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medicine Gift Aging v e r m o n t
vermont medicine U N I V E R S I T Y O F V E R M O N T C O L L E G E O F M E D I C I N E the Gift of Aging Lois Howe McClure helps establish the UVM Center on Aging F A L L 2008 vermont medicine U V M C O L L E G E O F M E D I C I N E 12 5 38 F A L L FROM THE DEAN 2 COLLEGE NEWS 3 2 0 0 8 12 PRESIDENT ’ S CORNER CLASS NOTES DEVELOPMENT NEWS OBITUARIES REUNION STOPPING TYPHOID IN ITS TRACKS With the help of the Vermont community, Beth Kirkpatrick, M.D., is finding a more effective way to counter a global menace. The Class of 2012 settles in; a MERIT award for a College faculty member; a marathon with extra meaning, and more. HALL A M A G A Z I N E by edward neuert 25 26 27 29 37 38 16 AGING GRACEFULLY The largest gift ever by the McClure family launches the UVM Center on Aging to help Vermont meet the challenge of an aging population. by edward neuert 22 A NEW ENGLAND JOURNAL Students work to revitalize The Red Wheelbarrow, the College’s magazine of literature and the arts. on the cover: Photograph of Lois McClure by Raj Chawla vermont medicine FROM THE DEAN F A L L COLLEGE NEWS 2 0 0 8 EDITOR edward neuert During a recent drive to an alumni gathering in Stowe, the changes in the color of the foliage was a clear signal that late summer was turning into early fall in Vermont. The seasonal change also signals the start of a new academic year at the College of Medicine. In early August I helped welcome the 114 members of the Class of 2012, a diverse and talented group who are already well into their first year classes in the Foundations Integrated Curriculum. level of the Vermont This season is a personally notable one for me also, as I mark the end of my first year as dean of the College. A year ago at the reception graciously hosted by President Fogel, I noted how impressed I was with the physical proximity of all the elements that make an academic health center work — our College, the University campus, and our clinical partners at Fletcher Allen. Now, after twelve months in residence in the Given Building, I can truly say that that physical closeness is matched by personal experiences I’ve had and the people I’ve met throughout the past year. It was a special pleasure for me and my wife, Tracy, to meet so many of you during Reunion this summer. The enthusiasm and pride our alumni feel for the College, and the steadfast interest in and support of all that continues to make our institution great, was inspirational and I am looking forward to all that lies ahead. I have had many opportunities to connect with people beyond the boundaries of the campus, of course, and I am repeatedly struck by the extent to which our College is engaged with our community here in Burlington, across the Green Mountain State, and in the world beyond its borders. We as an institution exist to serve our community with a commitment to improve the health and wellbeing of all. That mission and community connection was celebrated this summer with the announcement of the new UVM Center on Aging, established with a generous $5 million gift from local philanthropist Lois Howe McClure. The Center will be directed by our own Professor William Pendlebury, M.D.’76, and represents the culmination of effort by many people throughout state government, the health care profession, nonprofit agencies, and private citizens who anticipate the changing nature of society as Vermont’s population ages significantly in the next twenty years. This is the essence of what our close connections can bring forth — the community helping us to do work that will in turn benefit the community for years to come. 2 V E R M O N T M E D I C I N E RAJ CHAWLA ASSISTANT DEAN FOR COMMUNICATIONS & PLANNING carole whitaker ASSISTANT DEAN FOR DEVELOPMENT & ALUMNI RELATIONS rick blount WRITER jennifer nachbur ART DIRECTOR elise whittemore-hill ASSISTANT aliza mansolino UNIVERSITY OF VERMONT COLLEGE OF MEDICINE DEAN frederick c. morin iii m.d. SENIOR ASSOCIATE DEAN FOR MEDICAL EDUCATION lewis first, m.d. SENIOR ASSOCIATE DEAN FOR CLINICAL AFFAIRS paul taheri, m.d. SENIOR ASSOCIATE DEAN FOR RESEARCH & ACADEMIC AFFAIRS russell p. tracy, ph.d. SENIOR ASSOCIATE DEAN FOR FINANCE & ADMINISTRATION brian l. cote Medical Class of 2012 Begins at UVM A diverse group of 114 first-year students, including 34 Vermonters, began their medical school careers at the University of Vermont College of Medicine this August. After a formal welcome from the Dean and other members of the faculty and staff on Monday, August 11, the new first-year students took part in a week-long orientation schedule that included sessions on the UVM medical curriculum, leadership, professionalism, a team-building ropes course, and training on the award-winning COMET e-learning platform. To mark the completion of Orientation Week, the new first-year students held a celebratory pizza and lawn party for faculty and new friends from other classes on the ChittendenBuckham-Wills green on the UVM campus on Friday. THE COLLEGE OF MEDICINE CLASS OF 2012 INCLUDES: • 58 women and 56 men • Students ranging in age from 19 to 34 • Students from 23 different states, as well as Puerto Rico, Canada, and Ethiopia • Students with undergraduate majors in such areas as Biology, Environmental Studies, Engineering, Psychology, and English, as well as Apparel Design, History, Physical Education, and Economics • Students with an average undergraduate GPA of 3.7 EDITORIAL ADVISORS rick blount marilyn j. cipolla, ph.d.’97 christopher s. francklyn, ph.d. james c. hebert, m.d.’77 russell tracy, ph.d. vermont medicine is published three times a year 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, Given Building, 89 Beaumont Ave., Burlington, VT 05405. telephone: (802) 656-4014 Letters specifically to the editor may be e-mailed to: [email protected] Brian L. Cote Appointed Senior Associate Dean for Finance and Administration Dean Frederick C. Morin this summer announced the appointment of Brian L. Cote as Senior Associate Dean for Finance and Administration. Cote has served as Associate Dean for Finance and Administration for the College of Medicine since January 2007. “Brian has taken on an increasingly more significant role in managing the strategic financial and human resources of the College, demonstrating leadership and commitment in helping the College achieve its goals,” ALL : RAJ CHAWLA said Dean Morin. “He has earned the respect of University leadership, of our partners at Fletcher Allen, and of the campus and Vermont communities, and I am pleased to have him as a member of my leadership team.” Cote joined UVM in 1986, and was named Director of Finance for the College of Medicine in 2001. He was appointed Assistant Dean for Finance and Administration in 2004, and Associate Dean in 2007. In this new role, Cote will have responsibility for Finance, Human Resources, and Information Systems for the College of Medicine, and will continue as Vice President of University Medical Education Associates (UMEA). F A L L 2008 3 COLLEGE NEWS JUST THE FACTS: UVM TEAM WORKS TO EDUCATE VERMONT PRESCRIBERS It’s no surprise to anyone in the health care community that pharmaceutical companies are spending big money to market drugs to physicians across the country. In Vermont alone, more than $3.1 million was spent on marketing drugs to physicians in 2007, according to a recent report from the Vermont Attorney General's office. Two programs offered through UVM’s Office of Primary Care aim to educate prescribers, as well as medical students, about drug representatives’ tactics. Together, the Office of Primary Care and Area Health Education Centers (AHEC) Program operate the Vermont Academic Detailing (AD) Program, one of the first such programs in the country. The term “detailing” refers to one of several strategies used by pharmaceutical companies to influence the prescribing behavior of physicians, nurse practitioners, and physician assistants. The detailing strategy, which is based on theories of social marketing and behavior change, involves person-to-perRichard Pinckney, M.D., was feason education and distured in a recent episode of Vermont cussion by a pharmaPublic Radio’s “Vermont Edition” ceutical representative program dealing with drug market“expert.” Pharmaceutiing. To listen to a podcast of the cal companies spend mil“Marketing Pharmaceuticals in lions of dollars each year Vermont” broadcast, visit: on a sales and detailing http://www.vpr.net/episode/44028 workforce. Borrowing the successful format of expert, person-to-person, or small-group education used by pharmaceutical representatives, the academic detailing program focuses on educating prescribers using an evidence-based, unbiased presentation of safe, effective, and well-established treatments, rather than promoting a specific product. Since 1999, the Vermont AD Program has been helping healthcare providers translate prescribing guidelines into practice. The one-hour, condition-specific (e.g., hypertension, depression, insomnia), casebased interactive sessions are delivered at practices by members of the AD team, including Charles MacLean, 4 V E R M O N T M E D I C I N E M.D., associate professor of medicine, Richard Pinckney, M.D., assistant professor of medicine, Amanda Kennedy, Pharm.D., research assistant professor of medicine, and Fletcher Allen Health Care pharmacists Michele Corriveau and Gary Starecheski. The program presents an objective overview of what evidence from studies shows about various drugs used to treat a medical condition, and where appropriate, emphasizes the importance of lifestyle change and non-drug therapies as the building blocks upon which drug therapies may be added. This program is funded by multiple sources, but there are no drug company sponsorships, nor do any of the team members have any ties to the pharmaceutical industry. Launched in 2007, a second program called the Program in Wise Prescribing is a UVM Office of Primary Care initiative funded by the Attorney General Consumer and Prescriber Grant Program. The impact of drug company marketing strategies on consumer and prescriber behavior is well understood. However, the proper approach for limiting marketing's negative impact on inappropriate and needlessly expensive use of medications remains controversial. The Program in Wise Prescribing approach centers on raising awareness about the general methods and effectiveness of pharmaceutical marketing. Pinckney is the principal investigator on this grant. The Wise Prescribing educational program will be disseminated nationally in 2009 through a partnership with AHEC. RESEARCH MILESTONES RINCON AND COLLEAGUES IDENTIFY NOVEL TREATMENT TARGET Research by Associate Professor of Medicine Mercedes Rincon, Ph.D., (pictured at left) and colleagues has opened up a potential new pathway for pharmaceutical development. This new work, recently reported in the journal Science, has connected two key signaling pathways commonly used as therapeutic Mercedes Rincon, Ph.D. targets for drug discovery. The group’s findings link glycogen synthase kinase-3beta (GSK3beta), a key enzyme known to be involved in metabolism, neurodegeneration and cancer, and p38 mitogen-activated protein kinase (MAPK), which plays a role in inflammatory responses. Rincon and her team have now discovered a novel mechanism that inactivates GSK3beta. Tina Thornton, Ph.D., a postdoctoral associate in Rincon’s group, has elegantly demonstrated that GSK3beta is also inactivated by phosphorylation mediated by p38 MAPK. With the help of the UVM Proteomics Facility, directed by Dwight Matthews, Ph.D., professor and chair of chemistry, Rincon’s team has identified the amino acid Serine 389 located at the end of GSK3beta (C-terminal region) to be phosphorylated by p38 MAPK. More importantly, a synthetic peptide — a small protein fragment — of GSK3beta at the C-terminal containing a phosphate in Serine 389 blocks GSK3beta activity. These results are promising for development of novel therapies to block GSK3beta and enhance cell survival. In the Science publication, Rincon’s team also shows that this novel mechanism to inactivate GSK3beta through p38 MAPK takes place primarily in the brain and thymus (the gland where Tlymphocytes are generated) to promote cell survival. “We think this mechanism is important for promoting cell survival in thymocytes and, likely, nerve cells,” said Rincon. “Since inhibitors of p38 TOP : MARIO MORGADO ; RIGHT: RAJ CHAWLA MAPK are currently in Phase I clinical trials for treatment of rheumatoid arthritis as antiinflammatory treatments, these drugs should be taken with caution, since they may enhance neuronal or thymocyte death,” added Rincon. Additional co-authors on the Science paper include postdoctoral associate C. David Wood, Ph.D., and Alexander Aronshtam, a lab research technician in the immunobiology division of the Department of Medicine. GRUNBERG PRESENTS NEW CHEMO - INDUCED NAUSEA TREATMENT RESEARCH Promising results from a Phase III clinical trial of casopitant, a novel therapy for one of the most troubling adverse effects of cancer treatment, were presented May 30 at the 44th Annual Meeting of the American Society of Clinical Oncology in Chicago by Professor of Medicine Steven Grunberg, M.D. Chemotherapy-induced nausea and vomiting (CINV) can be a serious, feared and distressing side effect of chemotherapy for patients and their families, and Steven Grunberg, M.D. can last for about five days. The risk of nausea and vomiting without preventive therapy is greater than 90 percent for patients receiving highly-emetogenic (nausea and vomiting-producing) chemotherapy treatment regimens and 30 to 90 percent for patients receiving moderately-emetogenic chemotherapy treatments. The study examined the effects of adding a single oral dose regimen of casopitant to the standard dual CINV therapy (an anti-nausea treatment called ondansetron HCI plus the steroid dexamethasone). The results showed that adding casopitant achieved a significant reduction in the number of patients experiencing CINV. COLLEGE NEWS 3 QUESTIONS FOR Can Cholesterol-Lowering Medication Reduce the Risk of Breast Cancer? MARK NELSON, PH.D. Despite major advances in early identification and treatment of breast cancer, it is estimated that more than 182,000 new cases of invasive breast cancer and about 41,000 breast cancer deaths are expected to occur among women in the United States in 2008. Currently, researchers at the Vermont Cancer Center are examining cancer prevention strategies to help improve these statistics. Previous research shows that women who have taken statins — a class of cholesterol-lowering drugs — are less likely to develop breast cancer. Professor of Medicine Marie Wood, M.D., who is also director of the High Risk Breast Program at the Vermont Cancer Center, is leading an ongoing research study to determine whether taking the popular medication Lipitor can reduce a woman’s risk of developing breast cancer. Titled “Statins and Breast Cancer Biomarkers” and supported through funding from the Breast Cancer Research Foundation, the study is taking place at UVM and four other locations across the country. Wood and colleagues will evaluate whether taking Lipitor reduces mammographic breast density, a known risk factor for breast cancer. The study will also evaluate how the Reaching the Goal For four months, more than 40 yellow-shirted students in the College of Medicine's Class of 2011 trained for the KeyBank Vermont City Marathon (VCM), which took place this year on Memorial Day weekend. Inspired by children 6 V E R M O N T M E D I C I N E This summer, Professor Mark Nelson, Ph.D., chair of the Department of Pharmacology, and a member of the UVM faculty since 1986, received word that he had been awarded a prestigious MERIT award from the National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases. The tenyear, $3.39 million grant provides continued funding for Nelson’s research, which has been published in such prestigious journals as Nature, Science, and Nature Neuroscience. drug affects other indicators of breast cancer risk. “This study could help to provide new and bettertolerated options for preventing hormone-receptornegative breast cancer in high-risk patients,” said Wood. To be eligible to participate in the study, women must have an increased risk for breast cancer, be at least 35 years old and premenopausal. Study participants will be randomly assigned to take either Lipitor or a placebo once a day for a year. They will have annual mammograms, physical exams, and routine blood draws for lab testing and research sampling. Participants will also be asked to complete questionnaires on medical history, diet, and physical activity. Marie Wood, M.D. with neuroblastoma and research led by Giselle Sholler, M.D., a pediatric oncologist and assistant professor of pediatrics, the students organized the team to support The Penelope & Sam Fund for Neuroblastoma Research at the Vermont Cancer Center . The group raised over $10,000 for the Fund. Neuroblastoma is an often-fatal cancer that afflicts very young children. The Penelope & Sam Fund, established by the parents of two neuroblastoma patients and fueled by hundreds of donors, supports Sholler’s research. Second-year medical students Matthew Meyer and David Diller were co-leaders of the team. About 17 students, including Meyer and Diller, ran the full marathon, and the remaining 24 teammates, four of whom ran a halfmarathon, participated in the relay. TOP AND RIGHT: RAJ CHAWLA Q: How would you broadly describe your research? A: We have two major areas. One is the urinary bladder. We study what controls the contractility of the bladder, which controls the two functions of the bladder, filling and voiding. We also study what goes wrong in the body to cause incontinence, on the molecular and the in vivo levels. This is a huge medical issue that affects almost 20 million people in this country, with no really decent drugs to treat it. So we have a number of candidates — proteins that have a profound control over bladder function, and probably don’t work properly in urinary bladder disorders. The other project, which can be viewed as different — but which in many ways is similar, involves understanding blood flow control in the brain, which relates to the basic function of how oxygen nutrients are delivered to the neurons in the brain from moment to moment and what goes wrong in such conditions as hypertension and Alzheimer’s disease. The muscles that control the blood flow and arteries are the same types of muscle cells that encase the urinary bladder, smooth muscle cells. The smooth muscle cell is really the common denominator in my research. Q: What are the criteria for a MERIT award? but does also consume an enorA: You are chosen for a MERIT, it’s mous amount of time. The value of nothing you apply for. I’ve had this the award is there in its name — particular grant for ten years, and Method to Extend Research in it’s always been highly scored by Time. It provides that continuity of the Institute. They look at what funding that will enable me and the grants have been continuously pro- other people in my lab to take a ductive, and they see the progress broad view of our projects and reports every year. They decided move them forward without having that, in this case, this is something to spend time writing and competthey want to reward and invest in, ing for grants. It provides more so that productivity in this area time for the lab and myself to actucontinues to go forward, to explore ally do research. I have three NIH new areas in biomedical science. A grants and I’m involved in several MERIT award also functions as a others. I sometimes liken it to the way to keep a researcher in a par- life of a politician, who has to start ticular field. If you work in multiple spending time fundraising right areas you might be tempted to say, after first taking office. So getting well maybe I’ll work more on this this MERIT frees up a lot of time. than that. If you’ve been very pro- It also provides extra continuity in ductive and made a lot of progress, the lab, knowing that I have the a MERIT award is a way for the funds to support the projects I’m institute to keep the person focused working on and the people who are on that area that they think is working with me. important. Q: How will this award impact your work? MERIT AWARDS A: Each grant’s competitive Several members of the College of Medicine faculty have been honored with MERIT awards over renewal involves months of the years. Included among this prestigious group effort to prepare. As a are Paula Fives-Taylor, Ph.D., professor emerita researcher, you often spend of microbiology and molecular genetics (1994); 20 percent of your time Stephen Higgins, Ph.D., professor of psychiatry either writing progress (2001); Kenneth Mann, Ph.D., professor of bioreports or renewal paperchemistry and medicine (1989); and Susan work. The grant process is Wallace, Ph.D., professor and chair of microbiolan important one — it ogy and molecular genetics (1995). makes people think about and focus their research — F A L L 2008 7 COLLEGE NEWS & AWARDS Robert Wood Johnson Grant Funds Health Video Game Study A grant from the Robert Wood Johnson Foundation (RWJF) is funding research at the College to explore how interactive digital games could be designed to improve players’ health behaviors and outcomes. UVM joins eleven other Associate Professor of Neurology and Pediatrics Peter Bingham, research teams supported in this first round of M.D., leads a patient through a biofeedback game. funding from Health Games Research, an RWJF national program established to strengthen the evi- and puts CF patients more in charge of their own dence base related to the development and use of games health. We feel lucky to have the people at Champlain to achieve desirable health outcomes. College to work with us on this project.” Peter Bingham, M.D., associate professor of neuIn the early version of the system, which was tested rology and pediatrics, is the RWJF grant recipient. His with a number of teenagers with CF, the patient would research project, titled “Breath Biofeedback Video breathe in and out of a simple air flow meter connectGame for Children with Cystic Fibrosis,” will explore ed to a computer, which displayed an icon on the whether a breath biofeedback video game can improve screen. As the airflow changed, the icon would move cystic fibrosis (CF) patients’ self-administration of vertically on the screen while the image of a curvy road inhaled medicines, engagement in respiratory exercis- scrolled past. The object of the game was for the es and awareness of their respiratory status. The game patient to keep the icon on the road. Now, with their uses a breath controller and game software developed partnership with Champlain’s gaming experts, the by a research team at Champlain College’s Emergent UVM research team can work to bring the concept to Media Center in collaboration with patients in the tar- a more sophisticated level. get user group. In addition to potentially helping CF “This collaboration plays to some of the key patients self-manage their condition and maintain bet- strengths of the UVM College of Medicine and ter health, the game also may be useful for children and Champlain College,” said Ann DeMarle, director of adults with asthma and other forms of chronic obstruc- Champlain’s Emergent Media Center. “The particular tive pulmonary disease. combination of disciplines required to tackle this issue Bingham began exploring the concept of turning presents the perfect opportunity for our students to CF patient breathing training into a video game sever- work with young patients, faculty, and researchers to al years ago. He approached his colleague Jason Bates, create media that could positively impact their lives as Ph.D., a professor of medicine working in the Vermont well as those of other cystic fibrosis patients.” Lung Center, for help with the practical aspects of testHealth Games Research is headquartered at the ing the concept. With funding from the Office of University of California, Santa Barbara, and is funded Technology Transfer’s UVM Ventures program, the by an $8.25 million grant from RWJF’s Pioneer two professors and researchers, including biomedical Portfolio, which supports innovative projects that may engineer John Thompson-Figuero and Chris Coulter lead to breakthrough improvements in the future of of Adaptive Engineering, developed the breath health and health care. The 12 grantees were selected from 112 research biofeedback system and method. UVM submitted a organizations that applied for Health Games Research patent application for the system in 2006. “We know that eye-hand coordination can be funding during the first funding call, which focused on improved by playing video games, but eye-breath games that engage players in physical activity and/or coordination is something new,” said Bingham. “With games that promote and improve players’ self-care. As the help of some very creative patients with CF, we UVM and the other eleven grantees conduct their hope to devise a completely new kind of game that studies, Health Games Research will provide them helps kids to connect with each other about breathing with ongoing assistance and research resources. 8 V E R M O N T M E D I C I N E RAJ CHAWLA Charles Irvin, Ph.D., professor of medicine and director of the Vermont Lung Center, chaired the Second Biennial National IDeA Symposium for Biomedical Research Excellence (NISBRE) in Washington, D.C. August 6 to 8. The symposium, designed to showcase the scientific and Charles Irvin, Ph.D. training accomplishments of the Institutional Development Award (IDeA) Program of the National Center of Research Resources (NCRR) at the National Institutes of Health, featured high-level scientific presentations and open discussions and exchange of ideas on science and training. The IDeA program consists of the Center of Biomedical Research Excellence (COBRE) and IDeA Networks of Biomedical Research Excellence (INBRE) programs and focuses on developing scientific centers of excellence and training biomedical scientists in states such as Vermont that are in the minority for federal funding for biomedical research. UVM currently has three COBRE grants and one INBRE grant. Virginia L. Hood, M.B.B.S. Virginia L. Hood, MBBS, professor of medicine and a nephrologist at Fletcher Allen Health Care, has been re-elected to serve a second three-year term with the Board of Regents of the American College of Physicians (ACP), the main policymaking body of the nation’’s second-largest physician organization. She began her second term during Internal Medicine 2008 — this year’s ACP annual scientific meeting held in Washington, D.C. Judith Shaw, E.D., R.N., M.P.H., research associate professor of pediatrics and director of the Vermont Child Health RECOGNITION Improvement Program, was selected to participate in the 2008-09 Management Institute for Women in Higher Education, an integrated series of five seminars offering women administrators and faculty professional leadership and management training, sponsored by the New England branch of Higher Education Resource Services (HERS) and held at Wellesley College. Second-year medical student Rebecca Evans was invited to compete in the Medical Student Poster Competition at the Walter E. Washington Convention Center as part of the American College of Physicians national meeting, Internal Medicine 2008, in Washington, D.C. this May. Rebecca Evans Hyman Muss, M.D., professor of medicine and medical oncologist at the Vermont Cancer Center, received the B.J. Kennedy Award for Scientific Excellence in Geriatric Oncology at the American Society of Clinical Oncology (ASCO) annual meeting in Chicago this June. The B.J. Kennedy Award and Lecture for Scientific Excellence in Geriatric Oncology was created in 2007 in honor of B.J. Kennedy, M.D., a past ASCO president and pioneer Hyman Muss, M.D. in the field of geriatric oncology who also helped promote the recognition of medical oncology as a subspecialty of internal medicine during his career. The award honors individuals who have demonstrated outstanding leadership or contributed outstanding scientific work — laboratory, clinical or epidemiologic — of major importance to the field of geriatric oncology. Muss is the second ASCO member to receive the award. Judith Shaw, E.D., R.N., M.P.H. CLOCKWISE FROM TOP LEFT: FARREL DUNCAN , MEDICAL PHOTOGRAPHY, TONY RINALDO, NATALIE STULTZ , SALLY MCCAY F A L L 2008 9 COLLEGE NEWS MEDQUEST GIVES TEENS FIRST-HAND GLIMPSES OF HEALTH CAREERS Frymoyer Scholarship Program Supports New Educational Efforts The Frymoyer Scholars program entered its sixth year of support for clinician-scholars this year, with scholarships announced to support the work of three members of Vermont’s academic health center. The Frymoyer Scholars Program supports clinician teachers — distinguished physicians and nurses who are recognized for their ability to understand and demonstrate humanistic interaction between clinician and patient. The program is an investment in outstanding medical education and promotes teaching that emphasizes the art of patient care. Scholars are selected based on the quality of their project proposal; the strength of the project's contribution to improvement of the relationship between clinician and patient; and evidence of commitment to clinical education, commitment to project and support of department/division/program. The program is supported by The John and Nan Frymoyer Fund for Medical Education. Dr. Frymoyer served as dean of the College of Medicine from 1991 to 1999 and also served as CEO of Fletcher Allen from 1995 to 1997. Nan Frymoyer is a former community health nurse and has a strong interest in patient advocacy. She serves on the UVM College of Nursing and Health Sciences advisory board and helped plan and implement the Frymoyer Community Health Resource Center at Fletcher Allen Health Care. This year’s scholarships were awarded to two projects, one to be undertaken by Assistant Professor of Medicine and geriatric specialist Robert Karp, M.D.; the other is a joint effort by Nancy Morris, Ph.D., A.P.R.N., associate professor of nursing, and Peter Igneri, PA-C, M.M.Sc., clinical instructor of family medicine and surgery. Karp’s proposal, titled “Improving Basic Medical Student Competencies in Clinical Geriatrics,” focuses on the development of a web-based educational program for attending physicians that provides the necessary information and skills they will need for teaching medical students about geriatrics. Using COMET, the College of Medicine Educational Tools webbased learning system, Karp aims to align each of the program’s eight learning modules with the proficiency required of graduating medical students. Karp will initially design modules for four of the eight required Two of this year’s Frymoyer scholars, Peter Igneri, and Nancy domains, including hosMorris, R.N. Not pictured is this year’s third scholar, Robert pital care for elders; falls, Karp, M.D. balance, gait disorders; 10 V E R M O N T M E D I C I N E 2008 Frymoyer Scholar Robert Karp, M.D., assistant professor of medicine and a geriatric specialist, will undertake a project to improve the clinical geriatric competencies of students such as Lorna Grant ’09, above left. self-care capacity; and health care planning and promotion. Morris and Igneri were selected for their project proposal titled “Communication and PsychoMotor Skills for Minor Office Procedures to Improve Access and Enhance Quality Care.” Their project proposes a nurse practitioner training program that will provide the skills to perform office-based minor clinical procedures. The innovative program will incorporate the use of standardized patients, members of the community who take on the role of patients with specific medical histories. After piloting the program, the two Frymoyer Scholars hope to be able to extend the training to medical students, physician assistants and physicians already in practice. “Communicating clearly with patients is critical,” says Morris. ALL : RAJ CHAWLA “The Frymoyer Scholarship provides a way to teach nurse practitioner students common office procedures, while paying special attention to communication strategies, such as how to explain the procedure, obtain consent, and teach necessary aftercare to the patient.” “Increasingly, there are more technologically advanced simulators available, which colleagues treat like a new gadget or video game system, but a video game cannot give emotional feedback to patient care demands,” says Igneri. “With this project, we hope to marry technology and human touch.” Morris and Igneri recognized the additional benefits that a training program using standardized patients rather than inanimate models could offer. “Standardized patients will provide realistic scenarios for the students,” explains Morris. “Not only will students have to be proficient at performing the minor clinical procedures, they will have to provide this service to a person who might be frightened, in pain, or simply inquisitive.” Middlebury High School student Amer Avdagic took an advanced biology class his junior year and wanted to get a first-person perspective of the health care field. Emily Corrada of South Burlington is interested in nursing as a career and wanted to find out if she could handle the work the job requires. Nominated by their high schools to participate in the Champlain Valley Area Health Education Center (AHEC) MedQuest Health Careers Exploration Program, Avdagic and Corrada are two of sixteen junior and senior high school students from Addison, Chittenden, Franklin, and Grand Isle Counties who participated in this six-day-long camp this summer, based at the University of Vermont/Fletcher Allen campus, that offered an in-depth exploration of health careers. Offered during the summer months by the Champlain Valley AHEC in St. Albans, the Southern Vermont AHEC in Springfield and the Northeastern Vermont AHEC in St. Johnsbury, the MedQuest program provides highly motivated Vermont high school students with the opportunity to job shadow with health care professionals, receive training in basic medical skills, CPR and first aid, learn about medical technologies, as well as take part in leadership skills-building activities. UVM medical students help staff the program. “I’m pretty set on athletic training, but I wanted to learn about the different health care fields,” said Avdagic, who was looking forward to viewing a laparoscopic surgery live via telemedicine at the UVM College of Medicine on Friday morning. Both he and Corrada have friends who took part in past MedQuest camps and recommended the program. Participants in the Champlain Valley AHEC MedQuest program live in UVM residence halls, eat on campus, have access to University of Vermont resources, and shadow with and learn from a wide range of health care professionals at Fletcher Allen, Northwestern Medical Center and Porter Medical Center. Representatives from the fields Vermont high school students of nursing, dentistry, medicine and other receive a first-person look at health areas interact with students in lecturehealth care careers through based and job shadowing settings. summer MedQuest camps. With the help of the Vermont community, Beth Kirkpatrick, M.D., and her colleagues are finding a more effective way to counter a disease that affects tens of millions of people across the globe every year. Stopping Typhoid in its tracks by edward neuert “It’s Dosing Day!” Clinical Research Associate Katrin Sadigh says in a stage whisper, as the hands of her wristwatch read 7:30 a.m. on a Wednesday morning in late July. Sadigh, along with Associate Professor Beth Kirkpatrick, M.D., and several other colleagues are clustered at one end of the hallway of the third-floor corridor of the Arnold Wing of the University Health Center in Burlington. There’s a pause of several seconds, and a few anxious glances, and then down the hallway comes the first of this morning’s 15 important guests — volunteers who today will swallow a dose of a new vaccine for typhoid fever that could help better the lives of millions of people half a world away. 4 Brian Kilonzo ’11 works on typhoid vaccine analysis. 12 “It’s important to keep in mind the 80 percent rule — the fact that more than eight out of ten prospective vaccines never make it past Phase I trials,” says Kirkpatrick, as she stands in the crowded doorway of her lab space in Stafford Hall. Next to her stands a stack of insulated shipping cartons that contain blood samples from Miami Research Associates in Florida, and from the Bloomberg School of Public Health at Johns Hopkins University. Lab personnel are busily pulling blood vials, arranging tests, and logging data. A few steps away, in a small office area, assistants are interviewing prospective participants for the next round of this Phase II vaccine dosing. All the activity swirling around Kirkpatrick is focused toward one effort: proving the safety and dosing level of an oral typhoid vaccine developed by Emergent Technologies of Rockville, Maryland. If proven, this vaccine could be a vastly more versatile tool to prevent typhoid cases in the developing world, thanks to photogtraphy by raj chawla 13 its single dose and powdered stored form, that makes it much easier to administer and transport than current vaccines, which are either delivered by injection or multiple doses, or need constant refrigeration before use. Since coming to UVM in 1999, Kirkpatrick, who has a faculty appointment in both the Department of Medicine and the Department of Microbiology & Molecular Genetics, has built a unit with a reputation for tackling some of the most pressing needs in vaccine research. Through her efforts, last year UVM/Fletcher Allen was chosen as the single participating academic medical center in the nation to collaborate with the Navy Medical Research Center and a Denmark-based company in testing a new vaccine against one of the most common foodborne bacteria, Campylobacter jejuni. Kirkpatrick has made infectious disease research her focus for years. After receiving her medical degree from Albany Medical College and completing a residency at Rochester, she pursued a fellowship in infectious diseases at Johns Hopkins and certification in Tropical Medicine and Travelers’ Health in Peru. “My research in infectious disease and vaccines really stems from my interest in global health in general,” she says. That interest earned her a shared 2006 Frymoyer Scholarship at the College that funded work to enhance global health education for medical and nursing students. For second-year medical student Brian Kilonzo, who worked in the Kirkpatrick lab this summer, typhoid is anything but a disease that happens “elsewhere.” A native of Kenya, Kilonzo grew up with the risk of typhoid as a regular part of daily life. “ It’s personal, for me,” he says. “Being a part of helping test this vaccine is very meaningful.” Kilonzo originally met Kirkpatrick and heard about the vaccine trial through the College’s Global Health Group. Second-year student Erin Beardsworth also spent this past summer working on the project. The medical students helped hang posters seeking recruits, screened prospective volunteers over the phone, assisted in lab work, and helped run the three “dosing days” when volunteers received the vaccine. Beardsworth, who was a trained phlebotomist before medical school, helped draw blood samples from the volunteers on dosing day. A third current medical student is one of the study participants. 4 Beth Kirkpatrick, M.D. (above), leads the Phase III trial of the new oral typhoid vaccine which, if successful, could be much easier to use in the field. 4 Today in Vemont, and throughout the U.S., typhoid is a disease more read about than seen, thanks to improvements in sanitation and antibiotics. The disease is a bacterial illness, caused by Salmonella enterica, that commonly causes severe chills, sweating and pain, along with high fever, diarrhea, and internal bleeding that can lead to death. It was seen in large outbreaks in the U.S. during the Civil War, when 25 percent of soldiers who died of disease succumbed to typhoid. (Typhoid killed both Abraham Lincoln’s son, William, and the president’s famous debate partner, Senator Stephen Douglas.) In Vermont, as in many other states, mass outbreaks were fairly common in the 19th and early 20th centuries. An outbreak in Windsor in 1894 sickened more than 130 people, killing ten percent of those. Typhoid continued to be a major problem in rapid- 14 V E R M O N T M E D I C I N E ly-growing U.S. cities in the early 20th century. It was at this time that Mary Mallon, a cook in the New York area, became famous as “Typhoid Mary,” the first healthy carrier of the disease to be identified by public health authorities. Nowadays, only an isolated case or two of typhoid occurs in Vermont every decade, but in parts of the world where sanitation and drinking water supply are still below standard, Salmonella enterica is a common and devastating visitor. An estimated 22 million people in the developing world had typhoid in the last year, and at least 200,000 died from it; most of them were children. Though there are two approved vaccines for combating typhoid, both present problems for delivery. “In the many regions where lack of infrastructure means refrigeration is not possible, getting a vaccine to the people who need it most is a real problem,” TOP : DARIA BISHOP/ UVM MEDICAL PHOTOGRAPHY ; BOTTOM : EDWARD NEUERT On “Dosing Day,” a tray of vaccine is delivered for use from the UHC pharmacist (at left); (above) David Vuono takes his dose. His blood and others will later be tested for typhoid antigens in Kirkpatrick’s lab. says Kirkpatrick. “That’s the promise of this vaccine, that it will be highly effective, and much easier to use as a public health tool.” The development of this new vaccine, as with all others, followed the carefully-mapped pathway set out by the U.S. Food and Drug Administration, which is set up to protect the safety of vaccine trial volunteers at every step. After a small first study confirmed safety in humans, two Phase I trials were conducted by Kirkpatrick in 2003 and 2005. Kirkpatrick’s lab developed a specialty in the complicated analysis of blood samples from volunteers to confirm the presence of anti-typhoid antibodies in their systems after vaccination, and this led naturally to their doing all the immunology for the latest Phase IIb trial. TOP : RAJ CHAWLA ; BOTTOM : EDWARD NEUERT As Dosing Day proceeds, participant David Vuono seems calm and completely at peace with the fact that he’s about to swallow a few thousand inactive typhoid microbes. This is territory he’s covered before. “I was a volunteer on the Campylobacter study last year,” the 25-year-old photographer and UVM graduate explains in the waiting area. “I survived that one just fine, and I’m sure I will this one too. For me this is a learning experience and a chance to help with something important.” Vuono and his fourteen fellow volunteers in the group have all been extensively briefed on the safety and possible side effects of the vaccine. They all keep a diary in which they log such information as twice-daily temperature readings. They come back to the clinic six times over the following month for evaluation. All trial participants receive a $550 payment. Ultimately, all the preparation and careful planning comes down to the moment when Vuono and his group unscrew the caps on their liquid doses, and sip down the lemon-lime flavored concoction. If this trial is a success, in a year or so thousands of other people throughout the developing world will also be swallowing the vaccine as a part of a final stage of development, widespread Phase III field trials. “That will be the ultimate test, but we wouldn’t get there without our volunteers,” says Kirkpatrick. “It’s really a tribute to our relationship with the community VM that people are willing to do this.” F A L L 2008 15 AGING GRACEFULLY The largest single gift ever by the McClure family launches the UVM Center on Aging to help Vermont rise to the challenge of an aging population. M Lois McClure, seen here in the garden of her Charlotte home, reviews the white paper on aging issues she helped write. 16 photography by raj chawla by edward neuert Medical science, take a bow. Your goal was to combat disease and bring long, healthy life to millions of patients, and you’ve succeeded beyond anyone’s wildest dreams. Thanks to penicillin and other discoveries, the servicemen of World War II survived their battles in record numbers, and came home to produce the greatest demographic bulge of offspring ever seen in America. Those resulting Baby Boomers have watched survival rates for heart disease, cancer, stroke, and many other conditions climb higher every year. Millions of people who in earlier days would have died young, from infections, from childbirth complications, from trauma, have instead recovered and lived on. And now, the challenge: how to take that good news, and keep it good. Breakthroughs and better treatments, declining birthrates, along with many improvements in social science and policy, have led to a steadily rising percentage of older Americans. The change is already happening, and will become increasingly apparent in the next 20 years, particularly in a small state like Vermont, where by 2030 one in four residents will be over age 65. As society ages, it has profound implications for all aspects of life. The “wave” of aging is on the horizon; how we go about positioning ourselves now will determine how well we ride that wave when it reaches us. 17 With that challenge in mind, one of Vermont’s foremost philanthropists, Lois Howe McClure, has made the largest gift ever by the McClure family to help find ways to meet the challenge. The $5 million McClure gift, coupled with $100,000 in funding from the State of Vermont, has underwritten the establishment of the Center on Aging at the University of Vermont. 4 Standing in the fragrant gardens of UVM’s Englesby House on a warm July day, just after the formal announcement of her gift to found the new center, Lois Howe McClure speaks to a gathering of supporters of the Center from across the University, and state and non-profit agencies. “The statistics are really scary,” she says. “I really don’t think we’re ready for it.” For one mid-day hour, the honeybees that normally have the garden to themselves this time of year have been displaced by the prestigious group of public figures who have gathered for the event, including Governor Jim Douglas, Lieutenant Governor Brian Dubie, UVM President Daniel Mark Fogel, and the newly-appointed Center on Aging director, William Pendlebury, M.D.’76. Lois McClure is very comfortable in this environment, which is not surprising after the decades of involvement she and her late husband J. Warren “Mac” McClure had as community leaders, including 18 V E R M O N T M E D I C I N E The announcement event in July included (from left) Lt. Gov. Brian Dubie, William Pendlebury, M.D.’76, Mary Cushman, M.D.’85, Gov. Jim Douglas, Dean Rick Morin, Lois McClure, Dean Betty Rambur, President Fogel, and Rachel Kahn-Fogel. At right, Fogel extends personal thanks for the McClure gift. many years as owners and publishers of of the Burlington Free Press, Vermont’s largest daily newspaper. At this announcement, the assembled dignitaries have made a point of praising both her generosity, and her prescience in focusing on a demographic shift that could, if ignored now, lead to many problems in the not-too-distant future. For Lois McClure, the realization of the need for better understanding of aging issues came originally not from statistics, but from a personal experience she had a couple of years before Mac’s 2004 death, when they were on a trip to Philadelphia. “We were waiting to board a flight back to Burlington when Mac fainted,” she recalls. “He came to fairly promptly, but we were told he could not board until he had been seen at the hospital. This was the start of a very difficult two days.” McClure was carrying a list of all her husband’s current medications, as well as other pertinent information, but none of that seemed important to the health care providers she encountered at the emergency department. After an inconclusive day, Mac was admitted to the hospital and Lois was told to find herself a room in a local motel. “The next morning, at 5:00 a.m., I returned to the hospital, but was told I could not go to the patient floor until 8:00 a.m. I insisted they call the patient floor anyway. As it turned out, they were quite anxious for me to come to the floor at once. It had been a bad night, and my husband was eventually moved to a room next to the nurse’s station.” From her position next to the station, Lois heard that more tests were in store for her husband. She decided to take action. She called the airport and found there was a plane leaving for Burlington in two hours. “Despite significant protest from the staff,” she says, “I helped dress my husband and we left by cab to the airport and, eventually, home. I made a promise to myself and to Mac that we would never find ourselves in this situation again.” A few weeks after this incident, at a support group meeting for relatives of those who, like Mac McClure, had Alzheimer’s disease, Lois met that day’s featured speaker, Dr. Pendlebury. She told him of her experience, and her realization that many other older Americans must be put in such situations every day — conditions that may only get worse as the number of older Americans increases. She contrasted her Philadelphia experience to a time many years earlier when the caregivers at the Vermont hospital where her daughter was a patient encouraged her to spend the night close to the child. Pendlebury listened to her story of an imperfect health care system, and remembered it when, several months later, he was charged to lead a working group on aging-related issues. 4 The call for a special effort to produce a white paper on aging issues came in 2006, from the University’s provost and Graduate College. William Pendlebury was charged with forming a working group that would study the problems of an aging Vermont, and suggest actions the University could take to help contribute to solutions. “It was paramount, for me, that this effort be broad-based, and universitywide,” says Pendlebury. Trained as a neurologist, Pendlebury later did a fellowship in neuropathology; today he is a professor of medicine, neurology, and pathology at the College of Medicine, is medical director of the Memory Center at UVM/ Fletcher Allen Health Care, and performs research focused on age-related degenerative disease. Currently he is the lead investigator at UVM on a Phase 3 clinical study examining a new approach to treating Alzheimer’s disease using a therapeutic antibody called bapineuzumab, that helps the body’s own immune system to clear Alzheimer’s-inducing plaques from the brain. The white paper working group included memF A L L 2008 19 Three former College deans attended the Center on Aging announcement: from left, John Evans, Ph.D., John Fogarty, M.D., and John Frymoyer, M.D. A RECORD OF SUPPORT For decades, UVM and Vermont have benefited from the philanthropic spirit of Lois Howe McClure and her late husband, J. Warren “Mac” McClure. • In 1978, the McClures made a $500,000 challenge grant toward the renovation of Bailey-Howe Library (which is named after Lois’s late father, David Howe) • In 1987, a $1.5 million gift established the McClure Professorship in Musculoskeletal Research and the McClure Center for Musculoskeletal Research. • In 2001, the McClures gave a $1 million challenge grant to the John & Nan Frymoyer Fund, which supports the work of distinguished clinicians and teachers at the Colleges of Medicine and the College of Nursing & Health Sciences. Lois McClure has also been a continuing supporter of other smaller projects at the University, including the Robert Hull Fleming Museum. 20 V E R M O N T M E D I C I N E bers from six of the University’s schools and divisions, as well as members from the staff of Fletcher Allen and from the Governor’s Commission on Healthy Aging. And it included one community representative who knew aging issues first-hand: Lois McClure. “I’d listened to her story about all that she’d gone through in caring for her husband, and realized how much she could inform the process of building this report,” says Pendlebury. The group worked for several months researching, compiling data, and seeking out information and opinions from people across the University and the wider community. Their report paid special attention to producing an assessment of “agingrelated research at the University of Vermont and the organizational structure needed to support these endeavors.” It concluded that a new Center on Aging at the University of Vermont was needed to serve as a resource for the efforts in many areas — medicine, nursing, economics, sociology, business, and political science to name a few — that dealt with the rising tide of elders in society. “This Center will function as a core, a resource facility, to coordinate efforts across the larger organization and bring about connections that need to happen. We’ll help people who are interested in aging health research and education and policy find additional resources that will move their programs forward,” says College of Medicine Dean Frederick Morin. The Center will also work to create a subtle but important cultural shift. In general, the University’s working group concluded, society has bred an attitude toward aging that is more negative than positive — aging as something to be feared rather than embraced. Education is the key to this change, says working group member Deborah Worthley, the director of UVM Continuing Education’s Osher Lifelong Learning Institute. “Society often views older people as a burden,” Worthley says. “We need AN AGING VERMONT 35 2000 2030 (projected) 30 25 20 15 10 5 27.3 22 0-19 26.6 22.3 20-39 33.4 31.3 12.7 40-64 24.4 A comparison of real and projected data from the U.S. Census Bureau shows the marked change in Vermont’s population by the year 2030. By the third decade of this century the percentage of people over 65 will nearly double. 65+ Percentage of Vermont Population by Age Group to change that sense of what aging is all about, and the potential contributions seniors can make to the community. That attitude needs to be shifted, and clearly education is one of the ways to do that.” The Center will also focus on workforce issues. Twenty-five years from now, when Vermont is predicted to rank seventh in the nation in percentage of population over 65, with one out of every four people in that age bracket, then significant changes in workforce policy and economics are inevitable. “This shift has major implications,” said Gov. Douglas, “not only for the number of people available to work in the state, but also for our ability to pay for entitlement programs.” Pendlebury concurs. “I think there’s going to have to be a focus on people staying in the workforce longer, and creating the climate in which people do not feel compelled to retire,” he says. “There are going to have to be tough discussions about what ‘retirement age’ is, and when entitlement programs kick in. The fact is, more seniors are going to be a part of the workforce, because we’re going to need the people to do the work that needs to be done, and we’re going to need the workers to support those who are in retirement and receiving the benefits of entitlement programs.” This shift will undoubtedly be seen in com- ing years in the health care workforce, for instance, as more physicians and nurses are encouraged to remain practicing through restructured jobs and scheduling. The Center on Aging will work to make the connections that will help those changes come about. The Center on Aging is, of course, a newborn, and the first actions it will take will be to reach out to stakeholders throughout the community — at the University, at state agencies, and at non-profit agencies — to bring together people with similar goals. Building an external scientific advisory committee is another important step, says Pendlebury. “We’d like to find three to five people who are viewed as national experts in gerontology to advise the center on how it views itself and how it approached its work.” Pendlebury will also meet with similar Centers in other states over the next months to view best practices in their work. Looking over the work she has done so far on the issue, and the work that will now take place following her gift, Lois McClure is firmly convinced of the importance of aging issues. “I’m glad to be able to support this,” she says. “This is not only something we have to pay attention to, we have to pay VM attention to it now.” F A L L 2008 21 a New England journal excerpt from “murmurs” Contributors to the College’s revitalized literary magazine explore the art of healing for the past decade, The Red Wheelbarrow has been the College of Medicine’s student-run journal of literature and art. The publication takes its name from a sixteen-word poem published in 1923 by America’s greatest physicianpoet, William Carlos Williams. Williams led both a life as a leading poet of his generation and as a general practitioner who delivered more than 2000 babies in the course of his 40-year practice in Rutherford, N.J. The red wheelbarrow of Williams’ poem came from a detail he noticed looking out the window while sitting at the bedside of a patient. Secondyear medical student Jake Scott sought to rejuvenate the journal, which had not been published in the past few years, and present poetry, prose, and art that, like Williams’ writing, spring from daily experiences of students and faculty at the school — a few of which are excerpted on the following pages. Third-year student Dilip Babu and senior Emma Hazlett also assisted in the editing and design of the magazine. Second-year medical student Jake Scott has edited the latest issue of The Red Wheelbarrow. Copies of the latest Red Wheelbarrow are available from the College’s Medical Development and Alumni Relations Office, whose College of Medicine Fund helped support the effort, at 802-656-4014 or [email protected]. PHOTOGTRAPHY BY RAJ CHAWLA 22 Frank dreamed of saving lives, but he spent most of his time changing diapers and taking no for an answer. During medical school and residency he’d saved a few people, and for years afterward he faithfully reviewed resuscitation protocols, just to be ready. But now only the mnemonics remained in his memory: “Shock, shock, shock. Everybody shock. Little shock, big shock.” Shock meant defibrillate three times in a row, and everybody probably stood for epinephrine. Little might be lidocaine. But what drug started with a B? In the end it really didn’t matter, because even if a kid’s heart stopped, by the time Frank got to “big” somebody would be there to help him, or the child would be gone. He adjusted his Mr. Potatohead tie in the rear view mirror as he took the long way to work. Speeding on the interstate would have shaved ten minutes off the trip, but the back roads meandered through the northern Vermont countryside over covered bridges, passing stately horse farms and trailers with rusting bikes in the yard. It was worth the extra time to try to recall why he’d moved there a dozen years ago, and the patients were used to waiting, anyway. He pulled into the row designated “Doctors Parking” in front of Lincoln Hospital. With stethoscope and identification badge in hand he walked up the steps of the two-story brick building, which had once been a manor house. A century ago servants would have been heating water for the master’s tea, but now nurses in pastel scrubs gossiped over steaming travel mugs. He passed the collage of physician photos on the lobby wall — he’d had more hair when his was taken, but the same gap-toothed smile — and walked down the hallway of Main Floor. The few patients not watching TV were looking out their windows at the mist rising off the corn fields. The maternal/child section was a small annex off the back of the building, with two labor areas, a handful of postpartum rooms, and the nursery. At the nurses’ station Roxanne was leafing through People magazine, which had Julia Roberts holding her twins on the cover. The sound of a baby’s cry drifted down the hall. “Morning, Doctor Arsenault.” “Good morning,” he said, savoring the strength of his family name. His ancestors had been among the original colonists of Quebec, and had responded to subsequent British attempts at assimilation with a mixture of insurrection and disdain. “Just one little guy?” “Yup. There’s a mother in labor, but that’ll be a while.” The chart described an uncomplicated pregnancy and routine delivery. The baby’s vital signs were stable, and he was peeing, pooping, and nursing well. The two older siblings, Ashley and Emma, were also Frank’s patients, and he imagined them at home pushing their father’s limits. You could almost smell the toast burning and see the magic markers on the wall. Frank walked into the room and asked how the mother was feeling. “Fine,” she replied, without looking up from her New York Times. After washing his hands he turned his attention to the sleeping baby, who was bound to be Rowan or Caleb or whatever name was currently in vogue. Frank put his stethoscope on the boy’s chest, and it was easy to hear his heartbeat. Two footfalls in rapid succession, with a measure of silence in between. When babies cried you had to use tricks that only came with experience: rock them back and forth just so, or let them suck your finger as you listened. Today, though, was routine. Frank undid the diaper to verify pulses in the groin, the absence of which suggested coarctation of the aorta, which all pediatricians were taught to fear but few had ever seen. As he cupped the knees in his palms, carefully avoiding the pool of meconium in the diaper, his index fingers felt the bounding pulsations, and he let them rest there an instant longer than he needed to. In that moment he was connected to the baby, like a continuous electrical circuit, gaining strength from the baby’s heart, reminded of the possibilities that had once been his. He pressed down on the knees to make sure the hips were not dislocated, touched the soles of the feet to assess the grasp reflex, and did several other tests in one continuous motion without even thinking about it. He was confident that if something were amiss, he would notice it. — Robert Macauley, M.D. 23 i had some body (#2) silencing motion with motion I wanted to say something about touching your hand when it taps, or wanting to Something about silencing motion with motion But in a kind, gentle way HALL A P R E S I D E N T C L A S S V E R M O N T M E D I C I N E N O T E S N E W S 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 where students spent so much of their time was named Hall A. The Hall A magazine section seeks to be a meeting place for all former students of the College of Medicine. — Jack Nicolet ’09 “I approach ALS as a journey through the garden of life” — from Joseph Patlak’s “A Letter to Peg” — Jennifer Wlodarski ’11 26 27 29 37 38 C O R N E R R E U N I O N The reaching out for you and staying put until you find peace in presence, because life is just motion Most of which we cannot. S O B I T U A R I E S Allan Ramsay, Professor of Family Medicine and Medical Director of the Palliative Care Service, writes vignettes of patients he has seen, inspired by the writings of the late Professor Joseph Patlak, Ph.D., whose writings about his ALS experience were featured in the spring 2007 Vermont Medicine. Mrs. L was a seventy-five-year-old woman who had been admitted three times in the past six months. One hospital stay alone had lasted eight weeks. She had renal disease and severe congestive heart failure. Pain was a constant problem associated with her rheumatologic condition and bowel dysfunction. Mrs. L lived on a small farm in southern Vermont with her husband of fifty-six years, a grandson, five horses, and nine dogs. Her two sons and daughter lived within a short distance. “The most important thing to me is to go home,” she said many times. “I know my life is short and you all have done as much as possible. Spring is when I plant my ’ D E V E L O P M E N T Where action is Created from feelings of comfort Some of which we can control 24 In final fits my heart caught, stopped, then started Now undressed, unstressed and dearly departed I go in a place without name Or crippling shame No longer lame I return once in a while To see my familiar smile that beguiled The heart of a life The love of my wife Now under your knife Measure twice and cut once, if you please Daughters and sons of Hippocrates Have your way with me And learn to be and see As doctors – MD and PhD I won’t last long, just a spell to quell Soon overcome by the smell I had some body, true, now passed on to you To probe and to view atop Table 2 So that you can know too, learn what to do garden and the horses will be frisky in their pasture. Didn’t I tell you we had nine dogs? How can they get along without me?” “We still haven’t been able to control your heart failure and the fluid on your lungs. You may end up coming back to the hospital.” “I have planted a garden with my husband every year of our marriage and this one should be no different. There are enough vegetables to share with my whole family. A garden and my family are part of my life.” Mrs. L was discharged home and died peacefully five days later. I am sure there will be a garden this year. — Allan Ramsay, M.D. F A L L 2008 25 PRESIDENT ’S CORNER M.D. CLASS NOTES H A L L A H A L L A UNIVERSITY OF VERMONT COLLEGE OF MEDICINE DEVELOPMENT & ALUMNI RELATIONS OFFICE Marv Nierenberg, M.D. ’60 will be a hard act to follow as President of the Medical Alumni Associtaion. On behalf of the Medical Alumni Association, I want to thank Marv for his wise and patient leadership as President. I’ve known Marv for many years; he is an untiring champion for UVM and its medical school. I am just getting to know our new Dean, Frederick ‘Rick’ Morin, M.D., and I am thrilled that UVM has another “baby doctor” at this important helm. Dr. Morin will be a fine leader of the College of Medicine with its long history of superlative medical education (5th in the nation in primary care!) and a steadily growing reputation for research. I return to campus at least twice a year and am amazed at the continual change in this corner of Vermont — all of it positively exciting. Having spent my career in academic medicine, I recognize the signs of a thriving campus and I see that in Vermont: not only new buildings and brilliant people who keep them buzzing with activity, but — more important — great passion and creative ideas. I also revel in that which remains unchanged: the incredible dedication of faculty and staff, the caliber of students who enter here each fall, the beauty of this state and campus, and the unwavering commitment to preparing compassionate physicians who are ready to dedicate their lives to the health of their communities. I was 100% of the women in my class — 40 years after UVM admitted its first woman, Dorothy Lang Bulger, and when some other medical schools were still just beginning to accept women. Others among our alumni have their own reasons for being grateful to UVM for opening its doors to them, and helping make them who they are. Today, as I look back on my career as a pediatric hematologist/oncologist I am very proud to support my alma mater and the great opportunity that it brings to so many. I hopefully will encourage all alumni to generously give back to this school which made our professional lives possible. During my tenure, you will become accustomed to my asking all of you to join me in giving back to our alma mater. The collective support of alumni — at all stages of their careers — is what makes the difference. Many of you know, the cost of a medical education today presents an enormous burden to those just graduating from medical school. Our annual donations help to mitigate this financial burden. It is not only a cliché, but also simply a fact, that giving also involves receiving. Through my own support of students — and through my role in the alumni leadership — I have the privilege of hearing directly from students how our financial aid has impacted their lives. They are grateful for scholarship, loan support and the many other alumni-funded resources such as student wellness programs, academic counseling services, travel grants, research grants and more. The opportunities are endless but not without cost. We can help — and in the process we will be richer. Please take time to read Vermont Medicine, which highlights many of the things going on today at the College of Medicine. I wish you all a wonderful end-of-summer and hope to see you on campus in Burlington one day soon. Go Med Cats Go, Ruth Seeler, M.D.’62 26 V E R M O N T M E D I C I N E ASSISTANT DEAN rick blount DEVELOPMENT OPERATIONS MANAGER ginger lubkowitz DIRECTOR , MAJOR GIFTS manon o ’ connor DIRECTOR , MEDICAL ANNUAL GIVING sarah keblin DIRECTOR , MEDICAL ALUMNI RELATIONS cristin gildea DEVELOPMENT OFFICER travis morrison ASSISTANTS jane aspinall james gilbert cristal legault UNIVERSITY OF VERMONT MEDICAL ALUMNI ASSOCIATION ALUMNI EXECUTIVE COMMITTEE OFFICERS : ( TWO -YEAR TERMS ) PRESIDENT ruth a. seeler, m.d.’62 (2009-2011) PRESIDENT- ELECT james c. hebert, m.d.’77 (2009-2011) If you have news to share, please contact your class agent or the alumni office at [email protected] or (802) 656-4014. If your email address has changed, please send it to: [email protected]. 1943 1948 Francis Arnold Caccavo (M.D. Dec. 1943) 51 Thibault Parkway Burlington, VT 05401 (802) 862-3841 [email protected] S. James Baum 1790 Fairfield Beach Road Fairfield, CT 06430 (203) 255-1013 [email protected] Carleton R. Haines (M.D. Dec. 1943) 88 Mountain View Road Williston, VT 05495 (802) 878-3115 R E U N I O N Harry M. Rowe (M.D. March 1943) 65 Main Street P.O. Box 755 Wells River, VT 05081 (802) 757-2325 [email protected] 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) 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) suzanne r. parker, m.d.’73 (2009-2014) R E U N I O N ’ 0 9 1944 Wilton W. Covey 357 Weybridge Street Middlebury, VT 05753 (802) 388-1555 1945 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 1947 George H. Bray 110 Brookside Road New Britain, CT 06052 ’ 0 9 1949 James Arthur Bulen 4198 North Longvalley Rd. Hernando, FL 34442 (352) 746-4513 [email protected] 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 Simon Dorfman 8256 Nice Way Sarasota, FL 34238 (941) 926-8126 1951 Edward W. Jenkins 7460 South Pittsburg Ave. Tulsa, OK 74136 (918) 492-7960 Dick Esser writes that he has practiced his entire career in Sweden, where he also played in an orchestra in Stockholm. He was sorry to miss the last Reunion. Ed Kamens shared with Ed Jenkins recently the story of his escape from Russia after his father had been killed by the Cossacks. His mother and uncle took him and after multiple journeys made it to North America. They were not allowed in at first and spent a few years in Cuba before coming to the U.S. After attending medical school he practiced surgery for many years in Connecticut. Bill Sohn was practicing at the time of the Class of 1951’s last Reunion — he passed away this past March. His daughter resides in Burlington, Vt. Frances Conklin has given up her annual Caribbean trips to spend time with her beautiful granddaughter. Murdo MacDonald lives at Appletree Point in Burlington and has had three hip replacements on the same hip in addition to a shoulder replacement. This football veteran is still gardening though and gets around. He says he’s very proud of his son, who teaches acting in Boston, Montreal and Toronto. Ed Jenkins is doing well. He had the pleasure of attending a family practice course in June in Burlington, although it was hotter in Burlington than in Oklahoma and there were tornado warnings! 1953 Richard N. Fabricius 17 Fairview Road Old Bennington, VT 05201 (802) 442-4224 UPCOMING EVENTS September 24, 2008 Frymoyer Scholars Reception Hoehl Gallery, UVM Campus October 11, 2008 Alumni Executive Committee Fall Meeting UVM Campus October 11, 2008 American Academy of Pediatrics National Conference Reception Marriott Copley Plaza, Boston October 13, 2008 ACS 94th Annual Clinical Congress Hilton Hotel, San Francisco October 24, 2008 Graduate Student Welcome Back Breakfast Hoehl Gallery, UVM Campus December 2, 2008 Radiological Society of North America Reception Four Seasons Hotel, Chicago March 18, 2009 Class of 2009 Dinner (Match Day eve) Sheraton Hotel Burlington May 17, 2009 UVM College of Medicine Commencement Ira Allen Chapel June 12-14, 2009 Reunion 2009 UVM Campus For updates on events see: www.med.uvm.edu/medalum R E U N I O N ’ 0 9 1954 John E. Mazuzan Jr. 366 South Cove Road Burlington, VT 05401 (802) 864-5039 [email protected] F A L L 2008 27 M.D. CLASS NOTES H A L L A 1955 1960 Marshall G. London 102 Summit Street Burlington, VT 05401 (802) 864-4927 [email protected] Marvin A. Nierenberg 15 West 81st Street New York, NY 10024 (212) 874-6484 [email protected] Ira H. Gessner 1306 Northwest 31st Street Gainesville, FL 32605 (352) 378-1820 [email protected] 1961 Class of 1958 1957 Larry Coletti 34 Gulliver Circle Norwich, CT 06360 (860) 887-1450 [email protected] Arnie Goran writes: “Outstanding 50th Reunion! Thanks to the efforts of Pete Goodhue and the Alumni Office of the Medical College.” R E U N I O N ’ 0 9 1958 1959 Peter Ames Goodhue Stamford Gynecology, P.C. 70 Mill River Street Stamford, CT 06902 (203) 359-3340 Jay E. Selcow 27 Reservoir Road Bloomfield, CT 06002 (860) 243-1359 [email protected] Wilfrid L. Fortin 17 Chapman Street Nashua, NH 03060 (603) 882-6202 [email protected] ONE BIG CHECK George Reservitz is enjoying semi-retirement. He has started a free health clinic at Mt. Auburn Hospital in Cambridge, Mass. 1962 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 One way the College of Medicine Fund helps foster medical students’ learning experience is by funding student travel learning. Three times a year, through a competitive grant application process, funding is awarded to a limited number of applicants. This past Spring the first round of grants were awarded and students traveled this summer to such places as Bangladesh, Tanzania, Tokyo, Japan, Ethiopia, and Colorado to experience and learn about global health issues and expand their clinical knowledge base in a diverse and unique way. Students, as part of their grants, are required to present on their experiences to their peers upon their return. Later this fall students, faculty and staff will have the chance to hear from the first round of grantees. Arnold Kerzner writes: “Not retired yet, but we have moved from the ‘burbs’ to Lowell, Mass., to become urban pioneers. We’ve been welcomed to Class of 1963 V E R M O N T The hundreds of alumni gathered for Reunion 2008 in June took away many fond memories of old friendships renewed, and familiar places revisited. They left behind a sizable achievement in philanthropy. All told, the combined reunion gifts from the thirteen classes present was $779, 510. Peter Goodhue, M.D., class agent for the 50th Reunion Class of 1958 presented Dean Frederick Morin with a ceremonial check at the Legends & Leaders celebration on Friday night of Reunion. GLOBAL LEARNING Ruth Andrea Seeler 2431 North Orchard Chicago, IL 60614 (773) 472-3432 [email protected] 1963 28 CLEAVES ADDS TO FUND Melvyn H. Wolk Clinton Street P.O. Box 772 Waverly, PA 18471 (570) 563-2215 [email protected] 1956 Douglas M. Black is still very busy. He is in the office two-and-a-half days per week, working for the N.H. Board of Medicine in administration and investigation and sits on the City of Concord City Council. Valery Worth Yandow writes: “Although my mobility is limited by a peripheral neuropathy, I continue to supervise therapists at the Brattleboro Retreat, serve on the Medical Society Committee on Physician Health, play my violin, and spend time with my children and seven grandchildren.” DEVELOPMENT NEWS M E D I C I N E RAJ CHAWLA LEFT: RAJ CHAWLA ; RIGHT: SALLY MCCAY When he saw a Boston Globe article in the spring of 2003 about the University of Vermont and its bold vision for the future, Burton Cleaves was impressed. He was further impressed with the response he received from President Fogel. Cleaves sent a contribution to the University’s campaign, and since established a number of charitable gift annuities in support of the University’s priorities. His latest was a generous $40,000 addition to the endowed Medical Alumni Association Challenge fund that bears his name. A CONTINUING TRIBUTE In 2002, Burnett Rawson, M.D.’39 established a Burton Cleaves Diversity Scholarship fund in honor of his late daughter, the author Deborah Rawson. This summer Dr. Rawson added to the fund with a charitable gift annuity of $25,000. A 30TH COMMEMORATED This fall, 30 years of financial support to the Vermont Cancer Center by the Lake Champlain Cancer Research Organization (LCCRO) will be commemorated by the College of Medicine. The third-floor conference room in the Health Science Research Facility will be renamed to honor the organization. Under LCCRO’s founder, the late Walter Juckett, and his successor, Floyd Rourke (who passed away this year), the organization has contributed in excess of $10 million to support cancer research and care in Vermont and Northern New York. M.D. CLASS NOTES H A L L A the city culturally, socially and even medically, as I am starting as the first ever psychiatric consultant to UMass/Lowell’s Student Health Services. Life is good!” R E U N I O N ’ 0 9 1964 Anthony P. Belmont 211 Youngs Point Road Wiscasset, ME 04578 (207) 882-6228 [email protected] george.a.little@ dartmouth.edu Joseph H. Vargas III 574 US Route 4 East Rutland Town, VT 05701 (802) 775-4671 [email protected] David Hirsch writes: “I retired in 2007 and received a Laureate Award from Mississippi Chapter of the American College of Physicians.” 1966 Mel Feldman writes: “My wife, Linda, and I just celebrated 43 years of marriage and going strong as ever. I’m still practicing pediatrics as part of the Children’s National Medical Center. Still enjoy playing golf, but mostly love spending time with my seven grandchildren.” Robert George Sellig 31 Overlook Drive Queensbury, NY 12804 (518) 793-7914 [email protected] 1965 John F. Dick II P.O. Box 60 Salisbury, VT 05769 (802) 352-6625 George A. Little 97 Quechee Road Hartland, VT 05048 (802) 436-2138 G. Millard Simmons 3165 Grass Marsh Drive Mount Pleasant, SC 29466 [email protected] 1967 “I have retired twice so far. I am now back at work less than half-time in urgent care. Emilie is involved in EmileGruppeGallery.com and jerichosettlers farm.com.” 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] R E U N I O N ’ 0 9 1969 Susan Pitman Lowenthal 200 Kennedy Drive Torrington, CT 06790 (860) 597-8996 susan_w_pitmanlowen [email protected] Stuart A. Alexander writes: 1970 Raymond Joseph Anton 1521 General Knox Road Russell, MA 01071 (413) 568-8659 [email protected] John F. Beamis Jr. 24 Lorena Road Winchester, MA 01890 (781) 729-7568 [email protected] 1981 1971 Class of 1973 Wayne E. Pasanen 117 Osgood Street North Andover, MA 01845 (978) 681-9393 wpasanen@lowell general.org 1972 Ellen Andrews 195 Midland Road Pinehurst, NC 28374 (910) 295-6464 [email protected] 1973 ’ 0 9 Douglas M. Eddy 5 Tanbark Road Windham, NH 03087 (603) 434-2164 [email protected] V E R M O N T M E D I C I N E Mark A. Popovsky 22 Nauset Road Sharon, MA 02067 (781) 784-8824 mpopovsky@ haemonetics.com 1978 Paul McLane Costello Essex Pediatrics, Ltd. 89 Main Street Essex Junction, VT 05452 (802) 879-6556 R E U N I O N ’ 0 9 1979 Sarah Ann McCarty 1018 Big Bend Road Barboursville, WV 25504 (304) 691-1094 [email protected] 1980 Richard Nicholas Hubbell 80 Summit Street Burlington, VT 05401 (802) 862-5551 rich.hubbell@ vtmednet.org Craig Wendell Gage 2415 Victoria Gardens Tampa, FL 33609 craiggage@ tampabay.rr.com 1982 David and Sally Murdock [email protected] MG George W. Weightman, MC, USA, has been appointed Commanding General, US Army Medical Research and Materiel Command, Ft. Detrick, MD. He reports, “Joan and I went over to Germany in Don P. Chan Cardiac Associates of New Hampshire Suite 103 246 Pleasant Street Concord, NH 03301 (603) 224-6070 [email protected] 1974 30 1977 1976 James M. Betts 715 Harbor Road Alameda, CA 94502 (510) 523-1920 [email protected] R E U N I O N Doug Deaett writes: “I am retired from ER medicine and living in Hanover, N.H. I hope to see everyone at next year’s reunion.” 1975 F. Farrell Collins Jr. 205 Page Road Pinehurst, NC 28374 (910) 295-2429 Philip L. Cohen 483 Lakewood Drive Winter Park, FL 32789 (407) 628-0221 [email protected] Class of 1968 Jeryl Dansky Kershner is a child psychiatrist practicing in West Palm Beach Fla. She just completed writing a textbook on child psychiatry for pediatricians. Robert M. Kershner continues consulting in Palm Beach and is teaching at Palm Beach College. Cajsa Schumacher 78 Euclid Avenue Albany, NY 12203 [email protected] Bob Backus writes: “Still in full-time practice of rural family medicine and blessed by happy children, grandchildren and a loving wife.” Class of 1978 F A L L 2008 31 M.D. CLASS NOTES H A L L A “Greetings to all from sometimes sunny Seattle. Continuing my hospitalist and pulmonary critical care practice at Northwest Hospital. I somehow was selected to be chief of staff. Still haven’t learned to say ‘No.’ Regards to all.” Alan Katz writes: “My oldest daughter, Brittany, will be graduating from Roslyn High School as valedictorian and will be attending Brown in September. She was accepted into a program that will allow her to earn her BS and MD degrees.” Class of 1983 December to welcome back our oldest son from his second tour in Iraq. It was a very special time. When I started Medical School in 1978 that boy was the only child in our whole class! Time flies.” 1983 Diane M. Georgeson 2 Ravine Parkway Oneonta, NY 13820 (607) 433-1620 [email protected] recovering organs for patients who need transplants. Bill and I are about to experience an empty nest. Tova (6 weeks old at our graduation from UVM) is 25, a registered nurse, married for a few years, is now a new mom. That makes me a grandmother! Debbie, 21, is in college in N.Y., and Harry, 18, just graduated from high school. He is also heading north for college Anne Marie Massucco 15 Cedar Ledge Road West Hartford, CT 06107 (860) 521-6120 [email protected] (Cornell). Send my regards to all. Email Address: sganz@med. miami.edu.” R E U N I O N 1984 Richard C. Shumway 34 Coventry Lane Avon, CT 06001 (860) 673-6629 rshumway@ stfranciscare.org Mary Horan writes: ’ 0 9 1985 Vito D. Imbasciani 1915 North Crescent Heights Blvd. Los Angeles, CA 90069 (323) 656-1316 [email protected] Roger Virgile writes: “Franklin, Pennsylvania, is a great rural place to live, but recruiting is difficult. If anyone knows of a good ophthalmologist who is looking to relocate, please have him or her contact me. Two of my kids (Sean and Chelsea) are undergraduates at the University of Rochester. If any of you have children there too, have them say hello.” 1986 Darrell Edward White 29123 Lincoln Road Bay Village, OH 44140 (440) 892-4681 [email protected] H. James Wallace III 416 Martel Lane St. George, VT 05495 (802) 872-8533 james.wallace@ vtmednet.org Lawrence I. Wolk 5724 South Nome Street Greenwood Village, CO 80111 (303) 771-1289 [email protected] ’ 0 9 1989 Peter M. Nalin 13216 Griffin Run Carmel, IN 46033 (317) 962-6656 [email protected] 1990 Barbara Angelika Dill 120 Hazel Court Norwood, NJ 07648 (201) 767-7778 [email protected] Susan Ganz writes: “Best wishes to everyone, and congratulations to the honorees, Keiji and Joseph. I’m sorry I couldn’t make it to the 25th reunion. I live in Miami Beach and work as the medical director of the organ procurement agency and as faculty at University of Miami, 1992 Mark Eliot Pasanen 1234 Spear Street South Burlington, VT 05403 (802) 865-3281 mark.pasanen@ vtmednet.org 1988 R E U N I O N B.J. Beck writes: “I continue to live and paint in West Newbury, Mass., but started a new job in January as chief medical officer for Beacon Health Strategies, a managed behavioral health organization. I still see outpatients at Mass General and also work at the local hospital unit.” 1991 John Dewey 15 Eagle Street Cooperstown, NY 13326 [email protected] Jennifer Woodson writes: “We have enjoyed three years in Italy. I finally went back to work this past year; actually it was ‘volunteering’ in the family practice clinic at the military hospital on-base. July 2008 we moved to the southern coast of England. Come visit!” Rebecca McPherson writes: “Hi to all. I am currently living in Mt. Pleasant/Charleston S.C. area to be closer to my two grandchildren and daughters. I am on faculty at the Medical University of South Carolina practicing neonatology.” CONTINUING MEDICAL EDUCATION 2008-2009 CONFERENCE SCHEDULE 22nd Annual Imaging Seminar October 17-19, 2008 Stoweflake Resort & Spa, Stowe, Vt. Northern New England Neurological Society Annual Meeting 2008 October 24-25, 2008 Maine Medical Center, Portland, Maine 20th Annual Eastern Winter Dermatology Conference January 16-19, 2009 Stoweflake Resort & Spa, Stowe, Vt. Emergency Medicine Update January 28-31, 2009 Stoweflake Resort & Spa, Stowe, Vt. 18th Annual Current Concepts & Controversies in Surgery January 28-30, 2009 Stoweflake Resort & Spa, Stowe, Vt. 14th Annual Vermont Perspectives in Anesthesia March 4-8, 2009 Stoweflake Resort & Spa, Stowe, Vt. College of Medicine alumni receive a special 10% discount on all UVM Continuing Medical Education conferences. For information contact: University of Vermont Continuing Medical Education 128 Lakeside Avenue Suite 100 Burlington, VT 05405 (802) 656-2292 http://cme.uvm.edu 1993 Joanne Taplin Romeyn 22 Patterson Lane Durham, CT 06422 (860) 349-6941 Brad Watson [email protected] Barbara Ariue writes: “My husband, Ed Yang, and I are pleased to announce the birth of our daughter, Rachel Yuriko Yang, born on May 10, 2008 at 6:55 am. She weighed 6 lbs. 7 oz. and was 19.5 inches long. Our first daughter.” R E U N I O N ’ 0 9 1994 Holliday Kane Rayfield P.O. Box 819 Waitsfield, VT 05673 (802) 496-5667 [email protected] Class of 1988 32 V E R M O N T M E D I C I N E F A L L 2008 33 M.D. CLASS NOTES H A L L A 1997 Julie Smail 390 Bridge St. South Hamilton, MA 01982 (978) 468-1943 [email protected] Nasreen Malik writes: “Frank and I had a baby girl in October! Her name is Yasmin. She and her brothers, Simon and Max, are keeping us busy. Hello to everyone!” 1998 Halleh Akbarnia 2011 Prairie Street Glenview, IL 60025 (847) 998-0507 [email protected] Class of 1993 1995 Allyson Miller Bolduc 252 Autumn Hill Road South Burlington, VT 05403 (802) 863-4902 allyson.bolduc@ vtmednet.org Lieutenant Cmdr. Leslie Wood, Senior Medical Officer, Coast Guard Air Station Sitka (Alaska) has been named the United States Public Health Service Physician’s Professional Advisory Committee Clinician of the Year.” 1996 Anne Marie Valente 66 Winchester St., Apt. 503 Brookline, MA 02446 anne.valente@cardio. chboston.org Patricia Ann King, M.D., Ph.D. 832 South Prospect Street 34 V E R M O N T M E D I C I N E Burlington, VT 05401 (802) 862-7705 patricia.king@ vtmednet.org Amy Roberts McGaraghan writes: “Neil and I, along with big brothers Jack (5) and Leo (4) welcomed Lucinda, born September 17, 2007. Lucy is a beauty!” Mark Vining, Christopher Recklitis and big brother Lucas welcomed home Adam Alexander Vining-Recklitis in September 2007. Adam was adopted from Vietnam. Mark and Christopher were married June 21, 2008 at their home in Worcester. In attendance were Carolyn Krasner ’95, Michelle Dostie ’96, Betsy Knauft ’96 and Payson Oberg Higgins ’96. In June 2008, Air Force Major Stephen Messier graduated from the Neonatology Fellowship at the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) at Wilford Hall Medical Center, Lackland AFB, Texas. He received the Commander’s Award for the best fellow-level basic science research performed at SAUSHEC this year for his work comparing the tidal volume delivery and clinical utility between a high frequency percussive ventilator and a high frequency oscillatory ventilator. In September he begins a three-year assignment at Kadena AFP, Okinawa, Japan, where he will work as a neonatologist. Previously, he lived in San Antonio with his wife, Leila, and their four children. R E U N I O N ’ 0 9 1999 blabbing away on my weekly radio show!” Everett Jonathan Lamm 11 Autumn Lane Stratham, NH 03885 (603) 929-7555 [email protected] 2001 Deanne Dixon Haag 4215 Pond Road Sheldon, VT 05483 (802) 524-7528 Stephen G. Hassett writes: “EM Urgent Care will celebrate its fifth anniversary in September, having seen over 80,000 patients since opening.” Jason Cook writes: “I have finished Pediatric Critical Care Fellowship, visited Tony Liu in Los Angeles, but we weren’t talking until the NBA finals were over.” 2000 Jay Edmond Allard USNH Yokosuka PSC 475 Box 1757 FPO, AP 96350 [email protected] Michael Jim Lee 71 Essex Lane Irvine, CA 92620 michael_j_lee1681@ yahoo.com Naomi R. Leeds 52 Garden St. Apt. 48 Cambridge, MA 02138 [email protected] Anna Lewis writes: “I am happy and well on the Hopi Reservation where I have been with my family for five years! ER, OB and clinic keep me busy halftime with the other half devoted to health promotion in the community. I am mentoring a new generation of Hopi docs and Ladan Farhoomand 1481 Regatta Road Carlsbad, CA 92009 (626) 201-1998 [email protected] Joel W. Keenan Greenwich Hospital Five Perryridge Road Greenwich, CT 06830 [email protected] JoAn Louise Monaco Suite 6-F, 5E 4618 Warwick Blvd. Kansas City, MO 64112 (816) 753-2410 [email protected] Meghan Cadwallader Gump writes: “I am living in Western Massachusetts with Jay and Leah (our two-year-old daughter). I recently played disc-golf with Todd and Julie Holmes and keep in touch with Sara August. Please come and visit if you are in the neighborhood. 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] Class of 1998 2003 Omar Khan 33 Clearwater Circle Shelburne, VT 05482 (802) 985-1131 [email protected] Scott Goodrich 309 Barben Avenue Watertown, NY 13601 scott.goodrich1 @us.army.mil Isaac Rudloe is director of the New England Eye Center-Leominster (Mass.) and assistant professor of Ophthalmology at Tufts University. Jackie Panko is enjoying life in Utah, and finishing up her dermatology residency. Suze Palinski is expecting! She and her husband Tom Renaud (’02) are in New York City where Tom is a pediatric hem-onc fellow. Duc Do is assistant professor of medicine at Dartmouth-Hitchcock where he practices as a hospitalist. He and his partner, Trevor Law, have started an exciting new local venture called EarthDeco (www.earthdeco.com), which provides environmentally sustainable (and very cool) home furnishings and accessories. Jared Christensen and his wife are busy with their kids, Brock (9), Layne (7), Morgan (5), Paige (4), Taylor (2), and Riley (3 months). They are moving to N.C. for a fellowship in cardiothoracic imaging at Duke. Jenn Carlson [Bergeron] is in Salt Lake City, working in the pediatric emergency department. She and her family plan to return to Vermont in 2009, when she joins a practice in South Burlington. She will be joined by husband Brad, son Taylor (now 2 years old) and by Baby Carlson number two due in November ’08! Hannah Chang [Choi] is headed to Yale for a fellowshp in neuroradiology. She is joined by her husband, Jason Chang, who finished his neurology residency and fellowship in sleep medicine. Jason Phan is finished with his radiology residency at UVM and goes on to a musculoskeletal radiology fellowship at UC Davis in Sacramento. Havaleh Gagne is moving back to Vermont. She is joining the Department of Radiation Oncology, and will be living with her family in South Burlington. Nareg Roubinian and Erin Arthur are doing great. Nareg works as a hospitalist at UCSF, and is starting a pulmonary and critical care fellowship soon. Erin is practicing primary care in a San Mateo County community health center. They are expecting later this year. Omar Khan, Salwa Khan ’05 and son Zareef (age 7) are splitting time between Vermont and the mid-Atlantic. He teaches the global health course at UVM and putters around Vermont any excuse he gets. Down in Deleware he is a partner in a primary care practice and teaches family medicine for U. Penn students. Salwa is finishing up pediatric residency at the F A L L 2008 35 M.D. CLASS NOTES OBITUARIES H A L L A H A L L A PORTER H . DALE II , M . D.’47 Class of 2003 University of Maryland Hospital for Children and is busy with a new research project on influenza preparedness. David Leavitt is practicing psychiatry at Boulder Community Hospital in Colorado. He also finished a two-year fellowship in integrative medicine at the University of Arizona and is now board-certified in holistic medicine. He’s enjoying Boulder with his girldfriend Marnie and two cats and four (up from two!) bearded dragon lizards. 36 V E R M O N T M E D I C I N E R E U N I O N ’ 0 9 2004 Jillian S. Sullivan [email protected] Emily A. Hannon emily.hannon@ hsc.utah.edu Steven D. Lefebvre fabulous5lefebvre@ hotmail.com 2005 Julie A. Alosi [email protected] Richard J. Parent [email protected] 2006 William C. Eward [email protected] Deborah Rabinowitz debbie.rabinowitz@ uvm.edu 2007 Allison Collen [email protected] Scot Millay [email protected] 2008 Mark Hunter 21 Lindenwood Drive South Burlington, VT 05403 [email protected] Alyssa Wittenberg 7649 Briarcrest Lane Orange, CA 92869 alyssa.wittenberg@ gmail.com Ashley Zucker [email protected] 2209 Albany Street Durham, NC 27705 Dr. Dale passed away at his Montpelier, Vt., home on June 15, 2008 — Father’s Day — surrounded by his family. He was diagnosed with cancer in May of this year. He led a life marked by devotion to his family, his profession, and his community. A fifth-generation Vermonter, he was born on Sept. 27, 1922. He lived his early years in Island Pond, Vt., the oldest of four children. After completing high school he was offered a scholarship to Wesleyan University, which he attended before returning to Vermont to complete both his undergraduate and medical education at the University of Vermont. Following his marriage to Mary Lois Westover in 1951 and the completion of his military service, he established a practice in internal medicine in Montpelier in 1953. He practiced medicine in Central Vermont for 40 years until his retirement in 1991. During those years he served as president of the Vermont Heart Association, president of the Vermont State Medical Society (1971-1972), American College of Physicians Governor for Vermont (1975-1979), and president of the Vermont Board of Physical Therapy Registration (1957-75). Dr. Dale played a pivotal role in establishing the first Coronary Care Unit at Central Vermont Hospital and served as its director from 1968 to 1980. He was also president of the Central Vermont Hospital Medical Staff from 1980 to 1982. Throughout his medical career and until 2006, Dr. Dale served as medical consultant to the Social Security Disability Determination Agency of Vermont. His tenure as a medical consultant to the Social Security Administration was the longest of any physician in the United States. He was deeply involved in his community. In addition to his many activities with community agencies, he was named the Washington County Citizen of the Year for 1994. Dr. Dale had a love of Vermont history, including the history of his hometown of Brighton (Island Pond), and he authored several published works on this subject. SPENCER W. BURNEY, M . D.’62 Dr. Burney died at Community Hospice House in Merrimack, N.H. on April 13, 2008. He was 82. Dr. Burney grew up in Charlestown, N.H. attending 11 years of school there and graduating from Springfield Vt. High School in 1943. He spent 21/2 years in the United States Navy as a Hospital Corpsman. Dr. Burney did pre-medical studies at the University of New Hampshire before graduating from the College of Medicine in 1962. He was board certified in anatomical and clinical pathology in 1967 and became chief of laboratory services at the Veteran's Administration Outpatient Clinic in Boston. He served there for 20 years. He then served as a physician at the Armed Forces Entrance Station in Boston for several years. In 1971 he was commissioned as a Reserve Officer in the United States Army and retired at age 65 in 1992 as a Colonel. MELVIN A . GOLDEN , M . D.’64 Dr. Golden died November 13, 2007, at MetroWest Medical Center in Framingham. Mass. A graduate of Boston University with a bachelor’s degree in biology, he simultaneously earned a bachelor’s degree in Jewish education at Hebrew College before earning his medical degree at UVM. He completed his residency in radiology at the Ichilov Hospital in Tel Aviv, Israel, then settled in Lubbock, Texas, and began the private practice in radiology. Eventually, he retired and restarted his career working for the federal government as a radiologist, primarily at veterans hospitals around the United States, and had served as recently as the spring of 2007 at the VA Hospital in West Roxbury. JOHN H . ELLIOTT, M . D.’72 Dr. Elliott, of Lyndon, Vt. died July 9, 2008, at Northeastern Vermont Regional Hospital as a result of injuries sustained in a July 7 accident. He was born in St. Johnsbury, Jan. 16, 1946, the son of Herbert and June (Hall) Elliott. After attending St. Johnsbury elementary and middle schools, Dr. Elliott graduated from Lyndon Institute in 1964, Tufts University in 1968, and the UVM College of Medicine in 1972. Following a rotating internship at Robert Packer Hospital in Sayre, Penn., Dr. Elliott worked one year in the emergency room at Putnam Memorial Hospital in Bennington. There he met his future wife, Martha Romlein. He then joined friend and colleague Dr. Lloyd ‘Tim’ Thompson at The Doctor’s Office on Main Street in Lyndonville. They went on to establish Corner Medical. Commenting on Dr. Elliott’s life, the St. Johnsbury Caledonian-Record editorial page noted that: “Elliott truly enjoyed giving more than receiving. With Elliott, working to help a patient late at night or on a Sunday afternoon, or working to help Lyndon Institute raise money for a new program, or working to beautify the Lyndon Corner covered bridge was what he did and who he was. His was a lifetime of generosity and of giving more than anyone asked.” An obituary for Professor of Physiology and Biophysics Emeritus William Halpern, Ph.D.’69 will appear in the next issue. F A L L 2008 37 REUNION 2008 For the hundreds of graduates who retuned to campus June 6-8 for Reunion 2008, the unusually warm temperatures of early June made the memories of snowy mornings rushing to class and clinic seem even a little farther in the past. The members of the dozen classes represented at Reunion dove into the festivities with gusto, picnicking on the lawn with friends and family [7, 11] meeting today’s students, [4] and getting reacquainted with old friends [5, 6, 9]. Many alumni took advantage of the tours run by students and staff to get an inside look at their new, improved medical campus, including the Student Assessment Center, wherein lives Kramer, the College’s simulated patient [3]. The Class of 1988 celebrated their twentieth reunion in a special way, by performing a group community service project at the King Street Youth Center in Burlington [2]. That project was spearheaded by class agents Jim Wallace and Larry Wolk. Dean Frederick Morin and his wife, Tracy, welcomed members of the Ira Allen and Wilbur societies at a special reception at Englesby House on Saturday the 7th. [1] Two nights before, the Morins hosted a dinner for the recipients of the Medical Alumni Association 2008 Awards [10 – not shown, Omar Khan, M.D.’03]. One of the awardees, Keiji Fukuda, M.D.’83, gave a brown bag luncheon presentation on careers in public health for current medical students on the Friday of Reunion [8]. 1 2 3 If your class year ends in a 4 or 9, mark your calendars now for Reunion 2009 – next June 12-14! 5 4 6 7 38 V E R M O N T M E D I C I N E 10 8 9 RAJ CHAWLA 11 F A L L 2008 39 THE MEDICAL IRA ALLEN SOCIETY honoring a FOUNDER’S legacy T august 7, 2008 1:20 pm Members of the new Class of 2012 take part in a team-building excercise during their Orientation Week. photograph by Raj Chawla hough he last walked across the UVM Campus Green in the early 19th Century, Ira Allen is to this day an unforgettable presence at the university he helped found, and is memorialized by a statue, a chapel, and a growing society of generous individuals. Originally from Cornwall, Connecticut, Ira Allen was actively interested in the affairs of Vermont, where he received large grants of land and was a member of the Green Mountain Boys, commanded by his brother Ethan. A prominent figure in the development of the state constitution, Ira Allen was also elected a member of the Governor’s Council and first treasurer of the Republic of Vermont. In addition, Allen was the author of the Vermont Bill of Rights and Declaration of Independence. Allen also had great interest in establishing a university in Burlington, Vermont. In 1789 he pledged £4,000 and donated land for such a purpose. He became one of the university’s trustees in 1791. Allen’s memory was long neglected until James B. Wilbur donated funds to erect a statue of Ira Allen that now stands on the Campus Green. Wilbur also provided the funds to build the Ira Allen Chapel, erected in 1927 in honor of the founder of the University of Vermont. The commitment to excellence in education at the University of Vermont and its College of Medicine is a tradition made possible by alumni, parents, and friends who share the vision of its founder. Since 1964, that vision has been recognized for donors by annual membership in the Ira Allen Society. Today, the Medical Ira Allen Society has nearly 700 members who make generous leadership contributions each year. Help strengthen this cornerstone of individual support to the College by joing the Medical Ira Allen Society today. Contact us at: medical development and alumni relations office (802) 656-4014 [email protected] www.med.uvm.edu/giving SPRING 2004 40 V E R M O N T M E D I C I N E 41 A GOOD CALL RAJ CHAWLA It started out as an unremarkable Sunday afternoon in April for Olivia Sierra, a sophomore English major from Massachusetts who works on weekends with the Chatty Cats, UVM’s student phonathon callers. But that was about to change. “It was my first day making calls from the College of Medicine list,” she says. “Pretty typical. I’d gotten a few hundred dollar gifts and a few smaller ones.” But her last call of the day was anything but typical. “I called Dr. Sullivan, and we kind of hit it off right away,” Olivia says. “I never really even got to the part where I make the case for a gift. He was really fun to talk with. He asked me to think about becoming a physician’s assistant.” Dr. Sullivan is Thomas J. Sullivan, M.D.’66 of Etna, New Hampshire, who recently retired as a radiologist and faculty member at Dartmouth-Hitchcock Medical Center. Olivia didn’t know it, but Dr. Sullivan was about to make her the most successful telephone fundraiser in Chatty Cats history. “He indicated he was willing to make a substantial gift, and I thought he was thinking about maybe $1,000 or $2,500 or even $5,000.” Dr. Sullivan prefers not to disclose the actual amount of his gift, but it was substantial and unprecedented for the student callers. “Oh my gosh. It was pretty crazy,” Olivia says about the excitement in the workroom. “I was so surprised.” Dr. Sullivan says his gift was motivated by his wish to give something back to Vermont and to UVM, and perhaps to motivate others to do the same. “I’ve always felt this kinship with Vermont and with UVM,” he says. “I did my undergraduate work there then entered the medical school and even came back and did some postdoctoral work, so I’ve spent a lot of time in Burlington. It didn’t cost me a penny to go there, what with scholarships and all, so I thought it would be a nice thing to do while I’m still alive, to give something back to the College of Medicine.” Dr. Sullivan put no restrictions on his gift, other than it be used to advance the College of Medicine’s top priorities. For 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 and alumni relations office (802)656-4014 [email protected] www.med.uvm.edu/giving VERMONT MEDICINE 89 Beaumont Ave. Burlington, Vermont 05405 Non-Profit Org. U.S. POSTAGE PAID Burlington, VT Permit No. 143