Professional News Attends Institute WELDING NOW, EATING LATER—R\g\r\t below where these welding sparks are flying soon will be an expansion of the Hospital Cafeteria. This is the construction project that's underway in what is called the courtyard in the center of the hospital. The basement level of the addition will house Inhalation Therapy. Also on that level will be freezers and meat, dairy and produce coolers for the Department of Dietetics, and a new air-handling system for the kitchen. On the first floor level, an addition to the cafeteria will contain seating for nearly 250 people, raising the cafeteria's seating capacity to nearly 700. An entrance and exit to the new cafeteria space will be located on the hallway opposite the present cafeteria, (photo by Lewis Parrish) Drs. Brumley, Crenshaw To Direct New Division of Perinatal Medicine Dr. Gerald J. Musante, i^associate professor of psychiatry, is attending Dr. Joseph Wolpe's Summer Institute in Behavior Therapy at Temple University Medical School in Philadelphia, Pa. during the month of June. Dr. Musante is a new member of the executive committee and chairman of the committee on health insurance of the North Carolina Psychological Association. Host Dr. Frank W. Clippinger, professor of orthopaedic surgery, was host to the Little Orthopaedic Club, a travel society which held its annual meeting at Duke May 8-9. The Duke orthopaedic senior and house staffs presented the program for the meeting. Present Paper Dr. James A. Merchant, fellow in the division of environmental medicine, presented two papers on "Cotton Dust Exposure and Cigarette Smoking" and "Dose Response Studies Among Cotton Textile Workers" at the Skytop Conference on Industrial Disease, held May 16-19 at Skytop, Pa. Dr. Kaye H. Kilburn, director of the division of environmental medicine, presented a paper on "Biological Effects of Cigarette Smoking in the Pathogenesis of Pulmonary Disease" at the same conference. Attend Workshop lORNsfrom Duke attended a workshop in Psychiatric Nursing at the UNC School of Continuing Education in Chapel Hill May 25-26. They are Linda Moore, Ann Brown, Barbara Fagge, Jay Stull, Clara Ray, Jerry Vereen, Bonnie Manners, Brad Lewis, Janie Canty and Lillian McDaniel. The Departments of Obstetrics-Gynecology, Pediatrics and Anesthesiology have joined forces at the Medical Center to create a new division of perinatal medicine. The division, the first of its kind in the Southeast, will be primarily concerned with problem deliveries. As the. interdepartmental approach suggests, it will view the mother and child together as a single patient problem. Directors of the new division are Dr. George W. Brumley, chief of newborn services, and Dr. M. Carlyle Crenshaw, Jr., E. C. Hamblen Professor of Reproductive Biology and Family Planning. In September Dr. David Cole will join the division as an obstetrical anesthesiologist. The first faculty member at Duke with this specialty. Dr. Cole will be responsible for anesthetic care of the mother during delivery and for resuscitation of the newborn. Dr. Crenshaw said that the purpose of the interdisciplinary approach to the mother-infant patient complex was to improve perinatal and maternal morbidity. "We lose a lot of babies in North Carolina, partly because of prenatal and neonatal care. Through this amalgamation of departmental interests, we hope to make available at Duke Hospital the best possible care for sick fetuses and sick mothers." Since Duke is a large referral center, high-risk obstetric patients account for 15 per cent of the Hospital's deliveries. These patients are seen by Dr. Crenshaw and the Ob-Gyn staff in a weekly clinic at Duke. Following the clinic, a High Risk Obstetrics Conference is held. Here, Dr. Brumley and Duke's pediatric fellows are brought in for consultation and discussion. "The division will not bring about any abrupt changes in patient care," Dr. Brumley said, "but rather gives an official framework to policies that are already operational." "Dr. Crenshaw and I felt that as our interests overlapped more and more, it would be better to consolidate for obvious benefits —not only more supportive care for patients, but for training and research purposes as well." One of the goals of the division, he said, was a training program for house staff members who want to specialize in perinatology. INTERCOM is published weekly for Duke University Medical Center employes, faculty, staff, students, and friends by the Medical Center Public Relations Office, Joe H. Sigler, director, and Vance B. Whitfield, assistant director. Editor MRS. CHERYL JARVIS Assistant Editor MRS. DALE MOSES Public Relations Advisory Committee: Sam A. Agnello, director of the division of audiovisual education; James L. Bennett, Jr., executive assistant to the vice president tor health affairs; C. C. Cobb, employe relations assistant in the Medical Center Personnel Office; Kenneth M, Holt, assistant director of the Hospital; and Julia Taylor, RN, head nurse on Strudwick Ward.