Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF Aug. 6, 2010 Issue | Archived Issues

Physician News

Robert M. Davidson, M.D. ...

Howard M. Sandler, M.D. ...

Keith L. Black, M.D. ...

Shlomo Melmed, M.D. ...

Boris Catz, M.D. ...

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Pharmacy Focus

Automatic substitutions during shortages of MVI-12 and changes to ordering and screening of total parenteral nutrition were among the items approved by Cedars-Sinai's Pharmacy and Therapeutics Committee at its June meeting.

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Meetings and Events

The Many Faces of Japan – Aug. 9

Clinical and Translational Research Workshop Evening Seminars – Aug. 9, 11, 12

Rehabilitation Topics on the Neurological and Neurovascular Treatment of Stroke – Sept. 11

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Emergency Contact Information Must Be Updated

MEC Update

Medical staff members are responsible for maintaining current emergency contact information in Web/VS, which may be used if an urgent patient care issue arises.

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GPS-like System Targets Radiation to Tumors

A new treatment that uses a precise a GPS-like system to track prostate cancer tumors is now being offered to patients undergoing radiation therapy at Cedars-Sinai’s Samuel Oschin Comprehensive Cancer Institute. The monitoring system, called Calypso, allows radiation beams to more precisely target the cancer as it gives real-time positioning information that allows the radiation beams to focus directly on the cancer.

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Kulber appointed MEC Treasurer

David Kulber, M.D., was appointed to serve as treasurer through the end of 2010 at the Medical Executive Committee's August meeting.

He is clinical chief of the Department of Surgery and a plastic and reconstructive surgeon with Cedars-Sinai Medical Group.


Cedars-Sinai Recognized for High Standards in Protecting the Welfare of Research Participants

Cedars-Sinai Medical Center has received its third consecutive full accreditation from the Association for the Accreditation of Human Research Protection Programs Inc. (AAHRPP), whose goal is to ensure that research institutions meet the highest standards in respecting and protecting individuals who participate in research.

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Viewing OR Schedule by Procedure

Web/VS Tip of the Week 

The capability to view procedures in the order in which they have been entered in SIS (the order in which they will be performed) is available in Web/VS. The "OR Schedule" function in Web/VS provides information about past and future surgeries and procedures in both inpatient and outpatient areas. 

» Read more

Emergency Contact Information Must Be Updated

MEC Update

Medical staff members are responsible for maintaining current emergency contact information in Web/VS, which may be used if an urgent patient care issue arises.

This rule and regulation was approved by the Medical Executive Committee at its August meeting.

Chief of Staff "Morning After" Report, August 2010

GPS-like System Targets Radiation to Tumors

A new treatment that uses a precise a GPS-like system to track prostate cancer tumors is now being offered to patients undergoing radiation therapy at Cedars-Sinai's Samuel Oschin Comprehensive Cancer Institute. The monitoring system, called Calypso, allows radiation beams to more precisely target the cancer as it gives real-time positioning information that allows the radiation beams to focus directly on the cancer.

Since many organs in the body are constantly moving – including the prostate gland – this technology provides a higher level of accuracy in the delivery of radiation to the cancer while minimizing potential damage to healthy tissue.

"Our continuing efforts to provide the best therapy options to our patients include a commitment to helping them maintain or improve their quality of life during treatment," said Howard M. Sandler, M.D., chair of radiation oncology and the Ronald H. Bloom Family Chair in Cancer Therapeutics at the Samuel Oschin Comprehensive Cancer Institute. "This system allows us to deliver radiation more accurately and directly to the tumor, minimizing the risk of side effects and damage to other vital organs – a real benefit to patients."

In May, Dr. Sandler was the lead author of a clinical study published in Urology, which demonstrated that prostate cancer patients who were treated with radiation and monitored with the Calypso System reported significantly reduced prostate cancer side effects than those whose radiation was not complemented by Calypso.

Cedars-Sinai's Samuel Oschin Comprehensive Cancer Institute is one of only a handful of cancer centers in Southern California to offer this advanced technology to its prostate cancer patients.

While the system has been cleared by the FDA for use in radiation therapy for prostate cancer, the technology will be studied for body-wide applications. To date, more than 6,000 prostate cancer patients nationwide have received radiation treatments using the Calypso’s localization system.

Before radiation treatment, patients undergo a simple outpatient procedure. Using ultrasound guidance, three transponders, each the size of a grain of rice, are implanted into the prostate through the rectum. The transponders then communicate with Calypso throughout radiation treatment using safe radiofrequency waves.

In contrast, during standard radiation treatment for prostate cancer, radiation oncologists expand the treatment target area to ensure the moving target is irradiated. In the process, more healthy tissue near the prostate may be affected, leading to a higher rate of side effects.

Kulber appointed MEC Treasurer

Cedars-Sinai Recognized for High Standards in Protecting the Welfare of Research Participants

Cedars-Sinai Medical Center has received its third consecutive full accreditation from the Association for the Accreditation of Human Research Protection Programs Inc. (AAHRPP), whose goal is to ensure that research institutions meet the highest standards in respecting and protecting individuals who participate in research.

This is done through a rigorous review process that accredits only those organizations that rigorously demonstrate tangible evidence — through policies, procedures, and practices — of their commitment to scientifically and ethically safe and sound research, and to continuous improvement.

Cedars-Sinai was the first organization to be accredited in California, receiving full accreditation in April 2004. At the end of the initial three-year period, the medical center received its second full accreditation in 2007. The new accreditation is now effective for five years.

In certifying Cedars-Sinai's most recent accreditation, AAHRPP highlighted many strengths of the medical center's protection program, including ongoing educational programs for Cedars-Sinai researchers that focused on the importance of protecting research participants, a comprehensive quality assurance and monitoring process, and extensive staff support to ensure the highest quality informed consent process for research subjects.

Applying for accreditation is voluntary for organizations involved in human research, but according to Shlomo Melmed, M.D., senior vice president of Academic Affairs and dean of the faculty, this is a natural extension of the medical center’s commitments to both quality care and quality research.

"Cedars-Sinai has a long history of providing excellent patient care, and we are one of the leading non-university academic medical centers involved in scientific research and clinical investigation. Although AAHRPP accreditation is not mandatory, we view it as part of our responsibility, assuring stringent protection of participants in our clinical studies and helping to raise standards nationwide," said Dr. Melmed, who is also the Helene A. and Philip E. Hixon Chair in Investigative Medicine.

The accreditation process requires an organization to conduct a thorough internal self-assessment of the Human Research Protection Program and submit written documentation of compliance to AAHRPP, which then conducts a comprehensive site visit. To receive full accreditation, Cedars-Sinai had to meet all of AAHRPP's 77 elements of accreditation standards.

Viewing OR Schedule by Procedure

Web/VS Tip of the Week

The capability to view procedures in the order in which they have been entered in SIS (the order in which they will be performed) is available in Web/VS. The "OR Schedule" function in Web/VS provides information about past and future surgeries and procedures in both inpatient and outpatient areas. Data is available from approximately Sept. 1, 2001, until several months into the future.

Viewing "OR Schedules"

On the Easy Search screen in the blue navigation area under the "OR Schedules" section, click on the "Go" button. If you wish to view surgeries and procedures for a different date, first select the desired month, day and year from the pick lists, then click the "Go" button.

To shorten the listing, change the pick list from "All Rooms" to the area of interest and then click the "Go" button. If you are a physician, an extra option labeled "My Cases" is available on the rooms menu and allows you to limit the displayed schedule to cases for which you are the primary surgeon, secondary surgeon or anesthesiologist.

Once you click "Go," the OR Schedule listing will display. By default, the OR Schedule listing will sort by room, by time within each room, and by procedure order. You can also sort the listing on any column by clicking the hot linked column heading. Click the same column heading again to reverse the sort.

For questions, comments or suggestions, please contact the Web/VS Support Team at (310) 423-2828 or via e-mail at mdsupport@cshs.org. You can also click on the "Contact Us" button in Web/VS (located in the blue shaded area on the bottom left side of the screen).