sutures newsletter

PRODUCED BY AND FOR MEMBERS OF THE DEPARTMENT OF SURGERY November 2012 | Archived Issues

News from the Division of Colorectal Surgery

The past 12 months have been incredibly exciting, with numerous clinical, educational and research achievements in the Division of Colorectal Surgery. From the clinical standpoint, in its most recent survey, U.S. News in collaboration with Castle Connolly Medical Ltd. listed two surgeons in the division on the list of U.S. News "Top Doctors."

» Read more

Cedars-Sinai Urology: building a residency program

Teaching residents and building a top urological residency program are among the priorities of Cedars-Sinai's Academic Urology Practice, which is composed of members of the Medical Network's urology group and the four subspecialty-trained urologists of the former Minimally Invasive Urology Program.

» Read more

PIMCO founder Bill Gross and wife, Sue, make major gift to Advanced Health Sciences Pavilion

Cedars-Sinai has named the new surgical and interventional center in its soon-to-open Advanced Health Sciences Pavilion in honor of Bill and Sue Gross, philanthropists and donors of a $20 million gift toward the building that will bring together clinicians and researchers under one roof to accelerate biomedical discoveries and to speed those advances into clinical care.

» See a video of the bridge installation

Featured publication

A recent publication by Dolores Di Vizio, MD, PhD, "Large Oncosomes in Human Prostate Cancer Tissues and in the Circulation of Mice with Metastatic Disease," was featured on the cover of the American Journal of Pathology.

» Read more

Los Angeles residents vote Cedars-Sinai No. 1 for quality medical care

For the 17th year in a row, Cedars-Sinai Medical Center has been honored with a national consumer award for having the best overall healthcare quality, doctors and nurses in the Los Angeles area based on an independent survey of households.

» Read more

Circle of Friends honorees for October

The Circle of Friends program honored 139 people in October. Circle of Friends allows grateful patients to make a donation in honor of the physicians, nurses, caregivers and others who have made a difference during their time at Cedars-Sinai.

» See the names of those honored

Medical Staff officers, Medical Executive Committee members announced

New and continuing Medical Staff officers and Medical Executive Committee members were announced during the Annual Meeting of the Medical Staff on Monday, Oct. 22.

» Read more

MEC 'Morning After' report

Highlights from the Nov. 5 Medical Executive Committee meeting include important announcements regarding CS-Link™ and changes in bylaws, rules and regulations.

» Read more

FDA conducting ongoing safety review of Mirapex

Pharmacy focus

The U.S. Food and Drug Administration is alerting healthcare professionals about a possible increased risk of heart failure with Mirapex (pramipexole), which is used to treat the signs and symptoms of Parkinson’s disease.

» Read more

News from the Division of Colorectal Surgery

Two Cedars-Sinai colorectal surgeons listed among 'Top Doctors'

The past 12 months have been incredibly exciting, with numerous clinical, educational and research achievements in the Division of Colorectal Surgery. From the clinical standpoint, in its most recent survey, U.S. News in collaboration with Castle Connolly Medical Ltd. listed two surgeons in the division on the list of U.S. News "Top Doctors." The listings are published online by U.S. News.

Educationally, this year will mark the 10th year of the Colorectal Surgery Residency at Cedars-Sinai. We are pleased to announce that Karen Zaghiyan, MD, chief resident in General Surgery at Cedars-Sinai, will be our 11th trainee beginning July 2013. This year also was notable for the third consecutive annual trip to the National University Hospital in Singapore, (shown at right) where Phillip Fleshner, MD, and colorectal resident Daniel Gingold, MD, spent one week performing surgery and teaching other colorectal surgeons.

Research achievements in the Division of Colorectal Surgery for the past year include publication of 15 peer-reviewed papers in prestigious journals such as Science, Surgery, American Journal of Surgery and Diseases of the Colon and Rectum. We have two research fellows this year, one of whom is a travelling scientist from Singapore. We are actively enrolling in five prospective studies examining subjects ranging from hemorrhoid disease in pregnant patients to the role of bowel sounds to postoperative ileus prevention.

One of our colorectal research fellows, Karen Zaghiyan, MD, was recognized for outstanding research by being awarded the Paul Rubenstein, MD, Prize for Excellence in Resident Research for her paper "Prospective Randomized Study Comparing Perioperative High-Dose Steroids vs. Low-Dose Steroids in Steroid-Treated Patients Undergoing Major Colorectal Surgery."

At the annual meeting of the American Society of Colon and Rectal Surgeons in San Antonio this past May, we had seven presentations – four podium presentations and three posters. One of the posters, presented by Daniel Gingold, MD, and titled "A Prospective Evaluation of the Ligation of the Intersphincteric Tract (LIFT) Procedure for Anal Fistula in Patients with Crohn's Disease," won the Pennsylvania Society of Colon and Rectal Surgeons Award for best meeting poster.

Finally, the division had three oral presentations at the local chapter meeting of the American College of Surgeons last year and is to have another three at the upcoming meeting in January 2013.

Submitted by the Division of Colorectal Surgery in the Department of Surgery.

Cedars-Sinai Urology: building a residency program

Teaching residents and building a top urological residency program are among the priorities of Cedars-Sinai's Academic Urology Practice, which is composed of members of the Medical Network's urology group and the four subspecialty-trained urologists of the former Minimally Invasive Urology Program.

The practice also provides referral-based urology subspecialty care over the entire range of urological disease management in addition to serving as urological liaison for the patients and physicians in the Medical Network.

Andrew L. Freedman, MD, and Barry Duel, MD, specialize in pediatric urology; Jennifer Anger, MD, MPH, and Karyn S. Eilber, MD, provide subspecialty care in female urology, pelvic floor surgery and reconstructive surgery; Howard Kim, MD, subspecializes in erectile dysfunction and infertility; Gerhard J. Fuchs, MD, and Hyung L. Kim, MD, provide subspecialty care in endourology stone disease and laparoscopic surgery (Kim also subspecializes in urologic oncology and robotic surgery); and Phillip Yalowitz, MD, provides care in general urology and endourology.

As urology teaching faculty, the urologists of the Academic Urology Practice are joined by three members of the Division of Urology: Leon Bender, MD, who provides care in and teaches the residents general urology and endourology; Soroush A. Ramin, MD, who specializes in urologic oncology and robotic surgery; and Mark W. Vogel, MD, who teaches general urology and family medicine.

At this time, when the first residents have taken on their formal urology training as PGY-2s, the program has just finished interviewing 30 applicants for the 2012-13 academic year – again attracting outstanding candidates. Of 200 applicants, 30 were invited for a visit to the Cedars-Sinai campus and interviewed by the teaching faculty members, endourology fellows and the residents.

Ranking the candidates will again be rather difficult as they all excel in academic achievement (USMLE scores 240-274, average 254; 66 percent AOA honors distinction), multiple finished research projects, community service involvement, and letters of recommendation attesting to outstanding performance as students, aspiring researchers and superb performers in clinical rotations.

In the structure of a four-year urology program, the Cedars-Sinai residency offers residents an unusual clinical experience as a single-location program with very strong and varied research opportunities. Hyung L. Kim, MD, as the scientist-surgeon, is the anchor for facilitating the basic research interests of the residents in his laboratory and in the laboratories of the urology research group of Leland Chung, MD, Neil Bhowmick, MD, Michael Freeman, MD, and Beatrice Knudsen, MD.

In addition, ample research opportunities exist with the medical oncology, radiation oncology and pathology members at the Samuel Oschin Comprehensive Cancer Institute. Clinical outcomes research is coordinated by Jennifer Anger, MD, MPH, and all faculty members are engaged in health services research projects with the residents.

Averaging 65 to 70 duty hours each week, the PGY-2 residents learn surgical skills by participating in an average of 40 surgical procedures per week. They spend time in didactic and simulation education as well as outpatient clinic. They also have started being exposed to the Emergency Department and consultation service as first responders.

Together, the two PGY-2 residents are already involved in 10 clinical research projects and have several papers in print or peer review.

Although the start of a new academic educational program is an ambitious and logistically challenging endeavor, the quality of both faculty and learners – in addition to their enthusiasm, dedication and commitment – has created a vibrant learning environment.

This effort is complemented and has been made possible by the unwavering commitment and support from the Department of Surgery and the Medical Dean's Office, which has nursed this program to a running start and to become a valuable urological resource to the Cedars-Sinai enterprise and the community at large.

Submitted by the Academic Urology Practice in the Department of Surgery.

PIMCO founder Bill Gross and wife, Sue, make major gift to Advanced Health Sciences Pavilion

Above: Watch a video of the Sue and Bill Gross Skywalk being installed.

Cedars-Sinai has named the new surgical and interventional center in its soon-to-open Advanced Health Sciences Pavilion in honor of Bill and Sue Gross, philanthropists and donors of a $20 million gift toward the building that will bring together clinicians and researchers under one roof to accelerate biomedical discoveries and to speed those advances into clinical care.

"We wanted to make a gift to support a worthy Los Angeles-based healthcare institution. Cedars-Sinai's mission resonated with us," said Sue Gross, Gross Family Foundation president. "We, too, share Cedars-Sinai's passion for quality patient care, research, teaching, education and service to the community. The new Pavilion will be a place that harmonizes all of those things, and we wanted to be a part of it."

The Sue and Bill Gross Surgery and Procedure Center will be an integral part of the 11-story, 820,000-square-foot Pavilion, which will serve an estimated 400 patients per day after its summer 2013 opening. The Pavilion will be the new home of the Cedars-Sinai Heart Institute, neurosciences and other departments. It will feature state-of-the-art research laboratories, along with five floors of parking, a café, a pharmacy and an imaging center.

The entire fifth floor of the Pavilion will be dedicated to the 50,000-square-foot Sue and Bill Gross Surgery and Procedure Center, providing convenient outpatient surgical and intervention procedures. The center will connect to the medical center via the Sue and Bill Gross Skywalk bridge dedicated for the transport of patients smoothly.

"While representing a significant leap forward, the Pavilion will carry on a tradition that has long defined Cedars-Sinai: our leadership in meeting the community's health needs and providing the best quality patient care," said Thomas M. Priselac, president and CEO of Cedars-Sinai Health System.

"This visionary gift from Sue and Bill Gross demonstrates forward-thinking philanthropy. By supporting the new Pavilion, the Gross family is helping to usher in a truly new era of patient care," said Arthur J. Ochoa, Esq., senior vice president for Community Relations and Development.

Featured publication

A recent publication by Dolores Di Vizio, MD, PhD, "Large Oncosomes in Human Prostate Cancer Tissues and in the Circulation of Mice with Metastatic Disease," was featured on the cover of the American Journal of Pathology.

Di Vizio et al., Am. J. Pathol Vol. 181, No. 5, November 2012, in press

Large Oncosomes in Human Prostate Cancer Tissues and in the Circulation of Mice with Metastatic Disease.

Photomicrograph of human prostate cancer cells with their plasma membranes fluorescently labeled showing bulbous membrane protrusions and large microvesicles, or oncosomes, derived from them and released into the surroundings. These are features of the amoeboid tumor cell phenotype, which appears to reflect aggressive disease in vivo.

American Journal of Pathology November Cover (PDF)

Los Angeles residents vote Cedars-Sinai No. 1 for quality medical care

For the 17th year in a row, Cedars-Sinai Medical Center has been honored with a national consumer award for having the best overall healthcare quality, doctors and nurses in the Los Angeles area based on an independent survey of households.

The medical center has received a 2012-13 Consumer Choice Award from the National Research Corporation for its high-quality medical care as well as its image and reputation. It is one of only 16 hospitals nationwide to earn the award every year since its inception in 1995.

"This award is especially meaningful because in addition to being an academic medical center, we are a community hospital," said Thomas M. Priselac, president and chief executive officer. "To receive recognition from our community is particularly gratifying."

Cedars-Sinai was among 3,200 hospitals included in the research corporations' Markets Insights/Ticker survey, which reached more than 450,000 consumers in about 270,000 households nationwide. The Nebraska-based research corporation asked local consumers which hospitals they preferred based on quality.

The medical center ranked No. 1 in the Los Angeles area in several survey categories. Consumers said it was the "most preferred for all health needs," and that it had the most personalized care, the latest technology and equipment, the highest patient safety, the widest range of services and the best community health programs.

Cedars-Sinai also received top ranking in the Los Angeles region for several clinical care areas, including specialties in orthopedics, cancer, neurology, heart, plastic surgery, physical therapy, imaging, transplantation, weight loss surgery, and gynecology and obstetrics.

"Every day our doctors, nurses and healthcare professionals strive to merit the confidence our patients place in us," said Michael Langberg, MD, senior vice president for medical affairs and chief medical officer. "It is a responsibility our staff takes very seriously."

In all, 297 hospitals across the country received a Consumer Choice Award for the quality of their healthcare and their service as rated by local households. The research corporation said the hospitals' selection by their own communities reflects a "customer-centric" approach to healthcare.

Circle of Friends honorees for October

The Circle of Friends program honored 139 people in October.

Circle of Friends allows grateful patients to make a donation in honor of the physicians, nurses, caregivers and others who have made a difference during their time at Cedars-Sinai. When a gift is made, the person being honored receives a custom lapel pin and a letter of acknowledgement.

Click here for more information about the program and for a list of past honorees.

  • David Alessi, MD
  • Michael J. Alexander, MD
  • Farin Amersi, MD
  • Nicole N. Apsay, RN
  • Martin Arreguin
  • Laura G. Audell, MD, MS
  • C. Noel Bairey Merz, MD
  • Jennifer Batugo, RN, BSN, PHN
  • Jana Baumgarten, MD
  • Gary S. Bellack, MD
  • Keith L. Black, MD
  • Earl W. Brien, MD
  • William W. Brien, MD
  • Christiane Michele J. Burnison, MD
  • Liza M. Capiendo, MD
  • Ilana Cass, MD
  • Christopher Chang, MD, PhD
  • Cheryl G. Charles, MD
  • Connie Chein, MD
  • Arnold C. Cinman, MD
  • Hart C. Cohen, MD
  • J. Louis Cohen, MD
  • Jason S. Cohen, MD
  • Jeffrey Conklin, MD
  • Stephen T. Copen, MD
  • Stephen R. Corday, MD
  • Barbara H. Cowen, MSW
  • Alice C. Cruz, MD
  • Catherine M. Dang, MD
  • Rick B. Delamarter, MD
  • Cheri Diaz
  • Marla C. Dubinsky, MD
  • Barry P. Duel, MD
  • Michael Engelberg, MD
  • Azita Far, MD
  • Margaret R. Farrell, RN, BSN
  • Yvette B. Federizo, RN, BSN, OCN
  • Kristen M. Feldkamp, RN, BSN, CBN
  • John D. Friedman, MD
  • Gerhard J. Fuchs, MD
  • Steven S. Galen, MD
  • Elayne K. Garber, MD
  • Armando E. Giuliano, MD
  • Sherry L. Goldman, RN, NP
  • Theodore B. Goldstein, MD
  • Mark P. Goodman, MD
  • Asa M. Grogan
  • Antoine Hage, MD
  • Jennifer Hajj, RN
  • John G. Harold, MD, MACC, MACP
  • Jeremy R. Herman, MD
  • Stuart Holden, MD
  • Asma Hussaini, MS, PA-C
  • Andrew Ippoliti, MD
  • Rhodora M. Jocson
  • Jay L. Jordan, MD
  • Stanley C. Jordan, MD
  • Saibal Kar, MD
  • Beth Y. Karlan, MD
  • Scott R. Karlan, MD
  • Ronald Karlsberg, MD
  • Cynthia A. Kenner
  • Michelle M. Kittleson, MD, PhD
  • Ellen B. Klapper, MD
  • Robert Klapper, MD
  • Jon A. Kobashigawa, MD
  • Suzy L. Laku, RN
  • Gary E. Leach, MD
  • Madeline S. Lerman, RN, BSN
  • Ronald S. Leuchter, MD
  • Andrew J. Li, MD
  • Michael C. Lill, MD, BS
  • Asa J. Lorre, RN
  • Rajendra Makkar, MD
  • Josephine T. Maleon
  • Adam N. Mamelak, MD
  • Harumi O. Mankarios, RN, OCN
  • Neel Mann, MD, MPH
  • Ruslan Marder
  • Robert J. McKenna, Jr., MD
  • Diane B. McWhorter, MSN, FNP, CDE
  • Gil Y. Melmed, MD, MS
  • Shlomo Melmed, MD
  • Avinash Mondkar, MD
  • JoMarie E. Monzon-Duller, NP
  • Florence G. Moreno, CNA
  • Jaime Moriguchi, MD
  • Charisse A. Murakami, RN, MSN
  • Jon Paul Nadres, RN
  • Rebecca A. Naor, PA-C
  • Ronald B. Natale, MD
  • Nicholas N. Nissen, MD
  • Charito Olay, III, RN
  • Amy Oppenheim
  • David A. Perkel, MD
  • Surasak Phuphanich, MD
  • Margareta D. Pisarska, MD
  • Robert B. Pompa, MD
  • Irving Posalski, MD
  • Srikanth S. Rao, DO
  • Svetlana Raysh, RN, BSN, PCCN
  • Judith Reichman, MD
  • Jenna Renella
  • Richard M. Ress, MD
  • Geraldine L. Rice, RN, ASN, AC-BC
  • Barry E. Rosenbloom, MD
  • Jason A. Rothbart, MD
  • Carmelita Runyan, RN
  • Stephen A. Sacks, MD
  • Howard M. Sandler, MD, MS
  • Jay N. Schapira, MD
  • Prediman K. Shah, MD
  • Edward J. Share, MD
  • Michael M. Shehata, MD
  • Robert J. Siegel, MD
  • Allan W. Silberman, MD, PhD
  • Amanuel Sima, MD
  • Tracey L. Solitare, RN, BSN, OCN
  • Christina J. Soto
  • Herbert Stein, MD
  • Theodore N. Stein, MD
  • Jerrold H. Steiner, MD
  • Megan M. Thomas
  • Alfredo Trento, MD
  • Leo Treyzon, MD, MS
  • Gregory Tsushima, MD
  • Mark K. Urman, MD
  • Alfredo Valenzuela
  • Jae Jae Velazquez
  • Swamy R. Venuturupalli, MD
  • Andrew Wachtel, MD
  • Ariel E. Weber, RN, BSN, CCRN
  • Joanna L. Wilson, RN
  • Robert N. Wolfe, MD
  • Edward M. Wolin, MD
  • Philip A. Yalowitz, MD
  • Menette Young
  • Christopher Zarembinski, MD
  • Millard H. Zisser, MD

Medical Staff officers, Medical Executive Committee members announced

New and continuing Medical Staff officers and Medical Executive Committee members were announced during the Annual Meeting of the Medical Staff on Monday, Oct. 22.

Steven Galen, MD, will take over as chief of staff, and Christopher Ng, MD, is vice chief of staff, David Kulber, MD, medical staff secretary, said during the meeting.

Election results for new and continuing members of the Medical Executive Committee are:

Member at large representatives

  • Yaron Elad, MD (Medicine)
  • Willis H. Wagner, MD (Surgery)
  • Jerome K. Wang, MD (Pediatrics)
  • Thomas D. Webb, MD (Anesthesiology)
  • Marcel Maya, MD (Imaging)

Medicine

  • Asher Kimchi, MD
  • Clement C. Yang, MD
  • Jeffrey F. Caren, MD
  • Peggy B. Miles, MD
  • Lyle D. Kurtz, MD (Clinical Chief)

Neurological Surgery

  • Michael J. Alexander, MD (Clinical Chief)

Obstetrics and Gynecology

  • Robert F. Katz, MD
  • Scott P. Serden, MD
  • Ruth F. Cousineau, MD (Clinical Chief)

Pediatrics

  • Valerie L. Watiker, MD
  • Harold N. Amer, MD
  • Alan H. Klein, MD (Clinical Chief)

Psychiatry and Behavioral Neurosciences

  • Elections pending: member from department, Clinical Chief
  • Daniel W. Schaefer, MD

Surgery

  • Elections pending: member from department, Clinical Chief
  • David E. Savar, MD
  • Gary S. Bellack, MD
  • Daniel R. Margulies, MD

Chief of Staff Scott Karlan, MD, speaks at the Annual Meeting of the Medical Staff on Oct. 22.

MEC 'Morning After' report

Highlights from the Nov. 5 Medical Executive Committee meeting include important announcements regarding CS-Link™ and changes in bylaws, rules and regulations.

CS-Link™ update

CS-Link was upgraded to the 2010 version. There are a lot of new features that should increase productivity.

There was one problem: Smartlinks were temporarily disabled. As a result, they did NOT refresh automatically. This has been corrected.

Do the following to ensure your documentation is correct:

  • Do not copy forward notes from either Nov. 4 or 5
  • Review any documentation you created on Nov. 4 and 5 to ensure that the smartlinks reflect the information intended to be communicated
  • Use fresh templates or smartlinks (these are highlighted green) for documentation to prevent pulling in smartlinks that are not refreshing

Bylaws revisions

You will be asked to vote on these amendments in a week or two.

  • Article VII – Executive Committee – redistributes membership on the MEC
  • Article XII, Section 12.1.1 – clarifies that loss of licensure results in termination unless request for review is granted
  • Article V, Section 5.1 and 5.3 – Removing references to "reapplication"

Rules and regulations

1. Provider Designation (Sections 1.1.1, 1.1.2, 1.1.8, 1.1.24, 1.3, 2.1, 3.2, 3.4, 3.6, 3.8, 4.5.3, 4.7, 4.10, 4.15, 4.16, 4.20.2, 4.21.1, 6.1, 9.6, 10.11, 16.2, and 16.3)

• From now on, when you admit a patient, you'll be asked to specify the name of the Admitting Physician and Attending Physician.
• The Admitting Physician is the person who made the decision to admit the patient. They are responsible for assuring that the patient has appropriate admission orders and documentation.
• The Attending Physician is responsible for oversight and problem solving. If you are listed as Attending Physician, expect to be called for critical or urgent lab results, Imaging results and other patient care issues. You can transfer this responsibility to another physician, by calling and getting their consent, and then changing this designation in CS-Link.
• If you admit a patient that you plan to manage in the hospital, you should list yourself as the Admitting Physician and Attending Physician.

For more information, click on the following PDF: Provider designations November 2012 (PDF)

2. Article II, Section 2.1.7 – Cedars-Sinai will be phasing out the Affiliate category. We will be contacting the 40 physicians in this category and helping them transfer to another category, if appropriate. For more information, click on the following PDF: Affiliate category November 2012 (PDF)

3. Article XXI, Section 21.3.4 – Medical Staff dues waiver – Medical Staff members who volunteer to work in our clinics supervising residents, but admit none of their own patients, may qualify for a dues waiver. For more information, click on the following PDF: Medical Staff dues November 2012 (PDF)

4. Article IV, Section 4.5.5 – Outside Reports – We continue to accept H&Ps and other reports from physicians who are not on our medical staff; however, they must be typed or dictated using the Cedars-Sinai dictating system.

5. Article III, Section 3.1 – Nondiscrimination language – You're not allowed to illegally discriminate against patients or staff.

6. Article XVI, Section16.6 – You don't have to be on our medical staff to order tests at Cedars-Sinai.

Physician hand-hygiene compliance

Physician hand-hygiene compliance was a bit lower in October – 95 percent.

The MEC approved a plan for cracking down on three-peat hand hygiene offenders:

Physicians who have taken the Hand Hygiene Class (after a second offense) and are then noncompliant for the third time (three-peaters) within a two-year period, will be referred to peer review. They also will be asked to meet with a panel including the chief medical officer, chief of staff, vice president of medical affairs, epidemiology medical director and possibly the chair from their department to discuss their noncompliance.

This panel will then determine appropriate interventions, which could include a temporary suspension from the medical staff.

Election update

The MEC formed a Nominating Committee to identify candidates for medical staff secretary and treasurer:

  • William Brien, MD – chair
  • Michael Alexander, MD
  • Jeff Caren, MD
  • Anthony Chin, MD
  • Daniel Margulies, MD

Department elections

  • Medicine:
    Department representatives to the MEC: Asher Kimchi, MD (second term) and Clement Yang, MD (second term)
  • Ob/Gyn:
    Clinical Chief – Ruth Cousineau, MD (first term)
    Department representatives to the MEC: Robert Katz, MD (first term) and Scott Serden, MD (first term)

Task Force on Civility

Last month, the MEC voted to create a Task Force on Civility. This month, it approved the initial members. The task force will be starting small, but adding members once it is up and running. Contact the chief of staff or vice chief of staff if you are interested in joining this task force.

The initial members are:

  • Scott Karlan, MD
  • Sarah Kilpatrick, MD, PhD
  • Steve Galen, MD
  • Joel Geiderman, MD
  • Chris Ng, MD
  • Michael Langberg, MD
  • William Brien, MD
  • Zab Mosenifar, MD
  • Paul Silka, MD
  • Harry Sax, MD
  • John Harold, MD
  • Andy Klein, MD
  • Paul Hackmeyer, MD

2013 list of committees/task forces approved for "committee service"

To run for MEC (and become chief of staff), you have to serve on several medical staff committees. All standing committees count. The MEC approved a list of additional committees for credit:

  • Readmission Task Force (reports to PEAC) HAI Task Force
  • Leadership Development Co-Chairs (this would allow for one additional year for the Co-Chairs who have already completed the Leadership Development Program)
  • IRB Panel
  • Medication Safety (Operations Committee)
  • MD/RN Collaboratives
  • CS-Medicine Working Group Committees
  • Patient Safety Committee and subcommittees
  • Pain Management Task Force
  • Falls Task Force
  • Task Force on Civility
  • Subcommittees of standing medical staff committees

FDA conducting ongoing safety review of Mirapex

Pharmacy focus

The U.S. Food and Drug Administration is notifying healthcare professionals about a possible increased risk of heart failure with Mirapex (pramipexole).

Results of recent studies suggest a potential risk of heart failure that needs further review of available data. Because of the study limitations, the FDA is not able to determine whether Mirapex increases the risk of heart failure. The agency is continuing to work with the manufacturer to clarify further the risk of heart failure with Mirapex and will update the public when more information is available.

Mirapex (pramipexole) is a prescription medicine used to treat the signs and symptoms of Parkinson's disease and moderate to severe symptoms of primary restless leg syndrome, in a class of medicines called dopamine agonists.

The FDA is recommending that healthcare professionals continue to follow the recommendations in the drug label when prescribing Mirapex. Patients should continue to take their Mirapex as directed and should contact their healthcare professional if they have any questions or concerns.

Click here to read the MedWatch safety alert and see a link to the FDA Drug Safety Communication.

Pharmacy and Therapeutics Committee approvals

Cedars-Sinai's P&T Committee released approvals from a recent meeting. Please see the following PDF: Pharmacy and Therapeutics Committee Approvals Aug 2012 (PDF)