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Early Onset of Puberty in Girls on the Rise
Many factors are contributing to the rise of early onset puberty in girls. Learn what they are below and how you can support your daughter. The number of girls experiencing early puberty has increased dramatically over the last few years and continues to grow. More and more girls in the U.S. are starting to show signs of development before the age of 8. Recent studies show that up to 10 percent of Caucasian girls and 23 percent of African American girls are showing signs of puberty by age 7. What’s Contributing to Early Puberty in Girls? Determining the exact cause is difficult. But experts agree that several factors may be contributing to these growing numbers. Increasing rates of childhood overweight and obesity. Excess body fat alters the levels of hormones responsible for the acceleration of pubertal timing. Physical inactivity may decrease melatonin levels, which can also trigger pubertal development. Increased animal protein intake. Higher total protein, animal protein and meat intake in children ages 3 to 7 have been associated with earlier onset of menstruation. High protein intake elevates IGF-1 levels and promotes growth, which could accelerate the onset of puberty. Poor diet. Children with lower-nutrient diets tend to enter puberty earlier. A diet rich in processed foods and meats, dairy, and fast food is disruptive to normal physical development. Exposure to EDCs (endocrine-disrupting chemicals). EDCs are synthetic chemicals found in plastics, pesticides, fuels and other industrial chemicals that inhibit or alter the action of natural hormones. Because EDCs accumulate in the fatty tissues of animals, animal foods contain higher levels of these chemicals than plant foods. Exposure to BPA (bisphenol A). BPA is an industrial petrochemical found in a variety of products including plastics, tin-can linings and even cash register receipts. Because it acts as a synthetic estrogen it may speed up pubertal development. Soy products. Soy contain isoflavones which are converted to phytoestregens in the body, and are similar to the hormone estrogen, Dr. Chelsea Wicks says. “Soy consumed from natural food sources is likely safe and will not cause abnormal hormones levels. However, when consumed in large amounts, such as with soy supplements or in more processed foods, there have been links to chronic medical problems due to elevated estrogen levels. I feel a good answer to this is to continue working on eating fresh foods and trying to avoid the processed, packaged foods as this will be best for overall general nutrition as well,” she adds. What You Can Do While some genetic factors play a role in the early onset of puberty, parents can help lessen environmental causes of the condition. Encourage and help your child to maintain a healthy weight with proper nutrition and exercise. Avoid exposure to hormones such as estrogen and testosterone that may be found in hair products, medications and nutritional supplements. Avoid exposure to EDCs and BPA. Offer your child a diet centered around whole plant foods rather than animal foods, which will help keep protein intake within a safe range and reduce consumption of EDCs. Create a supportive environment for your daughter. Avoid commenting on her appearance and instead focus on her achievements, academic successes or artistic talents. Speak to her openly and honestly about the physical changes she’s experiencing — that although these changes are normal, she’s simply developing early — and that ultimately her peers will undergo the same changes. Encourage your daughter to continue participating in social activities and pursuing her interests, and reassure her you are always open to discuss any questions or worries. If you are concerned that your child may be going through these changes before expected, speak with your pediatrician. Sources: Early Puberty: Causes and Consequences When Is Puberty Too Early? Precocious Puberty (Early Puberty) Precocious Puberty
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Teens and Social Media: When Is it Too Much?
Dr. Max J. Coppes, Physician-in-Chief Renown Children’s Hospital, and Nell J. Redfield Chair of Pediatrics, UNR Med, talks about how much is too much when it comes to teens and social media. Social apps (Facebook, Instagram, Twitter, WhatsApp, Snapchat, TikTok, etc.) have become an integral part of most people’s lives. In contrast to traditional media — where one source goes to many receivers — social media operates in a dialogic transmission system. Many sources interact, sometimes simultaneously, with many receivers and provide for superior interactivity between its users. Not surprisingly, it also plays a significant role in our children’s lives once they are old enough to understand how to access and use these apps. On average, children start exploring social media at around ages 10 to 12. They rapidly discover that electronic communication allows for unique and personalized ways to make and keep friendships. They also use it to develop and expand family ties, get help with homework, share music, art, and experiences, and learn and discover the world. Social Media and Teens Surveys suggest that more than 90 percent of teenagers use social media. Additionally, approximately 75 percent have at least one active profile by age 17. Access to social media is greatly facilitated because more than two-thirds of teens have their own mobile devices with internet capabilities, a substantial change relative to previous generations. The use of social apps can have many positive aspects. But we now also recognize that it can also have negative impacts. The use of hazardous sites or the inherent risks of using social media (identity theft, being hacked, cyber-bullying, etc.) are indeed damaging to children. Any use of hazardous social apps is too much and carries serious hazards. But what about the use of “normal” and/or “safe” social media? Well, data suggest that too much use of “non-hazardous” apps can indeed affect health. How Much Do Teens Use Social Media? First, some basic data. For example, how much do normal teenagers use social media? A study from Pew Research found that more than 50 percent of 13- to 17 year-olds go online several times a day. This quickly increases during the teenage years to more than 70 minutes per day. Teenage girls have the highest usage at just over 140 minutes per day. It is important to recognize that non-school related use of the internet and social media is often beheld by teenagers as important for developing their self-esteem, their acceptance among peers, and their mental health in general. As parents, we recognize that the use of social media can indeed contribute, in many positive ways, to our children’s growth. At the same time, we also worry about them spending too much time online. We worry about their ability to communicate effectively in face-to-face settings or in writing. Many of us also feel and/or worry that our children are addicted. Social Media and Addiction Recent studies suggests that the overuse of social media indeed mirrors addiction. Reports now show that teenagers and college kids experience anxiety when deprived from their connected devices and consequently feel a compulsion to access their social applications. The emotional symptoms they experience are very similar to those seen in substance abuse. In fact, the American Psychiatric Association is considering making internet addition a bonafide diagnosis. Pediatricians therefore encourage limits on the use of social media, a recommendation more easily suggested than accomplished. So when should a parent consider seeking help? Aside from unhealthy use of these apps (cyber-bullying, sexting, online users asking for sexual relations, etc.), which should always trigger concern, the use of social media for more than 120 minutes per day should trigger parental concern. If you feel unable to address the overuse of social media, contact your pediatrician for help and guidance. Renown Children’s Hospital Whether it’s seeing a pediatrician, getting a sports physical or looking for advice, our care is centered around supporting and nurturing patients and families at our many locations. We have pediatricians dedicated to children who have experience recognizing children’s illnesses. They also have knowledge about tests and treatments for young ones to ensure your child gets the best care possible. Explore Children’s Services
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How to Get Your Kids to Sleep, Screen-Free
If you’re a parent, you’ve probably been there — the sometimes-nightly struggle to get your little ones off to bed. Elaina Lantrip, an APRN with Renown Pediatrics, offers some tips and explains how your child’s electronics may be getting in the way of a good night’s sleep. These days, kids are consuming media from a very early age on all types of devices — from tablets and phones to TVs. While they can benefit from some media use, it can have a negative impact on bedtime. We asked Elaina Lantrip, an advanced nurse practitioner with Renown Pediatrics, for some advice on downloading a better bedtime routine. What are the most important practices for parents to establish for their children’s bedtime routines? I often have parents tell me that their child won’t go to bed — or to sleep. Parents frequently ask for tips on bedtime routines that work. My first question is whether their regular bedtime routine involves television, iPad, tablet, phone or anything with a screen. It’s very important that bedtime includes a bath, reading a story, talking, singing and bonding with young ones, rather than using any devices. Why shouldn’t children have a device at bedtime? A growing body of research supports that screen time at bedtime contributes to delays in a child’s falling to sleep; overall inability to reach the important REM, or deep sleep; waking up during the night; nightmares and night terrors. For older youth, engaging with social media before bedtime can bring up stresses, emotions and relationship issues with peers that don’t exactly create peaceful bedtime thoughts. Bedtime should be a screen-free, stress-free, peaceful time of day. It’s a great time for parents to promote self-esteem, talk through things going on in the child’s life, to encourage and build them up. Children grow up fast — bedtime is a great the opportunity with younger children to cuddle up and read a story or sing a lullaby. What are other major considerations in making bedtime smooth and relaxing for kids and their parents? Another factor that contributes to positive sleep habits includes children getting enough activity during the the day so they’re genuinely tired at night. Also helpful are ambient noise makers, peaceful music, avoiding sugar two hours prior to bedtime, consistency in bedtime routine, comfortable pajamas and comfortable temperature in the home. Is it important to keep the child’s bedroom dark? Dimming the lights is important, regardless of the time of year. This is another reason to ban screens, as they emit light that stimulates wakefulness.
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Celebrating Renown Health's Nursing Excellence Conference
Renown Health recently wrapped up the twentieth annual Nursing Excellence and Excellence in Critical Care Conferences, the conference theme was the Courageous Calling and over 400 nurses from specialty fields across the region attended to learn, reflect, build relationships and obtain continuing education units (CEUs). Celebrating The Courageous Calling During the first day of the Nursing Excellence Conference, local and national leaders presented topics including redefining resilience, documentation liability, transgender healthcare and caring for the homeless population. Among the list of impressive speakers were Chief Nurse Executive at Renown Health, Melodie Osborn, and Nora McInerny, writer and host of the "Terrible Thanks for Asking" podcast. On day two,speakers focused on the critical care specialties within nursing, including intensive care, emergency room, pediatric intensive care and neonatal intensive care. Topics covered included post-COVID-19 pulmonology with Dr. Graham, traumatic brain injuries with Dr. Demers, COVID-19 reflections with Anicia Beckwith, a discussion about "Mis C” with Dr. Healy, innovations in imaging with Dr. Rangaswamy and cardiology with Dr. Danaf. Thank you to our sponsors and raffle donors for making this event possible: Erik Olson and Larry Duncan, Jana Elliott, Melodie Osborn, Becky Haase, Lori Tuntland, Dr. Akbar, Dr. Lous, Mel Morris, Grand Sierra Resort, Renown Health Gift Shops, Renown Health Directors of Nursing, Renown Health Marketing & Communications Department, Renown Health Dermatology, Laser, & Skin Care and Renown Health Foundation. Learn more about finding purpose in the health of our community when working at Renown Health here.
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University Health
University Health—Operated by Renown Health Welcome to Nevada’s first integrated health system! The University of Nevada, Reno School of Medicine (UNR Med), and Renown Health have entered a joint affiliation designed to improve access to care. If you were a former patient of University Health, your access to the same providers and accepted insurance plans remain the same and are now available at Renown Health.
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Nevada System of Higher Education Board of Regents Approve Renown Health and University of Nevada, Reno School of Medicine Affiliation Agreement
Establishes first integrated health system in Nevada. The Nevada System of Higher Education (NSHE) Board of Regents voted today at its monthly board meeting to approve an affiliation agreement between the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health that will establish the first fully integrated health system in Nevada. The Board of Regents approval of the collaboration between Nevada's oldest medical school and one of its largest non-profit health care organizations comes after Nevada Governor Steve Sisolak signed Senate Bill 342 into law. The bill authorizes the NSHE Board of Regents to enter into an agreement to affiliate with a publicly or privately owned medical facility or related entity, whether for profit or not for profit, to further promote and enhance a medical education or health education program at a university. Nearly a year ago, UNR Med and Renown Health announced an intent to affiliate and create an enhanced health care network with increased access to clinical care, and expanded clinical training and clinical research programs. In September 2020, the Board of Regents unanimously endorsed a Letter of Intent between the two organizations, which advanced a period of due diligence to further define the relationship. In addition, the Renown Board of Trustees unanimously approved the agreement. “Thank you to the Board of Regents and Chancellor Rose for supporting UNR Med and Renown Health in this collaborative and generational partnership that will have historical impacts on health care delivery, clinical research development, and training for health care professionals in our state and our community,” says University of Nevada, Reno President Brian Sandoval. “This affiliation will help address Nevada’s access to health care and medical education challenges in new and innovative ways that proactively support the health and wellness of all.” The affiliation agreement details a 50-year commitment for combining the clinical practice, clinical teaching and clinical research programs of both institutions, including descriptions of purpose, structure, governance, funds flow, joint leadership roles and faculty positions, operational management, mission and culture. Renown Health and UNR Med aim to accomplish key strategic goals, including: Improving access to care, including creating new clinical services not currently available in the community; Creating new clinical training programs for UNR Med residents and medical students; Increasing UNR Med’s student class size, which currently accommodates 70 students per medical class; and Providing increased patient access to clinical trials and expanding research and employment capabilities. Like many medical schools and health care systems across the nation, UNR Med and Renown Health have collaborated for decades to advance a mutual commitment to improving the health of the community. Since mid-2020, the organizations have been exploring formalizing a high-level clinical integration. “I appreciate and am so pleased that the Nevada System of Higher Education Board of Regents, Governor Sisolak and the legislature have provided such incredible support for the affiliation of University of Nevada, Reno School of Medicine and Renown Health. We are excited to further our mission of supporting the health and healthcare of the people and communities we serve in local urban and rural communities, across our state and our nation, says Tony Slonim, MD, DrPH, President & CEO of Renown Health. “With this new level of integration, we will be able to drive innovation, research, medical education, grant funding for public health, clinical trials and integrate our medical practices to improve access and affordability of care. Together, we are excited to create a healthier Nevada.” “We are creating an integrated health system that brings together three complimentary initiatives - patient care, research and medical education - and melds them into a single mission, each enhancing the others synergistically, while benefitting the community and the state,” says UNR Med Dean Thomas L. Schwenk, M.D. “The affiliation with Renown Health enhances and leverages the fundamental missions of UNR Med as a state-funded, accredited public medical school governed by the Nevada System of Higher Education so as to remain accessible to Nevada residents and provide opportunities to serve the state in new and expanded ways. The affiliation helps both of our institutions contribute to outstanding health care in Nevada.” This is an affiliation between a 159-year old health care provider, the state’s original land grant university and the state’s oldest medical school. Over the last five decades, UNR Med has educated more than 3,900 physicians with over 30% percent practicing in Nevada, increasing access to care for Nevadans across the state. Equally rooted in the community, Renown’s long legacy of service started in 1862 as a county hospital, Washoe Medical Center. Now, Renown Health, a charitable, not-for-profit organization, serves the community by providing care through hospitals, outpatient medical offices, institutes and a health insurance plan, Hometown Health. UNR Med Public Relations Julie Ardito, APR M: 775-846-8445 E: jardito@med.unr.edu About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.
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Renown Health and the University of Nevada, Reno School of Medicine hosted affiliation agreement certificate signing event
Today, leaders from Renown Health, the Nevada System of Higher Education (NSHE) Board of Regents, the University of Nevada, Reno and the University of Nevada, Reno School of Medicine (UNR Med) converged for an affiliation agreement certificate signing event. The certificate signing commemorates the affiliation agreement - a 50-year commitment - between Renown Health and UNR Med establishing Nevada’s first integrated health system to advance health and health care through world-class medical education, clinical research and patient care for our community and our state. The certificate signing event comes after the NSHE Board of Regents approved the agreement on June 11, 2021 and after Nevada Governor Steve Sisolak signed Senate Bill 342 into law on May 10, 2021 authorizing the NSHE Board of Regents to enter into an agreement such as the one with Renown Health. A high resolution photo is available for download at med.unr.edu/news/archive/2021/affiliation-signing. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.
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Governor Sisolak Signs Senate Bill 342
CARSON CITY, NV – Today, Nevada Governor Steve Sisolak signed Senate Bill 342 into law. The bill authorizes the Nevada System of Higher Education (NSHE) Board of Regents to enter into an agreement to affiliate with a publicly or privately- owned medical facility or related entity, whether for profit or not for profit, to further promote and enhance a medical education or health education program at a university. "Throughout the pandemic, we have relied on doctors, nurses and medical professionals to care for Nevadans in need. Legislation like this will help strengthen existing partnerships in the State so we can recruit, train and keep more medical professionals in Nevada,” said Gov. Sisolak. “I look forward to these continued partnerships to help our state for years to come.” Governor Sisolak was joined by University of Nevada Reno President and former Governor Brian Sandoval for the bill signing. “I wish to thank the members of the Nevada State Legislature and Governor Steve Sisolak for their support of this bill,” University of Nevada, Reno President Brian Sandoval said. “This collaborative and forward-thinking framework will provide cutting-edge patient care delivery, greater clinical research opportunities and will ensure that the next generation of medical providers in Nevada will receive the highest possible training. As the past year-plus has demonstrated, the health care environment in our state and throughout the country continues to be dynamic. The passage of this bill ensures that Nevada has the proactive tools to look to the future, so that we can meet our health care and medical education challenges.” “I appreciate and am so pleased that Governor Sisolak and the legislature approved Senate Bill 342 today, which provides support for integrating the University of Nevada, Reno School of Medicine with Renown Health,” said Anthony D. Slonim, MD, DrPH, FACHE, President and CEO, Renown Health, who was present at today’s signing. “This partnership will improve the health and healthcare of Nevadans and all of the communities that we serve. With this new level of affiliation, we will be able to drive innovation, research, medical education, grant funding for public health, clinical trials and integrate our medical practices to improve access and affordability of care. Together, we are excited to create a healthier Nevada.” “We are so appreciative of the unanimous support of the legislature and now the Governor’s signature and support of this bill that provides guidance to the NSHE Board of Regents as it considers the approval of this critical affiliation between UNR Med and Renown Health. We are excited to move to the next step of seeking approval from the Board of Regents for the affiliation and the establishment of an integrated health care system that will enhance medical care delivery and medical education, will improve health care, and will benefit the health and well-being of all Nevadans,” said University of Nevada, Reno School of Medicine Dean and Vice President, Health Sciences, Thomas L. Schwenk, M.D. “The opportunities to take medical care, medical education and clinical research in Nevada to an entirely new level are unlimited and we thank Governor Sisolak for moving us to the next step in this endeavor.” Photos from the bill signing can be requested from the Nevada Governor's Office. In addition, Governor Sisolak also signed the following bills today: Senate Bill 17 - Revises provisions governing the renewal of certain instruction permits to operate a motor vehicle or motorcycle. Senate Bill 23 - Revises the boundaries of the area from which certain members of the State Conservation Commission are appointed. Senate Bill 53 - Authorizes the Administrator of the Division of State Parks of the State Department of Conservation and Natural Resources to organize the areas under the jurisdiction of the Division into regions. Senate Bill 65 – Revises provisions relating to the composition and administration of the State Department of Agriculture. Nevada Governor's Office Public Relations Media Contact E: press@gov.nv.gov
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New Renown Health Scholarship Supports UNR Med Students - The Next Generation of Physicians and Health Care Professionals
Clinical affiliation to create more access to care for Nevadans. View the original press release by the University of Nevada, Reno School of Medicine. Nevada continues to face a physician shortage ranking No. 45 in the United States for active physicians per 100,000 population and No. 48 for primary care physicians per 100,000 population according to the Association of American Medical Colleges (AAMC) 2019 Nevada Physician Workforce Profile. A new clinical affiliation between the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health addresses the provider gap and increases access to care by developing new and innovative ways to train and retain the next generation of Nevada's health care professionals. A cornerstone of the affiliation is the Renown Health Scholarship, which was established by Renown to support UNR Med medical students and physician assistant students in their pursuit of a career in health care. The goal of the scholarship is to award $350,000 annually based on need and merit. In 2021-2022, the scholarship will be awarded to 20 first-year and third-year medical students, each receiving $15,000 for a total of $300,000; and five second-year physician assistant studies program students, each receiving $10,000 for a total of $50,000. "Students are at the core of what we do as a School of Medicine, and this incredibly generous scholarship is the best way possible for Renown Health to celebrate our partnership and support our students," says Melissa Piasecki, acting dean of UNR Med, a role that includes Chief Academic Officer at Renown Health. "We thank Renown Health for this gift that will benefit so many of UNR Med students on their journeys to becoming great doctors and physician assistants. "We are extremely proud to establish the Renown Health Scholarship with UNR Med providing annual support to students pursuing careers in health care," says Anthony D. Slonim, MD, DrPH, President & CEO, Renown Health." As Nevada's first integrated health care system, UNR Med and Renown are advancing health and health care through world-class medical education, clinical research and patient care for our community, our state and our nation, and supporting this first class of scholarship recipients is an important step in ensuring quality access to care for northern Nevada and the state in the future." The inaugural group of scholarship recipients epitomize Renown Health's and UNR Med's combined vision of A Healthy Nevada and mission of improving the health and well-being of the communities they serve. The students chosen for this scholarship further represent UNR Med's commitments to excellence and to a culture of diversity and inclusion in support of their goals of becoming physicians and physician assistants. "This scholarship will contribute greatly to my becoming a physician that can later serve those from lower socioeconomic statuses. I am humbled and honored by the fact that Renown believes that my hard work and determination are worth rewarding, I know it will alleviate some of the mental stress that finances play in my life, and I hope to make these funds count through hard work and dedication to my studies," says Eunice Aiyuk, first-year medical student at UNR Med, who was born in Yaounde, Cameroon, in West Africa, and has lived in Reno since she was three years old. Aiyuk graduated from McQueen High School and from the University of Nevada, Reno with a bachelor of science degree in neuroscience in 2018. Sergio Trejo, Jr., MPH, is a third-year medical student who grew up in Las Vegas and served as a Spanish interpreter at a community health center prior to earning his Master of Public Health degree from the University of Nevada, Reno in 2019, which instilled in him his desire to pursue a career as a primary care physician in pediatrics. "I'm interested in a career in pediatrics since I can combine my knowledge of medicine and public health to not only influence the health of children, but also the entire family, as they are ones that ultimately dictate their child's health outcomes," Trejo says. "This scholarship means the ability to fund my dream of helping alleviate health disparities in underserved communities, especially those who endure language barriers. It will help reduce the stress of funding resources that will help me be successful in my clerkships and beyond." As a second-year Physician Assistant Studies Program student at UNR Med, Benjamin "Benjie" Portillo-Dominguez's path to becoming a physician assistant started at a young age when he attended his parents' doctors' appointments so that he could interpret. He recalls his family's excitement when a health care provider could speak Spanish. "It made a world of difference because it maximized communication and helped them receive the care they needed. This helped develop in me a strong desire to pursue a career in health care, says Portillo-Dominguez, who graduated from the University with a bachelor of science degree in community health sciences in 2018. "In less than a year I will become a Physician Assistant. This has been a long-time goal of mine, but as a first-generation college graduate, this has been the dream of my parents since I was born." "Receiving this scholarship benefits me in my training because it allows me more time to focus on my studies and opens up opportunities to learn from experienced providers. Becoming the best provider I can be, allows me to strengthen this community that I was born and raised in. Having this unique perspective and being in this program allows me to be a solution to the lack of primary care providers in this area, especially with those who speak Spanish." The UNR Med student recipients of the 2021 Renown Health Scholarship were based on merit and need. They include: first-year medical students Eunice Aiyuk, Dakota Johnson, Aisha Masud, Isabella Rodriguez and Raquel Wescott; third-year medical students Davison Beenfeldt, Sara Bertram, Kaileigh Bingham, Curtis Duncan, Brooke Gantman, Alex Harper, Erin Kelley, Regina Kurapova, Ngantu Le, Otto Maurer, Keanu McMurray, Eric Nguyen, Hao To, Sean Torres and Sergio Trejo; and second-year physician assistant studies program students Ali-Marie Lostra, Margaret (Meg) Patterson, Benjamin (Benjie) Portillo-Dominguez, Preston Reugebrink and Ryan Swanson. The UNR Med/Renown Health affiliation is between a 159-year old health care provider, the state's original land grant university and the state's oldest medical school. Over the last five decades, UNR Med has educated more than 4,000 physicians with over 30% percent practicing in Nevada, increasing access to care for Nevadans across the state. Equally rooted in the community, Renown's long legacy of service started in 1862 as a county hospital, Washoe Medical Center. Now, Renown Health, a charitable, not-for-profit organization, serves the community by providing care through hospitals, outpatient medical offices, institutes and a health insurance plan, Hometown Health. Media Contact: Julie Ardito, APR Senior Director, Advancement and Engagement Email: news@med.unr.edu Office: 775-784-6006 About The University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, Nevada's first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Established in 1969, UNR Med is improving the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion.
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Renown and University of Nevada, Reno School of Medicine Affiliation Update
Renown Health and University of Nevada, Reno School of Medicine (UNR Med)leadership provided an informational update to the Nevada System of Higher Education (NSHE) Board of Regents at its March 5 meeting on the due diligence process undertaken by both organizations to explore an intent to affiliate that would lead to the first fully integrated health system in northern Nevada. University of Nevada, Reno President Brian Sandoval; UNR Med Dean Thomas L. Schwenk, M.D. and Renown Health President and CEO Anthony Slonim, M.D., DrPH, FACHE, discussed the near-final Affiliation Agreement, which details the guiding principles of the proposed partnership and how the integration of clinical services, education and research will operate, including the purpose, structure, governance, funds flow, joint leadership roles, faculty positions, operational management, mission and culture. The final agreement will require Renown Health Board and NSHE Board of Regent approval. Like many health care systems and medical schools across the nation, Renown Health and the University of Nevada, Reno School of Medicine have collaborated for decades to advance a mutual commitment to improving the health of the community. Since mid-2020, the organizations have been exploring formalizing a high-level clinical integration. In September 2020, the NSHE Board of Regents unanimously endorsed a Letter of Intent between the two organizations, which advanced a period of due diligence to further define the relationship. The partnership is designed to enhance Nevada’s medical education system, expand clinical research capacity in northern Nevada and create a world-class integrated health system that improves access to patient care for all and achieves a vision of a healthy Nevada. Over the last five decades, UNR Med has educated more than 3,900 physicians with over 30% percent practicing in Nevada, increasing access to care for Nevadans across the state. Equally rooted in the community, Renown’s long legacy of service started in 1862 as a county hospital, Washoe Medical Center. Now, Renown Health serves the community by providing care through hospitals, outpatient medical offices, institutes and an insurance plan, Hometown Health. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.Media Contact for UNR Med: Julie Ardito, APRM: 775-846-8445E: jardito@med.unr.edu
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Kristina Deeter, MD, MBA, FAAP Appointed Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital
Kristina Deeter, MD, MBA, FAAP has been promoted from Vice Chair of Pediatrics to Chair of Pediatrics, University of Nevada Reno School of Medicine (UNR Med) and Physician-in-Chief, Renown Children’s Hospital, effective July 15, 2022. Dr. Deeter follows Dr. Max Coppes who recently stepped down to lead Renown’s Pennington Cancer Institute on a full-time basis. Dr. Coppes will continue to serve as Professor of Pediatrics and Internal Medicine at UNR Med. In her new role, Dr. Deeter will be responsible for leading a growing team of over 40 pediatric physician specialists and 15 general pediatric providers at Renown Children’s Hospital who provide over 30,000 patient and family visits annually for families across northern Nevada, Lake Tahoe and northern California. Larry Duncan, MS, Vice President of Pediatrics and Surgery & Administrator of Renown Children's & Women’s Services will serve as dyad partner with Dr. Deeter. “Together, Dr. Deeter and Larry Duncan will be responsible for the strategic direction, operations, fiscal management and recruitment of professionals to Renown Children’s,” said Sy Johnson, MBA, president and chief of staff for Renown Health. “As one of Renown’s ‘Destination Health’ service lines, Dr. Deeter and Larry will continue to support an integrated leadership model that puts the youngest patients- and their families- at the center of all that we do.” As Physician-in-Chief for Renown Children’s Hospital, Dr. Deeter will serve as a senior clinical leader with oversight for the healthcare system’s pediatric medical and surgical services, academic advancement, research and teaching programs. “Dr. Deeter is an energetic, collaborative physician, researcher and mentor who cares deeply about improving the health and well-being of children everywhere,” said Thomas Graf, MD, CEO of Renown Health. “This is an exceptionally exciting time to shape the future of pediatrics in this community, and we are so excited that she is embarking on this new role. I know her talent, energy and inspiring leadership will further elevate our mission of outstanding care, exceptional training, innovative research and impactful advocacy in children’s health.” Dr. Kris Deeter is a highly accomplished physician leader with over twenty years of experience in children’s hospitals and outpatient settings, including federal, academic and private practices. Locally, Dr. Deeter has served as Vice Chair of Pediatrics for Renown Children’s while also leading the ICU teams of Pediatrix National Medical Group as their Specialty Medical Officer since August 2021. For the past six years, she has been the Medical Director of the Pediatric Intensive Care Unit (PICU) and Pediatric Hospitalist teams for Renown and Pediatrix. Since 2017, Dr. Deeter has served as an Educator for REMSA and other Northern Nevada counties, providing pediatric education for Care Flight teams, paramedics and fire departments. Dr. Deeter also recently completed her MBA from the University of Nevada, Reno. “The School of Medicine is delighted to appoint Dr. Deeter as the new Chair of Pediatrics at UNR Med and Physician-in-Chief, Renown Children’s Hospital, says, Melissa Piasecki, MD, UNR Med Acting Dean. “She brings extensive experience in medical education, a positive leadership style and unwavering commitment to the community. We look forward to the ongoing development of medical education and research opportunities in pediatrics.” Dr. Deeter has a passion for service. Coming from an underserved background, her education started in a Head Start preschool. Years later, she received a full-ride scholarship to the University of California, Berkeley where she double-majored in biology and psychology. Dr. Deeter found her true calling in pediatrics while at medical school at New York Medical College. There, she developed an interest in pediatric HIV and infectious diseases while volunteering to help during the HIV/AIDS crisis. Her medical training was primarily funded through a government scholarship that allowed her to start her career as a pediatrician caring for underserved children with the National Health Service Corps. After residency, she and her military husband followed orders and educational opportunities and moved around the country. She worked in a Federally Qualified Health Center (FQHC) in San Antonio with predominantly Spanish-speaking patients and led one of the first academic pediatric hospitalist programs at the University of Texas. Early on, Dr. Deeter developed a passion for medical education developing a new curriculum for students and transitioning residents to new work hour rules. After a move with the military to Ft Benning, Georgia and a busy private practice, she was recruited to Seattle Children’s/University of Washington School of Medicine for ICU fellowship training. There, she joined a large DKA study group and launched her own research into sedation andcomfort practices for critically ill children, publishing in top journals in pediatrics. She later transitioned to clinical practice in a large CICU/PICU in South Florida where she continued her academic collaborations with Florida Atlantic University. Dr. Deeter volunteers her time locally and internationally, including many visits to help improve the only PICU in Haiti after the earthquake there in 2012. She was a board member for a women and children’s hospital in Bangladesh while also supporting local children’s organizations like Head Start. She has served in leadership positions throughout her career, both in academic and private settings, including terms as vice president of the Broward County (FL) medical society, legislative positions with the TMA and FMA, and chairing the hospital’s peer review committee. The Deeter family moved to Reno in 2016 for an opportunity to move closer to family and for what she calls her “dream job” as a leader at Renown Children’s Hospital. “Dr. Deeter is a highly competent and passionate care giver, dedicated teacher, and fierce advocate for the health and well-being of children and their families,” said Max J. Coppes MD, former Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “We are fortunate to have her step up to this new role. Her extensive experience will springboard our Children’s Hospital, our membership in Children’s Oncology Group, and if approved in September 2022, a new 3-year accredited pediatric residency program in Reno. She is an inspiration to all, and will help encourage UNR Med students who choose pediatric specialties to excel as pediatricians and eventually practice in northern Nevada, our rural communities and our state.” Dr. Deeter is a member of the Society of Critical Care Medicine: Pediatric section; American Academy of Pediatrics, Nevada Chapter; AAP Section Membership: Critical Care; Pediatric Trauma Society; Pediatric Sedation Society and the American Medical Association. She is a frequent contributor to national and local media on topics regarding pediatrics and child health. The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoeand northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®.
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James M. Alexander M.D., Named First OB/GYN Chair for Nevada's First Integrated Health System
Experienced physician, researcher, mentor, and educator to lead obstetrics and gynecology department at the University of Nevada Reno School of Medicine (UNR Med) and Renown Health. James M. Alexander, M.D., an experienced leader and clinician in OB/GYN, is regularly in the room at the beginning of something new, so it’s fitting that he is one of the first jointly appointed senior clinical leaders of Nevada’s first integrated health system. As the chair of the department of Obstetrics and Gynecology at the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health, Dr. Alexander will lead the medical and surgical services, academic advancement, research, and teaching programs for the healthcare system. A 50-year affiliation agreement signed in 2021 solidified the integration of the UNR Med, Nevada’s first medical school, with Renown, northern Nevada’s most extensive health system. “The affiliation offers a remarkable opportunity to advance health and health care through medical education, clinical research, and patient care for our community and our state,” Dr. Alexander said. “By integrating our teaching, research, and patient care, we can make a difference for women and children in Nevada and beyond.” He is one of the first of several planned joint-chair hires for UNR Med and Renown. “Dr. Alexander is a dedicated obstetrician and gynecologist who takes great pride in his work as a researcher and mentor,” said Melissa Piasecki, M.D., UNR Med Acting Dean, and Renown Chief Academic Officer. “He has a deep commitment to improving women's health and fostering the careers of future physicians in this specialty. Our school of medicine and health system are very fortunate to have recruited Dr. Alexander and will benefit from the growth of clinical services, medical education and clinical research in obstetrics and gynecology under his direction.”” A 1991 graduate of the University of Texas at Houston, Dr. Alexander most recently chaired the OB/GYN department at the Kirk Kerkorian School of Medicine at UNLV. He completed his residency at the University of Alabama at Birmingham and a fellowship in Maternal Fetal Medicine at the University of Texas Southwestern. He was recruited to the faculty at UTSW after finishing his fellowship and held several leadership positions there, including chief of the obstetrics service. Dr. Alexander established himself as a clinical investigator at UTSW and served as co-investigator on several studies conducted by the Maternal Fetal Medicine Units Network of the Eunice Kennedy Shriver National Institute of Child Health and Human Development. He has published widely on obstetrics and maternal fetal medicine topics, including cesarean delivery, prematurity, obstetric complications, labor management, and obstetric anesthesia. He has contributed to the leading textbook on obstetrics, “Williams Obstetrics.” Following his tenure at UTSW, Dr. Alexander held the positions of division director of maternal fetal medicine at the University of Arkansas for Medical Sciences as well as director of maternal fetal medicine and obstetrics at the Billings Clinic. He is board certified in Obstetrics and Maternal Fetal Medicine and currently serves as an examiner for the American Board of Obstetrics and Gynecology. “Shaping the future of healthcare in our state has never been more important than it is now,” said Rahul Mediwala, M.D., Chief Medical Officer of the Health Services Division at Renown Health. “I do not doubt that Dr. Alexander will apply his skills, enthusiasm, and guiding leadership to improve our community's health through increased access to care, innovative health care delivery, and expanding clinical research.” About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.