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FACULTY                                                OVERVIEW

Director and Professor        ...

Clinical research also continues in the area of vascular access to avoid the           Assistant...

 In the past year, the Division has also developed and incorporated podcasting and

Paul G. Schmitz, M.D.
  Best Doctors in America


Tarek El-Ac...
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  1. 1. DIVISION OF NEPHROLOGY FACULTY OVERVIEW Director and Professor The Division of Nephrology offers comprehensive care for Kevin J. Martin, M.B.,B.Ch. patients with acute and chronic disorders of the kidney and urinary tract; fluid, electrolyte and acid base disorders; and Professor hypertension. The clinical service of the Nephrology Bahar Bastani, M.D. Division includes inpatient and outpatient diagnostic Paul G. Schmitz, M.D. evaluation, hemodialysis, peritoneal dialysis, renal transplantation evaluation, follow-up and support, renal Professor Secondary biopsy, interventional nephrology and outpatient follow-up Joseph Baldassare, Ph.D. care. Luis Salinas-Madrigal, M.D. Kevin J. Martin The clinical activities of the Division of Nephrology have Emeritus Professor continued to grow in the past year in several areas. Our Bernard R. Davis, M.D. interventional nephrology program, which is involved in the maintenance of vascular access for patients on dialysis continues to grow. The interventional Clinical Professor nephrology service provides diagnostic venography for problems with arterial Sudarshan Ballal, M.B.B.S. venous access, angioplasty, stent placement, and thrombectomies, as required for the maintenance of adequate dialysis access. The interventional nephrology Associate Professor service also places temporary and semi-permanent tunneled dialysis access Esther A. Gonzalez, M.D. catheters and provides comprehensive management for complications of vascular access issues. Associate Professor Secondary The outpatient dialysis services of the Division has undergone some change, with Robert Lynch, M.D., Ph.D. a new partner, FMC, bringing new innovations and management skills to the dialysis operation. Our principal dialysis facility at Drummond Hall has been Associate Clinical Professor aging and plans are underway to open a modern, state-of-the-art dialysis center at Steven Bander, M.D. the nearby Salus Center. Robert Cuddihee, M.D. Donovan Polack, M.D. The faculty of the Division of the Nephrology participates in broad-based J. Sataya Sagar, MBBS. community service at St. Louis ConnectCare, where nephrology consultation and follow-up are provided on a rotating basis. Division members also actively Assistant Professor participated in community projects such as the National Kidney Foundation KEEP Ziyad Al Aly, M.D. program, which involved health screenings for kidney disease in the general Alejandro Alvarez, M.D. community. Tarek El-Achkar, M.D. Krista Lentine, M.D. New faculty have been added to the Division to allow us to expand our clinical Marie Philipneri, M.D. care, research and teaching missions. The Division of Nephrology is also Michael I. Rauchman, M.D. expanding its activity in the area of transplant nephrology and will devote full- Zhiwei Zhang, M.D. time transplant nephrology attending services for the teaching and training of nephrology fellows to add additional resources to the growing renal transplant Assistant Professor service. Secondary Ellen Wood, M.D. Research activities of the Division of Nephrology continue in several areas. Ongoing research in the area of renal bone disease has focused on the vitamin D system and clinical trials with vitamin D analogs are underway. The faculty of the Division has been instrumental in demonstrating a high prevalence of nutritional vitamin D deficiency in patients with kidney disease, and work continues in early clinical trials to find adequate means of correcting this deficiency. 35
  2. 2. DIVISION OF NEPHROLOGY Clinical research also continues in the area of vascular access to avoid the Assistant Clinical Professor complications, and the Division participates in national studies to try to improve Paul Altsheler, M.D. outcomes of vascular access procedures. Additional clinical studies complement A.K. Antony, M.D. this area under the auspices of the Missouri Foundation for Health, where we have Michael Bartell, M.D. shown that the addition of a dedicated vascular access coordinator has achieved James Greenwald, M.D. significant improvements in the management and prophylaxis of vascular access Robert Haake, D.O. problems. Clinical studies in dialysis patients also focus on nutrition and the Subashghandra Joshi, consequences of malnutrition in this patient population. Area of basic research M.B.B.S. have also grown, particularly among the faculty based at the VA hospital, where Humayun Quadir, M.D. studies are in progress on the area of kidney development, acute kidney injury, Mowaffaq Said, M.D. and the Pathophysiology of vascular calcification. As the population ages, so does Inderjit Singh, M.D. the population with kidney disease, and studies are in progress to evaluate Steven Zelman, M.D. pertinent issues with dialysis in the elderly. Assistant Research In the area of vascular access, it should be noted that the Division of Nephrology Professor has facilitated the training of interventional nephrologists from other universities Susan Kiefer, Ph.D. who have returned to start interventional nephrology programs at their parent institutions. Office Manager Ms. Diane Goebel Working closely with the Center for Outcomes Research, the Division of Nephrology faculty and fellows have contributed to significant outcomes research projects. Educational activities of the Division include the education and training of internal medicine residents, medical students and nephrology fellows. The quality of the education is underscored by the five year accreditation cycle recently awarded by the ACGME. Remarkably, not a single citation was raised in the ACGME’s thorough evaluation of our training program. The educational programs under the direction of Dr. Paul Schmitz have undergone considerable growth and incorporated new technologies, which will allow the program to embrace reforms in healthcare, align the program with the ACGME outcomes project, and most importantly, ensure a robust and invigorating educational experience for all members of the Division. In addition to the biweekly journal club and monthly research seminar, the Division covers topics that fall into nine major content areas or themes. The topics are specifically chosen to highlight recent advances in basic science which influence medical practice and provide state-of-the-art reviews of important or emerging clinical topics. The nine major content areas include the pathological basis of nephrology, the physiological basis of nephrology, interdisciplinary nephrology, acute and chronic kidney disease, renal replacement therapies, fluid, electrolyte and acid/base disorders, clinical implications of basic science, fundamentals of renal transplantation and hypertension. The Division has developed a website which discusses in detail the goals and objectives of each of these themes, provides the presenter with specific guidelines for their presentation, and lists specific topics via a web-based, embedded Google calendar. 36
  3. 3. DIVISION OF NEPHROLOGY In the past year, the Division has also developed and incorporated podcasting and videocasting into the core curriculum. These are available for viewing or listening by the trainees during their rotation on the Nephrology service. The division is actively engaged in furthering its endeavors in the area of technology through the development of vertically integrated portals or VORTALS and learning management systems for nephrology faculty, fellows, medical students and residents. The Division of Nephrology continues to coordinate the Renal and Urinary Tract Organ-Based Module as part of the Phase II Curriculum for the second year medical students. The students have consistently ranked this course as the finest in the medical school across a broad range of quality standards, such as course organization, quality of teaching, appropriateness of teaching methods, incorporation of clinically relevant material, motivation for learning, feedback, and helpfulness in preparing the students for clerkships and USMLE exams. The Division is particularly proud of these accomplishments. The Division looks forward to participating in its first match for nephrology fellowship training in the year 2009. HONORS AND RECOGNITION Ziyad Al Aly, M.D. 2007 Cardiovascular Research Award, Central Society of Clinical Research; 2007 American Federation of Medical Research Scholar Award for outstanding work on the role of inflammation and vascular calcification; Chairman elect of the Scientific Advisory Board of the National Kidney Foundation of Eastern Missouri and Metro East Bahar Bastani, M.D. Best Doctors in America Krista Lentine, M.D. American Society of Transplant Surgeons 7th Annual State of the Art Winter Symposium, “Top Ten Abstract” Award Kevin J. Martin, M.B.,B.Ch. Assistant Editor, NephSAP Best Doctors in America Invited speaker, University of Oklahoma, June 2007 Michael I. Rauchman, M.D. Appointed to M.D./Ph.D. Program Steering committee, Saint Louis University School of Medicine Member, NIH (NIDDK) Study Section, Special Emphasis Panel, Centers of Excellence in Pediatric Nephrology 37
  4. 4. DIVISION OF NEPHROLOGY Paul G. Schmitz, M.D. Best Doctors in America NEW FACULTY ENTERING THE DIVISION Tarek El-Achkar, M.D., Assistant Professor of Internal Medicine (former nephrology fellow, Indiana University, Indianapolis, IN). Ziyad Al Aly, M.D., Assistant Professor of Internal Medicine (former nephrology fellow, Saint Louis University Nephrology Training Program). Alejandro Alvarez, M.D., Assistant Professor of Internal Medicine (former staff physician, Nephrology and Hypertension Specialists, St. Louis, MO). GRANTS AND CONTRACTS HELD BY EACH FACULTY MEMBER Kevin J. Martin, M.B.,B.Ch. National Kidney Foundation, “Standardization of Assays for Parathyroid Hormone,” 2006-2010, $176,942 annually. NHLBI/Medical University of Toledo, “Cardiovascular Outcomes in Renal Atherosclerotic Lesions (CORAL),” 2005-2010. Marie Philipneri, M.D. Missouri Foundation for Health, “Optimizing Vascular Access,” 2006-2007. Michael I. Rauchman, M.D. NIH-NIDDK R01 DK07622, “Sall1 in Kidney Development and Townes- Brocks Syndrome,” 2004-2008, $176,942 annually. Veterans Affairs Research Administration, Merit Award: Sall1 in Kidney Development and Townes-Brocks Syndrome, 2004-2007. Due to confidentiality agreements and non-publicity clauses in contracts with sponsors, specific information pertaining to industry sponsored research may not be released in public documents. During fiscal year 2007 the Division of Nephrology had several active studies with different sponsors. 38