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Wounds War of v e r m o n t
v e r m o n t University of Vermont College of Medicine Wounds War of Bruce Leavitt, M.D.’81 treats the aftermath of the Sri Lankan conflict ALSO FEATURED: ❯ Women in medicine ❯ A history of Vermont surgeons ❯ S tudents research, learn, and advocate s P R I N G 2 0 1 0 the place where your medical career began. Recall the good times. Renew old friendships. Reconnect with faculty. Revisit June 11–13 s pring 2010 2 From the Dean 35 Hall A 3 College News 36 President’s Corner Vermonters respond to Haiti’s needs; a faculty member becomes American College of Physicians president-elect; the Class of 2010 makes its match, and more. 14 14 Attention Classes of The UVM Medical Alumni Association invites you and your family to plan now 20 26 to join your classmates for Reunion 2010 — June 11–13, 2010. Come back to Burlington and the UVM campus, your home during medical school. You may have lost contact with your classmates and former teachers, but Reunion will first-hand the growth and evolution of your medical alma mater. Paying it Forward Fifty years ago, few women rose to leadership positions in medicine. Today, women who’ve made the long, hard climb mentor the next generation of physicians and scientists. By Lynda Majarian give you the chance to reconnect, rekindle old friendships, check out favorite places, talk with faculty, meet the medical students of today, and experience Beyond the Borders For more information, call the UVM Medical Development & Alumni Relations Office at (802) 656-4014 or email [email protected] Events Include: Medical Education Today Session • Tours of the College, including the Medical Education Center and new Courtyard Building • Alumni Awards and Reception • Medical Alumni Picnic • Nostalgia Hour • Class Receptions Register today for your reunion! www.med.uvm.edu/alumni 37 Class Notes 41 Development News 48 Obituaries 26 After a quarter-century of war, hundreds of thousands of the Tamil people of Sri Lanka sat in Internal Displacement Camps in the island nation. Bruce Leavitt, M.D.’81 shares photos and diary entries from his month-long experience working in a Doctors Without Borders clinic serving thousands of patients still nursing the wounds of war. 20 1940, ’45, ’50, ’55, ’60, ’65, ’70, ’75, ’80, ’85, ’90, ’95, ’00 & ’05! 2 0 1 0 Two Centuries of Vermont Surgeons Seven years after his retirement, an emeritus professor of surgery draws on fifty years of memories, plus mountains of research, to produce a history of the practice of surgery in Vermont. Vermont Medicine presents a sampling of Catamount Surgeons, the new book by David Pilcher, M.D., and co-author Michael Curran, M.D. 32 Research, Advocate, Change Perhaps only in Vermont can medical students help to effect change so rapidly: this winter, a group produced new public health knowledge, and quickly propelled their findings into the public forum. By Jennifer Nachbur On the cover: A n X-ray shows a bullet still in the knee of one of 32 the patients of Bruce Leavitt, M.D.’81 in Sri Lanka. FROM T H E DE A N v This spring has certainly been a time of renewal and change in the world of health care. As the season began, we witnessed the enactment of the biggest change in the federal government’s approach to health care insurance in nearly fifty years. After a vigorous and passionate national debate, there could be no doubt about the importance to our society of the work that we health care providers and researchers are engaged in every day. It seemed very fitting that, right in the midst of this debate, the Class of 2010 learned of their residency matches. We are immensely proud of the prestigious programs our seniors will join. As you’ll see from the map in the “Hall A” section of this issue, the College has alumni practicing in nearly every state, with a particular emphasis, not surprisingly, on meeting the health care needs of the New England region. And, as you’ll see throughout this issue, there really are no borders for our doctors when disaster strikes and necessity calls. The importance of our medical school for both Vermont and the nation was also brought home for me by recent visits to our academic medical center from both of Vermont’s U.S. senators. Senator Patrick Leahy and his wife, Marcelle, came to see our capabilities for simulator use in medical training — which benefit not only students, residents, and attending physicians, but also many members of the Vermont National Guard. Senator Bernie Sanders visited twice, once in February to congratulate the first-year students at their White Coat Ceremony, and again in March, when he and his guest, Friis Arne Petersen, the Ambassador to the U.S. from Denmark, led a spirited discussion of health care reform in a Sullivan Classroom packed with members of our campus community. The intensity of interest that charged the discussion with Senator Sanders and Ambassador Petersen was not at all surprising. This campus is peopled with faculty, staff, and students who share a deep interest in taking the lessons and knowledge developed here and working with the community to see them develop into real improvements in the world around us. I doubt that there is another state where medical students, such as those portrayed in this issue, could do public health research as a part of their curriculum, and then, soon thereafter, bring those findings to their legislators to help effect positive change. We can be proud that the work performed on our campus is so clearly and simultaneously work that improves our community too. Frederick C. Morin III, M.D. Dean, University of Vermont College of Medicine e r m o n t College News SPRING 2010 Editor Edward Neuert Assistant Dean for Communications & Planning Carole Whitaker Assistant Dean for Development & Alumni Relations Rick Blount Contributing Writer Jennifer Nachbur Assistant Aliza Mansolino-Gault Art Director Steve Wetherby, Scuola Group University of Vermont College of Medicine Dean Frederick C. Morin III, M.D. Senior Associate Dean for Medical Education William Jeffries, Ph.D. Senior Associate Dean for Clinical Affairs Paul Taheri, M.D. Senior Associate Dean for Research Ira Bernstein, M.D. Senior Associate Dean for Finance & Administration Brian L. Cote Vermonters Respond to Haiti Earthquake Late in the afternoon of January 12, 2010, a magnitude 7.0 earthquake struck the island nation of Haiti. The quake killed up to 230,000 people, injured 300,000 and displaced at least a million Haitians. In the hours and days immediately following the disaster, health care professionals from across the world descended on Haiti to assist in caring for the injured, and Vermonters were there as part of that effort. At Vermont’s academic medical center, a team of nurses, doctors, and other medical personnel began forming within hours. Associate Professor of Surgery William Charash, M.D., was among that first group. “The earthquake happened on a Tuesday, and by the following weekend we were organized,” says Charash. The nature of the disaster had created a particular need for trauma surgeons such as Charash. In addition to Charash, the team consisted of five nurses, a respiratory therapist, two paramedics, an emergency medicine technician, and a third-year surgery resident, David Greenhouse, M.D. The team eventually found their way into Haiti’s neighboring country, the Dominican Republic, which was largely unaffected by the quake. “There weren’t the usual agencies on the ground directing things,” Charash says, “so a large part of our initial effort was spent just finding the place where we could help the most.” That led eventually to work at a makeshift clinic in Jimani, a Dominican border town that received large numbers of injured Haitian refugees. After the initial team’s two-week stay was over, more teams from Vermont continued the effort in the following Vermont Medicine is published quarterly by the University of Vermont College of Medicine. Articles may be reprinted with permission of the editor. Please send address changes, alumni class notes, letters to the editor, and other correspondence to: University of Vermont College of Medicine Alumni Office, Courtyard at Given, 89 Beaumont Ave., Burlington, VT 05405 Telephone: (802) 656-4014 Magazine Honors Send Us Your Stories! If you have an idea for something that should be covered in Vermont Medicine, please email: [email protected]. Virginia Hood, M.B.B.S., M.P.H. 2 V E R M O N T M E D I C I N E Raj Chawla, UVM Med Photo weeks. “The need there will be long term, for years,” says Charash. HAITI DOMINICAN “And the needs have already REPUBLIC shifted, from trauma care JIMANI initially to people who can deal with the recovery and rehabilitation of patients.” A College of Medicine alumna, Eva Lathrop, M.D.’99, who has worked with the Portland, Maine-based Haitian service group Konbit Sante since 2001, travelled to Haiti in the days following the quake and worked in Haiti’s second-largest city, Cap-Haitien. In a letter printed in the Portland Herald in February, Lathrop told of the struggle of her coworkers and patients as the disaster drew all vital resources to the Haitian capital. “Somehow they still manage to smile,” she wrote. “[They] share small moments of hope, and find strength to persevere. It is remarkably humbling. It is a privilege to be among them.” Hood Becomes President-Elect of ACP Letters specifically to the editor may be e-mailed to: [email protected] UCDA Design Competitions; Excellence in Illustration (2008) AAMC-GIA Robert G. Fenley Writing Award of Excellence (2008) AAMC-GIA Award of Distinction; External Publications (2007) AAMC-GIA Award of Distinction; External Publications (2006) At top, the Vermont state flag flies above the Good Samaritan clinic in Jimani, on the Dominican Republic–Haiti border; Associate Professor of Surgery William Charash, M.D., above right, spent two weeks in the area treating victims of trauma and other conditions arising from the January 12 earthquake. Top: courtesy William Charash; above, UVM Med Photo Professor of Medicine Virginia L. Hood, M.B.B.S., M.P.H., took office April 24, 2010, as president-elect of the American College of Physicians (ACP), the nation’s second-largest physician organization. Hood will become ACP President in April 2011. Hood has been a member of the College of Medicine faculty since 1977. She teaches medical students in the Genetics, Epidemiology & Ethics course (she is the Epidemiology section co-director) and in the Cardiac, Respiratory & Renal course, where she is Renal section co-director. Hood sees patients with kidney disease and hypertension problems as an attending physician at Fletcher Allen Health Care, where she is chair of the Residents’ Research and Scholarly Activity Committee. She is also a consulting physician for Central Vermont Health Center. Hood was elected to the ACP Board of Regents in 2005 and re-elected in 2008. S P R I N G 2 0 1 0 3 C OLLEGE NE W S 4 VCHIP Model Earns Vermont and Maine a New Children’s Health Improvement Grant The Vermont Child Health Improvement Program (VCHIP) at the College of Medicine is a partner in a five-year, $11.3 million federal grant jointly received by Vermont and Maine to help establish a national quality system for children’s health care through the Medicaid and Children’s Health Insurance Programs. U.S. Department of Health and Human Services Secretary Kathleen Sebelius announced the grant awards, which are funded by the Children’s Health Insurance Program Reauthorization Act (CHIPRA) of 2009, on February 22. Vermont was one of 18 states to win the award. “We all have a stake in the health of our nation’s children,” said Secretary Sebelius. “Exploring new technologies and initiatives will help ensure our kids get the high quality care they need and deserve.” The grant, which will be used to help states implement and evaluate provider performance measures, health information technologies such as pediatric electronic health records and other quality improvement initiatives, was submitted jointly by Vermont and Maine, with Maine as the lead state. The funding will allow both states to build upon existing strengths to improve health outcomes for children served by their Medicaid program and inform best practices for the nation. V E R M O N T M E D I C I N E AROUND CAMPUS In Vermont, funds from the grant will be used to expand the nationally recognized Blueprint for Health by extending the Blueprint to children and to expand and study the Improvement Partnership model as a promising innovation for improving the quality of health care provided to children. An Improvement Partnership is a statewide collaboration of multi-disciplinary public and private partners that uses quality improvement science to improve child health care systems, practice, and child health outcomes. VCHIP — the first Improvement Partnership in the nation — founded and provides leadership to the National Improvement Partnership Network, a rapidly growing network of over 15 active and developing Improvement Partnership states. Utah and New Mexico, two members of the National Network, were also awarded a CHIPRA Demonstration Grant. All the states serve as forerunners in the Improvement Partnership effort. “Improvement Partnerships are taking off around the country,” said Judith Shaw, Ed.D., M.P.H., R.N., F.A.A.P., executive director of VCHIP and research associate professor of pediatrics and nursing at UVM. “This funding will allow us to take the practicebased improvement model that has achieved great success in improving child health care quality in Vermont and continue to extend it to a national level.” Specific goals of grant activities in Vermont include enhancing the state’s health information technology infrastructures to support improved communication between providers and strengthen pediatric patient-centered medical home models; automating Bright Futures, the guidelines for health supervision co-edited by Shaw, in primary care practices; and using Vermont’s leadership role in the National Improvement Partnership Network to increase the number of participating states and to evaluate the impact of Improvement Partnerships in improving child health care quality. LaCoppola-Meier, Getty Images Research Milestones Carney Co-Authors Academic Medicine Article Better Training Through Simulation U.S. Senator Patrick Leahy and his wife, Marcelle, visited Fletcher Allen Health Care on March 8 to experience first-hand the Simulator Training Program, where Leahy announced a $750,000 appropriation from the Health Resources and Services Administration that will enable the program to expand its training in the coming year. Previously, Leahy had secured $1 million for the program, which prepares a wide range of medical caregivers, as well as more than 80 members of the Vermont National Guard. Demonstrating the simulator is Michael Ricci, M.D., professor of surgery and director of clinical simulation at UVM/Fletcher Allen. Ricci is a flight surgeon in the Vermont Air National Guard. In 1910, a time devoid of medical licensing laws and trust in science, Jan Carney, M.D., education expert M.P.H. Abraham Flexner published a Carnegie Foundationcommissioned study on physician training that promoted serious reform in the medical education process. To commemorate the Flexner Report’s centennial anniversary, a collaborative group of U.S. and Canadian community health experts, including Associate Dean for Public Health Jan Carney, M.D., M.P.H., conducted a review of the progress American medical schools have achieved in addressing needed reforms in public health-related education over the past 100 years. Their findings and recommendations were featured in an article in Academic Medicine in February. Study Finds Less TV Equals More Calories Burned Health Care at Home and Abroad Dean Rick Morin, M.D., welcomed U.S. Senator Bernie Sanders and Friis Arne Petersen, Ambassador of Denmark to the United States, to the College’s Sullivan Classroom on March 22 for a noontime presentation and discussion on the health care system in Denmark. The event, which drew a standing-roomonly crowd of nearly 200 students and faculty, was particularly relevant, coming only hours after the U.S. House of Representatives passed landmark health care reform legislation and the day before that bill was signed into law. In his remarks before introducing the ambassador, Senator Sanders underscored the need for students in the audience to consider a career in primary care medicine. Reducing your time in front of the television could reap weight loss benefits with little effort, according to a UVM study reported in the Archives of Internal Medicine in December. The researchers found that adults who reduced their television time by half, using an electronic lock-out system, did not change their calorie intake but did expend more energy over a three-week period. The average adult watches almost five hours of television per day, according to the article’s authors. Some efforts to prevent and reduce obesity have focused on modifying diet and physical activity, but newer strategies have involved reducing sedentary behaviors such as TV watching. Not only may reducing TV time allow time for more active endeavors, it may also help alleviate chronic sleep Top left: David Seaver; top right: Sally McCay; all others: UVM Med Photo deprivation, potentially linked to obesity. Jennifer J. Otten, Ph.D., R.D., a former UVM doctoral student now at Stanford University School of Medicine, and colleagues Jean HarveyBerino, Ph.D., UVM professor and chair of nutrition, and Benjamin Littenberg, M.D., UVM professor of medicine, conducted the randomized controlled trial of 36 adults who had a body mass index between 25 and 50 and reported watching at least three hours of TV per day. UVM Holds Neuroscience Research Forum Jean HarveyBerino, Ph.D. Benjamin Littenberg, M.D. The UVM Neuroscience Graduate Program, with support from the Vermont Chapter of the Society for Neuroscience (SfN), began its 5th Annual Neuroscience Research Forum on January 29 with a keynote lecture by Johns Hopkins University neurosurgeon Alfredo Rae Nishi, Ph.D. Quinones-Hinojosa, M.D. at UVM’s Davis Center, titled “Brain Cancer: Current Paradigms.” The Forum, which was organized by Rae Nishi, Ph.D., president of the Vermont SfN and UVM professor of anatomy and neurobiology and director of the Neuroscience Graduate Program, attracted more than 100 scientists from across the nation. UVM ARRA Funding Surpasses $15 Million To date, the University of Vermont College of Medicine has received National Institutes of Health (NIH) funding for more than 40 projects, bringing in more than $15 million through the American Recovery and Reinvestment Act of 2009. A front-page December 14 Burlington Free Press article highlighted the College’s success. To view an updated list of NIH grants funded by the ARRA, go to: report.nih.gov/recovery. S P R I N G 2 0 1 0 5 C OLLEGE NE W S Notables College’s Community Connection Brings First “Brain Bee” A traumatic brain injury incurred 24 years ago piqued Middlebury, Vt., resident Lisa Bernardin’s fascination with the brain. “I feel fortunate to be alive and functioning with my brain intact,” says Bernardin, who initiated the concept of a Vermont Brain Bee after reading about the 2009 International Brain Bee winner in the Brain Injury Association of America’s quarterly magazine The Challenge. She contacted the Vermont Chapter of the Society for Neuroscience outreach coordinator Rachael Hannah, a doctoral candidate in UVM’s Neuroscience Graduate Program, and the event became a reality. Thanks to Bernardin’s and Hannah’s efforts, as well as the support of UVM neuroscience faculty, graduate Participants in the First Annual Vermont Brain Bee, which was held at the College of Medicine in February, included high school students from across the state. students, the Vermont Chapter of the Society for Neuroscience and several contributors, the University of Vermont hosted the First Annual Vermont Brain Bee on February 13. Nineteen high school students from Champlain Valley Union, Middlebury, Mount Abraham, Harwood and Vermont Academy participated in the competition at the College of Medicine’s Medical Education Center. Contestants took a written test, participated in brain anatomy tours, listened to a presentation on stem cell treatment for stroke and a panel discussion on working in the field of neuroscience, followed by the live competition and an awards presentation. Middlebury High School senior Sarah Longchamp was the winner of the Vermont Brain Bee. She went on to participate in the National Brain Bee, held in Baltimore, Md., on March 19 and 20 in conjunction with national Brain Awareness Week. In addition to Hannah, other UVM members of the Vermont Brain Bee organizing team include Diane Jaworski, Ph.D., associate professor of anatomy and neurobiology, and Holly Stradecki, research technician in anatomy and neurobiology. Community Leaders Gain a First-Hand Look For more than a decade the Community Rounds program at the College of Medicine and Fletcher Allen Health Care has helped educate over 300 legislators, community and civic leaders, and other policy makers about the workings and accomplishments of Vermont’s academic medical center. Community Rounds is one of 21 Association of American Medical Colleges (AAMC) “Project Medical Education” programs held at 15 AAMC member institutions during 2009. The UVM/Fletcher Allen program was featured prominently in the AAMC’s Project Medical Education 2009 Year in Review publication. This past February, Michael Townsend, Jonathan Bloom, and Jay Fayette (at right) were part of a group of twelve people who donned white coats to participate in the two-day 6 V E R M O N T M E D I C I N E program. Here they learn about a research project from Kelly Carstens, research assistant in the Department of Anatomy and Neurobiology. UVM Med Photo New Vermont Cancer Center Leadership As of April 1, two new co-directors are leading the Vermont Cancer Center, as Interim Director Richard Branda, M.D., steps down. David McFadden, M.D., Stanley S. Fieber professor and chair of surgery at the College David McFadden, M.D. of Medicine and physician leader of surgery at Fletcher Allen, has expanded his role to serve as the Interim Director for Clinical Cancer Care and Research, with oversight for multi-disciplinary clinical cancer care and clinical cancer research initiatives. Nicholas Heintz, Ph.D., professor of pathology, was named Interim Director for Basic Science Cancer Research, Nicholas Heintz, Ph.D. with oversight for basic science cancer programs, initiatives and resources. Heintz is a long-time VCC member scientist whose research is focused on assessing the role of specific genes, structural elements, and gene products in the control of cell growth, and he will be directing the research efforts around Environmental Carcinogenesis. Courtyard Wins Efficiency Vermont Award The Courtyard at Given project and architect Black River Design were recognized with a Best of the Best Award for Commercial Building Design & Construction award at the Efficiency Vermont’s Better Buildings by Design Conference that was held February 10 at the Sheraton Burlington Hotel & Conference Center. Efficiency Vermont is an organization created by the Vermont Legislature and the Vermont Public Service Board to help all Vermonters reduce energy costs, strengthen the economy, and protect the state’s environment. In its announcement of the awards, the organization noted the Courtyard project’s unique use of the existing building infrastructure, its energy recovery ventilation unit, and the building’s energy-efficient lighting design. PHOTOGRAPHER UVM Med Photo NAME, PHOTOGRAPHER NAME Forehand and Bates Accept Leadership Roles at UVM Two senior members of the University of Vermont College of Medicine faculty recently accepted leadership roles at the University. In February, Jason Bates, Ph.D., D.Sc., professor of medicine and molecular physiology and biophysics, was appointed Jason Bates, Ph.D., D.Sc. interim director of the School of Engineering in the College of Engineering and Mathematical Sciences. Bates, a world-class researcher with significant scientific publications and an excellent record of external funding, will split his time between his continuing research activities in the College of Medicine’s Vermont Lung Center and his new role as the interim director. Cynthia Forehand, Ph.D., professor of anatomy and neurobiology and director of the Foundations course in the Vermont Integrated Cynthia Forehand, Ph.D. Curriculum, has been appointed associate dean of the Graduate College, effective July 1, 2010. In her new role, Forehand will work with the graduate faculty and staff on recruitment and retention of a highly diverse, world-class graduate student population — with new emphases on UVM leadership in emerging transdisciplinary research areas. Ricci Named Director of Clinical Simulation In February, Michael Ricci, M.D., professor of surgery at the UVM and director of clinical simulation at Fletcher Allen Health Care, was named director of clinical simulation at UVM/Fletcher Allen. Dr. Ricci has provided leadership for the development of clinical simulation programs and other innovative educational initiatives at Vermont’s academic medical center for the last several years. He Michael Ricci, M.D. joined UVM/Fletcher Allen in 1989, and held the first Roger H. Allbee M.D.’31 Professorship in Surgery from 1999 to 2005. Dr. Ricci serves as a flight surgeon in the Vermont Air National Guard and currently holds a rank of Colonel. He is now serving his third tour in Iraq, as both a flight surgeon and a trauma surgeon. S P R I N G 2 0 1 0 7 C OLLEGE NE W S 3 Questions for William Hopkins, M.D. Thanks for a Strong Foundation “Foundations” is the name of the first of three levels in the Vermont Integrated Curriculum (VIC), the course of study followed by every aspiring physician at the College of Medicine. The Class of 2012 held an awards ceremony and reception on January 29 in honor of their completion of Foundations, which the class began in August 2008. The awards, which were presented by class representatives Tristram Arscott, Andrew Erb, Martha Choate Monson, and Auna Otts, included: Outstanding Foundations Course: Cardiovascular, Respiratory and Renal Systems Foundations Teaching Award: William Hopkins, M.D., associate professor of medicine. As the recipient of this award, Dr. Hopkins will hood the Class of 2012 at their graduation and will be recognized with previous Teachers of the Year. Dr. Hopkins also accepted the Foundations Course Director Award, as director of the course titled: “Cardiovascular, Respiratory and Renal Systems.” The Dean Warshaw Integration Award: Richard Salerno, M.D., assistant professor of pediatrics. This award recognizes the faculty member whose teaching best captured the spirit of the VIC. Professor and Chair of Pathology Edwin Bovill, M.D., accepts the Outstanding Department Award from the Class of 2012. The Silver Stethoscope Award: Lewis First, M.D., professor and chair of pediatrics. This award recognizes the faculty member who had few lecture hours, but made a substantial contribution to students’ education. Above and Beyond Award: Ellen Cornbrooks, Ph.D., lecturer in anatomy and neurobiology. This award recognizes the faculty member (not necessarily a lecturer) who went above and beyond the call of duty to help the students in their learning objectives. Best Support Staff (Non-teaching): Mike Cross, custodial maintenance worker. This award recognizes the staff member who best supported students in areas besides teaching. Outstanding Department Award: Department of Pathology Outstanding Teaching Assistant Award: Michael Goedde, M.D., Class of 2009, clinical instructor and resident in psychiatry at Fletcher Allen Health Care. In addition, student representatives of the American Medical Student Association (AMSA), American Medical Women’s Association (AMWA) Student Chapter and Class of 2012 Wellness Committee presented the following awards: AMSA Golden Apple Award for Excellence in Teaching: William Hopkins, M.D. AMWA Gender Equity Award: Jean Szilva, M.D., lecturer in anatomy and neurobiology. This award honors a male or female faculty member who promotes a gender-fair environment for the education and training of physicians. Wellness Award: Melissa Marotta, Class of 2012. This award recognizes a student who demonstrates sincere dedication to helping his/ her classmates. Marotta “embodies wellness and caring for others,” stated her classmates. AROUND CAMPUS They Look Wonderful in White Universally considered a symbol of the medical profession, the white coat represents an individual’s responsibility and commitment to providing care for others. On February 19, 112 students in the College of Medicine’s Class of 2013 received their first doctors’ coats in a ceremony held at Ira Allen Chapel on the UVM campus. Robert C. Macauley, M.D., medical director of clinical ethics at Fletcher Allen and UVM clinical associate professor of pediatrics, delivered the main address at the ceremony. U.S. Senator Bernie Sanders also addressed the class and noted the importance of UVM’s role in producing new physicians. 8 V E R M O N T M E D I C I N E UVM Med Photo Cardiologist William Hopkins, M.D. is an associate professor of medicine at the College of Medicine, where he joined the faculty in 1995. For the past four years he has been course director of the Cardiovascular, Respiratory & Renal (CRR) course in the Vermont Integrated Curriculum. Hopkins received the Foundations Course Director Award from the Class of 2011 in January, and the CRR course was honored as Outstanding Foundations Course for the fourth year in a row. He was chosen as the main speaker at the 2009 medical commencement ceremony. William Hopkins, M.D. Q: You have a deserved reputation Q: Your CRR course certainly Q: You’re a very active clinician, A: Most importantly, I really love A: As a course, we always try to 1 as an outstanding teacher. What’s your approach to effective teaching? to teach, and I take it very seriously. I’m very interested in the tripartite mission of our academic medical center — great clinical care, great research and excellence in teaching, not only for medical students, but for residents and fellows as well. I don’t know exactly what my teaching style is, but what I do try to do is make what I teach real and relevant. I also try to figure out my audience. I’ve taught preschool, grade school, and high school classes, and the very accomplished elderly at Wake Robin. So I always try to figure out my audience and gear whatever I’m teaching to them. I feel like I can look into the faces of the students and determine when they’re lost, when they understand something, when they’re interested in something, and when they’re starting to lose focus. PHOTOGRAPHER Ed Neuert NAME, PHOTOGRAPHER NAME 2 seems to have resonated with students. Why do you think that’s so? keep CRR real and relevant. Also, we have a dedicated and interested faculty that also loves to teach and do it very well. One of the advantages we have in the CRR course is that we have three very interesting organs to teach the students about. I think that people have always been fascinated with the heart, so the heart’s an easy one. The heart ties in directly with the lungs and if either one of those organs quits, you die. The kidney is such a complicated organ, and it is fascinating from the physiologic perspective. If it’s taught properly, it always pulls the students in, but it’s very difficult to teach it properly. Fortunately, we have excellent nephrologists who are interested in renal physiology and who are very good at teaching the fundamentals of the kidney. The original CRR course director, the late Joe Patlak, had a very good concept for how he wanted to organize the class, and he was a great teacher. I was able to sit in lectures those first couple years and watch and learn from him. 3 as well as a course director. Does seeing patients all the time continue to hone your skills as an educator? A: Definitely. I constantly learn from patients as I teach them about their disease. Sometimes we have to convey some very serious information to patients. Patients come to us with tremendous variations in their backgrounds and their ability to understand medical information. I think it’s very important that we try to gauge each and every patient and their families, and try as best we can to figure out if they understand what’s being talked about. We have to determine if they understand the severity of what we are talking about, and in some cases, that they don’t over-interpret what’s being talked about. I utilize a lot of the same techniques I use in the classroom with patients to try to get a sense of whether they really understand what I’m trying to explain. Whether we have lived up to our educational role with patients is another question that we, as physicians, need to ask ourselves all the time. S P R I N G 2 0 1 0 9 Match Day, established as a national event in 1952, was created in an effort to provide an impartial venue for matching senior medical students’ preferences for clinical training positions with residency program directors’ preferences for applicants. On Thursday, March 18, at exactly noon Eastern time, 16,000 graduating students at traditional U.S. medical schools — including 102 seniors at the University of Vermont College of Medicine — as well as 15,000 graduates of osteopathic, Canadian or foreign medical schools — learned where they will be training for the next three or more years, depending on their specialty field. During the hour before the match, medical students gathered with friends and family at the College. As noon drew near, the anticipation heightened when Associate Dean for Student Affairs G. Scott Waterman, M.D., carried the match envelopes down the hall to the College of Medicine’s mailroom in the Given Building. Some students were poised at their mailboxes to rip open their letters, while others took their time to complete this milestone activity. A n e s t h e si o l o gy N e u r o l o gi c al S u r g e r y Rebecca Evans Lyle Gerety Elise Heath Chih-Ta Chris Lin Univ. of Utah Medical Center UVM/Fletcher Allen Univ. of Utah Medical Center D iag n o s t i c Radi o l o gy M. Jake Carlson Daniel Goold Jeffrey Kaye Michael Salmela Eastern Virginia Medical School Santa Barbara Cottage Hospital Hartford Hospital Univ. of Minnesota Medical School E m e r g e n c y M e di c i n e Caleb Bailey K. Grant Christian David Curley Katherine Dolbec John Fialkovich Kara Gaston Anna Liberatore Sarah Logan Joseph Pare Trevor Pour Joseph Ravera Sarah Schlein Nicholas Weinberg it’s a match! Loma Linda Univ. Medical Center Baystate Medical Center Brigham and Women’s Hospital Maine Medical Center Baystate Medical Center UMDNJ/Cooper Hospital Orlando Health Stanford Hospital and Clinics Boston Univ. Medical Center Mount Sinai Medical Center Harbor-UCLA Medical Center Univ. of Utah Medical Center Albany Medical Center San Joaquin General Hospital Montefiore Medical Center (N.Y.) National Naval Med Center Bethesda UVM/Fletcher Allen I n t e r n al M e di c i n e Dilip Babu Gladys Balderama Jessica Bordley Jennifer Sisemoore Borofsky Michele Guignon Burke Pei Chen Lisa Chui Ammon Fager Matthew Greene Jason Halperin A. Shams Helminski Hui-Shan Jenny Hsu David Iberri Neel Kapasi Joseph Kaserman Peter Lloyd Joseph Lopreiato, Jr. Elizabeth Lycett Melinda Myzak Alia Rehwinkel Justin Stinnett-Donnelly St Luke’s-Roosevelt Hospital (N.Y.) Santa Clara Valley Medical Center Oregon Health & Science Univ. UVM/Fletcher Allen UVM/Fletcher Allen Beth Israel Deaconess Medical Center California Pacific Medcal Center Duke Univ. Medical Center Vanderbilt Univ. Medical Center Tulane Univ. Health Science Center Univ. of Hawaii Burns School of Medicine Santa Clara Valley Medical Center (Calif.) Stanford Hospital and Clinics Univ. of Washington Affiliated Hospitals Rhode Island Hospital Univ. of Chicago/North Shore National Naval Med Center Bethesda Univ. of Rochester Medical Center Oregon Health & Science Univ. Yale-New Haven Med Center UVM/Fletcher Allen M e di c i n e — P r i m a r y Cambridge Hospital-Cambridge Health (Mass.) UVM/Fletcher Allen M e di c i n e — P e dia t r i c s Sarah Mulligan V E R M O N T M E D I C I N E UVM Med Photo W. Benjamin Kunz Omar Ozgur Maine Medical Center Note: For two-part residencies, the final location is listed here. Ross Eye Institute (N.Y) New York Eye and Ear Infirmary O r t h o pa e di c S u r g e r y Nicholas Antell Jessie Janowski Jeffrey MacLean Andrew Old Juli-Anne Gardner Isabella Martin Liza Quintana Akeesha Shah Mimansa Sharma Kirsten Threlkeld Elizabeth Williams Shahin Foroutan Vanessa Hui Ines Stromberg Alia Whitehead Yale Univ. School of Medicine Carolinas Medical Center Yale Univ. School of Medicine Lehigh Valley Hospital (Penna.) Christiana Hospital (Del.) Maine Medical Center Op h t h al m o l o gy P a t h o l o gy Gaurab Basu E. Rosy Hill 10 Stephanie Bakaysa Jessica Deane Mai Hoang Adetola Louis-Jacques Audrey Merriam Andrea Pelletier Jillian Brennan Michelle Cangiano Cortney Haynes Catherine Avener Johnson David Longstroth Bryan Mason Amy Savoy Elena Simon Justin Smith G e n e r al S u r g e r y Washington Univ. Medical Center Mayo Clinic College of Medicine UCSF Medical Center Obs t e t r i c s & G y n e c o l o gy F a m ily M e di c i n e Ventura County Medical Center UVM/Fletcher Allen Memorial Hospital of Rhode Island Natividad Medical Center (Calif.) Contra Costa Health Services (Calif.) Memorial Hospital South Bend (Ind.) UVM/Fletcher Allen UVM/Fletcher Allen Memorial Hospital South Bend (Ind.) UVM/Fletcher Allen N e u r o l o gy Joseph Cheung Shamir Haji Joanna Hellmuth matchday C OLLEGE NE W S Residency Matches for the College of Medicine Class of 2010 Med Students Ready for Post-Graduate Training Univ. of Minnesota Medical Center UVM/Fletcher Allen UCSF Medical Center Drexel Univ. College of Medicine UVM/Fletcher Allen Dartmouth-Hitchcock Medical Center Beth Israel Deaconess Medical Center Univ. of Virginia UCSF Medical Center UVM/Fletcher Allen Oregon Health & Science Univ. P e dia t r i c s Britton Keeshan Whittney Barkhuff Alyssa Bennett Kristen Connolly Rosamund Davis Joanna Gell Mellory Giberson Meghan Gunn Kelsey Walton Heidi Schumacher Children’s Hospital of Philadelphia Mass General Hospital for Children Connecticut Children’s Medical Center UVM/Fletcher Allen Maine Medical Center Med Univ. of South Carolina Rhode Island Hospital Univ. of Massachusetts Medical School Maine Medical Center Children’s National Medical Center (D.C.) P h ysi c al M e di c i n e & R e h abili t a t i o n Annice Mason Univ. of Virginia Health Sciences Center P sy c h ia t r y Noreen Flanagan Sanchit Maruti Kelly Mebust Maine Medical Center UVM/Fletcher Allen Wright State Univ. School of Medicine Radia t i o n O n c o l o gy C. Matthew Bradbury Washington Univ. Med Center/Barnes Jewish S u r g e r y — P r e li m i n a r y Christopher Randall Oregon Health & Science Univ. Thoracic Surgery Walter DeNino Med Univ. of South Carolina U r o l o gy Michael Alavian Yana Wirengard Uni Wong Abigail Woodhead Richard Zinke Hijab Zubairi Rhode Island Hospital Maine Medical Center Univ of Maryland Hospital Mass General Hospital for Children Univ. of Wisconsin Hospital and Clinics Baystate Medical Center S P R I N G 2 0 1 0 11 C OLLEGE NE W S Mario Trabulsy, M.D.’91 Earns Kroepsch-Maurice Award A mid-February sky looms outside the window of the brightly lit small-group classroom on the Medical Education Center’s second floor. Eight first-year medical students surround a table, their scheduled discussion on professionalism in full swing. The group’s faculty leader, associate professor of surgery Mario Trabulsy, animatedly quizzes the students on their respective interpretations of the white coat, an item of clothing they will each add to their wardrobe at a ceremony the next day. “What does the white coat mean and how do you want to use that symbol?” asks Trabulsy, who looks like she could be a student herself and yet, is clearly their educational — and possibly spiritual — guide in this exercise. “She was always real with us and held nothing back. She let us go at it when we discussed controversial topics, called us out when we were being indecisive, embraced our naïveté and encouraged us to discover our potential, not only as medical students training to become competent physicians, but also to become compassionate and respectful members of society.” 12 V E R M O N T M E D I C I N E “The coat is a symbol, maybe not as a statement of ‘I’m so powerful,’ but ‘I’m here to help you, be of service to you, hear your story,’” offers Trabulsy, looking intensely at the students in the room. An emergency medicine specialist, she often draws on compelling, yet not always flattering, personal stories to encourage students to more thoughtfully consider challenging topics. This technique helps her highlight the bare truths of medicine, that doctors are human, have human emotions, and might not always like their patients. “You must still treat patients humanely and with respect,” she counsels, “because of what you have chosen to do professionally.” Serving as a Medical Student Leadership Group mentor for first-year students at the College of Medicine is only one of three vastly different types of teaching Trabulsy, a 2009–2010 Kroepsch-Maurice Excellence in Teaching Award, provides. A 1991 graduate of the UVM College of Medicine and faculty member since 1996, she also delivers didactic lectures and teaches medical students “on the job” during clinical rotations in the emergency department (E.D.). Her willingness to share, challenge and motivate students makes her popular, as well as an important mentor, to students often struggling with the weight of the medical school workload. Class of 2011 student Kanayo Tatsumi considers Trabulsy, who led her MSLG 1 group in 2006–2007, a mentor and much more. “She was always real with us and held nothing back,” says Tatsumi. “She let us go at it when we discussed controversial topics, called us out when we were being indecisive, embraced our naïveté and encouraged us to discover our potential, not only as medical students training to become competent physicians, but also to become compassionate and respectful members of society.” A current student fellow in pathology, Tatsumi credits Trabulsy for carrying her through a number of personal and academic challenges she encountered. Annice Mason, a fourth-year medical student, agrees: “In school or out, she is always there for us!” Another of Trabulsy’s strengths, as cited in her students’ course evaluations and touted by one of her teaching award nominators, is her ability to teach critical thinking and reasoning, one of the primary objectives of the MSLG 1 course. “She is one of the few attendings who provide the immediate feedback that is so crucial to clinical education,” says Mason, whose training in the clinical setting allowed her to both observe and interact with Trabulsy. “She listened to each presentation, challenged me to formulate a work-up and/or treatment plan on my own and consistently invited me to see the patient with her — demonstrating appropriate interviewing, breaking bad news, and physical exam skills — and would then work through her reasoning for accepting or altering my initial plan,” Mason explains. Trabulsy’s dedication to teaching extends to curriculum development as well. As a 2005–2006 Frymoyer Scholar, she developed a standardized program of study and supplemental online module that is delivered on the College of Medicine’s electronic platform COMET for students’ required Emergency Medicine rotation. A colleague who nominated her for the Kroepsch-Maurice award noted that “this program has standardized and greatly improved the curriculum for the medical students and the module is an outstanding example of the power of COMET and is a model for other curriculums.” Lauded for her ten-plus years of service as an advisor for senior medical students, Trabulsy has an impact that continues to reverberate with alumni like Jonathan Hall, M.D.’08. “She cares about each of her students and takes the time to get to know them and their motivations,” says Hall, an orthopaedic resident at Fletcher Allen who works with her frequently. Trabulsy’s honest, straightforward communication style, like her teaching approach, is another of her gifts. “She possesses a unique ability to relay complex information in a manner that is understandable by both medical students and patients,” says Class of 2012 medical student Susan Varga, who completed MLSG 1 and an E.D. preceptorship with Trabulsy. Varga is also a fan of what she calls Trabulsy’s “selfless disclosures,” those examples of the less-glorified medical experiences that Raj Chawla, UVM Med Photo help hit home a point, like the importance of what the white coat represents. Back in the small-group classroom, Trabulsy tells her Class of 2013 MSLG group one of the main reasons why she wears a white coat in the E.D. — to show she’s the supervising doctor to patients and family members who are expecting a man. “It differentiates you and you’ve earned that differentiation,” she says, adding, “it’s part of the profession — the coat symbolizes that honor and that trust that you are doing what is right for them.” Not surprisingly, Varga has been inspired by Trabulsy to pursue the field of emergency medicine. “Through example, Dr. Trabulsy created an open space for us to freely share our ideas without reservations, challenged us, consistently showed interest in our thoughts and demonstrated respect for our input in all facets of the course,” says Varga, offering proof that an excellent teacher also makes an outstanding role model. The Kroepsch-Maurice Excellence in Teaching Awards at the University of Vermont recognize faculty for excellent instruction. They memorialize Robert H. and Ruth M. Kroepsch and her parents, Walter C. and Mary L. Maurice. Robert H. Kroepsch served as Registrar and Dean of Administration at UVM from 1946–56. His wife, Ruth, graduated from UVM in 1938 and her father, Walter Maurice, graduated from UVM in 1909. All four of them were teachers. Areas considered for selection include: ■ Excellence in instruction ■ Innovation in teaching methods (including learning experiences outside the traditional classroom) ■ Capacity to animate students and engage them in the pursuit of knowledge and understanding and/or curriculum development ■ Demonstrated commitment to cultural diversity ■ Ability to motivate and challenge students ■ Evidence of excellent advising S P R I N G 2 0 1 0 13 M onda y , J une 2 2 , 2 0 0 9 Awoke at 5:30 AM to roosters, dogs and all sorts of noises. 79 degrees at wake up. Slept outside with a mosquito net. Very comfortable. Quick breakfast — eggs, pineapple jam on bread. Traveled one hour to IDP camp and hospital. Saw the camp with barbed wire that holds upwards of 300,000 people. It is a concentration camp of our generation. Every 100–300 yards there was a soldier with a big gun. Even on the rural roads. Arrived at hospital at 0800. Made rounds. 8 tents holding 15 or so people in each tent. Most have injuries from the war: burns, fractures, fragments, etc. All patients wait patiently for the doctor to come by and see them. I was the first to operate. 3 cases. First case a 9 month old female with a inner thigh abscess. Drained it with an incision and a penrose drain. Second case was a 25 year old male with a left infected 5th toe. Did an amputation and debrided the foot. Third case was a woman in her mid 20s with a shrapnel wound in her left palm. At 5 PM a bus with 32 injured people showed up from zone 5. All had injuries. It was truly unbelievable. They all unloaded from the bus. It was very busy for 2 hours. I admitted a 24 year old female with a previous left BKA [below-knee amputation] from a land mine and with new wounds of her right arm and leg. I saw a boy of 15 with an infected wound that was apparent through a hole in his cast. Probable pseudomonas. Placed on an oral cipro, sent back with a recheck in one week. Saw another man with shrapnel in his left BKA stump and pain. Admitted for surgery on 6/23 to remove the F.B. Debrided many other wounds. Nurses and doctors were great. Took the 7 PM bus back to the new house. No room for me in the house or roof. Slept on a cot on the lawn. Sri Lanka BORDERS The diary of a month-long Médecins Sans Frontières experience F or cardiothoracic surgeon Bruce Leavitt, M.D.’81, most days are busy rounds of caring for J une 2 3 patients and teaching residents and medical students at the UVM College of Medicine and Fletcher Today I was wound dressing king. 50 wounds cleaned and dressed. Burns, bullets injuries, infected surgeries. Debrided stumps from amputations. Debrided an eye socket — the man lost his eye and arm in an explosion. Very busy day. Worked until 6 PM. Lunch is tepid water, coke or 7 UP with a plastic bag delivery of “Triangles”. These triangles are stuffed sandwiches with egg and vegetable stuffing lightly fried/grilled with a spicy coating. I think I will have enough of these in 5 weeks. Allen Health Care. But for one month last summer, Leavitt traveled to the island nation of Sri Lanka, in the Indian Ocean, to help staff a clinic run by Médecins Sans Frontières (MSF), known to many people in English-speaking countries as Doctors Without Borders. The camp was located next to a huge Internally Displaced Person (IDP) camp run by the Sri Lankan government. In May of 2009, a quarter-century-long civil war in Sri Lanka finally ended. Hundreds of thousands of Tamil people who had been displaced by the war continued to be held in vast camps. Many of these people had serious war-related medical problems, including gunshot wounds, that had received cursory treatment, or none at all. With the enthusiastic support of his family and academic medical center colleagues, Leavitt set out from New York in late June to Sri Lanka via Dubai. Following are excerpts from his diary from this time, illustrated by his own photographs. (At top) Dr. Leavitt with several of the patients he treated at the MSF clinic in northern Sri Lanka. (At left) The bullet removed by Leavitt from the knee of the patient whose X-ray appears on the front cover of this magazine. 14 V E R M O N T M E D I C I N E J une 2 4 Today I was OPD doctor. Made rounds from 7–10 AM. Saw lots of patients in the day. Admitted one woman who lost her left leg to a land mine and had a recent war injury to her right arm and leg. Her husband carries her around. He really loves her. In tent 8 there is the cutest girl. Her mother is a patient. She walks around with me during rounds in the tent. The nearly 250,000 mostly Tamil occupants of the camps were allowed out only to receive medical care at the MSF clinic on the other side of the wire. The young girl above became attached to Dr. Leavitt’s Boston Red Sox mascot, Wally. Wally eventually stayed in Sri Lanka with her. S P R I N G 2 0 1 0 15 J une 2 5 Problem with obtaining x-rays. We have no x-ray machine. We can send a few patients a day to the India Hospital, which is close to our hospital and in the IDP camp. X-rays often denied or sent back without taking the x-ray. I was surgeon of the day. Lots of cases. Two skin grafts, one bullet removal. One 4 year old girl with a foreign body (nut) in her left nose. Put her to sleep. I could not pull the bullet out. While trying to push or pull the nut out. While trying to push the nut the with kocher clamp, I accidentally pushed it in!!! Thought I may have really hurt the kid — she did well. Performed 2 skin grafts. I used an old fashioned hand operative knife. Pie crusted the graft and sutured it with 3-0 prolene. Also did an ORIF [open reduction] of a humerus — no electric drill or x-ray — very difficult. Tried to relocate a dislocated shoulder after external fixation. Could not reduce it, but I wondered if the humerus was not repaired correctly. Removed a bullet from a woman’s thigh. Did a plastic surgical revision of wound to a calf. Also debrided 2 bullet holes. Came home at 7 PM. Tired. Checked by the military guards daily. J une 2 7 Planning to work the night shift. Had the day off. I went to Vanuviya. Took the bus with the local staff from Vavunyia. The bus did not start, we had to push the large bus to start it. Drove one hour to Vanuvyia — spare tire fell off the bus and the tire became a passenger. Took many back roads. Dropped off the local staff. Made it to Vanuviya MSF house. Took a tuk-tuk to Vanuviya, 200 rupees. The military had closed the main road. Took back road to town. Bought a phone, SIM card and necklaces and clothes. The clothes were bought at a store ran by a family. I showed pictures of my daughters to get an idea of the size. Took tuk-tuk back to MSF-Vanuviya. Got a ride back to camp. J une 2 7 – J ul y 7 (At top) The MSF tent clinic had two tent operating theaters and (opposite page) a 125 bed hospital ward; (center) most patients had never been treated for their wounds or, like this person with a wrist injury, had been improperly cared for; (bottom) a sign is a reminder that the Sri Lankan civil war had ended only weeks before. 16 V E R M O N T M E D I C I N E The worthy scribe was not diligent in his duties. Worked very hard this week. I operated every other day, sharing the surgery. The OT days are the best. Surgery starts when you want it. You start around 9 AM and finish in the early afternoon. Often times you switch between OT 1 and 2. The OT tents are air conditioned, a bit small. The floor is rubberized canvas. The lighting is pretty good. There is electric cautery. No mechanical ventilation, if the patient requires ventilation, the anesthesiologist hand bags the patient. I helped out ventilating the patients while the anesthesiologist charted, drew up meds, etc. The days I was the ward surgeon were very busy. Forty to fifty dressings a day. Nurse, translator, and Sri Lankan nurses were great. Patients were very patient and understanding. Now all patients are out of tents and into wards. A couple of patients: one is a 30-year-old male who lost his left arm and eye in an explosion. First MSF surgeon cleaned up the wounds and skin grafted his medial canthal area. I did the dressing daily and took him to the OT for a non-healing Most have injuries from the war: burns, fractures, fragments, etc. — Bruce Leavitt, M.D.’81 S P R I N G 2 0 1 0 17 J ul y 1 4 Best day yet. Today I felt like a real MSF surgeon. Worked from 7–4:50 PM. I was the OPD surgeon. That means the ER surgeon. I changed ½ dozen of my patients’ dressings. All skin grafts had made it; some better than others. Said goodbye to my 15 year old male who lost his mother in a shell blast. Lost ½ his foot. Treated with sugardine. Went back to the camp without shoes. I gave him my card and told him to write me a letter in a year telling me what he was doing. The best was the OPD tent. Saw 20+ patients. Admitted eight. Four for surgery the next day. Saw a 16 year old female with a huge bullet in her knee. No treatment or x-ray for 2 ½ months. Saw a 14 year old male with a severe colle’s fracture of the wrist. Untreated, now has malunion with osteomyelitis. Saw an 8 month old girl with scalp abscesses. An 8 year old girl with a shell piece in her neck (posterior). Her arm had a clavicular fracture with a chronic anterior shoulder dislocation. She cannot lift her arm to her shoulder. I was kneeling on the ground examining patients from the camp who got off an ambulance. I was the first doctor they saw in 3 months with war wounds. Took the 4:50 bus back. Got off in Cheddikulam. Had a haircut at a little Asian hair salon. 250 rupees ($2) for a haircut and head and neck massage. Not one word was understood by either party. They thought I was from Japan. That was a first! Took some photos. Had a shirt made; should be ready tomorrow. Walked home to find out the barbed wire was put back up on our shortcut to our home. I should comment about the New York Times article [“Tamils Now Languish in Sri Lankan Camps,” published July 12, 2009 in the Times]. The town listed was Cheddikulam, the town we live in. Very accurate article. The world pays the money for the IDP camps thinking they are a “transition” village. In reality they are supporting our generation’s concentration camps. No change in the security so far. J ul y 1 8 — l A S T D A Y J ul y 1 2 One day shy of one month. Woke up to a beautiful morning. Took my last bucket shower. Quick breakfast. Took my suitcase to work, started rounds at 7:30. Then 2 ½ hours solid of dressing changes. I did all of my patients’ dressings. My last dressing was the largest burn that I did. I was also the OPD surgeon doctor today. Saw quite a few patients. Wrote several letters. Attended the 2 PM meeting. After the meeting I said goodbye to 2 of my favorite patients. Young man with bilateral amputee (both legs, I revised the L AKA) and a mid 20s man with a loss of left eye and arm. I was quite emotionally upset. I gave each of them a picture of me from my album. I signed the back of each photo. Took my last ride to Cheddikulam house, then the one hour ride to Vanuviya. VM At 1 PM 8 of us went to the lake, 20–30 minutes outside of Vanuviya. This is a man-made lake. The stumps of the flooded trees are still present. Locals came down to the lake to wash their bodies, clothes and motorcycle! While swimming a peacock strolled the shore. That was a first. Dr. Leavitt arrived home in Vermont on July 28. He has given presentations based on his diary and photos to audiences throughout the state, including this spring’s Community Medical School at the College of Medicine, and is making plans for another MSF experience in the near future. As of April, roughly 100,000 Tamils remained in the IDP camps. Staff for the MSF clinic came from countries all over the world. Thirty MSF volunteers shared a three-bedroom house (that also had twelve rooftop beds), six tents, two latrines, and three bucket showers. area. I thought I felt a bone floating in that area. I was correct. I removed the biggest piece of bone (infected). I think it was a frontal bone (under eyebrow). It was huge. Follow up skull films showed possible air in skull. Today (July 8) there was some CSF leakage. I asked to transfer the pt to Vanuviya or Colombo. He asked to stay here and have me be his doctor. I will email my neurosurgery colleague back home for advice. A second is a man in his late 20s that I revised a calf scar and debrided two wound tracts from bullets. He has a huge smile on his face when I change his dressings. A third is a 55-year-old man with a heel defect (12 years) from chronic calcaneal osteomyelitis. I took him to the OR and debrided the heel. He had a golf ball sized defect. I used sugardine (2 parts sugar, one part betadine) on his wound 18 V E R M O N T M E D I C I N E with great results. The sugardine recipe came from an email that my plastic surgical colleagues back at the University of Vermont informed me of. Another is a 20 year old male shot in the abdomen and pelvis. His left iliac crest was fractured and protruding. I took him to the OT and resected the bone and did a plastics repair. Made bolsters from IV tubing. He did well. (At top) This boy lost his mother and half his right foot to a shell blast. (Above) On some difficult cases Dr. Leavitt also conferred via email with his Vermont colleagues Chris Grace, M.D., Rob Nesbit, M.D., David Leitner, M.D., and Bruce Tranmer, M.D. S P R I N G 2 0 1 0 19 Paying it Forward by Lynda Majarian Women w ho helped forge career paths lend a hand to the next generation of scientists and physicians. P erseverance has always been key. Back in the 1920s, the first generation of women at the UVM College of Medicine persevered to be the first of their gender to be admitted to the school. The late Harriet Dustan, M.D.’44 overcame challenges to build an outstanding career in hypertension research at the Cleveland Clinic. And two decades later, Medical Alumni Association President Ruth Seeler, M.D. graduated as, in her words, “100 percent of the women in the Class of 1962.” Thanks to these women and their colleagues, perseverance and immeasurable hard work brought about important change in the field of medicine and biomedical science, both long dominated by men. According to the National Science Foundation, in 1978 only 23 percent of doctorates in the life sciences were awarded to women. By 2008, that number had grown to 53 percent. In 1970, just over 11 percent of the nation’s matriculating medical students were female. Today the Association of American Medical Colleges reports that nearly 48 percent of first-year medical students are women. In addition, women comprised 71.5 percent of first-year college students nationwide in 2008, as reported by the U.S. Department of Labor, Bureau of Labor Statistics. That means tomorrow’s doctors and scientists are just as likely to be female as male — a significant gender shift that has been growing slowly but steadily over time. Here at UVM, women comprised about a quarter of College of Medicine students by the ’70s, growing over the years to 62 percent of the Class of 2010. Three departments are chaired by women (Polly Parsons, M.D., in Medicine, Paula Tracy, Ph.D., in Biochemistry, and Susan Wallace, Ph.D., in Microbiology & Molecular Genetics) and Melinda Estes, M.D., serves as president and CEO of Fletcher Allen Health Care, the College’s academic medical center partner. While ninety years of effort have changed the landscape for women in the biomedical sciences, the work of these pioneers is far from done. Continuing to balance priorities while forging ahead in their own successful careers, today’s role models are also lending a helping hand to the women (and men) who choose to follow in their footsteps. 20 V E R M O N T M E D I C I N E Randy Faris, Corbis S P R I N G 2 0 1 0 21 Get What You Need “There’s definitely still a glass ceiling,” says Polly Parsons, M.D., E.L. Amidon Professor and Chair of Medicine. “Even today only 13 percent of med school department chairs are women.” According to the AAMC, in 2009, 20 percent of women in the basic sciences were full professors; in the clinical sciences, that figure was 17 percent. As a college student at Radcliffe, she and her female colleagues didn’t think twice about pursuing both a career and a family. “It was the ’70s, the ‘we can do it all era,’ and many of us went to medical school, where it didn’t seem foreign to be in a male environment,” she says. Parsons forged a reputation as an outstanding investigator, a leader, and scholar in pulmonary and critical care medicine, and an exceptional clinician and teacher. She joined the College of Medicine faculty in 2000 as professor of medicine, director of pulmonary and critical care medicine, and chief of critical care services at Fletcher Allen. In 2005 she was named interim chair and physician leader of medicine, after a national search in 2007. Since her student days, Parsons says, there’s been a modification among women “from the idea of ‘we can have it all’ to ‘we can make it work.’” Parsons’ typical day begins by answering emails from home at about 6:30 a.m. She gets to work between 7:30 and 8:30. Most of her work as chair is administrative but she often does morning report, where she teaches residents, goes on grand rounds, and reviews budgets and grant proposals. Her work on national committees and advisory boards adds to her busy schedule, she says, but also “keeps me involved with a collaborative group of female colleagues, many of whom I’ve known for years.” “I have an incredibly supportive husband,” says Parsons [she is married to Associate Professor of Psychiatry James L. Jacobson, M.D.] Whoever gets home first gets dinner started. I’ve had phenomenal childcare and my kids are more independent than they would have been if I had been home full time. My job is very important, but my family knows they are more important.” Mesothelioma Interest Group for her contribution to mesothelioma research. A funded investigator since the 1970s, she also recently authored a paper on Asbestos, Lung Cancers and Mesotheliomas in the American Journal of Respiratory Cell and Molecular Biology, or “Red Journal,” that has elicited interest from all over the world. That paper “is really a tribute to the work in my lab,” attests Mossman, as it was a follow up to a paper by a former student, Yvonne Janssen-Heininger, Ph.D., who is now a professor of pathology in the College. “Yvonne’s article was one of the most highly regarded articles ever published in that journal,” Mossman says with pride. Sherrill Lathrop, a third-year doctoral student in Cell and Molecular Biology, is a member of Mossman’s lab team. “She is capable of handling it all, and taking it all in stride,” Lathrop says of Mossman, with whom she has weekly meetings and nearly daily email exchanges. “I enjoy her approach to mentoring, and I feel comfortable sharing my ideas with her. I really feel I’ve found a home in this lab.” Mossman earned her undergraduate degree in zoology, her M.S. in physiology and biophysics, and her Ph.D. in cell biology at UVM, where her mentor was Mary Jane Gray, M.D., D.M.Sc. As an undergraduate, Mossman did an honors thesis with Gray, a prominent researcher on cervical cancer. “Out of one hundred grad students, four of us were women. It was the era of mini-skirts and we found men, even some of the faculty, were very biased,” says Mossman. At conferences, she says, “I didn’t go to the bar with male colleagues at night, which is too bad, because a lot of science is discussed there. Yet a lot of women, even today, won’t go into that situation. I think in the field of science, politics are still dictated by men, but women are becoming more powerful. We’re organizing events, we’re picking women to head meetings. I see more women going on to higher levels.” Like Parsons, Mossman admits it can be hard to balance a career and family. She says, “It helps to have a supportive husband who will give a little and realizes it’s not a nine-tofive job. I’ve been lucky.” Throughout her career, Parsons has made it a priority to mentor other women — and men — who wanted to pursue medical careers. “I have always mentored men and women the same,” she says. “And I give the same advice to everyone: Have an idea about what you want to do. Get resources, get what you need to be successful. Be in a collaborative, nurturing environment. Don’t fly solo. Asking for help is the best way to go forward. The key is to assume you can do anything. If there’s a bump in the road make sure to find someone to bounce things off of. Make sure you have a mentor.” Since becoming Chair of Medicine, she has hired 35 faculty members, about half of them women. “We pick the best candidates for the job,” she says. “A number of outstanding women have risen to the top, with a vast range of job descriptions from clinicians to research scientists. They are showing today’s medical students what’s possible.” “Polly is always there when I need her,” says Renee Stapleton, M.D., an assistant professor in the Division of Pulmonary and Critical Care who joined the UVM/ Fletcher Allen in September 2007. She has a ton of experience, she’s very supportive and encouraging, but more than that — she’s fun, kind, and a great role model.” Be Seen and Heard “Mentoring for me starts with a personal connection to an individual,” says Brooke Mossman, Ph.D. ’77. “I tell them to pay attention to their grades and courses, but also to pay attention to research, and to get their names as first author on as many papers as possible. Because that’s what it takes to be successful.” Mossman, professor emerita of pathology and director of the Environmental Pathology Program, is internationally known for her work studying the effects of asbestos on cells in the lungs. She received the Alumni Achievement Award from the UVM College of Medicine in 2004. In 2008, she received the Wagner Medal Award from the International Make Opportunities 7% Men Instructor U.S. Medical School Faculty Distribution: 7% Women Instructor 22 V E R M O N T Assistant 24% Men Professor 17% Women Assistant Professor (by Gender and Rank) M E D I C I N E Full 20% Men Professor Associate 15% Men Professor Full 4% Women Professor Associate 6% Women Professor (From top) E.L. Amidon Professor and Chair of Medicine Polly Parsons, M.D.; Professor Emerita and Director of the Environmental Pathology Program Brooke Mossman, Ph.D.’77; Professor and Interim Chair of Biochemistry Paula Tracy, Ph.D. After a quarter century at the UVM College of Medicine, Professor and Interim Chair of Biochemistry Paula Tracy, Ph.D., also considers herself lucky. She and her husband, Russell Tracy, Ph.D., professor of medicine and former senior associate dean for research and academic affairs, were both able to find positions at the same institution. “And we were able to make those positions into things we really enjoy,” she says. “Having a supportive spouse is critical,” she says. “Women want to be able to do it all, and to do that as a couple calls for communication and teamwork. I always tell students Raj Chawla, UVM Med Photo S P R I N G 2 0 1 0 23 balance finding “W hen I’m eighty, I’m not going to remember the best thing in my life being getting a grant — it will be my family, says Renee Stapleton, M.D., (seen above, foreground) whose mentor for nearly three years has been Polly Parsons, M.D. An assistant professor in the Division of Pulmonary and Critical Care, Stapleton attended the University of Washington College of Medicine, and is just completing her Ph.D. from the same institution. She is married with two children ages 6 and 4. Stapleton’s research interests lie in acute lung injury and nutrition for critical care patients. “Only small studies have been done in this area,” she notes. “It’s not something we know a lot about, and we need to know “which vitamins and minerals are most important to critically ill patients.” Of her mentor, Stapleton says enthusiastically, “I have a huge amount of respect for her. Polly has a great deal of experience in pulmonary care, and somehow she manages not only to excel at a demanding job but even finds the time to have those of us in her division over for dinner.” W ith her doctoral degree in Cell and Molecular Biology freshly printed, and only one year of medical school to go before being an M.D.-Ph.D., Wendy Neveu is looking forward to both practicing medicine and continuing her work as a research scientist. “Right now I’m leaning toward pathology,” she says, “And I’m deeply indebted to my mentor, Mercedes Rincon, Ph.D., for the amount of time that she invested in my education. I look forward to being her colleague in the future.” Rincon is an associate professor in the Immunobiology program at the UVM College of Medicine. Of her work so far, she says, “It’s been a fantastic ride, but I welcome challenge and see success at the end of my studies. I’ve been inspired by the women here who hold powerful positions in science, and I feel that a career and a family are achievable for me, too,” she says. “Eventually I’d like to be a physician and also run my own lab and be a mentor to graduate students.” S herrill Lathrop, a third year student in Cell and Molecular Biology who works in Brooke Mossman’s lab, got her bachelor’s degree in Biology at St. Michael’s College but choose the College of Medicine for its “strong, diverse program” in environmental pathology, where her research is mesothelioma-related. A U.S. veteran who served in Kuwait and Iraq, she is planning a wedding next year and is in the planning stages of building a home with her fiancé in Chelsea, Vt. Right now, she plans on pursuing a postdoctoral fellowship but is “torn between research and industry,” for her future career. No matter where the future takes her, though, she says she “feels confident in what I’m doing, and Brooke is an outstanding example of how you can balance career and family.” And in the end, as these women see it, balance may be what it’s all about. 24 V E R M O N T M E D I C I N E to move a plane ride away from their families and learn to make things work as a two-person team.” Tracy received her Ph.D. in biology, with an emphasis in biochemistry, from Syracuse University in 1977. She was one of fifteen graduate students, only five of whom were women. Only two of those women finished the program. “I never felt I was any different than the men at that time,” she says. “I had a fabulous study committee, all male, who knew I could do the job well, and I relied on them to guide me. I was also influenced by the senior people in my mentor’s lab.” Her current interests in how platelets regulate blood clotting reactions and how the blood clotting system contributes to cardiovascular disease developed as a result of five years of postdoctoral training in the Special Coagulation Laboratory at the Mayo Clinic in Rochester, Minn. In 1985, she joined the College as a research assistant professor of medicine and biochemistry and member of the Thrombosis Research Center. She became a tenured professor of biochemistry in 1995. She received the UVM Chapter of the American Medical Women’s Association Gender Equity Award in 2005, the same year she accepted the position of interim chair of the Department of Biochemistry. Recently, Tracy became the University’s representative to a new group in the AAMC dedicated to women in science and medicine. Tracy mentors graduate students, medical students and postdoctoral students, and can’t recall ever turning down anyone in need of a mentor. One of those graduate students was Beth Bouchard, Ph.D.’96. “While I was a graduate student in her laboratory, Paula provided a supportive learning environment during my development into an independent research scientist,” says Bouchard. Today, Bouchard is a research assistant professor of Women Representation in U.S. Medical Schools 1998 vs. 2008 1998–99 2008–09 % Change Medical School Applicants 43% 48% 12% Accepted Applicants 44% 48% 9% Residents 36% 45% 25% Assistant Professors 34% 41% 21% Associate Professors 23% 30% 30% Full Professors 11% 18% 64% Division Chiefs/Section Chiefs 16% 21% 31% Department Chairs 8% 13% 63% Deans 5% 12% 140% Raj Chawla, UVM Med Photo (At far left) Professor and Chair of Microbiology and Molecular Genetics Susan Wallace, Ph.D., works with postdoctoral fellow Stephanie Duclos, Ph.D., in the Wallace lab; (at left) after four decades work to improve the health of Vermonters, Mimi Reardon, M.D.’67, continues to mentor students today. Women as a Percent of U.S. Medical Students 1965–2008 50% 48.5% 47.9% 44.3% 41.7% 40% 37.3% 32.5% 30% 26.5% 20.5% 20% 10% 7.9% 1965 9.6% 1970 1975 1980 1985 1990 1995 2000 2005 2008 biochemistry at UVM, where she returned to join the faculty in 2000. “As her colleague, I’ve seen Paula continuing to provide this level of support for her current students, and I look forward to carrying on the tradition,” says Bouchard. “It’s so important that people have someone to listen to them and understand what they see as important,” says Tracy. “I try to offer advice regarding the priorities students need to succeed, and I try to give them an opportunity to understand who they are. I tell all of them, though, that a strong work ethic is extremely important to be successful, so they must know how to work effectively and well.” “Communication skills — oral and written — are important. You have to be a little bit of a showman to grab your audience, and make them realize you have the greatest data. But the best thing is to be good at your job and to take advantage of opportunities to be recognized. And that can mean making your own opportunities.” Mario Morgado Leave a Legacy Not many people have earned the label “local legend.” One of the College of Medicine’s local legends was actually named so by the National Library of Medicine. She is Mimi Reardon, M.D.’67, who served the College for thirteen years as associate dean for primary care prior to her retirement in 2006. Her founding work in Vermont’s Area Health Education Centers (AHEC) has helped to earn more than $15 million in grants to integrate and improve health care services across professional disciplines. When Reardon enrolled at the College of Medicine in 1963, only four of her fellow students out of a class of fifty were women. But she found Vermont to be a friendly place. “I felt extremely welcome as an individual and a female applicant,” she recalls. “The faculty was very supportive of us.” She notes that “occasionally a male classmate would express negativity or a lack of acceptance, the idea that ‘you’re taking a place a man could have,’ but that didn’t bother me.” In fact, the male colleague who made that particular comment became one of Reardon’s good friends. “As he realized a woman’s abilities, his thoughts changed,” she says. “There’s no difference in mentoring men or women,” she says. “I find out where their interests and abilities lie, and help them stretch. I tell them to find a good balance in their lives — to find time for exercise, friends, and family as well as their careers.” She also connects those she mentors with the right schools, people, and places they should know of and sets up shadowing experiences for them. Like all her fellow pioneers in the biomedical professions, Reardon emphasizes the importance for the students she mentors to periodically pause, recognize and celebrate their successes along the path to their profession. “I reflect with them on what they have accomplished already, and we celebrate what they’ve done and what they have already given to society.” That assessment of their careers, and the careers of those who’ve gone before, shows how much perseverance and support can, in time, change the landscape. VM S P R I N G 2 0 1 0 25 Emeritus Professor of Surgery David Pilcher, M.D., writes the definitive history of his profession in the Green Mountain State. Two Centuries of Vermont Surgery ince his retirement in 2003, David Pilcher, M.D., along with co-author Michael Curran, M.D., has worked to compile a comprehensive look at the practice of surgery in Vermont, from the earliest crude procedures performed on farmhouse tables to the development of modern microsurgical techniques. On the following pages, Vermont Medicine presents just a few excerpts of the key experiences to be found in the new book, Catamount Surgeons. John Pomeroy — Apprenticeship Makes a Surgeon Revolutionary War surgeons, more often than not, were self-proclaimed “doctors” trained under the time-honored but inconsistent apprenticeship method. They were assisted in their treatments by a “surgeon’s mate.” The mate was usually an industrious soldier with a steady hand, a calm stomach, and an interest in medicine. John Pomeroy of Middleboro, Massachusetts, was one such soldier turned mate. He had left the family farm at age 15 in 1779 to join the 9th Massachusetts Regiment. Within three months, he had become the regiment’s mate beneath surgeon John Thomas. Pomeroy resumed farming following his military service, but devoted all of his spare time to the acquisition of knowledge. In 1784, he apprenticed himself to one of Thomas’ surgical colleagues from the Siege of Boston, James Bradish of Cummington, Massachusetts. After completing his apprenticeship in 1787, Pomeroy moved to the recently chartered town of Cambridge, Vermont. There he started what soon became a large and lucrative practice. But the remote setting presented many logistical challenges. During one spring thaw, Pomeroy was Emeritus Professor of Surgery David Pilcher, M.D., seen here at left performing surgery in 1998, assisted by his son Jonathan Pilcher, M.D.’00, drew on his personal knowledge of five decades of Vermont surgeons, bolstered by seven years of painstaking research, to write Catamount Surgeons. 26 V E R M O N T M E D I C I N E Douglas Halporn, M.D.’00 summoned to help with a difficult pregnancy. The patient lived deep in the woods near a stream, three miles from her nearest neighbor. By the time Pomeroy reached the brook, it had risen so high that his horse could barely cross it. The patient’s house, in the meantime, had been engulfed by the torrent and was filling with water. With the help of the woman’s husband and a nurse already on the scene, the industrious physician built a temporary shelter on higher ground where he conducted the delivery. Burlington Beckons Although Cambridge was no smaller than any other Vermont town of the time, relative isolation and poor soil limited its potential for future growth. Perhaps sensing this, Pomeroy decided it was time to make another move. He relocated to Burlington, a town of 332 residents, in 1792. Access by stagecoach was limited and the arrival of the railroad was still 56 years away! But as a lumber port on the Lake Champlain inland waterway, the city soon benefited from increased trade and travel. Pomeroy’s business immediately flourished. In 1797 he built the town’s first brick house on Water Street. S P R I N G 2 0 1 0 27 Pomeroy Helps Establish UVM and Becomes Its Second Faculty Member In John Pomeroy’s library was the 1796 edition of Benjamin Bell’s A System of Surgery. During his practice, Pomeroy performed this “hare lip reconstruction” illustrated by Bell. Shortly thereafter, he began to attract students who knew of his scholarly approach and teaching excellence. His home, the site of his medical lectures, had an extensive library of medical texts. Apprentices came from all over the state to study with him. “University degrees were not necessary for the practice of medicine and were indeed looked upon as a pleasant but not indispensable part of a physician’s equipment.” Pomeroy was described as “a man of robust constitution and great energy of character.” The following [excerpt is] illustrative: “On one occasion he was summoned to attend a case of laryngitis and found the patient asphyxiated, on a rude bed in the hold of a vessel anchored at the dock. Comprehending the gravity of the situation and in opposition to violent resistance on the part of friends of the patient, he performed laryngotomy, inserting a quill into the opening, through which the patient peacefully breathed and life was restored. It was the first operation of this nature he had ever seen and had the patient died, lynch law would doubtless have been employed to prevent in the future surgical interference in such cases.” 28 V E R M O N T M E D I C I N E Burlington was in need of both a minister and a church when, in 1799, the Unitarian church in nearby Vergennes relieved its pastor, the Reverend Daniel Clarke Sanders, of his duties. Upon hearing the news, Pomeroy and an associate rode south and persuaded the reverend to come to town. The two agreed to pay his wages for the next year. They also suggested that he take an academic appointment at the new school. Although Sanders, a Harvard graduate, started preaching in the county courthouse the next year, his real interest lay in the establishment of the University. He was elected its president and sole professor within months of his arrival. Meanwhile, Pomeroy helped conduct a public campaign that raised $2,300 for the purchase of building materials, books, and other supplies. In addition, he supported an endowment to cover the president’s salary for the next three years. Reverend Sanders pitched in by clearing trees from the site of the future College Building (completed in 1804) and by holding Burlington’s first classes in his house in1800. Pomeroy was conducting classes of a sort at the same time. Having been in practice for more than a dozen years, he had started teaching pupils the basics of medical and surgical care. Some stayed only a few days or weeks, but others completed months of training. Pomeroy took pleasure in giving lessons and his students appreciated his efforts. His actions were not undertaken for financial gain, as “it was considered extravagant on the part of the students to pay and undignified on the part of the professors to receive.” Pomeroy’s next step was to bring some legitimacy to his medical instruction. He approached the University’s board of trustees in 1804 and presented his case. His argument must have been persuasive, since the trustees unanimously voted to make Pomeroy the school’s second faculty member. The Journal of Erastus Root One of Pomeroy’s students during the fall of 1815 was Erastus Root. He had obtained his bachelor’s degree from UVM in 1811 and then apprenticed with Willard Arms of Brattleboro. He returned several years later to study with Pomeroy on Arms’ recommendation. Root kept a detailed diary from October 10, 1815 to February 10, 1816 that chronicled his time in northern Vermont. Excerpts from 1815 give an insight into the nature of Pomeroy’s instruction at UVM: Thursday, October 19, 1815 Attended the reduction of a fractured thigh bone by Dr. Pomeroy. The subject was a boy about 12 years of age who UVM Special Collections had fallen from a horse and fractured his thigh. It was very handsomely reduced according to Benjamin Bell’s principles. Five splints and the nine tailed bandage were used. Wednesday, November 8, 1815 Dr. Pomeroy returned from a patient in Westford who had fallen from her horse and fractured badly both the tibia and fibula ... it is both compound and comminuted, and several ulcers have formed. Dr. Pomeroy says he shall amputate the leg tomorrow or the next day. Friday, November 10, 1815 The medical students with Dr. Pomeroy started by 6 o’clock... our journey [one way, was] 18 miles...though we had paid a dollar each, we had to walk half the way...we did not arrive until 2 o’clock. All things were ready for the operation in a few minutes. Dr. Pomeroy then performed it in less than three minutes. The limb was off, and neatly dressed in five minutes more. We returned to Burlington the same evening, we arrived about half past eleven.” William Beaumont — Vermont’s First Famous Research Surgeon In 1811, Truman Powell, UVM’s first medical graduate, moved thirty miles north to take a job with Benjamin Chandler of St. Albans. A distinguished physician in his own right, Chandler had been the recipient of the University of Vermont’s second honorary M.D. in 1810. Powell arrived to find an apprentice in his new partner’s charge named William Beaumont. The former grade school teacher had been preparing himself for a career in medicine since 1806 by reading books he had borrowed from Pomeroy. Beaumont worked under Chandler and Powell’s supervision until June 1812. Upon satisfactorily completing his studies, he received a license from the Third Medical Society signed by Pomeroy, its president. Beaumont left his preceptor, moved across the lake to New York, and joined the army. He served as a surgeon’s mate in the 6th infantry at the Battles of Little York and Plattsburgh during the War of 1812. After resigning his commission in January 1813, he opened an office in Plattsburgh. His license to practice was still that of the Third Medical Society of Vermont.Beaumont re-enlisted in 1819 and was sent to Fort Mackinac in Michigan. It was there, in 1822, that French-Canadian voyageur Alexis St. Martin (in Beaumont’s words) “was most dangerously wounded by the accidental discharge of a heavily loaded musket. The wound was received just under the left breast, and supposed at the time to have been mortal. A large portion of the side was blown off, the ribs fractured, and openings made into the cavities of the chest and abdomen, Stan Malcolm through which protruded portions of the lungs and stomach, much lacerated and burnt, exhibiting altogether an appalling and hopeless case. The diaphragm was lacerated, and a perforation made directly into the cavity of the stomach, through which food was escaping at the time.” During an era when abdominal wounds were usually lethal, St. Martin’s survival was unexpected. Beaumont studied the workings of the human stomach through his patient’s gastrocutaneous fistula over the next decade. In 1833, he published his findings and conclusions in the book Experiments and observations on the gastric juice and the physiology of digestion. The work was a landmark in experimental physiology that contributed greatly to the science of gastric digestion. Although his research was conducted a decade after he left the state, his roots were from Vermont. Perhaps he can be considered Vermont’s first surgical researcher. James L. Little, the Big Surgeon James Lawrence Little, the College’s professor of surgery from 1875 to 1885, was a giant in both size and vision. Standing well over six feet tall and weighing at least 250 pounds, he made major contributions to both UVM and the practice of surgery. Born in Brooklyn, New York, on February 19, 1836, he became a bookseller at age twenty, but was fired after spending too much time reading the store’s medical books. Interested in learning anatomy, he purchased a pauper’s skull from a gravedigger for twentyfive cents. Upon unwrapping the package, however, he found that it contained a decomposing head. Horrified, he threw the entire lot into the East River and chose another course of study. Little attended the Columbia College of Physicians and Surgeons, graduating in 1860. He became a junior assistant surgeon at the New York Hospital the same year. Little was Surgeonin-Chief to New York City’s 14,000-bed Parks Barracks Hospital during the Civil War, even though he did not serve in the military. It was during this Among the innovations of Benjamin Little, time that Little came up with M.D., who taught both in Vermont and his first major breakthrough — New York during the 1870s and 1880s, is the plaster-of-Paris splint still in use today. the invention of the plaster- S P R I N G 2 0 1 0 29 of-Paris splint. Beforehand, splints had been made from a troublesome starchy material. Although plaster-of-Paris had been used as a surgical dressing without success, Little was able to adapt the compound to orthopaedic practice. He devised an ingredient mixture and application method that provided an immovable yet porous splint that would conform to any shape desired. His basic technique is still used today. …Little spearheaded the drive to increase the number of UVM lectures delivered by specialists. Using his personal connections, he recruited speakers from New York in the fields of ophthalmology, otolaryngology, and urology, among others. He also convinced his colleagues to give clinical instruction in each of these subjects. Little was the first surgeon to place a suprapubic catheter for the relief of urinary retention. An early adapter, he was also among the first users of the newly invented laryngoscope and ophthalmoscope during the 1860s. His interests in these instruments led to his next major surgical legacy. In 1879, during the middle of his tenure at UVM, he published the first succinct description of the location in which the majority of all nosebleeds originate. Recognition of this discovery in the United States, ironically, has since fallen to a German laryngologist who reported similar findings in 1884. Thus, the region still known as Little’s area in Great Britain is called Kiesselbach’s plexus in the United States. John Brooks Wheeler Becomes Professor of Surgery UVM’s trustees rearranged the College of Medicine’s entire faculty in July of 1900. Former assistant John Brooks Wheeler took Abel Mix Phelps’ place as professor of surgery. Another native Vermonter, he was born in Stowe on August 13, 1853. He was the son of a prominent lawyer and the grandson of the University’s former president. Wheeler made the most of his background by pursuing an extensive education. He graduated from UVM in 1875 then attended medical school at Harvard. After receiving his M.D. in 1878, he completed a one-year internship at the Massachusetts General Hospital — a relatively novel accomplishment at the time. Wheeler set sail for Europe in July of 1879. Over the next two years, he studied under some of the most important physicians and surgeons of the era. He learned operative surgery from Theodor Billroth, surgical anatomy from Emil Zuckerhandl in Vienna, pathological anatomy from Friedrich von Recklinghausen, microscopic anatomy from Wilhelm von Waldeyer in Strasbourg, and operative surgery from Bernhard von Langenbeck in Berlin. Wheeler studied alongside William S. Halsted while in Vienna, but his most notable brush with fame came during his 30 V E R M O N T M E D I C I N E time in Edinburgh. While there, he not only met Joseph Bell, the real life inspiration for Arthur Conan Doyle’s Sherlock Holmes, but also had the opportunity to watch him operate. Bell was the grandson of Scottish surgeon Benjamin Bell whose text was used by John Pomeroy at the start of his Burlington teaching saga. Wheeler’s greatest exposure to Listerism occurred in Austria and Germany (rather than in Lister’s home of Scotland) due to widespread European acceptance of antisepsis. At the completion of his studies, Wheeler was as well trained as any of UVM’s previous professors of surgery. Unlike his predecessors, though, he decided to return to Vermont rather than settle in a large metropolitan city. In the fall of 1881, he opened an office on Main Street in Burlington. Within two years, he was an instructor at the College and an attending surgeon at the Mary Fletcher Hospital. Despite lecturing before classes of more than 200 students a year, Wheeler did not enjoy the substantial salary of a full professor. In order to make ends meet, he initially practiced both general medicine and surgery since his patients were poor and surgical cases were few. Even though Mary Fletcher’s hospital had been open for several years, operations were still carried out in patient’s homes. Wheeler recalled, “There was a feeling that nobody but paupers were treated at hospitals.” The populace was “filled with the idea that hospitals existed for the sole purpose of ‘experimenting’ on people.” As a result of this mindset, Wheeler was often obliged to travel up to thirty miles or more by horseback, carriage, or even sleigh to make a “house” call. The general public had about as much regard for physicians’ advice during this time as they had for hospitals. An incident involving one of Wheeler’s first patients (an elderly woman with burns over her lower abdomen and thighs from an overturned lantern) was typical. Wheeler applied gauze soaked with linseed oil and lime water to the burned skin, covered it with a thick layer of cotton, and then changed the entire dressing every day for the next ten days. Just as the surface began to heal, the patient’s sister informed him that his services were no longer needed. She felt that the “young doctor” had done his best, but that it was time to switch to a better remedy — a hen manure poultice. Appalled, Wheeler pleaded his case to no avail. “In about a week more this treatment by fertilizer bore the fruit which I had expected, in the shape of a funeral.” Wheeler continued his association with the Department of Surgery for decades afterward, till his death in 1942. Later that year A.G. Mackay became the chair. Julius Jacobson Brings Surgical Research to UVM Upon completing his fellowship in 1959, [Julius] Jacobson was recruited by A.G. Mackay to start a research program at UVM. He accepted the offer, and was soon appointed Associate Professor of Surgery and Director of Surgical Research. Not bad for someone only a few months out of training! He was generously funded by the College of Medicine, the Department of Surgery’s clinicians, and the United States Public Health Service, which “was pouring money in to upgrade the smaller schools.” Jacobson drew upon his interest in thoracic surgery and his prior experience with the operating microscope. The Department of Pharmacology asked him to help with a study that involved denervation of the canine carotid artery. “It became clear that the only sure way to achieve this was to divide and reanastamose the artery.” After working on the 3 mm arteries, however, “It became obvious, that the problem was the eye not being able to see well enough to guide the hand properly.” Experimentation with magnifying loupes was undertaken in short order. “Suddenly the epiphany occurred. I remembered wandering into an ear, nose, and throat operating room at Presbyterian Hospital and peering through the microscope during a stapes mobilization.” The rest unfolded as follows: “I immediately went to the Mary Fletcher Hospital to borrow an operating microscope.The resistance to moving an expensive piece of equipment and contaminating it in the animal laboratory was monumental, even as it might be today. However, that same day we did the first canine carotid anastomosis with the microscope.” John Brooks Wheeler, at center leaning over patient, is shown here in the Mary Fletcher amphitheatre in 1900. His relationship with the Department of Surgery lasted nearly 60 years. UVM College of Medicine Archives Jacobson was given a wing in the basement of the new Medical Alumni Building. It contained an office for himself, an office for a fellow, an office with several divided carousels for students, and three rooms that could function as animal UVM College of Medicine Archives Dr. Jacobson in the surgical research laboratory in 1960. R.M.P. Donaghy, M.D., pioneered microneurosurgery in the same lab. laboratory operating rooms. There was enough cage space for 160 dogs, a luxury unheard of today. Jacobson hired Clement Comeau, a Mary Fletcher O.R. assistant, and Rodney Larrow, who had been working for a local veterinarian, as his laboratory technicians. He recruited Ernesto L. Suarez, a gifted young physician from Argentina, to be a research associate. Suarez, like Jacobson before him, eventually developed superb skills operating under the microscope. During the summer months, medical students were paid $300 apiece to work in the new lab. The 1960 crew included two students from UVM, Robert Guiduli (who later became a South Burlington-based ophthalmologist) and Charles Pitman; and one from the University of Rochester, myself [David B. Pilcher], thanks to my family’s summer connections in the greater Burlington area. Guiduli and I worked with the operating microscope under Jacobson and Suarez’s tutelage. VM Get Your Copy Drs. Pilcher and Curran contributed years of work on their labor of love, Catamount Surgeons, and a generous gift from Joan and Julius Jacobson, M.D., helped defray costs of printing. For information about how to obtain a copy of the book, please contact Ben Fuller in the Medical Development & Alumni Relations Office — (802) 656-4009 or email [email protected]. S P R I N G 2 0 1 0 31 research, advocate, change. | by Jennifer Nachbur photography by Raj Chawla t Students at the College of Medicine learn that it’s not enough to just uncover new knowledge about public health. Here, they need to take the findings to a public forum that will help bring about needed reforms. he State of Vermont is unique in many ways; but from the perspective of a medical student, one of the key aspects of that uniqueness must be the ability to effect change so early in one’s medical career. This situation was demonstrated this winter by one group of second-year UVM medical students who completed their collective research on an important topic of environmental health, and within days presented their findings in testimony before the Vermont House of Representatives’ Committee on Natural Resources and Energy. College of Medicine Class of 2012 members Melissa Marotta and Brett Porter spoke to the committee at the State House in Montpelier on January 22 in support of Bill H.97, which proposes to prohibit a heavyweight vehicle from idling while stopped for more than five consecutive minutes in any 60-minute period. Marotta and Porter are two of seven members of a Medical Student Leadership Group that conducted a survey last fall to determine whether Vermont diesel vehicle operators were aware of the health effects of diesel exhaust and whether or not they were concerned about it. The group’s public health project, titled “Assessing Health Concerns and Obstacles to Diesel Exposure Reduction in Vermont Diesel Vehicle Operators,” was completed in conjunction with the American Lung Association of Vermont. Additional group members include Renee Bratspis, Maria Furman, Joseph Yared, Will Timbers, and Quillan Huang. Gerald Davis, M.D., UVM professor of medicine and Vermont Lung Center member, and Jan Carney, M.D., M.P.H., associate dean for public health, served as the group’s faculty co-mentors. 32 V E R M O N T M E D I C I N E % 75 Seventy-five percent of drivers reported that they have not been educated about the health effects of diesel exposure. (At left) Vermont state representatives William Canfield, left, and Mark Mitchell examine research data presented by College of Medicine students in January before the House Committee on Natural Resources and Energy on “Assessing Health Concerns and Obstacles to Diesel Exposure Reduction in Vermont Diesel Vehicle Operators.” (Above) Melissa Marotta ’12 testifies before the committee. S P R I N G 2 0 1 0 33 Department of Transportation Employers 25% 8% Environmental Agencies 17% Physicians 42% 3% Second-year medical students’ research showed the Vermont state legislators that information on the negative effects of breathing diesel exhaust fumes is most likely to be deemed credible by diesel rig drivers if it comes to them via the driver’s physician or employer. 34 V E R M O N T M E D I C I N E 36 Class Notes 37 Development News 41 2010 MAA Awards 42 Obituaries 48 Slightly more than two-thirds of drivers reported extensive idling in order “to keep myself warm or cool.” Only 5 percent reported idling their rigs in order to keep their truck’s contents warm or cool. “While our sample does not report an overwhelming concern about health effects of diesel exposure,” say the project’s authors, “this may be a function of limited education, so driver education may be an effective target for idling reduction.” The students also believe that physician advocacy could assist in improving drivers’ education as well as reducing idling, as drivers by a wide margin report their doctors are their prime trusted source of health information. The legislative committee members complemented the medical students on their informative testimony. Bill H.97 was later forwarded to the House Transportation Committee for further action this spring. VM Vermont Drivers on Most Credible Sources of Health Information Other President’s Corner Renee Bratspis ’12 joined Brett Porter ’12 and Melissa Marotta ’12 as they visited Representatives Hall in the State House after the students’ January 22 testimony before the House Committee on Natural Resources and Energy. Government 8% H A LL A With a long-term goal of identifying the best methods for reducing diesel idling in Vermont, the students’ study sought to determine several things: whether or not Vermont diesel vehicle drivers have been educated about exhaust exposure; if these drivers are concerned about potential health effects of diesel; the level of the drivers’ satisfaction with their understanding of the health impact of diesel fuel; and what these drivers found to be obstacles to idling reduction. The group targeted Vermont businesses that employed a diesel fleet of more than ten drivers and lacked a no-idling policy. During November and December of 2009, surveys were administered to drivers who worked at seven diesel fleets in the Burlington and Rutland areas. Drivers surveyed ranged in age from 24 to 67 years. The students found that two-thirds of the drivers who completed surveys reported that they would “almost always” or “always” follow employer-set policies if they were in place and 75 percent of drivers reported that they had not been educated about the potential health effects of diesel exposure. Only 15 percent indicated that they were “very satisfied” with their understanding of this issue. In 1905, when the College of Medicine completed its third home at the corner of Prospect and Pearl streets in Burlington, the main lecture room was named Hall A. For the next 63 years, students such as the members of the Class of 1955 (shown above listening to the legendary Prof. Ellsworth Amidon, M.D.’32) spent much of their time in the hall. Today’s students take in lectures in the Sullivan Classroom or in the recently renovated Carpenter Auditorium, but the College’s educational mission of inspiring a lifetime of learning in the service of the patient remains the same. The Hall A magazine section is a meeting place in print for all former students of the College of Medicine. Bottom: Raj Chawla, UVM Med Photo S P R I N G 2 0 1 0 35 P RESIDENT ’ S C ORNER H A LL A University of Vermont College of Medicine development & alumni relations office Assistant Dean Rick Blount After two years as president of the Medical Alumni Association, I now prepare to hand over the reigns of this organization to Jim Hebert, class of 1977. Of course, the image of being the driver is not really accurate. One of the wonderful things about the Medical Alumni Association is the way its members have a common feeling for the goals of the organization, resulting from our common experience learning both the art and science of medicine in Vermont. Jim Hebert has his own roots in that tradition, and I know that the MAA will be well served during his presidency. Jim has been a member of the executive committee of the MAA for years, and has participated directly in the education of hundreds of students and residents during his three decades as a UVM faculty member. He is the MacKay-Page Professor of Surgery (named in part after our old teacher H. Gordon Page). Jim is also something of a historian, and has researched many topics on the development of medicine in the Green Mountain State. I know he has a deep understanding of where we’ve come from, and a great ability to help chart where we’re going. That same feeling of relating past and present can be found in this issue of Vermont Medicine, which describes the growth of women as a part of the faculty, administration, and student body. I’ve long been proud to note that I was 100 percent of the women in the graduating class in 1962. I’m even prouder of my alma matter now, where women make up over 50 percent or more of the student body, and have done so for more than a decade. One of those women is a prime example of why we need to always keep giving back to our College of Medicine in the forefront of our plans. You may have seen mention in the last issue of this magazine of Chantell Hemsley from the Class of 2013. Chantell wrote me a wonderful thank-you note expressing her gratitude for the scholarship assistance from the Medical Alumni Association that has enabled her, the first person in her family to finish college, to go on to a career as a physician. That letter was addressed to me in my capacity as president of the MAA, but it was really a thank-you to all of you for your generosity. I have been proud to help lead one of the top alumni associations in the nation for percentage of philanthropic participation, and I encourage all of you to keep this most important tradition going. Ruth Andrea Seeler, M.D.’62 Medical Alumni Association President Director, Administration & Planning Ginger Lubkowitz Director, Major Gifts Manon O’Connor Director, Medical Annual Giving Sarah Keblin Director, Medical Alumni Relations Cristin Gildea Director, Medical Corporate & Foundation Relations Michael Healy Senior Development Analyst Travis Morrison Assistants Jane Aspinall Ben Fuller James Gilbert University of Vermont Medical Alumni Association alumni executive committee Officers (Two-Year Terms) through FY2010: President Ruth A. Seeler, M.D.’62 (2009–2011) President-Elect James C. Hebert, M.D.’77 (2009–2011) Treasurer Paul B. Stanilonis, M.D.’65 (2009–2011) Secretary Mark Pasanen, M.D.’92 (2009–2011) Executive Secretary John Tampas, M.D.’54 (ongoing) Members-At-Large (6-Year Terms): Mark Allegretta, Ph.D.’90 (2003–2010) Naomi R. Leeds, M.D.’00, M.P.H. (2004–2010) H. James Wallace III, M.D.’88 (2004–2010) Suzanne R. Parker, M.D.’73 (2008–2010) Carleton R. Haines, M.D.’43 (2006–2012) Jacqueline A. Noonan, M.D.’54 (2006–2012) Betsy Sussman, M.D.’81 (2007–2012) Don P. Chan, M.D.’76 (2009–2014) Leslie S. Kerzner, M.D.’95 (2009–2014) Frederick Mandell, M.D.’64 (2009–2014) M.D. Class Notes Upcoming Events If you have news to share, please contact your class agent or the Development & Alumni Relations office at [email protected] or (802) 656-4014. If your email address has changed, please send it to [email protected]. May 23, 2010 UVM Commencement Weekend 2010 College of Medicine Commencement at 2:30 p.m. in Ira Allen Chapel 1943 1946 June 10, 2010 Medical Alumni Association Award Dinner Burlington Country Club Francis Arnold Caccavo (M.D. Dec. 1943) 51 Thibault Parkway Burlington, VT 05401 (802) 862-3841 [email protected] Howard MacDougall reports: “Along with my apparent inheritance of genes for old age I’ve also inherited those for obstinateness. Even though I know the outcome I’m still fighting old age. Dorothy and I occasionally see Pat Izzo’s widow.” Carleton R. Haines (M.D. Dec. 1943) 88 Mountain View Road Williston, VT 05495 (802) 878-3115 Harry M. Rowe (M.D. March 1943) 65 Main Street P.O. Box 755 Wells River, VT 05081 (802) 757-2325 [email protected] 1947 George H. Bray 110 Brookside Road New Britain, CT 06052 Tom Holcomb says that he is “Still ambulatory and reasonably sound of mind.” 1948 Wilton W. Covey 357 Weybridge Street Middlebury, VT 05753 (802) 388-1555 S. James Baum 1790 Fairfield Beach Road Fairfield, CT 06430 (203) 255-1013 [email protected] r e u n i o n ’1 0 Robert E. O’Brien 414 Thayer Beach Road Colchester, VT 05446 (802) 862-0394 [email protected] H. Gordon Page 9 East Terrace South Burlington, VT 05403 (802) 864-7086 John C. Robinson writes: “Megs and I have been living in Avery Heights in Hartford, Conn., for three-and-a-half years. It is a retirement home. We have a nice apartment. I am in my second year as president of the Residents Association. Thank goodness my term is up next April.” June 12, 2010 Ira Allen Society & Wilbur Society Members Reception Englesby House 5:00 pm – 6:30 pm August 9–14, 2010 Class of 2014 Medical Student Orientation October 2, 2010 Vermont Reception at the American Academy of Pediatrics National Conference San Francisco, Calif. 1944 1945 June 11–13, 2010 Medical Reunion Weekend 2010 1949 October 4, 2010 Vermont Reception at the American College of Surgeons/Annual Clinical Congress Washington, D.C. October, 2010 Fall Alumni Executive Committee Meeting UVM Campus (date TBA) November 30, 2010 Vermont Reception at the Radiological Society of North American Annual Meeting Chicago, Ill. Joseph C. Foley 32 Fairmount Street Burlington, VT 05401 (802) 862-0040 [email protected] Edward S. Sherwood 24 Worthley Road Topsham, VT 05076 (802) 439-5816 [email protected] 1950 r e u n i o n Simon Dorfman 8256 Nice Way Sarasota, FL 34238 (941) 926-8126 ’1 0 F o r up d a t e s o n e v e n t s s e e : www.med.uvm.edu/alumni Send Us Your Stories! 36 V E R M O N T M E D I C I N E If you have an idea for something that should be covered in Vermont Medicine, please email: [email protected]. UVM Med Photo S P R I N G 2 0 1 0 37 M . D . C L A SS NOTES H A LL A 1951 Edward W. Jenkins 7460 South Pittsburg Ave. Tulsa, OK 74136 (918) 492-7960 [email protected] Edward W. Jenkins reports: “The nephew of a classmate, Louis Bartlett, was recently elected mayor of Tulsa, Okla. Class members were contacted concerning the late Dr. Bartlett. Fran Phillips Conklin remembers him as the son of a European ambassador and probably the most affluent member of the class. He was a little older than other classmates and lived in South Burlington in a house with his wife. They had a maid. When the maid told Louis she was being evicted from her home Louis bought the house she lived in and gave it to her. When Fran and her husband, Jack, were in Chicago, where she took her board exam in radiology, Louis invited them to a reunion in New York City. She let him know they wouldn’t be able to afford the trip, and Dr. B. sent them airline tickets and hotel reservations! Fran continues to work with a Women in Medicine group at Brown University. Ed Kamens recalls Louis as amiable, intelligent, and wily. He was often ready to play a joke on someone. I remember him for his smile, big white teeth, and happy demeanor. After I settled in Tulsa as a cardiothoracic surgeon he called me and asked if I would visit his uncle, ex-Governor Dewey Barlett, who was afflicted with cancer of the lung. I complied and met a very gracious man. Unfortunately, his disease was advanced and I could offer nothing to his management. I must pass on the disturbing news that Murdo Glenn MacDonald, ex-UVM footballer and outstanding medical student, passed away in October. We will all miss his quiet wit, brilliance, and leadership. Larry Ahrens (a high school classmate of my wife Mary Jane nee Durfee) came east to New York recently and was to meet with Ed Kamens. Ed recommends chicken pox vaccine as he has had a lengthy painful bout of shingles. I am asking the rest of you survivors to contact me and let us all know how you are getting along. 1952 1953 1959 Richard N. Fabricius 17 Fairview Road Old Bennington, VT 05201 (802) 442-4224 Jay E. Selcow 27 Reservoir Road Bloomfield, CT 06002 (860) 243-1359 [email protected] 1954 Jay Selcow writes: “I was delighted with John E. Mazuzan Jr. 366 South Cove Road Burlington, VT 05401 (802) 864-5039 [email protected] 1955 r e u n i o n William A. Eddy is still working (diagnostic radiology) at St. Vincent’s Hospital (Worcester, Mass.) part-time and teaching. Had both hips replaced in the summer of ’09. Nancy Eddy ’52, is painting and now taking classes in watercolor at deCordova Museum (Lincoln, Mass.) VT: 604 1960 r e u n i o n ’1 0 Marshall G. London 102 Summit Street Burlington, VT 05401 (802) 864-4927 [email protected] Eugene D. Jacobson writes: “Our first Please email [email protected] if you’d like to serve as 1952 class agent. the turnout at our 50th reunion in June. It was wonderful reconnecting with my classmates and I think everyone who returned really had a great time.” grandchild graduated from Cornell University this year. My wife and I moved into a retirement facility two years ago, and we are still enjoying the change. Our health is still holding up.” 1956 Ira H. Gessner 1306 Northwest 31st Street Gainesville, FL 32605 (352) 378-1820 [email protected] 1957 Larry Coletti 34 Gulliver Circle Norwich, CT 06360 (860) 887-1450 [email protected] 1958 Peter Ames Goodhue Stamford Gynecology, P.C. 70 Mill River Street Stamford, CT 06902 (203) 359-3340 Marvin A. Nierenberg 15 West 81st Street New York, NY 10024 (212) 874-6484 [email protected] Melvyn H. Wolk Clinton Street P.O. Box 772 Waverly, PA 18471 (570) 563-2215 [email protected] Richard Narkewicz reports: “Got a stiff shoulder and went for a cortisone shot here in Fort Myers, Fla., and to my surprise, I saw John Fenning, M.D.’60! I had not seen him for 50 years! We had a great reunion and are looking forward to our formal 50th reunion this year.” Email: [email protected] Rudy Keimowitz writes: “I passed my certification exam for hospice and palliative medicine in November and continue to work full-time as a palliative medicine consultant at the University of Minnesota Medical Center. I am also on the staff of the Department of Internal Medicine and Hematology/Oncology/ Transplantation.” 1961 Wilfrid L. Fortin 17 Chapman Street Nashua, NH 03060 (603) 882-6202 [email protected] 1962 Oh, the Places We’ve Gone! 0 300 + UVM MD Alumni Population Density NUMBER BY STATE 38 V E R M O N T M E D I C I N E The nearly 4,000 medical alumni of the College of Medicine alive today have spread out across the country, and are serving patients in nearly every state of the union. Concentrations are heavy on both coasts and, not surprisingly, in New England. Not represented here are graduates practicing outside the U.S. ’1 0 Ruth Andrea Seeler 2431 North Orchard Chicago, IL 60614 (773) 472-3432 [email protected] Ed Neuert Melvyn Wolk, M.D.’60 Honored The non-profit youth organization Junior Achievement of Northeastern Pennsylvania recently recognized Melvyn Wolk, M.D. from the class of 1960 by inducting him into the organization’s Business Hall of Fame. Wolk has served the northeastern Pennsylvania area since 1965, when he and his wife, Marilyn, settled there to start his pediatric practice after Dr. Wolk completed his residency and a two-year stint in the U.S. Air Force. In honoring Dr. Wolk, Junior Achievement noted his founding of the Asthma Ski Day Program in Pennsylvania, which engages asthmatic children and their parents in active winter sports. Melvyn Wolk, M.D.’60 Robert G. Mondou is “Completely retired and spending most of my time on the Cape. I have nine grandchildren, ages 7 to 17.” but became obsolete with advances in technology. Have new career in aquaculture on the coast of Maine.” Email: [email protected] 1963 1965 John J. Murray P.O. Box 607 Colchester, VT 05446 (802) 865-9390 [email protected] H. Alan Walker 229 Champlain Drive Plattsburgh, NY 12901 (518) 561-8991 Arnold and Joan Kerzner write: “We continue to live a full life trying to keep just ahead of our two granddaughters, Elana and Adriana. Still practicing child/ family psychiatry with whatever energies remain.” 1964 Anthony P. Belmont 211 Youngs Point Road Wiscasset, ME 04578 (207) 882-6228 [email protected] Lester Wurtele “Finally retired this June 30 after nearly 39 years of practice in radiology. Irma and I went to China in October, and enjoyed seeing classmates at the 45th reunion in June.” Email: [email protected] Mel Feldman is “Still working — affiliated with Children’s National Medical Center, Washington, D.C. Taking more vacations. We (Linda and I) will be celebrating our 45th anniversary next May. We have seven wonderful grandchildren and three great kids.” Email: [email protected] Prescott Cheney reports: “I have been retired from practicing orthopedic surgery for nine years. I miss medicine r e u n i o n ’1 0 George A. Little 97 Quechee Road Hartland, VT 05048 (802) 436-2138 [email protected] Joseph H. Vargas III 574 US Route 4 East Rutland, VT 05701 (802) 775-4671 [email protected] Jamie Jacobs is “Wishing the best of everything to my classmates in 2010 and beyond. At a live auction fundraiser for the Red Cross this past summer we purchased use of a vacation home in the western Virginia mountains for ten days. We spent our time there fly fishing, hiking, playing golf and just relaxing with our two sons and their families (three grandchildren ranging in age from 12 to 20). For Jean and I, unfortunately, these ten days encompassed Reunion. We are both well and I am fully retired from my cardiology practice. Best regards to all.” Email: [email protected] Fred Lippert writes: “Working two days a week doing foot and ankle orthopedics. Involved in the integration of Walter Reed into the Naval Hospital Command. New Title: ‘Walter Reed National Military Medical Center.’” Wooly Doane reports: “Pat and I continue to enjoy good health. Wooly retired fully on December 31, 2009. We spend half our time in Maine and half in Florida. Can’t take the northern New England winter anymore.” S P R I N G 2 0 1 0 39 H A LL A 1966 Robert George Sellig 31 Overlook Drive Queensbury, NY 12804 (518) 793-7914 [email protected] G. Millard Simmons 3165 Grass Marsh Drive Mount Pleasant, SC 29466 [email protected] M . D . C L A SS NOTES 1967 John F. Dick II P.O. Box 60 Salisbury, VT 05769 (802) 352-6625 Anthony Wasilkowski writes “I thought I was a late bloomer, but I finally have a son-in-law! Our daughter was married in October. Who knows, maybe a daughterin-law is next? Best wishes to all my classmates and significant others.” Email: [email protected] 1968 David Jay Keller 4 Deer Run Mendon, VT 05701 (802) 773-2620 [email protected] Timothy John Terrien 14 Deerfield Road South Burlington, VT 05403 (802) 862-8395 Todd Gladstone [email protected] P. R. Olson is “Still ‘retired,’ working with a former resident three days a week. Life is good in the mountains.” Email: [email protected] 1969 Susan Pitman Lowenthal 200 Kennedy Drive Torrington, CT 06790 (860) 597-8996 [email protected] Thomas Grady reports that he is “still working in private practice general surgery and enjoying it. Four grandchildren, ages 1½, 1½, 2 and 3. Enjoying them even more.” Dan Sullivan writes: “Last May I received the Gold Medal award from the Association of University Radiologists. I was very surprised and honored to be selected. My work at Duke and with the RSNA keeps me busier than ever, but it’s very satisfying. Living within easy walking distance of our daughter, son-in-law and three grandsons also helps me to keep things in perspective!” Robert McCready writes: “I hope that all of my classmates are well. I will always have fond memories of our time together at UVM.” Email: [email protected] 1971 Wayne E. Pasanen 117 Osgood Street North Andover, MA 01845 (978) 681-9393 [email protected] 1972 F. Farrell Collins Jr. 205 Page Road Pinehurst, NC 28374 (910) 295-2429 1973 James M. Betts 715 Harbor Road Alameda, CA 94502 (510) 523-1920 [email protected] Philip L. Cohen 483 Lakewood Drive Winter Park, FL 32789 (407) 628-0221 [email protected] 1974 1970 r e u n i o n John F. Beamis Jr. 1288 Kapiolani Blvd., Apt. 1605 Honolulu, HI 96814 ’1 0 Raymond Joseph Anton 1521 General Knox Road Russell, MA 01071 (413) 568-8659 [email protected] Douglas M. Eddy 5 Tanbark Road Windham, NH 03087 (603) 434-2164 [email protected] Cajsa Schumacher 78 Euclid Avenue Albany, NY 12203 [email protected] Development News Richard L. Gamelli, who became dean Larner Endowment Challenge Doubles Effect of “Giving Back” of the Loyola University Chicago Stritch School of Medicine last year, was recently appointed to the additional position of senior vice president of Loyola University Health System in the Chicago area. 1975 r e u n i o n ’1 0 Ellen Andrews 195 Midland Road Pinehurst, NC 28374 (910) 295-6464 [email protected] 1976 Don P. Chan Cardiac Associates of New Hampshire Suite 103 246 Pleasant Street Concord, NH 03301 (603) 224-6070 [email protected] Bonita Palmer reports: “I continue to do Jungian psychotherapy and spiritual direction. After a two to three year fight to keep Sutter from closing St. Lukes Hospital, I am able to keep providing Reiki Touch therapy and guided Imagery.” Email: [email protected] Eric Reines was recently “elected a fellow of ACP. Thank you, UVM!” Email: [email protected] Mark Yearby continues work in clinical research in epilepsy and advocates for change in health policy as member of board of directors of American Academy of Neurology. Robert Parke remains busily retired (from Air Force medicine) on Cape Cod. One to two days weekly he commutes to Boston to do Military Entrance Physicals. “Episcopal Church activities, choral singing, travel, doing the newsletter for the local community theatre, and gardening (bumper crop of parsnips this year!) keep cobwebs from forming.” Email: [email protected] Giving back has been a key focus of Helen and Robert Larner, M.D.’42 for decades. In 1985 the Larners established the Larner Endowment Fund at the College of Medicine. They were guided by some very clear goals: Helen & Robert Larner, M.D.’42 to provide significant support for financially needy and meritorious students at Dr. Larner’s medical alma mater, to help as many students as possible, and to create a culture of “giving back” that would continue to develop the Fund as its recipients moved on into their professional life. The Larners have continued to give to their fund annually, providing matching dollars for alumni donations to the Larner Endowment. Now, the Larners have generously provided a new matching challenge: the Larner Endowment Challenge, a program that will match gifts made by students and their families. “We’re very excited and grateful to the Larners for this additional effort,” says Sarah Keblin, Director of Annual Giving. “We hope this will engage students even more in the culture of giving back that is so strong at the College of Medicine.” Starr Foundation Funds Endowed Scholarships For more than 50 years the C.V. Starr Foundation has financially supported worthy causes. This fall, the foundation established the Starr Foundation Endowed Scholarship Funds to assist students studying medicine and nursing at UVM. The $100,000 C.V. Starr Medical Scholarship Fund will provide assistance to one or more medical students each year in perpetuity. The $50,000 C.V. Starr Nursing Scholarship Fund will assist nursing students in need in perpetuity. UVM Basketball, Hockey, Lacrosse Score Big for VCC The UVM Women’s and Men’s Basketball teams participated for the fourth consecutive year in the national WBCA (Women’s Basketball Coaches Association) Pink Zone breast cancer awareness UVM women’s basketball team member Courtnay Pilypaitis controls the ball during the Feb. 10 Pink Zone game. 40 V E R M O N T M E D I C I N E initiative on February 10 and 14, respectively, raising nearly $10,000 for the Vermont Cancer Center’s Breast Cancer Research & Education Fund. The UVM Women Catamounts, clad in pink uniforms, recorded their third straight 20-win season in front of a season-high crowd at UVM’s Patrick Gymnasium, overtaking Boston University, 77–59. Four days later, the UVM Men’s team took the University of New Hampshire Wildcats to overtime before a sold-out crowd to win 85–76. The events, which were sponsored by Green Mountain Coffee Roasters, included an auction of the women’s game-worn pink jerseys, pink t-shirt and accessories sales, and a halftime 50/50 raffle, the proceeds of which were donated to the VCC. One month earlier, the UVM Men’s and Women’s Hockey East Association charity events, “Skating Strides for Breast Cancer,” sponsored by Green Mountain Coffee Roasters, took place on January 15 and January 22, respectively. The UVM Men’s Catamounts fell to the Northeastern Huskies 3–1, while the Catamount Women scored a power-play goal in overtime to win over Boston University 2–1. The UVM Skating Strides hockey games raised more than $1,500. Additionally, the UVM Women’s Lacrosse team participated in a breast cancer fundraising walk late in 2009, raising $5,000 for VCC breast cancer research and education programs, and bringing the total amount raised for VCC by the Catamounts to more than $16,000. Xxxxxxxx Top: Courtesy xxxxxxxx Robert xxxxxx Larner; above left: UVM Athletics; above right: Raj Chawla, UVM Med Photo. Members of the 2010 College of Medicine Marathon Team gathered before a training run in March. Marathon Team Begins Third Year of Fundraising Last year, the College of Medicine Marathon Team raised more than $30,000 for medical research. This year, for the third year in a row, students at the College have fielded a growing slate of runners who will ultimately compete in the KeyBank Vermont City Marathon this May, and by doing so also raise money from supporters for the Penelope & Sam Fund for Neuroblastoma Research at the Vermont Cancer Center. To learn more visit: www.med.uvm.edu/marathonteam. S P R I N G 2 0 1 0 41 MAA H A LL A 2010 Medical Alumni Association Awards Since the 1980s, the College’s Medical Alumni Association has honored members for their achievements in the clinic, in the laboratory, and in their personal lives. The 2010 awardees will be honored this June at Reunion 2010, and will take their place on the award display in the Given Building. A. Bradley Soule Award: Service to Medicine and Community Award: Presented to an alumnus/a whose loyalty and dedication to the College of Medicine most emulate those qualities as found in its first recipient, A. Bradley Soule, M.D.’28. Presented to alumni who have maintained a high standard of medical service and who have achieved an outstanding record of community service or assumed other significant responsibilities not directly related to medical practice. 2 0 1 0 M A A A W A RDS Distinguished Academic Achievement Award: Presented to alumni in recognition of outstanding scientific or academic achievement. Early Achievement Award: Presented to alumni who have graduated within the past 15 years in recognition of their outstanding community or College service and/or scientific or academic achievement. A . B r adl e y S o ul e Awa r d Marvin A. Nierenberg, M.D.’60 Clinical Associate Professor of Psychiatry, New York University School of Medicine Clinical Assistant Professor of Psychiatry, Albert Einstein College of Medicine Psychiatrist, NYU Psychoanalytic Institute Dr. Nierenberg, a psychiatrist in New York City, has served the College tirelessly for more than 50 years, including 14 years as a member of the Medical Alumni Executive Committee, culminating in a term as President from 2006 to 2008. He is a longtime class agent for the medical class of 1960, and he and his wife, Judith, an alumna of the undergraduate class of 1960, are members of UVM’s Wilbur Society. Following Dr. Nierenberg’s undergraduate (1957) and medical educations at UVM, service in the U.S. Army medical corps, and residencies in New York City, he established his psychiatric practice in New York, where he continues to practice today. In addition to his standard patient care responsibilities and his activities as a teacher of medical students and psychiatry residents, Dr. Nierenberg serves as a board member and volunteer for the Project for Psychiatric Outreach to the Homeless, through which he has provided free psychiatric care to the homeless on a weekly basis since 1990. Dr. Cooney is a surgeon in Syracuse, New York, whose academic work, which has produced nearly 60 peer-reviewd papers, focuses on bariatric surgery. Prior to accepting his current position in November 2009, he was a faculty member at Penn State Milton S. Hershey Medical Center, where he served as the Charlene J. Smith Professor of Surgery and Cellular & Molecular Physiology, chief of the Division of Surgery, vice-chair for research, and co-director of the Penn State Institute for Diabetes and Obesity. 42 V E R M O N T M E D I C I N E Richard G. Caldwell, M.D.’60 Associate Emeritus Professor of Surgery, Rush Medical College Stephen J. Haines, M.D.’75 Lyle H. French Chair and Professor in Neurosurgery, University of Minnesota Dr. Haines is a neurosurgeon in Minneapolis, Minnesota, where his research, which has resulted in more than 100 publications in academic journals, focuses on the application of evidence-based medicine to neurosurgery. He is a past president of the Congress of Neurological Surgeons and past vice-president of the Neurosurgical Society of America, and has served as Chair of the FDA Advisory Council on Neurologic Devices and the Institute of Medicine Committee on Safe Medical Devices for Children. Kerry W. Crowley, M.D.’80 Medical Director, Eleanor Widener Dixon Memorial Clinic Dr. Caldwell is a surgeon in Chicago. In support of medical students at his alma mater, Dr. Caldwell established the Richard G. Caldwell, M.D. Family Scholarship at the UVM College of Medicine in 2007. Dr. Caldwell and his wife, Carol, also contributed generously to the facility now known as the Dr. Richard G. and Carol Caldwell Breast Center at Advocate Lutheran General Hospital in Chicago. Dr. Caldwell is an active leader in The Village Presbyterian Church, having served as a Trustee, Elder, and Stephen Minister. Dr. Crowley is a family and geriatric physician in Gouldsboro, Maine. A native of rural Hancock County, he served as the Town Health Officer of Gouldsboro, Maine, from 1990 to 2008, and in 2000 was recognized as the “Family Physician of the Year” by the Maine chapter of the Academy of Family Physicians. Dr. Crowley serves as a trustee of Maine Coast Memorial Hospital, and is also known locally as an assistant soccer coach and a scorekeeper and referee for YMCA basketball games. James G. Gallagher, Ph.D., M.D.’75 Medical Director, Columbia County Volunteers in Medicine Clinic Ronald R. Striar, M.D.’55 Pediatrician (retired), Eastern Maine Medical Center Dr. Gallagher is an oncologist and internal medicine physician in Mifflinville, Pennsylvania. As volunteer medical director of a free clinic, his activities have ranged beyond administration to include making house calls, recruiting volunteer providers, and personally applying 13 buckets of sealant to the clinic parking lot. In June 2009, Dr. Gallagher received the “Rural Health Hero of the Year” award at the Pennsylvania Rural Health Conference. Dr. Gallagher also serves as President of the local chapter of Kiwanis International. Dr. Striar is a retired pediatrician in Bangor, Maine. In 1958, with the mother of a child with cerebral palsy and other health care professionals, he co-founded a day school for children with cerebral palsy. For more than 25 years he served as pediatric consultant to the State of Maine’s crippled children’s clinic and to the Maine Cardio Clinic, activities for which he earned an award of appreciation from the State of Maine. Over the last four years, he and Posie, a registered pet therapy Shelti dog, have been twice-weekly visitors to the pediatric and palliative care wards of Eastern Maine Medical Center. e a r ly ac h i e v e m e n t awa r d William K. Chin, M.D.’00 Lieutenant Commander, U.S. Navy Medical Corps dist i n guis h e d ac ad e m i c ac h i e v e m e n t awa r d Robert N. Cooney, M.D.’85 Chair and Professor of Surgery, Upstate Medical University S e r v i c e to M e di c i n e & Co m m u n i t y Awa r d Dr. Chin is an internal medicine physician in the U.S. Navy, and is currently completing an allergy fellowship at the Scripps Clinic in San Diego, CA. From Sept 2007– Sept 2008, Dr. Chin deployed with the U.S. Army to Western Afghanistan, where he was in charge of logistical planning and medical training to help build a health care system for the Afghan police. He started a vaccination program for the Afghan National Police and their beneficiaries, and served as a staff internist and mentor to the Afghan Army Hospital. For his contributions and service in Afghanistan, the U.S. Army awarded Dr. Chin the Bronze Star Medal. For medical care and leadership in other military initiatives, Dr. Chin has received both an Army Achievement Medal and a Navy Achievement Medal. Melanie C. Lawrence, M.D.’00 Family Medicine Physician, Little Rivers Healthcare Dr. Lawrence practices family medicine in Bradford, Vt. She helped establish Little Rivers Health Care, a Federally Qualified Health Center that incorporates three local practices, to better meet the needs of the medically underserved in her rural Orange County community. In 2005 she cofounded the Mentoring Project of the Upper Valley, and since 2005 has served on the Community Board of Valley Vista Substance Abuse Treatment Center. In 2009, she established the Toothy Tiger initiative, a local dental-health program in which fourth grade students act as dental coaches to kindergarteners. Since 2000, Dr. Lawrence has made annual medical service trips to locations such as Kosovo, Honduras, and Burkina Faso. She is also Medical Director and a board member of the Dartmouth Research Coop Project. S P R I N G 2 0 1 0 43 M . D . C L A SS NOTES H A LL A 1977 Mark A. Popovsky 22 Nauset Road Sharon, MA 02067 (781) 784-8824 [email protected] Michael Galica writes: “I realized it is time to say hello to old friends. I remember fondly my UVM Med School experience. We had so many great role models, I’m still in Worcester, Mass., practicing general internal medicine and still loving it. I work with several of our classmates — Mary Maloney, Ken Stevens and Kirk Johnson, who are all doing well.” Email: [email protected] John Kennerson & Lisbeet Hanson ’82 report: “Another busy year for all of us. Son Michael graduated from UVA and is working as a scribe in the ED while applying to med school. Daughter Rose worked at NYU Law School during the summer and is off to Europe for semester abroad. John was voted “Physician of the year” by our local medical society and we were both recognized by the VA Medical society for our outreach in Haiti. Wishing everyone the very best in 2010!” Email: [email protected], [email protected] Mossman Receives Graduate Alumni Award The Medical Alumni Association’s Graduate Alumni Awards Committee has selected Brooke Mossman, Ph.D.’77 to receive the 2010 Medical Alumni Association Graduate Brooke Mossman, Ph.D.’77 Alumni Award. This award is presented to an alumnus/a from the College of Medicine’s Ph.D. or M.S. programs who has demonstrated outstanding achievement in basic, clinical or applied research; education; industry; public service / humanitarianism; and/or outstanding commitment to the College of Medicine community. An awards presentation and reception will take place in the fall. More information about that event will appear in the next issue of Vermont Medicine. To read more about Dr. Mossman, see the feature article in this issue on page 20. 44 V E R M O N T M E D I C I N E Scott Macdonald writes: “We are still here in Las Vegas (23 years now). Still with a 20 person cardiology group and working a lot. However, we do enjoy extended RV trips to all the great places out West. Will try to make our 35th in 2012.” Email: [email protected] 1982 1987 David and Sally Murdock [email protected] Please email [email protected] if you’d like to serve as 1987 class agent. 1983 1988 1978 Diane M. Georgeson H. James Wallace III 416 Martel Lane St. George, VT 05495 (802) 872-8533 [email protected] Paul McLane Costello Essex Pediatrics, Ltd. 89 Main Street Essex Junction, VT 05452 (802) 879-6556 1979 Sarah Ann McCarty [email protected] Judith Holmgren is “Doing anesthesia half at North Adams Regional Hospital with my son, who is a great oral surgeon, and half-time at Mercy Hospital in Springfield, Mass.” Jim Jarvis writes: “Sorry I missed the reunion fun. Would have loved to see everyone. Was in New England for a family wedding in early July and got to enjoy the rain...lots of it. Hope you all had a good time despite the delay of summer in northern Vermont. It’s back to blazing hot here in Oklahoma but all is otherwise well.” Email: [email protected] Anne Marie Massucco Lawrence I. Wolk 5724 South Nome Street Greenwood Village, CO 80111 (303) 771-1289 [email protected] 15 Cedar Ledge Road West Hartford, CT 06107 (860) 521-6120 [email protected] Patrick O’Connell writes: “Orthopaedics continues to be very busy. Still coaching youth sports in my spare time. Our daughter is away at school studying engineering at Princeton. Boys are still in high school. We miss Burlington but not the cold!” Email: [email protected] Ronald D. Blatt reports: “Enjoying living in Connecticut and working in NYC. Have three wonderful kids now — Brandon (7), Gregory (3), and Ariella (19 months). Hope all my classmates are doing well and having fun.” Email: [email protected] 1984 1989 Richard C. Shumway Peter M. Nalin 13216 Griffin Run Carmel, IN 46033 (317) 962-6656 [email protected] 34 Coventry Lane Avon, CT 06001 (860) 673-6629 [email protected] ’1 0 Vito Imbasciani ’1 0 Richard Nicholas Hubbell 80 Summit Street Burlington, VT 05401 (802) 862-5551 [email protected] 1981 Craig Wendell Gage 2415 Victoria Gardens Tampa, FL 33609 [email protected] Looking for a few class agent volunteers as we prepare for our 30th reunion! If you are interested, email [email protected] Thomas Frey reports: “I have undergone complicated mitral valve repair and am thankful to be alive, to have the love and support of my wife and family and friends who kept me thinking optimistically when things were very difficult. I look forward to a full recovery and a healthy 2010.” [email protected] Suzy Frisch Dean Mastras writes: “It was really great to see all who attended Reunion in June. My practice here in the Pacific Northwest keeps expanding. We added hyperthermia, a new linear accelerator, and an ambulatory surgery center.” [email protected] 1986 Darrell Edward White 29123 Lincoln Road Bay Village, OH 44140 (440) 892-4681 [email protected] 1990 Robert Harding writes: “Greetings from Virginia. 2009 was a year of milestones for the Hardings. Two of our daughters, Julie and Phoebe, were married in the spring. Our oldest daughter, Kate, who also is also married and has a 4-year-old daughter, graduated from VCU medical school and has started a psychiatry residency at Albert Einstein in NYC. Nancy has retired from teaching. I’m working as a hospitalist in Newport and involved in the resident teaching program, which keeps me on my toes.” Email: [email protected] UVM Med Photo r e u n i o n 2010 Conference Schedule Vermont Blueprint for Health — Chronic Care Conference April 26, 2010 Sheraton Hotel and Conference Center Burlington, Vt. 8th Annual Northern New England Critical Care Conference September 29–October 2, 2010 Stoweflake Resort Stowe, Vt. Women’s Health Issues May 5–7, 2010 Sheraton Hotel Burlington, Vt. Advanced Dermatology for the Primary Care Physician October 7–10, 2010 Sheraton Hotel and Conference Center Burlington, Vt. 36th Annual Family Medicine Review Course June 8–11, 2010 Sheraton Hotel and Conference Center Burlington, Vt. Vermont Summer Pediatric Seminar June 17–20, 2010 The Equinox Manchester, Vt. 24th Annual Imaging Seminar September 24–26, 2010 Stoweflake Resort Stowe, Vt. Suzanne Graves writes: “I continue to practice pediatrics in Beverly, Mass. My oldest son, Matt, is applying to colleges this year. Nathan is 15, a freshman, and Margaret (12) is in seventh grade. Soccer and hockey games keep us busy.” Email: [email protected] 1985 r e u n i o n 1980 r e u n i o n 2 Ravine Parkway Oneonta, NY 13820 (607) 433-1620 [email protected] Continuing Medical Education ’1 0 Barbara Angelika Dill 120 Hazel Court Norwood, NJ 07648 (201) 767-7778 [email protected] Hope to see everyone at reunion in June! 1991 John Dewey 15 Eagle Street Cooperstown, NY 13326 [email protected] F o r i n f o r m a t i o n c o n t ac t : University of Vermont Continuing Medical Education 128 Lakeside Avenue Suite 100 Burlington, VT 05405 (802) 656-2292 http://cme.uvm.edu College of Medicine alumni receive a special 10% discount on all UVM Continuing Medical Education conferences. 1992 Mark Eliot Pasanen 1234 Spear Street South Burlington, VT 05403 (802) 865-3281 [email protected] 1993 Joanne Taplin Romeyn 22 Patterson Lane Durham, CT 06422 (860) 349-6941 Brad Watson [email protected] Kirsten Wolff reports: “We have recently returned to Seattle, having spent the last two years aboard our sailboat, S/V Charlotte. We travelled 10,000 nautical miles aboard along the east coast as far as Maine and then down through the eastern Caribbean, as far south to Columbia, and then along east side of Central America, to Mexico and up to Texas. The boat is now out in Seattle, and we will try our hand at live-aboards. Peter and Alden, our seven-year-old son, are doing well. Unfortunately, early in our travels, I was diagnosed with breast cancer, so we had to take nine months to work through that but we are all well and hopefully stronger for it! Please look us up if you are in the Pacific Northwest. There is an extra berth on the boat!” 1994 Holliday Kane Rayfield P.O. Box 819 Waitsfield, VT 05673 (802) 496-5667 [email protected] Seth Rafal writes that, after working in community mental health agencies for many years, he is now in private practice in psychiatry full time in Newton, Mass. He and his wife, Mimi, and 11-year-old daughter, Lily, live in Newton. Email: [email protected] S P R I N G 2 0 1 0 45 1995 r e u n i o n ’1 0 H A LL A Allyson Miller Bolduc 252 Autumn Hill Road South Burlington, VT 05403 (802) 863-4902 [email protected] Donna Gamache writes: “Can you M . D . C L A SS NOTES believe my son, Ray, who was born after first year just graduated from high school? I remember everyone doing the Babinski to him when he was a new born (guess that’s why his feet are not ticklish) He’s going to be a chemistry major like his mom...ahhhh. Time sure flies doesn’t it?” Email: [email protected] 1996 Anne Marie Valente 66 Winchester St., Apt. 503 Brookline, MA 02446 [email protected] Patricia Ann King 832 South Prospect Street Burlington, VT 05401 (802) 862-7705 [email protected] Lisa Belisle reports: “I am practicing integrative medicine and acupuncture in Yarmouth, Maine. I continue to write and work as a medical advisor for the Maine Health System. My husband and I have three children: Campbell (16), Abby (14), and Sophie (9).” Email: [email protected] Mary Valvano writes: “John and I are happily busy keeping up with our two girls and three dogs. I am the chairperson of the emergency department at Concord Hospital in New Hampshire. We keep tabs on Ann and Cliff Adams in Maine and try to spend time on their boat.” Eamil: [email protected] 1997 Julie Smail 390 Bridge St. South Hamilton, MA 01982 (978) 468-1943 [email protected] Steven Battaglia reports: “Steven Yerid rode his mountain bike from Boston to Key West on a journey of self discovery. He battled blisters, fierce storms, flat tires and road rage, but made it intact. His next trip is going to be a cross-country ride on a tandem bicycle with Michael Binette.” Email: [email protected] Laurie Montague is “In private practice in New Hampshire! Stop by anytime! Email: [email protected] Amy & Jonathan Martin write: “We’re settled in Avon, Conn. I am staff neurosurgeon at Connecticut Children’s Medical Center in Hartford, and Amy is doing women’s imaging in a private practice group in town. Life is good.” Email: [email protected] Wendy Gerstein reports: “Neal and I are still living in Albuquerque, N.M., both working at the university. We have twin boys, Abe and Hugh, 19 months old. We are taking them on their first climbing trip this fall! Hope everyone is well and happy.” Email: [email protected] 1998 Halleh Akbarnia 2011 Prairie Street Glenview, IL 60025 (847) 998-0507 [email protected] GI fellowship in Denver. My husband and I are loving being in Colorado — great skiing, amazing weather!” Email: [email protected] Everett Jonathan Lamm 11 Autumn Lane Stratham, NH 03885 (603) 929-7555 [email protected] Deanne Dixon Haag 4215 Pond Road Sheldon, VT 05483 (802) 524-7528 46 V E R M O N T M E D I C I N E See Facebook: “UVMCOM Class of 2000 10th Reunion” 2001 Ladan Farhoomand 1481 Regatta Road Carlsbad, CA 92009 (626) 201-1998 [email protected] 2000 ’1 0 Jay Edmond Allard USNH Yokosuka PSC 475 Box 1757 FPO, AP 96350 [email protected] Michael Jim Lee 71 Essex Lane Irvine, CA 92620 [email protected] Freeman Legacy Scholarship Announced Doreen and Houghton “Buck” Freeman (second and fourth from left), whose family foundation generously funded the Freeman Medical Scholars program for the last eight years, met with UVM President Daniel Mark Fogel (left), Professor Emerita Mildred Reardon, M.D.’67 (center), and Dean Rick Morin, M.D., in the Dean’s office in May, 2009. Amy Roberts McGaraghan writes: “We are enjoying the craziness of three children and two careers. I am at Mount Auburn Hospital in Cambridge, Mass., with a busy Ob/Gyn practice.” Email: [email protected] Christine Hurtado is “finishing my Ped 1999 r e u n i o n Naomi R. Leeds 305 Third St. #204 Cambridge, MA 02142 [email protected] The College of Medicine is pleased to announce the first recipient of the Freeman Foundation Legacy Medical Scholarship, who will be the first to benefit from this new program that carries forward the legacy of the Freeman Foundation, generous supporters of scholarships at the College of Medicine for more than a decade. Beginning with one recent gift, the program seeks funding for scholarships to support students just as the Freeman Foundation did with extraordinary gifts to provide scholarships for hundreds of UVM medical students beginning in 2000. While the original Freeman Medical Scholarships are ending and the final Freeman Scholars will graduate in 2012, the College intends this new program to honor the Freeman Foundation for the impact their generosity has had at the College of Medicine and throughout the state of Vermont. Future gifts to this new program will continue to assist UVM medical students in pursuing their medical education with the goal of practicing here in Vermont, following in the tradition of the Freeman Foundation scholarships. This first Freeman Foundation Legacy Medical Scholarship, funded by a personal gift from program co-founder Mildred Reardon, M.D.’67, is being awarded to Kira Fiset, a third-year medical student who has demonstrated a passion for, and commitment to, meeting the health care needs of Vermonters, particularly in rural and underserved areas. For information about supporting the Freeman Foundation Legacy Medical Scholarships, contact Sarah Keblin, Director of Annual Giving, at 802-656-4104 or [email protected]. Raj Chawla, UVM Med Photo Joel W. Keenan Greenwich Hospital Five Perryridge Road Greenwich, CT 06830 [email protected] JoAn Louise Monaco 1034 Fifth Avenue New York, NY 10028 (212) 988-7788 [email protected] Emily Harrison reports: “I am in my fourth year at women’s care, growing a full spectrum family practice in a group of Ob/Gyn’s. Jim and I are happy with our very full life here in Rhode Island.” 2002 Jonathan Vinh Mai 15 Meadow Lane Danville, PA 17821 (570) 275-4681 [email protected] Kerry Lee Landry (919) 732-9876 [email protected] Mary O’Leary Ready [email protected] Maureen C. Sarle [email protected] Thuan Nguyen reports: “I am working at several different emergency departments in the Phoenix area as well as serving as the medical director for the fire departments in the cities of Tempe and Guadalupe. My wife, Sarah Moesker, and I celebrated our son Reece’s first Raj Chawla, UVM Med Photo birthday in November. We saw Mariah and Grace in Boston this past October during ACEP. Both look great!” Email: [email protected] Chris Staats writes that she is “still enjoying family medicine at Winooski Family Health. My daughter Ella is already nine years old and amazes us every day! Come visit us!” 2003 Omar Khan 33 Clearwater Circle Shelburne, VT 05482 (802) 985-1131 [email protected] Scott Goodrich 309 Barben Avenue Watertown, NY 13601 [email protected] 2004 Jillian S. Sullivan [email protected] Steven D. Lefebvre [email protected] 2005 r e u n i o n ’1 0 Julie A. Alosi [email protected] Richard J. Parent [email protected] See Facebook: “University of Vermont class of 2005 5 Year Reunion” At the talent show in January, Brendan Kelley ’12 displayed his unicycle skills. 2007 Allison Collen [email protected] Scot Millay [email protected] 2006 2008 William C. Eward 101 Wood Valley Corner Durham, NC 27713 [email protected] Mark Hunter 21 Lindenwood Drive South Burlington, VT 05403 [email protected] Deborah Rabinowitz Abrams 58 Chelsea Place Williston, VT 05495 [email protected] Alyssa Wittenberg 7649 Briarcrest Lane Orange, CA 92869 [email protected] Jason Heiner is now finishing up an Ashley Zucker 2209 Albany Street Durham, NC 27705 [email protected] emergency medicine residency in the State of Washington at Madigan Army Medical Center. It has been a fortunate past few months for Jason, with three national honors coming his way. He was awarded first place in the U.S. Army 2009 Arts and Crafts Contest for a sculpture he made, was selected nationally by the Annals of Emergency Medicine as the 2009–2010 Resident Fellow, and had his logo design accepted for the US Army Western Regional Command Team coin. 2009 Rebecca Brakeley [email protected] Kate Murray Mitchell [email protected] Campbell Stewart [email protected] S P R I N G 2 0 1 0 47 Obituaries O B IT U A RIES H A LL A Bernard Weiss, M.D.’39 Dr. Weiss died at his home in West Orange, N.J., on January 15, 2010, at age 90. He was born in New York City, N.Y., and lived for most of his life in Brooklyn, N.Y. before moving to West Orange 15 years ago. He graduated from the University of Vermont in 1939 and was a doctor in private practice in Brooklyn for 50 years, retiring 20 years ago. Dr. Weiss was a captain in the United States Army, serving his country during World War II. He was a member of the American Medical Association, the New York Medical Association, Kings County Medical Association and the American Academy of Family Practice. Albert H. Fregosi, M.D.’43 Dr. Fregosi died December 24, 2009, at Emory Hospital in Georgia following complications from Alzheimer’s disease. He was 91. He was the son of Italian immigrants from Proctor, Vt. His father and uncles were marble sculptors. After earning his medical degree from the College of Medicine, he enlisted in the U.S. Army as a captain during World War II. He served as an infantry physician in the South Pacific. Dr. Fregosi received a Purple Heart for injuries sustained after a grenade exploded. He also survived malaria that left him in a coma for two months. After the war, he completed his residency at Crawford W. Long Hospital in Atlanta. Dr. Fregosi was a general physician and surgeon in his hometown of Proctor for six years. During that time, he completed a second residency in urology at Dartmouth Medical School. He taught for two years at the Medical College of Georgia, then practiced medicine in Decatur from 1959 to 1976. He practiced at several hospitals in Atlanta and for a time was chief of staff at DeKalb General Hospital, now known as DeKalb Medical. Lawrence Janoff, M.D.’43 Dr. Janoff died peacefully on September 5, 2009 at the age of 89. He graduated from the University of Vermont with both undergraduate and medical degrees. He proudly served as a physician and captain in the U.S. Army during WWII and later became a prominent physician in private 48 V E R M O N T M E D I C I N E practice in Great Neck, N.Y., on the staff of North Shore University Hospital in Manhasset, and as a physician with Lever Brothers. Victor L. Karren, M.D.’45 Dr. Karren, of East Brunswick, N.J., passed away at his home on September 13, 2009. He was 90. He received his Bachelor of Science and Doctor of Medicine Degrees from the University of Vermont, and interned at the United Hospital in Port Chester, N.Y. Dr. Karren was a captain in the Medical Corps of the U.S. Army in World War II, stationed at Oliver General Hospital in Augusta, Ga. Following his service, he returned to practice in New York City. For many years he was the assistant medical director of Home Life Insurance Company in New York City. In May 1959, he left New York and came to East Brunswick, N.J., to devote himself full time to general practice. He was on the staff of Middlesex General, now Robert Wood Johnson University Hospital and St. Peter’s Medical Center, now St. Peter’s University Hospital, for over 25 years. He was employed as a part time physician in Occupational Medicine in several Johnson and Johnson Companies. Dr. Karren was a Medical Consultant for the New Jersey State Rehabilitation Program for many years in Newark, New Brunswick, Trenton and Somerville. In May 1995, he received from the Medical Society of New Jersey the Golden Merit Award for 50 years of distinguished service as a Practicing Physician. He was a Charter Fellow and Life Member of the American Academy of Family Physicians and in 1998 received recognition of 40 years of membership. James A. Bulen M.D.’49 Dr. Bulen died on January 29, 2010, at the Citrus County Hospice House in Lecanto, Florida. He was 85. He was born in Long Beach, California, and was raised in Glendale, California, and later on a dairy ranch in Escondido. He attended UC Berkeley and Harvard University before earning his M.D. at the College of Medicine. He was a flight surgeon in the U.S. Air Force in the 1950s and became an amateur pilot. In 1960 he returned to Escondido, where he practiced general, vascular, and trauma surgery until 1995, when he retired. He was at one time Chief of Staff at Palomar Memorial Hospital. He served as his medical class agent for many years. Peter S. Czachor, M.D.’50 Dr. Czachor died January 8, 2010, at his residence in Durham, N.H. He was born May 2, 1920, in West Rutland, Vt., where he attended local schools. While a student at the University of Vermont and a member of ROTC, he was called to duty during World War II and fought in Italy, Germany, France and North Africa from 1943 to 1945. He was awarded the Purple Heart and the Bronze Star Medal. After returning to Vermont and earning his medical degree, he moved to Portsmouth, N.H., in 1953. He practiced there until his retirement in 1985. During this time he delivered over 6,000 babies. After retirement he moved to Kittery Point, Maine. Murdo Glenn MacDonald, M.D.’51 Dr. MacDonald died October 26, 2009, at the Vermont Respite House in Williston. Once, when asked what he was most proud of, he replied, “my family.” He was described by his family as quiet, gentle and patient; a sympathetic listener, a prodigious reader, a magnificent skier and sailor, a lover of music, a collector of jokes and recipes and, on most occasions, a great cook! C. Keith Wilbur, M.D.’52 Dr. Wilbur died October 11, 2009, at his Northampton, Mass., home. He was 86. He attended Bates College and, in 1943, entered Midshipman’s School with the US Naval Reserve at Cornell University. He was assigned to a sub chaser and convoy duty in the English Channel. He received his M.D. from the University of Vermont in 1952. From 1953 until 1985, Dr. Wilbur practiced medicine in Northampton. He had been a staff member of Cooley Dickinson Hospital. He established “The Doctors Bag,” a medical, dental and apothecary antiques business, in 1985. Dr. Wilbur also authored many historical and medical books. Among these were The New England Indians, Antique Medical Instruments, Revolutionary Medicine, and Indian Handicrafts. Edward C. Nash, M.D.’53 Dr. Nash died February 6, 2010, three days before his 85th birthday, at his home in Chatham, NJ. He grew up and attended High School in North Bennington, Vermont. He practiced family medicine in Chatham for 20 years, working side by side with his wife, Marian, and was also an associate at Morristown Memorial Hospital. Prior to that, he was a pathologist with both Bayonne Hospital and Greenville Hospital. He received his bachelor’s degree from Princeton University before coming to the College of Medicine. During his early career, he practiced family medicine in Woodbury, New Jersey where he had privileges in medicine and obstetrics at Underwood Memorial Hospital. For many years he worked as a pathologist in Southern New Jersey and was employed by Salem County Memorial Hospital, Elmer Community Hospital, Camden County Hospital, Cooper Hospital and Our Lady of Raj Chawla, UVM Med Photo Lourdes Hospital. He also served as the medical examiner for Salem County and Gloucester County in the 1970s. He was also an associate professor at Jefferson University Hospital in Philadelphia and published several professional articles in medical publications. Buzz served as a medic in the 104th Infantry Division, a unit from Vermont that was part of the U.S. Army Ground Forces. He was awarded the Order of the Purple Heart at the Battle of the Bulge in 1944. Joseph G. Pomponio, M.D.’53 Dr. Pomponio died on September 24, 2009, at St. Lukes Hospital in Bethlehem, Penna., at age 82. He was born in Compobasso, Italy, and came to the United States in 1936. Dr. Pomponio attended Mt. St. Joseph Academy in Rutland, Vt., where he was valedictorian of his class. He graduated from the University of Vermont with a B.S. in 1950. From 1953–1954 Dr. Pomponio served as an intern at St. Lukes Hospital. He was last employed at the V.A. Medical Clinic in Allentown from 1981–2005. Previously he was an E.R. physician at St. Lukes from 1968–1981. Dr. Pomponio also worked for Pocono Medical Clinic and Lehigh University Health Clinic from 1956–1966. He proudly served his country in the U.S. Navy during World War II as a seaman aboard a destroyer. He was also a Medical Officer during the Korean War, stationed in Redbank, N.J. and Patuxent River Naval Air Station. Dr. Pomponio later served as a medical officer in the Naval Reserve and retired as a Commander after 20 years of service. After a short time period he joined the National Guard and became the colonel in charge of the 103rd Medical Battalion of the 28th Infantry Division, where he served eight more years. Thomas C. McBride, M.D.’57 Dr. McBride died January 4, 2010, at his home in Camden, Maine, after a brief illness. He was 77. Born in Chicago, he was educated in Chicago schools and was awarded the Daniel Webster scholarship to attend Dartmouth College, graduating in 1953. After medical school, Dr. McBride did post-graduate training at the University of Rochester Medical Center. From 1959 to 1961 he served in the United States Public Health Service on an assignment in Hawaii. For the remainder of his career, he worked at the University S P R I N G 2 0 1 0 49 H A LL A O B IT U A RIES of Massachusetts Health Services in Amherst as staff physician and medical director. Dr. McBride was also a professor of family and community medicine at the University of Massachusetts Medical School. He retired and moved to Camden in 1996. David E. Doniger, M.D.’58 Dr. Doniger died December 24, 2009, after a long illness. Originally from New York City, he received three degrees from the University of Vermont, including his M.D. He completed his residency at Mount Sinai Medical Center in New York. He was Chief of Neurology at United Hospital Medical Center in Westchester, N.Y. He established a school of E.E.G. there. Dr. Doniger was an Emeritus Member of Sigma Xi. Bernard Passman, M.D.’59 Dr. Passman died December 25, 2009, after a brief illness. He was a prominent physician in obstetrics and gynecology in the greater Hartford area. Born in Portland, Maine, he received his B.A. at Bowdoin College in Brunswick, Maine in 1955. After medical school, Dr. Passman trained in both general surgery and specialty training in obstetrics/ gynecology at Bellevue Medical Center in New York City from 1959 to 1963. He enrolled in the U.S. Air Force Berry Plan for Physicians with the rank of Captain, and was stationed in Alconbury, England, and Izmir, Turkey. Upon his return to the United States, Dr. Passman began private practice in Hartford, Conn., in 1966 and practiced Ob/Gyn there for 45 years. Audrey Opulski, M.D.’60 Dr. Opulski died November 3, 2009, in Tucson, Arizona, where she had made her home since 1970. She received her B.S. degree from the University of Connecticut before attending the College of Medicine. She completed her residency in pediatrics at St. Francis Hospital, in Hartford. Subsequently Dr. Opulski served with Medical Missionary Sisters in Patna, India, for four years. After returning to the United States she attended the University of Hawaii and received a Master’s degree in public health. For a brief period Dr. Opulski worked with Native Americans on a reservation in Montana. She also participated in a public health project in American Samoa. In 1974 Dr. Opulski joined the Pima County, Arizona, 50 V E R M O N T M E D I C I N E Department of Health Services. She continued her work in public health until her retirement in 1999. Albert J. “Alby” Murphy Jr., M.D.’61 Dr. Murphy, of Bedford, N.H., died July 13, 2009, at Catholic Medical Center in Manchester, after a brief illness. He was born in Manchester, on August 12, 1935. He received his undergraduate degree from Manhattan College. Dr. Murphy served with the United States Air Force, and held the rank of captain. He was a family medical doctor at his practice, Medical Associates of Nashua, until his retirement. brought down his plane. He was born in Lubeck, Germany, on May 5, 1953, and his parents moved the family to the United States in 1956. He grew up on a dairy farm in West Chazy, New York, and attended the State University of New York at Plattsburgh before coming to the College of Medicine. Dr. Kalweit did his internship and residency at the Medical Center Hospital of Vermont in Burlington. In 1985, he moved to Dayton for a Cardiology Fellowship at Good Samaritan Hospital and Wright State University College of Medicine. He settled in Springfield in 1989, opening his own cardiology practice and serving the community since that time. William T. Fagan Jr., M.D.’48 Andrew Stewart, M.D.’61 Dr. Stewart died November 7, 2009. He was 80 years old. He grew up mostly in Hanover, N.H. After graduating from Dartmouth College in 1952, he was commissioned as a Second Lieutenant in the U.S. Marine Corps. He served as a naval gunfire spotter for the 1st Marine Division in Korea. After the war he came to the College of Medicine, and then did a pediatric residency at the Mary Hitchcock Memorial Hospital in Hanover, where his father was the founding pediatrician at the Hitchcock Clinic. In 1964 he and his family relocated to Massachusetts, where he established a pediatric practice in Amherst. In June 1977, he sold his practice and joined the U.S. Air Force to follow his passion for adventure and to experience European travel and skiing. In 1983, after living in Germany, then England, the Stewarts returned to New Hampshire, where they made their home in Rye for the next 26 years. Donald M. Ford, MD,’62 Dr. Ford died July 29, 2009, at Westchester Medical Center (N.Y.) after a brief battle with cancer. He was 73. Most of his professional career was with St. Francis Hospital as a radiologist. He retired in 2000. He then practiced radiology with V.A.M.C. Castle Point from 2005 to 2009. Dr. Ford served in the U.S. Air Force from 1963 to 1966. Wilhelm H. Kalweit, M.D.’81 Dr. Kalweit, who lived in Springfield, Ohio, died unexpectedly on November 7, 2009. He was flying alone in his “Air Cam” when undetermined causes focusing on higher education, medical education, hospitals and health care planning, including the Charles A. Dana Foundation, the Robert Wood Johnson Foundation, Green Mountain College, Maine Hospital Association, American Hospital Association, the Vermont Higher Education Council, and St. Joseph’s College of Maine. He was very proud to serve as a consultant to the U.S. State Department, the Agency for International Development, and the Pakistan Government on medical education and healthcare development. He also served on the Council of Deans for the American Medical Association. Faculty Edward C. Andrews Jr., M.D. Dr. Andrews, of Yarmouth, Maine, former president of the Maine Medical Center and the University of Vermont, died February 19, 2010. He was born in Rockland, Maine, in January 1925, and grew up in Plainfield, Vt. He was a veteran of the Navy V-12 program, graduating from Middlebury College in 1946, and Johns Hopkins School of Medicine in 1951, specializing in pathology. He also received honorary doctoral degrees from Middlebury College, Bowdoin College, the University of Vermont and the University of Dakar in Senegal. In 1951, he began his career at Johns Hopkins Hospital and Johns Hopkins University School of Medicine as Chief Resident and instructor in pathology. In 1958, he moved with his family to Jericho, Vt., and continued his career at the College of Medicine, where he served as professor of pathology, associate dean from 1964 to 1966, and dean from 1966 to 1970. He became president of the University of Vermont in 1970. In 1975, he moved to Maine to become president of the Maine Medical Center in Portland and served in that role until his retirement in 1988. During his professional career and retirement, Dr. Andrews served on many boards and commissions UVM Med Photo Dr. Fagan died January 17, 2010, at Fletcher Allen Health Care in Burlington. He was born in Rutland in 1923. Dr. Fagan had a long and distinguished medical career of more than 40 years in the Burlington area, including at the Medical Center Hospital of Vermont in Burlington and the Fanny Allen Hospital in Colchester, as well as at hospitals in Lancaster, Littleton and Woodsville, N.H. He was appointed consultant in urology at a number of other hospitals. He was a founder of Urology Associates in Burlington, Associate Professor of Urology at the College of Medicine, attending urologist and past president of the medical staff at the Medical Center Hospital of Vermont and Chief of Urology and past president of the medical staff at the Fanny Allen Hospital. Dr. Fagan served for many years on the Board of External Advisors for the University of Vermont College of Arts and Sciences and maintained an active interest in The Center for Holocaust Studies at the University. He and his wife Joy established the Dr. William T. Fagan, Jr., and Joy A. Lipman Fagan Endowment Fund for Special Collections at the University of Vermont. Dr. Fagan also had a long and distinguished military career of more than 40 years, serving in the United States Navy, the United States Naval Reserve and the Vermont Army National Guard. He received numerous medical and military awards including the Legion of Merit. He was also awarded Vermont’s highest military honor, the Vermont Distinguished Service Medal. Anne-Marie W. Littenberg Charles S. Houston, M.D. Dr. Houston died peacefully at his Burlington, Vt. home on Sept. 27, 2009, at the age of 96. Born in 1913 in New York, he was educated at Harvard University and earned his M.D. at Columbia University College of Physicians and Surgeons. During his college and medical school years he began his lifelong interest in mountaineering and climbed extensively in Alaska and the Himalayas, making first ascents of Mt. Foraker in 1934 and Nanda Devi in 1936. In 1938, he made an exploratory trip to K2, during which time his group came close to reaching the summit. Following medical school he was in the Navy, where his studies of high altitude physiology contributed to the ability of pilots to fly at higher altitudes, giving the Air Corps a tactical advantage. After World War II he practiced internal medicine in Exeter, N.H. where he also started his family and continued his climbing. In 1950, he went with his father on an exploratory trip to the south side of Mt. Everest through the kingdom of Nepal, then newly opened to westerners. In 1953, in his most legendary expedition, he returned to K2 and after reaching over 25,000 feet, nearly died in a heroic retreat to save the life of an injured teammate. In 1956, he moved to Colorado where he continued to practice as a traditional country doctor while also doing some pioneering work in the development of an artificial heart. It was here during a mountain rescue that he recognized altitude-related pulmonary edema. In 1962, he was recruited by Sargent Shriver to become Director of the Peace Corps in India on the basis of his climbing and travels in India. Following two and a half years in India, he was invited to Washington, D.C., to develop a Medical Peace Corps. In 1966, he moved to Burlington and joined the faculty of the University of Vermont as a professor of medicine. During this time he established a ten-year research effort on Mt. Logan in Canada, which resulted in numerous advances in understanding high altitude physiology. Following his retirement in 1979, he continued his work in high altitude physiology with a succession of publications and the establishment of an international forum on hypoxia. He was the author of numerous articles and a number of books including K2 the Savage Mountain and Going Higher: Oxygen, Man, and Mountains. In his 90s, with failing vision, he worked with a local moviemaker to digitize the historic footage from his 1938 and 1953 K2, expeditions, resulting in the documentary film “Brotherhood of the Rope,” subsequently the title of his biography. Until a week before he died, he remained actively concerned and outspoken about public health issues, scientific advances, and the state of the world. Edwin M. Paxson, M.D. Dr. Paxson died on November 11, 2009, at the Helen Porter Healthcare and Rehabilitation Center in Middlebury. He was 83. He was born in Philadelphia and graduated from George School, Bucks County, Pa., in 1944, after which he immediately enlisted in the Navy, where he served in the Pacific Theatre during World War II as a radar man first class on the U.S.S. Queens. Following the surrender of Japan, he served as part of the occupation force until his discharge from the Navy. After the war he attended Swarthmore College, graduating in 1950, with a degree in zoology, and went on to earn his medical degree from Jefferson Medical College in 1954. He completed his internship at the Mary Fletcher Hospital and was one of the first pediatric residents in Vermont under the direction of Dr. James McKay. Dr. Paxson entered private practice as a pediatrician in 1956, making house calls and providing services to families and children in the Chittenden County area for 25 years. He was a clinical professor of pediatrics at the College of Medicine. In 1978, Dr. Paxson moved his pediatric practice to Morehead, Kentucky, and he completed his medical career in Poughkeepsie, N.Y. He retired from active medical practice in 1997. S P R I N G 2 0 1 0 51 February 18, 2010 9:50 a.m. Adrienne Pahl (left) from the class of 2011 checks out newborn Dustin Abbott during pediatric clerkship nursery rounds in Fletcher Allen Health Care with Clinical Instructor Elizabeth Hunt, M.D. (right). photograph by Raj Chawla The Giving Connection Led by the College of Medicine’s Schweitzer fellows, medical students continue their community service on COM Cares Day, supported by funding from alumni and friends. Burlington’s Committee on Temporary Shelter (COTS) was one of the agencies to which students provided help. Your annual donation to the UVM College of Medicine Fund makes many things possible for today’s students. Every year, scholarship support, student research support, programming such as the White Coat Ceremony and new student orientation, and community service activities such as COM Cares Day are made possible because of support provided by the UVM College of Medicine Fund. The need is constant and growing; thanks to the continued generosity of alumni and friends, students will be supported as they continue to pursue careers in service to medicine and community. Make your annual fund gift online today at www.med.uvm.edu/giving or call Sarah Keblin, Director, Annual Giving at (802) 656-0802 52 V E R M O N T M E D I C I N E University of Vermont College of Medicine Medical Development & Alumni Relations Office (802) 656-4014 | [email protected] www.med.uvm.edu/giving Vermont Medicine 89 Beaumont Ave. Burlington VT 05405 P ROFILES IN GIVING Making an Impact William Street, M.D.’59 dedicated his career to anesthesiology at medical centers in Vermont and in Massachusetts. Now retired, Dr. Street and his wife, Lorraine Hassan-Street, gave great thought to decision to support medical student scholarships at the College. “Although I have tremendous regard for my undergraduate school,” says Dr. Street, “it generates ‘captains of industry’ who eventually tend to leave enormous gifts. A medical school, on the other hand, has far fewer graduates in the first place, and as physicians they are not in a position to give like captains of industry. I thought that donations I made to my medical alma mater would have a greater impact. And I have to say, I was also attracted to the availability of matching funds.” In fact, the Streets have now given two $100,000 scholarship endowment gifts , each matched dollar-fordollar to double the impact of the Street endowment. As a result, UVM medical students will forever benefit from significant Street scholarships. For more information about how you can support the College of Medicine, please contact the Medical Development and Alumni Relations Office. University of Vermont College of Medicine Medical Development & Alumni Relations Office (802) 656-4014 | [email protected] www.med.uvm.edu/giving