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UW School of Medicine Online News 11-16-07
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University of Washington School of Medicine
Online News
Vol. 11, No. 45
Nov. 16, 2007
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PLEASE NOTE: Due to the Thanksgiving holiday, the Online News
will not publish on Friday, Nov. 23. The next issue will be Nov. 30.
To view an archived version of Online News on the UW
Medicine Web site, visit:
http://www.uwmedicine.org/Global/NewsAndEvents/somnews/index.htm
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MESSAGE FROM THE DEAN: James W. Haviland, 1911-2007, was a major figure in formation of the UW School of Medicine
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This week’s news:
* Young people with asthma more likely to have depressive and anxiety disorders, according to study by UW, Group Health, and Children's Hospital research team
* Great Falls, Mont., pediatric clerkship students learn about Hutterite approaches to health care at nearby Fairhaven Colony
* School of Medicine honors Service Excellence Award recipients
* School of Medicine's GME Committee hosting forums for faculty, staff, residents, and fellows to discuss graduate medical education experiences
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MESSAGE FROM THE DEAN:
Dear Colleagues:
It is with sorrow that I tell you of the death of James W. Haviland, M.D., a leader in the University of Washington School of Medicine’s formation and development. Dr. Haviland died at his home this week at the age of 96, after a long and remarkable life.
Jim Haviland was a renaissance man of medicine. Throughout his career, he served both community and academic medicine. Among his many accomplishments, he brought the worlds of community and academic medicine together to pursue common bonds and purpose. He played a key role in merging a major research advance with the needs of the community through creating a clinical home for the Scribner kidney dialysis shunt. He enthusiastically supported physicians of the future, urging them to enter the medical profession and promoting them within that setting. He was a tireless advocate of the value of medicine and believed in the power of people working together to make a difference.
Born in Glens Falls, New York, on July 18, 1911, Dr. Haviland completed his medical school and residency training at Johns Hopkins University. He then served as Director of Services for Crippled Children at the Departments of Social Security and of Health for the State of Washington in Olympia. There, he met his first wife, Marion Bertram, a social worker (who died in 1993). Dr. Haviland served in the U.S. Naval Reserve for four years before establishing an internal medicine private practice in Seattle.
As the newly forming University of Washington medical school took shape, Dr. Haviland became a key liaison between the Washington State Medical Association and the medical school’s administration. From 1949 to 1953, he served as assistant dean to Edward Turner, the medical school’s first dean, helping to unite the new medical school with community physicians.
When Dean Turner left his position in 1953, Dr. Haviland became acting dean, intending to fulfill the role on a half-time basis while continuing full-time private practice. He gave both roles his full and Herculean effort, serving with exceptional dedication until George Aagaard became dean. As acting dean, Dr. Haviland took an active and important role in the design, construction, and funding of University Hospital. He then continued on as assistant dean, as clinical professor of medicine, and from 1972 to 1976 as associate dean for clinical affairs, while maintaining his private practice.
Among his many accomplishments, Dr. Haviland is considered the father of the world’s first outpatient dialysis treatment center, the Seattle Artificial Kidney Center, established in 1962 and known today as the Northwest Kidney Centers. When Dr. Belding Scribner invented the famous shunt that made outpatient dialysis possible, he called upon his colleague, Dr. Haviland, to help start a dialysis program for the community. Dr. Haviland was then president of the King County Medical Society and together, they designed the world’s first non-profit outpatient dialysis program. Dr. Haviland was instrumental in marshalling community resources and leading the effort to create the life-changing and internationally emulated center.
Dr. Haviland’s publications spanned a number of areas. His bibliography lists 30 entries, from academic articles to medical history books. Among the latter, he co-authored Saddlebags to Scanners: The 100 Years of Medicine in Washington State.
Dr. Haviland was recognized frequently throughout his lifetime for his many accomplishments. Among his leadership roles, he served as president of the American College of Physicians in 1970-71; in 1973, he was awarded Mastership in the College. Also in 1973, he was elected to the prestigious Institute of Medicine. He received a number of awards, including the Washington Laureate Award in 1995 from the Washington Chapter of the American College of Physicians, and the Northwest Kidney Centers’ first Celebration of Excellence Award in 1990, which became the James W. Haviland Award.
Jim Haviland was a tireless supporter of the UW School of Medicine. In 1988, a letter nominating him for a major award noted that the Havilands had supported every single major development effort of the School of Medicine. He continuously rallied clinical faculty to support the School’s needs and directly provided support. A number of tributary statements by alumni point to the significant role he had in promoting and enriching their careers.
Jim Haviland’s selflessness, dedication, and remarkable spirit of innovation and collaboration speak to the very best qualities of the medical profession. In all of his activities, he enriched, united, and inspired the culture and community of medicine. He was a man of vision, action, and dedication. My condolences go out to his wife Mary and the entire Haviland family.
A memorial service will be held at 1:00 p.m. on Saturday, Dec. 1, at Emmanuel Episcopal Church, 4400 86th Ave SE, Mercer Island, Wash. The family asks that in lieu of flowers, remembrances be directed to the James W. Haviland Endowment Fund at the Northwest Kidney Centers, P.O. Box 3035, Seattle, WA, 98114. UW Medicine and the Northwest Kidney Centers are planning a joint celebration of Jim Haviland’s life. An announcement will be made in the near future about time and place for the celebration.
Sincerely,
Paul G. Ramsey, M.D.
CEO, UW Medicine
Executive Vice President for Medical Affairs and
Dean of the School of Medicine,
University of Washington
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YOUNG PEOPLE WITH ASTHMA MORE LIKELY TO HAVE DEPRESSIVE AND ANXIETY DISORDERS
Young people with asthma are about twice as likely to suffer from depressive and anxiety disorders as children without asthma, according to a study by a UW-led research team in Seattle. Previous research had suggested a possible link in young people between asthma and some mental health problems, such as panic disorder, but this study is the first showing such a strong connection between the respiratory condition and depressive and anxiety disorders. The findings appear in the November issue of the Journal of Adolescent Health.
The study was conducted by researchers at the UW School of Medicine, Group Health Cooperative, and Seattle Children's Hospital Research Institute. The researchers interviewed more than 1,300 youths, ages 11 to 17, who were enrolled in the Group Health Cooperative health maintenance organization. Of the participants, 781 had been diagnosed with or treated for asthma, and the rest were randomly selected youths with no history of asthma.
About 16 percent of the young people with asthma had depressive or anxiety disorders, the researchers found, compared to about 9 percent of youth without asthma. When controlling for other possible variables, youth with asthma were about 1.9 times as likely to have such depressive or anxiety disorders.
Researchers tested for several depressive and anxiety disorders, including depression, a mood disorder called dysthymia, panic disorder, generalized anxiety disorder, separation anxiety, social phobia, and agoraphobia. These disorders are somewhat common in youth, and are associated with high risk for school problems, early pregnancy, adverse health behaviors like smoking or lack of exercise, and suicide.
Young people with depressive and anxiety disorders often find it harder to manage their asthma and describe more impaired physical functioning because of the combination of asthma and a depressive or anxiety disorder, the researchers said. Youth with asthma and one of the disorders are also more likely to smoke, making their asthma more difficult to treat.
The authors argue that physicians, patients, and families should be aware of the higher risk of psychiatric disorders in young people with asthma. Primary care physicians correctly identify only about 40 percent of the cases in which children with asthma also have a depressive or anxiety disorder, the authors said, indicating that screening for the disorders need to be improved.
In addition to exploring the link between asthma and depressive and anxiety disorders, researchers found other variables that further increase the risk of such disorders. Female respondents were at a greater risk of depressive and anxiety disorders, as were youth living in a single-parent household, those who had been diagnosed with asthma more recently, and those with more impairment in asthma-related physical health.
The study was led by Wayne Katon, professor and vice-chair of psychiatry.
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GREAT FALLS PEDIATRIC STUDENTS VISIT HUTTERITE COLONY
Third-year medical students in the Great Falls, Mont., pediatrics clerkship have several opportunities to learn about health in the community, in addition to training at hospitals and clinics. Among these is a visit to the Fairhaven Hutterite Colony in Ulm, Mont., about 20 miles away. The colony's business manager, his wife, and Jeffrey Hinz, a WWAMI clinical associate professor of pediatrics, set up the program several years ago for medical students to ask about the Hutterites' approach to obtaining health care, paying for treatment, and rearing their children.
The Hutterites own farms, use modern equipment, and share all property in common. Meals are eaten in a central dining hall. Montana, eastern Washington, and western Canada have several Hutterite colonies.
The Fairhaven Colony business manager's wife noted that rural Northwest doctors may sometimes see Hutterites, but may not know about their way of life. Many people don't realize, she said, that they use clinics, hospitals, and hospices. The elderly and disabled usually are cared for at home, but sometimes move to nursing facilities outside the colony.
In Hutterite communities, the wife of the colony leader usually serves as a community health advocate and advisor for other families. For example, she checks children's ears for infections, and counsels on when to see a doctor. The WWAMI Great Falls pediatric site and some of its medical students have prepared an instruction sheet for several Hutterite colonies in Montana warning about unsafe or ineffective folk medicine that should not be used.
Each colony pools its resources to pay for medical care. The colonies run their own schools for children and apprenticeships for older teens. Children have a lot of play time, do simple chores, and swim in the colony pool.
The manager's wife said the colony enjoys the medical students' visit, and the students say they learn a great deal from the experience.
The UW pediatrics clerkship in Great Falls is headed by Colleen Marron, UW clinical associate professor of pediatrics.
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SCHOOL OF MEDICINE HONORS SERVICE EXCELLENCE AWARD RECIPIENTS
The UW School of Medicine has recognized the summer 2007 recipients of its Service Excellence Awards. That quarter's honorees are Monica Fawthrop, administrator in the Department of Medicine's Division of Pulmonary and Critical Care Medicine; Wendell Patrick Fleet, professor of medicine in the Division of Nephrology; Mark Whipple, assistant professor in the Department of Otolaryngology – Head and Neck Surgery; and Colleen Himes, public information specialist in the Department of Psychiatry and Behavioral Sciences.
The School of Medicine's Service Excellence Awards program honors faculty and staff for their outstanding service in research, teaching, mentoring, and administrative support.
The summer 2007 recipients were honored for a variety of reasons. Fawthrop was honored for her broad array of talents including her exemplary communication, her dependability and dedication to the Division and to all those around her, and her stellar leadership qualities. Fleet was recognized because he is an exceptional clinical teacher and lecturer. Whipple was recognized for his outstanding contributions in research and his unselfishness in taking over essential leadership roles. Himes was honored for her attention to detail, consistent and efficient work ethic, and willingness to mentor staff and students.
The honorees received a $100 gift certificate from the University Book Store, a certificate of appreciation, and a letter of acknowledgment from Paul G. Ramsey, dean of the School of Medicine.
For more information about the School of Medicine Service Excellence Awards, or to nominate a member of staff or faculty, contact somstar@u.washington.edu or visit the Dean's Web site at http://depts.washington.edu/domops and click on the link for Service Excellence.
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GME COMMITTEE HOSTING FORUMS FOR PEOPLE IN GRADUATE MEDICAL EDUCATION
The School of Medicine's Graduate Medical Education Committee is hosting two forums for those involved in graduate medical education to share their thoughts and ideas on the resident and fellow educational experience and work life at UW Medicine. The forums are designed to exchange information about the successes and challenges faced in graduate medical education, and to increase communication among members of the UW Medicine GME community.
The first forum will be held from noon to 1:30 p.m., Tuesday, Nov. 27, at the Harborview Research and Training Building, Rooms 109/113. The second forum is scheduled for noon to 1:30 p.m., Friday, Nov. 30, at UW Medical Center, Room RR-134. The forums are open to all members of the UW Medicine graduate medical education community, including faculty, residents, fellows, and staff. Lunch will be provided.
The GME Committee is led by John B. Coombs, designated institutional official for GME and vice dean for regional affairs, rural health, and graduate medical education. The group includes residents, fellows, faculty, staff, and administrators from throughout UW Medicine. The committee is responsible for monitoring and advising on all aspects of residency and fellowship education, including the establishment and implementation of policies and procedures regarding the quality of education, work environment, duty hours, supervision, general competencies, stipends, and benefits.
For more information about the GME forums, contact Amity Neumeister, Graduate Medical Education administrative director, at amity@u.washington.edu or 206-685-6801.
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Justin Reedy, editor:
206-685-0382, jreedy@u.washington.edu
Online News is copyright 2007. All rights, including electronic
redistribution, are reserved.
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