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Academics at the Boise VAMC: Past, Present and Future

Academics at the Boise VAMC: Past, Present and Future. Dennis L. Stevens, Ph.D., M.D. Chief, Infectious Diseases Section and Director of Research and Development VA Medical Center, Boise, ID. Questions for the Idaho State Legislature to ponder:.

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Academics at the Boise VAMC: Past, Present and Future

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  1. Academics at the Boise VAMC: Past, Present and Future Dennis L. Stevens, Ph.D., M.D. Chief, Infectious Diseases Section and Director of Research and Development VA Medical Center, Boise, ID

  2. Questions for the Idaho State Legislature to ponder: • Why should the State of Idaho Legislature be involved in the federally funded VAMC? • What are the relationships between the VAMC and Institutions of higher learning in Idaho? • What can Idaho Legislaters do to enhance research activities throughout the state of Idaho?

  3. Broad Academic Goals and Responsibilites at the Boise VAMC • Primary mission: Excellent patient care to veterans • Secondary Goals: • Teaching • Research

  4. Patient Care at the Boise VAMC • 1997 9,000 patients • 2005 19,000 patients • 2005 Outpatient visits 170,000

  5. University of Washington Affiliation (1975-2005) WAMI program: Boise VAMC site for 3rd and 4th year medical students (385) Primary Care Internal Medicine Residency (200). Transitional year internship (60) Family Practice Residency

  6. Teaching of WAMI Students and Primary Care Residents at the Boise VAMC • Didactic lectures • Clinical conferences • Daily noon conferences, Grand Rounds by VAMC Faculty • Daily Attending Rounds ( VA faculty, WAMI students, U of Wash Residents • Subspecialty Rounds • Clinic Rotations (Daily)

  7. Sand Point (1) FACULTY AND TRAINEES FROM BOISE VAMC PRACTICING IN IDAHO (2004) Cottonwood (1) GIM (27) Med/Peds (1) Cardiology (3) Renal (3) Pulmonary (9) GI (2) Geriatrics (4) Rheumatology (1) Anesthesia (1) McCall (1) Sun Valley (1) Caldwell (5) Boise (51) Nampa (2) Rupert (1)

  8. Research and Teaching Activities involving ISU Faculty at the Boise VAMC • Full time ISU Faculty • Sandra Jue, PharmD • Barbara Mason, PharmD • Rex Lott, PharmD • Karl-Madaras Kelly, PharmD

  9. BSU Clinical Teaching and Research at the Boise VAMC • Respiratory Therapy Students • Nursing Students • Collaborations with BSU Researchers

  10. University of Idaho Affiliation • Master’s degrees and Doctoral Degrees in Microbiology (5 and 1 current) • Graduate committee made up of VAMC investigators, U of I faculty and BSU faculty • Collaborative research in Infectious Diseases

  11. Basic Science Research(Currently active areas at Boise VAMC) • Cellular mechanisms of shock and pathogenesis of Infectious Diseases • Mechanisms of vascular injury • Cardiomyopathy of anthracyclines • Pulmonary physiology • Geriatrics

  12. Clinical Trial Research • Infectious Diseases • Antibiotics • Iclaprim • Tigecycline • Linezolid • Hepatitis C • Pegylated INF and Ribavirin

  13. Composition of Clinical Teams • Infectious Diseases: • D.L. Stevens, MD, PhD • Karl Madaras Kelly, PharmD • Pam Lewis, R.N. • Darlene Fowble, Clin Micro • Larry Meyer, Pharmacist • Tony Mebane, PA • Patricia Michas, RN (Research Coordinator)

  14. Composition of Clinical Teams • Pulmonary • Dr. Nirmal Charan, MD • Dr. Paula Carvalho, MD • William Thompson, MD • Sandra Jue, Pharm D • Barbara Mason, Pharm D • Pulmonary Fellows (2) MDs

  15. Composition of Clinical Teams • Geriatrics • Barry Cusack, MD • Desmond Amin-Appia, MD • Sandra Jue, Pharm D • Stan Hall, PA

  16. Composition of Clinical Teams • Cardiovascular • David Lee, MD • Sandra Jue, Pharm D • Barbara Mason, Pharm D • Gwen Lindberg, PA • Richard Olson, Ph.D • Dr. Charles Eiriksson

  17. Composition of Clinical Teams • Diabetes • David Hindson, MD • Barbara Mason, Pharm D • Sandra Jue, Pharm D • Jennifer Ackerly, PA

  18. Composition of Clinical Teams • Neuropsychiatry • Larry Dewey, M.D. • Rex Lott, Pharm D • Need to recruit academically oriented psychiatrist!

  19. Potential for Enhancement of Clinical Research • Team Approach • Computerized Patient records Boise VAMC • Access to VA National Database • Recruitment of an Epidemiologist/statistician with expertise in design of clinical studies. • Evolution of a U of Washington IRB specifically for VA studies.

  20. Proposal to develop a translational research program at the Boise VAMC • In vitro and ex vivo cellular studies: Mechanisms of action, toxicity • Signal transduction • Gene expression • Polymorphisms (TNF, Beta-agonists) • Proteomics • Expression of known proteins (arrays) • Identification of novel proteins • 2-D gel electrophoresis/Mass spectroscopy_

  21. Bridging Basic Science and Outcomes Research • Identification of novel mechanisms of action, cellular toxicity, etc will provide markers that can be pursued in patient based studies. • Boise VA patients • National VA Database • Sub-projects of National/international clinical trials.

  22. Biomedical Research and Education Institute at the Boise VAMC • Expand Research Space and Equipment • Enhance Research Collaborations with Idaho Universities and Investigators • Expand Teaching Facilities, Classrooms and Conferencing Capability Including Teleconferencing with Idaho Universities and the University of Washington

  23. How can the Idaho Legislature Promote Research Activities • Re-instate the small research grants administered through HERC. • Increase the number of Center of Excellence Grants through HERC • Increase the number of graduate student stipends at the Universities • Utilize Tobacco Fund monies for Biomedical Research in Idaho • Consider establishing joint graduate degree program utilizing faculty at all the Universities and the Boise VAMC

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