Opening Remarks
 There is much excitement to report in this Spring issue of The Loop. It's official! The Clinical Simulation Center will more than double its size, and its educational capacity, by expanding into renovated space in Medical Science Building II. We also recap a successful Health Professions Education Day in April, highlighted by 80 posters and an excellent keynote. To inform you of one of our ongoing educational offerings, we feature the PASQUAL program which is on the leading edge of improving care quality and patient outcomes. This is also a time of change for the department. Our superb Chief Department Administrator, Daryl McDaniel, assumed the position of Chief of Staff for the Michigan Medicine Clinical Enterprise. Here, we introduce his worthy replacement, Anne Murphy. We are all looking forward to working with Anne who comes to us from the U-M Transplant Center where she was administrative director. And finally, we feature Karadeep Singh. His work, particularly in data science and predictive modeling, is quickly establishing him as a rising star at Michigan.
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Double the Size, Double the Clinical Simulation Opportunities
 Construction will soon be underway on a second Clinical Simulation Center (CSC) location for Michigan Medicine health professionals, residents and students. When complete, the new CSC expansion in Medical Science Building II (CSC Med Sci II) will boast 7,500 square feet of state-of-the-art simulation space, breathing new life into the former Furstenberg Student Study Center Lounge.
Final approval by the University of Michigan Board of Regents on April 20th paved the way for this CSC expansion to meet the growing demand for simulation-based training and professional development which is stretching the limits of the 6,000 square foot Towsley CSC, currently accommodating 10,000 learner visits annually.
Departments who work with the CSC can look forward not only to an increase in space, but more educational resources allowing them to innovate and customize for simulation unique to their specialty. “As a smaller field, we have to develop our own simulators as the commercially available ones are not quite as useful,” says Kelly Malloy, MD, Associate Professor in the Department of Otolaryngology-Head and Neck Surgery. She sees the new location as an opportunity to expand her CSC-based training program - the Annual ORL Essentials Boot Camp which attracts residents from around the Midwest.
An exciting feature of the new CSC Med Sci II is the presence of two fully equipped, exact replica, Adult Patient Rooms, one ICU room, one Emergency Medicine resuscitation room and a “Crossover Room” for Pediatric or Obstetric simulations that will utilize hi-fidelity pediatric and birthing-mother manikins. Multi-functional Table-Top Task Trainers are also a key offering in the new space.
Groups can take advantage of two large classrooms, three debriefing rooms and a gathering area in the reception space. Like its sister center in the Towsley Center, the new CSC location will allow individuals to access an Independent Simulation, or iSim, space 24/7 with stations to practice diagnostic and procedural skills and complete training modules anytime, day or night.
Located steps away from the Taubman Health Sciences Library the CSC’s Med Sci II location will be appreciated by medical students, as well as nursing educators in Professional Development and Education who are currently located in North Ingalls. More access to realistic training scenarios means better outcomes when students start their practice. “Learning in this environment helps students reduce errors, improve safety, and elevate the quality of patient care,” explains James Cooke, MD, Executive Director of the Clinical Simulation Center and Assistant Professor in the Departments of Learning Health Sciences and Family Medicine. “As demonstrated through pediatric cardiac arrest training, simulation training in the CSC directly improved patient outcomes in Mott Children’s Hospital and evidence is increasing for improved patient outcomes in many other healthcare environments.”
Students and residents aren’t the only ones that benefit from simulation training. Faculty and staff frequently visit to refresh their skills or develop new ones. The new CSC Med Sci II will be ready to welcome all these visitors when it opens in January 2018.
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Health Professions Education Day brought together individuals from across the university health sciences to share and discuss their efforts in interprofessional education and collaborative care.
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HPE Day 2017 Celebrates Interprofessional Learning
The morning of April 13 the Michigan League was hustling and bustling as students and faculty came to share their work at Health Professions Education Day, or HPE Day as it is affectionately known. Upwards of 220 participants perused the 80 posters and presentations, detailing a wide range of projects from ethics in pharmacy to self-directed simulation to Surgery Olympics and beyond.
Naturally, bringing together diverse thinkers from the world of health professions is a collective effort. The Michigan Center for Interprofessional Education, the Center for Research on Learning and Teaching and the Office of Academic Innovation teamed up with the Division of Professional Education in the Department of Learning Health Sciences (DLHS) to make this third installment of HPE Day the most well attended yet.
Repeat attendee and Assistant Research Scientist at the U-M School of Social Work, Adrienne Lapidos, PhD, contributed her presentation: A Social Work Course for Dental Hygiene Students: Using Critical Incidents to Support Patient-Centered Care. She appreciates exploring her colleagues’ work during the poster session and the opportunities it affords up and coming scholars, “My co-presenter was one of my students, so it was nice to be able to showcase her work.”
Keynote speaker Jeanette Mladenovic, MD, MBA, MACP, former Executive Vice President and Provost of Oregon Health & Science University, was next on the agenda. In her talk, “The Challenge of Tradition,” Dr. Mladenovic laid out her vision for health care delivery in the future, more collaboration and less hierarchy. Activities were rounded out by a panel discussion of U-M Interprofessional Leadership Fellows: Amber L. Dallwig, MSN, RN, Stephanie M. Munz, DDS, and Paul Walker, PharmD. Events came to a close with participants debriefing the day and networking over a casual lunch in the League.
Caren Stalburg, MD, MA, Division Chief of Professional Education in DLHS, and HPE Day Co-Chair celebrates the vital part HPE Day plays in building momentum for productive interaction across the U-M health science schools. “Our schools and colleges continue to train the healthcare leaders of tomorrow and are experts at doing so,” said Stalburg reflecting on this year’s event. “To be able to create a space where the entire community can come together to think about the mission of teaching and learning is really inspiring.”
If you missed it this year, catch up by going to the HPE Day 2017 website for video and program materials. Then stay in the know by subscribing to the mailing list and have your research ready in time for HPE Day 2018!
Looking for an interprofessional funding opportunity: The $1.5 million IP-X Research Stimulus grant program is now accepting applications through June 14, 2017.
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Educating Quality Leaders
 At the intersection of patient safety and quality you’ll find PASQUAL (Patient Safety and Quality Leadership) Scholars Program, an interdisciplinary program to train Michigan Medicine faculty and staff who are serious about boosting their teaching, collaboration and leadership skills to improve patient outcomes.
In conjunction with the Office of Faculty Development the program began in 2012 and is in its fifth cohort. To foster a comfortable group dynamic, class size is kept small. The current 14 participants are finishing up their weekly afternoon sessions that run October to May. PASQUAL seminars cover a lot of ground: one week the group may gather in the Taubman Health Sciences Library to hear an expert from the VA National Center for Health and Safety, or other times PASQUAL goes to the source – it could be a visit to the urology clinic or the Pediatric Emergency room at C.S. Mott Children’s Hospital.
Spanning the health system, with an emphasis on the human factor in quality improvement, the program brings in leadership to address strategic initiatives, middle managers to talk tactical work, and also those on the front lines of care to share their perspectives and lessons. “The program is continually evolving,” says PASQUAL program director Jacob Seagull, PhD, citing the importance of personal engagement with the material, presenters and each other at the seminars. “It’s about learning the tools. You can’t just get the content from books or a webinar.”
PASQUAL’s opportunity for peer support has made a difference for current student and U-M Gastroenterologist Michael Rice, MD. He’s already developed contacts not only within his own cohort, but past students and visiting speakers as well. Says Rice, “I would definitely recommend it. You realize you’re not alone in the process problems you face.”
The action oriented program only considers applicants (typically doctors, nurses, physician assistants and pharmacists) who already have a quality improvement project in development. Over the course of the program students then refine their projects. Once equipped with their PASQUAL tool box many participants have gone on to become “quality” leaders in their departments, at the hospital level or in state-wide and national organizations.
With patient safety competency becoming increasingly important for many accreditations, there’s even more reason to join the community of PASQUAL scholars who learn to incorporate quality and safety seamlessly into their practice, teaching and research.
The PASQUAL application process is now open. Applications are due by June 30, 2017.
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DLHS Profile: Anne Murphy, MBA, FACHE, Brings Vast Experience to CDA Role
 New Chief Department Administrator (CDA), Anne Murphy, has spent the last thirteen years of her career at Michigan growing the University of Michigan Transplant Center, and now the avid gardener is eager to help cultivate the rising Department of Learning Health Sciences (DLHS).
A Californian since age three, Murphy went to the University of San Francisco for her undergraduate degree and then on to San Jose State University for her MBA. She was a Chief Administrative Officer for the Departments of Anesthesiology and Emergency Medicine at the UCLA School of Medicine before making her way east when her husband, neuroscientist Geoffery Murphy, PhD, took a position at University of Michigan. This move marked a fitting return to her Big 10 lineage - Murphy’s parents both attended the University of Iowa.
As Administrative Director of the U-M Transplant Center she advanced infrastructure to improve the patient care experience, including opening new multidisciplinary clinics and developing a transplant specialty pharmacy. Murphy was a key player in Wolverines for Life, a partnership between Michigan Medicine and U-M Athletics as well as outside organizations such as the American Red Cross and Gift of Life Michigan.
The winner of multiple transplant-related awards, Murphy felt it was time for a fresh challenge when she became aware of the position at DLHS. “I spent my early career in Silicon Valley research and development,” explains the new CDA. “So, I like the DLHS convergence of technology and health care administration.”
Murphy and her husband enjoy travelling, most recently to the Finger Lakes region of New York where their son just completed his freshman year at Ithaca State College. She is an enthusiastic member of a book club comprised of a close-knit group of friends, and in the warmer months you’re likely to find her hard at work in the garden.
At the moment Murphy is looking forward to digging into her role as CDA on June 1st. “I’m excited about the opportunity to participate in this new and emerging field as well as working with the team to advance the numerous new initiatives.”
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DLHS Profile: Dr. Karandeep Singh, Leveraging Computing and Statistics to Understand Disease
 As early as 10 years old Karandeep Singh was writing software, so it’s no wonder that the Clinical Assistant Professor of Learning Health Sciences found a way to blend his medical career with computing.
Born in India, Singh’s family immigrated to the U.S. when he was two. He learned to speak English in the Troy, Michigan public schools and went on to earn a place at University of Michigan. Industrious by nature, his curiosity about better ways to access a new thing called email led him to write an email-reading client for the early iPods, which at the time were essentially music players. He made the software available for free on his personal website and very quickly it achieved over 10,000 downloads.
Seeing his son’s interest in software, Singh’s father, an automotive software engineer, counseled him to find another career path and keep the programming for fun. Easier said than done. Once in U-M medical school he couldn’t pass up an opportunity to work with Rajesh S. Mangrulkar, MD, to develop blood gas calculator software to help diagnose acid based abnormalities. During his UCLA residency he was a founding developer of the UCLA Resident Education System that provides everything from paging to drug and services guides.
Still, these extracurricular programming activities were not Singh’s primary focus. It wasn’t until he was doing a Nephrology Fellowship at Brigham and Women’s Hospital in Boston that he discovered there was an actual field mixing computing with medicine. That led to his master of medical sciences degree in Biomedical Informatics from Harvard. “Ever since then I turned my attention to computing and statistics to learn about disease from the Electronic Health Record,” says Singh, noting the main focus of his innovative work in the Department of Learning Health Sciences.
Happy to be back at U-M, Singh is establishing himself as an expert voice in the expanding mobile health app universe. Health Affairs published a 2016 study led by Singh on efficacy of health apps that also grabbed the attention of major media outlets. Beyond research Singh keeps a hand in clinical practice and has been recognized for the quality of his teaching - he is a 2016 recipient of the Endowment for Basic Sciences Teaching Award.
He is married to fellow U-M physician Tejpreet Kaur Nakai, DO. Proud to pass on their Sikh culture, they speak Punjabi at home and preside over a busy multi-generational household which includes a 3 1/2 year-old son, a 11 month-old daughter, as well as their parents and even grandparents. If he can steal a moment from work and home responsibilities, Singh unwinds on the basketball court.
Karandeep Singh, MD, MMSc, is Clinical Assistant Professor in the Department of Learning Health Sciences
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DLHS Mentions
The HILS (Health Infrastructures and Learning Systems) program is welcoming two new PhD students on September 6th.
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Rama Mwenesi, MSE, in Industrial & Operations Engineering from U-M will bring his duel concentration in Healthcare Engineering & Patient Safety and Health Management Policy to bare in the HILS program.
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Elliot Brannon, MPH, comes to U-M from Tulane University School of Public Health and Tropical Medicine in New Orleans where he earned his Master of Public Health-Epidemiology.
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Five Members of the 2017 Masters of Health Professions Education Graduating Class gather around program director, Larry D. Gruppen, PhD. From left to right: Kyriaki Marti, Anita Shelgikar, Jeffrey Love, Louito Edje and Jane Miller.
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