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David Newman-Toker Named President-Elect of the Society to Improve Diagnosis in Medicine

Posted By Lorie Slass, Wednesday, October 11, 2017
Updated: Wednesday, October 11, 2017

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CONTACT: Lorie Slass (215) 801-4057, lorie.slass@improvediagnosis.org

 

FOR IMMEDIATE RELEASE      

October 11, 2017

 

David Newman-Toker Named President-Elect of the Society to Improve Diagnosis in Medicine

 

(BOSTON, October 11, 2017) – The Society to Improve Diagnosis in Medicine (SIDM) announced new board leadership at the 10th Annual Diagnostic Error in Medicine (DEM) Conference this week in Boston, Massachusetts. David Newman-Toker, MD, PhD, Professor of Neurology, Ophthalmology and Otolaryngology and Director of the Armstrong Institute Center for Diagnostic Excellence at Johns Hopkins Medicine, has been elected President-Elect of SIDM, effective immediately.  Serving a one-year term, Dr. Newman-Toker will become SIDM’s President in November 2018, following Dr. Mark L. Graber, SIDM’s founding President.

 

“As a member of SIDM’s Board of Directors, Dr. Newman-Toker has consistently asked the difficult questions about strategic priorities and has driven forward a strategy to raise awareness of the problem of diagnostic error among his peers and the policy community,” said Mark L. Graber, MD, President of SIDM.

Dr. Newman-Toker has served on the Board of Directors of SIDM since 2011 when SIDM was formed.  In addition to his Board position, he was conference chair for the Diagnostic Error in Medicine conference (2009-2012), initial Chair of the Research Committee (2012-2016), and currently serves as Chair of the Policy Committee. Under his Policy Committee leadership, SIDM worked throughout 2017 to educate policymakers about the importance of diagnostic safety and quality. Those efforts resulted in language in the Senate Labor, Health and Human Services, and Education Appropriations report directing the Agency for Healthcare Research and Quality to lead the development of a coordinated, multi-agency agen­da for research to improve diagnosis, a key recom­mendation of the 2015 National Academies of Sciences, Engineering, and Medicine (formerly the Institute of Medicine) report – Improving Diagnosis in Healthcare. Dr. Newman-Toker also represents Johns Hopkins Medicine as a member of SIDM’s Coalition to Improve Diagnosis. The coalition includes representatives from 35 organizations in the medical and patient community who have committed to improving diagnostic safety and quality.

Dr. Newman-Toker holds joint appointments in Emergency Medicine and Health Sciences Informatics at the Johns Hopkins University School of Medicine, in Epidemiology and Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health, and in Acute Care Nursing at the Johns Hopkins University School of Nursing. His clinical focus is in diagnosis of acute disorders affecting the brainstem and cranial nerves, particularly stroke. His personal research mission is to achieve better outcomes through better diagnosis, and he has been a pioneer in developing novel methods to diagnose stroke in patients with acute dizziness and vertigo. Dr. Newman-Toker leads the Armstrong Institute Center for Diagnostic Excellence that seeks to catalyze efforts to improve diagnostic performance, develop the science of diagnostic safety, and enhance diagnostic research.  

“The Society to Improve Diagnosis in Medicine is a small organization that is making a huge impact on the field of diagnostic safety and quality in pursuit of its vision to eliminate harms from diagnostic error. We are raising awareness of the problem, rallying stakeholders to the cause, and taking concrete actions to enhance research to reduce harms from delayed or missed diagnosis. I am very proud to be part of this critical work needed to solve this major public health problem,” said Dr. Newman-Toker.  

Dr. Newman-Toker joined more than 300 researchers, educators, physicians, clinical team members and patients at SIDM’s annual conference this week to discuss the causes of diagnostic errors and ways to improve the diagnostic process in pursuit of better diagnostic outcomes for patients. 

  

 

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About the Society to Improve Diagnosis in Medicine (SIDM)

SIDM is a nonprofit organization whose members include clinicians and other healthcare professionals, patients and every stakeholder in the diagnostic process. SIDM sponsors the annual Diagnostic Error in Medicine conference being held October 8-10, 2017 in Boston, Mass. In 2015, SIDM established the Coalition to Improve Diagnosis, a collaboration of 35 leading healthcare organizations. Visit  www.improvediagnosis.org to learn more. Follow us on Twitter and Facebook.

Tags:  DEM  Diagnostic Errors  SIDM 

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New Resources Available to Develop and Enhance Clinicians’ Clinical Reasoning Skills

Posted By Lorie Slass, Tuesday, October 10, 2017
Updated: Sunday, October 8, 2017

NEWS

  

CONTACT: Lorie Slass (215) 801-4057, lorie.slass@improvediagnosis.org 

 

  

FOR IMMEDIATE RELEASE      

October 10, 2017

 

New Resources Available to Develop and Enhance Clinicians’ Clinical Reasoning Skills

 

Society to Improve Diagnosis in Medicine Unveils New Tools and Videos

 

(BOSTON - October 10, 2017) Today, at its annual Diagnostic Error in Medicine conference, the Society to Improve Diagnosis in Medicine (SIDM) announced two new resources to support physicians in developing the knowledge and competencies needed to improve their diagnostic skills. 

                                 

According to the National Academies of Sciences, Engineering, and Medicine’s (formerly the Institute of Medicine) 2015 seminal report Improving Diagnosis in Healthcare, “most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences.” A key recommendation of the report was to “enhance health care professional education and training in the diagnostic process.” Recent research in the Journal of General Internal Medicine found that clinical reasoning is not consistently taught in U.S. medical schools.

 

The Assessment of Reasoning Tool (ART) – developed by SIDM and leaders in medical education and diagnostic reasoning – provides a framework to evaluate learners’ clinical reasoning skills during their patient presentations. The ART recognizes that the diagnostic process is complex and requires clinicians to develop specific skills that support accurate diagnosis including:

·       Collecting and reporting history and examination data in a hypothesis-directed manner;

·       Articulating a complete problem representation;

·       Articulating a prioritized differential diagnosis;

·       Directing evaluation/treatment towards high priority diagnoses; and

·       Demonstrating the ability to think about their own thinking (metacognition).

 

“Medical educators are looking for a way to assess their learners and provide feedback on their diagnostic and clinical reasoning skills,” said Satid Thammasitboon, MD, MHPE, Associate Professor of Pediatrics at Baylor College of Medicine and Chair of the Assessment Subcommittee of the SIDM Education Committee. “The SIDM Assessment of Reasoning Tool is an easy-to-use resource that will support educators in their efforts to increase the diagnostic skills of their learners.”

 

In addition to the ART, SIDM released five new faculty development videos focused on each of the five domains in the ART. The videos were made with support from the ABIM Foundation. The ART and videos can be found on SIDM’s website at www.improvediagnosis.org/ART.

 

“We have created five faculty development videos that offer medical educators tips on how to use the tool to assess their students and residents,” added Andrew Olson, MD, FACP, FAAP, Assistant Professor of Medicine and Pediatrics at the University of Minnesota Medical School, and co-chair of the SIDM Education Committee. “The videos briefly explain the relevant clinical reasoning principle and then provide teachers with a framework to evaluate their learners around each of the competencies.”

 

Getting It Right: Cases to Improve Diagnosis – The Getting It Right module includes learning cases that practicing physicians can use to think about diagnostic decision-making, how diagnostic errors may affect patients and physicians, and how diagnostic errors can be mitigated by physicians. The cases were developed by SIDM in collaboration with the American College of Physicians (ACP) and are available for free on ACP’s website. Physicians can earn both CME credit and American Board of Internal Medicine Maintenance of Certification points by completing the modules. Non-ACP members can set up a free account to access the cases.

 

“Many practicing clinicians were never taught the basics of how we make diagnostic decisions on a daily basis and the potential pitfalls in an otherwise remarkably accurate process that is so critical to good patient care,” said Philip A. Masters, MD, FACP, Executive Editor of Getting It Right. “These clinically-based cases are intended to help care providers understand how we all make diagnostic decisions and can seek to improve our own diagnostic accuracy, engage our patients in the diagnostic process, and know better how to respond to diagnostic errors when they occur.”

 

The learning cases cover the following topics:

  • Understanding the Diagnostic Process;
  • Analyzing Cognitive and Systems Contributions to Diagnostic Errors;
  • Partnering with Patients and Families in the Diagnostic Decision-Making Process;
  • Physician and Patient Factors in Diagnostic Decision-Making; and
  • Recognizing and Responding to Diagnostic Errors.

“Clinical reasoning is a fundamental skill to ensuring a timely and accurate diagnosis for patients.  These new tools showcase the need for physicians to learn and develop that skill in training and then reinforce their knowledge with learning activities throughout their careers,” added Paul Epner, Executive Vice President for the Society to Improve Diagnosis in Medicine. “We are proud to partner with the American College of Physicians and others to ensure that physicians have access to continuing learning activities to further develop their diagnostic skills.”

 

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About the Society to Improve Diagnosis in Medicine (SIDM)

SIDM is a nonprofit organization whose members include clinicians and other healthcare professionals, patients and every stakeholder in the diagnostic process. SIDM sponsors the annual Diagnostic Error in Medicine conference being held October 8-10, 2017 in Boston, Mass. In 2015, SIDM established the Coalition to Improve Diagnosis, a collaboration of 35 leading healthcare organizations. Visit  www.improvediagnosis.org to learn more. Follow us on Twitter and Facebook.

 

About the American College of Physicians

The American College of Physicians is the largest medical specialty organization in the United States with members in more than 145 countries worldwide. ACP membership includes 152,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. Follow ACP on Twitter and Facebook.

 

Tags:  DEM  Diagnostic Errors  SIDM 

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Society to Improve Diagnosis in Medicine Approved for a $250,000 Engagement Award from the Patient-Centered Outcomes Research Institute

Posted By Lorie Slass, Wednesday, August 30, 2017
Updated: Wednesday, August 30, 2017
 

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CONTACT:

Lorie Slass (215) 801-4057

lorie.slass@improvediagnosis.org

 

 

FOR IMMEDIATE RELEASE                                                                          

August 30, 2017                                                                                            

                                                                                                                       

Society to Improve Diagnosis in Medicine Approved for a $250,000

Engagement Award from the Patient-Centered Outcomes Research Institute

 

Award Will Address Gap in Patient Representation in Development of Research

Around Diagnostic Error and Establish a New Academy of Patient Partners

 

(August 30, 2017) The Society to Improve Diagnosis in Medicine (SIDM) has received a Eugene Washington PCORI Engagement Award from the Patient-Centered Outcomes Research Institute (PCORI). The 18-month project, Patients Improving Research in Diagnosis, will develop and evaluate an innovative curriculum to train Patient Partners to participate in the design, execution and dissemination of research to improve diagnosis. SIDM and its partners from Project Patient Care (PPC) and the MedStar Institute for Quality and Safety will also work together to develop a new Academy for Patient Partners.

 

The 2015 National Academy of Medicine, formerly the Institute of Medicine, report on Improving Diagnosis in Health Care recommended increased research around the diagnostic process and encouraged greater patient engagement to address the problem of diagnostic errors in medicine. The report noted that “most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences.”

 

“Though many programs have prepared patients for participation in research design and execution directed towards treatment choices, no programs currently focus on the unique requirements of research in the process of diagnosis and the choices that patients face during that process,” said Sue Sheridan, Board Member of the Society to Improve Diagnosis in Medicine and noted patient safety expert. “There is currently no established curriculum or training program to help patients become full partners in research efforts to eliminate the risk of diagnostic error that harms them.”

 

Patient Partners will be recruited from organizations representing patients and other leading healthcare organizations. Each Patient Partner will be assigned to a Research Mentor who will facilitate their engagement in research activities, evaluate the effectiveness of the program, and plan for its sustainability. The program will work toward six goals:

 

·Engage a diverse set of disease-based and other healthcare organizations in diagnostic research,

·Train Patient Partners to be ready to collaborate in diagnostic research,

·Mentor Patient Partners to provide an effective support network,

·Promote Patient Partners to active researchers in diagnosis,

·Evaluate the project to inform future work, and

·Develop a plan to sustain the Patient Partner training initiative for diagnostic research through an Academy for Patient Partners

 

“PCORI and others have recognized the need to engage patients and relevant stakeholders in the design and conduct of research to drive outcomes that matter to patients,” said Mark Graber, President of the Society to Improve Diagnosis in Medicine. “As the research field of diagnostic error grows, we must work to ensure that there are patients who can help shape the research that leads to new evidence-based guidance to improve the diagnostic process.”

 

The project is part of a portfolio of projects approved for PCORI funding to help develop a skilled community of patients and other stakeholders from across the entire healthcare enterprise and to involve them meaningfully in every aspect of PCORI’s work.

 

“This project was selected for Engagement Award funding not only for its commitment to engaging patients and other stakeholders, but also for its potential to increase the usefulness and trustworthiness of the information we produce and facilitate its dissemination and uptake,” said Jean Slutsky, PCORI’s Chief Engagement and Dissemination Officer. “We look forward to following the project’s progress and working with the Society to Improve Diagnosis in Medicine, Project Patient Care and the MedStar Institute for Quality and Safety to share the results.”

 

PPC will direct patient and researcher engagement throughout the project. PPC is a nonprofit organization bringing the voice of the person, patient, and family into every aspect of the health and healthcare system. PPC has been a champion in bringing together patients, families, and providers in partnership to achieve improve quality and safety outcomes. 

 

“Project Patient Care is tremendously excited about this opportunity for patients and families to be engaged as partners in diagnostic research that will be beneficial to improving patient care and outcomes. This is a pivotal moment in time where the patient and family voice is being recognized and integrated into diagnostic research,” said Pat Merryweather, Executive Director of Project Patient Care. “We are looking forward to working with all of the partners on this initiative and grateful for SIDM’s leadership and vision for patient partnership in diagnostic research.”

 

Kelly M. Smith, Ph.D., Director of Quality and Safety Research at the MedStar Institute for Quality and Safety, will lead curriculum development and evaluation for the project. Dr. Smith is a leader in engaging patient partners in research to improve patient safety and quality within healthcare systems.

 

SIDM’s project and the other projects approved for funding by the PCORI Engagement Award Program were selected through a highly competitive review process in which applications were assessed for their ability to meet PCORI’s engagement goals and objectives, as well as program criteria. For more information about PCORI’s funding to support engagement efforts, visit http://www.pcori.org/content/eugene-washington-pcori-engagement-awards/.

 

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About the Society to Improve Diagnosis in Medicine (SIDM)

The Society to Improve Diagnosis in Medicine (SIDM) is a nonprofit organization whose members include clinicians and other healthcare professionals, patients and every stakeholder in the diagnostic process. SIDM sponsors the annual Diagnostic Error in Medicine conference being held October 8-10, 2017 in Boston, Mass. In 2015, SIDM established the Coalition to Improve Diagnosis, a collaboration of 34 leading healthcare organizations.

 

About Project Patient Care (PPC)

Project Patient Care (PPC) is an independent nonprofit organization working to prevent medical errors and continuously improve healthcare quality. We are a diverse community of patients, family members of patients, healthcare professionals and organizational leaders. We care deeply about ensuring that every patient gets the right care at the right time.  PPC’s mission is to engage consumers as partners in healthcare and mobilize diverse healthcare stakeholders to provide the best possible care to every patient every time, by eliminating preventable harm and implementing systemic change to ensure consistent excellence.

 

About MedStar Institute for Quality and Safety

The MedStar Health Institute for Quality and Safety (MIQS) aligns with and catalyzes the intellectual power within MedStar Health. The MIQS Team is devoted to supporting and accelerating the MedStar Health quality and safety mission through synergistic interaction with our patients, care teams and external partners.

 

About MedStar Health

MedStar Health is a not-for-profit health system dedicated to caring for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. MedStar’s 30,000 associates, 6,000 affiliated physicians, 10 hospitals, ambulatory care and urgent care centers, and the MedStar Health Research Institute are recognized regionally and nationally for excellence in medical care. As the medical education and clinical partner of Georgetown University, MedStar trains more than 1,100 medical residents annually. MedStar Health’s patient-first philosophy combines care, compassion and clinical excellence with an emphasis on customer service. For more information, visit MedStarHealth.org.

 

About PCORI

The Patient-Centered Outcomes Research Institute (PCORI) is an independent nonprofit organization authorized by Congress in 2010. Its mission is to fund research that will provide patients, their caregivers and clinicians with the evidence-based information needed to make better-informed healthcare decisions. PCORI is committed to continuously seeking input from a broad range of stakeholders to guide its work.

 

Tags:  patient engagement  SIDM 

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SIDM and IHI Issue RFP for Interventions to Improve Diagnostic Accuracy

Posted By Lorie Slass, Monday, August 7, 2017
Updated: Friday, August 4, 2017
 
NEWS

 

PRESS CONTACTS

Lorie Slass for SIDM; (215) 801-4057, lorie.slass@improvediagnosis.org 

Joanna Clark for IHI; (207) 712-1404, joanna@cxocommunication.com

 

 

FOR IMMEDIATE RELEASE                                                                                                             

August 7, 2017

 

Society to Improve Diagnosis in Medicine and Institute for Healthcare Improvement Issue RFP for Interventions to Improve Diagnostic Accuracy

Gordon and Betty Moore Foundation fund $725,000 year-long effort.

The Society to Improve Diagnosis in Medicine (SIDM) and the Institute for Healthcare Improvement (IHI), which recently merged with the National Patient Safety Foundation, have received a $725,100 grant from the Gordon and Betty Moore Foundation  to better understand how delayed or wrong diagnoses happen and to test strategies to reduce them. 

 

The National Academies of Sciences, Engineering and Medicine’s landmark report, Improving Diagnosis in Health Care, identified diagnostic error as a major, unaddressed patient safety issue, noting that “most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences.” This grant from the foundation supports a major goal of the National Academies report: “Develop and deploy approaches to identify, learn from, and reduce diagnostic errors and near misses in clinical practice.”

 

“The complexity of diagnosis is well known and health care organizations struggle with where to start or which interventions might have the most value,” said Mark Graber, MD, FACP, president and founder of the Society to Improve Diagnosis in Medicine. “There is a wealth of suggestions on how to improve diagnosis, but almost none of these proposals have been evaluated in clinical settings.”

 

SIDM and IHI have issued a Request for Proposals this week seeking six health care organizations to join a six-month collaborative during which they will learn improvement skills and test one or more interventions to reduce diagnostic error. SIDM and IHI will work with the six clinical teams to harvest the learning and to consider what’s applicable to broader clinical settings. The deadline to submit proposals is September 8, 2017.

 

“Arriving at an accurate diagnosis is a complicated, collaborative process that involves many players in the health care system working together,” said Jennifer Lenoci-Edwards, RN, MPH, Director, Patient Safety, Institute for Healthcare Improvement. “It’s critically important to better understand the process and improve its accuracy.”

Selected health care organizations would receive a $15,000 stipend to support their projects. Using the unique “IHI Collaborative” approach that has successfully advanced safety and quality work over the past decade, the participating organizations will work and learn together in this effort, sharing problems, insights, and lessons learned.  

 

“To improve patient care, we need to learn what interventions work and which ones improve diagnostic performance most effectively,” added Graber.

 

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About the Society to Improve Diagnosis in Medicine (SIDM)

SIDM is a nonprofit organization whose members include clinicians and other healthcare professionals, patients and every stakeholder in the diagnostic process. SIDM sponsors the annual Diagnostic Error in Medicine conference being held October 8-10, 2017 in Boston, Mass. In 2015, SIDM established the Coalition to Improve Diagnosis, a collaboration of 34 leading healthcare organizations. Visit www.improvediagnosis.org to learn more.

 

About the Institute for Healthcare Improvement (IHI)

The Institute for Healthcare Improvement (IHI) and the National Patient Safety Foundation (NPSF) began working together as one organization in May 2017. The newly formed entity is committed to using its combined knowledge and resources to focus and energize the patient safety agenda in order to build systems of safety across the continuum of care. To learn more about our trainings, resources, and practical applications, visit ihi.org/PatientSafety.

 

About the Gordon and Betty Moore Foundation

The Gordon and Betty Moore Foundation fosters path-breaking scientific discovery, environmental conservation, patient care improvements and preservation of the special character of the Bay Area. Visit Moore.org and follow @MooreFound.

 

 

 

Tags:  Diagnostic Errors  Patient Safety  SIDM 

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Report on the National Academy of Medicine Diagnostic Safety Workshop

Posted By Cori Smith, Monday, July 24, 2017
The National Academy of Medicine hosted a well-attended “Implementation Workshop” last week that focused on the 2015 Improving Diagnosis in Health Care report, and what can be done to further advance progress on addressing diagnostic error. The agenda for the meeting can be found here, and a full report will be available on this page in a few weeks.


The 2015 report contained 8 major goals and recommendations. Although none of these have been fully met or implemented, the meeting highlighted the substantial progress that’s been made. Paul and I provided examples of accomplishments to date in the attached slide set, featuring the contributions made by SIDM’s partners in the Coalition to Improve Diagnosis, many of whom attended the workshop.

The meeting was well attended, and included a virtual “Who’s Who” in our field, including Dr Victor Dzau, the current NAM President, and the President of the Gordon and Betty Moore Foundation (and past president of the IOM), Dr Harvey Fineberg. Besides Paul Epner and myself, the SIDM Board and Committees were represented by David Newman-Toker, David Meyers, Andrew Olson, Kathy McDonald, Sue Sheridan, and Helen Haskell. SIDM also stepped up on social media – tweeting throughout the meeting. Do you follow us on Twitter?

Beyond SIDM, all of the major federal agencies were present (AHRQ, CMS, the ONC, VA and CDC), and a host of professional societies and Boards, including large contingencies from the AAMC, ACP, and ABIM. We were also delighted to see ‘new’ participants in the diagnostic error discussion: The Joint Commission, “payers” (eg Anthem Blue Cross), Consumer’s Union, CVS Health, and the Milbank Memorial Fund.

In additional to the plenaries, three working sessions, each attended by a representative from SIDM, focused on:
• Improving Diagnosis in Clinical Practice
• Improving Diagnosis Through Health Care Professional Education
• Patient-Centered Health Care, Education, and Policy to Improve Diagnosis

The meeting highlighted not only the progress that’s been made in the past 2 years, but the imperative going forward to address harm related to diagnostic error as an urgent patient safety concern. SIDM is committed to leading that effort, and we will continue to look for every opportunity to accelerate progress.

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Dartmouth-Hitchcock Health System joins SIDM!

Posted By Cori Smith, Thursday, November 17, 2016
Announcing Dartmouth-Hitchcock has joined SIDM!

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New Josiah Macy Jr Foundation Grant!

Posted By Cori Smith, Wednesday, November 2, 2016
"New Grant Will Develop Interprofessional Curriculum to Improve Medical Diagnoses"

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New SIDM Grant!

Posted By Cori Smith, Thursday, September 29, 2016
View attached file on: 'New Grant Advances Efforts to Improve Diagnosis and Eliminate Patient Harm'

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SIDM Career Opportunity!

Posted By Cori Smith, Wednesday, July 20, 2016

NEW job posting for Director of Strategic Engagement. Download pdf to learn more and apply!

Deadline to apply is 12/23/16

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SIDM Career Opportunity!

Posted By Cori Smith, Wednesday, July 20, 2016

 

NEW job posting for Operations-Project Manager. Download pdf below to learn more and apply!

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