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ASPECTS SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE SUMMER FALL 2022 | 45-2

This issue of Aspects examines the explosive growth in the use of telehealth in medicine. What was once an option that could save patients’ time and providers’ money became a necessity in spring 2020, as a global pandemic erased normal access routes to clinical care. Since 1995, SIU Medicine had been gradually introducing virtual services and innovations to its health care programs. Today it is a vital resource that allows us to close a number of the gaps in care across Illinois.

Improved access

Telehealth brings health care services to patients at distant sites. Not only does it improve access for patients, but it also allows physicians and health facilities to expand their reach beyond their own offices. Given the provider shortages throughout the world—in both rural and urban areas—telehealth has a unique capacity to increase service to millions of new patients.

Cost efficiencies

Reducing or containing the cost of health care is one of the most important reasons for funding and adopting telehealth technologies. Telehealth has been shown to reduce cost and increase efficiency through better management of chronic diseases, shared health professional staffing, reduced travel times, and fewer or shorter hospital stays.

Improved quality

Studies have consistently shown that the quality of health care services delivered via telehealth is as good as what’s given in traditional in-person consultations. In some specialties, particularly in mental health and ICU care, telehealth delivers a superior product, with better outcomes and higher patient satisfaction.

Patient demand

Consumers want telehealth. Over the past 15 years, studies have documented patient satisfaction and support for telemedicine services. It has a positive impact on the patient, their immediate family and the environment. Using telehealth technologies reduces travel time and related stresses for the patient, as well as providing care options that might not be available otherwise

Schwartz named first Endowed Chair of Urology

Jerry Kruse, Frank and Linda Vala, Brad and Brandi Schwartz, Ed Curtis

Local business owners and philanthropists Frank and Linda Vala have established an endowed chair to support research and training in urology at SIU School of Medicine.

Memorial Health matched the Valas’ $1 million personal donation in October through the Springfield Memorial Foundation to create The Frank and Linda Vala Endowed Chair of Urology.

The inaugural honoree is Dr. Bradley Schwartz, professor and chair of urology at SIU School of Medicine and director of the Center for Urologic Minimally Invasive Surgery and Endourology. Schwartz received the award at a ceremony on June 29 at the Memorial Learning Center on the campus of Springfield Memorial Hospital.

Frank Vala credits the doctor and his clinical team with saving his life.

“Our intentions with this gift are, first, to support the lifesaving work being done by Dr. Schwartz and his colleagues at SIU School of Medicine; and second, to raise awareness in the community of the high-quality care available here,” said Frank Vala. “Too often, people believe they must travel elsewhere to receive treatment for serious illness. I’m here to say, those services, treatments and doctors you think are only available in larger cities, are available to you right here in Springfield.”

Schwartz specializes in minimally invasive surgery for kidney cancer, laparoscopy, robotics and stone disease.

“An endowed chair is one of the highest academic honors in medicine, and it is also a lasting tribute to mission partners like the Vala family,” said Jerry Kruse, MD, MSPH, dean and provost of SIU School of Medicine and CEO of SIU Medicine. “With the support of The Frank and Linda Vala Endowed Chair of Urology, Dr. Schwartz will continue his internationally recognized achievements in research, education and patient care.”

Schwartz has received numerous regional and national awards for research, education and scientific presentations. He has authored more than 100 original publications and has presented more than 500 scientific papers at national and international meetings. He holds two patents for medical devices.

As an instructor, Schwartz has led more than 200 surgical simulation and skills lab courses nationally and internationally and has served as a mentor to thousands of medical students, residents and urologists in various minimally invasive surgical techniques.

Acharya to lead Neurology, Neuroscience Institute

Jayant Acharya, MD, DM, has been named the new chair of the Department of Neurology and co-executive director of the Neuroscience Institute at SIU School of Medicine.

Acharya joins SIU from Penn State College of Medicine, where he was a tenured professor of neurology, director of the Comprehensive Epilepsy Center, chief of the Division of Epilepsy and director of the EEG Lab and Epilepsy Monitoring Unit. He previously held faculty positions at St. Louis University School of Medicine, University of Pittsburgh School of Medicine and M.S. Ramaiah Medical College in Bengaluru, India.

Acharya’s clinical and research interests include the management of patients with neurological disorders, and he specializes in the clinical assessment, diagnostic procedures and treatments for epilepsy. He will be a member of the team of skilled physicians, nurses and other health care professionals providing medical, surgical and neurostimulation therapies for people with epilepsy. He will also be involved in a variety of EEG procedures, as well as detailed presurgical evaluation for patients undergoing epilepsy surgery.

“It is an honor and privilege to guide the neurology and neuroscience teams at SIU,” said Acharya. “I plan to harness the intelligence, creativity and commitment of our faculty, staff and trainees using a collaborative, relationship-centered leadership approach to help SIU Medicine meet its vision of improving health for everyone in our community and beyond.”

Disaster preparedness all in a day’s work

Memorial Health Learning Innovation, in collaboration with SIU’s Department of Emergency Medicine, conducted a simulated mass casualty incident drill on June 9 at the Memorial Learning Center. Using moulage, or mock injuries, actors and medical simulation mannequins, first- and second-year residents practiced their pre-hospital and emergency department skills

Outside of the Memorial Learning Center, first-year residents responded to a train car derailment and hazardous material spill, while second-year residents experienced a series of health emergencies within the simulated emergency department.

“We are training emergency medicine residents to do exactly what they do every single day, which is to take care of anything and everything that walks through the door of the emergency department,” said Tyler Fulks, MD, assistant professor of emergency medicine and division chief of Emergency Medical Services. “You have no warning for what is going to come through with each and every patient, and so this just an extreme version of that.”

Read more at https://bit.ly/3ttihub or learn more about the Department of Emergency Medicine's residency program at siumed.edu/em.

Workforce equity center and telehealth support coming to SIU

U.S. Senator Dick Durbin announced new federal support for the creation of a workforce development center and telehealth technology and training improvements at SIU School of Medicine on May 31.

“Senator Tammy Duckworth and I appreciate the mission of SIU School of Medicine to educate physicians and provide health care for rural areas and small towns across Illinois. We are happy to announce $2 million in targeted funding to address our communities’ most challenging issues: its workforce development and access to health care.”

Durbin said, “We realized during COVID that parts of our system are broken. Rural parts of our state have worse health outcomes, higher rates of smoking, heart disease and mortality. They have long drives to visit a doctor and months-long waits to see a specialist.”

“Even before the pandemic, there were too few health care providers in the region and fewer still who look like and reflect the patients they serve. We need to be doing all we can to bolster our workforce. Today’s funding will help make a difference.”

A new Center for Equity in Professional Development at SIU School of Medicine in Springfield will work with business and industry leaders in the region to expand existing equity and diversity professional development opportunities, assess gaps in local industries, and create pathways to establish a more diverse and equitable workforce for the future.

The Center will bring together employers and industry leaders in central Illinois to plan, develop, coordinate and implement new education and training for learners in the region. The goal will be to establish more equitable and diverse professional development pipelines. The Center will also focus on research related to equity and diversity in the workplace and identify opportunities to address gaps in education and workforce development programs for the region.

“Healthy people emerge from healthy and equitable communities,” says Wendi El-Amin, MD, associate dean of equity, diversity and inclusion at SIU School of Medicine. “Our overall well-being is impacted by economics and social determinants of health. Through community collaboration, we can better care for our communities and enhance their health outcomes. The Center is our commitment and investment in educational pathways and supportive systems that can foster healthier workplaces for our region.”

The school will also receive $1.05 million for telehealth facilities and equipment upgrades. It will use this investment to establish a more user-friendly telehealth platform, create studio space for telehealth services, expand digital health literacy programs, and provide ongoing training and informational programs for rural health providers in Illinois’ counties.

The pandemic accelerated innovation in health care and education in many ways, including telehealth, remote learning, and digital monitoring of patients at home, especially those with multiple chronic conditions. In the spring of 2020, all SIU School of Medicine clinical departments used telehealth to deliver care remotely and keep patients safe. Since that time, virtual care has been expanded to reach almost every county in Illinois.

COVID-19 also accelerated the production of digital health literacy and public health education for the areas. Through the use of photography, videography and social media strategies, SIU School of Medicine was able to reach out to more rural, diverse and underserved neighborhoods to encourage the best public health practices and provide resources for better patient engagement and participation in vaccination drives.

“This support will help us build a physical infrastructure that allows our digital footprint to grow as we serve telehealth patients and create the digital engagement tools they need to champion health in their lives and communities,” says Laura Hepp Kessel, director of telehealth services at SIU School of Medicine. “With the construction of a new virtual training studio, we will have dedicated space for telehealth, digital health literacy productions and rural health provider education.”

Elvin Zook remembered as a powerhouse in medicine - and a friend

Family, friends, colleagues and patients gathered at the Memorial Learning Center on Saturday, May 28, to celebrate the life of Dr. Elvin Zook. Zook passed away in November 2020 at the age of 83. The event was postponed from an earlier date due to the pandemic.

Zook was the region’s first plastic surgeon, joining SIU School of Medicine faculty in 1973. He worked tirelessly to establish the plastic surgery program as a destination for those in need of repair or reconstruction. That he was able to accomplish this with such skill, determination and humor endeared him to his coworkers and the community.

By the 1980s, SIU’s Institute for Plastic Surgery had become renowned for providing exemplary care to patients in central and southern Illinois while training the next generation of surgeons. Zook assembled a team that put Springfield in the conversation as a national leader in plastic surgery education and innovation.

Success brought further growth and greater financial and operational independence. In 1990, a partnership with Memorial Medical Center and SIU culminated in the completion of a new home for plastic surgery in the Baylis Building, named for one of Dr. Zook’s favorite hunting sites near Baylis, Illinois.

Zook served as chief of the Division of Plastic Surgery from 1973-2006. At the time of his retirement to professor emeritus status in 2011, he had mentored 19 faculty and graduated 79 residents. Fondly referred to as ‘Zookies,’ these men and women have gone on to do great things, but still return to Springfield periodically to talk to current residents and faculty. The day before the event, Plastic Surgery hosted an alumni day attended by more than a dozen graduates of the program.

During a light-hearted presentation at the remembrance, Michael Neumeister, MD, the Elvin Zook Endowed Chair of the Institute of Plastic Surgery, also touched upon Zook’s leadership, environmentalism and encouragement of women in the field. A part of his legacy lives on in Dr. Zook and his wife Sharon’s three daughters – Tara Bennett, MD, Leigh Kreuger, RN, and Nicole Sommer, MD.

The man who hired Zook in 1973, Roland Folse, MD, reflected on the impact Zook had at the school and beyond.

“We needed and wanted plastic surgery at SIU. Once Dr. Zook got settled in, he just took off like gangbusters. It’s almost unbelievable what he was able to do,” Folse said.

“We were very fortunate to have him here for his whole career.”

Physician pipeline program renamed for Wesley Robinson-McNeese

Wesley Robinson-McNeese, MD

The Physician Pipeline Preparatory Program, or P4, provides a select group of Springfield area high school students an invigorating preview of medical school training. Established in 2009 under the guidance of Wesley Robinson-McNeese, MD, it has educated and motivated scores of graduates and has grown to include 80 students a year.

McNeese is the SIU Systems executive director for diversity initiatives, a MEDPREP alumnus, an SIU School of Medicine alumnus (’86), a former emergency medicine physician, associate professor of internal medicine and associate dean for diversity at SIU School of Medicine. At the April 28 meeting of the Southern Illinois University Board of Trustees, School of Medicine Dean and Provost Jerry Kruse, MD, announced the P4 program has been renamed in Dr. McNeese's honor.

Educators from the School of Medicine and Springfield Public School District 186 collaborated to create the after-school pipeline program to mentor young people who are interested in becoming physicians. Students from groups underrepresented in medicine are especially encouraged to apply.

During the four years of courses, the learners are presented with case studies, laboratory experiences, guest speakers and college-planning seminars. It also provides leadership training and academic support, with sessions in math, science, communications, test-taking and verbal reasoning

$1.8 million grant helps SIU scientist broaden brain research into autism

Ben Richardson, PhD, has spent his career studying functions and circuits in the brain and what causes them to behave abnormally, especially within an area called the cerebellum. His work has encompassed alcohol use disorder, tinnitus and aging’s effects on hearing, and dopamine signaling and reward.

The National Institutes of Health (NIH) recently created a grant to support young scientists like Richardson who are willing to take a leap and expand their work into new areas. In only the second round of applications awarded, Richardson received a $1.86 million Stephen I. Katz Early Stage Investigator Research Project grant.

Richardson now leads a project to understand changes in brain mechanisms that are linked to autism spectrum disorder (ASD), the common developmental disability caused by differences in the brain.

Richardson is an assistant professor in SIU School of Medicine’s Department of Pharmacology. He is the primary investigator on the 5-year grant, working with colleagues Brandon Cox, PhD, and Erin Hascup, PhD, at SIU, and Santiago Jaramillo, PhD, at the University of Oregon. The group will use multiple methods to explore the relationship between neuronal function and specific behavioral changes that occur in mice when they are missing a gene commonly mutated in humans diagnosed with ASD.

“This funding is a tremendous boost to a junior investigator like me; it lets us build a strong team and make rapid progress on this important research,” Richardson said.

“I’ve been involved in several areas of neuroscience research throughout my career, and as a result, have a breadth of experience at cellular and circuit levels across multiple brain areas that shape my perspective and approach to this issue. With the NIH grant, we can address important issues and questions in the field, but from a new point of view and in a different way using the unique methods we’ve developed.”

Autism affects 1 in 54 children in the U.S., and it is usually expressed through social, emotional, cognitive, motor and sensory processing deficits. Despite the efforts made to understand how genetics may contribute to ASD, its cellular and molecular causes still aren’t very clear.

The cerebellum is found to correlate with more autism spectrum disorder-linked genes than any other brain region during postnatal development and into adulthood. Richardson’s lab and others have recently identified how the cerebellum is interacting with brain areas involved in processes outside of the motor system – a major motivation for evaluating a role for the cerebellum in ASD.

Richardson’s studies can provide a foundation for identifying effects of other autism-linked genes to alter signaling mechanisms in the cerebellum’s dense population of granule cells, and to potentially devise targeted treatment strategies for ASD.

Idrizi named new associate dean of student affairs and admissions

Haneme Idrizi, MD, has been named associate dean of student affairs and admissions at SIU School of Medicine.

Idrizi brings experience as an SIU School of Medicine alumna, practicing physician and award-winning educator. She has served the school in a variety of roles since 2018. Idrizi is a pediatric hospitalist in the Division of Pediatric Hospital Medicine and is the Year 4 curriculum director, chair of the Year 4 Curriculum Advisory Committee, and director of the Pediatric Personalized Educational Plan. She also serves as the faculty advisor for the Latino Medical Student Association.

Idrizi succeeds Erik Constance, MD, who served as associate dean for 27 years. Idrizi will work closely with Amanda Mulch, MD, assistant dean of student affairs (Carbondale), and Jennifer Rose, MD, executive director of the Lincoln Scholars Program, to assure that SIU’s medical students continue to receive an exceptional education.

“It is an honor and privilege to assume this role from my mentor, Dr. Constance,” Idrizi said. “I will serve as a strong advocate for our learners and build upon our efforts to graduate diverse and compassionate physicians through a medical education that values the importance of wellness.”

A native of Chicago, Idrizi has been a member of the SIU Department of Pediatrics in Springfield since 2018. She previously worked at the University of Texas Health San Antonio as a pediatric hospitalist and assumed numerous leadership roles in undergraduate medical education.

She is a first-generation college graduate, having earned her bachelor’s degree in biology from Loyola University of Chicago in 1998. Idrizi earned her medical degree at SIU School of Medicine in 2003 and completed her pediatrics residency at the University of Texas Health San Antonio in 2006.

Hillsboro hospital, SIU Population Science win national rural health award

“Healthy Hillsboro,” a collaboration between Hillsboro Area Hospital and Southern Illinois University School of Medicine’s Department of Population Science and Policy, has been recognized for its efforts to improve the health and well-being of residents in rural environments.

The National Rural Health Association (NRHA) presented a 2022 Outstanding Rural Health Program Award to the organizations at its 45th annual Rural Health Conference in Albuquerque, N.M. on May 12. Sameer Vohra, MD, JD, former chair of SIU's Department of Population Science and Policy, and E. David Harrison from Hillsboro Area Hospital, accepted the award.

Healthy Hillsboro aims to improve the community’s social determinants of health by using a systems of care approach to achieve better health outcomes.

“The partnership with Hillsboro Area Hospital has resulted in incredibly innovative work that impacts many different age groups and populations in Hillsboro,” said Vohra. “We’re thrilled to be recognized by the country’s leading voice in rural health but we’re even prouder of the difference this program is making in physical, emotional and mental health in Hillsboro.”

The group's social mission focus has included community-based programs to nurture skills for parents with preschoolers, study lung cancer rates and expand mental health support services to youths.

American University graduate and MEDPREP student Sydney Marshall has a passion for learning and a background in using technology to help others.

SIU’s MEDPREP program is celebrating its 50th anniversary. Established in 1972, it was the first of its kind, with curricula designed specifically to help educationally and economically disadvantaged undergrads prepare for health professions schools. Sydney Marshall is a shining example of the type of student it was created to aid.

WHERE DID YOU GROW UP?

I was born in the Philippines but spent most of my childhood in Southern California. After hearing all the stories my mom would share about her teenage years, I went back to the Philippines for middle and high school to experience it for myself. For me to succeed in my classes, I had to quickly learn not only the Filipino language, but also the local dialect. Overall, it was a very humbling experience.

WHAT DID YOU WANT TO BE AS A CHILD?

I enjoyed taking computers apart and putting them back together, but that was more of a hobby than a future career choice. It wasn’t until my experiences as a teenager being a caregiver for my then-sick father that I began to have a consistent answer to this question.

PRIOR TO STARTING YOUR MEDICAL EDUCATION, WHAT WERE YOU DOING?

I spent a lot of my time working in library services during and after college. As a result, I’ve gained a huge appreciation for how crucial library services are to the lives of lower-income Americans and communities of color. I’ve helped patrons build a resume, research job opportunities, and fill out forms for social services.

When I taught robotics and coding classes, I discovered how important it is to maintain students' interest and perseverance in the sciences by having an instructor they could relate to. Participating in such programs is important in increasing their likelihood of becoming future science innovators.

WHAT INSPIRED YOU TO ENTER MEDPREP?

MEDPREP provides individualized guidance for students who need additional time to prepare for the rigors of health profession schools. It also offers a second opportunity to address issues that may have impeded their progress during previous applications. After an unsuccessful cycle of applying to medical school, I wanted advice on how to strengthen my qualifications and skills to be better prepared for a rigorous medical education.

WHAT DO YOU LOVE MOST ABOUT THE PROGRAM?

I really love how tight-knit the program is. The faculty and staff foster a culture of camaraderie and collaboration and are fully invested in helping us attain our goals. On my second day in MEDPREP, I received the unfortunate news that my mother had suffered a stroke. My first thought was to pause everything that I was doing and that I immediately needed to catch a flight back home to California. I had barely begun, so I knew I could always pick things up again with the next incoming cohort. Even though my mom couldn’t say the words at the time, I knew that she would want me to stay focused on my studies and trust that she was being taken care of by an amazing medical team.

Through this experience, I have received a tremendous amount of support and prayers from the faculty and staff. When you are surrounded by educators and mentors who will do everything they can to support and guide you in the face of obstacles, it is truly a blessing.

WHAT ARE YOUR PLANS AFTER MEDPREP?

I am hoping that all my hard work pays off with a matriculation into medical school. I’ve spent a lot of time after undergrad learning about different health professions and keeping an open mind to other career paths. With these experiences and a lot of self-reflection on my journey, I feel like I have solidified my decision to pursue medicine.

HOW HAS THE ADVANCEMENT OF TECHNOLOGY IMPACTED THE WAY YOU LEARN OR WILL PRACTICE MEDICINE?

I feel that health care has become more accessible as a result of the pandemic, especially preventative health care. Telehealth helps mitigate some of the barriers that individuals can face. I look forward to watching the developments which can ensure equitable access to high-quality care.

I’m also excited about advances in wearable technology. As it becomes more popular and reliable, I’m curious to see how its data can be uploaded and integrated into a patient’s electronic health record, allowing health care providers to make more well-informed decisions and provide quality care.

WHAT MIGHT WE FIND YOU DOING OUTSIDE SCHOOL?

You might find me crocheting at home. The pandemic reignited my excitement for crochet because it was my way of relieving stress. Crochet is a great activity for mindfulness because it requires focus using your hands, following a pattern and counting each stitch.

WHAT IS YOUR GREATEST PASSION?

As clichéd as it sounds, I think my greatest passion is learning. When I discover a new interest, I want to learn as much as I can about it in hopes of sharing that knowledge with others. I think that’s why I enjoy medicine — because you are committing to a life full of learning, not only about the science, but the people.

Class of ’22 ‘better prepared to lead’

New physicians and research scientists at Southern Illinois University School of Medicine received their diplomas Saturday, May 21, at the school’s 48th annual commencement. The ceremony was held at the Performing Arts Center at the University of Illinois Springfield.

Commencement speaker Regina Rabinovich, MD, MPH, encouraged the new doctors in the Class of 2022 to take advantage of their opportunities at a unique moment in history, and become advocates as well as healers. Rabinovich is the ExxonMobil Malaria Scholar in Residence at Harvard University, and director of the Malaria Elimination Initiative at ISGLOBAL at the University of Barcelona. She is also an SIU School of Medicine alumna (Class of ’82).

Use your voice. Like the adage posted in airports, if you see something, say something. In the future you will likely have a leadership role in your community if you choose … so be informed on the best science and practices and speak up.

As new physicians, they should expect pushback but be fearless nonetheless, Rabinovich says.

“We now realize that epidemics and global pandemics are a real threat. You are better prepared at how to lead the way to sustain COVID learnings than the 20 generations who came before you because you have been through the wars.”

SIU School of Medicine Dean and Provost Jerry Kruse, MD, MSPH, awarded diplomas to the medical students, and Sheila Caldwell, EdD, vice-president for antiracism, diversity, equity and inclusion and chief diversity officer at Southern Illinois University Carbondale, conferred the degrees.

Mikaela Thurber, an instructor in anatomy in Carbondale, received the Golden Apple Award for Excellence in Teaching. She was also honored as the class's favorite first-year teacher. Jody Lack, MD, an associate professor in pediatrics, and Class of 2022 graduate Braidy Megeff, MD, received the Leonard Tow Humanism in Medicine Awards, presented by the Arnold P. Gold Foundation.

Three alumni were honored: Traves Crabtree, MD (’95), 2022 Distinguished Alumni Achievement Award; Stephen Goetter, MD (’76), 2022 Distinguished Alumni Service Award; and Elizabeth Stewart, MD, (’07); Early Career Achievement Award.

In his closing remarks, Class Chair Elek Wellman, MD, said, “Every person in our class worked together. We had one unified goal: to make sure everyone around us succeeded.... Our support for one another is what made our class great.”

The new SIU physicians began residency training in their chosen specialties in July.

DISTINGUISHED ALUMNI ACHIEVEMENT AWARD

Travis Crabtree, MD, Class of 1995

Traves Crabtree, MD (’95), has blazed a trail wherever he’s gone. The recipient of the 2022 Distinguished Alumni Achievement Award has served as medical director of the Surgical Skills Center and developed a vision of how new technologies can shape the future of medicine.

Since his formative years, Dr. Crabtree has embraced procedures that offered better and more effective ways to help patients, especially those suffering from lung cancer.

When it came time to decide which medical school would mark the starting point for his career, SIU School of Medicine’s innovative problem-based learning curriculum stood out.

“It was the first or second year that they were getting into it – now it’s more of an integrated hybrid version with courses and meetings,” he says. “Back then there were no classes. I thought that was so novel, and it’s what really attracted me to SIU Medicine.”

Crabtree found a kindred spirit for new ways of doing things in one of SIU’s highly respected teachers: Dr. Roland Folse. It wasn’t just that he was one of the premier leaders in surgical education (his name adorns the J. Roland Folse, MD, Surgical Skills Center), but it was his approach to passing along that knowledge to students and resident.

“I had a tremendous amount of respect and admiration for Dr. Folse when I was a medical student,” Crabtree says. “His inspiration of trying to create novel ways to educate students and residents really has led me to this process where I am now.”

“I’ve had fantastic mentors everywhere I’ve been, great clinical teachers who understood the importance of mentoring future physicians. But the truly novel idea of how to challenge historical dogmatic approaches to teaching, I always think back to Roland.”

After medical school, Dr. Crabtree attended the University of Virginia for his surgical training before completing fellowship training and joining the faculty at Washington University in St. Louis, returning close to family in southern Illinois. After 13 years as a cardiothoracic surgeon at Wash U., Crabtree had the opportunity to return to SIU Medicine. As the newly minted Memorial Center for Learning and Innovation was opening, their search for a medical director for the Surgical Simulation Program led to Crabtree.

It was a chance to return to his roots and to carry on the tradition of innovation from leaders like Dr. Folse.

“This is a tremendous medical community and I love the medical school and what it stands for. I truly enjoy taking care of people from rural, central and southern Illinois,” Crabtree says.

The surgeon is always looking for the best ways to serve his patients. Part of that involves discovering and developing how new technology can improve that process – technology like augmented reality and extended reality. It’s been Crabtree’s passion, and he’s excited to see how that potential develops in the coming years. Yet one never knows what’s coming.

“We’d been working on this for five years conceptually, but when COVID hit, the students couldn’t even come into the hospital. It really emphasized the importance of finding alternative ways to teach,”

“If we can create realistic virtual training modules – it will never supplant the real thing – it may prove to be a valuable tool in medical education. Creating high fidelity, extended reality interactive clinical scenarios can at least expose learners to educational opportunities before they’re thrust into the clinical setting, without risk to patients.”

Crabtree’s encompassing vision for the future of teaching was a component in his nomination for the Distinguished Alumni Achievement Award.

“One of the tenets that I took away from my medical education at SIU was to be equipped to be a life-long learner,” he said. “This requires a certain level of humility and adaptability as medical technology and knowledge continue to evolve."

“I would encourage people when thinking about clinical problems to be prepared to challenge the status quo. Why do we do the things the way we do? How should we think of certain problems in a different way and how to solve them as new technologies come along?”

EARLY CAREER ACHIEVEMENT AWARD

Elizabeth Stewart, Class of 2007

Elizabeth Stewart, MD (’07), is the recipient of the Early Career Achievement Award. Currently an assistant member of the faculty of St. Jude’s Children’s Research Hospital in Memphis, Dr. Stewart followed her graduation from SIU School of Medicine as a pediatric resident at Phoenix Children’s Hospital before joining St. Jude’s as a clinical fellow.

Dr. Stewart, who recently received the American Society of Clinical Investigation Young Investigator Award, is being recognized for her research work and community service. She has received more than $600,000 in grants for pediatric oncology research.

DISTINGUISHED ALUMNI SERVICE AWARD

Stephen R. Goetter, Class of 1975

Stephen R. Goetter, MD (’76), is the recipient of the SIU Distinguished Alumni Service Award. A member of the charter class of SIU School of Medicine, Dr. Goetter provided more than 40 years of care as a highly respected internist in Decatur. He was part of the original corps of Decatur Memorial hospitalists, shortly thereafter heading the group. Recently, he became the first concierge internist for Decatur Memorial Hospital, launching Signature Health.

For decades, Dr. Goetter has served on civic and hospital boards, involved himself in public education and made innumerable contributions of time and expertise to address and improve quality of life issues for the residents of Macon County. His efforts have led to more walking trails and heart-healthy programs, ended leaf burning in Decatur, created social service partnerships and inspired the organizers of the county's new mobile health-check unit 'Care Force One' to be dedicated in his honor.

TELEHEALTH 2.0

Connecting care to patients

When telehealth — sometimes called telemedicine — was introduced to SIU School of Medicine providers and patients in 1995, it was viewed as the next leap forward in the medical school’s mission to provide health care to the people of central and southern Illinois. It used tested and familiar technology in novel combinations, capable of providing education and health care to physicians and patients digitally over a secure network.

The traditional “first generation” telehealth doctor visit utilized dedicated spaces for patient consults in clinics and hospitals with SIU Medicine’s partner health organizations. The rooms were equipped with special carts that contained integrated video and medical components to send images and data to the provider. A nurse or other trained tele-presenter frequently assisted at the originating site, gathering vitals and information from the patient as needed, before the traditional doctor-patient dialogue took place. The primary difference of the telehealth visit was that the doctor was present only on a video screen.

This was how much of telehealth was conducted across the United States. The technology improved access, saved time and money, and delivered specialty care to vast areas of America where providers were sparse.

Then COVID-19 struck.

The evolution of pandemic telehealth

In March 2020, the COVID-19 pandemic rapidly shut down society and showed the value of having telehealth.

Across the country, academic medical centers used emergency, temporary rules for telehealth to reach medically underserved populations in urban and rural areas in need of better health outcomes.

SIU Telehealth Services evolved to meet the needs of both providers and patients. In the midst of a shifting regulatory environment, a new system was created that allowed virtual care experiences so patients could remain safely in their homes.

For Laura Hepp Kessel, 37, (photo to the right) it was a trial by fire. That March, Kessel had been working in her new role as telehealth director all of 9 months, enjoying a relatively smooth transition from her job as SIU Medicine’s western regional program director. Moving into a position that required slightly more tech savvy and clinical knowledge “was something I thought I’d have time to learn,” she says.

With access to clinical health care severely limited, SIU Medicine officials began advocating for an expansion of in-home virtual care to fill the void. Kessel talked to department chairs and met with providers to explain the new technical requirements and workflows. She implemented a ‘train-the-trainer’ model, instructing one provider and administrator in each clinical department, who would then train others in the group on the telehealth procedures. Those already familiar with the traditional telehealth processes were enlisted to act as champions for the broadened platform.

In early April 2020, Governor J.B. Pritzker signed an executive order to launch a new Remote Patient Monitoring Program utilizing telehealth services and Pandemic Health Worker (PHW) Programs in partnership with SIU School of Medicine and OSF HealthCare. The programs reduced barriers to health and mental health services to support residents across Illinois with a focus on underserved communities and those at risk during the COVID-19 pandemic. Insurance companies were mandated to pay for it. At the federal level, waivers were approved to allow telehealth within the home and authorize reimbursement.

The expanded access also allowed SIU subspecialists to provide virtual care which extended beyond the academic medical group’s usual 66-county service region. Telehealth visits occurred in 99 of Illinois’ 102 counties during 2020-21.

“The pandemic was a very scary and confusing time for us and our patients,” says Lori Williams, associate provost of external relations. “Laura saw to it that SIU Medicine provided a continuity of care and access for the patients, physicians and staff. Her energy, creativity and sheer determination led us through it.

Improvising and expanding

Vidya Sundareshan, MD, could appreciate the stress Kessel was under. Sundareshan was named co-chief of the Division of Infectious Diseases at SIU Medicine on March 1, 2020. Once COVID’s global grip took hold in Illinois, Sundareshan worked nonstop for 4 months.

The ID specialist was familiar with telehealth from earlier collaborative research, but not in the context of a pandemic.

“Who really could have imagined what was coming?” says Sundareshan. “It’s why public health in general was so unprepared.”

When the pandemic hit, telehealth needs exploded. Infectious disease care and medical appointments transitioned easily, says Sundareshan, “but some specialties could do it better than others. And Laura was exceptional. We were lucky to have her at our institution.”

Prior to the pandemic, traditional site-based telehealth was a modest but growing part of SIU’s care service options. In 2019, SIU providers logged 2,000 of these virtual visits.

The pandemic altered the dynamic. SIU Telehealth and clinic staff made adjustments to deliver secure home visits across two dozen practices. From March 2020 to February 2021, 77,000 virtual appointments were completed within the network.

In retrospect, Kessel considered May 2020 to be the litmus test. Gov. Pritzker’s initial stay-at-home order in March had halted all elective procedures and in-clinic care. On May 11 Illinois hospitals and medical clinics were again permitted to perform non-emergency procedures when specific regional, facility and testing criteria were met. The stakes involved everyone, including COVID patients and those in the highest risk groups: the immuno-compromised, elderly and pregnant.

A report from the U.S. Department of Health and Human Services reviewed 2019 and 2020 Medicare health care utilization trends. Researchers found that overall Medicare Part B visits—when accounting for both in-person and telehealth—decreased from 1.1 billion in 2019 to approximately 989 million in 2020. However, 2020 telehealth visits increased to 52.7 million, up from approximately 840,000 in 2019. Of these telehealth visits, 92% occurred in beneficiaries’ homes, which generally was not permitted before the pandemic. The study also showed White Medicare beneficiaries were more likely to use telehealth services than Black beneficiaries.

Among clinicians, behavioral health specialists had the highest increase in telehealth visits. In 2019, only 1% of visits to behavioral health specialists were telehealth; in 2020, the percentage jumped to more than 38%. By the end of 2020, telehealth visits to behavioral specialists were as common as in-person visits.

Know the audience

Now 2.5 years after this exponential growth, telehealth demand has returned to a manageable level. It is offered where appropriate, and needs-based, to best accommodate the provider, the patient and the specialty. The virtual option is especially important when the patient has mobility issues or lives in a rural area distant from health care services.

For instance, prior to the pandemic the Division of Endocrinology had an established telemedicine practice for patients with diabetes in cooperation with rural hospitals in the School of Medicine’s traditional telehealth network. It helped to prepare the division for personal telehealth appointments on platforms such as WebEx in the early days of the COVID shift.

Twenty percent of the division’s weekly clinics are now conducted as telehealth sessions. Some are traditional sessions in partnership with rural hospitals, and others are in-home telehealth appointments.

Despite the progress, concerns exist that areas of the state and groups of people are being left behind in the wake of the telehealth revolution. There are small towns where bandwidth access is limited or inconsistent. There are elderly citizens less technically proficient and neighborhoods where the residents don’t trust in the medical system in general.

A trio of new investments should aid SIU Telehealth’s efforts to bridge these gaps.

  • In November 2021, the Federal Communications Commission awarded SIU Medicine $967,000 for funding related to COVID-19 telehealth equipment expenses.
  • U.S. Senator Dick Durbin visited SIU School of Medicine’s Springfield campus in May to announce new federal funding that included $1.05 million for telehealth facilities and equipment upgrades. The school will use this investment to establish a more user-friendly telehealth platform, create studio space for telehealth services, expand digital health literacy programs for patients, and provide ongoing training and informational programs for rural health providers in Illinois’ counties.
  • A grant from the Office of the Illinois Lieutenant Governor will support a pilot project to create some broadband hubs in targeted downstate communities.

SIU Chief Medical Information Officer Mike Dynda, MD, considers the creation of the rural hub ‘hot spots’ a concept well worth testing. “The technology needs to accommodate various platforms to make it easy for interactions between patient and provider, but it can work,” he says.

The value of telemedicine for specific appointment-types is also apparent, says Dynda, a family medicine physician. “From a primary care perspective, simple follow-ups for things like diabetes, weight loss, oncology and chemotherapy, chronic pain assessment, and medication checks can be done just as effectively over telehealth.”

Infectious Diseases’ Sundareshan believes another key element is having well-trained, empathetic colleagues within the network. The ultimate goal is to provide clear patient dialogue through the power of teamwork.

In 2018, the ID physician collaborated with Wiley Jenkins, PhD, in the Department of Population Science and Policy, on a grant to explore PREP care in rural areas of far southern Illinois for patients at risk for HIV. The study group worked with syringe exchange programs service partners. Sundareshan says, “Telemedicine was still kind of in its infancy. We did everything using a laptop and tablet in a conference room with one of our harm reduction partners. Discretion and professionalism are always important in health care, especially among a population where there’s so much local stigma and everyone knows everyone.”

The telehealth approach proved ideal, giving the team a way to communicate and put the patient at ease. “We thought how neat it would be if they could just do it from their house, and not even have to visit the harm reduction partner’s office,” she says. “And now that’s what we’re doing every day. It’s progress.”

Safe at home

Brianna Netzel was born with a rare genetic condition, Marshall-Smith syndrome. The disease causes advanced bone aging, scoliosis and problems with the heart and lungs. Now 20, Brianna sees a number of specialists to deal with her interrelated medical issues.

When COVID-19 circled the globe in the spring of 2020, Brianna’s mother, Judy Vlach, was doubly concerned. Brianna requires a wheelchair to get around and her condition left her immune system compromised. Taking her to a multitude of doctors’ appointments during a pandemic was especially hazardous.

“I’m protective of her around others when we’re in the waiting area, especially during cold and flu season. This would’ve been a whole other level,” Judy says.

When the lockdown occurred, the SIU Medicine physicians who treat Brianna were able to quickly shift their visits to the telehealth virtual platform. Pediatrician Michelle Miner, MD, and pediatric pulmonologist Mark Johnson, MD, saw Brianna at her home in Rochester, via telehealth using WebEx.

The change had multiple benefits for both doctor and patient.

“I was able to observe Brianna laying on the floor and see what she could do in her home environment instead of sitting in a wheelchair or in her mom’s lap in the clinic,” Dr. Miner says. She or a team member could also touch base with mom Judy after hours, to check on a med change.

For Judy, it was a relief not having to leave home. Pre-pandemic, Brianna’s transportation could be challenging, with the weather and parking sometimes unpredictable.

“I was curious how it would work, without the physician here to examine her. But it exceeded my expectations.

I fell in love with it immediately,” she says.

The family has home health care, so they were able to check Brianna’s vitals as needed. “And I’m capable of looking in her ears, listening to her lungs and heart, and know her baseline,” says Judy, “so I’m able to check it for Dr. Miner and Dr. Johnson and any of the other doctors who need it. We were able to do it all, and more quickly than we could have at a clinic visit.”

Dr. Miner has appreciated being able to use telehealth for many of Brianna’s appointments over the past two years. She knows it takes Judy a lot of time to get her daughter ready and to the appointment and it’s painful for Brianna.

For her most recent appointment, Dr. Miner’s office asked if they would prefer an in-clinic visit or telehealth. Judy chose telehealth.

“It’s nice to have the option,” Judy says. “I talk to the nurse and we do a screening of what’s going on with Brianna. We adjust and use our best judgement for each situation.”

A virtual success story: Telepsychiatry

SIU Psychiatry was an early adopter of telehealth, with Jeffrey Bennett, MD, establishing a clinical training program for residents within critical access hospitals in 2008. Considering it a “future in the field,” Psychiatry Chair Kari Wolf, MD, expanded telepsychiatry to give residents greater exposure to telemedicine during the past decade. She sought out partnerships to increase access and broaden the learner experience. By 2018, residents were seeing patients virtually in Illinois prisons, the Macon County Jail, group homes for people with intellectual disabilities, and in other hospitals.

When the pandemic struck, the department was prepared. Administrators were able to convert outpatient visits into telemedicine appointments within a week. Faculty training was minimized because many had already covered telemedicine rotations for Wolf and Bennett.

We asked Dr. Wolf about telepsychiatry’s growing popularity and functionality.

What do you see as advantages to a telehealth patient visit?

In a word, access. It’s a real convenience factor for the patient. This is the third institution where I’ve used telemedicine. I’ve served in rural areas where people would have to get in their cars and drive several hours to see me. I’ve done it in urban areas where people don’t have reliable transportation. They would have to take three buses and a half-day off work to come across town to see me. I’ve done telemedicine in schools so kids don’t have to miss as much school and parents don’t have to miss part of their workday to pick up their child and drive them to the doctor’s office.

Another advantage is that it has greatly reduced the number of no-shows that we used to get with in-person visits. I’ve had people go out to their cars on a break from work and connect with me on their smartphones for a telemedicine appointment, so they don’t miss any of their work or paycheck. I’ve had professionals log into the telemedicine platform from their office computers to connect for their appointment. While all of these venues improve access and convenience for the patient, they also help to overcome stigma. Friends, co-workers, and even family members don’t know they’re seeing a psychiatrist and no one sees them walk into the psychiatry clinic.

From the physician standpoint, it increases capacity. Time previously spent commuting to a satellite location is now spent seeing patients. Me or one of my team who had been driving two hours round-trip to Jacksonville or Decatur are now seeing four to six more people a day. Or we’re doing research, or teaching, or providing service – something more constructive for the medical school and the community.

Another advantage: for patients with impaired mental functioning – dementia, a child with severe autism or intellectual disability – being able to see them in their home environment helps you get a better understanding of how they are actually functioning. If they have to be brought into the clinic it involves travel, checking in, waiting, getting vitals, a lot of extra commotion that can make them uncomfortable. In clinic I’d have to interpret what the parent or caregiver is saying and how that affects the patient. Observing them in their home setting, I can often see the family dynamic unfold on the screen in real-time and see ways in which the patient is functioning well as well as what challenges they are facing.

Are there any notable disadvantages?

The physician controls the camera in virtual telemedicine visits using traditional telemedicine platforms, so they can see nearly everything as they would observing the patient’s body language in person. However, when it’s done through WebEx, it’s more limited. You’re at the mercy of their device — we can’t control the camera to zoom in or out.

Establishing ground rules with the patient is important. It’s mostly about raising awareness. You can’t have them taking their doctor’s appointment on their phone while they’re checking out at the grocery store. It has to be conducted professionally. We need your full attention, just like we would in a face-to-face clinic visit, to serve you in the way that’s going to be best for your health.

Tell me about the telepsychiatry treatment options available to Illinois’s incarcerated population.

I was approached by Interim Director of the Illinois Department of Corrections, John Baldwin, to have SIU assume care at a couple of the prisons. The program started in the summer of 2018, and it’s expanded into the present DOC arm. This clinic serves several purposes. First, it aligns with our mission to provide high-quality care to a vulnerable population. It also serves as a tremendous learning opportunity for psychiatry residents. Prisons serve as the largest mental health system in the United States. This means that many of the patients we see in the hospitals and in the community have had interactions with the criminal justice system at least once in the past.

I think many psychiatrists (and people in general) think that people who are incarcerated are bad people or at least have made the conscious decision to do something bad. The experience our residents get within Pontiac and Logan Correctional Centers is designed to break down that stereotype. When residents hear the awful lives that our patients have experienced leading up to their incarceration, one begins to understand how that person ended up in prison. The amount of trauma our patients have experienced is unfathomable; and we know the detrimental effects trauma has to one’s health and mental health. I often say to a resident who has just completed a new patient evaluation, “Hearing that patient’s story, I think I would be in his/her shoes right now had I been born into his/her life.” That creates a compassion and empathy for this population that many physicians have never had the opportunity to develop.

Likewise, when the residents learn about the lack of or suboptimal psychiatric care our patients have received throughout their lives, it becomes a first-hand experience in how broken the mental health system is in the U.S. I remind the residents that they will soon be graduating and become experts in mental health — ones who friends and policy-makers will ask them how to make better systems and programs. This experience helps themy see the problems as well as potential solutions. And, finally, it helps residents learn what these patients need to be successful in life — both how to function during their remaining incarceration as well as how to lead successful lives once they are released from prison.

What are some challenges facing telemedicine in the future?

The long-term status of Medicare support for telehealth is unknown. It could expire, leaving a portion of the population without access to it.

If the Ryan Haight Act gets reinstated, that’s a problem. [The act imposes rules requiring practitioners who use telepsychiatry to conduct an in-person medical evaluation, with certain specified exemptions, before prescribing a controlled substance to a client.] We are treating patients in Chicago as well as from Southern Illinois who wouldn’t be able to commute for these appointments. They would lose their care.

The lack of broadband in some rural communities is another limiting factor. I’m working with Laura (Kessel) on the Lieutenant Governor’s Rural Affairs Council to encourage the development of broadband hubs in these towns. It could be a room in an existing medical clinic, a school, a library, a county office, a family resource center – somewhere with sufficient broadband available to give the community members a chance to see a specialist virtually and improve their health. We are launching a pilot project for it later this year.

What is your professional background and path into medicine?

I became interested in medicine while in high school, and my interest never stopped. I received my bachelor’s in Biology from the University of Maine, and then went on to receive my medical degree from Poznan University of Medical Science, in Poland. I completed my family medicine residency at SIU.

During this time, I observed a large technology transformation and utilization of EHRs within our community. This led me to pursue a master’s in health informatics and helped reinforce my belief that technology and health care were going to intermingle more and affect the practice of medicine.

What interested you in the chief medical information officer role?

When I started my family medicine residency, SIU was transitioning from paper charts to electronic, and that’s when I started to see the how this technology would impact physician practices. Receiving a masters in health informatics helped solidify my stance that technology can improve the practice of medicine. Unfortunately, each clinical practice works differently with varying resources leading to inconsistencies in performance.

Nothing is simple when it comes to technology, but the general concept is that we need to ensure that data is clean, structured and aggregated, in order for actions to be made. I have been working on standardizing data capture and data reporting for the last nine years within the SIU Federally Qualified Health Centers. I want to bring those same type of processes to all our clinicians, so that they can react accordingly to help our patients, but also benefit the practice as a whole, as we attempt to better understand the health of the communities we serve.

What’s the biggest misconception about the role of the chief medical information officer?

I don’t fix computers; I am not IT. I can’t change rules that govern medicine like HIPAA and security. My role, in its simplicity, is to ensure that data entered into a variety of information systems can be retrieved, and also interconnected to reduce redundancy and improve efficiency. Unfortunately, with a multi-specialty practice like SIU and its variety of clinicians, defining the standardized workflows can be challenging. Culture change is not without its difficulties.

Rather than focusing on the hardware, the role is really focused on core challenges of creating a culture that reinforces structured data for purposes of analytics and decision-making, with an eye on evolving technology integration to impact patient care.

Unfortunately, with our increasing adoption of biomedical technologies and increasing sources of data within our practices, IT and Informatics staff spend a great deal of time getting these systems and processes to connect when they are not always built to do so. Medical technology isn’t like General Motors. The parts are not necessarily interchangeable.

How do you see digital health growing and evolving at SIU Medicine?

Much like other industries, we need to make the practice more customer-focused, through the utilization of smart devices for self-scheduling, data transmission via wearables, and increased connectivity and collaboration with other health care. All of this needs to work harmoniously without sacrificing patient privacy and confidentiality and without incurring a significant financial impact on the practice.

What are some ways that we can start digital transformation of patient experience?

First and foremost, we need to create better ways for patients to schedule appointments. Behind the scenes that means streamlining of appointment types across the practice so that patients can utilize self-scheduling options while also considering self check in processes like the airline industry.

Where we can, we also need to reduce our dependence on paper intake forms and optimize current technologies to reduce manual processes. In the future, we will be having conversations about other cutting-edge tools like wearables that can sync with the EHR. The goal now and in the future is to integrate technologies and use data-driven decisions that improves patient outcomes.

Image courtesy of VisualDx - Image_Collection_Diversity_Flyer_0620

Equity in digital imagery and care

Traditional medical education and training often relies on imagery of white and lighter skin tones to illustrate disease. Educational materials, including dermatology atlases, have traditionally underrepresented presentations of disease in people of color. This approach leaves learners and clinicians with a narrow view of how to diagnose with variations in skin color. This can lead to representative bias that impacts diagnostic accuracy and deepens the racial divide in access to quality care.

Now SIU School of Medicine is joining leading health systems in adopting a digital tool that can help reduce bias and health disparities in diagnostics. VisualDx is an award-winning digital diagnostic support system that includes the world's largest medical imagery collection with more than 100,000 diverse images. This digital support system is designed to enhance diagnostic accuracy, aid therapeutic decisions, and address issues of health equity.

SIU School of Medicine’s Office of Equity Diversity and Inclusion is acquiring the tool through a Provider Quality Improvement Initiative grant awarded by Meridian to the institution last September. The grant supports innovative quality improvement programs, which aim to reduce health disparities and improve outcomes.

“We want to support the healers, teachers and learners within the walls of our clinics, labs and classrooms in ways that advance healing for the diverse communities in which we live,” said Wendi El-Amin, MD, associate dean of equity, diversity and inclusion. “With digital tools like VisualDx, we can continue to educate and diagnose in ways that reduce health care bias in skin of color.”

New procedure to reduce sleep apnea

For patients who struggle with moderate to severe sleep apnea, a CPAP machine may not provide relief. A new collaboration between Otolaryngology-Head and Neck Surgery and Pulmonology at SIU Medicine offers sufferers a simple solution.

‘Inspire’ is the only FDA-approved obstructive sleep apnea treatment that treats the root cause of the problem. A small device is implanted through a simple out-patient procedure. Patients turn it on before they go to sleep. A gentle pulse from the device moves the tongue out of the way during the sleep cycle, keeping the airway open throughout the night.

Otolaryngologist Pardis Javadi, MD, performs the Inspire Sleep Apnea Innovation procedure at SIU Medicine. “Inspire can be a great alternative in those with sleep apnea who have difficulty tolerating their CPAP,” says Dr. Javadi. “Our patients are going to enjoy its convenience and the better sleep that results.”

► To learn more about the procedure, visit siumed.org/inspire.

ECHO digital training resonates with community health care teams

The Extension for Community Healthcare Outcomes (ECHO) model uses technology to leverage scarce resources, share best practices and teach participants how to better evaluate and monitor their patient outcomes.

Over a summer lunch hour, a group of health care providers and caseworkers from across Illinois have gathered to both talk and listen. They have come to share their insights on asthma, a leading chronic disease in children that causes a narrowing of the airways.

SIU community health worker Tyra Jones first presents a case of an 18-year old high school student recently diagnosed with severe asthma. His condition is likely a result of mold found in the subsidized housing where he lives with his mother. The straight-A student and his coach are concerned that the respiratory illness could affect both the young man’s health and his ability to perform, which in turn could impact a college scholarship he has been offered.

“I’d like some tips to help this student succeed and be the first in his family to go to college,” Jones says. “He deserves that chance.”

Asthma is a common illness — about 1 in 13 people in the United States have it — and the physicians and staff have a wealth of patient experiences to draw upon. Fortunately, what would be an overflow crowd in a medical conference room is instead a comfortable and orderly round-robin group discussion, and it is all online. This is training session number 3 (of 6) in the medical school’s Project ECHO® series on asthma.

ECHO training for community health workers (CHWs) is one of the most in-demand modules offered at SIU School of Medicine. The Extension for Community Healthcare Outcomes (ECHO) model uses technology to leverage scarce resources, share best practices and teach participants how to better evaluate and monitor their patient outcomes. Project ECHO is a hub and spoke educational model that connects specialists in academic medical centers (“hubs”) to community health workers in rural and underserved communities (“spokes”) via digital workshops and videoconferencing. The ECHO sessions involve a case-based learning approach that contains 15-minute didactic lessons and patient case presentations by CHWs at participating spoke sites.

“ECHO is a very cost-effective way to gather and share ideas and grow community health programs,” says Karen Fraase, director of program development for SIU External Relations. “It started out strong and it just keeps growing.”

The format is designed to be a conversation, using an all-teach, all-learn model aimed at democratizing knowledge, Fraase says. Experts on the hub panel can mentor and discuss their medical experiences with participants who acquire new skills and competencies to better manage patients with complex health conditions. The ECHO model is especially useful at connecting rural providers to specialists across broad regions, delivering first-hand information via computer screen, tablets and smartphones.

SIU’s module includes sessions on opioids, asthma, oral health, hypertension, memory and aging, and community health worker training. A course on child psychiatry is in development. Courses range from 8 to 12 sessions, over different time intervals.

The richness of the hub team’s knowledge and the virtual flexibility allows multiple attendees to enroll as schedules allow. Audience sizes for typical cohorts range from 25 to 75. Popular opioid training sessions led by Kari Wolf, MD, chair of the Department of Psychiatry, have had 80-90 guests. Participants earn continuing medical education credits for each.

They add to a growing national community of health care providers dedicated to expanding health care access, reducing disparities, improving quality, safety and efficiency, and promoting consistency in care and practice.

Laura Law, PA-C, clinical instructor for Family and Community Medicine in Decatur, attended her first ECHO session as part of a Continuous Quality Improvement committee assignment in 2018, and quickly became an advocate for the training. “I thought it was fantastic,” she says. “I loved that it was so interactive.”

John Flack, MD, chair of the Department of Internal Medicine, led the hypertension panel, and encouraged Law to come back and present her own difficult-to-manage clinical cases. She did three.

“Every time you do it, you glean another important idea,” she says. “It was a great opportunity to increase our knowledge of different treatment modalities as well as connecting us with some experts.” Law has spread word of the program’s benefits to care providers in Decatur and to physician assistant colleagues in Carbondale.

Director Karen Fraase is buoyed by the project’s continued evolution and growth. “ECHO is one of the favorite programs I’ve ever worked on. We build these specialty hub teams with community providers and have all these communication channels to help everyone on the team learn. They’re sharing and discovering little nuggets of information.”

“We reach into these different places with the goal to offer evidence-based guidelines for how they can change and improve their own practices, and sometimes they help improve ours.”

► To learn more about ECHO training or register for a session, visit siumed.edu/cpd/project-echo.

Farmer health helpline, services now available statewide

Farming is a challenging and sometimes stressful business. A farmer’s tendency to be self-reliant and keep busy can make caring for one’s health – both physical and mental – an afterthought.

Farmers are also among the most likely to die by suicide, compared with other occupations, according to a 2022 CDC study. Suicide rates overall have grown by 40% in less than two decades.

A statewide support system is now available to help the Illinois farming community. A 24/7 helpline (1-833-FARM-SOS) will connect farmers to health professionals and services.

The Farm Family Resource Initiative (FFRI) was established in 2019 to specifically address mental health needs in Illinois’ farming and agricultural communities. Led by SIU School of Medicine, the FFRI launched a six-county pilot program to provide resources through a telephone hotline connecting farmers with mental health resources and providers.

A USDA grant expanded FFRI to all 102 counties in 2021. The General Assembly appropriated an additional $500,000 during the 2022 legislative session to ensure the program could serve all 102 counties throughout FY2023.

“It’s important for farmers to break the stigma of internalizing their stress and understand they can ask for help,” said State Senator Scott Bennett (D-Champaign). “The FFRI program has already proven its success over the past couple years and has given farmers the opportunity to talk about their struggles to avoid negative consequences.”

“We’ve designed the program to give ongoing outreach, education and training to our rural partners,” said Karen Stallman, FFRI agricultural resource specialist. “We want to improve the health and safety of farm families. It’s another toolkit they can use to keep well and productive. And we continue to expand our services.”

Mental health professionals from Memorial Behavioral Health in Springfield staff the helpline. The counselors have both medical expertise and knowledge of the factors that affect farming. The phone number is 1-833-327-6767 (1-833-FARM-SOS). A text option is also available. Call center staff can be emailed at FarmFamilyResourceHelpline@mhsil.com, and counseling services are available to those seeking additional assistance.

► Learn more about the FFRI program at siumed.org/farm.

1970s

Richard Dermody, MD ’77, “St. Joseph's Hospital, Breese, IL will be dedicating their OB surgical suite to myself and Penny Gozia, MD (another SIUSOM grad) in honor of us pioneering the OB/GYN specialty in Clinton County. I was the first and only OB/GYN in the county for seven years beginning in 1981. Dr Gozia joined the practice and was instrumental in renovating the second floor into a Women and Infants Center. My wife and youngest daughter, Melissa, moved to the Pacific Northwest in 2004 to be close to our daughter, Michelle, and her family, and I worked in Everett, WA as an OB/GYN hospitalist until 2013. Dr. Gozia more recently retired but the practice we shared, Southern OB/GYN Associates, is thriving with 4 OBs and several nurse practitioners.”

Allen Gerberding, MD ’77, “Retired life is great! Recommend it. We moved to the foothills of northeast Georgia early summer 2022. Exchanged Illinois winters and grass mowing for pickle ball and concerts on the lawn with friends, food and wine. Pray for peace.”

John Moore IV, MD ’77, is "loving retirement, biking, reading, traveling, lecturing, (and) volunteer medical work."

Dr. Rebecca Johnson | Dr. Holly Novak

Rebecca Johnson, MD ’78, is the chief executive officer emeritus of the American Board of Pathology, retiring after nine years. She is currently on the Board of the College of American Pathologists and is the secretary-treasurer and chair-elect of the American Board of Medical Specialties. Dr. Johnson was the chair of Pathology and Clinical Laboratories and Pathology Residency Program director at Berkshire Health Systems, MA from 1992-2012. Honors include 2010 SIU School of Medicine Distinguished Alumna of the Year, American Society for Clinical Pathology Award for Distinguished Service to Pathology, American Society for Clinical Pathology Mastership, and the Association of Pathology Chairs Distinguished Teaching Award in Graduate Medical Education.

Holly Novak, MD ’79, was named 2022 IVCC Distinguished Alumnus. She delivered the keynote address at the college's 56th annual commencement May 14, 2022. https://bit.ly/3zTy481

1980s

Dr. John Benitzez

Col. John Benitez, MD, MPH ’81, “I have been asked to serve for an additional term on the National Biodefense Science Board by the Secretary of HHS, Xavier Becerra. I will serve for an additional three-year term. In addition, the Governor of Tennessee has renewed me for another four-year term as a member of the Air Pollution Control Board for the State of Tennessee, representing practicing physicians. As of 2022, I am the Tennessee Emergency Preparedness Liaison Officer, charged with liaising between civil authorities in Tennessee (Tennessee Emergency Management Agency and the TN National Guard), and Region IV FEMA Defense Coordinating Officer and Elements and Army North. Army North is charged with homeland defense and defense support of civil authorities to North America. The Army Reserves honored me with the Joint Service Commendation Medal (for service with the Joint Forces Land Component Command, Army North, from Aug 2020 - Jun 2021), and two Armed Forces Service Medals for response to COVID-19 Mission and for Southwest Border Mission (also 2020-21).”

Steven Ginos, MD ’83, one of Blessing Physician Services' first employed providers, retired May 13 after 16 years with Blessing Health System and 36 years as a family medicine physician. https://bit.ly/3QqSCeX

Tina Smusz, MD ’86, “My husband and I spend much of our time tending our large organic garden and small flock of chickens providing produce for our household and neighbors. Much of my time is dedicated to publicizing health and environmental threats of a 42" diameter fracked gas pipeline that is slowly burrowing its way through our county. Both of our adult children work in fields that address sustainability for people and the planet. Looking forward to traveling this year as we keep an eye on COVID developments. We will be vacationing with fellow SIU grad and spouse later in the year.”

1990s

Lynn Beach, MD ’92, “Retired 1 July, 2022 from the US Navy with 30 years of honorable service in Pensacola, FL. Short-term plans are to fully retire and travel to the National Parks in our 39-ft toy hauler RV over the next year, visiting friends and family along the way. Keeping open the option to work in the future.”

Andrew Kerwin, MD ’92, is a professor in the Department of Surgery at the University of Tennessee Health Science Center in Memphis, TN. He serves as chief of the Division of Trauma/Surgical Critical Care and specializes in Trauma, Emergency General Surgery and Surgical Critical Care. In July 2021 he was appointed as the vice chair for faculty development for the Department of Surgery. He also serves as the surgical quality officer at Regional One Health in Memphis and the director of the OR Operations Committee. Additionally, he serves as the chief of trauma at the Elvis Presley Regional Trauma Center at Regional One Health. Since its dedication in 1983, the center has become one of the busiest trauma programs in the country and has a prestigious reputation as a pioneer in the delivery of leading-edge trauma care.

Elizabeth Roll, MD ’96, “spent the last year flying from Alaskan village to village encouraging and giving hundreds of COVID vaccines. She went to schools, bingo halls, clinics, grocery stores, and traveled by plane, snow machine, sled, 4-wheeler, and FJ on the frozen Kuskokwim River.”

Drs. Tim Ishmael, Elaine Fisher, and Keith Cochran, MD with partners at Litchfield Family Practice

Drs. Tim Ishmael, MD ’97, Elaine Fisher, MD ’99, and Keith Cochran, MD ’06 were honored as Litchfield Family Practice Center was named the Litchfield Chamber of Commerce 2022 Business of the Year.

Veling Tsai, MD, JD ’99, has been appointed to the Medical Board of California by Governor Gavin Newsom. Tsai has been a private practitioner at Caring ENT since 2008. He has been a clinical assistant professor of head and neck surgery at the UCLA School of Medicine since 2008 and an attending surgeon at the university's Olive View Medical Center since 2012. He is a member of the California State Bar Association, the American Academy of Legal Medicine and the American College of Legal Medicine, where he served as president in 2019, a position requiring Senate confirmation.

2000s

John David Hartman, MD ’01, “Still work part-time for SIU Family Medicine Residency Program in Carbondale. Have been in Benton, IL (my hometown) for past 12 years; clinical director of Healthy and Youthful Living Clinic. Five back surgeries and dealt with stage 2 B-cell lymphoma last year, but I'm doing great!”

Dr. Stacy Sattovia

Stacy Sattovia, MD ’02, was inducted as a fellow of the American Medical Women's Association (AMWA) in March 2022. The fellowship program recognizes AMWA members who have accomplished outstanding achievements in science, medicine or academia. Selective criteria such as leadership and integrity are assessed in addition to time spent teaching, mentoring, experience in a clinical practice and more.

Heather Saavedra, MD ’05, became the program director of the Pediatric Emergency Medicine Fellowship at Indiana University School of Medicine/Riley Hospital for Children in February.

Drs. Jason Billihan and Christina Meddows-Jackson

Jason Gillihan, MD ’06 and Christina Meddows-Jackson, MD ’06, are currently enrolled in the Executive MBA Program at Olin Business School at Washington University in St. Louis. They recently completed a Washington D.C. Residency at Brookings Institute as part of the EMBA program. Olin Business School is the only business school in the U.S. with a campus at the historic Brookings Institute. The D.C. Immersion gives the Executive MBA students a unique opportunity to hear from leading experts on the federal budget, regulation, Congress, health care policy, foreign policy, cyber security and more. Drs. Gillihan and Meddows-Jackson will graduate from the EMBA program in May 2023.

Alumni, residents and fellows: Send us your news and update your information at siumed.edu/alumniprofile or email us at alumniaffairs@siumed.edu.

2010s

Tyler Fitch, MD ’12, “After six years of combined hospitalist practice in pediatrics and internal medicine with time as a physician Informaticist, I accepted a role 30% as adult hospitalist and 70% as director of medical informatics & integration at OSF Healthcare where I supervise IT projects of other part-time physicians across specialties.”

Christopher Stephenson, MD, MHPE ’12, is a consultant in General Internal Medicine at Mayo Clinic Rochester where he serves as practice chair for General Internal Medicine, associate program director for the Internal Medicine Residency, an assistant professor of medicine at Mayo Clinic College of Medicine, and course director for Mayo's annual Selected Topics in Internal Medicine Hawaii course. He recently graduated in 2022 with his Master's in Health Professions Education (M.H.P.E.) from University of Illinois Chicago with research interests focusing on continuing professional development and survey/assessment validity.

Aisha Wright, MD ’13, has joined Gadsden Regional Medical Center in Alabama as an attending physician with the family medicine residency program.

Dr. Kevin Simon

Kevin Simon, MD ’15, has been named Boston's first-ever chief behavioral health officer. Dr. Simon is an assistant in the department of psychiatry at Boston Children's, instructor in psychiatry at Harvard Medical School and Commonwealth Fund fellow in minority health policy at Harvard University. He practices as a child and adolescent addiction psychiatrist caring for youth and families through Boston Children's Adolescent Substance Use and Addiction Program. https://bit.ly/3AjBnqy

2020s

Mackenzie Heywood, MD ’20, was selected to serve as a fourth-year pediatric chief resident at the University of Maryland.

‘On Par for Pediatrics’ expands to help more children

Thanks to our generous supporters, On Par for Pediatrics raised more than $20,000 this year with an expanded mission of supporting all children facing life-altering diseases. Formerly the Camp COCO Charity Golf Outing, this event continues to support the mission of Camp COCO.

SIU Medicine’s pediatrics department has been an integral part of helping to care for the health of children in Springfield and surrounding communities. The funds raised at this year’s golf outing will support young patients and their families, easing their financial burdens by providing overnight lodging, food or transportation for families whose child is receiving extended treatment.

Mark your calendars for June 5, 2023

► To help our pediatrics team and their patients, you can show your support with an online donation at forwardfunder.siumed.edu/pediatrics.

Over $20,000 donations in 2022 helped children and families in need of support.

Classes were back in town, in person

SIU School of Medicine Alumni gathered in Springfield on June 24 - 25 for Reunion 2022, celebrating the classes of ’77, ’82, ’87, ’92, ’97, ’02, ’07, and ’12. It began Friday evening with a family-friendly event at Erin’s Pavilion at Southwind Park. Saturday options included a morning Q&A panel with medical students, a Memory Lane Tour of the campus, individual class lunches, and a formal dinner with the Dean’s update at the Abraham Lincoln Presidential Museum. A wonderful time was had by all — and more memories were made!