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medicine vermont 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 the Maine Ingredient Three decades of cooperation in medical education M E D I C I N E medicine vermont the place where your medical career began. Recall the good times. Renew old friendships. Reconnect with faculty. Revisit U V M C O L L E G E O F M E D I C I N E S P R I N G FROM THE DEAN 2 COLLEGE NEWS 3 M A G A Z I N E 2 0 0 6 Dean Evans steps down, a $5 million gift, Match Day results, and more. June 9-11 2006 ALUMNI VIEW 12 HALL A 27 28 29 33 38 PRESIDENT ’ S CORNER CLASS NOTES DEVELOPMENT NEWS OBITUARIES 14 FOCUSING IN ON THE SILENT EPIDEMIC A wide range of College of Medicine researchers are exploring diabetes. by jennifer nachbur 20 THE MAINE INGREDIENT For more than a quarter century, Maine Medical Center and the College of Medicine have partnered to enhance the education of medical students. Attention Classes of 1951, ’56, ’61, ’66, ’71, ’76, ’81, ’86, ‘91, ’96 & ’01! he UVM Medical Alumni Association invites you and your family to join us for Reunion 2006 — June 9-11, 2006. Come back to Burlington and the UVM campus, your home during medical school. You may have lost contact with your classmates and faculty, but reunion will give you the chance to rekindle old friendships, check out favorite places, talk with faculty, meet medical students, and experience the growth and evolution of your medical alma mater. Events Include: Medical Education Today Session • Tour of the College and the new Medical Education Center • Golden Reunion Awards and Reception • Continuing Medical Education Seminar • Medical Alumni Picnic • Nostalgia Hour • Class Receptions and Dinners For more information, call the UVM Medical Development & Alumni Relations Office at (802) 656-4014 or email: [email protected] Plan ahead—Save the date for your reunion! www.alumni.uvm.edu/com by edward neuert on the cover: photography by Bridget Besaw Gorman medicine S P R I N G President Fogel and Provost Bramley have set a clear vision for the future of the University of Vermont, and all around there are visible signs of an exciting revitalization. The College of Medicine is an important component of this vision, and today has the stability, momentum and excellence to build an extraordinary future. We are on the verge of recruiting strong leadership for the departments of Surgery and Medicine, and will have a new Provost to provide academic leadership. Therefore, as I approach the end of the three years I agreed to serve, I feel confident in making the decision to step down as Dean at the end of June. I plan to take a one-year administrative leave beginning in July, providing me the first opportunity in 20 years to step back and explore the many options that I’m lucky to have before me. As many of you know, I am an entrepreneur at heart, always looking to build something, and I am especially interested in exploring the complexities of how new businesses are developed and the role a university can play in concert with the private sector and the state. There is no greater imperative for the future of Vermont than to create challenging and economically rewarding jobs if we are to ensure opportunities for the generations to come. I look forward to creating new collaborations and partnerships, and hope to engage with many of you in these new initiatives. Nearly 14 of my 30 years at the College have been spent in the Dean’s Office. During this time, so much has been accomplished and I am proud of all that we at the College have done together. The implementation of the Vermont Integrated Curriculum, the opening of the new Health Science Research Facility and Medical Education Center, and two full 8-year LCME accreditations are just a few of our shared successes. I am certain that the College will continue to build on these achievements, and that the shared governance we are launching will grow as a model for engagement and participation of our most important resource, our people. To all the students, faculty, staff, alumni and friends I have interacted with I would like to offer my personal thanks for your contributions to our shared success and for your support during my tenure as Dean. I am grateful for the opportunity to have worked with each of you, as well as Deans John Frymoyer and Joe Warshaw, and am thankful for the many friendships I have made. In the weeks ahead, the President and Provost will appoint an interim dean to serve while the University conducts a national search for the next Dean of the College. I know each of you will join me in working to ensure a smooth transition to continue the focus on our core missions of educating physicians and scientists, expanding knowledge through research, delivering compassionate patient care, and serving our communities. 2 V E R M O N T M E D I C I N E COLLEGE NEWS vermont FROM THE DEAN MICHAEL SIPE 2 0 0 6 EDITOR edward neuert UVM Names Research Wing for Starbuck Family MEDICAL COMMUNICATIONS DIRECTOR carole whitaker ASSISTANT andrea rathje WRITER jennifer nachbur ART DIRECTOR elise whittemore-hill UNIVERSITY OF VERMONT COLLEGE OF MEDICINE DEAN john n. evans, ph.d. EDITORIAL ADVISORS rick blount ASSISTANT DEAN FOR DEVELOPMENT & ALUMNI RELATIONS marilyn j. cipolla, ph.d.’ 97 ASSISTANT PROFESSOR OF NEUROLOGY christopher s. francklyn, ph.d. ASSOCIATE PROFESSOR OF BIOCHEMISTRY cardiovascular health. UVM had leased the facility for more than a decade and purchased it this year to keep pace with its growing research activities. The sale price was significantly below its market value. “We are very grateful indeed to the Starbuck family for their extraordinary generosity,” said UVM president Daniel Mark Fogel. “Their gift has a profound impact on UVM and our capacity to engage in research of the highest caliber.” The Starbuck family has longstanding ties to UVM. George Starbuck served for fifteen years as a member of the advisory board to the College of Engineering and Mathematical Sciences. His father, also George, completed undergraduate work at UVM in 1935, received his M.D. in 1938, and served as president of the Medical Alumni Association. His mother, Rachel Closson Starbuck, was also a UVM graduate, class of 1934, as is a son, Michael, class of 1986. The Starbuck family was honored for their gift at a reception in the university’s new Medical Education Pavilion in November. George Starbuck speaking in front of a photograph of the Starbuck Family Wing. The University of Vermont has named a wing of its Colchester Research Facility in honor of alums George ’62 and Pammella Starbuck ’83 and their family, in recognition of a $2.7 million gift resulting from the sale of the former Aquatec building on South Park Drive in Colchester. The 37,500-square-foot Starbuck Family Wing of UVM's Colchester Research Facility houses research laboratories of the College of Medicine, where groundbreaking work has been done on risk factors related to james c. hebert, m.d.’ 77 ASSOCIATE DEAN FOR GRADUATE MEDICAL EDUCATION russell tracy, ph.d. SENIOR ASSOCIATE DEAN FOR RESEARCH & ACADEMIC AFFAIRS 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, Farrell Hall, 210 Colchester Ave, Burlington, VT 05405. telephone: (802) 656-4014 Letters to the editor specifically may be e-mailed to: [email protected] Richardson-Nassif Appointed Associate Dean In February, College of Medicine Dean John Evans announced the appointment of Karen Richardson-Nassif, Ph.D., as the College’s first associate dean for faculty and staff development and diversity. Richardson-Nassif will lead initiatives around faculty and staff diversity, develop a faculty and staff orientation program, monitor faculty recruitment, appointment and promotion, and play a key role in identifying opportunities and implementing mentoring and development initiatives for faculty and staff. RichardsonNassif assumes these responsibilities in addition to her primary appointment as research associate professor in the Department of Family Medicine. Richardson-Nassif, who also serves as director of predoctoral programs and research in Family Medicine and TOP : ANDY DUBACK ; BOTTOM : RAJ CHAWLA , BOTH UVM MEDICAL PHOTOGRAPHY director of assessment in the Office of Medical Education, joined the UVM faculty in 1991. She has an extensive background in research, evaluation, and assessment. Richardson-Nassif holds a B.A. in education and biology from St. Michael’s College and a Ph.D. in pharmacology and toxicology from the University of Connecticut. This past fall, she received the Vermont Women in Higher Education Jackie M. Gribbons Leadership Award in recognition of her demonstrated leadership ability, service as a model, mentor and developer of innovative programs, and significant contributions to the institution and profession. She also serves the Association of American Medical Colleges as chair-elect of the Northeast Group on Educational Affairs and as a member of the Research in Medical Education Steering Committee. S P R I N G 2006 3 COLLEGE NEWS LABOW GIFT FUNDS PROFESSORSHIP AND LECTURESHIP Retired surgeon Samuel Labow, M.D. and his wife, Michelle, a retired registered nurse, have pledged current and estate gifts estimated at over $5 million to the Department of Surgery at the College of Medicine. An initial gift of $350,000 will fund the Samuel B. and Michelle D. Labow Green & Gold Professor in Colon & Rectal Surgery and the Samuel B. and Michelle D. Labow Lectureship in Colon & Rectal Surgery. A trust established by the Labows will in the future provide significantly more support to the Department of Surgery. The Labows retired to Stowe ten years ago after 20 years in a colon and rectal surgery practice at North Shore University Hospital in New Michelle and Samuel Labow, M.D. have pledged more than York, where Dr. Labow was also clinical associ- $5 million to the Department of Surgery. ate professor of surgery at Weill Medical College at Cornell University. Dr. Labow is currently Hyman, earned a medical degree from the University a clinical associate professor of surgery at the College of Vermont in 1984 and completed a surgical internof Medicine. ship and residency at Mount Sinai Medical Center in As a registered nurse, Michelle Labow pursued a New York City, followed by a colon and rectal surgical career in the operating room. She joined Dr. Labow’s fellowship at the Cleveland Clinic Foundation. Since surgical practice and eventually took over the manage- joining the UVM faculty in 1990, Dr. Hyman has ment of the practice. Throughout their careers, they earned eight teaching awards, including the Jerome S. both served in national leadership positions in profes- Abrams Teaching Award and the Leonard Tow sional societies, including the American Society of Humanism in Medicine Award. Colon and Rectal Surgeons, for which Dr. Labow Dr. Hyman is a past president of the Vermont chapserved as president from 1993 to 1994. ter of the American College of Surgeons. He is also a Neil Hyman, M.D.’84, professor of surgery and senior examiner of the American Board of Colon and chief of general surgery at the College, has been named Rectal Surgery, and is an associate editor of the journal the first Samuel B. and Michelle D. Labow Green & Diseases of the Colon and Rectum. Gold Professor in Colon & Rectal Surgery. Dr. CLINICIAN CEREMONY MARKS END OF CLERKSHIP The Student Clinician Ceremony, a milestone in the Vermont Integrated Curriculum since 2002, was held on March 9 in Carpenter Auditorium, with a reception in the Brickyard. Students from the Class of 2007 chose Peter Cataldo, M.D., as keynote speaker and selected six residents to receive the Arnold P. Gold Foundation Humanism and Excellence in Teaching Award. The residents were: Nadia Bambace, M.D., Krishnendu Bhadra, M.D., Chad Brown, M.D., Dean Stephens, M.D., and Christopher Sullivan, M.D., from Fletcher Allen Health Care, and Margaret Dow, M.D., from Maine Medical Center. The third-years welcomed the Class of 2008 at the ceremony as they began their Clerkship year. 4 V E R M O N T M E D I C I N E RAJ CHAWLA , UVM MEDICAL PHOTOGRAPHY 30 YEARS OF REMARKABLE ACCOMPLISHMENT On April 18, 2006 Dean John N. Evans, Ph.D., announced that he was stepping down as the College of Medicine’s sixteenth dean to pursue a one-year leave before returning to the faculty. After receiving his doctorate from the University of Florida College of Medicine, Dean Evans came to UVM in the mid-1970s as a post-doctoral fellow in physiology, and became a member of the faculty in 1976. This was the beginning of three decades of accomplishment as a researcher in pulmonary physiology, a teacher of lung biology, and an administrator of the school. During the course of his years in the Dean’s office, research funding has more than tripled, the medical curriculum has been dramatically reformed, and the medical campus has been renewed. Dean Evans’ importance to the shaping of the College of Medicine as it stands today is summed up by the following statement from Associate Dean for Primary Care Mildred A. “Mimi” Reardon, M.D.’67. “Dean Evans has been outstanding in his leadership, vision and achievements for the College of Medicine. Since joining the faculty in 1976, he has excelled as a teacher and academic researcher. Most recently, since 1992, he has distinguished himself in his dedicated leadership of the College as Executive Dean, Interim Dean, Acting Dean and these last years as Dean. His commitment to curriculum reform has been evidenced in his active role in the College’s implementation of the new Vermont Integrated Curriculum. He has played a major role in the conceptualization, planning and realization of a new research building and a new medical education center. John successfully led the College though a major reaccredidation process just one year ago. I have been honored to have been able to serve with John and to feel his extraordinary dedication to excellence at the College of Medicine. As Associate Dean for Primary Care for these last thirteen years, I am deeply grateful for John’s appreciation for and commitment to, the Vermont statewide community in the work of the College. In my many years associated with this College, I have come to have the highest respect and admiration for John and his dedication to, and achievements for, Vermont and its College of Medicine. I am very sorry we are losing his enthusiastic and effective leadership as Dean.” —Mildred A. Reardon, M.D.’67 Associate Dean for Primary Care UVM College of Medicine S P R I N G 2006 5 & COLLEGE NEWS AWARDS Bridges to Biotechnology FORMER SURGEON GENERAL SPEAKS AT UVM David Satcher, M.D., former Surgeon General of the United States, spoke on “The Future of Healthcare: Health and Wellbeing” on March 14 in Ira Allen Chapel as part of the Aiken Lecture Series. Dr. Satcher served simultaneously in the positions of surgeon general and assistant secretary of health from February 1998 through January 2001 at the U.S. Department of Health and Human Services. Associate Dean for Public Health Jan Carney hosted Dr. Satcher and students at a prelecture discussion in the Martin Luther King room in the Billings Center. 6 V E R M O N T M E D I C I N E Beneath the lab coats, microscopes, pipettes, and vials of UVM’s many biomedical research labs, there’s an entrepreneurial undercurrent that’s been running through campus for years. For many faculty and even some students, scientific discoveries can lead to patents and products that provide the foundation for international biotechnology corporations. Mark Brann’s company, Acadia Pharmaceuticals, develops treatments for central nervous system disorders. His story is just one of several examples of successful “technology transfer” — the movement of ideas, inventions and discoveries from the research lab into the commercial sector — at UVM. It all started when Brann was working on his Ph.D. in pharmacology, which he received from the College of Medicine. Early in his career, he developed molecular tools that paved the way for drugs now used to treat Alzheimer’s disease. Later research, directed by Brann at the National Institutes of Health, resulted in a patented process for identifying whether drugs were achieving their targeted effects. He attempted to start a business, but it never got off the ground. In 1991, he returned to UVM as an associate professor of psychiatry and pharmacology. Brann credits his start-up failure in Maryland for his start-up success in Vermont where, in 1993, following extensive efforts to garner investment capital and other funding, Receptor Technologies was incorporated. “Being inquisitive and taking risks makes a good scientist and entrepreneur,” says Brann, who in February received the College of Medicine’s first Graduate Alumni Award in honor of his outstanding research achievements. Brann moved the company to San Diego in 1997, changed its name, set up a second facility in Denmark, and shifted the focus to drug discovery. In 2004, the company went public. As president and chief scientific officer at Acadia, Brann concedes his role has evolved from focusing on science to focusing on stockholders. “That is the RECOGNITION • G. Scott Waterman, M.D., associate professor of Mark Brann, Ph.D.’84 is president of Acadia Pharmaceuticals and the recipient of the College’s first Graduate Alumni Award. nature of the beast,” he admits. For UVM researchers ready to wade into commercial waters, Todd Keiller, director of technology transfer at UVM, is the critical link. The founder of six biotechnology companies, Keiller is something of an intellectual property superhero. He works to protect, market, and negotiate the sale of rights of patentable inventions — whether tangible or conceptual — to business partners that can bring the property to market. Keiller collaborates with multiple partners at UVM, including the Office of Sponsored Programs, Vermont Experimental Program to Stimulate Competitive Research (EPSCoR), the Vermont Technology Council, and the Vermont Center for Emerging Technologies, as well as the Vermont Department of Economic Development. According to Keiller, there is a rapidly accelerating level of activity in UVM’s tech transfer and intellectual property arena. “Of the 53 patents issued to the University of Vermont since 1979, 22 were issued in the past three years,” says Keiller. “In addition, over 20 licenses have been signed with diverse local, regional, national, and international companies.” The Office of Technology Transfer hosted an Invention to Ventures conference at the Sheraton Burlington Hotel & Conference Center on April 21. John Abele, founder and chairman of Boston Scientific Corporation, delivered the keynote address, and Dean John Evans was the luncheon speaker at the event. LEFT: WILLIAM DILILLO, UNIVERSITY PHOTOGRAPHY ; TOP RIGHT: RAJ CHAWLA , UVM MEDICAL PHOTOGRAPHY psychiatry and associate dean for student affairs, received the Nancy C.A. Roeske, M.D., Certificate of Recognition for Excellence in Medical Student Education from the American Psychiatric Association committee on Medical Student Education. The award is presented annually to members who have made outstanding and sustaining contributions to medical student education. Dr. Waterman has been invited to receive the award certificate at the APA meeting in May. • Stephen Higgins, Ph.D., professor of psychiatry and psychology, was elected president of the College on Problems of Drug Dependence for 2006-2007. The College on Problems of Drug Dependence is the longest-standing scientific organization in the United States dedicated to the study of drug dependence. • Dennis Vane, M.D., has been elected a governor of the American College of Surgeons (ACS). Founded in 1913, the ACS is the largest organization of surgeons in the world, with over 64,000 members. Vane is a professor of surgery and associate professor of pediatrics and serves as vicechair for clinical affairs of the Department of Surgery at the College of Medicine, and is a trustee of Fletcher Allen Health Care. • Mimi Reardon, M.D.’67, associate dean for primary care, has been nominated unanimously by Vermont’s congressional delegation as a Local Legend. A partnership of the National Institutes of Health’s National Library of Medicine, the NIH Office of Women’s Health Research, and the American Medical Women’s Association (AMWA), the Local Legends program celebrates America's local women physicians. On behalf of these partners, the AMWA annually calls upon the Congress to nominate outstanding women physicians from their state or district who have demonstrated commitment, originality, innovation, or creativity in their field of medicine. • Stacey Sigmon, Ph.D., research assistant professor of psychiatry, received the 2006 Young Psychopharmacologist Award of the Division of Psychopharmacology and Substance Abuse from the American Psychological Association. This award honors a young scientist doing original, meritorious work in psychopharmacology and encourages excellence in research at the interface between the disciplines of pharmacology and psychology. • The College of Medicine Class of 2008 held an awards ceremony and reception on February 3 in honor of their completion of the Foundations level of the Vermont Integrated Curriculum (VIC). The awards and recipients were as follows: OUTSTANDING FOUNDATIONS COURSE: “Human Structure and Function” FOUNDATIONS COURSE DIRECTOR AWARD: Brad Wright, lecturer of anatomy and neurobiology FOUNDATIONS TEACHING AWARD: Nicholas Hardin, M.D., professor of pathology INTEGRATION AWARD (for the faculty member whose teaching best captured the spirit of the VIC): Gerald Silverstein, Ph.D., lecturer in microbiology and molecular genetics THE SILVER STETHOSCOPE AWARD (for the faculty member who had few lecture hours, but made a substantial contribution to students’ education): James Hudziak, M.D., associate professor of psychiatry ABOVE AND BEYOND (for the faculty member, not necessarily a lecturer, who went above and beyond the call of duty to help the students in their learning objectives): Masatoshi Kida, M.D., associate professor of pathology AMERICAN MEDICAL STUDENTS ASSOCIATION GOLDEN awarded posthumously to Bruce Fonda, lecturer in anatomy and neurobiology APPLE AWARD: AMERICAN MEDICAL WOMEN’S ASSOCIATION GENDER EQUITY AWARD: Pamela Gibson, M.D.’90, assistant professor of pathology • Vermont Medicine magazine has received its second consecutive Award of Distinction from the Association of American Medical Colleges Group on Institutional Advancement (AAMC/ GIA) for its issues covering the year 2005. The AAMC/GIA awards honors “the most creative and effective approaches used to promote academic medicine in the United States through alumni, development, public relations and marketing vehicles.” The award was presented at the AAMC/GIA national conference in Austin, Texas, on March 29. S P R I N G 2006 7 COLLEGE NEWS WHITE COAT What hasn’t changed Rigorous Rounds Teach Clinical Decision-Making The conference room in the surgical intensive care unit at Fletcher Allen is packed. The group is focused on Steven Shackford, M.D., Stanley S. Fieber professor and chair of surgery, who is about to launch into one of his famous “Shack rounds” — a class characterized by intense, sustained questioning of individual students — and there’s a buzz of nervous anticipation in the room. “This is easy!” he says to the eight or so third-year medical students and a few surgical residents. “Wait until you’re in the emergency department and someone’s writhing in pain.” The qualities that earned Shackford a 2005-06 UVM Kroepsch-Maurice Award for Excellence in Teaching are clear within minutes as he kicks off the session of the affectionately nicknamed clinical decision-making course. Famous for relentlessly challenging his students, Shackford skillfully uses empathy, humor, passion, and knowledge to inspire learning — and excellence. First, Shackford reviews the ground rules for the rounds: Only the person getting grilled can answer his questions when it’s their turn. “It’s intimidating, I know, in front of your peers,” Shackford admits. Next, a surgical resident presents the basic facts on the patient case up for review. Then the professor asks the student to his right “What are you thinking?” Much more than a conversation-starter, Shackford’s question PUBLIC HEALTH PROJECTS DISPLAYED Second-year medical students presented their Public Health Projects in a poster session open to the medical community on January 23. More than a hundred people attended, and saw posters detailing twelve public health oriented research projects. 8 V E R M O N T M E D I C I N E 2006 In her remarks to first-year students at the 2006 White Coat Ceremony, excerpted here, Fletcher Allen Health Care President and Chief Executive Officer Melinda Estes, M.D., noted the sweeping changes occurring in the field of medicine, and pointed out some enduring truths. Steven Shackford, M.D., is a 2005-2006 Kroepsch-Maurice Award winner for excellence in teaching. aims to jump-start the clinical decision-making process. “He takes very complex patients and shows how understanding basic physiology allows third- and fourth-year medical students to identify the primary medical issues and necessary interventions,” says 2005 College of Medicine graduate Zechariah Gardner, M.D., who is currently serving a surgical residency at Fletcher Allen. “It’s like the ABC’s of critical care medicine and it's fun, because you can do it.” Everything happens quickly, mimicking real-life surgical decision-making. But instead of being discouraged, students say they like being put on the spot and pushed to the limit. “He’s doing it to make us better doctors,” says third-year medical student Jennifer Gillis, who, with several of her classmates, is attending the rounds as part of the College of Medicine’s surgical clerkship — one of a number of required discipline-specific clinical training courses. Surgical resident Gardner believes Shackford was probably the strongest influence in his choice of surgery as a career. “He has high expectations and won’t settle for anything but our best and his students rise to the occasion. He is also very realistic and keenly aware of appropriate expectations for your level of training, which creates a culture of students and residents who work hard to do well for their patients.” The Kroepsch-Maurice Award for Excellence in Teaching highlights faculty for excellent classroom instruction and memorializes Robert H. and Ruth K. Kroepsch and her parents, Walter C. and Mary L. Maurice, who were all teachers. —Jennifer Nachbur TOP : RAJ CHAWLA ; LEFT: ANDY DUBACK , BOTH UVM MEDICAL PHOTOGRAPHY As you navigate these complex and constant changes, my advice to you is: Focus on what has not changed — and what is therefore most important as you take this crucial step today. What has not changed is the fact that as physicians and scientists we are all people with feelings, who face conflicts every day: how to tell a family member that their loved one has died; how to approach the patient’s bedside, the bench or the microscope with 100 percent of your attention — regardless of what might be happening in your day. What has not changed is that the patients we are treating are also people with feelings, many who are worried and sometimes despairing, whose lives may be in upheaval due to their illness; others who are seeking knowledge and counsel — a warm smile and a kind word. To be specific: The need to care for your patients — and to remember that the patient is at the center of everything you do — has not changed. To listen to what your patient says. To take your time. To be respectful. To think. The desire of the patient for unlimited time has not changed. No matter how much the field of medicine changes, one thing will never change — the fact that your patients will want from you what they wanted from their doctors 50 years ago: Unlimited time. One-on-one attention. Compassion. Knowledge. The characteristics of a good physician have not changed. To listen and lay hands on the patient. To RAJ CHAWLA , UVM MEDICAL PHOTOGRAPHY be honest about what you don’t know, because knowing what you don’t know is as important as knowing what you do. To maintain balance in your life, when all is said and done, you only have two things: your integrity and your family. Be good to the people around you; be good to those who support you. The art of medicine has not changed. The magic that happens when you figure out what is wrong with your patient and how to fix it … when you find the cure or treatment that previously eluded you. When you watch your patient improve and get better. The privilege of being a physician has not changed. Practicing medicine is a great privilege. We are being let into someone’s personal life. We are told things they have told no one else. We are trusted with their deepest, darkest secrets, and with their lives. The need for lifelong learning has not changed. Even once you complete your training, the learning never stops. You learn from colleagues, from students, from books, from patients, from your significant others and family members, from your neighbors and community. And the symbol that is before us today — the White Coat — has not changed. It remains a symbol of humanism in medicine. Of the duty of the physician — to accept not only the authority of medicine, but the responsibility that comes with it. DRESS CODE: WHITE COAT PREFERRED The white coat, universally associated with medical professionalism, provides a visual representation of a physician’s commitment to providing compassionate patient care and maintaining scientific proficiency. On January 13 the College of Medicine Class of 2009 made that commitment as they participated in the White Coat Ceremony. Hosted by Dean John Evans, the event took place for the first time in the East Pavilion Atrium of the Ambulatory Care Center at Fletcher Allen Health Care. Melinda Estes, M.D., president and chief executive officer of Fletcher Allen Health Care, delivered the keynote address. The Presentation of Coats ceremony was led by Associate Dean for Student Affairs G. Scott Waterman, M.D. Faculty members assisting included: Dean Evans; Dr. Estes; Richard Pinckney, M.D., Ph.D., assistant professor of medicine and 2005 recipient of the Leonard Tow Humanism in Medicine Award; Tania Bertsch, M.D., associate professor of medicine and director of clerkship programs; and Steven Lidofsky, M.D., Ph.D., director of the M.D./Ph.D. program and associate professor of medicine and pharmacology. S P R I N G 2006 9 Residency Matches for the College of Medicine Class of 2006 COLLEGE NEWS Amanda Thompson ANESTHESIOLOGY Anya Chandler Sarah Blair Stanley Kang Daniel Parsons University of Utah Affiliated Hospitals University of Utah Affiliated Hospitals (PGY1 - UVM/Fletcher Allen) Mount Sinai Medical Center (PGY1 - St. Luke’s-Roosevelt Hospital Center) UVM/Fletcher Allen (PGY1 - VA Medical Center, Boise, Idaho) DERMATOLOGY Arash Koochek Deede Liu Yale-New Haven Hospital (PGY1 - UC San Diego Medical Center) University of Kansas Medical Center EMERGENCY MEDICINE Jason Aines Jason Heiner Joyce Libunao Jeffrey Randazza Azalea Saemi Match Day 2006 FAMILY MEDICINE For senior medical students at the College, the waiting is definitely the hardest part. Amidst the intense final months of their medical school career comes a day that engenders stress and anxiety, but also lots of hope. On March 16, at precisely noon, they and graduating medical students across the country learned of their fate for the next few years via “the Match” — the annual rite of passage that reveals where they will receive residency training. For students, time appears to tick more slowly during the final minutes before the Match. Not so for UVM’s Associate Dean for Student Affairs G. Scott Waterman, M.D., who must hurry to deliver the envelopes that hold the key to nearly 100 students’ futures in time for mail staff to sort and stuff the appropriate students’ mailboxes by exactly noon. The STUDENTS ON UGANDAN ROTATION Just six days after they found out their residency match results, Andrew Cummins ’06 (at right) and Daniel Parsons ’06, along with Heather Fremgen ’07 (at left), left Vermont to participate in a clinical rotation sponsored by the Association of Ugandan Women Medical Doctors. Over the course of a month, they worked at a rural “bush” clinic in Maewumpe, Uganda, a village where there are virtually no medical supplies, and in Kampala, Uganda’s capital. Following the association’s request for medical supplies, Cynthia Forehand, Ph.D., UVM professor of anatomy and neurobiology, donated a microscope, and the UVM student health center donated a large box of medical supplies. In addition, Cummins secured roughly Sheilla Bachelder Kohar DerSimonian Elizabeth Green Daniel Letinsky Jessica Rouse Mattie Towle responses thereafter varied, and then students returned to their busy routines, wearier, but relieved that the wait was finally over. A total of 91 senior medical students will graduate from UVM in May — including the 80 students who matched on March 16, plus 11 students in the military and clinical specialties who matched in January. Match Day is facilitated by the National Residency Match Program, which uses a computerized matching system to conduct a residency match that is designed to optimize the rank ordered choices of students and residency program directors at the institutions where students interviewed. $20,000 worth of medication for the Ugandans through a group called Medical Assistance Program, which solicits medication donations from pharmaceutical companies for distribution to developing countries. “I expect the bulk of our rotation will involve dealing with infectious disease, tropical medicine and HIV/AIDS cases, along with problems regional to Uganda,” said Cummins. He and Parsons have had other international experiences, including a trip to Costa Rica after their first year of medical school where they learned medical Spanish and worked in rural medical clinics for six weeks. V E R M O N T M E D I C I N E RAJ CHAWLA , UVM MEDICAL PHOTOGRAPHY UVM/Fletcher Allen UC San Francisco University of Wyoming Cheyenne Valley Family Medicine, Renton, Wash. UVM/Fletcher Allen UVM/Fletcher Allen GENERAL SURGERY Adam Cloud John Lee Elisha McLam Sandra Saldana Myles Webster University at Buffalo UC San Francisco East Bay Brown University/Rhode Island Hospital Loma Linda University Brown University/Rhode Island Hospital INTERNAL MEDICINE Meghan Brennan N. Brad Adams Andrew Cummins Cindy Dion Shereen Ghali Talia Hoffstein Cindy Huang Gregory Idos Sundip Karsan Erin Kurek Giovanna Leddy John Macnowski Marc Makhani Sadie Mills Arezou Minooee Elaine Parker Deborah Rabinowitz Andrew Tinsley Khai Nguyen MEDICINE Eliesa Ing MEDICINE University of Wisconsin Hospital and Clinics UVM/Fletcher Allen California Pacific Medical Center UVM/Fletcher Allen McGill University Yale-New Haven Hospital UMDNJ-RW Johnson Piscataway University of Southern California Cedars Sinai Medical Center University of Utah Medical Center Beth Israel Deaconess Medical Center University of Michigan Health System Cedars Sinai Medical Center UVM/Fletcher Allen UC Irvine Medical Center Cedars Sinai Medical Center Maine Medical Center Massachusetts General Hospital Scripps Clinic/Scripps Green Hospital – PRELIMINARY University of Texas Health Science Center – PRIMARY Cortney Bosworth Michael Ashton Peter Dahl Philip Chan Alison Jaquith Natalie Sinclair University of Colorado Health Sciences Center Yale-New Haven Hospital Stony Brook University Hospital Rhode Island Hospital UVM/Fletcher Allen UVM/Fletcher Allen MEDICINE / PEDIATRICS Andrew Rice Loma Linda University Medical Center Marli Amin Rebecca Bagley Leslie Bradford Kerrie Adams Beth Cronin Erron Kinsler Michelle Mertz Dyanne Phillippe Katherine Wagner Brown University/Rhode Island Hospital UC Irvine Medical Center Case Western Reserve University University of Wisconsin Naval Medical Center Women & Infants Hospital of Rhode Island Dartmouth - Hitchcock Medical Center Women & Infants Hospital of Rhode Island Baystate Medical Center UVM/Fletcher Allen OPHTHALMOLOGY Daniel Brooks University of Oklahoma Health Sciences Center (PGY1 - Carilion/Roanoke Memorial) ORTHOPAEDIC SURGERY William Eward Karalyn Church Duke University Medical Center University of Western Ontario PATHOLOGY Michelle Madden Laura Schned Wells Chandler UVM/Fletcher Allen UVM/Fletcher Allen University of Utah Affiliated Hospitals PEDIATRICS Amy Blake University of Wisconsin Hospital & Clinics Alexa Craig Maine Medical Center Sarah Denniston University of Connecticut Abigail Donaldson UMDNJ-RW Johnson Piscataway Preetha Krishnan UC San Francisco/Fresno Webb Long University of Wisconsin Hospital & Clinics Lauren Massingham University of Massachusetts Medical School Laura McCullough Children’s Hospital Boston Elizabeth Melendy Maine Medical Center James Metz University of Washington Affiliated Hospitals Logan Murray Maine Medical Center Elizabeth Padgett University of Utah Affiliated Hospitals Jurat Rajpal University of Minnesota Medical School Joann Romano-KeelerUVM/Fletcher Allen Anupama Vijay University of Washington Affiliated Hospitals Ian Zenlea Yale-New Haven Hospital PSYCHIATRY Ashley Clark Erin Lechner Cory Nohl Aron Portnoy Harbor-UCLA Medical Center Harvard Longwood Psychiatry (PGY1 - Mt. Auburn Hospital) McGaw MC-Northwestern University Medical School University of Toronto RADIATION ONCOLOGY Allison Quick Ohio State University (PGY1 - UVM/Fletcher Allen) RADIOLOGY DIAGNOSTIC Haroutun Abrahamian Bridgeport Hospital Jeffrey Brooks Boston University Medical Center (PGY1 - St. Vincent’s Hosp. Worcester Medical Ctr.) Alisa Johnson UVM/Fletcher Allen Jessica Panko UC San Diego Medical Center (PGY1 - Scripps Mercy Hospital) SURGERY – PRELIMINARY Anne Kieryn Maine Medical Center TRANSITIONAL Nicholas Bremer Andrea Pereira Naval Medical Center National Naval Medical Center UROLOGY Peter Holoch University of Iowa Health Care NEUROLOGY Dyveke Pratt 10 Temple University Hospital Madigan Army Medical Center, Tacoma University of Chicago Hospitals University of Massachusetts Medical School NY Hospital/Med Center of Queens OB / GYN Boston University School of Medicine (PGY1 - St. Vincent’s Hospital) (Matches as of March 16, 2006) S P R I N G 2006 11 ALUMNI VIEW On the other side jane m. wolf, m.d. ’77 illustration by gerard dubois by My life as I knew it changed radically in the spring of 1994, when I was 44. I used to use words like “disaster” and “catastrophe” to describe the change, although I don’t anymore. I know that I am not the only physician, or the only graduate of the College of Medicine, to undergo a major life change. Yet these sorts of events are rarely discussed among physicians, especially in their alumni bulletins. I thought it was about time to do so. My tale begins with the fact that I have bipolar II disorder — which means that I have mostly depressions, but occasionally I will have a mild high. I had had five or six episodes of depression before I finished my residency, and then I had my first high. I was put on lithium, and I did very well for 15 years or so. I was climbing the career ladder: associate professor, fellow, chief of department, head of hospital. Then I developed what seemed to be an intractable depression — the severe kind. I couldn’t work, couldn’t get out of bed and, after several trials of medications, I ended up in McLean Hospital for electroconvulsive therapy (ECT). When I was trained in psychiatry, every patient receiving ECT had a CAT scan done beforehand, because the one absolute contraindication to ECT is an intracranial mass. By the time I had ECT, medicine was in the HMO era, and no one took the time to look inside my brain. I had my 12 V E R M O N T M E D I C I N E ECT, responded very well, but then relapsed, and ended up on maintenance ECT — a gradually tapering interval of treatments over the course of a year. But by the third week after my first treatment, the damage was done. Suddenly, I couldn’t remember things. Patients commonly have problems with shortterm memory during ECT, and up to six months after, but my memory impairment has been constant since that spring. I went back to work, and I would see a new patient; I would do my usual workup, spending an hour and a half taking a history. When the patient would return the next week, I wouldn’t recognize him or her, wouldn’t remember anything about the story I’d been told. I got by, mostly thanks to my medical school training under then-Professor of Medicine Larry technician said the radiologist wanted to do it again with contrast. “I wonder why he wants that?” I asked myself. Afterward, someone (I don’t remember who) told me that I had an arteriovenous malformation (AVM) in my frontal lobe. Life came to an abrupt halt. I scrambled to research these congenital creatures, scouring the Internet, helped by a friend of my sister who researched illnesses for an HMO. I awoke panicking every morning at the possibility that my AVM would decide to go “pop” that day. Mine, fortunately, was in an accessible place, running in the dura under the frontal lobe (where white matter transmits information from the hippocampus to the frontal lobe). Others have these creatures deep within the brainstem, or tangles of vessels. Nonetheless, to look at the worm Being a doctor was not a job, not a career, but a defining element of who I was, and now I would never be able to practice again. Weed, who drilled into me the need to always take meticulous notes. The other clinical and administrative work I did were things that I had already learned, and many of the patients were familiar. I complained to the psychiatrist at McLean who followed me about my memory, and he ultimately prescribed Aricept — but without doing any imaging studies. After three years or so I moved to Maine to be closer to my family, and acquired a new psychiatrist in Boston. In my new job, my brain hit the wall. Everything was new. Everything had to be learned. I couldn’t pull things out of my head that had gone in just minutes or hours before. I forgot staff names, patient names, patient problems, patient medications, new medications and their doses, staff meetings — I struggled to work, yet refused to acknowledge how impaired I was. My boss saw my impairment, and after a year or so, I was “let go.” Finally, I had neurosych testing, which confirmed my memory problems, and suggested some kind of organic frontal lobe impairment. I brought this up with my psychiatrist, who said, of course, “Let’s get an MRI.” The MRI was funny — well, not really. It was claustrophobic, and cold, and after the scan was done, the that snaked under my brain was stupefying every time I saw it. It seemed huge, knowing what a confined space the brain lives in. I don’t know for sure whether the AVM caused my memory impairment. Certainly, the ECT was not good for it. With ECT, the patient doesn’t have a muscular seizure, but has a physiologic seizure, with an abrupt rise in systolic blood pressure. Such a spike would act on the AVM like blowing up a balloon. Damage in its location could disrupt the delicate chains that tie memory together. Reading the literature, one is told that ECT never causes long-term memory impairment, although most experienced psychiatrists will tell you they have seen a patient with such an impairment. I will spare the details of my surgical correction, and the anxiety over persuading my HMO to let me have it done at Massachusetts General Hospital, in experienced hands. I guess they decided that the potential costs of unskilled local hands were outweighed by experience, so I shaved my head, went to Boston with my mother, and had four or five tiny little arterioles tied off, so the “thing” collapsed like a punctured balloon. I still have my burr hole. continued on page 37 S P R I N G 2006 13 Focusing in on the Silent Epidemic A After years of public attention on the stomach — what we put in it, and the resulting increase in girth — much more attention is now drawn to the stomach’s neighbor, the pancreas. Located at the back of the stomach, the pancreas has two main jobs: It helps digest fats and proteins and manufactures the sugar-regulating hormone insulin and other hormones. With current statistics showing that more than 80 percent of people with type 2 diabetes are overweight, it appears these two organs are linked in more ways than just location. by Jennifer Nachbur photographs by Rajan Chawla Diabetes occurs when the body does not produce or is unable to appropriately use insulin, which is necessary to convert sugar, starches, and other food into energy. Skyrocketing rates of type 2 diabetes — and the life-threatening complications associated with this disease — have accelerated the need to learn more about how to stop the disease, as well as the obesity-diabetes connection. At the College of Medicine, a wide range of faculty are working hard to find keys to addressing this epidemic at the bench, in clinical research trials and through a new decision-support and outcomes tracking system. Jack Leahy, M.D., professor of medicine and director of endocrinology, diabetes and metabolism, and his colleagues Tom Jetton, Ph.D., and Mina Peshavaria, Ph.D., both research assistant professors of medicine, are investigating the biology of the pancreas’s islet tissue, which makes up only one percent of the pancreas, but includes the critical beta cells that are singularly responsible for the body’s insulin production. Diabetes is an absolute or relative deficiency in insulin. In type 1 diabetes, the beta cells are destroyed by an autoimmune response. Type 2 diabetes, which affects about 170 million people worldwide, is characterized by insulin resistance. In both types, scientists suspect the root of the problem may lie in the islet beta cells. To help gain an understanding of the biology of these cells, the research group examines rodent models of diabetes and accelerated beta cell growth. Leahy creates different animal models of type 2 diabetes so that he can focus on the structure and function of the islet beta cells. Jetton and Peshavaria have taken a complementary approach to studying beta cell growth. He is a cell biologist and microscopist recognized internationally for his use of advanced imaging technology such as confocal microscopy to look at signaling pathways and gene expression in order to study beta cell growth, differentiation, and death. Peshavaria is the molecular biologist, specializing in islet cell regeneration, beta cell-specific gene expression and insulin signaling, and creating relevant mouse models of accelerated and reduced beta cell growth. Signaling pathways are the inter-cellular communications elicited by proteins called receptors, and gene expression is the process by which a gene’s DNA sequence is converted into the structures and functions of a cell. “The synergy among the three of us is outstanding,” says Leahy, who also sees patients at least one 16 V E R M O N T M E D I C I N E day per week. All three researchers are well funded. Peshavaria has a Juvenile Diabetes Research Foundation Career Development Award, along with American Diabetes Association funding; Jetton has a Research Project Grant from the National Institutes of Health, ADA and pharmaceutical funding; and Leahy has two NIH Research Project Grants. To date, the group’s research has provided evidence that the insulin signaling pathway plays a role in the beta cell growth and regeneration processes. “No one has yet identified a pancreatic stem cell,” says Jetton, who adds that islet cell transplantation — to another avenue being pursued in the field — is still at the very experimental stage. “However, by examining enhanced beta cell growth and regeneration, we can identify ways to circumvent diabetes.” The future of this area is looking very bright, according to Jetton, particularly due to a system Peshavaria has developed that converts a non-beta cell from the pancreas into beta-like cells. “This system should help us understand not only how signals from growth factors cause one cell type to become another cell type, but eventually how stem cells get converted to different cell lineages,” explains Peshavaria. The potential for this process is huge, according to Jetton. “If you can convert even a small percentage of these non-beta cells into surrogates, you can get a head start on curing diabetes,” he emphasizes. OBESITY AND DIABETES Along the same corridor in Given as the Leahy lab is the lab of Richard Pratley, M.D., professor of medicine and leader of the diabetes and metabolism translational medicine unit, which is directed by Yong-Ho Lee, Ph.D., research assistant professor of medicine. Steeped in basic science research, patient care, and clinical research, Pratley splits his time between the Given building, the General Clinical Research Center in Fletcher Allen’s Baird wing, a clinic at the University Health Center, and a clinic at Fletcher Allen’s outpatient cardiology office in South Burlington. Licensed in internal medicine and gerontology, Pratley is, surprisingly, not an endocrinologist. Instead, he refers to himself as a “diabetologist,” a title that aptly covers his training in metabolism and seven years as an investigator and head of an NIH diabetes and metabolism unit in Phoenix, Arizona. Pratley focuses on fat cell biology and how it relates to metabolic function, as well as how obesity relates to the development of risk factors for diabetes and heart disease. “The precise ways in which obesity causes type 2 diabetes and its complications are not known, but recent research indicates that fat cells secrete a large number of hormones and mole- Jack Leahy, M.D. (right) and Tom Jetton, Ph.D. (left) in the lab with high-resolution islet beta cell images. cules that may directly or indirectly cause diabetes and its complications,” explains Pratley. In a study currently taking place at the General Clinical Research Center, Pratley and colleagues are examining abdominal tissue and blood in men and women with a wide range of obesity and glucose (sugar) tolerance in an effort to understand how obesity leads to type 2 diabetes and complications that include high blood pressure and atherosclerosis. They also hope the research will identify new approaches to diagnosis, prevention, and treatment of type 2 diabetes. Among Pratley’s many drug treatment trials are a new class of investigational drugs called DPP-4 inhibitors, which Pratley has been studying for about four years. DPP-4 inhibitors increase the effectiveness and delay the natural breakdown of a naturally occurring hormone called glucagon-like peptide-1 (GLP-1). This hormone is normally released from the intestines into the bloodstream in response to S P R I N G 2006 17 Senior Research Physiologist Nate Kokinda uses a DEXA scanner to gather body mass data for a study led by Richard Pratley, M.D. food intake and works to lower blood sugar levels after a meal. As blood sugar levels increase after eating, GLP-1 acts on the beta cells of the pancreas to promote insulin release and production of new insulin. It also helps lower blood sugar levels by slowing down the emptying of the stomach and decreasing the amount of glucose made by the liver. On the horizon are several more studies focused on weight loss and exercise in type 2 diabetes. DIABETES INFORMATION An electronic pathway that can help patients gain better control of their diabetes is the aim of Benjamin Littenberg, M.D., Henry and Carleen Tufo Professor of Medicine, director of General Internal Medicine and principle investigator of the Vermont Diabetes Information System (VDIS). Launched in 2003 and funded by the National Institutes of Health’s National Institute of Diabetes & Digestive & Kidney Diseases, the VDIS focuses on tracking hospital-based lab results for the HbA1c test — the primary long-term measure of blood sugar control. “Our system communicates with both patients 18 V E R M O N T M E D I C I N E and their providers, via mail and fax, to help them interpret laboratory tests, remember to obtain tests when needed, and keep track of the patients’ health status,” says Littenberg. “Ultimately, the system is designed to reduce the long-term complications of diabetes.” Several key partners, including the Northeast Community Laboratory Alliance, the Vermont Program for Quality in Health Care, the UVM Area Health Education Centers, and UVM’s teaching hospital Fletcher Allen Health Care, have played a key role in the set-up of the VDIS and its success. The system now includes 11 labs, 62 practices, 124 primary care providers across Vermont and in upstate New York and New Hampshire and has over 8,000 patients enrolled. Diana Barnard, M.D.’90, a family medicine specialist in Middlebury, Vt., joined the VDIS in 2004. “VDIS really helped me see the benefits of computerized medical records — quality of care, reduced duplication of services, cost-effectiveness,” says Barnard. She’s also a fan of the VDIS lab report, which provides previous test results in addition to new results, which allows her to immediately track her patients’ improvement. “Overall, it helps get patients who haven’t shown up for a test onto my radar screen.” Barnard says primary care physicians like her often have more access to diabetes patients than specialists, due to frequent office visits to treat a host of other health problems that typically accompany the disease. In the future, Barnard would like to see the VDIS add a diabetes education component, a service she currently relies on endocrinology consultants to provide due to the limitations of her busy practice. She also wishes the entire country would adopt a standardized system to track diabetes patients. Barnard’s wish just might be granted, albeit in slow, incremental steps. Last fall, New York City’s health department consulted with Littenberg and his team about the program and in July 2007, the department will roll out a pilot intervention program in the South Bronx modeled after the VDIS. The program’s role in New York has brought national recognition, too. Articles in the January 11 Washington Post and February 9 New England Journal of Medicine mentioned the VDIS — New York City connection. In April, Littenberg and VDIS co-investigators Charles Maclean, M.D., VDIS project director and associate professor of medicine, and Michael Gagnon, director of business development and informatics at Fletcher Allen Health Care published an article in the American Journal of Public Health. A new business venture is in the works as well. Littenberg and two faculty colleagues were encouraged by the University’s technology transfer office to form a company called Vermont Clinical Decision Support to distribute software and other approaches to improving chronic care that they developed as part of the VDIS. GROWING PROBLEM , GROWING RESEARCH In the last decade, diabetes research and care has developed into a prominent specialty at UVM, with Leahy’s division playing a critical role in a number of research trials, including the recently FDAapproved inhaled insulin studies. “There are people all over the institution looking at diabetes,” Leahy says. Those experts, in addition to Leahy, Jetton, Peshavaria, Pratley, and Littenberg, include a group of cardiologists nationally recognized for their expertise in diabetes and heart disease. First and foremost, says Leahy, is Burton Sobel, M.D., professor of medicine, who spearheaded the establishment of The Cardiovascular Center at the College and Fletcher Allen Health Care in 2002. “Cardiologists know that heart failure is an enorANDY DUBACK , UVM MEDICAL PHOTOGRAPHY The Vermont Diabetes Information System helps Diana Barnard, M.D.’90 in her Middlebury practice. mous problem in diabetes,” he explains, “and the Cardiovascular Center is one of the clear collaborative efforts here.” Martin Lewinter, M.D., professor of medicine and a heart failure specialist, is one of the country’s leading experts on diabetic cardiomyopathy, a condition in which the heart does not contract effectively that leads to heart failure in diabetes patients. Pratley, a member of the Center, is working in conjunction with David Schneider, M.D., professor of medicine and director of cardiology, on a number of longer-term, multicenter trials, which aim to find out if a variety of diabetes treatments help prevent heart attacks and other cardiovascular complications in diabetes patients. “UVM has some great advantages,” says Leahy. “It’s a small institution where you don’t have many people doing the same thing in a sort of competition with each other. It’s a real collegial VM environment.” S P R I N G 2006 19 For more than a quarter-century, a cooperative relationship in medical education has brought UVM medical students to Maine Medical Center. the Maine Ingredient for any committed medical student, by EDWARD NEUERT photographs by BRIDGET BESAW GORMAN 20 (Clockwise from far left) UVM medical students in a discussion group with Virginia Eddy, M.D.; Dr. Eddy and Renee Rickard ’07 in surgery; Greg Connolly ’07 and Allison Collen ’07 at the Portland waterfront; Ben Huerth ’07 on a “rural rotation” at Stephens Memorial Hospital in Norway, Maine. the boundary between home and school can be a bit blurry at times. For Renee Rickard ’07 and other third- and fourth-year students receiving part of their clinical education at Portland’s Maine Medical Center (MMC), there’s almost no boundary— and as far as the students are concerned, that’s a very good thing. Every morning, Rickard can get out of bed in the house she shares with several other students in the west side of Portland, fix a quick breakfast, and walk out her front door, which lies almost in the shadow of MMC’s imposing Victorian Gothic tower. Rickard and her classmates are part of a threedecade tradition that has seen more than a thousand College of Medicine students receive part of their clinical education 200 miles and two states away from the Burlington campus. 21 Third-year student Renee Rickard in the midst of a busy day during a surgery rotation at Maine Medical Center. “This is a relationship in which both parties give something and get something,” notes Robert BingYou, M.D., MMC’s associate vice-president for medical education and an assistant professor of medicine at UVM. “MMC provides excellent clinical training for the students, and they in turn add great value to our campus; they help create an even more stimulating environment for our doctors and residents.” Two programs are the main components of this relationship, says Lewis First, M.D., chair of pediatrics and senior associate dean for medical education at the College. One is the third-year Clinical Clerkship, which all medical students participate in. Students can sign up to perform four-month long blocks of their clerkship in Maine, and are assigned slots in the program by lottery. As a part of their clerkship education, students may be placed by the Maine Practice Network in clinical settings far beyond Portland, First explains. A smaller number of fourth-year students from the College also choose to do acting internships at MMC. “Interaction between Maine faculty and UVM fac- 22 V E R M O N T M E D I C I N E ulty and administration is constant,” says First. “Maine faculty were active participants in the design of the Vermont Integrated Curriculum; and clerkship directors from both MMC and the College meet twice a year as a group, at MMC in the fall, and at UVM in the spring.” For MMC, the educational relationship with the College of Medicine is vital. “With education one of our three mission cornerstones, the connection MMC enjoys with UVM is critically important,” says MMC President and Chief Executive Officer Vincent S. Conti. “Students who interact with our residents and faculty bring with them the latest the academic world has to offer, complementing the knowledge, expertise, and guidance our house and medical staff provide. In turn, the richness of the MMC clinical and academic environment is equally important to the preparation of exceptional medical students.” MMC traces its beginnings to the 1870s, when there were only two other hospitals in the state. Its classic Victorian main wing opened on Portland’s Bramhall Street in 1874. The Maine Eye and Ear S P R I N G 2006 23 Infirmary and Portland’s Children’s Hospital opened their doors in 1890 and 1908, respectively. The three institutions merged in 1951 to form Maine Medical Center. Today, MMC, including its Barbara Bush Children’s Hospital, has 606 licensed beds and is the premier tertiary care center for its area of New England. 4 on an afternoon in march, just after returning to Burlington from nearly a year in Portland, third-year medical student Greg Connolly reminisces fondly about his clinical clerk24 V E R M O N T M E D I C I N E ship at MMC. “I signed up for one four-month block of clerkship in Maine, and the lottery gave me two blocks,” he says. “I was glad to be able to be there for that amount of time. You get a great feeling from staff at every level at MMC. Every single doctor I interacted with in my time there seemed excited to teach. Portland is very similar to Burlington. It’s a very nice place to live and raise a family. So, like Burlington, it seems to attract physicians who could just as easily be at institutions in bigger cities, but who chose to work and teach here.” At MMC, Connolly’s clinical studies included clerkship rotations in general internal medicine, surgery, obstetrics and gynecology, pediatrics, family medicine, neurology, and psychiatry. Throughout his time at MMC, Connolly lived in one of the houses provided by the program for UVM students, located just across the street from MMC on Portland’s Western Promenade, a bluff overlooking a picturesque view of the highlands of western Maine. The “Western Prom,” as it’s known locally, was one of the city’s most exclusive neighborhoods in the late 19th Century, and the area is still filled with beautiful, stately homes, four of which now house College of Medicine students. “I didn’t miss my classmates while I was in Maine because, basically, I was never apart from them,” says Connolly. “Since we live together here, I actually felt like I was seeing more of my classmates in Portland than I had in Burlington. That was a nice, unforeseen benefit.” Now embarking on his fourth thing more to them, different ways of looking at them, that makes the experience a rich one. When we’re seeing patients in the Emergency Department, we structure it so the students follow patients through the whole process—resuscitation of critical cases, scrubbing-in to the operating room. We’re not making cars here, we’re making physicians, so we want them to see everything in the process.” Assistant Professor of Pediatrics Lorraine McElwain, M.D., is another MMC doctor with a deep interest in medical education, and a connection to the program that stretches back to her own days as a medical student. A graduate of the College of Medicine Class of 1989, McElwain came to Maine for five months in her third year of medical school for separate OB/GYN and medicine rotations. “I loved it here,” she says. “And I had no idea what to expect. I’d grown up near Newport, Vt., and had never been to Portland. But the program’s comfortable housing made it very easy to make the transition. I was interested in pediatrics, and I’d heard raves about the department here.” McElwain came back to do a pediatric acting internship in her fourth year of school, then did her residency at MMC. She is now assistant professor of pediatrics at the College and is director of inpatient (From far left) Greg Connolly ’07 recently finished his clinical clerkship at MMC. At center in the photo at far left, top, is Chisholm House, one of four student residences. year clinical studies at Fletcher Allen Health Care, Connolly, who ran the administrative side of the Himalayan Cataract Project before medical school, hopes to one day practice ophthalmology. Renee Rickard has, like Connolly, had an extended stay in Portland. The third-year student, originally from Milford, Conn., began her clinical clerkship at MMC, and so enjoyed her experiences at the medical center and that she managed to finish her clerkship there. She plans to spend much of her fourth year on rotation in Portland. One reason Rickard cites for her good experience at MMC is Clinical Professor of Surgery Virginia Eddy, M.D. Eddy has been practicing and teaching at the hospital for five years, but spent more than two decades before that at the University of South Carolina, and at Vanderbilt University, where she ran the surgery clinical clerkship for many years. “For me, as for so many other doctors here, the connection with UVM medical students is very important,” Eddy says. “Every day I see students play important roles here. They present cases and they bring some- S P R I N G 2006 25 ized.” By 1980, the program was in full swing. The value of the program continues to be recognized today. “There’s no question that medical education is essential to the vibrant life of a medical center,” says George Higgins, M.D., chief medical officer and vice president for medical affairs at MMC and associate dean for Maine affairs at the College. “I recently heard one of our OB residents speak about how important it was for her to know she would be working with students. It was a very positive factor in her deciding to do her residency here. Our commitment is to always explore ways to make this relationship even better, to meet the medical needs of both our states. I’m impressed that the College of Medicine is clearly committed to that, too.” Ben Huerth ’07 examines a patient at Stephens Memorial Hospital in Norway, Maine. pediatrics and clerkship director at MMC. She interacts daily with medical students as they cycle through their rotations. “I usually have three new students each month in inpatient pediatrics, and usually two fourth-years doing acting internships. I love the connection with students—you’re constantly learning along with them!” 4 the uvm-mmc connection came about in the late 1970s as a result of a unique personal connection between the two institutions. “Maine’s last medical school, at Bowdoin College, had closed in the 1920s,” says David Tormey, M.D., former associate dean at the College of Medicine. Edward Andrews, M.D., the College’s dean in the late 1960s, who, during his tenure, had spearheaded the curriculum reform that vastly increased the amount of clinical education medical students received, became UVM’s president in 1970, and then president and chief executive officer of MMC in 1975. “It was Ed Andrews who saw that both institutions could cooperate and benefit from working together,” says Tormey. “We’d get increased clinical education opportunities for our students, and Maine would get a cadre of top-quality students.” Now retired in Yarmouth, Maine, Andrews agrees with Tormey. “Students just have a way of stimulating the place,” he says. “I was in a position to know everybody, and they all seemed willing to explore the idea. All our chairs at MMC realized the value of having those students here, and they really got behind the idea. Around 1979 it was formal- 26 V E R M O N T M E D I C I N E HALL A P R E S I D E N T C L A S S ’ S 28 29 C O R N E R N O T E S ALUMNI RECOGNITION AWARDS D E V E L O P M E N T N E W S O B I T U A R I E S 30 33 38 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. 4 in the midst of his clinical clerkship, thirdyear med student Ben Huerth took part in a threeweek session through the Maine Practice Network. The network provides clinical education and training to students and residents at nearly two dozen sites across the state. Huerth worked with doctors at Stephens Memorial Hospital in Norway, a town with a population of about 4,600 located about 50 miles northwest of Portland. “At Stephens, I’d link up with my “hospitalist-ofthe–day” and follow that person,” say Huerth. “I received great hands-on training. And being here in Norway for a chunk of time gave me a good feeling for the community, and an opportunity to absorb the social part of being a doctor.” Huerth, a Native American, looks forward to that community connection in his future practice. Married and the father of two children, he hopes to ultimately practice at Maine’s Penobscot Indian Island Reservation, where his wife grew up. In doing so, he’ll become one of the hundreds of new physicians over the years who have had their practice influenced by their time on the College’s “other campus.” “I must admit, I’m awfully proud of it,” says Edward Andrews, as he thinks of that long line of past students. “This program is one of those things that has paid off for both institutions. It’s been good for the students, good for the faculty and, most VM importantly, it’s been good for the patients.” S P R I N G 2006 27 PRESIDENT ’S CORNER M.D. CLASS NOTES H A L L A UNIVERSITY OF VERMONT COLLEGE OF MEDICINE DEVELOPMENT & ALUMNI RELATIONS OFFICE ASSISTANT DEAN rick blount DEVELOPMENT OPERATIONS MANAGER “The time has come the Walrus said, to talk of many things, of shoes and ships and sealing wax, of cabbages and kings.” My friends in the Medical Development and Alumni Relations office remind me that one of the things I need to do is pen this, my last Vermont Medicine President’s Corner. “Last” can be a rather ominous word, filled with potential foreboding, a term that exudes finality. At least that’s how it seems at my age when someone refers to anything as “your last”! In this instance, however, “last” is but a harbinger of one of the few constants in life: change. And while penning letters is not my strong suit, it is a bit stronger suit than then my two-handed-fade-away-almostjump-shot in basketball. And there I go again talking about fading. For me, leaving UVM has been a recurring event. As many reasons as I have at times had to leave, there are always even more reasons to return. One of the reasons to return is typified by the ‘Johns’, John Tampas, M.D.’54, and Dean John Evans, who recently announced the he will step down as dean this summer. In a cast of so many dedicated individuals at UVM, they have always stood high. They are a steady and constant reminder to us all of the backbone and character of the UVM College of Medicine. Their gifted and dedicated leadership has brought about the visible and palpable progress that amazes me during every one of my semi-annual visits. They have ridden this wave of development with unparalleled skill, yet they have always remained constant. They and their many dedicated colleagues at UVM have shepherded students through a complex educational process with energy and enthusiasm, with sure hands, with perspicacity and prescience, guiding the students’ and the College’s needs synergistically. Perhaps the most poignant reason that has driven many of my returns to UVM: I re-realized the almost desperate financial needs of so many medical students. I felt motivated to help. After being asked to serve on the Alumni Executive Committee (AEC), the other AEC committee members and I began seeking ways to lessen medical student’s financial burden in a meaningful way. Nearly all of us had once shared this same burden — no money when money was needed most. Students, especially medical students, should not have to worry about the next rent payment, the next meal, the tuition, … It is perhaps the most important time in life to have these worries lifted. Students endure enough hardship during their intense four-year effort to absorb mountains of material, a hardship exacerbated by the requirement at the most impoverished time in their lives, to find the means to pay for the privilege of being allowed the hardship. As alumni, on the Executive Committee or not, we can and should make a difference. Even though each of our individual efforts may be small and even though they may be our “last,” together they will make a difference — a lasting difference, if you will. That’s the kind of “last” I can live with. Charles Howard, M.D.’69 28 V E R M O N T M E D I C I N E ginger lubkowitz DIRECTOR , MAJOR GIFTS manon o ’ connor DIRECTOR , MEDICAL ANNUAL GIVING sarah keblin DIRECTOR , MEDICAL ALUMNI RELATIONS kelli shonter DEVELOPMENT OFFICER travis morrison ASSISTANTS jane aspinall james gilbert todd stewart UNIVERSITY OF VERMONT MEDICAL ALUMNI ASSOCIATION ALUMNI EXECUTIVE COMMITTEE 2005–2006 OFFICERS ( TWO -YEAR TERMS ) PRESIDENT charles b. howard, m.d. ’ 69 (2004-2006) PRESIDENT- ELECT marvin a. nierenberg, m.d. ’60 (2004-2006) TREASURER patricia fenn, m.d. ’65 (2004-2006) SECRETARY ruth a. seeler, m.d. ’62 (2004-2006) EXECUTIVE SECRETARY john tampas, m.d. ’54 ( ONGOING ) MEMBERS - AT- LARGE ( SIX-YEAR TERMS ) james c. hebert, m.d. ’77 (2000-2006) paul b. stanilonis, m.d. ’65 (2000-2006) carleton r. haines, m.d.’ 43 (2004-2006) don p. chan, m.d. ’76 (2002-2008) leslie s. kerzner, m.d. ’95 (2002-2008) frederick mandell, m.d. ’64 (2002-2008) mark allegretta, ph.d. ’90 (2003-2009) mark pasanen, m.d.’92 (2004-2010) naomi r. leeds, m.d.’00 (2004-2010) h. james wallace iii, m.d. ’88 (2004-2010) 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]. 1941 John S. Poczabut 62 Doral Farm Road Stamford, CT 06902 (203) 322-3343 1943 Francis Arnold Caccavo (M.D. Dec. 1943) 51 Thibault Parkway Burlington, VT 05401 (802) 862-3841 Carleton R. Haines (M.D. Dec. 1943) 88 Mountain View Road Williston, VT 05495 (802) 878-3115 Harry M. Rowe (M.D. March 1943) 65 Main Street P.O. Box 755 Wells River, VT 05081 (802) 757-2325 [email protected] 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 R E U N I O N 1946 ’ 0 6 J. Bishop McGill 152 Sanborn Road Stowe, VT 05672 (802) 253-4081 [email protected] George H. Dickinson sends out “my best wishes for the Class of ’46.” 1947 George H. Bray 110 Brookside Road New Britain, CT 06052 (860) 225-3302 Porter H. Dale 5 McKinley Street Montpelier, VT 05602 (802) 229-9258 1948 S. James Baum 1790 Fairfield Beach Road Fairfield, CT 06430 (203) 255-1013 [email protected] J. John Goodman is “still practicing dermatology. I have two boys still in school. One in college and one in law school, so I have to keep working.” 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] UPCOMING EVENTS Richard E. Pease P.O. Box 14 Jericho, VT 05465 (802) 899-2543 May 21, 2006 UVM Commencement UVM College of Medicine June 9-11, 2006 College of Medicine Reunion UVM College of Medicine Edward S. Sherwood 24 Worthley Road Topsham, VT 05076 (802) 439-5816 [email protected] June 22, 2006 Colodny Lecture James Betts, M.D.’73 UVM College of Medicine 1950 August 2, 2006 5th Annual Peter A. Martin Brain Aneurysm Golf Tournament Kwiniaska Golf Club Simon Dorfman 8256 Nice Way Sarasota, FL 34238 (941) 926-8126 R E U N I O N 1951 ’ 0 6 Edward W. Jenkins M.D. 7460 South Pittsburg Ave. Tulsa, OK 74136 (918) 492-7960 Bill Sohn says he is still working in the office Tuesdays and Thursdays. When recently asked what he did the rest of the week he replied, “Whatever my wife tells me to do!” Bill says he has a daughter who lives in Burlington. He plans to attend the 55th reunion in June. Frances Phillips Conklin says she is not going to St. Croix this winter (as she has for the last 15 years) because her daughter’s adopted a 3-year-old Chinese charmer who “is too dear to leave.” Fran is still active with Women in Medicine at Brown University Med. School. This year she will complete 25 years on the board of the R.I. Medical Women’s Assoc. Her four children all live in Rhode October 7-10, 2006 American Academy of Pediatrics Alumni Reception Atlanta, Georgia October 21, 2006 Alumni Executive Committee Meeting UVM College of Medicine November 26-December 1, 2006 Radiological Society of North America Alumni Reception Chicago, Illinois For updates on events see: www.med.uvm.edu/medalum Island. Harley Shepard and his wife, Adelaide, will be at reunion in June. Jim Downs and Tony Alberico are unable to attend because of illness. Dick Esser e-mailed from Sweden where he has pursued a career as a psychiatrist. He has retired but continues to play violin with an orchestra in Stockholm. He intends to join his classmates for the 2006 reunion. Dick also writes that he has been skiing in the French Alps S P R I N G 2006 29 M.D. CLASS NOTES 2006 ALUMNI RECOGNITION AWARDS Since the 1960s, the Medical alumni Association has recognized the accomplishments of its members with a series of awards presented at Medical Reunion. Current and past recipients appear on the College of Medicine’s awards display in the Given Building. A. BRADLEY SOULE AWARD Honoring exceptional loyalty and dedication to the College Virginia Donaldson, M.D.’51 Dr. Donaldson is a Professor Emerita of Pediatrics and Medicine at the University of Cincinnati College of Medicine. She is a prolific and accomplished pediatric hematologist who is particularly known for her work in identifying a key, inherited deficiency involved in the cause of hereditary angioneurotic edema — a potentially fatal disease that causes swelling of the face and airways — and for subsequent investigations that have advanced our understanding of the disease. In 1981, she received the Distinguished Academic Achievement award from the College of Medicine. Dr. Donaldson is a loyal supporter of her medical alma mater, currently serving on the planned giving committee. She created an endowment to promote the impact of the biological sciences on clinical medicine. RECENT ALUMNI AWARD Marc Passman, M.D.’91 Dr. Passman is Assistant Professor of Surgery and the Director of the Vanderbilt University Medical Center Vein Clinic. In July 2006 he will become Associate Professor of Surgery at the University of Alabama. Dr. Passman has published 20 journal articles, co-authored eight book chapters, and is a peer reviewer for three journals. He is a member of more than 15 professional societies and is a Councilor to the American Venous Forum and the Peripheral Vascular Surgery Society. In 1997, Dr. Passman received the chief resident teaching award from the Department of Surgery at Oregon Health & Science University. Mario Trabulsy, M.D.’91 Dr. Trabulsy is Assistant Professor of Surgery & Emergency Medicine at the UVM College of Medicine. While a resi- dent at Highland General Hospital of Oakland in 1994 and 1995, she won two awards for excellence in emergency medicine, one from HGH and another from Oakland Children’s Hospital. More recently, Dr. Trabulsy was named a 2005-2006 Frymoyer Scholar at UVM for her proposal to develop an innovative, standardized curriculum for medical students’ required emergency medicine course. Dr. Trabulsy has served on Ultrasound Credentialing and Emergency Preparedness committees at Fletcher Allen Health Care, and is currently a member of the Vermont Integrated Curriculum Design committee at the UVM College of Medicine. AWARD FOR DISTINGUISHED ACADEMIC ACHIEVEMENT William G. Cioffi, M.D.’81 Dr. Cioffi is the Surgeon-in-Chief at the Rhode Island Hospital, the President of University Surgical Associates, Inc., as well as the J. Murray Beardsley Professor and Chairman of the Department of Surgery at the Brown University School of Medicine. He is a pre-eminent burn specialist who has had considerable international attention for his work in emergencies. Dr. Cioffi was featured in a number of national media outlets for leading the team that saved the lives of 64 burn victims from the deadly fire at The Station Nightclub in West Warwick, RI. He is a former U.S. Army surgeon who was chief of the burn study branch at the Institute of Surgical Research (The Brooke Army Medical Center) at Fort Sam Houston, Texas. During his service in the military, Dr. Cioffi received the Meritorious Service Medal (1994) and the Army Commendation Medal (1992). Dr. Cioffi has served on the editorial boards of 10 professional journals, and has served on a vast number of committees at RIH and Brown University. Ronald M. Lechan, M.D.’76 Dr. Lechan is the Acting Chief of Endocrinology, Diabetes, Metabolism and Molecular Medicine at Tufts-New England Medical Center. Dr. Lechan is a Diplomate of the American Board of Internal Medicine and Subspecialty Board in Endocrinology and Metabolism. He is also a Fellow of the American College of Physicians, an elected member of the American Society for Clinical Investigation and the Academy of Science at the University of Bologna, has served on the Program Committee of The Endocrine Society, and is a founding member of The American Pituitary Association. He has served on the editorial boards of Endocrinology and Endocrine Pathology, and has participated as a member and Chairman of the Special Emphasis Panel for the NIH. His research has been funded by the National Institutes of Health since 1981. George F. Murphy, M.D.’76 Dr. Murphy is Chief of Dermatopathology at Brigham and Women’s Hospital, Director of Morphology & Cell Analysis at the Harvard Skin Disease Research Center, and a Professor of Pathology at Harvard Medical School. Dr. Murphy’s investigative focus has involved elucidation of the cellular and molecular pathways responsible for early phases of skin inflammation, and his research has contributed to a number of important discoveries in cutaneous biology. He has published more than 150 journal articles, authored, coauthored or edited six textbooks, and has authored or co-authored more than 60 book chapters, including contributions to the seminal textbook Robbin’s Pathologic Basis of Disease. Dr. Murphy is a founder of the Center for Dermatopathology at Thomas Jefferson University and established the Division of Dermatopathology at Brigham and Women’s Hospital, where he currently serves as Director. He became President of the American Society of Dermatopathology in 1997. William W. Pendlebury, M.D.’76 Dr. Pendlebury is Professor of Pathology, Neurology and Medicine at the UVM College of Medicine, and also serves as Course Director of the College of Medicine’s Generations Course taught to second-year medical students. At Fletcher Allen Health Care, Dr. Pendlebury is Medical Director of the Memory Center, Medical Director of Elder Care Services, and Director of Neuropathology. His research for the past 20 years has been focused on basic science and clinical aspects of Alzheimer’s disease. Dr. Pendlebury currently serves as a member of the Governor’s Commission on Alzheimer’s disease and Related Disorders and previously served on the External Review Committee for the University of Rochester Alzheimer’s Disease Center. He is an ad hoc consultant to the National Institute on Aging, and is a permanent member of its Special Emphasis Panel. He is the author or coauthor on over 148 manuscripts, abstracts and edited book chapters. In 1994, he was honored with the Ernest Hiram Buttles Endowed Professorship, honoring a commitment to and excellence in the teaching of pathology. AWARD FOR SERVICE TO MEDICINE AND COMMUNITY Donald S. Bicknell, M.D.’61 Dr. Bicknell has been a family medicine physician in Vergennes, Vermont, for over 40 years. During that time he has been an active volunteer who has devoted his energy and enthusiasm to a wide variety of professional and community causes, serving as Ferrisburgh’s town moderator, co-founding the Vergennes Union High School Booster Club, volunteering his services as a physician to several area schools, refereeing for the local Little League, teaching Sunday school, and contributing to many local community organizations and projects. Douglas M. Black, M.D.’56 Dr. Black is founder and senior partner of Concord Obstetrics & Gynecology in New Hampshire. A dedicated commu- nity leader, Dr. Black holds a seat on the Concord City Council, is chair of the Concord Area Task Force Against Racism & Intolerance, and is a member of the standing committee of the Episcopal Diocese of New Hampshire. He has served on the board of directors of many local organizations, including the YMCA, the American Cancer Society, and the Capitol Center for the Arts. In 2001, Dr. Black won the Community Service Award of the American College of Obstetricians & Gynecologists. James Rines, M.D.’88 Dr. Rines is a physician with the MidCoast Medical Group in Bath, Maine. He has volunteered his professional services to underserved populations in Zimbabwe, Peru, and most notably, rural Thailand. In Thailand Dr. Rines and his wife, Michelle, a registered nurse, spent a year providing a wide range of medical services to patients of the Kwai River Christian Hospital. In the Bath area, Dr. Rines has volunteered with and supported many local service and arts organizations. Peter Stern, M.D.’81 Dr. Stern is a former Assistant Professor of Anesthesiology at the College of Medicine. An active supporter of local non-profits, Dr. Stern serves on the boards of many service, education, and welfare organizations in the Burlington area. He is a trustee of Champlain College, a board member of the Howard Center for Human Services, an honorary board member of the Stern Center for Language and Learning, and a board member of Partners in Adventure, a summer camp that brings together disabled and non-disabled youth. At UVM, Dr. Stern helped organize fundraising for the John Abajian, Jr. — John Mazuzan, Jr. Lectureship in Anesthesiology, and in 2005, together with his wife, Marjorie, established a fund that provides financial aid for medical students who seek help with learning skills. with his daughter, and recently finished writing a book which sums up what he has learned from “my work in psychiatry and child psychiatry. Its tentative title is The Bottom Line in Living: The Best of Living and How to Get It.” He plays a good deal of chamber music, and four years ago he moved from Lund to Stockholm where his daughters also live. 1952 Brewster Davis Martin Box 128 362 VT Route 110 Chelsea, VT 05038 (802) 685-4541 Arthur S. Kunin writes that “It was refreshing and fun, so many years since I took the course in Freshman History — ‘Taking a Physical Examination,’ to teach it this Fall after 57 years!” 1953 Richard N. Fabricius 17 Fairview Road Old Bennington, VT 05201 (802) 442-4224 [email protected] 1954 John E. Mazuzan, Jr. 366 South Cove Road Burlington, VT 05401 (802) 864-5039 [email protected] Kenneth O. Williams was honored in June 2005 at The Children’s Hospital of Los Angeles when Mr. and Mrs. William Close and Family established the Dr. Kenneth O. Williams Chair S P R I N G 2006 31 M.D. CLASS NOTES H A L L A for Bone and Soft Tissue Tumor Research, “with the intention of finding a cure for childhood cancers, in appreciation for the compassionate care Dr. Williams provided to the Close family for so many years.” 1955 Marshall G. London 102 Summit Street Burlington, VT 05401 (802)864-4927 [email protected] R E U N I O N 1956 ’ 0 6 Ira H. Gessner 1306 Northwest 31st Street Gainesville, FL 32605 (352) 378-1820 [email protected] 1957 Larry Coletti 34 Gulliver Circle Norwich, CT 06360 (860) 887-1450 [email protected] Marvin A. Nierenberg 6 West 77th Street New York, NY 10024 (212) 874-6484 [email protected] Melvyn H. Wolk Clinton Street P.O. Box 772 Waverly, PA 18471 (570) 563-2215 [email protected] R E U N I O N 1961 ’ 0 6 Wilfrid L. Fortin 17 Chapman Street Nashua, NH 03060 (603) 882-6202 [email protected] 1962 Ruth Andrea Seeler 2431 North Orchard Chicago, IL 60614 (773) 472-3432 1963 1958 Peter Ames Goodhue Stamford Gynecology, P.C. 70 Mill River Street Stamford, CT 06902 (203) 359-3340 H. Alan Walker 229 Champlain Drive Plattsburgh, NY 12901 (518) 561-8991 [email protected] Jay E. Selcow 27 Reservoir Road Bloomfield, CT 06002 (860) 243-1359 [email protected] V E R M O N T M E D I C I N E (the children of his daughter Leslie Kerzner, M.D.’95). 1967 1964 John F. Dick II P.O. Box 60 Salisbury, VT 05769 (802) 352-6625 Anthony P. Belmont 211 Youngs Point Road Wiscasset, ME 04578 (207) 882-6228 [email protected] 1965 John J. Murray P.O. Box 607 Colchester, VT 05446 (802) 865-9390 [email protected] 1959 32 1960 Arnold Kerzner keeps busy as any UVM alum. He has taken on two new positions — as president of The New England Council of Child Psychiatry, and clinical instructor, Harvard Medical School. He also stays young playing house with his two granddaughters, Elana and Adriana, George A. Little 97 Quechee Road Hartland, VT 05048 (802) 436-2138 george.a.little@ dartmouth.edu Allan L. Gardner writes that he is still “practicing full time, healthy and happy, family doing well. Regards to all my classmates.” Andy Packard is now (semi) retired from his interventional angiography career of 34 years at the Maine Medical Center. 1966 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 Joseph H. Vargas III 574 US Route 4 East Rutland Town, VT 05701 (802) 775-4671 [email protected] R E U N I O N 1968 ’ 0 6 Robert George Sellig 31 Overlook Drive Queensbury, NY 12804 (518) 793-7914 [email protected] G. Millard Simmons 3165 Grass Marsh Drive Mount Pleasant, SC 29466 [email protected] G. Millard Simmons writes: “We now live in Mt. Pleasant, S.C., which is more central to our family.” DEVELOPMENT NEWS Russell, MA 01071 (413) 568-8659 [email protected] John F. Beamis, Jr. 24 Lorena Road Winchester, MA 01890 (781) 729-7568 [email protected] R E U N I O N 1971 1972 Charles B. Howard 256 Bridgepoint Road Belle Mead, NJ 08502 (908) 359-6161 [email protected] F. Farrell Collins, Jr. 205 Page Road Pinehurst, NC 28374 (910) 295-2429 John Healy took a fourhour test in Tucson in January to be recertified in neuroradiology for another 10 years. Next test 2016. “I am an examiner for the American Board of Radiology. Oral boards for a week this coming June. Still skiing with Steve Firestone. Barbara and I are putting on three Radiology ski meetings at Alta and Snowbird this winter, bringing our total to twenty meetings.” 1970 Raymond Joseph Anton 1521 General Knox Road ’ 0 6 Wayne E. Pasanen 117 Osgood Street North Andover, MA 01845 (978) 681-9393 wpasanen@lowell general.org 1969 Susan Pitman Lowenthal 200 Kennedy Drive Torrington, CT 06790 (860) 597-8996 susan_w_pitmanlowen [email protected] VAYDAS ENDOW SCHOLARSHIP Mary E. Norris left Connecticut in June 2004 and joined a GI practice on the Gulf Coast of Mississippi. “Now I am a Hurricane Katrina Victim. I am battling FEMA, Insurances, and SBA. A new vision is moving us to Longview, Washington.” 1973 James M. Betts 715 Harbor Road Alameda, CA 94502 (510) 523-1920 [email protected] Philip L. Cohen 483 Lakewood Drive Winter Park, FL 32789 (407) 628-0221 [email protected] Gregory J. Melkonian writes: “After twentyseven-and-a-half years at my New Hampshire orthopedic practice I am A College of Medicine graduate and his family have endowed a $100,000 scholarship to benefit a UVM medical student. James Vayda, M.D.’87 and his sister Charlotte Vayda Poston were left a bequest by their late mother Mary Louise who wished that it be spent philanthropically. The Vaydas have endowed the scholarship at the College in memory of their mother. Dr. Vayda is a regular contributor to the medical annual fund and a longtime member of the Ira Allen Society. HONORING TWO LEGENDS The members of the Department of Radiology at the College of Medicine have embarked on a campaign to fund the Soule-Tampas Professorship, an endowed position (at the minimum level of $250,000) that will honor the legacy of two memorable former chairs of the Deparment, A. Bradley Soule, M.D.’28, and John M. Tampas, M.D.’54. Pledges have consistently been made by current faculty and former students and residents. Anyone wishing to donate to the fund may contact Manon O’Connor at 656-4014. RIDING FOR THE CURE S.D. Ireland cement mixers on parade. This St. Patrick’s Day in Burlington saw a new twist on a 20-year tradition, the parade of S.D Ireland trucks and cement mixers snaking its way through the town. This year the company, in cooperation with S.D. Ireland Cancer Research Fund, decided to make it a more meaningful and worthwhile experience by raising funds to support cancer research in Vermont. The Ireland family has a long history of support, particularly for the work of David Krag, M.D., S.D. Ireland Professor of Surgery. ART FOR OUR SAKE Two alumni families from the Class of 1956 have recently donated artworks to the College. Edward Okun, M.D.’56, a retired ophthalmologist from Tesuque, New Mexico, and his wife, Barbara-rose, gave the school two museum-quality works by Vermont artist Frank Owen. Owen is a nationally known artist who has been professor of art at UVM since 1993. Janet and J. Ward Stackpole, M.D.’56 donated a set of four drawings by physician V. Robert Allen, M.D. Each drawing depicts one of the four years of medical school from the artist’s allegorical view. Both donations will be displayed on the medical campus. ASSESSMENT ROOMS NAMED Three more rooms used for medical education have been named to honor supporters of the College. The first donors to name rooms in the Student Assessment Center in Given are Charles Howard, M.D.’69, Herbert Goldberg, M.D.’56, and by the late Edward J. Sennett, M.D.’43. Nine rooms remain to be named. CLASS AGENTS ’07 ANNOUNCED Current third-year medical students gathered at the College on March 3 to celebrate the choice of their two class Scot Millay, agents. Scot Millay and Allison Omar Kahn, Collen are shown with Omar Kahn, M.D.’03, and M.D., agent for the class of 2003. Allison Collen M.D. CLASS NOTES CONTINUING MEDICAL EDUCATION 2006 CONFERENCE SCHEDULE H A L L A leaving to join the orthopedic department at Children’s Hospital Boston and Harvard Medical School, where I will continue to specialize in pediatric orthopedics.” Ralph S. Albertini reports that he is “back in Vermont and happy to be here! Living in Thetford, teaching at Dartmouth Medical School and private practice in Hanover, N.H. Hi to all.” Douglas M. Eddy 5 Tanbark Road Windham, NH 03087 (603) 434-2164 [email protected] Cajsa Schumacher 78 Euclid Avenue Albany, NY 12203 [email protected] 1975 Ellen Andrews 195 Midland Road Pinehurst, NC 28374 (910) 295-6464 [email protected] 1976 ’ 0 6 Don P. Chan Cardiac Associates of New Hampshire Suite 103 246 Pleasant Street Concord, NH 03301 (603) 224-6070 [email protected] Bonita Ann Palmer writes that she is “enjoying serving as a consultant for hospitalized patients at St. Luke’s Hospital San Francisco, where I do 34 V E R M O N T M E D I C I N E 1977 Mark A. Popovsky 22 Nauset Road Sharon, MA 02067 (781) 784-8824 mpopovsky@ haemonetics.com 1974 R E U N I O N Reiki Touch Therapy and Guided Imagery for complementary care. Also enjoy teaching medical students at UCSF. Currently co-facilitating the Family Medicine Seminar at SFGH for third-year students.” Eric Jay Reines has been a hospitalist in Beverly, Mass., since 2001. 1978 Paul McLane Costello Essex Pediatrics, Ltd. 89 Main Street Essex Junction, VT 05452 (802) 879-6556 Nicholas James Sears is working for a healthcare consulting firm which helps hospitals improve margins. 1979 Sarah Ann McCarty 1018 Big Bend Road Barboursville, WV 25504 (304) 691-1094 [email protected] Ralph Andrew Manchester is the editor of the journal Medical Problems of Performing Artists. Cynthia Christy is president-elect of the medical staff at Rochester General Hospital. 1980 1983 Richard Nicholas Hubbell 80 Summit Street Burlington, VT 05401 (802) 862-5551 rich.hubbell@ vtmednet.org Diane M. Georgeson 2 Ravine Parkway Oneonta, NY 13820 (607) 433-1620 [email protected] R E U N I O N 1981 ’ 0 6 Craig Wendell Gage 2415 Victoria Gardens Tampa, FL 33609 CraigGage@ alumni.uvm.edu 1982 Linda Hood 4 Cobbler Lane Bedford, NH 03110 (603) 471-2536 [email protected] George Weightman was promoted to Major General in the U.S. Army in September 2004. He is currently commanding the Army Medical Department Center and School, the largest medical education school in the world. David Roy and his wife, Ruth, made it to Montana this summer to visit Sally and David Murdock, M.D. ’83 in Whitefish. “What a great time we had,” they write. “Our daughter Rebecca received her master’s this spring and is teaching in Conn. Our son Andrew is pursuing a master’s in counseling at UVM and our youngest, Matthew, is a junior at WNEC. Time sure flies!” [email protected] Anne Marie Massucco 15 Cedar Ledge Road West Hartford, CT 06107 (860) 521-6120 [email protected] 1984 Richard C. Shumway 34 Coventry Lane Avon, CT 06001 (860) 673-6629 rshumway@ stfranciscare.org Thomas M. Munger recently traveled with his two youngest children to Tibet. He has been appointed to a four-year term on Centers for Medicare and Medicaid Services APC advisory panel. He writes: “My dad, who has recently retired from dairy farming, and I went to Europe in September on a National Geographic tour of D-Day vistas.” 1985 Vito D. Imbasciani 1915 North Crescent Heights Blvd. Los Angeles, CA 90069 (323) 656-1316 [email protected] R E U N I O N 1986 ’ 0 6 Darrell Edward White 29123 Lincoln Road Bay Village, OH 44140 (440) 892-4681 Nicole Noyes is “Still living in New York and working on Staff at NYU. Ski as often as possible in the winter with Gracie (13), Charlotte (12), and Thomas (6).” 1988 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 lawrence.wolk@ cigna.com 1990 Barbara Angelika Dill 120 Hazel Court Norwood, NJ 07648 (201) 767-7778 [email protected] Class gathering at Frank Nolan’s farm June 23-25 (Friday evening to midSunday). Anyone interested should contact Frank ([email protected]) or Barbara (barbrichand [email protected]). R E U N I O N 1991 ’ 0 6 John Dewey 15 Eagle Street Cooperstown, NY 13326 [email protected] 1989 1992 Peter M. Nalin 13216 Griffin Run Carmel, IN 46033 (317) 962-6656 [email protected] Mark Eliot Pasanen 1234 Spear Street South Burlington, VT 05403 (802) 865-3281 mark.pasanen@ vtmednet.org Julie and Dean Mastras write: “Hello friends and classmates! It was another great year in the Pacific Northwest. The Radiation Oncology Practice continues to expand. We added a ‘gamma knife’ in Tacoma (the fourth in the state) and new technologies abound. Julie, Kassie (7), Izzy (3) and I are busy skiing down the record snowfall in the Cascades. We hope to finish our mountain retreat at Lake Wenatchee on the top of Stevens Pass by next winter. Come on up, the snow is coming down! [email protected]” 1993 Joanne Taplin Romeyn 22 Patterson Lane Durham, CT 06422 (860) 349-6941 1994 Holliday Kane Rayfield P.O. Box 819 Waitsfield, VT 05673 (802) 496-5667 [email protected] Tim Howard is “in year six at University Medical Center at Princeton as attending radiologist. Married to Sharon Howard — UVM physical Annual Family Medicine Review Course June 13-16, 2006, Sheraton Conference Center, Burlington, Vt. Vermont Summer Pediatric Seminar June 15-18, 2006, The Equinox, Manchester, Vt. Dermatology Update for the Primary Care Physician September 7-9, 2006, Samoset Resort, Rockport, Maine 4th Annual Northern New England Critical Care Conference September 14-16, 2006, Stoweflake Resort, Stowe, Vt. Dementia & Neuropsychiatry — Dual Track Sessions for Primary Care and Specialists September 15-17, 2006, The Wyndham, Burlington, Vt. Current Concepts in the Treatment & Rehabilitation of Sports Injuries October 5-6, 2006, Sheraton Conference Center, Burlington, Vt. 20th Annual Imaging Seminar October 13-15, 2006, Topnotch Resort, Stowe, Vt. Fall Foliage Clinical Dermatology Meeting October 27-29, 2006, Greenbrier Resort, White Sulphur Springs, W.Va. 5th Annual Vermont Physicians Conference on Addiction Medicine November 8, 2006, Lake Morey Inn, Fairlee, 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 Farrell Hall, 210 Colchester Avenue Burlington, VT 05405 (802) 656-2292 http://cme.uvm.edu therapy ’94. Children: Sarah (6); Kyle (4); Erin (1.5). Lauren Archer writes: “Hi class of 1994! I’m happy to say that at long last I am finishing my final months of residency training in plastic surgery in Cincinnati. I will soon move to Tampa, Fla. to start practicing. I am hoping to convince Manisha S P R I N G 2006 35 M.D. CLASS NOTES on the other side H A L L A Patel and husband Mike Curran, M.D. to leave the lovely city of Cincinnati and move south too!” 1995 Allyson Miller Bolduc 252 Autumn Hill Road South Burlington, VT 05403 (802) 863-4902 allyson.bolduc@ vtmednet.org R E U N I O N 1996 ’ 0 6 Anne Marie Valente 4616 Dolwick Drive Durham, NC 27713 (919) 806-8110 [email protected] Patricia Ann King, M.D., Ph.D. 832 South Prospect Street Burlington, VT 05401 (802) 862-7705 patricia.king@ vtmednet.org Reunion is sure to be a good time with “Table 15” performing on Sat., June 10th! 1997 Julie Clifford Smail 10 Proctor Street Manchester-by-the-Sea, MA 01944 (360) 240-8693 jsmail@ fidalgomedical.com 1998 Halleh Akbarnia 4700 Bromley Lane Richmond, VA 23226 (804) 204-2595 [email protected] Halleh Akbarnia and Stewart Jester had a sec- 36 V E R M O N T M E D I C I N E ond addition (a boy) to the family in September. 1999 Everett Jonathan Lamm 11 Autumn Lane Stratham, NH 03885 (603) 929-7555 [email protected] Deanne Dixon Haag 4215 Pond Road Sheldon, VT 05483 (802) 524-7528 Jeff Kenney writes that he is “still alive and well in Savannah, Ga. I just got back from visiting Thomas Evans in Vail, Colo. I love to entertain visitors. Look me up if you’re planning any trips to the Savannah/Hilton Head area.” 2000 Jay Edmond Allard USNH Yokosuka PSC475 Box 1757 FPO, AP 9L350 [email protected] Gregory S. Hunt is living and working in New Bedford, Mass. “Enjoying the beach and my sevenminute walk to work at the hospital. Contact us @ [email protected].” 2001 Students at the College of Medicine, led by members of the student council, have initiated a fundraising project to memorialize and honor beloved teacher Bruce Fonda, who died last fall. Students plan to name the game room in the new student lounge (which is under construction in the Given Building) for Bruce. One thing Fonda was known for were the foosball games for students he would host at his Williston home. The students invite all alumni, faculty, staff, and those who knew Bruce to join them in contributing to the $10,000 goal to name the space. The students hope to raise the funds by June 30, 2006. All donations will be directed to the 21st Century Fund for student and alumni support. Gifts in support of this project can be mailed to: UVM College of Medicine Fonda Memorial Project Development and Alumni Relations Office 210 Colchester Ave., Farrell Hall Burlington, VT 05405 Please be sure to indicate your gift designation to the Bruce Fonda Memorial Project. Questions? Please call (802) 656-4014 A remembrance celebration of Bruce Fonda will take place Sunday, June 11 at 2 p.m. in Ira Allen Chapel. All are welcome. Michael Jim Lee 71 Essex Lane Irvine, CA 92620 michael_j_lee1681@ yahoo.com R E U N I O N STUDENT FUNDRAISING HONORS FONDA ’ 0 6 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] JoAn Monaco reports: “Check the summer issue of Vermont Medicine for a great report from our class!” 2002 Jonathan Vinh Mai 15 Meadow Lane Danville, PA 17821 (570) 275-4681 [email protected] 2003 Omar Khan 33 Clearwater Circle Shelburne, VT 05482 (802) 985-1131 [email protected] Scott Goodrich 13 Mountain View Blvd. South Burlington, VT 05403 (802) 864-7787 [email protected] continued from page 13 My AVM shrank, and my sense of self collapsed too. I couldn’t practice medicine, or do much of anything else either. I can’t even work at McDonald’s, I thought to myself; in fact, that would probably be the job for which I was least qualified, with the pace and distractions involved. In my family, intelligence was everything. My grandfather won the Nobel Prize in physics. A cousin was a member of the National Academy of Sciences. Virtually all of my family and cousins had graduate degrees. For me, the loss of my intellectual working capacity was devastating. Being a doctor was not a job, not a career, but a defining element of who I was, and now I would never be able to practice again. I remember going to the College of Medicine shortly after my surgery. I wanted to connect to that place that shaped me, and gave me the happiest years of my education. A colleague kindly let me cry on her shoulder, and showed me around. I went back again, when my mentor retired as chairman. There was a wonderful party, and I saw all the friends I worked with, but it was bittersweet. Each one would tell me of the contentment of their life, the work going well, the family, the happiness they had. I quickly found that saying “I had an AVM and had to stop my practice” was a pretty wet blanket to throw on the conversation. I felt that I was damaged goods. I drank too much, smoked too much dope. I struggled with a depression that had become worse. I often thought of blowing my brains out. I wallowed in self pity. Yet, now, I am on the other side. How did I get there? Certainly a lot of psychotherapy helped a great deal. But the first step, I think, was stopping my drug use. The drugs were an anesthetic, and I could only feel, and grieve the loss of me, without them. And grieve I had to, grieve as one grieves the loss of a spouse or child, a tedious process of remembering and feeling sad and angry over each nugget of memory of who I had been, over and over. As the grief grew further out, I would have “burps” where some little unexpected thing would trigger a spasm of sobbing. Along with stopping the drugs, the diminishment of my grief was linked with my developing sense of faith. My family is loaded with theologians and priests, and I had rebelliously avoided any involvement with church or God through my adult life. I know it is not for everyone, but developing a sense of faith, a sense that there was a God who determined things and cared for me, was essential for me. I asked my mother, the theologian, the “why do bad things happen to good people” question, and her twofold answer was helpful. First, she said, it can come from human acts with bad results, from human choices. But secondly, she reminded me, God did not make a perfect world. That was true for me as my brain developed, cells went in the wrong direction, and this was the result. The doctors who didn’t look at my brain before the ECT were negligent, but it was also true that God’s world was imperfect. Somehow, for me, that was comforting. Finally, I reached a point called “radical acceptance.” What is that? It was a change in my thinking. Instead of thinking “it is awful that I can’t be a physician” my though became simply “I’m not a physician.” It involved stopping judging myself, and accepting me as I am. My life now is very different from what it was. I live in the now. At night I can recall, with some concentration, what went on during the day. Remembering yesterday is harder, and a week ago is a blur. The last ten years have essentially evaporated, and that is how it will be for me from now on. Accepting, and even enjoying, that my life is “now” has relieved me of memory, good and bad. (The “enjoying part” is that I can see a good movie more than once and not remember I’ve seen it before — that kind of thing.) I am still me. I still have the characteristics of who I am. I just experience things differently. My Palm Pilot has become my best friend. I no longer beat myself up for forgetting something, and it is not a sin or a social failing that I don’t work. Most importantly, I no longer feel that I “ought” to be a physician. I was one once, and I still have my diplomas splendidly framed on my study wall; but I do different things now. I have loving friends, and even if I can’t remember what we talked about last time, it is not a source of shame. It has taken me a long time to get to this place — this place where I do have a damaged memory, but I am not damaged goods. When I was in medical school, I did a little research project about the adjustment of quadriplegic patients, and found that the literature said it took five years to come to grips with the loss of your body. It has taken me about that long to come to grips with the loss of part of my mind. Obviously, my story isn’t cheerful; not happy, not what my colleagues are doing who have progressed through their careers. I think we don’t often talk about those of us whose lives changed, like mine, precisely because of that: Those who’ve done well feel guilty, perhaps even ashamed, a survivor’s guilt, a “there-but-forthe-grace” guilt. But it is important, for those other of us who have left the brotherhood, to hear that you are not alone, and that you can cross the stream and come VM out on the other side. S P R I N G 2006 37 OBITUARIES H A L L A ROBERT S . JENKS , M . D.’35 Dr. Jenks, a resident at Falmouth House at Ocean View (Mass.), died on Dec. 17, 2005, at the age of 94. Born in Amherst, Mass., Dr. Jenks received both his undergraduate and medical degrees from the University of Vermont. After serving residencies in surgical specialties at Lenox Hill Hospital in New York City and the Mt. Morris, N.Y., Tubercular Hospital, Dr. Jenks began a private practice which spanned 40 years in Batavia, N.Y. In 1942 he left his practice to join the U.S. Army as a Captain in the Medical Corps, serving in Africa, France, and Germany. He moved to Branford, Conn., in 1979 when he joined the staff of Connecticut Hospice serving as Deputy Medical Director. Before taking this responsibility he received training in hospice and palliative care at the Royal Victoria Hospital in Montreal, Quebec. Dr. Jenks’s commitment to the hospice concept continued following his retirement. After taking several courses at Yale Divinity School, he was made a Commissioned Minister of the United Church of Christ to provide pastoral care to hospice patients. Dr. Jenks received the Service to Medicine & Community Award from the Medical Alumni Association in 1985. JACK WOOL , M . D.’41 Dr. Wool died Tuesday, Oct. 4, 2005, at his home in Montgomery, Ala., following a long illness. He practiced medicine in Montgomery for over 50 years. He was born in Burlington, Vt., on Dec. 6, 1916, son of Frank and Lottie (Goldstein) Wool. He graduated from Burlington High School in 1933. He attended UVM and received his B.A. in 1937 and his M.D. in 1941. His entire professional life was spent in Montgomery. He served as a medical officer during World 38 V E R M O N T M E D I C I N E War II in North Africa and Italy. MAURICE TRAUNSTEIN , JR ., M . D.’42 Dr. Traunstein, a resident of Winthrop, Mass., died on Jan. 29, 2006. He was 88 years old. Dr. Traunstein was a family practice physician in the town of Winthrop for 43 years. He received his baccalaureate degree from the University of Vermont in 1938, and his M.D. from the College of Medicine in 1942. He served his internship at the Maine General Hospital in Portland and was a resident at Boston City Hospital, Mallory Institute of Pathology. EDWARD J . SENNETT, M . D.’43 Dr. Sennett died Wednesday, November 16, 2005, at St. Francis Hospital and Medical Center in West Hartford, Conn. Born in Poultney, Vt., he was a graduate of Troy Conference Academy in Poultney, Green Mountain Junior College, and the University of Vermont. He received his medical degree from the College of Medicine in 1943. He interned at St. Francis Hospital in 1943 and served in Europe with the U.S. Army Medical Corps during World War II. He performed his residency in medicine at Burlington’s Bishop DeGoesbriand Hospital and in radiology at Mary Fletcher Hospital. Beginning in 1951 he served as an assistant radiologist at St. Francis Hospital in Hartford, and served as Director of the Department of Radiology from 1954 until his retirement in 1988. He was also a fellow in radiology at Massachusetts General Hospital. PAUL E . GRIFFIN , M . D.’48 Dr. Griffin died on March 14, 2006. He was born on Aug. 13, 1922, in Herkimer, N.Y. He overcame a childhood bout of polio and was a graduate of Herkimer High School. He earned his bachelor’s degree from Niagara University before coming to the College of Medicine, from which he graduated in 1948. He served his internship and residency in Hartford, Conn., and at Albany Medical Center. Dr. Griffin also served in the U.S. Air Force as a captain during the Korean War; he was stationed at Limestone Airbase in Maine. He started his career in private practice in Johnstown, N.Y., until called to serve in the Korean War in 1953. In 1955, he began work at the V.A. hospital in Albany, where he specialized in infectious disease and internal medicine. He retired in 1996. JAMES E . DOWNS , M . D.’51 Dr. Downs passed away Monday, January 30, 2006, at St. Mary's Residential Hospice, Knoxville, Tenn. He was born December 14, 1927, in Schenectady, NY. After graduating from Dannemora High School in 1944, he attended Midshipman N.Y.S. Maritime Academy from 1945-46, then attended St. Michael’s College where he received his B.A., before earning his M.D. from the College of Medicine in 1951. He performed his internship at the U.S. Naval Hospital in St. Albans. Dr. Downs was an active duty U.S. Navy veteran from 1951 to 1953 and an active reservist from 1953 to 1955. He performed his residency in anesthesiology at Columbia Presbyterian Hospital in New York City from 1953 to 1955. He started his practice of anesthesiology in Knoxville in 1955 and was one of the three original founding physicians of the Knoxville Anesthesia Group. His early years of practice included all the local area hospitals. Dr. Downs saw the start of the Departments of Anesthesia, Recovery Rooms and Intensive Care Units. In the early 60’s his practice became limited to St. Mary’s Memorial Hospital and the Chest Disease Hospital. In 1968, he served on rotation with Project Hope in Sri Lanka (Ceylon). He retired from active practice in 1990. EDWIN P. BASSETT, M . D.’51 Dr. Bassett died on March 16, 2004 at his home in Port Washington, N.Y. After receiving his M.D. degree from the College in 1951, he performed a residency in pathology at Mary Fletcher Hospital. He continued his education for two additional years at Long Island College Hospital, where he was chief resident in Pathology. Dr. Bassett was one of the first attending pathologists at North Shore Hospital (North Shore University Hospital) where he specialized in surgical pathology. Dr. Bassett served with distinction in the rapidly growing Department of Laboratories (Pathology) for the next 41 years until his retirement in July 1997. He held faculty rank at Cornell University Medical College (now Weill Medical College at Cornell University) for 26 years, attaining the rank of Associate Professor of Clinical Pathology. JOHN R . FITZGERALD M . D.’55 Dr. Fitzgerald died Feb. 16, 2006, at Fletcher Allen Health Care after a period of declining health. He was born Oct. 7, 1929, in Winooski, Vt. He graduated from Cathedral High School Class of 1947, where he met his wife and best friend, Mary Ellen (Fuller). They were married on Aug. 4, 1951, in Christ the King Church in Burlington. He graduated from St. Michael's College in 1951, and the College of Medicine in 1955, where he made many lifelong friends. He did his medical residency in internal medicine at the Mary Fletcher Hospital, where he prac- ticed for the next 30 years. Dr. Fitzgerald was a clinical instructor at the College of Medicine and on the staff of the Mary Fletcher and Bishop DeGoesbriand hospitals. He served as Chief of Medicine at the Fanny Allen Hospital. He attained the rank of Major in the Vermont National Guard and served as Medical Officer from 1959 to 1964. He served on the school boards of Winooski and Rice Memorial high school, and the board of the Winooski Housing Authority and Winooski Community Development Committee. He delivered Meals on Wheels for the Senior Center where he was a member. His sons John and Joseph received their medical degrees from the College in 1975 and 1978, respectively. College of Medicine in 1981. She performed her medical residency from 1981 to 1984 with the Department of Family Medicine at West Virginia University. From that time onward she was a family physician in Morgantown, W.Va.; first with Wedgewood Family Practice, and then later in her own Stearns Family Health Center and Morgantown Multicare, where she combined allopathic and alternative approaches to provide holistic medical care. Dr. Dickerson was a strong, adventurous woman who always enjoyed being physically fit. She was an avid runner, rower, skater, skier and cyclist and loved sharing these activities with her husband. She loved reading to all her girls, and was strongly involved in their education and extracurricular activities. PAUL J . DRISCOLL , M . D.’56 Dr. Driscoll, 75, died Monday, Nov. 28, 2005, at his Hernando, Fl. home. Born April 11, 1930, in Portsmouth, N.H., he was a 1952 graduate of the University of New Hampshire and a 1956 graduate of the College. He served his surgical internship and residency while serving in the U.S. Army. Dr. Driscoll opened his private practice in Portsmouth, where he was a well-known and respected surgeon. He retired to Florida in 1992. KIMBERLY STEARNS DICKERSON , M . D.’81 Dr. Dickerson died of cancer Monday, Feb. 27, 2006. She was born on April 26, 1952, in Seattle, Wash. Her childhood was spent in Albuquerque, N.M., Ithaca, N.Y., and finally Burlington, Vt., where she graduated from Champlain Valley Union High School in 1970. She received a B.A. from the University of Pennsylvania in 1974, a master’s in cell biology and genetics from the University of Connecticut in 1976, and an M.D. from the FACULTY F. PATRICK MCKEGNEY, M . D. Dr. McKegney died February 3, 2006, in the Bronx after a brief illness. He was a professor of psychiatry at the College of Medicine from 1970 to 1983 and was chair of the Department of Psychiatry from 1970 to 1974. Dr. McKegney received his undergraduate degree from Middlebury College in 1954, and his M.D. from Yale School of Medicine in 1958. He performed post-graduate training at Johns Hopkins and at Strong Memorial Hospital in Rochester, N.Y. After two years in the Public Health Service in Washington, D.C., he taught psychiatry at Yale before coming to UVM. In 1983 he moved to Albert Einstein College of Medicine to direct the Consultation/Liaison Service, and in 1999 retired after serving three years as director of psychiatry residency training and two years as chief of psycho-oncology at St. Vincent’s Hospital in Manhattan. S P R I N G 2006 39 C O L L E G E O F M E D I C I N E P L A N N E D G I V I N G P r o f i l e s i! g i v i n g from " friend 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. But he’d recycled the newspaper before finishing the article, and so wrote a “To Whom It May Concern” letter to the Office of the President asking whether any written materials on UVM’s vision might be available to him. He was again impressed, he says, with the response he B U RTO N C L E AV E S received — a letter from President Daniel Mark Fogel along march 23, 2006 10:23 a.m. with a copy of the ten-year vision statement on which the ed in scholarship funding. His latest gift annuity, estab- Globe article had been based. It was soon thereafter that the lished this spring, specifically directs the residual funds to University received a generous contribution from Cleaves to be used for student scholarship. The Campaign for the University of Vermont. And that was just the beginning. No stranger to academia, Cleaves, now retired, spent 27 years as professor of music and chairman of the music Cleaves has since established a number of charitable gift department at Simmons College. “It’s very interesting what annuities in support of the university, particularly the leadership can accomplish,” he says, “leadership, combined Giselle Sholler, M.D., sees a young patient, Jeffrey Blais, of Newport, Vt. College of Medicine. Cleaves has great admiration for the with intellect, and an overall concern for students, faculty, Jeffrey started his treatment for Acute Lymphoblastic Leukemia in October 2005, faculty and staff of the College, and is particularly interest- and academic excellence.” and will complete treatment in 2008. photograph by Raj Chawla medical development and alumni relations office (802)656-4014 [email protected] www.med.uvm.edu/giving 40 V E R M O N T M E D I C I N E BACK to the FUTURE Almost exactly 50 years ago, the new Medical Alumni Association had exciting news to report: The alumni of the College of Medicine had posted the highest per capita giving of all medical school alumni in the United States in 1957. The energy from this remarkable achievement helped drive the formation in June 1959 of the Century Club, a mainstay of annual giving at the College for decades thereafter. With the start of fiscal 2007 this July, the most significant restructuring of the Annual Fund in 50 years will bring the fund back to its roots, with a streamlined, clearer structure that will make giving easier and even more impactful. All for the same goals that have been paramount since the beginning: the support and growth of the College of Medicine and its students. For more information about the new UVM College of Medicine Fund, contact us at: medical development and alumni relations office (802)656-4014 [email protected] www.med.uvm.edu/giving COLLEGE OF MEDICINE VERMONT MEDICINE 89 Beaumont Ave. Burlington, Vermont 05405 Non-Profit Org. U.S. POSTAGE PAID Burlington, VT Permit No. 143