Walking & Running Forward for Research

Mark your calendars now to connect with other MHRI and MedStar associates by participating in one of these upcoming events to support the health of our communities.

Race to Beat Cancer

Saturday, September 14

Four Seasons Hotel Washington, DC, is proud to host the 39th annual Four Seasons Hotel Washington, DC, Race to Beat Cancer 5K. This charitable event is one of the premier 5K races in Washington, DC. All of the proceeds from this event are donated to the MedStar Georgetown Cancer Institute at MedStar Washington Hospital Center and cancer research.

Money raised from last year’s race helped fund these research projects:

  • An algorithm for physicians to better follow cancer survivors, with the goal of both predicting and preventing cardiac complications after cancer treatment
  • Evaluating markers in the blood that could predict the development of secondary cancers, coronary artery disease, and dementia in cancer survivors
  • Improving supportive care in preventing hair loss in black women undergoing chemotherapy
  • Supporting other ongoing clinical trials in early-stage breast cancer, advanced colorectal cancer, advanced prostate cancer, and early stage bladder cancer 

Race packet pick-up will ONLY be Friday, September 13, 2019 from 1PM - 7PM at Pacers Running 14th St and from 1PM - 7PM at the Four Seasons Hotel Washington, DC located at 2800 Pennsylvania Ave NW.

Where: Four Seasons Hotel Washington, DC
Check-In: 7:00 am
Starts: 8:00 am
Length of Walk/Run: 5K

To learn more and register, visit https://runsignup.com/Race/DC/Washington/RacetoBeatCancer5K

 

2019 Step Out: Washington, DC

Saturday, September 21

Participating in the Step Out Walk is an experience you will never forget. You will be joining your community members along the beautiful route who share your passion to fight diabetes. You will be helping people in your own community who live with this disease every day. Bring your friends, family, and co-workers to walk with thousands of people from across the country and help us change the future of diabetes. This walk is hosted by the American Diabetes Association

Where: Washington Monument Grounds, Washington, DC
Check-In: 8:00 am
Event starts: 9:30 am
Learn more about the walk here.

 

Super H 5K Run, Walk & Wheel

Sunday, September 22

Help support the Adaptive Sports Programs at MedStar National Rehabilitation Network and participate in the Super H 5K Run, Walk & Wheel in Tysons Corner, VA. This race is open to all able-bodied and disabled athletes who can run, walk or roll through the course. All proceeds benefit Adaptive Sports Programs at MedStar National Rehabilitation Network, which helps children and adults with physical disabilities to pursue healthy, active lifestyles through recreational and competitive sports.

Where: Tysons Sport & Health
Check-In: 7:00 am
Event starts: 9:00 am
Length of Walk: 5K
Learn more and register at SuperH5K.com.

 

2019 Step Out: Baltimore, MD

Sunday, October 6

The Step Out Walk to Stop Diabetes gives everyone in our community a chance to gather together to raise funds for diabetes research, advocacy, and education. Dollars raised through Step Out help to support those affected by diabetes in Maryland, and beyond. When you register for the Step Out Walk to Stop Diabetes, you become a part of the American Diabetes Association’s team. Joining you will be thousands of participants from around the country who come together and directly impact the lives of people facing the daily challenges of diabetes. This walk is hosted by the American Diabetes Association

Where: Canton Waterfront, Baltimore, MD
Event starts: TBD
Length of Walk 3.15 mile walk
Learn more here.

 

2019 Greater Washington Heart Walk

Saturday, November 2

Hosted by the American Heart Association and the American Stroke Association, this event includes 1- and 3-mile routes. Join walkers from across our community as they step out to have fun, get inspired and support a meaningful cause.

Where: The National Mall, Washington, DC
Check-In: 8:30 am
Event starts: 10:00 am
Length of Walk: 1-mile or 3-mile walk
Learn more on the website.

Honoring SPIRIT at MHRI: The Ryan White Team

The Ryan White Team was awarded the SPIRIT of Excellence Award for the first quarter of 2019 during a presentation at MedStar Washington Hospital Center. The Ryan White Team includes David Gaviria, Chizoba Anako, Allison Daly, Antonio Pineda, Edith Sowe, and Corten Yarbrough. Nominated by Ron Migues, MD, Executive Director, MedStar Medical and Surgical Research Network, the award was presented by Dr. Weissman, Chief Scientific Officer of MedStar Health, President of MedStar Health Research Institute.

The Ryan White Team was recognized for their outstanding medical care, case management, social work and peer navigator services to individuals and families affected by HIV/AIDS. This team may encounter several issues and roadblocks daily, but their Patient First mindset ensures that patients are cared for in the way they are accustomed.

This is the first time that the SPIRIT Award was presented to a team of MHRI associates. “When I went to fill out the nomination,” said Migues, “I couldn’t imagine picking one associate from the team. They work so cohesively and effectively together.”

At the presentation, other colleagues spoke up on the SPIRIT that the team embodies:

  • “Their efforts don’t go unnoticed, patients remember them at the end of the day.”
  • “Each has their own strengths and add to the team to be able to work together”
  • “These patients rely on their physicians to take care of them medically, but they could not make it happen without the support and dedication of this team”

There are many great things that can be said about the Ryan White Team. We’re lucky to have such a wonderful group of associates that work well together and continuously advance health through research.

The SPIRIT Award is given to recognize and reward one associate (management or non-management) each quarter, who excels in Service, Patient First, Integrity, Respect, Innovation, and Teamwork. Nominations for the third quarter of 2019 are due by August 15. Learn more on the SPIRIT StarPort page or contact [email protected].






Cardiovascular Research Technologies (CRT) Conference 2020—February 22-25, 2020

Join more than 3,000 interventional and endovascular specialists at Cardiovascular Research Technologies Conference (CRT) 2020 for a comprehensive four-day interventional cardiology conference featuring cutting-edge data in a unique boutique setting.

CRT, one of the world’s leading interventional cardiology conferences, is attended by more than 3,000 interventional and endovascular specialists. At the 2019 meeting, CRT featured 1,290 presentations and 20 live cases from nine locations around the world. The conference, held each year in Washington, DC, is supported by MedStar Heart & Vascular Institute and serves as a forum for physician and health-care professional education about new cardiovascular technology and interventional procedures in the field. The meeting is several conferences at once, with tracks including CRT Valve & Structural, CRT Endovascular, Technology & Innovation, Atherosclerosis & Research, and Nurses & Technologists.

The CRT 2020 Abstract Committee invites you to submit abstracts of original investigations for consideration at CRT 2020. Abstracts must be submitted electronically by 11:59 p.m. ET, on November 15, 2019. Learn More to Submit

This conference is a great opportunity to learn about the latest developments in your field, connect with colleagues, and earn CME credits. Early bird registration ends October 31st.To learn more about the meeting, including the agendas, and to register, visit www.crtmeeting.org.

February 22-25, 2020
Gaylord National Convention Center
National Harbor, MD

Association for Academic Surgery 2019 Fall Courses—October 26, 2019

The mission of the Association for Academic Surgery is to inspire and develop young academic surgeonsRegister now for the 2019 Association for Academic Surgery fall courses. These courses will take place immediately prior to the American College of Surgeons Clinical Congress.

Registration fees for the Fall Courses include: course syllabus, continental breakfast, AM and PM breaks, and a networking reception. Early registration deadline is September 23rd.

To learn more about who should attend, the agenda, and to register, visit the Association for Academic Surgery. 

October 26, 2019
The Westin St. Francis
San Francisco, CA

MedStar Health’s Fall 2019 Continuing Education Conferences

Registration is now open for MedStar Health’s Fall 2019 Continuing Education conferences. Organized by the Department of Continuing Professional Education, these year-round learning events provide an opportunity for clinical associates to gain knowledge of new treatments and techniques, connect with renowned leaders in their fields, and earn CE credits. Discounted registration for MedStar associates is available.

For more information about these and other events, and to stay up to date, please visit medstar.cloud-cme.com

2019 Update on the Diagnosis and Management of Pituitary Tumors
September 11, 2019
The Center Club, Baltimore, MD

2nd Annual MedStar Georgetown Transplant Institute Symposium 2019
September 14, 2019 
Washington Marriott Georgetown, Washington, DC

Gastric and Soft Tissue Neoplasms 2019
September 21, 2019
Park Hyatt Washington, Washington, DC

Adult Congenital Heart Disease 2019 (ACHD)
October 4, 2019 - October 5, 2019
Bethesda Marriott, Bethesda, MD

Gastroenterology for the Primary Care Provider 2019 (GIPCP)
October 12, 2019
Ritz-Carlton, Washington, DC

Contact [email protected] for discount codes for MedStar associates.

MedStar Educators Investigate the Impact of Training Statement on Cardiology Fellowships

Recent research from MedStar Health investigators and educators sought to understand the impact and perception of a newly implemented training statement for cardiovascular education. The research was the first to collect data from program directors in cardiology fellowships on how they understand and implement the new training guidelines.

The research as published in Journal of the American College of Cardiology. The research team was led by Gaby Weissman, MD, and included Alex J. Auseon, DO; James A. Arrighi, MD; Lisa A. Mendes, MD; Paul Theriot, BSBA; Marty C. Tam, MD; and Julie B. Damp, MD.

American College of Cardiology wanted to address the rapid advancement of knowledge for treating cardiovascular disease. Initially developed in 1995, the Core Cardiovascular Training Statement (COCATS), provided a uniform set of curricular recommendations for training in cardiovascular disease. The most recent iteration, COCATS4, differs from previous versions in that it added elements of competency-based medical education as well as adding new domains of knowledge such as critical care cardiology and it changed the duration of training that needed to be devoted to gaining clinical skills and knowledge. 

Of the 229 cardiovascular disease training programs based in the United States, 130 (57%) responded to the survey over a month-long period. Each program self-reported their size based on fellows (small to large, one through 18+) and program type (university hospital-based, community hospital/university-affiliated, community-based, or military hospital).

Half of the program directors found the guidelines to be helpful in assessing competency, with an additional 30% finding it somewhat useful. Many program directors (57%) found the COCATS4 guidelines to be extremely useful, with an additional 35% finding it somewhat useful. The majority of program directors (69%) found that the COCATS4 guidelines are better aligned with the needs of today’s job market.

Despite the new guidelines, almost one-half (45%) of programs had made no significant changes since the release of COCATS4, however 22% of programs increased the number of clinical months, 8% decreased the number of clinical months, and 11% increased the number of required echocardiography months. 57% of responding programs indicated that resource limitations impacted the lack of direct clinical experience. This included lack of subspecialty programs within their institutions. Another important finding was that over half of programs reported that they lacked the ability to deliver direct clinical experience in at least one domain of cardiovascular care. 

This research helped to identify gaps in training programs based on the guidelines, finding that programs may need to utilize alternative educational experiences to ensure that their fellows are meeting the guidelines. This data can be used as a comparison for future research, as it can create a benchmark of training programs. Importantly, it should serve as a call for national organizations to help fill in the educational gaps that cardiology training programs may have.

Journal of the American College of Cardiology, 2019. DOI: 10.1016/j.jacc.2019.03.488






MedStar Researchers Investigate Cardiovascular Testing

Researchers from MedStar Heart & Vascular Institute, MedStar Washington Hospital Center, MedStar Georgetown University Hospital and National Institute of Health have recently sought to identify pre-transplantation cardiac testing practices and to report post-transplant cardiac outcomes in patients receiving renal allografts.

“Pre-Operative Cardiovascular Testing and Post-Renal Transplant Clinical Outcomes” was published in Cardiovascular Revascularization Medicine. Chronic kidney disease and end-stage renal disease are closely linked to coronary artery disease. This retrospective analysis examined demographics and medical data for patients undergoing first renal transportation. Pre-transplant workup included echocardiograms, cardiac stress testing, coronary computed tomography, left heart catherization and any revascularization.

The research included 235 patients and the mean length of follow-up was 1.63 years. Patients were reviewed for use of antiplatelet, HMG-CoA reductase inhibitors (statins), insulin, beta-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, calcium channel blockers, mineralocorticoid receptor antagonists, and diuretics over a 6-month period before transplant. 219 (93%) patients had non-invasive functional testing before transplant. The most common co-morbidity was hypertension (88.1%), and the most common pre-transplant medication class was beta blockers (59.6%). The most common cause of chronic kidney disease/end-stage renal disease was hypertension (36.7%) and diabetes mellitus (26.2%). There were 3 deaths, 2 that were cardiac-specific. Of those patients with a 30-day post-operative troponin, 30 (13%) patients had an elevation due to a type II NSTEMI or myocardial injury.

The results of the study show that cardiovascular testing remains an ever-present practice in pre-transplant evaluation, with an ongoing low rate of adverse cardiac outcomes for those patients who are ultimately deemed suitable for kidney transplant. In conclusion, this study demonstrates low mortality despite the relative frequency of post-operative troponin elevation. “There is no clear pattern of pre-cardiac testing results or revascularization inpatients who develop post-transplant major adverse cardiac outcomes.”

The research team included Michael Yang, Patrick Miller, PT, DPT; Brian C. Case, MD; Alexander J. Gilbert, MD; Jared K. Widell, MD; Toby Rogers, MD; Lowell F. Satler, MD; Ron Waksman, MD; and Itsik Ben-Dor, MD.

Cardiovascular Revascularization Medicine, 2019. DOI: 10.1016/j.carrev.2019.04.017






New! MedStar Study Information Portal Live

We are pleased to announce the release of a new tool to broaden public awareness of open clinical trials happening across MedStar Health and MedStar Health Research Institute.

We have launched the Study Information Portal on the MedStar Health Research Institute website, on the webpage that currently displays our open clinical trials. The Study Information Portal references real-time data from enrolling studies in OnCore to help patients and providers identify active clinical trials that meet their needs and interests. Users can browse our active clinical trials by site or by principal investigator, or they may search for a study by key words, such as a disease or diagnosis.

Informational WebEx sessions will be available August 5th, 6th, and 7th at both 8:30am and 12:30pm daily to showcase the Study Information Portal and address any questions. Subsequent announcements will be made via Twitter, the MedConnect Minute, and MedStar Patient Portal to further share the tool with the MedStar Health community.

The Study Information Portal is publicly accessible on the MedStar Health Research Institute website here.

If you have any questions, please contact Allie Moses at [email protected]





July Peer-Reviewed Publications from MedStar Health

Congratulations to all MedStar researchers who had articles published in July 2019. The selected articles and link to PubMed provided below represent the body of work completed by MedStar Health investigators, physicians, and associates and published in peer-reviewed journals last month. The list is compiled from PubMed for any author using “MedStar” in the author affiliation.

Congratulations to this month’s authors! We look forward to seeing your future research.

View the full list of publications on PubMed.gov here.

Selected research:

  1. Fresh and Savory: Integrating Teaching Kitchens with Shared Medical Appointments
    The Journal of Alternative and Complementary Medicine, 2019. DOI: 10.1089/acm.2019.0091
    Kakareka R, Stone TA, Plsek P, Imamura A, Hwang E.
  1. The Effects of Medicaid Expansion on Triage and Regional Transfer After Upper-Extremity Trauma
    The Journal of Hand Surgery, 2019. DOI: 1016/j.jhsa.2019.05.020
    Daly CA, Cho BH, Desale S, Aliu O, Mete M, Giladi AM.

  2. Clinical, Pathological and Molecular Profiling of Radioactive Iodine Refractory Differentiated Thyroid Cancer
    Thyroid, 2019. DOI: 10.1089/thy.2019.0075
    Shobab L, Gomes-Lima CJ, Zeymo A, Feldman R, Jonklaas J, Wartofsky L, Burman KD.
  1. Intravascular Ultrasound-Guided Drug-Eluting Stent Implantation
    Minerva Cardioangiologica, 2019. DOI: 10.23736/S0026-4725.19.04895-3
    Shlofmitz E, Kuku KO, Waksman R, Garcia-Garcia HM.
  1. Improved Survival After Multimodal Approach with 131I Treatment in Patients with Bone Metastases Secondary to Differentiated Thyroid Cancer
    Thyroid, 2019. DOI: 10.1089/thy.2018.0582
    Wu D, Gomes Lima CJ, Moreau SL, Kulkarni K, Zeymo A, Burman KD, Wartofsky L, Van Nostrand D.





Diabetes to Go

Diabetes to Go

Overview

Diabetes self-management education and support (DSMES) is key to reducing the burden of diabetes both on those living with this chronic, complex condition and on the healthcare system.1 DSMES is defined as the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care.2–4 Effective delivery and patient uptake of DSMES has been shown to improve outcomes, including reduction in hemoglobin A1C, diabetes-related complications 5,6 and acute care encounters,7 and to promote adoption of healthy lifestyle behaviors.3,8–10

Research confirms that DSMES is largely underutilized. For example, less than 5% of Medicare beneficiaries access their DSMES benefits,11 and as few as 7% of patients with private insurance receive DSMES within the one-year after diabetes diagnosis.12 Innovative approaches for reaching patients with T2DM and successfully engaging them in DSMES are required to optimize its potential impact.

Diabetes survival skills education (DSSE), a component of DSMES, is the process of facilitating the core knowledge, skills, and ability necessary for safe and effective diabetes self-care in the short term.14–16 The goal of DSSE is to keep patients safe and stable during transitions of care (e.g., from hospital to home) and for patients with T2DM to be able to recognize when their diabetes is not well managed (e.g., hypo or hyperglycemic events).

Approaches to effectively deliver standardized self-care management education and support for adults living with Type 2 diabetes (T2DM) are needed to enable optimal outcomes.

Diabetes To Go is the education program of the MedStar Diabetes Institute.

This program has been developed by our diabetes specialists, including Endocrinologists and nurses, nutritionists, nurse practitioners and pharmacist who are diabetes educators, in partnership with our Primary Care Physicians. Our patients and a health literacy specialist helped develop and reviewed the program.

The Diabetes To Go Booklet covers diabetes survival skills – or the basics about diabetes.

The Diabetes To Go Pocket Guide is a brief summary of the same content that is found in the booklet.

The Diabetes To Go program has a full set of companion videos.  A few samples of these videos are found below for viewing.

 


For Patients

Know About Your Diabetes: Full Guide

Survival Skills Basics Pocket Guide

 


Diabetes to Go Sample Videos

 

Application Process: Logic Chart for Video Playlists

 


For Staff & Clincians

Process Chart for Education Delivery

Tablet Cleaning Job Aid

Create a Patient Account

Script: Invite a Patient to Join in Education

Survival Skills Basics Pocket Guide

 


MedStar Diabetes and Research Institutes’ “Diabetes To Go-Inpatient Study” was funded by the National Institutes of Health-NIDDK R34 DK-105903 Award. This grant funded redesign of the MDI’s Diabetes To Go education materials .


References

  1. Powers MA, Bardsley J, Cypress M, et al. Diabetes Self-management Education and Support in Type 2 Diabetes. Diabetes Educ. 2017;43(1):40-53. doi:10.1177/0145721716689694
  2. Armstrong C. ADA Updates Standards of Medical Care for Patients with Diabetes Mellitus. Am Fam Physician. 2017;95(1):40-43. http://www.ncbi.nlm.nih.gov/pubmed/28075100. Accessed May 5, 2017.
  3. Powers MA, Bardsley J, Cypress M, et al. Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2015;115(8):1323-1334. doi:10.1016/j.jand.2015.05.012
  4. Beck J, Greenwood DA, Blanton L, et al. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ. 2017;43(10):1409-1419. doi:10.2337/dci17-0025
  5. Steinsbekk A, Rygg L, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res. 2012;12(1):213. doi:10.1186/1472-6963-12-213
  6. Rise MB, Pellerud A, Rygg LØ, Steinsbekk A. Making and Maintaining Lifestyle Changes after Participating in Group Based Type 2 Diabetes Self- Management Educations: A Qualitative Study. PLoS One. 2013;8(5):e64009. doi:10.1371/journal.pone.0064009
  7. Healy SJ, Black D, Harris C, Lorenz A, Dungan KM. Inpatient diabetes education is associated with less frequent hospital readmission among patientswith poor glycemic control. Diabetes Care. 2013;36(10):2960-2967. doi:10.2337/dc13-0108
  8. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ Couns. 2016;99:926-943. doi:10.1016/j.pec.2015.11.003
  9. Magee M, Bowling A, Copeland J, Fokar A, Pasquale P, Youssef G. The ABCs of diabetes: diabetes self-management education program for African Americans affects A1C, lipid-lowering agent prescriptions, and emergency department visits. Diabetes Educ. 37(1):95-103. doi:10.1177/0145721710392246
  10. Gurková E, Čáp J, Žiaková K. Quality of life and treatment satisfaction in the context of diabetes self-management education. Int J Nurs Pract. 2009;15(2):91-98. doi:10.1111/j.1440-172X.2009.01733.x
  11. Strawbridge LM, Lloyd JT, Meadow A, Riley GF, Howell BL. One-Year Outcomes of Diabetes Self-Management Training Among Medicare Beneficiaries Newly Diagnosed With Diabetes. Med Care. 2017;55(4):391-397. doi:10.1097/MLR.0000000000000653
  12. Li R, Shrestha SS, Lipman R, et al. Diabetes self-management education and training among privately insured persons with newly diagnosed diabetes--United States, 2011-2012. MMWR Morb Mortal Wkly Rep. 2014;63(46):1045-1049. http://www.ncbi.nlm.nih.gov/pubmed/25412060. Accessed July 8, 2019.
  13. Ferguson S, Swan M, Smaldone A. Does Diabetes Self-management Education in Conjunction With Primary Care Improve Glycemic Control in Hispanic Patients? Diabetes Educ. 2015;41(4):472-484. doi:10.1177/0145721715584404
  14. Hardee SG, Osborne KC, Njuguna N, et al. Interdisciplinary diabetes care: A new model for inpatient diabetes education. Diabetes Spectr. 2015;28(4):276-282. doi:10.2337/diaspect.28.4.276
  15. Youssef G, Ip EH, Magee M, et al. Validity and Reliability of a (Brief) Diabetes “Survival Skills” Knowledge Test: KNOW Diabetes. Diabetes Educ. 2019;45(2):184-193. doi:10.1177/0145721719828064
  16. Lewis VR, Benda N, Nassar C, Magee MF. Successful Patient Diabetes Education in the Emergency Department. Diabetes Educ. 2015;41(3):343-350. doi:10.1177/0145721715577484