UAB Insight Geriatrics Volume 2 - Page 2

UAB Named a National Center of Excellence in Pain Education UAB MEDICINE NEWS N E W P H YS I C I A N S Medical management of pain is not taught extensively in Barrett Bowling, MD, assistant professor, is a graduate of the University of North Carolina School of Medicine and completed a residency and geriatric medicine fellowship at UAB. A Special Fellow in Advanced Geriatrics with the Birmingham/Atlanta Geriatric Research Education and Clinical Center, he now is an investigator there. He won first prize in the American Geriatrics Society’s (AGS) National Resident Poster Competition was selected for the T. Franklin Williams Scholarship Award with funding from Atlantic Philanthropies, Inc, the John A. Hartford Foundation, the Association of Specialty Professors, the American Society of Nephrology, and the AGS. His research interests include the study of chronic kidney disease among older adults. GEMSSTAR Award Goes to Bowling Ellison Medical Foundation supports new investigators of many health-professions schools, and clinical approaches of life for many patients, can lead to negative outcomes, Barrett Bowling, MD, assistant professor, Division of outstanding promise in the basic biological sciences relevant to can be inconsistent. With the NIH announcement of the new including addiction,” Kvale says. “New curricula can promote Gerontology, Geriatrics, and Palliative Care, has been awarded understanding lifespan development processes and age-related National Centers of Excellence in Pain Education (CoEPE), better screening and management of patients with chronic an RO3 Grant for Early Medical/Surgical Specialists’ Transition dise ases and disabilities. that may not be the case in the future. pain and provide education about prescription drug abuse risk. to Aging Research (GEMSSTAR). GEMSSTAR is an initiative We will propose multiple case-based scenarios, many of them of the National Institute on Aging to develop clinician-scientists Behavioral Therapy for Overactive Bladder in Men will focus on developing pain management resources for to be taught in video or electronic formats popularly used in in the field. Bowling’s initial project is designed to determine Although well established and shown to reduce urge vulnerable populations, including persons with multiple contemporary academic settings.” if conditions common in older patients with chronic kidney incontinence in women, little was known about behavioral disease—such as cognitive impairment, depression, falls, use of therapy’s effectiveness in men with urinary urgency and UAB’s center, led by geriatrics and palliative care faculty, illnesses, dementia, HIV, and cancer. Division of Gerontology, The 12 new CoEPEs were selected and announced in May Geriatrics, and Palliative Care faculty members Cynthia by the NIH Pain Consortium, established to enhance pain multiple medications, and poor physical performance—explain frequency before the VA-funded MOTIVE trial, the results of Brown, MD, MSPH, and Elizabeth Kvale, MD, are co- research and promote collaboration among its researchers. why they are more likely to die or have functional decline. which were published in the Journal of the American Geriatric principal investigators. Coordinating the project is the National Institute on Drug Society (November 2011). UAB continence researchers and Abuse, with support from the Eunice Kennedy Shriver Five Are Hartford Foundation Scholars curricula for UAB’s schools of Medicine and Nursing and National Institute of Child Health and Human Development Five faculty members from UAB have been selected by the effective as antimuscarinic therapy for men with overactive its School of Health Professions’ occupational and physical and the National Institute on Aging. Hartford Foundation UAB Center of Excellence (CoE) in bladder (OAB) symptoms without bladder outlet obstruction. therapy programs as well as Geriatric Medicine as National CoE Scholars. They are Anne When added to alpha-blocker therapy, both drug therapy Birmingham’s Samford University Halli-Tierney, MD, Laurel Kilpatrick, MD, Alexander Lo, MD, and behavioral treatment demonstrated significant additional PhD, Kendra Sheppard, MD, MSPH, and Barrett Bowling, reductions in voiding frequency and urinary incontinence. MD. The John A. Hartford Foundation, with matching funds Principal investigator Kathryn Burgio, PhD, says, “Given its from UAB, provides one year of support of advanced training efficacy and side-effect profile, behavioral training represents Baltimore, MD for senior fellows or junior faculty physicians preparing for a promising treatment for OAB in men.” The UAB Continence (2 locations–Hopkins and Univ of Maryland) academic careers in geriatric medicine. Clinic treats both men and women with urinary and bowel The center will develop and integrate pain-management Seattle, WA schools of Pharmacy and Nursing Boston, MA Rochester, NY and the Auburn University School of Pharmacy. Pittsburgh, PA “Our approach is intended Sameera Davuluri, MD, assistant professor, graduated from Siddhartha Medical College, NTR University of Health Sciences, Vijayawada, Andhra Pradeshh, India, and practiced primary health care services in India. Following clinical observerships in Texas and at UAB, she completed her residency in family medicine and a fellowship in geriatric medicine at UAB. Davuluri’s clinical interests are to provide primary care services to geriatric patients and to minimize recurrent hospitalizations. “Managing pain with opioids, while improving the quality San Francisco, CA Philadelphia, PA to help fill the gaps in curricula Edwardsville, IL so clinicians and their patients can work together to make (2 locations–Univ of Pennsylvania and Thomas Jefferson Univ) control problems. Million Veteran Program (MVP) is a national, voluntary research program conducted by the Department of Veterans Affairs with the goal of partnering with veterans receiving care in the VA Healthcare System to study how genes affect health. MVP is building one of the world’s largest medical databases by collecting blood samples and health information from one million volunteer veterans. The landmark study will securely link volunteers’ genetic information with health data available in the VA computerized patient record system. Patricia Goode, MD, professor in the Division of Gerontology, Geriatrics, and Palliative Care, is principal investigator for the study site in the Geriatric Research, Education, and Clinical Center at the Birmingham VA Medical Center (BVAMC). The site has recruited more than 2,000 volunteers since 2011. To learn more, visit www.research.va.gov/mvp/ or call 866.441.6075. The local program office is located in suite 7318 BVAMC. Medicine Chair Is Geriatrics Specialist Albuquerque, NM Seth Landefeld, MD, formerly chief of the University of better, safer choices about pain treatment,” says Brown. colleagues concluded that behavioral treatment is at least as F E AT U R E D RESEARCH PROGR AM Birmingham, AL California at San Francisco’s Division of Geriatrics, has taken “The overall plan is to advance the reins of UAB School of Medicine’s largest academic unit, the assessment, diagnosis, and safe the Department of Medicine. “We are excited Seth has taken treatment of a variety of pain conditions while the opportunity to help shape the future of UAB medicine and minimizing the abuse of opioid pain relievers.” are proud that his primary appointment will be in our division,” T E AC H I N G E XC E L L E N C E says Director Richard Allman, MD, Division of Gerontology, Geriatrics, and Palliative Care. The new chair is a clinician an d continued from front page “Eliminating health disparities is a national priority as the number of older African Americans will increase responses to sensitive topics.” Importantly, he says, little attention has been paid researcher in geriatrics, epidemiology, and biostatistics. Among many other achievements, he and colleagues invented the Acute more than twice as fast as white Americans by 2050,” to health disparities among rural African-American Care for Elders Unit, a model adopted at UAB Hospital and partners created an infrastructure that recruited 28 he says. “We have an opportunity to impact minorities’ populations or differences between rural and urban older many other centers. faculty scholars to participate in the mentorship, lower life expectancy and their health disparities by African Americans and whites. professional development, and pilot grant programs. distinguishing the causes of and solutions to these Allman says the new grant will permit the addition of a core focusing on the use of appropriate analysis persistent problems.” Allman points out that only a tiny fraction of NIH- methods and measures for health disparities research. funded investigators are African American. The Deep The RCMAR will provide career development support South RCMAR aims to increase the number and for at least 20 new scholars through its multidisciplinary The RCMAR will fund pilot projects and also Nutrition Scientist Is Ellison Scholar partner with teams conducting projects funded by other Nutrition researcher Daniel Smith Jr, PhD, has received The mechanisms to address research questions relevant to Ellison Medical Foundation New Scholar in Aging Award. health disparities among older adults in the Deep South. An affiliate of the UAB Center for Aging, Smith is on the The center’s Advisory Committee will include faculty of the Department of Nutrition Sciences, School of diversity of minority researchers, “whose understanding representatives of community-based organizations Health Professions. The award is to further research on the Health Disparities Research Training Program, fund of social and cultural norms enable them to design the committed to the elimination of health disparities, antidiabetic drug acarbose as a calorie restriction mimetic for at least 15 pilot grant awards, and assist four faculty most effective interventions and more rapidly overcome RCMAR scholar alumni, and senior faculty advisors preserving glucose homeostasis and lifespan extension. The members to obtain diversity supplements. community barriers to eliciting valid information and Alan Siegal, MD: Honoring Teaching Excellence Alan Siegal, MD, founding director of the UAB Division of Gerontology, Geriatrics, and Palliative Care, has dedicated his career to teaching students, residents, and practicing physicians how to use complex clinical reasoning to evaluate and manage acute and chronic illnesses. Now retired from practice, he still actively teaches residents and medical students at UAB and affiliated health systems. Among many other accolades, UAB awarded Siegal the prestigious Excellence in Clinical Teaching–Lifetime Award in 1995. Now the division is establishing the Alan M. Siegal, MD, Geriatric Medical Education Fund to provide Geriatric Medicine clinical and advanced fellows enhanced ability to attend professional conferences and conduct pilot research, quality improvement, and education projects. For more information, contact David Allen, EdD, 295.975.5661 or diallen@uab.edu. “The most satisfying aspect of my career as a from all four partnering schools. 2 F OR REF ERR A L S: 1- 8 0 0 - 8 2 2- 6 47 8 physician was the opportunity to teach clinical skills, medical information, and the art of patient care.” ~Alan M. Siegal, MD. MOR E INF OR M AT ION: uabmedicine.org /physician 3