>>I'M DR. CHUNG.
YOU MET ME -- WE SPENT A LOT OF
TIME TOGETHER ON MONDAY.
SO HERE YOU ARE, FINALLY AT THE
BUILDING, BUILDING 10, AND WE'RE
GOING TO ORIENT YOU TO THIS
PLACE WITH THE HELP OF ALL OUR
CLINICAL LEADERS UP HERE.
SO TODAY'S PRESENTATION IS
TAKING PLACE IN LIPSETT
AMPHITHEATER, WHICH IS THE SITE
OF GRAND ROUNDS, AND SO WE HAVE
THREE ADDITIONAL GRAND ROUNDS IN
JULY FOR YOU GUYS, SPECIFICALLY
GEARED TOWARD YOUR INTERESTS.
WE'LL TALK MORE ABOUT THAT
LATER, BUT BE HERE IN EXACTLY A
WEEK, SAME PLACE, SAME TIME, FOR
THREE MORE WEEKS AND YOU WILL
HAVE GOTTEN WHAT WE WANT YOU TO
GET.
SO WELCOME.
WE ARE GLAD YOU FOUND US.
SOMETIMES IT'S HARD TO FIND THIS
PLACE.
YOU'RE HERE FINALLY IN BUILDING
10, AND FOR THAT, I WANT TO
START THE SESSION.
[MUSIC]
>>SO WELCOME, CLINICAL FELLOWS,
TO THE NIH CLINICAL CENTER
ORIENTATION.
WE ARE VERY HAPPY TO SEE YOU
GATHERED HERE FOR YOUR FIRST
OFFICIAL WORK DAY AS A CLINICAL
FELLOW IN YOUR NEW HOME BASE,
THE MARVELOUS BUILDING 10
HIGHLIGHTED TO PERFECTION BY THE
DRONE FOOTAGE YOU JUST SAW.
WE SPENT MOST OF THE DAY
TOGETHER ON MONDAY FOR HR
ORIENTATION AND I WITNESSED THE
MANY INTERACTIONS BETWEEN YOU,
ESPECIALLY AFTER THE FUN BINGO
ICEBREAKER SESSION.
THAT WAS A REAL BLAST.
TODAY, WE ARE TRANSITIONING TO
BE ORIENTED TO THE NIH CLINICAL
CENTER, THE SITE OF YOUR
CLINICAL TRAINING, AND MOST OF
YOUR RESEARCH ACTIVITIES.
YOU COLLECTIVELY REPRESENT 23
ACGME ACCREDITED AND 13
NON-ACCREDITED GRADUATE MEDICAL
EDUCATION PROGRAMS ACROSS 11 NIH
INSTITUTES AND CENTERS.
WE KNOW MANY OF YOU HAVE MOVED
TO TRAIN HERE AT THE NIH.
SOME PEOPLE FROM A SHORT
DISTANCE, SOME VERY LONG, OTHER
PEOPLE HAVE COME FROM OTHER
COUNTRIES, SO WE ARE TRULY
GRATEFUL THAT YOU CHOSE US.
TODAY WE HAVE GATHERED THE
LEADERS OF THE CLINICAL CENTER
FOR THIS SESSION, WHICH IS MEANT
TO HELP YOU CONNECT THE NAMES
AND FACES OF THOSE WHO RUN THIS
PLACE.
EACH SPEAKER WILL INTRODUCE
THEMSELVES AND THEIR BRIEF BIOS
WILL APPEAR ON THE SCREEN.
THEY WILL DESCRIBE THEIR ROLE
AND THE OFFICE OR DEPARTMENT
THAT THEY REPRESENT.
UNFORTUNATELY, OUR LEADER,
DR. JIM GILMAN, NIH CLINICAL
CENTER CEO, IS UNABLE TO BE HERE
TODAY BUT HE SENDS HIS WELL
WISHES AND REGRETS.
SO NOW, I WILL HAVE THE
PRIVILEGE TO TURN THE PODIUM
OVER TO OUR CHIEF OPERATING
OFFICER, MR. PIUS AIYELAWO.
GOOD AFTERNOON, CLINICAL
FELLOWS.
I'M GOING TO START AGAIN.
GOOD AFTERNOON, CLINICAL
FELLOWS!
I STILL TEACH, I'M AN ASSISTANT
PROFESSOR, SO I LIKE TO DO THAT
WITH MY GRAD STUDENTS.
SO REALLY, REALLY GLAD TO BE
HERE THIS MORNING.
MY NAME IS PIUS AIYELAWO, CHIEF
OPERATING OFFICER HERE AT THE
CLINICAL CENTER.
I'VE BEEN ON BOARD HERE FOR FIVE
YEARS.
PRIOR TO THAT, I WAS A
CONSULTANT AND RUNNING A
CLINICAL RESEARCH PORTFOLIO AT
GENERAL DYNAMICS, AFTER THAT I
SPENT 27 YEARS IN THE NAVY,
MOSTLY AS CFO,, REALLY GLAD TO
BE HERE.
AND ON BEHALF OF DR. GILMAN, AS
DR. CHUNG ALLUDED TO, I WANT TO
WELCOME YOU ALL HERE.
LATE SUMMER, REPRESENTING 11
INSTITUTES, SO WELCOME AND
CONGRATULATIONS TO EACH AND
EVERY ONE OF YOU.
DR. GILMAN SENDS HIS REGARDS AS
DR. CHUNG ALLUDED TO.
HE REALLY WANTED TO BE HERE, BUT
YOU KNOW, HE WAS UNABLE TO.
AND THE MESSAGE FROM YOU TO ME
AS HE LOOKS FORWARD TO BE ABLE
TO MAKE UP FOR IT, I DON'T KNOW
HOW HE'S GOING TO DO IT, BUT
SERIOUSLY, LOOKING FORWARD TO
HIS RETURN TO THE OFFICE HERE.
SO MY ROLE AS THE CHIEF
OPERATING OFFICER, I'VE BEEN ON
BOARD HERE FIVE YEARS NOW, IS
PRIMARILY TO PROVIDE OVERSIGHT
AND ALSO DAY TO DAY MANAGEMENT
OF ALL THE CLINICAL CENTER
OPERATIONS.
SO YOU CAN LOOK AT ME AS THE
DEPUTY TO JIM GILMAN, SUPPORTING
AND MAKING SURE EVERYTHING RUNS
AS SMOOTHLY AS IT CAN, TO MAKE
SURE WE'RE PROVIDING THE PATIENT
SAFETY, THE QUALITY OF CARE, THE
ENVIRONMENT OF CARE AND
EVERYTHING, YOU NAME IT.
TO ALL THOSE PATIENTS THAT ARE
ENTRUSTED TO OUR CARE HERE.
AND THAT'S PRETTY MUCH WHAT MY
ROLE IS.
I DO HAVE THREE POINTS, THREE
TAKEAWAYS FOR YOU, CLINICAL
FELLOWS.
I KNOW YOU'LL SPENTD A LOT OF SF
TIMES, A LOT OF EFFORTS, AGAIN
THREE MAIN POINTS FROM ME.
FIRST AND FOREMOST, I WANT TO GO
BACK AGAIN AND CONGRATULATE YOU,
WHAT AN AWESOME OPPORTUNITY TO
BE AT THE FINEST CLINICAL
CENTER, MOST REFER TO AS THE
HOUSE OF HOPE.
IT'S A LONG JOURNEY, THREE YEA
YEARS, FOUR YEARS, THEY'LL GO BY
REAL FAST BUT A STEP TOWARDS
BECOMING A STAFF CLINICIAN,
CLINICIAN-SCIENTIST HERE AT NIH
OR AN ORGANIZATION IN THE
FUTURE, DEFINITELY GREAT JOURNEY
AND WISH YOU ALL THE BEST AS YOU
EMBARK ON THAT JOURNEY.
NUMBER TWO, I'D BE REMISS IF I
FAIL TO MENTION DR. CHUNG AND
THE ENTIRE OFFICE, EXCEPTIONAL
JOB TO EASE THE TRANSITION FOR
YOU ALL TO BE HERE SINCE MONDAY
AND STILL HERE, HOPEFULLY NONE
OF YOU HAVE MADE THE DECISION TO
WANT TO LEAVE US, BUT SERIOUSLY,
WE'RE REALLY GLAD AND JOYCE,
AWESOME, AWESOME JOB TO YOU AND
YOUR TEAM FOR MAKING THAT
HAPPEN.
DO WE HAVE ANY PROGRAM DIRECTORS
IN THE ROOM HERE WITH US, IN THE
AUDIENCE?
THERE YOU GO.
THANK YOU SO MUCH FOR WHAT YOU
DO EVERY DAY.
AND FOR ALL THE PREP THAT YOU
PUT TOGETHER TO WELCOME OUR
NEWEST FELLOWS HERE ON BOARD.
SO HOW ABOUT GIVING THEM A ROUND
OF APPLAUSE, WOULD YOU?
[APPLAUSE]
THANKS.
MY NEXT CHARGE TO YOU HAS TO DO
WITH KIND OF LOOKING AND
DEFINING THE ROLE OF THE
CLINICAL CENTER LEADERSHIP ON
THE SIXTH FLOOR, MOST OF THE
FOLKS ARE SITTING RIGHT HERE IN
FRONT OF YOU, INCLUDING MYSELF
AND DR. GILMAN, AND REALLY WANT
TO BE ABLE TO SHARE WITH YOU
WHAT THOSE ROLES ARE.
BECAUSE WHEN IT'S ALL SAID AND
DONE, THE IMPORTANCE OF WHAT WE
DO HERE IS TO MAKE SURE THAT
WE'RE PROVIDING THE RIGHT CARE
AT THE RIGHT TIME FOR ALL THOSE
PATIENTS ENTRUSTED TO OUR CARE
TO MAKE SURE WE ARE AGAIN
PROVIDING THAT ENVIRONMENT WHERE
IT IS SAFE FOR OUR PATIENTS TO
BE HERE AS PARTNERS IN OUR CARE.
AND I KNOW DRS. HAD IGA N,
DR. JORDAN, WILL SHARE SOME
INFORMATION.
SO WHAT ARE WE ABOUT?
WE'RE MAKING SURE WE HAVE A
BUSINESS, TO MAKE SURE WE'RE
PROVIDING APPROPRIATE RESOURCES
THAT A PATIENT NEEDS, WHILE ALSO
SIMULTANEOUSLY PATIENT CARE,
PRIMARY IMPORTANCE FOR ALL OF US
HERE.
WHY ARE WE HERE, THE FOLKS ON
THE SIXTH FLOOR?
BY MAKING SURE THAT WE'RE
PROVIDING AN ENVIRONMENT FOR ALL
OUR CLINICAL RESEARCH FELLOWS,
CLINICAL FELLOWS, ALL OUR
STUDENTS IN TRAINING, RESIDENTS
HERE, THAT ENVIRONMENT, WHERE
THEY WILL BE ABLE TO LEARN AND
ENJOY FOR THE TIME THEY ARE HERE
WITH US ON CAMPUS.
WHAT ARE WE ABOUT?
WE ARE ABOUT MAKING SURE WE
PROVIDE AND WE ENSURE THAT ALL
OUR PATIENTS THAT ARE ENTRUSTED
TO OUR CARE ARE TREATED
PROPERLY.
WHEN IT'S ALL SAID AND DONE,
WITHOUT OUR PARTNERS, WITHOUT
OUR PATIENTS, WE WOULD NOT BE
HERE, SO MY CHARGE TO YOU IS TO
MAKE SURE 24/7, 365 DAYS A YEAR,
WE'RE TAKING CARE OF THAT
PATIENT, WE'RE LISTENING TO
THEM.
AND WE'RE PROVIDING THEM WHAT
THEY NEED TO BE ABLE TO DO
EVERYTHING THAT THEY NEED TO GET
DONE HERE BEFORE THEY LEAVE
HERE.
THE LAST BUT NOT THE LEAST, MY
CHARGE TO YOU, THOUGH, WHILE
YOU'RE HERE, IS TO ENJOY
YOURSELF.
HAVE A GREAT TIME.
HAVE FUN.
IT'S GOING TO BE THREE TO FOUR
YEARS.
WHY NOT MAKE THE BEST OF IT.
TAKE CARE OF EACH OTHER, TAKE
CARE OF YOURSELF, AND MOST
IMPORTANTLY, OUR PATIENT
PARTNERS, MY CHARGE TO YOU IS TO
TAKE CARE OF THEM.
AND I WANT TO WISH YOU AGAIN ALL
CONGRATULATIONS FOR BEING HERE,
AND LOOK FORWARD TO WORKING WITH
YOU, AND ENJOY YOUR THREE TO
FOUR YEARS THAT'S GOING TO BE ON
CAMPUS HERE.
THANK YOU.
[APPLAUSE]
GLL GO
>>GOOD AFTERNOON, EVERYONE.
WELCOME.
I KNOW PEOPLE ARE STILL
TRICKLING IN SO I'LL ELW I'LL WE
YOU.
I'M COLLEEN HAD IGA N, I HAVE
BEEN IN THE CLINICAL CENTER
WORKING FOR -- I CAME IN JULY,
LIKE SO MANY OF US ON THE
ACADEMIC MEDICAL CYCLE, I CAME
IN JULY, IN 2006, SO I'VE BEEN
HERE FOR A MINUTE.
BUT I'VE BEEN IN THE OFFICE AS
THE CHIEF MEDICAL OFFICER JUST
FOR THE LAST COUPLE OF YEARS, SO
I'M ACTUALLY THRILLED TO BE IN
THIS ROOM SEEING FACES AND
MEETING PEOPLE IN PERSON.
THE FIRST TIME I GAVE THIS TALK,
I WAS IN SARATOGA ON A COMPUTER,
AND THE LAST TIME I GAVE IT, I
THINK I WAS IN MY OFFICE BUT
KIND OF ALONE AND TALKING TO A
SCREEN.
SO IT'S REALLY NICE TO SEE YOU
ALL HERE, AND I HOPE THAT YOU'RE
GOING TO HAVE A WONDERFUL TIME
HERE.
THERE ARE JUST A FEW THINGS THAT
I WANT TO TOUCH ON ABOUT HOW WE
CARE FOR PATIENTS HERE AND HOW
YOU ARE SUCH AN INTEGRAL PART OF
THAT CARE.
AND YOU'VE PROBABLY HEARD THIS
BY LOOKING THROUGH BROCHURES AND
EVERYTHING, BUT JUST RECOGNIZE
THAT WE HAVE, YOU KNOW, 17
INSTITUTIONS THAT HAVE A
CLINICAL PRESENCE HERE IN THE
CLINICAL CENTER.
SO THEY HAVE RESEARCH PROTOCOLS
AND PATIENT CARE DUTIES AND
RESPONSIBILITY RELATED TO THAT
RESEARCH.
BUT WE ALSO HAVE OVER 12 MEDICAL
DEPARTMENTS THAT ARE SUPPORTED
BY THE CLINICAL CENTER.
SO THAT WE CAN PROVIDE THAT
STANDARD RADIOLOGY, REHAB
MEDICINE, CRITICAL CARE
MEDICINE.
SO THERE ARE DEPARTMENTS THAT
ARE STOOD UP NOT BY INSTITUTES
BUT BY THE CLINICAL CENTER.
THOSE ARE THE ONES I HAVE
OVERSIGHT FOR AND WORK CLOSELY
WITH THE INSTITUTES TO MAKE SURE
WE CAN PROVIDE THE FULL UMBRELLA
OF CARE FOR ALL THE PATIENTS WHO
COME HERE.
SO THAT UNIQUE ENVIRONMENT
CREATES A COMMUNITY AND WHEN WE
ALL DO OUR PART, EVERYTHING GOES
PERFECTLY, RIGHT?
WE HAVE SOME UNIQUE STRENGTHS
AND WE HAVE SOME UNIQUE
WEAKNESSES.
ONE OF OUR UNIQUE STRENGTHS IS
YOUR TALL INTERAND THE
INCREDIBLE TALENT OF ALL THE
INDIVIDUALS IN THIS BUILDING.
IF YOU'RE FORTUNATE AND YOU
LIKELY WILL HAVE AN OPPORTUNITY
TO BE IN A ROOM SPEAKING WITH
NOBEL PRIZE-WINNING PHYSICIANS
AND OTHERS WHO HAVE DEFINED OR
CHANGED THEIR FIELD.
SO THAT'S ONE OF YOUR UNIQUE
PRIF LEDGES AND ONE OF OUR
STRENGTHS.
BUT WE ALSO HAVE SOME
WEAKNESSES.
WE ARE NOT A FULL-SERVICE
HOSPITAL IN THE TRADITIONAL
SENSE.
MANY OF YOU ARE COMING FROM KIND
OF LARGE ACADEMIC MEDICAL
CENTERS WHERE EVERYTHING WAS
AVAILABLE WITHIN THE CENTER THAT
YOU WORKED IN.
BUT WE HAVE SOME GAPS AND
POCKETS, SO YOU HAVE TO BE SURE
THAT YOU'RE AWARE OF THEM.
WE DON'T HAVE AN EMERGENCY ROOM.
THERE ARE SOME THINGS WE CAN'T
DO HERE, LIKE A MAMMOGRAM.
SO YOU'LL LEARN AS YOU GO
THROUGH YOUR FELLOWSHIP THAT
THERE MIGHT BE THINGS THAT
YOU'RE KIND OF TAKEN ABACK, I
CAN'T BELIEVE WE CAN'T DO THAT,
RIGHT?
SO I ASK THAT YOU ADVOCATE FOR
YOUR PATIENTS, THAT YOU ASK FOR
HELP IF THEY NEED SOMETHING THAT
WE DON'T OFFER BECAUSE WE FIGURE
OUT A WAY TO GET IT FOR THEM
WHEN THEY REALLY NEED IT.
OKAY?
ANOTHER UNIQUE PRIVILEGE WE HAVE
IS THAT WE DON'T -- EVERYBODY
WHO COMES HERE IS PARTICIPATING
IN A RESEARCH PROTOCOL.
THE CARE THAT THEY'RE PROVIDED
IN THE CONTEXT OF THAT PROTOCOL
IS ALL DONE WITHOUT ANY BILLING
AT ALL.
SO THAT'S A GREAT PRIVILEGE AND
ONE THAT WE WANT TO UTILIZE OUR
RESOURCES TO THE BEST TO ADVANCE
BOTH THE CARE OF THAT PATIENT
AND ADVANCE THE KNOWLEDGE FROM
THE RESEARCH THAT WE'RE
CONDUCTING.
SO WHAT DO YOU ALL NEED TO KNOW
TO BE ABLE TO PROVIDE CARE IN A
UNIQUE ENVIRONMENT THAT YOU'RE
NOT FAMILIAR WITH?
SO THIS IS KIND OF LIKE YOUR OWN
911, OR WHERE ARE THE THINGS
THAT YOU'RE GOING TO NEED WHEN
YOU'RE HERE IN THE BUILDING IN
THE MIDDLE OF THE NIGHT, AND YOU
NEED TO GET HELP OR YOU NEED --
YOU DON'T KNOW THE ANSWER TO
SOMETHING.
SO THERE'S AN INTRANET PAGE AND
THERE'S A PATIENT CARE SECTION
WHERE THERE ARE A LOT OF
ALGORITHMS, LINKS AND WEBSITES
THAT YOU CAN GO TO, BUT I
CERTAINLY HIGHLIGHTED THE FACT
THAT WE HAVE A ROBUST CRITICAL
CARE MEDICINE EMERGENCY RESPONSE
WITHIN THE HOSPITAL, AND THERE
ARE MANY DIFFERENT WAYS IN WHICH
YOU CAN ACCESS AND UTILIZE THEIR
SUPPORT, SO YOU SHOULD BECOME
FAMILIAR WITH THAT.
AND THEN THAT ONE SECTION THERE,
I'M JUST GOING TO REMIND
EVERYBODY THAT IF YOU PICK UP A
LANDLINE, YOU CAN JUST DIAL 111,
AND THAT WILL CALL A CODE BLUE,
BUT IF YOU'RE USING YOUR CELL
PHONE, WHICH MANY OF YOU WILL
PROBABLY ALL BE USING, YOU WANT
TO DIAL 301-496-9911.
SO IF YOU WANT, YOU CAN ALL GET
OUT YOUR PHONES NOW AND PUT IT
IN YOUR CONTACTS.
THAT WAY WHEN YOU'RE IN THE
MIDDLE OF THE NIGHT AND YOU NEED
TO CALL A CODE BLUE, YOU JUST
TOUCH CODE BLUE AND YOU'LL CALL
THAT NUMBER.
SO THAT'S NUMBER ONE.
THIS IS JUST A LITTLE MORE
INFORMATION ABOUT THE DIFFERENT
WAYS YOU CAN GET EMERGENCY HELP
IN THE MIDDLE OF THE MIGHT.
IF YOU HAVE A WATCHER AND YOU'RE
JUST NOT SURE IF THIS PERSON
NEEDS TO ESCALATE CARE, YOU CAN
CALL A CRITICAL CARE CONSULT.
THEY'LL COME UP WITHIN AN HOUR,
AND THEY CAN TALK YOU THROUGH
THE PATIENT.
YOU CAN DO A RAPID RESPONSE.
THAT'S NOT A FULL CODE BLUE BUT
SOMEBODY WHO MAYBE NEEDS A CHEST
X-RAY, AN EKG STAT TO ASSESS
THEIR KIND OF CARDIORESPIRATORY
STATUS, AND THEN THERE'S A FULL
CODE BLUE.
WE TEND TO CALL CODE BLUES A LOT
MORE FREQUENTLY AND READILY THAN
MAYBE WHAT YOU'VE EXPERIENCED IN
YOUR OUTSIDE HOSPITALS.
AND THAT'S BECAUSE WE HAVE THE
ABILITY TO DO SO.
AND WE WANT TO MAKE SURE THAT
WE'RE DOING THE ABSOLUTE BEST
FOR THE PATIENT.
SO YOU DON'T HAVE TO WAIT FOR
SOMEBODY TO BE PULSELESS TO CALL
A CODE BLUE HERE, OKAY?
ANOTHER THING THAT WE PROVIDE
SUPPORT FOR, FOR THE NON- --
BECAUSE OF THE FACT THAT WE
DON'T HAVE AN EMERGENCY ROOM, IS
KIND OF THIS UNPLANNED
AFTER-HOUR OUTPATIENT
ASSESSMENT.
SO AS YOU MAY HAVE HEARD, WE
HAVE BOTH A LODGE AND A
CHILDREN'S INN ON THE PROPERTY,
SO MANY OF OUR PATIENTS ARE
ACTUALLY RESIDING IN THESE
RESIDENTIAL FACILITIES OUTSIDE
THE HOSPITAL, WHILE THEY'RE
GETTING SOME COMPLEX CARE HERE.
AND SO THOSE INDIVIDUALS AND
OTHERS IN THE GENERAL COMMUNITY
MAY CALL YOU WHEN YOU'RE ON CALL
AT NIGHT TO SAY, OH, I JUST CAME
IN AND RECEIVED CHEMO, AND NOW
I'M HAVING THIS SYMPTOM.
NOW, IT'S AFTER HOURS OR IT'S ON
THE WEEKEND, AND YOU'RE LIKE NOW
WHAT DO I DO?
WHERE CAN I GO TO ASSESS THIS
PATIENT?
AND SO THIS IS NOT AN OPEN
CLINIC, BUT AT LEAST IT'S ONE
PLACE THAT YOU COULD TAKE A SICK
PERSON THAT NEEDS TO BE ASSESSED
THAT YOU THINK MAYBE NEEDS TO BE
ADMITTED BUT YOU'RE NOT QUITE
SURE, AND SO I'M JUST ALERTING
YOU TO THIS.
THERE'S A LINK TO IT IN THE
INTRANET PAGE, BUT ESSENTIALLY
IF YOU GET THAT CALL OVERNIGHT
OR WEEKEND, YOU CAN CALL THE AC,
WHICH IS OUR KIND OF
ADMINISTRATIVE COORDINATING
NURSE, THAT'S AN IMPORTANT
NUMBER TO KNOW TOO, SO IF YOU
WANT TO PUT ANOTHER NUMBER IN
YOUR PHONE, 301-496-1211 IS FOR
THE AC.
THAT ADMINISTRATIVE COORDINATOR
IS THE PERSON YOU'RE GOING TO
CALL NIGHTS AND WEEKENDS IF
YOU'VE GOT TO DO SOMETHING WITH
A PATIENT THAT WASN'T PLANNED.
ESPECIALLY LIKE AN UNPLANNED
ADMISSION OR UNPLANNED
ASSESSMENT IN THIS OFF HOURS
SPACE.
SO WHAT YOU DO IS WE ASK YOU
CALL THE AC, COORDINATE FOR THIS
PATIENT TO COME.
IN MOST CASES WE DO THIS
ASSESSMENT IF IT'S AN ADULT IN
THE ICU WHERE YOU HAVE RESOURCES
IN CASE THE PATIENT
DECOMPENSATES QUICKLY, AND THEN
YOU HAVE A COUPLE OF HOURS WITH
YOUR ATTENDING SERVICE TO DECIDE
ARE WE GOING TO ADMIT THIS
PATIENT OR CAN WE DISCHARGE
THEM, DO WE HAVE TO DO A SHORT
TREATMENT, BUT WITHIN A COUPLE
OF HOURS, YOU'RE SUPPOSED TO
HAVE A KIND OF DISPOSITION FOR
THE PATIENT.
SO WITH THAT, I THINK THOSE WERE
THE KEY THINGS THAT I WANTED TO
HIT ON.
I WANTED TO POINT OUT THAT I
CAME HERE FROM A LARGE ACADEMIC
MEDICAL CENTER WHERE I WOULD DO,
YOU KNOW, 10 TO 15 CONSULTS IN A
DAY, AND SO WHEN I WAS
INTERVIEWING HERE TO COME,
SOMEBODY SAID OH, YOU MIGHT DO
LIKE ONE CONSULT A DAY.
AND I LAUGHED OUT LOUD.
I WAS LIKE, YOU'RE KIDDING ME,
ONE CONSULT A DAY, THIS IS GOING
TO BE THE EASIEST THING IN THE
WORLD.
BUT WHAT I DIDN'T TAKE
APPRECIATION FOR WAS THAT THE
PATIENTS HERE ARE REALLY
COMPLICATED.
AND SO YOU MAY -- YOU'LL BE
BENEFITING FROM DOING LESS
QUANTITY AND SO THE OPPORTUNITY
THEN IS WE CAN DO BETTER
QUALITY, RIGHT?
YOU CAN -- YOU'LL HAVE THE
PRIVILEGE OF HAVING THE TIME TO
TALK TO THE PATIENTS, OH LEARN
FROM THEM, AND FROM THE EXPERTS
IN THE FIELD ABOUT THEIR
DISEASE, AND YOU'LL HAVE THAT
GREAT TIME TO LEARN YOURSELF
ABOUT THE DISEASE TO PRACTICE
YOUR SKILLS AND TO READ MORE,
SO THAT YOU CAN BECOME A BETTER
CLINICIAN AND RESEARCHER IN THAT
SPACE.
AND IT'S MY PRIVILEGE TO WELCOME
YOU HERE TO THE CLINICAL CENTER.
AND I'D JUST ASK -- THIS IS KIND
OF REITERATING WHAT PIUS JUST
SAID, IT'S TRULY A PRIVILEGE TO
CARE FOR OUR PATIENTS TO PARTNER
WITH US.
EVERY PATIENT WHO HAS COME HERE
HAS MADE A SACRIFICE TO BE HERE,
HAS AGREAD TO BE A PARTICIPANT
IN RESEARCH.
AND WHILE THEY BENEFIT
TREMENDOUSLY, FOR MANY OF THEM,
IT'S ACTUALLY THE END OF A
TERRIBLE JOURNEY.
AND IT MAY END HERE.
THAT IS A VERY DIFFICULT AND
CHALLENGING THING FOR MANY OF US
TO DEAL WITH.
AND SO I'M ALREADY THANKING YOU
IN ADVANCE FOR YOUR WILLINGNESS
TO PARTICIPATE IN THAT DIFFICULT
PART OF THE JOURNEY WITH THE
PATIENTS, AND TO HONOR THEM FOR
SHARING IT WITH US, ASK THAT YOU
TAKE THE TIME TO LEARN FROM
THEM, AND HONOR THEM BY BEING AN
EXCELLENT PARTICIPANT IN THEIR
CARE.
SO THANK YOU.
[APPLAUSE]
>>GOOD AFTERNOON, AND WELCOME
TO THE CLINICAL CENTER.
I AM SO PLEASED TO BE ABLE TO
MEET YOU AND WELCOME YOU HERE.
I'M BARBARA JORDAN.
I'M THE ACTING CHIEF NURSE AT
THE CLINICAL CENTER.
AND WHAT I WANTED TO SHARE WITH
YOU IS JUST SOME WORDS REGARDING
INTERDISCIPLINARY CARE, BUT ALSO
TO SHARE WITH YOU WHAT'S A
LITTLE BIT DIFFERENT ABOUT
NURSES HERE AT THE CLINICAL
CENTER COMPARED TO OTHER PLACES
WHERE YOU'VE BEEN.
SO I DON'T EXPECT YOU TO
ACTUALLY -- WE'RE A BIG
DEPARTMENT, THE NURSING
DEPARTMENT IS THE LARGEST
DEPARTMENT IN THE CLINICAL
CENTER.
THERE'S OVER 700 OF US IN THE
NURSING DEPARTMENT.
BUT WE DO HAVE SERVICE LINES,
AND EVERY AREA HAS A NURSE
MANAGER.
SO SHOULD YOU NEED ASSISTANCE
WITH ANYTHING IN A CLINIC, IN AN
INPATIENT UNIT, IN THE O.R., WE
HAVE NURSE MANAGERS THROUGHOUT
WHO ARE AVAILABLE AND ABLE TO
ASSIST.
BUT THE NURSING PRACTICE HERE,
BEING THE CLINICAL CENTER, IS
DIFFERENT, THAT ALL OF THE
NURSES ARE CLINICAL RESEARCH
NURSES WHO WORK IN THE CLINICAL
CENTER.
AND SO CLINICAL RESEARCH NURSES
HAVE FIVE DIFFERENT DOMAINS OF
PRACTICE.
CLINICAL PRACTICE, STUDY
MANAGEMENT, CARE COORDINATION
AND CONTINUITY, CONTRIBUTING TO
THE SCIENCE, AND HUMAN SUBJECT
PROTECTION.
OUR NURSES PREDOMINANTLY FOCUS
IN THE CLINICAL PRACTICE REALM.
SO WE HAVE TWO DIFFERENT TYPES
OF ROLES.
SO THE CLINICAL RESEARCH NURSES
ARE THE NURSES WHO ARE WORKING
ON THE UNITS AND FLOORS, PART OF
THE NURSING DEPARTMENT.
WE ALSO HAVE RESEARCH NURSE
COORDINATORS, AND THESE FOLKS
PREDOMINANTLY WORK FOR THE
INSTITUTES AND CENTERS, AND
THEIR FOCUS IS ON THE
IMPLEMENTATION OF CLINICAL
STUDIES CARE COORDINATION, BUT
THEY MOST OFTEN DON'T PROVIDE
PATIENT CARE.
THE CLINICAL RESEARCH NURSES WHO
WORK FOR THE CLINICAL CENTER
PROVIDE THE PATIENT CARE.
WE CREDENTIAL BOTH THROUGH MY
OFFICE BUT THEY'RE CREDENTIALED
FOR DIFFERENT TYPES OF ROLES.
THIS JUST SHOWS JUST A LITTLE
COMPARISON BETWEEN A CRN AND A
RESEARCH NURSE, AND AGAIN, YOU
CAN JUST SEE THE CLINICAL
PRACTICE IS JUST A LARGER SCOPE.
WHAT THIS ALSO MEANS, THOUGH, IS
THAT THE CALIBER OF THE NURSES
WITH WHOM YOU'RE GOING TO BE
WORKING IS REALLY HIGH.
NOW I KNOW I MAY APPEAR TO BE A
LITTLE BIASED ON THAT.
BUT THEY REALLY -- BECAUSE THEY
NOT ONLY HAVE TO BE EXPERTS IN
PROVIDING THE CLINICAL CARE, BUT
THEY ALSO HAVE TO KNOW THE
RESEARCH PROTOCOLS AND HAVE
ACCESS TO THEM, BECAUSE IF
SOMEBODY MISSES A VITAL SIGN OR
AN EKG AT A PARTICULAR TIME,
THAT CAN BE A PROTOCOL
DEVIATION.
AND I GIVE THE SAME -- SO WHAT
I'M SHARING WITH YOU IS WHAT I
SHARE WITH THE NEW NURSES THAT I
MEET IN ORIENTATION EVERY TWO
WEEKS.
BECAUSE IT'S REALLY IMPORTANT.
SO THE NURSES HAVE TO HAVE A
GOOD UNDERSTANDING OF THE
RESEARCH PROTOCOLS, BUT THEY ARE
REALLY GREAT PARTNERS.
THEY ARE YOUR RESOURCES.
AS YOU KNOW, HAVING WORKED IN
OTHER ORGANIZATIONS, YOU KNOW,
WORKING WITH STRONG NURSES CAN
REALLY HELP THE PATIENT CARE,
THE FAMILIES, AND MAKE THE DAY
GO MUCH BETTER.
SO THEY, TOO, ARE YOUR RESOURCES
HERE.
WHAT'S KEY, AND I DON'T WANT TO
STEAL ANYONE'S THUNDER FOR LATER
IN THE DAY, I'M LOOKING AT
DR. LANGE, BUT IT'S
COMMUNICATION, AND IT'S REALLY,
REALLY IMPORTANT THAT WE
COMMUNICATE WELL WITH ONE
ANOTHER.
SO MAKE SURE WE'RE NOT MISSING
ANYTHING FOR PATIENTS.
THEN DR. HADIGAN MENTIONED THE
ADMINISTRATIVE COORDINATOR.
SO THIS IS THE EQUIVALENT OF THE
HOUSE SUPERVISOR OR NURSING
SUPERVISOR.
THE A.C. IS ONE OF YOUR GREATEST
RESOURCES.
THEY'RE HERE EVENINGS, NIGHTS
AND WEEKENDS, AND CALLING THE
HOSPITAL OPERATOR WILL GET YOU
THE A.C.
BECAUSE THEY CAN ANSWER ALL
SORTS OF QUESTIONS.
THEY'RE THE ON-SITE LEADER TO
MAKE SURE THAT IF ANYTHING
HAPPENS, THEY RESPOND TO CODES.
WE ALSO HAVE CODE BERT.
WHICH IS A BEHAVIORAL EMERGENCY
RESPONSE TEAM, SHOULD WE HAVE A
PATIENT OR VISITOR WHO NEEDS
EXTRA ASSISTANCE.
WHAT WE HAVE FOUND WITH CODE
BERTS, IT'S NOT OUR BEHAVIORAL
HEALTH PATIENTS THAT WE HAVE
HERE FOR WHOM THE CODE BERTS ARE
CALLED.
IT'S PREDOMINANTLY OUR MED-SURG
PATIENTS, ESPECIALLY THOSE WITH
CNS LYMPHOMA OR SOME OF OUR
PATIENTS ON OUR NEUROSCIENCE
UNIT.
AND SO A CODE BERT IS ALSO
ANOTHER RESOURCE THAT WE HAVE.
SO AGAIN, I DIDN'T TALK TOO MUCH
ABOUT MYSELF, BUT I'VE BEEN HERE
FOR 10 YEARS.
I'VE BEEN IN HEALTHCARE A REALLY
LONG TIME.
I'VE WORKED IN ALL KINDS OF
PLACES.
10 YEARS IS THE LONGEST I'VE
WORKED ANYWHERE BECAUSE IT'S --
THE PEOPLE ARE GREAT, THE
PATIENTS ARE WONDERFUL, BUT IT'S
SUCH AN INTERESTING PLACE TO
LEARN AND SO I HOPE YOU DO TAKE
ADVANTAGE OF EVERYTHING THAT'S
OFFERED HERE TO CONTINUE YOUR
GROWTH AND DEVELOPMENT.
SO AGAIN, CONGRATULATIONS ON
BEING HERE, AND WELCOME.
THANK YOU.
[APPLAUSE]
>>HI.
GREAT TO SEE EVERYBODY.
GOOD AFTERNOON.
MY NAME IS DAVID LANGE, CHIEF OF
THE OFFICE OF PATIENT SAFETY AND
CLINICAL QUALITY HERE AT THE
CLINICAL CENTER.
THAT'S ALSO KNOWN AS OPSCQ SO IF
YOU SEE SOMEBODY SAY CALL OPSCQ,
THAT'S US.
I'M A PEDIATRICIAN.
I'VE BEEN AT THE CLINICAL CENTER
FOR OVER 20 YEARS.
BUT MUCH LIKE DR. HADIGAN, I'VE
BEEN IN MY CURRENT ROLE FOR NOT
YET TWO YEARS.
SO I'M ACTUALLY STILL LEARNING
MYSELF.
MY MESSAGE FOR YOU TODAY IS THAT
HIGH QUALITY PATIENT CARE AND A
CONSTANT FOCUS -- PATIENT SAFETY
MUST BE AT THE HEART OF
EVERYTHING WE DO.
IT'S WHAT WE OWE TO OUR PATIENTS
AND THE FAMILIES THAT HAVE
ENTRUSTED THEMSELVES TO THE NIH
AND IT REALLY WHAT WE OWE TO
EACH OTHER AND WHAT ALL OF YOU
HAVE BEEN TRAINING FOR AND
STRIVING FOR FOR THE PAST
SEVERAL YEARS.
NOW I KNOW THAT ALL OF YOU COME
TO THE NIH TO LEARN MORE ABOUT
YOUR CHOSEN SPECIALTY AND TO
SPECIFICALLY LEARN HOW TO
CONDUCT CLINICAL RESEARCH, BUT
KNOW THAT YOU CANNOT HAVE
FRUITFUL AND GOOD CLINICAL
RESEARCH WITHOUT HIGH QUALITY
PATIENT CARE AND ATTENTION TO
PATIENT SAFETY.
IT NOT A MATTER OF A BALANCE.
THEY GO HAND IN HAND.
AND IF THE CARE IS NOT GOOD,
THEN YOUR RESEARCH RESULTS WILL
NOT BE USEFUL.
AS I SAID MY OFFICE IS KNOWN AS
OPSCQ, INCLUDES MYSELF, SOME
NURSE CONSULTANTS, A NURSE
PRACTITIONER, THE PATIENT
REPRESENTATIVE AND A PROGRAM
SUPPORT SPECIALIST.
WE HANDLE ALL ASPECTS OF PATIENT
SAFETY FROM EVALUATION OF NEW
PROTOCOLS OR PROGRAMS TO
SURVEILLANCE, TO REVIEW OF
SAFETY -- OF ANALYSIS OF SAFETY
EVENT.
S.
CLINICAL FELLOWS ARE AN ACTIVE
PARTICIPANT IN EACH OF THESE
ACTIVITIES.
WE'RE GOING TO TALK MORE ABOUT
THE SPECIFICALLY MODALITIES
LATER TODAY AND AT SOME FUTURE
TRAINING SESSIONS.
WE HAVE A ROBUST OCCURRENCE
REPORTING SYSTEM WHICH WE CALL
STARS.
I'LL TALK MORE ABOUT THAT LATER
TODAY.
AS THE FRONT LINE PROVIDERS, THE
CLINICAL FELLOWS ARE ENCOURAGED
TO USE STARS WHENEVER THAT'S
NEEDED.
WE ALSO ENSURE THAT THE HOSPITAL
MEETS ALL THE JOINT COMMISSION
ACCREDITATION REQUIREMENTS, AND
IN DOING SO, THAT'S HOW WE
ENSURE THAT WE'RE MEETING THE
HIGHEST SAFETY AND QUALITY
STANDARDS.
SO PLEASE KNOW THAT IF ANYTHING
IS ASKED OF YOU, BE IT
COMPLETION OF A HOSPITAL
TRAINING OR PARTICIPATION IN A
SAFETY EVALUATION, IT'S INTENDED
TO IMPROVE OUR HOSPITAL AND YOUR
EXPERIENCE AND TO IMPROVE OUR
PATIENTS' OUTCOMES AND TO ENSURE
THAT YOU'RE SUPPORTED AND
PROTECTED.
WHICH LEADS ME TO FOR THIS
PORTION OF TODAY MY MOST
IMPORTANT MESSAGE TO YOU, AND
THAT'S REGARDLESS OF WHICH
INSTITUTE OR PROGRAM BROUGHT YOU
HERE TO THE NIH, WE'RE ALL ONE
HOSPITAL AND WE'RE ONE TEAM.
AND IF YOU EVER FIND YOURSELF IN
A SITUATION THAT YOU FEEL IS
UNSAFE FOR YOU OR UNSAFE FOR
YOUR PATIENT, THAT WE WANT TO
KNOW ABOUT IT, AND I'M CONFIDENT
THAT I CAN ASSURE YOU THAT EVERY
CLINICAL CENTER LEADER WHO'S
SITTING UP ON THIS STAGE WILL
SUPPORT YOU UNCONDITIONALLY.
SO WITH THAT, I'LL SAY WELCOME
TO THE NIH, AND AGAIN I'LL BE
SEEING YOU AT THE 2:30 SESSION
LATER TODAY.
THANK YOU.
[APPLAUSE]
>>GOOD AFTERNOON.
I AM MALIKA SMITH, I'M THE
DEPUTY CHIEF OF THE SOCIAL WORK
DEPARTMENT AND ALSO THE DIRECTOR
OF EDUCATION AND TRAINING FOR
OUR DEPARTMENT.
AND IT'S A GREAT PLEASURE TO BE
HERE TODAY TO MEET WITH YOU.
SO I AM GOING TO SHARE A LOT OF
INFORMATION ABOUT OUR DEPARTMENT
THAT YOU'RE PROBABLY GOING TO
FORGET, AND THAT'S OKAY.
AND THEN I'M GOING TO SHARE A
FEW THINGS WITH YOU THAT YOU'RE
GOING TO WANT TO REMEMBER.
OKAY?
READY?
ALL RIGHT.
LET ME PRESS THE BUTTON.
ALL RIGHT.
OKAY.
NOW, OUR SOCIAL WORK DEPARTMENT
HAS TWO MAIN PROGRAMS, AND THAT
IS THE LANGUAGE INTERPRETER
PROGRAM AND THE CLINICAL SOCIAL
WORK PROGRAM.
SO THE LANGUAGE INTERPRETER
PROGRAM, WE PROVIDE ORAL
INTERPRETATION SUPPORT DURING
MEDICAL APPOINTMENTS AND
PROCEDURES FOR PARTICIPANTS WITH
LIMITED ENGLISH PROFICIENCY.
AND THAT IS SUPPORT OF 115
LANGUAGES, 40 OF WHICH HAVE A
LESSER DIFFUSION.
THIS IS PROVIDED THROUGH
IN-PERSON AND VIDEO
INTERPRETERS, AND THEN WE ALSO
HAVE REMOTE INTERPRETERS BY
PHONE THROUGH OUR CONTRACT
VENDORS.
OF NOTE, MOST INTERPRETERS --
INTERPRETATION IS PROVIDED BY
CONTRACT STAFF THAT ARE
SCHEDULED AND COME FROM OFF
SITE.
ALL IN-PERSON INTERPRETER
APPOINTMENTS MUST BE SCHEDULED
48 HOURS IN ADVANCE.
HOWEVER, IF THERE IS AN URGENT
NEED, THEN WE ASK THAT YOU CALL
US AND WE'LL DO EVERYTHING WE
CAN TO MEET THAT NEED.
IN ADDITION, WE PROVIDE WRITTEN
TRANSLATION OF PATIENT EDUCATION
MATERIALS.
I DO ALSO WANT TO HIGHLIGHT THAT
YOU MAY HAVE WITHIN GIVEN
INFORMATION ON BILINGUAL STAFF
TESTING ON MONDAY?
YES?
OKAY.
SO THAT IS, IF YOU SPEAK ANOTHER
LANGUAGE AND YOU WANT TO USE
THAT LANGUAGE TO COMMUNICATE
WITH YOUR PATIENTS, THEN WE ASK
THAT YOU SUBMIT TO THE BILINGUAL
LANGUAGE TESTING.
IT IS ACTUALLY PART OF -- IT IN
ACCORDANCE WITH OUR CLINICAL
CENTER LANGUAGE ACCESS POLICY,
AND IT'S TO VERIFY THAT YOU'RE
FLUENT IN THE LANGUAGE THAT YOU
WOULD LIKE TO USE WITH YOUR
PATIENT.
SO IF YOU HAVE THAT HANDOUT FROM
MONDAY, THEN PLEASE LOOK AT IT,
REVIEW IT AND LET US KNOW IF YOU
HAVE INTEREST IN THAT.
OKAY.
AND THEN WE ALSO HAVE THE SOCIAL
WORK PROGRAM.
IT'S THE CLINICAL SOCIAL WORK
PROGRAM AND WE PROVIDE
PSYCHOSOCIAL SUPPORT TO PATIENTS
THROUGH BIOPSYCHOSOCIAL
SPIRITUAL ASSESSMENTS, CRISIS
INTERVENTION, NON-ACUTE POSITIVE
SUICIDE, ASSESSMENTS, STRESS
SCREENINGS, SAFETY -- FOR
NEGLECT OF CHILDREN AND ADULTS
AND ALSO INTIMATE PARTNER
VIOLENCE.
IN ADDITION, WE DO COUNSELING
FOR ADJUSTMENT TO ILLNESS AND
HOSPITALIZATION COPING SKILLS,
FAMILY CAREGIVER SUPPORT, END OF
LIFE GRIEF, AND BEREAVEMENT
COUNSELING, AND THEN WE DO A
HOST OF OTHER DISCHARGE PLANNING
AND RESOURCE REFERRALS.
WE ALSO PROVIDE
PSYCHOEDUCATIONAL RESOURCES AND
SERVICES, AND THEN WE ASSIST
WITH ADVANCED DIRECTIVES AS
WELL.
SO HERE ARE THE THINGS THAT
YOU'LL WANT TO REMEMBER.
FIRST OF ALL, SOCIAL WORKERS DO
MANY DIFFERENT THINGS IN
DIFFERENT SETTINGS.
SO IF YOU'VE HAD TRAINING IN A
MILITARY TREATMENT FACILITY OR
IN A COMMUNITY HOSPITAL, YOU
MIGHT WANT TO TAKE THAT
INFORMATION YOU KNOW ABOUT
SOCIAL WORK AND USE IT HERE, BUT
IN TRUTH, WE ARE ALL LICENSED
CLINICAL THERAPISTS AND OUR
PRIMARY ROLE IS TO MEET THE
PSYCHOSOCIAL NEEDS OF PATIENTS
AND OF THEIR CAREGIVERS.
SO THAT'S THE FIRST THING I WANT
YOU TO REMEMBER.
NEXT, YOU'LL HAVE AN OPPORTUNITY
TO MEET RESEARCH PARTICIPANTS
FROM ALL OVER THE WORLD, AND
MANY OF THEM WILL HAVE LIMITED
ENGLISH PROFICIENCY.
SO WHAT I WANT YOU TO REMEMBER
IS THAT LANGUAGE INTERPRETATION
IS NOT JUST A CIVIL RIGHT, BUT
IT IS ALSO A MATTER OF PATIENT
SAFETY.
SO HOW CAN YOU HAVE PATIENTS
PARTICIPATE IN THEIR OWN CARE IF
THEY'RE UNSURE OF WHAT'S BEING
SAID?
SO PLEASE REMEMBER TO USE A
LANGUAGE INTERPRETER WHEN
NEEDED.
AND THEN FINALLY, IF YOU'RE
UNSURE OF WHETHER A CERTAIN
TOPIC IS AN AREA OF EXPERTISE
FOR THE SOCIAL WORK DEPARTMENT,
I'D JUST ASK THAT YOU GIVE US A
CALL AND EITHER IT WILL BE AND
WE WILL ASSIST OR WE WILL FIND
YOU THE EXPERT.
AGAIN, WELCOME TO THE CLINICAL
CENTER, AND I LACK FORWARD TO -D
TO PARTNERING WITH YOU.
[APPLAUSE]
>>LAST UP, GUYS.
EVERYBODY CALLS ME EDGE, I'M A
THIRD YEAR IN NIAID.
MY CO-CHAIR IS MEGAN, WHO IS NOT
HERE, BUT WILL BE WITH US LIKE
THIS AFTERNOON WHEN WE GIVE OUR,
LIKE, BIGGER SPIEL.
BUT BASICALLY MY BIGGEST
HIGHLIGHT FOR THIS PARTICULAR
SESSION IS TO KNOW WE EXIST.
SO WE DO HAVE A CLINICAL FELLOWS
COMMITTEE.
WE'RE HERE TO SERVE YOU GUYS AND
ALSO TO BE OF SERVICE TO THE
CLINICAL CENTER.
SO IT WORKS BOTH WAYS.
THE BIGGEST THING I THINK THIS
YEAR WE'RE TRYING TO DO,
SOMETHING WE STRUGGLED WITH WITH
COVID, IS BUILD COMMUNITY.
WHICH IS THIS, BUT ALSO GOING
FORWARD THROUGHOUT THE YEAR, WE
CAN ONLY SERVE YOU GUYS IF WE'RE
AWARE OF WHAT YOU NEED.
I TOLD THE PROGRAM DIRECTORS
TODAY ON THE GME CALL, EACH
PROGRAM IS REQUIRED TO HAVE A
REPRESENTATIVE THAT ACTUALLY
COMES TO THE MEETINGS TO A
LARGER CLINICAL CENTER ON WHAT
YOUR NEEDS ARE, THINGS YOU NEED
TO SEE IMPROVED, OPPORTUNITIES
THAT YOU GUYS WANT.
AND WE HAVE AN EXECUTIVE
COMMITTEE THAT HAS A BUNCH OF
PHYSICIANS, IF PEOPLE HAVE
PASSION PROJECTS OR PARTICULAR
THINGS THEY'RE INTERESTED IN
PATIENT SAFETY, TO ANY NUMBER
OF -- THAT WANT FELLOW
REPRESENTATION, WE ARE THE PLACE
WHERE WE ALL COME TOGETHER AND
PROVIDE THAT REPRESENTATION AND
A VOICE.
BECAUSE IN ESSENCE, BECAUSE WE
DON'T HAVE THAT MANY RESIDENTS,
WE KIND OF ARE THE CLINICAL
STAFF ON THE GROUND, WE'RE MOST
PROXIMATE TO THE PATIENT, AND I
THINK IT'S POSH FOR US IN OUR
VOICES TO BE HEARD AS WE THINK
ABOUT PATIENT CARE AND CLINICAL
CARE GENERAL GENERALLY HERE.
OFTEN WE'RE THE ONES TWHA THAT
ARE DOING IT AND WRITING THE
ORDERS SO I THINK THE BIGGEST
THING IS WE REALLY WANT TO HAVE
OUR VOICES BE HEARD AS WE TRAIN
NOT ONLY TO HELP TRAIN THE NEXT
GENERATION OF PHYSICIAN
SCIENTISTS ANDICALLY CLINICIANS
AND LEADERS IDEALLY, BUT ALSO TO
SORT OF HAVE THE CLINICAL CENTER
FEEDBACK ON TO US AS TO WAYS
THAT WE CAN CONTINUE TO IMPROVE
AS A GROUP.
AT THE END OF THE DAY, I THINK
IT IS THE BIGGEST PRIVILEGE TO
SERVE THE PATIENTS HERE.
I'VE HAD AN INCREDIBLE LAST
THREE -- TWO YEARS NOW, I GUESS.
I'VE LEARNED A TON, I'VE GOT TO
TAKE CARE OF INCREDIBLE PATIENTS
THAT I ONLY READ ABOUT IN
TEXTBOOKS.
AS AN IMMUNOLOGIST, I THINK IT'S
AN INCREDIBLE OPPORTUNITY TO SEE
REALLY WEIRD THINGS, WHICH IS
WHAT I THINK A LOT OF US ARE
HERE FOR, AND TO DO INCREDIBLE
RESEARCH WITH PATIENTS THAT ARE
RARE AND IT'S A PRIVILEGE TO
HAVE ACCESS TO, MANY OF WHOM ARE
DESPERATE BECAUSE THEY'VE BEEN
SEARCHING FOR 20 YEARS FOR AN
ANSWER TO A PARTICULAR PROBLEM,
AND WE OFTEN CAN PROVIDE THAT.
AND I THINK IT'S AN INCREDIBLE
PLACE TO BE WHERE YOU CAN WORK
WITH THE EXPERT IN THE WORLD WHO
DISCOVERED GABA 2 OR AVASID YOU,
ALL THINGS BIG IN THE IMMUNOLOGY
FIELD BUT ALMOST NEVER HEARD OF
IN REGULAR PRACTICE.
BUT THOSE PATIENTS ARE DESPERATE
FOR ANSWERS AND WE PROVIDE THEM.
I THINK WE DO THAT IN A
MULTITUDE OF WAYS, NOT ONLY
IN -- PATIENT I SAW YESTERDAY, I
SAW WHEN I WAS MOONLIGHTING, WE
TRANSMIT MOST OF THOSE PATIENTS
IN THE WORLD.
SHE KNOWS HE'S IN GOOD HANDS AND
GRATEFUL FOR THE OPPORTUNITY TO
FINALLY MAKE IT HERE.
IT WAS REALLY COOL TO HAVE THE
CHANCE TO SEE THAT PERSON IN
CLINIC, AND THEN BE A
MOONLIGHTER AND WATCH THEM GET
TRANSMITTED AND BE PART OF THAT
PART OF THE CARE.
SO YOU'LL HAVE THE OPPORTUNITY
TO BUILD YOUR CLINICAL SKILLS,
DO THINGS THAT ARE ATYPICAL BUT
ALSO REALLY GAIN FROM THE
EXPERIENCES WE HAVE HERE AND DO
INCREDIBLE RESEARCH OF OUR OWN
IN ADDITION TO THE CLINICAL CARE
WE PROVIDE.
SO YOU KNOW, I'M LOOKING FORWARD
TO TALKING TO YOU GUYS AGAIN IN
A COUPLE HOURS.
AND HOPEFULLY MANY OF YOU GUYS
WILL CONTINUE TO BE INVOLVED AND
STAY INVOLVED, REALLY STAY
CONNECTED AND HOPEFULLY SORT OF
MOVE FORWARD AS A LARGER GROUP
AND HELP THE CLINICAL CENTER
REACH ITS FULLEST POTENTIAL.
SO THANK YOU GUYS.
[APPLAUSE]
>>ALL RIGHT.
SO WE ARE RUNNING A LITTLE
QUICKER THAN SCHEDULED SO YOU'LL
HAVE A NICE LONG BREAK.
I WANT TO JUST REMIND YOU OF A
FEW THINGS.
THERE IS ONE FINAL PART OF YOUR
ORIENTATION WHICH WILL BE THIS
AFTERNOON, STARTING AT 2:30.
IT'S NOT HERE, IT'S BACK IN THAT
SAME ROOM THAT WE WERE ALL IN ON
MONDAY, IN BUILDING 31,
CONFERENCE ROOMS A AND B.
YOU'LL HAVE A PANEL OF SPEAKERS
WHO ARE GIVING YOU ORIENTATION
TO SOME OF THE CRITICAL TOPICS
YOU'LL NEED BEFORE YOU START.
OF COURSE DR. LANGE WILL SPEAK
ON PATIENT SAFETY, HOW TO STAY
OUT OF LEGAL TROUBLE, THERE ARE
A BUNCH OF ETHICS YOU NEED TO
LEARN ABOUT BECAUSE YOU'RE A
GOVERNMENT EMPLOYEE.
WE TALK ABOUT HUMAN SUBJECT
RESEARCH, AND THE WONDERFUL
INFORMATION, TECHNOLOGY
RESOURCES THAT ARE AVAILABLE FOR
YOU FOR YOUR CLINICAL RESEARCH
WORK.
SO THOSE ARE CRITICAL THINGS WE
WANT YOU TO LEARN.
IT'S ALL BEEN COMPRESSED TO TWO
HOURS THIS AFTERNOON.
I PUT UP HERE THE SLIDE OF THE
THREE GRAND ROUNDS TOPICS THAT
ARE GEARED DIRECTLY FOR YOU, AND
I WANT TO COMMENT ON THEM A BIT.
THE FIRST ONE IS A -- NEXT WEEK
ON THE 12TH IS HOW TO BECOME A
SUCCESSFUL CLINICIAN-SCIENTIST.
WE HAVE TWO OUTSTANDING
INDIVIDUALS, DR. COURTNEY
FITZHUGH AND DR. ANISH THOMAS.
THIS IS A PARTICULAR TENURE
TRACK PROGRAM THAT THEY ARE PART
OF, AND THEY WERE BOTH JUST IN
YOUR POSITION SOME YEARS BACK AS
A NEW CLINICAL FELLOW AT NIH AND
THEY'VE REALLY CLIMBED THE
LADDER AND ARE DOING GREAT
THINGS.
WE'RE DOING A PANEL DISCUSSION
ABOUT HOW THEY CAME TO DO WHAT
THEY'RE DOING AND ALL THE
DIFFERENT TIPS AND PERFECTLIES
OF WISDOM THEY'D LIKE TO SHARE
WITH YOU, SO THAT IS NEXT WEEK.
THE FOLLOWING WEEK, WE HAVE THE
PRIF LENL OF HAVING THE DIRECTOR
OF INTRAMURAL RESEARCH, DR. NINA
SCHOR, TALK ABOUT ALL THINGS
INTRAMURAL, WHICH REALLY HAS TO
DO WITH THE FACT THAT THIS
BUILDING IS NOT THE ONLY THING
HERE.
WE HAVE A BIG CAMPUS, WE HAVE
CAMPUSES OUTSIDE OF BETHESDA.
SHE'LL GIVE YOU A BIG PICTURE
OVERVIEW OF WHAT THE NIH
INTRAMURAL PROGRAM CONSISTS.
AND LASTLY ON THE 26TH, SPEAKING
OF RARE, WE HAVE THE RARE
PRIVILEGE OF HAVING DR. STEVE
HOLLAND, WHO'S THE SCIENTIFIC
DIRECTOR OF NIAID, COME AND TALK
ABOUT THIS TRANSITIONAL APPROACH
TO RARE DISEASES.
THIS IS HOW WE DO DISEASE
DISCOVERY, AND THIS IS A
WONDERFUL MODEL DP FOR
UNDERSTANDING WHAT IS DONE HERE
SO BEAUTIFULLY.
SO WITH THAT, WE HOPE YOU WILL
LEARN MORE ABOUT WHAT IS SPECIAL
AND WHAT HAPPENS HERE AT NIH.
AND WITH THAT, I WANT TO JUST
REMIND YOU THAT LUNCHTIME IS
NOW, AND THERE ARE SOME FOOD
TRUCKS THAT YOU MIGHT WANT TO
VISIT OUT ON THE SOUTH ENTRANCE,
AND I UNDERSTAND THERE'S ALSO
BEN AND JERRY'S ICE CREAM FOR
SALE.
SO IF YOU WANT TO VENTURE OUT
THAT WAY AND TRY SOMETHING NEW,
THERE'S ALSO THE CAFETERIA, BUT
I WANT TO JUST, AGAIN, WELCOME
YOU, GLAD TO SEE ALL YOU.
SO MAKE SURE YOU SIGN IN IF YOU
HAVEN'T SO WE KNOW YOUR
ATTENDANCE.
AND NOW THERE'S TIME FOR SOME
QUESTION AND ANSWER IF THERE'S
ANY QUESTIONS OR ANSWERS YOU CAN
USE THE MICROPHONES HERE AND ASK
ANYONE ON THE PANEL.
ANYONE HAVE ANY QUESTIONS?
>>NO QUESTIONS, HUH, FOLKS?
YOU GUYS ARE READY FOR LUNCH.
>>THEY'RE ABSORBING.
OKAY.
IF THERE ARE NO BURNING
QUESTIONS --
>>CAN I MAKE A COMMENT?
>>SURE.
>>JUST BECAUSE I DIDN'T KNOW
THAT WE WERE GOING TO HEAR ABOUT
THE PROFICIENCY IN LANGUAGE, I
WANT TO GIVE YOU A CAVEAT.
THE TESTING FOR THAT LANGUAGE IS
FOR YOU TO DO YOUR JOB IN THAT
LANGUAGE.
IT IS NOT FOR YOU TO BECOME AN
INTERPRETER.
OKAY?
SO I JUST WANT TO MAKE IT CLEAR
ON THAT.
DO NOT ALLOW OTHER PEOPLE TO
PULL YOU IN A ROOM TO BECOME AN
INTERPRETER.
WE HAVE INTERPRETER SERVICES FOR
THAT.
WHAT WE ARE TRYING TO DO IS JUST
ESTABLISH YOUR PROFICIENCY THAT
YOU CAN DO THE JOB IN A LANGUAGE
THAT YOU'RE COMFORTABLE IN.
OKAY?
SO I ENCOURAGE YOU ALL TO DO
THAT, AND APPRECIATE YOUR
WILLINGNESS TO USE YOUR LANGUAGE
SKILLS, BUT I WANT TO MAKE SURE
THAT YOU DON'T THINK THAT MEANS
BY TAKING THE TEST, THAT A NURSE
OR A PHYSICIAN OR A TECHNICIAN
COULD THEN DRAW YOU IN A ROOM
AND ASK YOU TO BE AN
INTERPRETER, BECAUSE THAT'S NOT
YOUR JOB.
YOUR JOB IS TO BE A FELLOW AND
TAKE CARE OF THESE PATIENTS.
THANKS.
>>I THINK THEY'RE READY TO GO.
THEY HAD THE CODE BLUE AND
INFECTION CONTROL TRAINING
YESTERDAY SO THEY'RE SET.
SO WE WILL RELEASE YOU NOW TO GO
HAVE LUNCH.
THANK YOU AND A BIG ROUND OF
APPLAUSE TO OUR PANEL.
[APPLAUSE]