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VOLUME 18 NO. 3
n
insie.uemeiine.o
n
M 2009
now open
Kghd cc 
Dk Mdc xd e wk C h c.pg 3
inquiry
rch d 
Fd  b h bc dcc ch gg Dk’ C  HbcMdc d emphg.pg 11
events
wh  d  Mch
th cd m  g15 h mh.pg 15
A ew home o he PA Pogam
Fili ilis ommimen o new moels o e
ABOVE: Duke’s Physicia Assisa Pogam is ow locaed a 800 S. Duke S. ea dowow Duham.
PhOtO by kELLy MaLcOM
speCial seCtion
Bees
Pay FOr cOLLEgE
Although companies and other organiza-tions are eliminating or reducing beneftsto tighten budgets during the recession,Duke has expanded its employee tuitionassistance program or aculty and sta.In January, the beneft expanded to coverup to $5,250 in tuition reimbursementand nine courses per calendar year.
Page 7
StrEtch yOUr dOLLarS
Duke Credit Union seminars are ree,and they save you money by helpingyou get a handle on household budgeting,understand fnances or receive timelyinormation on big fnancial moves, suchas housebuying.
Page 8
Stay UP tO datE
The new Lynda.com program can helpyou stay up-to-date on emerging Weband multimedia technologies throughonline tools and tutorials availableanytime, anywhere.
Page 9
I his issue, 4 pages o ewsabou you Duke bees
F
or the rst time since its creation in 1965,the Duke Physician Assistant Program hasa home o its own — at the ormer Blue Crossand Blue Shield o North Carolina headquar-ters near downtown Durham.“We have our times the space we had inour previous building and all o our spacesare designed to meet the program’s needs,”said Patricia Dieter, MPA, PA-C, director o the PA program.Last year, the announcement o Duke’sagreement with BCBSNC to lease the buildingcame with Duke Medicine’s commitment togradual expansion plans or the program anda greater commitment to innovations in healthcare. Duke is the birthplace o the physicianassistant concept and, with Duke’s commitmentto new models o care, it’s only tting that theprogram now has a home to match its heritage.
see DUKE PA, p.2
Ope House
The Duke PA program will host an Open House rom 4-6p.m. on March 12 at 800 S. Duke St. in Durham. Guidedtours and rereshments will be available.
 
Iside Duke Medicie
2
March 2009
INSIdE VOLUME 18, ISSUE 3
n
COntACt USCampus mail:
DUMC 104030
Deliveies:
2200 W. Main St.,Suite 910-B, Durham, NC 27705
Phoe:
919.660.1318
E-mail:
editorinside@mc.duke.edu
CrEDItS
 
Caoo:
Josh Taylor
StA
 
Edio:
Anton Zuiker
Maagig Edio:
Mark Schreiner
Sciece Edio:
Kelly Malcom
Desige:
Vanessa DeJongh
Iside Olie Edios:
 Bill Stagg and Erin Pratt
Ie:
Sara PortogheseCopyright © 2008Duke University Health SystemInside Duke Medicine, the employeenewspaper or the Duke University HealthSystem, is published monthly by DukeMedicine News & Communications.Your comments, story ideas and photocontributions are always welcome andappreciated. Deadline or submissionsis the second Friday o each month.
FroM tHe Cover
Duke Raleigh Hospital has achieved Magnetdesignation or excellence in nursing by theAmerican Nurses Credentialing Center (ANCC).Only 5 percent o the nation’s hospitals haveearned this designation, the highest level onational recognition to health care organizationsthat demonstrate sustained excellence innursing care.“It is an honor to receive such prestigiousrecognition or our hospital and a testament tothe extraordinary nurses and entire hospitalteam who work together every day to providethe very best care to our patients,” said DougVinsel, chie executive ofcer o Duke RaleighHospital. Duke University Health System is theonly hospital system in the Triangle with allhospitals receiving Magnet designation. Go to
hp://iside.dukemedicie.og
to watchvideo eaturing chie nursing ofcers rom eacho the hospitals.“This is the highest honor a U.S. hospital canreceive or its nursing program and urthersupports the exceptional skill and dedication oDuke nursing” said Victor J. Dzau, M.D.,chancellor or health aairs and president andchie executive ofcer o the Duke UniversityHealth System. “For all three o our hospitals toreceive this distinction truly signifes theworld-class care available to all o our patients.”The Magnet Recognition Program recognizeshealth care organizations that demonstrateexcellence in nursing practice and adherence tonational standards or the organization anddelivery o nursing services. Applicants undergoa rigorous evaluation that includes extensiveinterviews and review o nursing services. DukeRaleigh Hospital was notifed o Magnetrecognition on Feb. 13 ater a three-year-longapplication process. Durham Regional Hospitalreceived Magnet designation in November atercompleting as similar lengthy process. Thedesignation was given to Duke UniversityHospital in 2006.“We are so appreciative o the more than 225employees who were directly involved in thisprocess,” said Mary Gra, director o nursingspecial projects and the Magnet program atDuke Raleigh Hospital.“Our nursing sta are so deserving o thisdesignation, and I am so proud to be thenursing leader o this amazing group,” saidRosemary Brown, chie nursing ofcer.Research shows there are clear benefts tohospitals that are awarded Magnet status andto the communities they serve in consumerconfdence, recruitment and retention and inmaintaining quality o care. Magnet designationis maintained or our years. During that period,the ANCC monitors acilities to ensure highstandards o care continue to remain.
All 3 hospialsow Mage saus
“It is no secret that this country isacing a growing shortage o primarycare physicians, and we don’t yetknow how much worse this shortagewill become,” said Justine Strand,DrPH, PA-C, chie o the physicianassistant division. “PAs are going to bea key component in the evolution o new models o care and will be neededto ensure adequate access to care orAmericans in the uture.”“PAs are an ecient and fexiblecomponent o the solution to theshortage,” Strand said. “We cangraduate a PA in two years, whetherprimary care or specialty.”Brandon Wyche, rst-year student,said: “It’s good to know that you arepreparing to do something that willultimately ll an urgent need in thecommunity.”Wyche, a ormer emergencymedical technician, was introduced tothe proession while working with PAsin hospitals.“The diversity o options availableto physician assistants is what initiallyattracted me to the PA program, andthe options seem to be growing almostevery day,” Wyche said. “You don’thave to choose just one area likeemergency medicine, surgery or amilymedicine.”Under the supervision o a physi-cian, PAs take patient histories, perormphysical examinations, order laboratoryand diagnostic studies and developpatient treatment plans. In all states,including North Carolina, PAs have theauthority to write prescriptions.Their job descriptions are asdiverse as those o their supervisingphysicians, and may include patienteducation, medical education, healthadministration and research.“PAs work in all o the specialtieso medicine,” said Perri Morgan,Ph.D., PA-C, director o physicianassistant research.Nationally, 37 percent o PAswork in primary care. Other specialtieswhere PAs are most common includecardiovascular and orthopedic surgery,dermatology and emergency medicine.“Recent growth o the PAproession has been dramatic,” Morgansaid. “The proession has doubled innumbers in the last decade, and tripledin the last 15 years.”There were about 74,000 PAspracticing in the United States in 2008.In North Carolina, there is about onepracticing PA or every six practicingphysicians.“I’m condent that PAs will playan integral part in revolutionizing ourhealth care system and I am excitedabout the prospects or the uture,” saidChinika Reynolds, a rst-year student.Importantly, PAs — like otherphysician extenders on the modernhealth care team — increase patientaccess to health services by extendingthe time and skills o the physician.“Several patient satisaction studieshave shown that patients are as satisedwith care provided by PAs and nursepractitioners as they are with physiciancare,” Morgan said.At Duke, the program is growing.The traditional incoming PA class sizewas 45 students. The class beginning inAugust will have 70.The continued gradual expansiono the program is dependent on avail-able clinical rotations within DukeUniversity Health System and avail-ability o PA scholarships throughthe School o Medicine to recruit topstudents, Dieter said.She described the new location as“more spacious and more conducive toteaching and learning.”The Duke Endowment helped sup-port the start-up cost o the expansiono the PA Program. BCBSNC providedthe renovations, and worked closelywith Duke to transorm the historicbuilding into an energy-ecient anduser-riendly acility.The new acility has a masterclassroom that can accommodate 90students. The master classroom in theormer on-campus location at HanesHouse accommodated 66 students.The acility, at 800 S. Duke St.,also oers our physical diagnosissuites, where students conduct physicaldiagnosis through clinical problemevaluations with standardized patients.The visits are recorded and given to thestudents or sel-evaluation.Other eatures o the new locationinclude a diagnostic methods lab, studyrooms and lounges or students, acultyand sta oces, conerence rooms, andtwo kitchens available to students.The layout o the new locationbrings students, aculty and sta together.“Beore, we were spread out overmultiple foors and now we are all inour own space together,” Reynolds said.Her ellow student, Wyche, saidthe new acility “eels worthy o thereputation o the Duke PA program.”
n
DUKE PA, co.
Chiika reyolds akes a sadadized paie’s blood pessue duig a cliical poblemevaluaio.
PHOTO BY ERIN PRATT
 
privaCy alertCalenDar
Laptop computers, thumbdrives,personal digital assistants, and othermobile devices make accessingelectronic inormation easier andoten more efcient.These portable devices may alsobe easily lost or stolen. I patientinormation or other sensitiveinormation (Social Security numbers,personal fnancial inormation, etc.)is stored on these portable devices,patient’s identity and Duke couldbe at risk.
to peve heloss o daa:
• Do not store sensitive information
on laptops or mobile devices.Useremoteaccessservices likethe DukeMedicineVPN service,virtual PINand otherCitrixservices toaccess the needed inormation.Inormation saved on these serversis secure and backed up nightly.
• If you must store information on
mobile devices, encryption o theinormation is required. Contactyour technical support person orassistance.
I you lapop o mobiledevice is los o sole:
• Contact your information security
ofcer or the DHTS Service Desk at684-2243.Security support personnelare listed at
hps://www.iso.duke.edu/iso/isop/isl.php
. Contact DukePolice at 684-2444 and RiskManagement at 684-3277.
• Provide the last known location of
the device.
• Identify all patient health informa
-tion or sensitive inormation storedon the device.
Wha o do aboulos, sole daa
 
q & a
3
March 2009
Iside Duke Medicie
Bekighed
– due Meiineopens lini in Esen We coun
I
n and around the Triangle, no area is growingas ast as Wake County. The population oWake County grew by 32.6 percent— adding204,744 people— between 2000 and 2007,according to state government estimates.Comparatively, Durham County grew by 14.1percent and Orange County by 10.2 percent.The March 2 opening oDuke Medicine inKnightdale, a state-o-the-art acility with primarycare and urgent careservices, is the latestexample o how the DukeUniversity Health Systemcontinues to makeinvestments in WakeCounty. The Knightdale clinic now gives EasternWake County the same world-class specialtyservices available to patients in Durham, Raleigh,Morrisville and other communities.We asked Doug Vinsel, CEO o Duke RaleighHospital, to elaborate on Duke Medicine’s WakeCounty strategy and explain how the new DukeMedicine in Knightdale answers the growingneed or health care services there.
Why open a clinic in Knightdale?
The establishment o a Duke Medicinepresence in Knightdale at the intersectiono Interstate 540 and US 64-Business isconsistent with our strategy o tryingto create a presence along the I-540corridor. In looking at opportunitieswithin Wake County, Knightdale stoodout as a high-growth community withminimal existing medical services.Locating our new building at theintersection o I-540 and 64 makesaccess or patients in the northern andnortheastern tier o Wake County veryconvenient. And, the new building ison 16 acres, which certainly creates theopportunity or uture evolution o thisacility into a health campus.I would be remiss i I didn’tmention the communications romthe university and the health systemon March 2 that provided a clearupdate on how Duke is being impactedby the current nancial crisis. Withinthe Health System, current eortsto manage expenses and achieve asustainable nancial structure orthe uture are critically important.But, as pointed out in the email toDuke Medicine employees, expensemanagement is only one componentthat will drive our long-term success.The other driver will be strategic,well-designed, scally disciplinedinvestments in projects that can drivegrowth — the Knightdale project is agood example o this and is consistentwith our two-track approach tolong-term success.
How are Wake County residentsresponding?
The early response is encouraging;there were more than 25 appointmentsscheduled during the rst day that theappointment line was open. Bottomline: I think this is a location that willbe successul short and long term andone that will allow or a synergisticrelationship between Duke RaleighHospital, which is just 7 miles away.
What’s special about the acility?
The acility itsel is spacious, attractiveand easily accessible. I think the thingthat is most special about the locationis the act that it’s a 40,000-square-oot building that, when ully rampedup, will accommodate 25 physicians— 14 specialists and 11 primary caredoctors. The critical mass o primaryand specialty care will be a beacon orboth existing residents and newcomersto Wake County seeking a single sitewhere they can receive virtually all o their physician care.
What specialty care physicians will be located at Knightdale?
By late spring, Duke Medicine inKnightdale will include orthopedics,cardiology, gastroenterology andpulmonology. Then, over the next 12to 18 months, other specialties will beadded. The mix o specialists was basedon the demographics o the area andthe gaps in specialty care that currentlyexist and are projected to continue toexist over the short to intermediateterm. Many o the specialists who willinitially work at the Knightdale clinicwill also continue to have a presence onthe Duke Raleigh Hospital campus inthe Duke Medicine Plaza.
Will the quality o care match thehigh quality across Duke Medicine?
Absolutely! Protocols and evidencedbased care practices will be consistentat this site with those at other DukeMedicine locations. We’re proud to bebringing even more o Duke’s world-class care closer to Wake County’sresidents.
Did Duke Medicine recruit new  physicians, nurses and sta to fll the acility?
All o the physicians who will occupythe Duke Medicine o Knightdale sitewill be Duke PDC Physicians (specialtycare) or Duke Primary Care Physicians(primary and urgent care). Many o these physicians are new recruits,although some will be redeployed romwithin the Health System. Similarly,many o the sta who will supportthe practices are new Duke Medicineemployees, while others are existingemployees who have chosen to transerto this new location.
n
doug vinsel, ceo
Duke Medicie i Kighdaleopeed o busiess Moday,Mach 2, 2009
Locaio:
162 Legacy Oaks Drive, Hwy 64and I-540, Knightdale, NC 27545
Pimay Cae:
Family medicine or all ages.Mon-Fri 8 a.m. – 5 p.m.
Uge Cae:
Open seven days a week,8 a.m. – 8 p.m.
Specialy Cae:
Gastrointestinal medicine,pulmonary medicine, cardiology andorthopedics.
Appoimes:
919-232-5205 or1-888-ASK-DUKE (375-3853)
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