A recent paper from DFPM RED and UAMS Psychiatric Research Institute features new research highlighting the strong negative impact of maternal behavioral health problems on children’s outcomes. The study of more than 1800 children examines the impact of maternal depression and alcohol abuse on preschool-age children. Among the studies findings, results indicate that 50% of children whose mothers screened positive for alcohol problems (a score of 2 on the CAGE) had clinically significant problems with externalizing behavior (aggression, rule-breaking, acting out) by 5th grade.
News
Honors Convocation 2017 Celebrates Graduating Seniors, Faculty
When Jerad Gardner, M.D., stepped up to the podium to address the UAMS College of Medicine’s Class of 2017 at the college’s Honors Convocation on May 19, the first thing he did was take a “selfie” with the class.
The move wasn’t too surprising for Gardner, who has drawn national acclaim for championing the use of social media, mobile devices and other technologies in medical education and the field of pathology.
The assistant professor in the college’s Department of Pathology, clinical co-director of the musculoskeletal/skin curriculum block for medical students and director of the fellowship for residency graduates training in the subspecialty of dermatopathology has earned raves for his ability to teach and connect through social media.
The class chose Gardner to deliver the address from the faculty at the annual ceremony held the evening before the UAMS Commencement Ceremony. Honors Convocation features numerous awards for students and faculty members. Students don the ceremonial doctoral hoods they will wear at commencement and recite the Hippocratic Oath of the medical profession.
Gardner encouraged the graduating seniors to start their career thinking about the end.
“Start thinking now about what is going to make it meaningful,” he said. “How will you know that it’s worthwhile, that it mattered, that you had the impact that you wanted to have?”
Gardner advised graduates to find innovative ways to help patients and their families. “Don’t make the mistake of thinking that ‘cure’ and ‘healing’ are always the same thing,” he said. “Cure whenever you can, but heal always.”
He urged the class to not lose sight of the loved ones in their lives and how they are impacted by the demands of a career in medicine, and to always show them gratitude.
Gardner also encouraged graduates to become mentors to future aspiring physicians. “You can never pay back your mentors,” he said, borrowing an old adage. “You can only pay them forward.”
Four faculty members received Golden Apple Awards, marking their selection as the most outstanding teacher of the year by a vote of each of the four classes in the College of Medicine. Charles Matthew Quick, M.D., an associate professor in the Department of Pathology, received the Golden Apple from the senior class. Golden Apples also went to: Toby Vancil, M.D., an associate professor in the Department of Internal Medicine (junior class); Sung Rhee, Ph.D., an associate professor in the Department of Pharmacology and Toxicology (sophomore class); and Alan Diekman, Ph.D., a professor in the Department of Biochemistry and Molecular Biology (freshman class).
UAMS Northwest Awarded $2.1 Million for Marshallese Diabetes Prevention Research
A $2.1 million award from the Patient-Centered Outcomes Research Institute (PCORI) will allow the UAMS Northwest Regional Campus to continue and expand its research to identify effective ways to combat diabetes in the Marshallese community.
The three-year award brings together researchers from the UAMS Office of Community Health and Research and the UAMS Center for Pacific Islander Health with the Marshallese community to study a culturally adapted diabetes prevention program designed to reduce the risk of type 2 diabetes by teaching people who have pre-diabetes how to make modest lifestyle changes that can prevent diabetes.
The Marshallese have some of the highest documented rates of type 2 diabetes of any population group in the world. Health screenings by UAMS found that 41 percent have diabetes, compared to 9.3 percent of the U.S. population. Northwest Arkansas has more than 11,000 Marshallese in the region — the largest community of Marshallese in the continental U.S.
“The goal of this research is to reduce disparities related to type 2 diabetes within the Marshallese community,” said Pearl McElfish, Ph.D., associate vice chancellor for the UAMS Northwest Regional Campus, co-director of the Center for Pacific Islander Health and the principal investigator on this project.
“This particular study was conceived by working with members of the community — largely through churches — to identify the health questions that the Marshallese in Arkansas most want answered,” said McElfish, also an assistant professor in the College of Medicine Department of Internal Medicine.
The study will be implemented within Marshallese churches, comparing the effectiveness of the standard Diabetes Prevention Program Lifestyle Intervention with a culturally adapted Pacific Diabetes Prevention Program Lifestyle Intervention.
“When UAMS first met with members of the Marshallese community, we talked about how diabetes was such a problem for our community, and finding a better way to treat and to prevent diabetes is very important to us,” said Wanna Bing, senior project manager for UAMS.
Bing, who is originally from the Marshall Islands, serves as a liaison between UAMS and local Marshallese churches. “The community has been asking for help with a diabetes prevention program for a long time, and this project is going to make a big difference in peoples’ lives.”
The Walmart Foundation is also supporting this research. In December 2016, it awarded a $125,000 grant to the program.
Since 2014, more than $10 million has been awarded to the UAMS Northwest Regional Campus to reduce health disparities in both Marshallese and Hispanic residents of Benton and Washington counties.
“This study continues the valuable research on diabetes that UAMS is conducting with the Marshallese community,” said Peter Kohler, M.D., former UAMS vice chancellor and a co-investigator on this project who has received PCORI funding for previous research on diabetes and Pacific Islanders.
The Patient-Centered Outcomes Research Institute (PCORI) is an independent, nonprofit organization authorized by Congress to fund comparative clinical effectiveness research.
By Yavonda Chase | May 18th, 2017
Dean’s Honor Day 2017 Celebrates DFPM RED Team Member!
DFPM RED Research and Data Coordinator and Administrative Lead, LaTunja Sockwell, B.A., was honored with a 2017 Staff Excellence Award for her work with RED. Ms. Sockwell was nominated by RED director Leanne Whiteside-Mansell, Ed.D. with special notice taken of seven HIV-focused research projects initiated by Ms. Sockwell over the last two years. The event was featured in the April 2017 edition of COMmunication, UAMS’ monthly newsletter highlighting noteworthy events in the UAMS family. Congratulations, LaTunja!
REACHing Success
REACH targets programs with limited access to state professional development resources and offers training and coaching to manage challenging behaviors and promote social-emotional health.
The project has multiple measures of success; however, the project team’s capacity to REACH is a critical one! We are proud to report that in March 2017, REACH served the following, through TAPP registered workshops:
- 7 counties
- 11 facilities
- 140 (unduplicated) participants receiving training, including teachers, directors, other facility staff
- 684—approximate number of children served by these facilities/staff
There were 40 Technical Assistance contacts (e.g. classroom visits, email, text, and phone) to 16 different facilities in 12 cities during March 2017. These March numbers are pretty typical for this group! Great early childhood education going on in Arkansas!
DFPM RED and Adverse Childhood Experiences (ACE)
DFPM RED faculty member Lorraine McKelvey, Ph.D. recently completed work (with other RED team members) on a year-long, grant-funded, study on ACEs impact in Head Start classrooms. Dr. McKelvey’s team has recently submitted a paper to Child Abuse and Neglect highlighting the work done in the study. The study looked at outcomes for ACEs exposed kids based on timing of exposure. The study identified five classes of children:
- Consistently Low (63.8%)
- Decreasing (10.3%)
- High at Age 2 (11.4%)
- Increasing (10.4%)
- Consistently High (4%)
The Consistently Low and Consistently High classes had the most and least optimal development across all domains, respectively. However, the findings for the groups that changed weren’t exactly those expected. For cognitive, language, and physical development, the most proximal ACEs were more robust for predicting child outcomes. For socioemotional health, exposure at any time from one to three to ACEs had negative consequences. As a whole, the team concluded that ACEs screening tools were needed that are both time-sensitive and permit a lifetime report.
Educator Draws BuzzFeed Attention for Engaging Students with Social Media
A University of Arkansas for Medical Sciences (UAMS) educator caught the attention recently of BuzzFeed, a global media company, for using Snapchat to engage his medical students.
BuzzFeed produces and distributes original news, entertainment and video, reaching a global audience of over 7 billion content views.
Jerad M. Gardner, M.D., is an assistant professor of pathology and dermatology in the UAMS College of Medicine.
“He’s also a good teacher who REALLY tries to connect with his young students by speaking their language,” BuzzFeed noted in a Feb. 25 post that featured several colorful pathology slides Gardner had shared.
Gardner, also a bone and soft tissue sarcoma pathologist and director of the dermatopathology fellowship program, routinely uses social media – including Facebook, Twitter, Instagram and YouTube – to supplement his courses, work with patients, conduct research and connect with students and professionals interested in medicine from all over the world.
He runs social media for several pathology professional organizations and leads trainings for his peers on how social media can improve their impact as educators.
Reaction to the BuzzFeed article “filled my Facebook timeline for days,” Gardner said, adding that he welcomes the attention it brings to his field, UAMS and the use of social media in education.
“Everyone knows about BuzzFeed,” Gardner said. “Certainly, I’ve never had that kind of exposure or interest in the past. Pathology is kind of an obscure field, and a lot of people don’t even know what we do.”
Pathologists diagnose cancer and other diseases, typically by examining tissue samples from patients microscopically. Many of Gardner’s social media posts are pictures of interesting cases at the microscopic level, especially in his specialty area of rare bone, soft tissue and skin cancers. He shows students how to diagnose different conditions with photos, links and videos.
“I feel like anything you’re trying to do as an educator, you can do it better and more efficiently and more broadly with social media than you could do without it,” Gardner said. “It doesn’t replace any of your normal activities. You still treat patients; you still teach lectures; you still do research and write papers – all of that – but social media can take the things you already do and magnify the impact tenfold.”
The BuzzFeed article highlights Gardner’s most recent efforts to expand his use of social media in education to include Snapchat, which is a photo- and video-based mobile app popular with younger audiences. The article, “This Teacher’s Snapchat Will Make Anyone Who Feels Old Say, ‘This Is So Me,’” begins with one of Gardner’s first snaps, in which he makes a joke about feeling old as he adjusts to the new platform, and then shows some of his other snaps of skin biopsies and normal tissues at the cellular level.
Gardner encourages educators to embrace the feeling of discomfort – including “feeling old” – that comes from adjusting to new social media, urging them to “follow where the people are.”
“It’s a bridge to the younger generation who are going to take over our field one day, and we should have an influence on them and embrace the chance to mentor them,” Gardner said.
He started two discussion groups – one on skin pathology, or dermatopathology, and another on bone and soft tissue cancers (sarcomas). They each now have 25,000 and 18,000 members, respectively, including doctors and students from all over the world.
He volunteers to answer questions in patient support groups, usually helping with things like understanding the language on a pathology report or navigating the medical system from diagnosis to treatment. Gardner said that interacting with patients online has been life changing and he now recommends all medical students do the same.
“Just to sit and listen and learn from patients, I think it creates a tremendous amount of empathy and understanding of their perspective,” Gardner said. “It has made me a better doctor for sure, and it has made me even more committed to educating them and communicating with them in language everyone can understand.”
Gardner has used social media to conduct research, surveying academics about how they use social media in education and gathering data from patient groups about treatment outcomes. His YouTube channel features instructional videos filmed with pathology slides and recordings of his lectures.
Gardner’s social media use has also helped him network and collaborate with other scientists. He has given about 35 invited talks on social media use for professionals in the past three years.
“I think social media is here to stay, so it would be better for us to understand how it’s being used and harness that in a way that would be useful educationally,” Gardner said.
“And if we find out people are turning to social media as a source, then we better make sure that we’re providing reliable content on that source. That’s kind of our wider purpose as educators. I think if we stick our heads in the sand, social media is going to continue without us, but we’ll be left with no say in it, and we will have missed an opportunity to influence the next generation.”
UAMS is the state’s only comprehensive academic health center, with colleges of Medicine, Nursing, Pharmacy, Health Professions and Public Health; a graduate school; a hospital; a northwest Arkansas regional campus; a statewide network of regional centers; and seven institutes: the Winthrop P. Rockefeller Cancer Institute, the Jackson T. Stephens Spine & Neurosciences Institute, the Myeloma Institute, the Harvey & Bernice Jones Eye Institute, the Psychiatric Research Institute, the Donald W. Reynolds Institute on Aging and the Translational Research Institute. It is the only adult Level 1 trauma center in the state. UAMS has 3,021 students, 789 medical residents and five dental residents. It is the state’s largest public employer with more than 10,000 employees, including about 1,000 physicians and other professionals who provide care to patients at UAMS, Arkansas Children’s Hospital, the VA Medical Center and UAMS regional centers throughout the state. Visit www.uams.edu or www.uamshealth.com. Find us on Facebook, Twitter, YouTube or Instagram.
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By Amy Widner | March 14th, 2017