 18-50, with asthma
made worse by exposure to allergens (dust, pets, pollen) for a research study
of allergen immunotherapy (allergy shots). Participants will have allergy and
lung function tests and will have blood drawn. For more information contact
Mary Huber at 301-496-7935. Compensation provided.
Researchers at the National
Institute of Neurological Disorders and Stroke seek adults with hypertension
for a blood draw. Participants will be needed for approximately one hour and
will receive a $50 compensation. Appointments will be scheduled at 9:15 a.m.
and 10:30 a.m. only. For more information call Tereza at 301-496-1115.
The National Institute of
Neurological Disorders and Stroke seeks families with stuttering or speech articulation
disorders. Compensation provided. For information call 1-800-411-1222. Outpatient
study College-educated adults ages 30-50, are needed for a two-day outpatient
study with the National Institute of Mental Health. Involves blood draw and
routine clinical, neurological and cognitive procedures. Compensation provided.
For more information or to volunteer, please call 301-435-8970.
Overweight male volunteers,
ages 25-40, are needed for a study comparing the effects of low-fat and low-carbohydrate
diets on weight-regulating hormones. Must be moderately overweight and following
either a low-fat or low-carbohydrate diet for at least 2 weeks. Participation
involves a clinic visit and a 24-hour admission to the CC for blood sampling.
Compensation available. Contact Dr. Al-Zubaidi at 301-496-7731 or Lori Hanton
The Behavioral Endocrinology
Branch is seeking female volunteer mothers ages 18-40, who have had one or more
past episodes of postpartum depression following a full-term pregnancy. Must
be six-months post-delivery and not lactating, have no current symptoms of depression
and must be medically healthy and medication-free. Volunteers may be asked to
participate in a six-month protocol investigating the effects of ovarian and
stress hormones on brain behavior. Compensation provided. For information call
Linda Simpson-St. Clair at 301-496-9576.
The National Institute of
Child Health and Human Development is seeking healthy women, ages 18-55, 60
and above for an ovarian function study. Call 1-800-411-1222.
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Center News, 6100 Executive Blvd., Suite 3C01, MSC 7511, National Institutes
of Health, Bethesda, MD 20892-7511. Tel: 301-496-2563. Fax: 301-402-2984.
Published monthly for CC employees by the Office of Clinical Center Communications,
Colleen Henrichsen, chief. News, article ideas, calendar events, letters,
and photographs are welcome. Deadline for submissions is the second Monday
of each month.
more information about the Clinical Center,
e-mail email@example.com, or call Clinical
Center Communications, 301-496-2563.
Grant Magnuson Clinical Center
National Institutes of Health
Bethesda, Maryland 20892-7511
The information on this page is archived and provided for reference purposes only.