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About IU School of Medicine

Policies Guidelines

Leadership Administration

Bloomington

The Medical Sciences Program in Bloomington is unique among the IU School of Medicine campuses in that it educates medical students seeking an MD as well as graduate and undergraduate students. Bloomington offers a Big 10 learning environment on an iconic campus.

Evansville

With six major hospitals housing about 2000 beds, medical students in Evansville have access to physician educators in a range of medical specialties. An expanded residency program here will provide more than 100 new graduate medical education positions over the next few years.

Fort Wayne

The Fort Wayne campus offers clinical education in both rural and urban communities through two large hospital systems serving the region. A Student Research Fellowship Program offers med students nine weeks of summer research experience.

Indianapolis

Students and faculty in Indianapolis benefit from close proximity to some of Indiana’s largest teaching hospitals and the Richard L. Roudebush Veterans Administration Medical Center. This campus offers medical education in the heart of one of the most progressive and economically healthy cities in the United States.

Muncie

Muncie is the School’s only campus that’s located on hospital property, giving medical students a front-row four-year medical education with all the amenities that come with being located near the campus of Ball State University, a bustling college environment.

Northwest – Gary

Located in a highly populated urban region just 25 miles from downtown Chicago, the Gary campus offers medical students unparalleled access to clinical care at 11 major teaching hospitals housing 2800 beds. An expanded residency program in Gary will accommodate more than 100 new graduate medical education positions.

South Bend

IU School of Medicine-South Bend is located on the campus of Notre Dame, offering a rich campus life in a traditionally collegiate community. Students here gain clinical care experience at the Navari Student Outreach Clinic, and external funding for faculty research exceeds $2 million per year.

Terre Haute

Known for its rural medical education program, IU School of Medicine-Terre Haute meets the increased need for physicians to serve rural communities throughout the state of Indiana and beyond. This unique four-year medical school program emphasizes primary care and other specialties of need in rural communities.

West Lafayette

Located on the campus of Purdue University, the West Lafayette campus offers a Big Ten campus atmosphere and opportunities to supplement the MD curriculum with research experience in the collaborative labs and research centers here. This IU School of Medicine campus offers on-campus housing to med students.

Student Support

IU School of Medicine provides a wide range of student support services to ensure that students can access the resources and guidance they need to succeed.

MD Admissions

Applicants to the IU School of Medicine MD Program, including guest students, can find details about application requirements and the admissions process, including interviews, class selection and campus placement.

Curriculum

The MD curriculum integrates clinical experiences and basic sciences and offers opportunities for learners to explore foundational science in a chosen specialty. Collaboration within learning communities and inter-professional work further enhance training.

LCME Accreditation

In the United States, the accreditation status of programs leading to the MD degree is determined solely by the Liaison Committee on Medical Education (LCME). IU School of Medicine’s four-year MD program is LCME-accredited.

Dual Degrees

MD students can complete requirements for one of five dual degrees—PhD, MBA, JD, MPH or MA—to prepare for a career that supplements expertise in clinical patient care with a second specialty.

Tuition and Fees

Annual tuition for the MD program at IU School of Medicine varies by stage of the medical education journey. Find details on cost of attendance for Indiana residents as well as out-of-state students.

Service Learning

The medical service learning program at IU School of Medicine actively engage students, physicians, faculty and community members in a dynamic partnership that connects community-identified concerns with institutional learning objectives.

Technical Standards

All MD program applicants and students are expected to meet the following criteria in order to participate in medical education at IU School of Medicine and to practice medicine.

Ruth Lilly Medical Library

he Ruth Lilly Medical Library provides the physicians, researchers and learners at IU School of Medicine with access to the world’s evolving scientific and biomedical literature.

Basic Science

Clinical Science

Wells Center for Pediatric Research

With strong collaboration between scientists and physicians, the Wells Center for Pediatric Research aims to increase knowledge of causes and mechanisms of serious pediatric diseases while developing innovative approaches to diagnosis and treatment of childhood illnesses.

HPV

The Center for HPV Research at IU School of Medicine is a world-class group of physician scientists focusing on human papillomavirus (HPV)-related research and scientist training.

Center for AIDS Research

The Indiana Center for AIDS Research works collaboratively to increase access to care for all persons living with HIV/AIDS, improve retention in care and adherence to treatment, reduce comorbidities for those living with HIV, increase community engagement and education—and eventually cure HIV.

Indiana Alcohol Research Center

The Indiana Alcohol Research Center conducts research in the etiology, pathogenesis, treatment and prevention of alcoholism.

Bowen Center

Data provided by the Bowen Center for Health Workforce Research and Policy at Indiana University School of Medicine informs health policy, improves health care delivery and promotes population health.

Stark Neurosciences Research Institute

The Stark Neurosciences Research Institute is advancing knowledge and understanding of the brain and behavior through research and training programs that apply the latest innovations in biomedical discovery.

Traumatic Brain Injury Model Systems Center

Recognized as one of 16 TBI Model Systems Centers in the United States, IU School of Medicine serves as a national leader in TBI-related care and research.

Clinical Trials

Clinical trials are medical research programs that depend on human volunteers who are observed closely to answer questions concerning the identification, treatment and management of illnesses and disease.

Center for Aging Research

The Center for Aging Research explores a variety of research topics that affect the aging population, including brain health, decision-making, physical fitness, transitional care, nursing home care, and medication use.

Center for Diabetes and Metabolic Diseases

World-renowned, the Center for Diabetes and Metabolic Diseases centralizes and fosters research along five fundamental themes to strengthen the diabetes research base throughout Indiana.

Immunotherapy

The Brown Center for Immunotherapy is developing new treatments and curing disease through the use of cell-based immunotherapies—with an initial focus on multiple myeloma and breast cancer.

Indiana Alzheimer Disease Center

At the forefront of Alzheimer’s disease research for almost 30 years, the Indiana Alzheimer Disease Center at IU School of Medicine is one of only 32 centers in the U.S. solely committed to Alzheimer’s research.

Musculoskeletal Health

Investigators at the Center for Musculoskeletal Health at IU School of Medicine focus on the discovery and development of new treatments for musculoskeletal disease.

Postdoctoral Training

Advanced research training at IU School of Medicine offers postdoctoral trainees a robust training and working environment to hone their research knowledge and skills for career advancement.

Faculty

Faculty investigators throughout IU School of Medicine’s 26 academic departments work collaboratively to advance knowledge about disease and improve treatment and health outcomes for patients throughout the world.

DeVault Lab

The DeVault Otologic Research Lab provides groundbreaking knowledge on speech perception and language development in children.

Musculoskeletal Biology

Comprehensive Musculoskeletal Training Program is open to PhD students, postdoctoral fellows and medical students interested in pursuing careers as physicians, scientists and engineers focused on musculoskeletal disease.

Histology Core

The Histology Core at IU School of Medicine offers histological services for mineralized and soft tissue specimens for basic science medical research.

Imaging and Flow Cytometry

The IU School of Medicine Imaging and Flow Cytometry Core facility is located on the IU School of Medicine—South Bend campus and is a CTSI Resource Core Group member.

Immunohistochemistry Core

The Immunohistochemistry Core provides resources and laboratory research support to biomedical researchers, including histopathology and immunohistochemistry. The lab has a collection of clinical antibodies for immunolabeling primarily human tissue sections.

Medical Genomics

The Center for Medical Genomics at IU School of Medicine provides medical scientists with affordable access to high-quality high-throughput genomics services.

Electron Microscopy Core

The Electron Microscopy Center at Indiana University School of Medicine is a full-service research laboratory that offers both transmission electron microscopy and scanning electron microscopy.

Bloomington

The Medical Sciences Program in Bloomington is unique among the IU School of Medicine campuses in that it educates medical students seeking an MD as well as graduate and undergraduate students. Bloomington offers a Big 10 learning environment on an iconic campus.

Evansville

With six major hospitals housing about 2000 beds, medical students in Evansville have access to physician educators in a range of medical specialties. An expanded residency program here will provide more than 100 new graduate medical education positions over the next few years.

Fort Wayne

The Fort Wayne campus offers clinical education in both rural and urban communities through two large hospital systems serving the region. A Student Research Fellowship Program offers med students nine weeks of summer research experience.

Indianapolis

Students and faculty in Indianapolis benefit from close proximity to some of Indiana’s largest teaching hospitals and the Richard L. Roudebush Veterans Administration Medical Center. This campus offers medical education in the heart of one of the most progressive and economically healthy cities in the United States.

Muncie

Muncie is the School’s only campus that’s located on hospital property, giving medical students a front-row four-year medical education with all the amenities that come with being located near the campus of Ball State University, a bustling college environment.

Nortwest - Gary

Located in a highly populated urban region just 25 miles from downtown Chicago, the Gary campus offers medical students unparalleled access to clinical care at 11 major teaching hospitals housing 2800 beds. An expanded residency program in Gary will accommodate more than 100 new graduate medical education positions.

South Bend

IU School of Medicine-South Bend is located on the campus of Notre Dame, offering a rich campus life in a traditionally collegiate community. Students here gain clinical care experience at the Navari Student Outreach Clinic, and external funding for faculty research exceeds $2 million per year.

Terre Haute

Known for its rural medical education program, IU School of Medicine-Terre Haute meets the increased need for physicians to serve rural communities throughout the state of Indiana and beyond. This unique four-year medical school program emphasizes primary care and other specialties of need in rural communities.

West Lafayette

Located on the campus of Purdue University, the West Lafayette campus offers a Big Ten campus atmosphere and opportunities to supplement the MD curriculum with research experience in the collaborative labs and research centers here. This IU School of Medicine campus offers on-campus housing to med students.

Alzheimer’s Disease

To better understand and end the suffering related to Alzheimer’s disease, IU School of Medicine’s accomplished team of experts are pioneering global collaboration of multidisciplinary dementia research to study the fundamental causes and treatment options.

Indiana Health
Precision Health

Through the Precision Health Initiative, IU School of Medicine intends to cure at least one cancer through the development of new cell, gene and immune therapies and to develop novel disease-modifying or -prevention methods for adult neurodegenerative diseases such as Alzheimer’s Disease. The program is also using gene and other therapies to cure at least one genetic pediatric disease.

Musculoskeletal Health

IU School of Medicine researchers, educators and clinicians are collaborating to better understand and treat a broad range of diseases and disorders of the musculoskeletal system — bones, muscles, and joints.

Traumatic Brain Injury

Indiana University School of Medicine is recognized as a national leader in the research, diagnosis, treatment and rehabilitation of traumatic brain injuries and mild traumatic brain injuries, also known as concussions.

Global Health

The Medical Sciences Program in Bloomington is unique among the IU School of Medicine campuses in that it educates medical students seeking an MD as well as graduate and undergraduate students. Bloomington offers a Big 10 learning environment on an iconic campus.

Detection of HBs antibody in the absence of HBc total antibodies distinguishes vaccine-derived immunity from immunity acquired by natural infection (in which both HBs antibody and HBc total antibodies are present). Current commercially available assays for detecting HBs antibody yield positive results (qualitative) when antibody levels are ≥10 mIU/mL (or ≥10 IU/L) in serum or plasma, indicating postvaccination immunity (protective antibody level). Quantitative HBs antibody results are used to monitor adequacy of hepatitis B immunoglobulin therapy in liver transplant recipients receiving such therapy during the posttransplant period.

In acute hepatitis D superinfection of a patient with known chronic hepatitis B, hepatitis D virus (HDV) antigen, HDV IgM, and total antibodies are present ( Table 62 ). In acute hepatitis B and D coinfection, the same serologic markers (ie, HDV antigen, HDV IgM, and total antibodies) are present, along with HBc IgM antibody.

The diagnosis of hepatitis C virus (HCV) infection usually begins with a screening test for HCV IgG antibody in serum or plasma immunoassays. Antibody may not be detectable until 6–10 weeks after the onset of clinical illness. Individuals with negative HCV antibody screening test results do not need further testing for hepatitis C ( Table 63 ), except in immunocompromised individuals (in whom development of HCV IgG antibody may be delayed for up to 6 months after exposure) or those with suspected acute HCV infection. Those with positive screening HCV IgG antibody test results should undergo confirmatory or supplemental testing for HCV RNA by molecular test methods. Signal-to-cutoff ratios (calculated by dividing the optical density value of the sample tested by the optical density value of the assay cutoff for that run) are an alternative to supplemental testing ( http://www.cdc.gov/hepatitis/HCV/LabTesting.htm ). Supplemental HCV IgG antibody assays can confirm the presence of HCV antibodies in patients with positive HCV IgG antibody screening test results, but none of these assays are currently FDA-approved for clinical use in the United States. According to the latest recommendations from the CDC [ 283 ], all individuals born during 1945–1965 should be screened at least once for evidence of HCV infection.

Table 63.

Laboratory Diagnosis of Hepatitis C Virus

Abbreviations: EDTA, ethylenediaminetetraacetic acid; HCV, hepatitis C virus; IgG, immunoglobulin G; NAAT, nucleic acid amplification test; NS, nonstructural protein; PPT, plasma preparation tube; RT, room temperature; SST, serum separator tube.

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Table 63.

Laboratory Diagnosis of Hepatitis C Virus

Abbreviations: EDTA, ethylenediaminetetraacetic acid; HCV, hepatitis C virus; IgG, immunoglobulin G; NAAT, nucleic acid amplification test; NS, nonstructural protein; PPT, plasma preparation tube; RT, room temperature; SST, serum separator tube.

View Large

Hepatitis C virus RNA can be detected by NAATs soon after infection as well as in chronic infection. NAATs for HCV can be performed qualitatively or quantitatively (by RT-PCR or transcription-mediated amplification methods). Highly sensitive molecular assays for quantification of HCV RNA in serum or plasma (limit of detection of ≤25 IU/mL) are necessary to monitor patients’ virologic response and to determine cure (ie, sustained virologic response) from antiviral therapy. Determination of HCV genotype and subtypes (ie, 1–6 and 1a vs 1b) is used to guide the choice and duration of antiviral therapy and predict the likelihood of response to therapy, as different genotypes and subtypes varying in virologic response to current treatment regimens and in likelihood of antiviral resistance before or during direct-acting antiviral (DAA) treatment. Pretreatment testing for HCV genome-specific resistance-associated substitutions (RASs) by conventional (Sanger) or next-generation sequencing assay methods is recommended by the FDA and/or current clinical practice guideline ( https://www.hcvguidelines.org/evaluate/resistance ) prior to initiating certain DAA therapy combinations for infection due to certain HCV genotypes: (1) HCV NS3 RAS for simeprevir in genotype 1 infection, and (2) HCV NS5A RAS for elbasvir-grazoprevir or ledipasvir/sofosbuvir in genotype 1a infection, and daclatasvir/sofosbuvir or velpatasvir/sofosbuvir in genotype 3 infection. Per recent recommendations from the FDA ( https://www.fda.gov/Drugs/DrugSafety/ucm522932.htm ), all patients prior to initiating DAA therapy should be screened for evidence of prior or current HBV infection (positive for HBc total antibodies and/or HBsAg), so that affected patients can be monitored and managed appropriately for reactivation of HBV during and after DAA therapy.

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I Tried Intermittent Fasting. Here’s What Happened. « Food and Fitness

Monday, June 25, 2018

As a dietitian, I’ve tried a lot of things in the name of science: carb restriction, elimination diets, sugar “detoxes”, calorie counting. I figure that if I’m going to offer advice on something, why not have firsthand experience?

Intermittent fasting is one of the buzziest trends right now, and I was genuinely curious.

Plus, there’s actually evidence to back it up. Research has shown that fasting may actually help lower risk for disease, possibly because fasting puts cells under mild stress, which may fortify them against disease. It’s also argued that, while a super low-cal diet drags your metabolism down, alternating between fasting and eating does the opposite. A recent concluded that intermittent fasting was a “promising” approach to losing weight and improving health—for those who can handle it.

I thought I could. Since I’m not a big breakfast eater and wanted to cut out evening snacking anyway, I decided the “16:8” approach to intermittent fasting was my best bet. That involves eating during an 8-hour period that you choose and fasting the rest of the time. (There is another approach, the “5:2” method, which directs that you take in just 500 calories two days of the week and eat normally the remaining five.)

But I struggled. The last three hours of my 8 p.m.-12 p.m. fast each day were brutal. I was light-headed and empty, my brain felt fuzzy, and I daydreamed about my morning smoothie as the minutes dragged on.

Still, I stuck solidly to the plan for a full week and learned some important lessons:

What I ate in the evening made a big difference in how I fared the next morning. A skimpy bowl of soup for dinner, and my stomach was rumbling by 7 a.m. A more substantial plate with lots of protein kept me fuller longer.

The last meal matters.

It’s harder than it sounds to fit all of your food into an 8-hour window, and those calories really need to count if you’re going to get the nutrients you need.

Planning is everything.

Some people who swear by intermittent fasting sip on green tea or even Bulletproof Coffee throughout the morning. I’m not a fan of either, but they’d definitely be helpful in curbing hunger (and offering a much-needed distraction).

Coffee or tea can help.

Late dinners, parties, vacations, and illness—all of these things will throw your schedule off and make sticking to this plan 100 percent nearly impossible. If you’re not willing to give yourself some grace now and then, it will prove too challenging.

Life will get in the way.
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Last week while I was on my way to Texas, a private email conversation of mine from April was made public. I didn’t give it the consideration it warranted.

That was a big mistake. I was wrong. I apologize.

When I started this interim position in February, it was never my intent to have an adversarial relationship with some of the survivors.

My speculation about the lead plaintiff receiving kickbacks or referral fees hurt her deeply and for that I am truly sorry. She and the other survivors suffered greatly and they are entitled not to have their sincerity questioned, either individually or as a group. I apologize to her and her sister survivors.

The days after the April Board of Trustees meeting were extremely frustrating. Emotions and tempers, including mine, were running at a high level. It seemed as though we would never be able to reach a successful settlement. Nothing we were doing seemed to work.

When I arrived at MSU, Larry Nassar was already in jail but students and survivors alike were protesting. I apologized publicly to the survivors on behalf of the University for the harm Nassar had done. Others from the university, including the Board of Trustees had also done so. But disappointment and anger overwhelmed those apologies. I felt from the day I arrived that the university and the survivors had to come together to reach a just and equitable settlement in order for the healing to begin.

I also want to apologize to the MSU Board of Trustees and the Spartan community because my email created a major distraction from the important work we’re doing to make our campus safer.

Days after I arrived, I moved to revoke Dean Strampel's tenure. We changed the protocols and policies in our medical clinics that allowed Nassar to escape detection for nearly two decades. We are dedicating more resources to sexual assault prevention and support services. Still that was not enough, a settlement had to be achieved.

In May, we were able to do so.

I am very proud that the plaintiffs, their very able counsel and the university were able to achieve a settlement which will help the healing begin. My private comments from April coming out last week impaired that healing and it reopened old wounds as many survivors felt compelled to come to the defense of the first woman who spoke out. My regrettable private email harmed the healing process and, for that, I am also very sorry.

I will use my remaining time as Interim President of Michigan State University to continue implementing meaningful reforms that serve to increase safety and respect on our campus. Just as our new policies have assured the safety of any patient who visits an MSU clinic or is treated by an MSU physician, our additional staff and new leadership will make a profound difference across our campus.

Finally, we continue to welcome specific suggestions about actions that might be taken to improve our success at preventing sexual misconduct or sexual assault on or off campus. Your ideas are welcomed and will be treated with the utmost consideration. Suggestions can be offered at my webpage: http://president.msu.edu .

--John Engler, Interim MSU President

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