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medicine Looking ahead v e r m o n t
vermont medicine U N I V E R S I T Y O F V E R M O N T C O L L E G E O F M E D I C I N E Looking ahead Dean John Evans shares his vision for the College of Medicine F A L L 2004 vermont UVM CONNECT WITH YOUR CLASSMATES CONNECTION TODAY! medicine U V M C O L L E G E O F M E D I C I N E 2 0 0 4 F A L L Visit with classmates and friends Access the interactive, secure College of Medicine alumni directory ALUMNI.UVM.EDU/COM Update your personal information Enjoy free lifetime e-mail forwarding FEATURES FROM THE DEAN 2 10 THE BIRTH OF NEW IDEAS COLLEGE NEWS 3 UVM OB/GYNs help deliver new babies, and the next generation of care. A beloved dean retires, a former candidate Dean speaks, and more. by rachael moeller gorman 10 16 and your personal UVM alumni address WHAT I DID ON MY SUMMER VACATION 8 HALL A PRESIDENT ’ S CORNER CLASS NOTES S I M P LY L O G O N T O A C T I V A T E Y O U R A C C O U N T ! DEVELOPMENT NEWS OBITUARIES Help your classmates and friends reconnect with you. REUNION Activate your account at ALUMNI.UVM.EDU/ACTIVATE Using your ten-digit UVM ID # located on the Vermont Medicine mailing label, Or contact the UVM Alumni Office for your ID number: E-mail: [email protected] or 888-458-8691 UVM The UVM Connection the on-line community for alumni, parents, and friends of UVM CONNECTION ALUMNI.UVM.EDU/COM M A G A Z I N E on the cover: College of Medicine Dean John N. Evans Photograph by Michael Sipe 28 29 30 35 38 40 For many medical students, summer “break” was a time for service and education through experience. photography by adam riesner 22 16 LEADING BY EXAMPLE Dean John Evans sketches out his view of where the school has come from, and where it is going in the years ahead. vermont medicine FROM THE DEAN F A L L EDITOR edward neuert MICHAEL SIPE Once again, with the beginning of the fall semester here at the College of Medicine, the halls are filled with students new and old shuttling between classes, laboratory meetings, or clinical sessions. These are scenes that are familiar to everyone at the school. Though they may be familiar, it’s also important to recognize how unique this beginning is. There are, of course, new faces involved — new medical and graduate students from all over the country and the globe. But there is also a subtle but important newness to what those students are doing. Last year’s entering class was the first group to experience the new fully-implemented Vermont Integrated Curriculum (VIC) and they are continuing on to pioneer the second-year curriculum this fall. The latest group of entering medical students — the Class of 2008 — is the first group to experience their first-year curriculum too, since the VIC is designed to be a continuously-improving curriculum that undergoes constant updating to reflect improvements in medical knowledge. Perhaps without even being aware of it, these students will be learning the art and science of medicine in a slightly different way from their predecessors, a process that will be true for every new class from now on under the VIC. That fact reflects our College’s commitment to the never-ending effort to improve and enhance the quality of what we do in education, patient care, research, and community involvement. This issue of Vermont Medicine contains much more detail on our plans for all the areas of our mission in a conversation I had with the magazine’s editor after presenting my vision for the College to a meeting of the faculty in late June. I was heartened by the enthusiastic response to the presentation from the faculty, and am glad to be able to share the outlines of that plan to a broader audience of students, staff, alumni, and friends through this magazine, along with the latest news of all the exciting work being done both on and off our campus. I look forward to hearing from all of the members of our community as we move ahead in our important work at Vermont’s academic health center. 2 V E R M O N T M E D I C I N E COLLEGE NEWS 2 0 0 4 MEDICAL COMMUNICATIONS DIRECTOR carole whitaker ASSISTANT andrea rathje Marga Sproul Retires, Waterman Named New Associate Dean 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 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] Since the 1980s, medical students have looked forward to “Marga moments,” their private term for meetings with Associate Dean for Student Affairs Marga Sproul, M.D.’76. This summer, the last of those moments came when Sproul met with each of the fourth-year students to tell them of her decision to retire from the College of Medicine. G. Scott Waterman, M.D., associate professor of psychiatry, has been named to replace her. After becoming the first woman to go through the family practice residency in Burlington, she joined the College’s faculty in 1980. “At the time, I was the only woman doing family practice in Chittenden County,” she notes. Sproul took over the student affairs deanship gradually from her predecessor, David Tormey, M.D., over the course of four years in the late 1980s and early 90s. For several years she also served concurrently as associate dean for admissions. At a reception in early July, friends and colleagues lauded Sproul’s many years of dedicated service to students, and to her patients. “Most of us can’t imagine what medical school would be like without Marga,” said Matt Coates, an M.D.-Ph.D. student who emceed the reception. “We’re glad to know that you will still be caring for patients at Colchester Family Practice,” said Dean John N. Evans, who also spoke at the reception. Waterman, who began his new administrative position on August 9, earned an A.B. from Harvard and an M.D. from the University of Michigan, completing a psychiatry residency at Harvard and a fellowship in child psychiatry at the University of Pittsburgh. He joined the College of Medicine as visiting assistant professor of psychiatry in 1994, was named assistant professor in 1996, and was promoted to associate professor in 1998. He has been director of psychopharmacology at Fletcher Allen Health Care since 1997, and since 2000 has served as director of medical student education in the Department of Psychiatry. He also currently serves on both the College of Medicine admissions and advancement committees. A two-time recipient of the Psychiatry Residents’ Award for ADAM RIESNER Excellence in Clinical Teaching, Waterman also received national recognition with a 2002 Profile of Courage Award from the American Psychiatric Association and was named an Exemplary Psychiatrist by the National Alliance for the Mentally Ill of Vermont. “We are excited to have a teacher, mentor, clinician and researcher like Dr. Waterman providing leadership and guidance to our students,” said Evans. “He has been a strong advocate for medical education, while maintaining an active research presence and providing clinical leadership at Fletcher Allen. He will be an excellent role model.” “I look forward to the opportunity to serve the College of Medicine and its students in this new role,” said Waterman. “My predecessor is legendary for her commitment to the education and well-being of our students. With the help of an outstanding Office of Student Affairs staff, I am determined to continue that legacy.” “Scott has worked with students at all levels,” says Sproul. “He’s been a director of the second pathology course, the psychiatry clerkship, he’s done advising of students in the senior selective program, and helped them with their choices of residency, so he has a really broad range of experience in the curriculum and can understand all the things the students are going through. He’s genuinely concerned about students, and cares about them. I think he’s going to have fun in the job.” Marga Sproul, M.D.’76, and G. Scott Waterman, M.D., who became associate dean for student affairs on August 9. F A L L 2004 3 COLLEGE NEWS RESEARCH MILESTONES Frymoyer Scholars Focus on Elders RESEARCH FINDS PROMISE IN NEW DIABETES DRUG Two individuals have been selected as the latest Frymoyer Scholars. Terry Rabinowitz, M.D., associate professor of psychiatry, was chosen for his proposal on “Development and Implementation of a Telepsychiatry Consultation Teaching Program.” Suzanne Goetschius, R.N., was selected for her proposal on “Building Nursing Expertise in Geriatrics: An Acute Care Clinical Model.” Both proposals address the many and often complex needs of the geriatric population. Named for former Dean John W. and Nan P. Frymoyer, the Frymoyer Scholars Program supports clinicians who are actively engaged in teaching medical and nursing students and promotes teaching that emphasizes the art of patient care. Frymoyer scholars are awarded up to $25,000 a year for two years to develop innovative, educational products or programs and to improve their teaching skills. The Frymoyer Scholars program was instituted in 2001. Rabinowitz’s proposal focuses on the use of telepsychiatry to diagnose and treat psychiatric disorders in nursing home residents. Telepsychiatry is the use of telemedicine technology for psychiatric consultation and treatment. For patients who live far away from a medical center, making this kind of access to treatment possible can increase the likelihood that a patient will receive the treatment he or she needs and improve outcomes. In his proposal, Rabinowitz suggests that Vermont is an ideal setting in which to introduce the concept and practice of telepsychiatry consultation to rural nursing homes, and to medical and nursing students and residents-in-training. He plans to use the Frymoyer Scholars award to develop a telepsychiatry conWENDY L . KING APPOINTED SENIOR ASSOCIATE sultation teaching curricuDEAN FOR FINANCE AND ADMINISTRATION lum and program for use Wendy L. King has been appointed senior associate dean for in the UVM College of finance and administration at the College of Medicine. King Medicine and the College replaces Ted Winfield, who is now UVM associate vice presiof Nursing and Health dent for budget and resource management. Sciences. “With over 25 years of experience in the management, Gerontological Clinical financing and administration of academic health centers, Nurse Specialist Goetschius Wendy will be an asset to our team and the College,” said is the first nurse to be named Dean John N. Evans. “We look forward to leveraging her a Frymoyer Scholar. Her strengths in facilities, operations and strategic planning as proposal aims to provide we capitalize on the opportunities and meet the challenges nurses with specialized eduthat lie ahead.” cation in successful aging, as Since 1998, King has been working as a consultant to well as common health facility and operations management in areas such as archiproblems and syndromes tectural and construction firm selection, project scheduling, and financial experienced by elders. The feasibility studies. She served as financing and project consultant for several goal of the proposal, says University of Vermont building projects, including the Health Science Goetschius, is to help R.N.s Research Facility, as well the Fletcher Allen expansion. respond more accurately and Prior to starting her consulting business, King was at Georgetown quickly to various health care University Medical Center from 1978 to 1998. From 1992 to 1998 she was execscenarios, such as being able utive director, Medical Center Facilities. Prior to Georgetown, King began her to recognize and develop a career as an academic department administrator at Stanford University care plan for managing delirMedical Center. ium. With their new knowlKing holds a Masters Degree in Health Care Administration from The edge, she explains, they can George Washington University in Washington, D.C., and earned a B.A. in train their peers and nursing Health Services at the University of California at Santa Cruz. students to better care for older adults. —Eleanor Osborne 4 V E R M O N T M E D I C I N E ADAM RIESNER At the American Diabetes Association meeting in Orlando, Fla., this June, findings regarding several new diabetes treatments, including an investigational drug studied by UVM Professor of Medicine Richard Pratley, M.D., suggest that better treatments are on the horizon. At the ADA meeting, Pratley presented data on a Phase II study on a drug called LAF237. “In this study, HbA1c levels — the primary longterm measure of blood sugar control — decreased significantly when LAF237 was added to a patient’s course of therapy, and this benefit was maintained for one year,” says Pratley. “Bringing patients to an ideal HbA1c level early in the disease process and maintaining those levels for as long as possible is critical to the management of type 2 diabetes, making these findings very encouraging.” Based on the strength of findings from Phase II studies, the pharmaceutical company Novartis, which funds the LAF237 research, launched a full phase III clinical trial program for LAF237 earlier this year. TESTING A NEXT- GENERATION VACCINE The College of Medicine is one of just a dozen sites nationwide participating in a Phase II clinical trial to evaluate a new vaccine against anthrax. The study, initiated by VaxGen, Inc., as part of a contract from the National Institutes of Health, is evaluating the safety and immune response at varying doses of the vaccine rPA 102, as well as an aluminum hydroxide adjuvant, or additive, which is designed to enhance the immune response. The injectable rPA 102 vaccine is protein-based and contains no bacteria, so it cannot cause anthrax disease. The rPA vaccine has been previously tested in 100 healthy volunteers, where it was found to be safe and had comparable immune results to the currently licensed anthrax vaccine. The current Phase II study involves 480 healthy adult volunteers nationally, with 45 to 50 enrolled at the Vermont site. “Development of a next-generation vaccine against anthrax is a priority of the United States federal government,” said principal investigator ADAM RIESNER Beth Kirkpatrick, M.D., assistant professor of medicine and a Fletcher Allen infectious disease specialist who is supervising the study. “Having a solid clinical trials infrastructure and a track record of success in vaccine studies helped to bring this important study to our site, and we are excited to be a part of the development of this new anthrax vaccine.” The initiative to develop a UVM will enroll new anthrax vaccine is based on 45 to 50 vaccine concerns over the side effects and volunteers. dosing schedule of the currently licensed anthrax vaccine (Biothrax), as well as the older technology used in its development. The U.S. Department of Health and Human Services plans to purchase 25 million doses of a new anthrax vaccine within two years. PEDIATRICIAN AUTHORS AAP REPORT ON TEEN SEXUALITY A newly revised clinical report titled “Sexual Orientation and Adolescents” appeared in the June issue of the American Academy of Pediatrics’ (AAP) journal Pediatrics. The report, co-authored by Barbara Frankowski, M.D., professor of pediatrics, advises pediatricians to be attentive to the needs of patients who are gay, lesbian, bisexual, or transgendered, or who may be confused over their sexual orientation. Not surprisingly, pediatricians are being asked with increasing frequency about sexual behavior and sexual orientation by their adolescent patients. The goal in caring for all youth, including those who are or think they might be gay, lesbian, or bisexual, is the same, say the authors of the report: to promote normal adolescent development, social and emotional well-being, and physical health. “Gay, lesbian, and bisexual teens have the same health needs as heterosexual peers, but often have extra challenges like harassment at school, anger from parents, and misunderstanding in their community,” says Frankowski, who serves as chairwoman of the AAP’s Committee on School Health. “The pediatrician's office should be one safe place for these youth to come with their concerns.” F A L L 2004 5 COLLEGE NEWS Howard Dean Speaks at College of Medicine Event Speaking to approximately 200 attendees in Carpenter Auditorium on May 10, former Vermont Gov. Howard Dean lamented the 44 million Americans — one in every seven — who have no health care coverage. First-year UVM medical students organized the event as part of a nationwide effort to promote awareness and discussion of the national crisis of uninsured Americans as part of “National Cover the Uninsured Week.” “Here we are, 50 years after health care became the standard for people in the industrial world,” said Dean. “We are the only major industrialized country in the world that does not have health insurance for everyone. We’ve lost the balance between individual responsibility and collective responsibility,” he continued. Dean sketched out some of the features of the plan he advocated when he was a presidential candidate earlier this year, and emphasized his belief that moving toward any workable plan that can be refined and improved later is preferable to continuing the present situation. “You have to work with the present system, and with the present Congress,” he said. “Otherwise, the perfect becomes the enemy of the good. The victims are the 40 million people in this country who are uninsured.” “National Cover the Uninsured Week” was a project of the Robert Wood Johnson Foundation sponsored by more than twenty national organizations covering the health-care spectrum who are taking the opportunity to collectively recognize the acute problem of the uninsured in our country. “It is important for us to recognize this national problem on a local scale,” said first-year medical student Justin Sanders, one of the organizers of the week’s events. “As a physician and as one who has advanced the national debate on covering the uninsured, Governor Dean is in a good position to inspire us as a group of future and current health care providers.” Dean’s appearance was co-sponsored by the UVM chapters of the American Medical Association, the American Medical Student Association and the Family Medicine Interest Group. IN IT FOR THE LONG RUN These members of the College of Medicine’s Class of 2007 cheered on their classmates, and the dozens of other students, faculty, and staff who ran in the Vermont City Marathon on May 30. Highlights included pharmacology post-doc Keith Wilkerson, Ph.D., the first Vermonter to finish (and the fourth finisher overall); faculty members David Warshaw, Ph.D.’78 and Chris Berger, Ph.D. , who took third place in the men’s masters relay; and Amy Chekos, M.D.’04, the ninth woman to finish. 6 V E R M O N T M E D I C I N E & AWARDS RECOGNITION • The College of Medicine Class of 2004 announced the • Paula Fives-Taylor, Ph.D.’73, professor emerita of following faculty and staff awards at both the Senior Class Award Ceremony on May 20 and at Commencement May 23: Clinical Department of the Year: Pediatrics at Fletcher Allen Health Care; Basic Science Department of the Year: Pathology; Clinical Teacher of the Year: Lewis First, M.D., professor and chair of pediatrics; Basic Science Teacher of the Year: Nicholas Hardin, M.D., professor of pathology; American Medical Student Association Golden Apple Award: Beth Hart, Ph.D., professor emerita of biochemistry; American Medical Women’s Association Gender Equity Award: Sharon Mount, M.D., professor of pathology, and Virginia Eddy, M.D., clinical associate professor of surgery, Maine Medical Center; Colette Award (inspired by former student affairs staff member Colette Ozarowski for significant contribution to the quality of student life): Nini Anger, of the office of student affairs; Dignity in Medicine Award (in recognition of the respect, inclusion, and support for Gay, Lesbian, Bisexual, and Transgendered students, faculty, staff, and patients): Marga Sproul, M.D.’76. The class also honored Peter Cataldo, M.D., associate professor of surgery, with the Howe Outstanding Teacher of Surgery Prize for 2004. The award recognizes the senior medical school class’ choice for outstanding teacher of surgery. • Jan Carney, M.D., associate dean for public health and research professor of medicine, was recently awarded a UVM Office of Community-University Partnerships and Service-Learning Planning & Implementation Grant. The grant is titled “Public Health Projects in the Vermont Integrated Curriculum at the College of Medicine: creating opportunities for students to take on leadership roles in public health.” • Charles Irvin, Ph.D., professor of medicine and director of the Vermont Lung Center and the Asthma Clinical Research Center, was awarded the Joseph R. Rodarte Award for Scientific Distinction by the Assembly on Respiratory Structure and Function of the American Thoracic Society at the society’s annual meeting in Orlando on May 24. • Sharon Mount, M.D., professor of pathology, has been named the recipient of the Buttles Professorship in Pathology for 2004-2009. Established in 1984 to honor Ernest Hiram Buttles, a professor of pathology and bacteriology at the College of Medicine from 1921 to 1946, the professorship is awarded to a pathology faculty member to recognize a commitment to and excellence in the teaching of pathology. microbiology and molecular genetics, has been elected to Fellowship in the American Academy of Microbiology. This fellowship honors Fives-Taylor’s important contributions to the field of oral microbiology. New fellows are elected annually through a highly selective, peerreviewed process, based on their records of scientific achievement and original contributions that have advanced microbiology. • David Maughan, Ph.D., research professor of molecular physiology & biophysics, was honored along with his brothers Paul and W. Lowell by the Washington State University Alumni Association May 29 with individual Alumni Achievement Awards. The brothers were cited for achievements in engineering, science and medicine, and for bringing recognition to their professions and alma mater. TOP LEFT: ADAM RIESNER ; BOTTOM LEFT: JORDAN SILVERMAN ; RIGHT: ADAM RIESNER NEW EMERITI HONORED Two members of the College of Medicine faculty were awarded emerita standing at the 2004 commencement in May. Beth Hart, Ph.D., (at right) retired after 34 years teaching at the College. Hart was recognized for teaching biochemistry to nearly 3,000 medical, undergraduate, and graduate students during her long career. She was also recognized for her research on the toxic effects of cadmium, and her many hours of public service. Barbara Tindle, M.D., (at left) joined the department of pathology in 1977. She was director of the hematopathology clinical service for 27 years, and director of clinical laboratories at Fletcher Allen Health care for eight years. Tindle’s work on hematological malignancies was recognized for fundamentally changing the way scientists thought about blood cancers. F A L L 2004 7 2004 Commencement Far left, the academic procession nears Ira Allen Chapel. At left, students await the cermony. Above, speaker Zail Berry, M.D., addresses the graduation. Below, a parent shows his support. needs of my family; balancing the returning the main ceremony to the Campus Green for the first time in four decades. needs of others with my own needs. Balancing work and play, activity Later that day, as the College of Medicine conferred degrees on 90 M.D.s and sixteen and rest. Ph.D.s, Clinical Associate Professor of Medicine Zail S. Berry, M.D., delivered the Your choices as physicians will be critical to not only your own commencement address excerpted here. well-being, but also to society’s, On reflection about what advice I might give, I because your choices, in sum, will shape the future of think about the many lessons I’ve learned from the medical care. The practice of medicine is in a difficult patients I’ve cared for as they’ve died. period, and facing even more difficult times. Our sociA lot of people near the end of their life spend a lot ety is spending huge amounts of resources to achieve of time thinking about, and sometimes talking about, patient care outcomes that are among the worst in the their lives — the things they are proud of, the things developed world. The costs of health insurance are they wish they’d done differently. One thing that reducing the resources available for education and occurred to me after caring for hospice patients for a other public goods. And over 40 million people in the number of years was that people on their deathbed United States are uninsured, leading to high costs for never say that they wish they’d spent more time at the emergency care that could have been prevented by office. Well, given that we are in professions at very earlier, less expensive, attention. high risk of spending WAY too much time at the In this situation, the answer will not come from office, how do we balance our work with all the rest micro-adjustments that make tiny changes to what we that life has to offer? How can we create balance in our have now. We need to change our viewpoint and lives? reframe the problem. And the framework for the For me, the problem of balance is my everyday change we need is the viewpoint of the patient. We issue. Balancing the needs of my patients with the need to find a way to organize and finance health care On May 23, 2004, the University of Vermont celebrated its 200th commencement by 8 V E R M O N T M E D I C I N E ADAM RIESNER in a way that best serves the interests — and the experiences — of patients themselves. That need for making the patient’s experience the central focus of health care is why physicians need to be involved in solving the health care problem. Most people who are already patients are, by definition, vulnerable; they are the least able to advocate their point of view. And people who will be patients in the future are unlikely to have the knowledge or foresight now about what the experience of receiving health care will be like. But health care professionals, taken together, informed by patient-centered research, do know what those experiences are like — or rather, we have the means to know. To do so, we have to open ourselves to the patient’s experience, to truly widen our perspective, to see what our patients see, experience what our patients experience. And we have to have the creativity to imagine how it could be better. To imagine what we want it to be for us, what we want it to be for the people we love. We have choices to make, every day and every year of our careers. Some will be small choices and affect only one person, but others will affect expenditures, larger numbers of people, and policy. And the sum of our choices will determine the reality of health care. Choices that have to do with how we provide medical care will ultimately affect how systems are organized to provide medical care. As physicians, we are incredibly lucky, incredibly privileged. We have a tremen- dous range of choices about what we do and where we work. We get up each morning with the opportunity to touch the lives of other people. The rewards of our profession are of infinite value. But in the next year, most of you are likely to have moments when it will be easy to lose sight of that privilege. The strains of fatigue and overwork of internship are something that I truly wish I could protect you from. Hold on to who you are and what you believe in, what you care about. Never mistake your job for your work. I hope for each and every one of you a life in medicine that nurtures you as a person, not just as a physician. Be kind to yourself and remember that perfect balance is not possible. Make choices, big and small, that honor your values and your quest for balance and growth and wholeness in your life. Don’t be afraid to think outside the box, to try something new, to do it differently, because that is where real innovation and growth will come from. The destination of “perfect balance” is not what’s important. It is the choices you make to get closer to balance and wholeness that will determine your growth, and make up the journey of your life. And many years from now, that is what you will be looking back on. F A L L 2004 9 the b oi frn etw h ideas UVM obstetricians and gynecologists help deliver new babies, new treatments, and the next generation of care. T he genesis of this science is the genesis of us all: a human egg and sperm meet, bond, and attach to a mother’s uterus. If all goes well, nine months later a new egg or sperm donor will be born. Or not. Sometimes the usual nine months’ stay in the uterus is significantly shortened. Other times the mother’s blood pressure rises to dangerous levels and the baby must be taken out of the womb early. Later on in life, cancer can invade the ovary that created the egg, and the mother may have no idea until it’s too late. Or, after the mother has stopped the monthly production of those eggs, she goes on hormone replacement therapy and experiences devastating side effects. The physician-scientists at the College of Medicine’s Department of Obstetrics and Gynecology search for solutions to problems such as these, using every means available — from basic research techniques to multi-center clinical trials. Every year, they educate medical students and residents, treat thousands of patients, deliver hundreds of new babies — all while giving birth themselves to new knowledge and potential therapies. by RACHAEL MOELLER GORMAN photography by ROSE MCNULTY 10 Professor and Chair of Obstetrics and Gynecology Mark Phillippe, M.D. 11 When John Van Sicklen Maeck Professor and Department of Obstetrics and Gynecology Chair Mark Phillippe, M.D., came to the College of Medicine in 2001, his purpose was clear. “My main goal when I came was to enhance basic research,” he says. “The department certainly had ongoing research, but the idea was to strengthen it, particularly by bringing in additional physicianscientists to complement the people who were Each faculty physician in the department spends an important portion of his or her time in the clinic, performing surgery on cancer patients, treating women with vulval-vaginal disease, or helping women deliver babies. In Phillippe’s case, though, sometimes preventing a patient from having her baby is as important as helping her deliver it. “This morning I was in labor-delivery and did a C-section on a woman at 30 weeks — two-and-a-half months premature,” he says one June afternoon. “She had been in the hospital for two weeks bleeding and contracting. We delayed delivery — she got inhibitors of contractions and medication to try to accelerate the baby’s lung maturity. But she began to have some subtle evidence of infection and other complications, so finally we decided it was just time. The risk of keeping her pregnant was greater than the risk of delivering the baby prematurely.” This woman isn’t alone: about 12 percent of all pregnancies in the United States end in pre-term labor. Phillippe is trying to find out why this is so. He’s starting by looking at blood. When doctors induce delivery, they sometimes use a natural hormone called oxytocin that triggers the phosalready here.” Phillippe set out to Ira Bernstein, M.D.’82, phatidylinositol signaling pathway, recruit four new physician-scientists, and a subject of his releases calcium, and causes the muscles and has already hired two: Associate plasma volume study. of the uterus to contract and the woman Professors Edward Chien, M.D., and to eventually deliver her baby. Since Elizabeth Bonney, M.D. “We’ve got a good group bleeding in the uterus — usually an indication that of investigators who can collaborate and cross over the placenta has separated from the uterine wall — in regard to research interests,” he says. often leads to early labor, Phillippe wanted to see if The department maintains cutting-edge clinical there was some substance in blood that worked in programs such as the Women’s Center for Pelvic the same way as oxytocin. He looked at thrombin, Health, Fetal Diagnostic Center, and the In Vitro the enzyme that helps blood clot, in a rat model, Fertilization Program, and funded research span- and hit pay dirt. Thrombin did in fact bind to ning the areas of General Obstetrics and Gyneco- receptors on uterine muscles and, through the same logy, Gynecologic Oncology, Maternal-Fetal Medi- pathway as oxytocin, cause them to contract. He cine, Reproductive Endocrinology and Infertility, went on to clone and sequence two of the receptors and Urogynecology. Twenty board-certified aca- that thrombin binds to — G-protein-coupled prodemic physicians and four Ph.D. researchers are tease-activated receptors (PARs) -3 and -4 — in rat engaged in research, with support from medical uterine smooth muscle. students, graduate students, nurses, and technicians. Additionally, doctors know that inflammation 12 V E R M O N T M E D I C I N E and infection can force a mother to prematurely deliver her baby; Phillippe discovered that thrombin again plays an integral role in this. He found that a gene in rats called fibrinogen-like protein 2 (fgl-2) is activated by inflammatory cytokines and converts prothrombin to thrombin, resulting in uterine contractions. “For a woman to survive her pregnancies, she needs to be able to have a mechanism to empty the uterus if major complications, including significant bleeding and/or infection within the uterus, occur,” he says. “Once we understand all of the mechanisms, we can design better interventions.” plasma volumes before they ever became pregnant. “My hypothesis was that many of the women who develop preeclampsia develop it not because of an abnormality of pregnancy, but because they entered pregnancy with some different physiology, or phenotype, that led to a poor adaptation to the normal changes of pregnancy,” he said. Studying women who had never been pregnant, Bernstein set about defining that phenotype. “The $ In the early morning hours of December 23, 1997, on-call doctor Ira Bernstein, M.D.’82, professor of OB/GYN, was trying to sleep after a particularly stressful day in the lab. “I’d had too much caffeine and holiday chocolate, I was tossing and turning, running through data in my head,” he said. But the data eventually solidified into an idea, and the idea became a hypothesis — a brand new one tackling why preeclampsia — one of the leading causes of maternal mortality in the world — occurs. “I got up and wrote it down at about 2 o’clock in the morning,” he said. Preeclampsia, which affects about 5 percent of all pregnancies, has been documented for thousands of years, but no one knows why it primary risk was, we thought, an happens, or which pregnant women will Elizabeth Bonney, intolerance to plasma volume expandevelop it. The condition is characterized by M.D., studies sion,” he said. high blood pressure and protein in the urine of maternal immune Plasma volume expansion occurs expectant mothers and is found only after the systems. when, during pregnancy, a woman’s twentieth week of pregnancy. It can progress blood supply increases by about 50 into seizures, hemorrhage, and strokes in the percent to nourish her growing fetus. Bernstein mother and early delivery for the baby — the only theorizes that in women with low plasma volume, cure for the disease. Often the baby is too young to whose blood vessels constrict to maintain a normal survive. blood pressure, this increase in blood supply during But on that night in 1997, Bernstein was thinkpregnancy leads to high blood pressure and ing about the fact that many women with preeclampsia, because their vessels cannot adjust to preeclampsia also have low plasma volumes — the higher plasma volume. blood minus the blood cells — circulating in their He has already linked low plasma volume to a bodies. Researchers had previously shown that higher likelihood of blood vessel constriction, or women with a certain type of angiotensinogen gene, high sympathetic tone, as well as blood that is more which plays a role in fluid balance in the body, are likely to form clots, and blood with higher numbers more likely to develop preeclampsia, and Bernstein of inflammatory substances. In addition to his other had just found that those women also had lower F A L L 2004 13 work on fetal growth and associated abnormalities, Bernstein now has a new five-year longitudinal study he hopes will solidify his preeclampsia findings — and eventually allow doctors to predict which women will develop the disorder before it occurs. $ Associate Professor Elizabeth Bonney, M.D., remembers when the question of why a mother’s immune response, such as the T helper type 2 response, which is not as toxic to cells as T helper type 1. Because Th2 responses are highly dependent on a substance called IL-4, Bonney tested whether mother mice that lacked IL-4 mounted an immune response to an antigen called H-Y, found on male fetuses, and subsequently delivered fewer male pups. She found that, when injected with H-Y, the mothers did mount an immune response, but they also delivered the same number of male offspring as the controls. She did a similar experiment with IL-10, another Th2 cytokine, and found the same results. “This suggests that IL-4 and IL10 in and of themselves may not be critical for maternal tolerance,” she said. “Passing genes onto the next generation is such an important mechanism that it makes sense for there to be overlapping mechanisms to protect the baby from the maternal immune system. My work now asks: Are the T cells activated? Where do they get activated? How do they respond? Do they go to certain places or not?” $ The recent groundbreaking immune system does not reject its half- Cynthia Sites, M.D., has Women’s Health Initiative (WHI) foreign fetus first intrigued her. study found several severe longstudied the effect of “I was standing in the middle of hormone replacement term side effects of hormone labor-delivery at Brigham and Women’s therapy in women. replacement therapy (HRT) in postHospital, and there were a huge number menopausal women, including of women in labor,” she said. “I said, ‘There’s gotta increased risk of cardiovascular disease and stroke. be a way to reject these tumors right now.’ And as Associate Professor Cynthia Sites, M.D., now adds soon as it came out of my mouth I said, ‘huh!’” diabetes to that list. For years researchers have been struggling to In a randomized, placebo-controlled, doubleunderstand why a mother’s immune system, which blind trial of 76 non-obese women, Sites found that easily recognizes and eliminates dangerous viruses women taking HRT had a 17 percent decrease in and bacteria, seems to turn a blind eye to the 50 per- insulin sensitivity — a precursor to diabetes — after cent foreign tissue developing within its own uterus. only six months on the drug. The women, however, “My question is whether the need to tolerate the never actually developed diabetes and, “Fortunately fetus has produced an immune system that is differ- these bad changes completely reversed after that ent during pregnancy,” says Bonney. time,” she says. To answer this question, she has been studying “After the WHI, it was the patients who helped T cells and their response to foreign agents. point the direction of my research,” she said. “They Researchers have hypothesized that pregnancy sometimes ask the questions themselves. Other restricts the mother to only certain classes of times you try to figure out ways to treat patients and 14 V E R M O N T M E D I C I N E you realize there isn’t a lot of good data out there to explain why you want to treat them in a certain way.” She saw that many patients were trying soy — which contains a phytoestrogen — to help alleviate their menopausal symptoms. She recently began a three-month study looking at the glucose metabolism and insulin secretion of women drinking a soy shake twice a day that contains both soy protein and isoflavones. There are no results yet — the study is still “blinded” — but she has high hopes. “I’d always been very suspicious of complementary or alternative medicine, but I now believe that there’s really something there,” she says. “I think there’s a desire by doctors to find out what’s out there, but it just hasn’t been studied enough.” decreased appetite, but many times the complaints are at first dismissed as hormonal changes. Wong and colleague Karen Lounsbury, Ph.D., assistant professor of pharmacology, decided to test two proteins found in other cancers — VEGF, which promotes blood vessel growth, and HIF-1a — which is a transcription factor that turns on the VEGF gene — for new blood vessel formation in ovarian cancer. This process — called angiogenesis $ “A lot of my patients end up being like my adopted family because I treat them for so long,” says Assistant Professor Cheung Wong, M.D. “I see some of these people more than I see my own family.” Wong heads up Fletcher Allen’s gynecologic oncology division, and over 80 percent of the patients he sees are being treated as part of fourteen open studies UVM/FAHC runs through the Gynecologic Oncology Group, a nationwide Cheung Wong, — must occur in order for tumors to network of clinical studies funded by the M.D. and his expand. Examining ovaries from women National Cancer Institute. Patients can colleague Karen with and without the disease, Wong choose to be treated under the research Lounsbury, Ph.D. found that VEGF and HIF-1a were protocol that best fits their condition, or expressed more often in cancerous receive the traditional standard of care. Most ovaries than in controls. Additionally, later stage choose the experiment, despite the lack of guarantumors — stage III and IV — had more of the protees. teins than earlier stages. Wong, however, hopes his research can generate In another study of human ovarian cancer cell more guarantees. lines, Wong found that a drug called Procrit could “I think one of the failures we’ve had is that also decrease HIF-1a in hypoxic situations, which we’ve been trying to always treat the cancer but not reduces VEGF, and thus reduces angiogenesis. really trying to understand what causes it to grow,” “My ultimate goal is to do translational research he said. He studies ovarian cancer, the most com— to do experiments in the lab, and then to bring mon cause of death among all types of gynecologic those experiments to the patient’s bedside,” he said. cancers. Previously known as a “silent disease,” “I think that if we can improve survival with what most women do not find out they have it until they we’re doing or give another medication that has reach the later stages, and at that point the five-year very little side effects and can decrease tumor survival rate is only 20 to 40 percent. Symptoms growth, I think that’s really the big goal.” range from weight gain, feeling bloated, and VM F A L L 2004 15 MIKA FUJIWARA what I did on my Summer vacation For many medical students, summer “break” was a time for service and education through experience. photography by ADAM RIESNER 16 The summer weeks between the end of exams in June and the beginning of classes in August could be the last quiet time in years for a future physician. But, not surprisingly, College of Medicine students tend to make this potential downtime a decidedly busy time. “A large percentage of our students are gaining some form of experience this summer that’s related to being a physician,” said Dean John N. Evans. “They’re performing service to our community, gaining knowledge and experience in research settings and, each step of the way, demonstrating a commitment to their profession.” Dozens of students performed research work this summer in communities across Vermont and the nation, and in places as far-flung as Nepal, Ethiopia, Argentina, and Pakistan. Their efforts were funded by the College and also supported by such groups as the Medical Alumni Association and the Freeman Medical Scholars Program (administered by the College’s Area Health Education Centers). This July, our photographer caught just a few moments from the busy summer lives of eight students in the midst of their projects. ’07 Mika Fujiwara spent her summer founding a swimming program for children with special needs. She had long been interested in working with the members of this population. “I began working with kids who have special needs in college in Berkeley, California,” she explains. “They were so full of spirit, I knew I wanted to do a project that served them here.” Working with Assistant Professor of Medicine and Psychiatry Alan Rubin, M.D., and Tad Hoehl of the Burlington Y.M.C.A., and with the assistance of Parent to Parent of Vermont and the Visiting Nurse Association, she crafted SKIP — the Special Kids Inspired Program — that provided four weeks of water activities for children with autism, cerebral palsy, and chromosomal-related conditions. Fujiwara was assisted by fellow medical students Mark Hoeft, Monica Kwan, and Jack Chan, physical therapy students Joanne Cong, Melissa Greeley (shown below, right) and nursing student Carol Koerner (below left). She plans a poster presentation at the College this fall to explain her work in detail. david curley ’07 M.D.-Ph.D. student David Curley spent this summer on the third floor of the Health Science Research Facility, working in the laboratory of Assistant Professor of Pathology Marcus Bosenberg, M.D., Ph.D. “One major goal of Dr. Bosenberg’s lab is trying to better understand the way in which cancer spreads,” Curley says. “We are trying to develop mouse models of metastatic melanoma. We are also looking at the genetic differences between normal melanocytes and melanoma using several cell lines derived from human melanomas.” This summer, Curley has assisted in the characterization of a new mouse model, and also worked to understand the differences in signaling between normal melanocytes and melanoma cell lines, all in the hope of someday developing more precisely targeted chemotherapeutic agents for cancer patients. 18 V E R M O N T M E D I C I N E SCOT MILLAY ’07 & REBECCA MOULTROUP ’07 Students Scot Millay and Rebecca Moultroup spent a large part of their time this summer in the small town of Plainfield, in central Vermont, investigating a disturbing occurrence of one of the most dreaded diseases. Four years ago, Melanie Lawrence, M.D.’00 followed up on a comment from a local physician to begin a study of a notably high incidence in the Plainfield community of Amyotrophic Lateral Sclerosis (ALS), also know as Lou Gehrig’s disease. Lawrence found a disturbing concentration of ALS cases in the small farming town — a more than ten times higher rate than the national average. Working under the direction of Lawrence and Clinical Assistant Professor of Family Medicine John Matthew, M.D., Moultroup and Millay logged in 200 hours each this summer surveying and interviewing area residents, and planning soil and water testing to see if environmental conditions could be contributing to these occurrences. maria dunn ’07 amylynne frankel ’07 For a total of four weeks this summer, Amylynne Frankel grabbed her clipboard and pen in the morning and set off in search of kids enjoying their summer vacations. “I go down to the skate park [on Burlington’s waterfront] or cruise Church Street. Basically, I go wherever I think I can find kids who will talk to me,” she said. Frankel was in search of adolescent kids to survey and interview for her project studying the possible link between marijuana and tobacco smoking in Vermont teens. Working with Assistant Professor of Medicine Paul Turner, Ph.D., she also explored the concept of tobacco as a “gateway” drug. 20 V E R M O N T M E D I C I N E Maria Dunn first met Dorothy Fisher, M.D.’98, a Fletcher Allen physician interested in geriatrics, when Dunn worked with her at Aesculapius Medical Center in South Burlington. Now Dunn is a second-year medical student with a keen interest in geriatric care. This summer, Dunn conducted focus groups at Wake Robin, a life care retirement community in Shelburne, Vermont. “There is not a lot of literature on what influences people in this type of community to chose on-site care versus other alternatives, and how this impacts their health care,” explains Dunn. “These focus groups can hopefully guide us to the best questions to ask to learn what is driving the choices these patients make.” keith robinson ’07 Second-year students Keith Robinson and Benjamin Huerth spent their summer minding their p’s and q’s — concentrating on physicians and quality. For 200 hours this July, they shadowed physicians at Fletcher Allen Health Care and carefully observed doctor-patient encounters to learn more about the ways in which physicians and patients interact. “They work within a framework called Quality Assurance and Quality Improvement (QAQI),” explains Henry and Carleen Tufo Professor of Medicine Benjamin Littenberg, M.D., (pictured above behind Robinson) one of the faculty members working with the two students. “It’s a process that points out consistent, incremental pathways to improved care for patients.” “I’ve learned more about the many ways physicians and patients can interact through this project, and how to gauge quality improvement,” says Robinson. His interest in this subject was honed by his experience with QAQI in the ten years of emergency medical technician work he performed before coming to medical school. “It’s all about how you can constantly improve what you do,” he says. F A L L 2004 21 Leading by example a lthough there are a handful of faculty who have been at the College of Medicine as long as Dean John N. Evans, few have had the chance to be as intimately involved in the growth of the school as he has. Evans came to the College as a post-doctoral fellow in 1976, was executive dean through most of the 1990s, and was named the College’s sixteenth dean in January of this year. A few days after he presented his vision for the College of Medicine to a special meeting of the faculty in June, Evans sat down with Vermont Medicine to sketch out his view of where the school has come from, and where it is going in the years ahead. photography by MICHAEL SIPE 23 “ I like to borrow a phrase hockey players use ... skating to where the puck will be, we are rather than skating to where the puck is now.” Vermont Medicine: What is the most important thing to consider to get an accurate image of the College? John Evans: A good view of things starts when you know the mission of the College. Simply put, the core mission of the College of Medicine is the education of the physicians and scientists of the future. Other missions that are integral to our ability to educate are to be active participants and leaders in patient care, and to be a faculty that is innovative and creative about patient care and seen as the leaders in their community. At the same time we need to be a faculty whose research activities range from basic biomedical research through clinical research and translation of discovery into new therapies for patients. It’s in that milieu that we educate students to have the right foundations, whether they are going to be physicians or scientists. That’s the traditional three-legged stool of education, research, and patient care that everyone speaks of when it comes to a medical school. I have shared most recently with the faculty my view that it is really a four-legged stool we’re metaphorically talking about — the fourth leg is the involvement and engagement that we have with our community. We do that in multiple ways from direct care for our population in terms of patient care, to our outreach to encourage youngsters to think about careers in medicine and science, to working with policy makers in our state to create a better health system for the citizens of Vermont and, hopefully, the nation. We are integral members of this community. You 24 V E R M O N T M E D I C I N E could carry on a lot of what we do without going outside the walls, so to speak. That’s not the choice that we’ve made. VM: What are the most notable accomplishments the school has made recently? JE: We have spent the last several years evolving a curriculum that is responsive to the changes in scientific knowledge, and responsive to the need to continue to educate our students to be caring, compassionate members of society. The faculty worked hard to put this together and launched the Vermont Integrated Curriculum (VIC) last fall. The students have responded well. It has created an environment where there is a better appreciation of how the basic sciences integrate with clinical medicine. It’s easier for students to capture the basic science if they understand how it impacts what they will be doing throughout their careers. And already this fall, a class will enter and experience a first-year curriculum that is already in some way remodeled. We now have an ongoing process where our faculty are constantly changing the curriculum to be responsive to the needs of our students and the changing health care environment. VM: How long have you been teaching students at the College? JE: The first time I stood before a large group of medical students was, oh, probably in the spring of 1977. At that time I was involved in a project that focused on problem-solving in pulmonary physiology, which did some interesting things using computer models and other tools to test whether you can teach problem solving, and predict those who will be good at it. That experience may be the root of my interest in curricular reform. So I began my teaching experience at the college in ’77, and have been teaching ever since. I love to teach. I still get nervous every time I prepare to go into a classroom. But as a mentor of mine once told me: “the day you aren’t nervous is the day you should stop — because it’s a sign you’re not caring enough.” Your students deserve that. VM: What are some of the other accomplishments you’re proud of? JE: We have had great success in research. Our faculty and students publish papers in the best journals. The quality of our faculty is reflected in their service as editors of journals and by their service on NIH study sections. There has been an absolute growth and a movement upward in our position in terms of NIH funding relative to our peers. We’ve moved up roughly 8 percent in where we stand among medical schools on that measure. VM: Will the expected decrease in federal research funding impact the College? JE: Sure. We know that the availability of federal research funding is at best probably going to be level for the immediate future. So, at a time when we have an institution that’s highly dependent upon extramural funding, to have the amount of that funding reduced has to be considered a challenge. However, I believe we are up to that challenge. We have recruited and retained outstanding faculty, and have made — and will continue to make — strategic investments to assure our success. And, very importantly, we have a shared vision among the senior leadership of the university and our colleagues at Fletcher Allen and the Maine Medical Center — a leadership that’s prepared to make strategic investments for the long run. What’s very important is that we have an ongoing strategic planning process that will help us to position ourselves properly for whatever twists and turns come our way. I like to borrow a phrase hockey players use to describe what they do: we are skating to where the puck will be, rather than skating to where the puck is now. Because that’s the way you score goals. VM: When you presented your vision of the school to the faculty recently, you focused in part on current successes… JE: With good reason. We are doing an outstanding job in all of our missions. Our graduates are some of the most sought-after residency candidates nationwide. We attract strong residents to our program as well. We are doing an outstanding job of research as evidenced by our move ten positions up in the ranking of NIH funding among the 125 U.S. medical schools. We are also fully engaged in our community, through programs like Area Health Education Centers and the Vermont Child Health Improvement Program. Our faculty practice is providing the best care, and seeing over 1.1 million patients last year. We have a great faculty. There is a culture of collaboration in our faculty that you won’t find everywhere. Our faculty is very willing to work with each other, to work across Colleges, to partner with outside organizations. VM: You mentioned you started teaching in 1977. When did your relationship with the College start? How did you enter the field of medical science? JE: You’re talking about a lot of years there. I’ll deal with the second part of your question first. I’d always been interested in science. I was a biology major in college, and and decided to go to graduate school after I graduated. My partner-to-be, Ellen, was from Florida and I had learned about an excellent graduate program in physiology at the University of Florida College of Medicine. Off we went, less than two weeks after our marriage. I completed my studies in pulmonary physiology with Professor Marc Jaeger in 1976. (Interestingly, Marc’s son, Dominic, joined our faculty years later in Primary Care Internal Medicine.) When I was nearly finished in Florida, Ellen and I decided we would like to return to New England. As good fortune would have it, the Chair at Florida, Arthur Otis, knew the Chair of physiology at Vermont, Norm Alpert, and the next thing you know I was here for an interview in the summer of 1975. I visited again at Christmas and wrote a Vermont Heart Association grant that was funded. I started working in April of 1976. I’ve lectured about the lung since F A L L 2004 25 1976, and plan to do so for many more years. So, in a sense, I guess I am here because of my interest in science, and a love affair that lasted 28 years, until Ellen’s death in 1998. VM: The College is now in the process of being accredited by the Liaison Committee on Medical Education. Are we a very different place now than when the accreditors were last here? JE: We have an entirely different curriculum than when they were here eight years ago. Our research activity has gone up at least threefold. But there are some things that haven’t changed. We continue to have high-quality students, and a high-quality faculty. Relative to our physical plant, the accreditors will see exciting new facilities. Our new medical library and education center will be almost completed. I believe this demonstrates the institutional commitment to excellence that we have here at the medical school. VM: What are some of the main areas that you expect the strategic planning process to focus on? JE: The first phase of our new strategic planning process will validate and test our areas of research focus and emphasis. Historically, they have been cardiovascular, cancer, neuroscience, and lung, among others, but those have been our four principle areas. The Planning Task Force will study if these are the right areas for the future. Just because they were the right ones for the past doesn’t mean they are the right ones for the future — this is another instance of where we’re trying to skate to where the puck is going to be. But we have great strength in those areas, and I think that in all likelihood they will remain key; even though we could see some shifts over the next few years. I have proposed to the faculty three areas that I think are worth considering as part of the strategic planning process, and that includes looking at imaging in a more rigorous way. This is an era of technology that is moving rapidly. We can now, with MRI and CAT scanners, look at biological events in human subjects in a way that we never could before. For instance, one can study what cells of the brain are 26 V E R M O N T M E D I C I N E active in a healthy normal individual versus someone who might have Alzheimer’s disease, and start to get insights about how that disease is impacting the brain. So, I proposed to the faculty that we should create a human imaging center, that we should engage in recruiting people who are experts — ranging from physicians to basic scientists to MRI physicists to computational scientists — creating a culture and an environment where imaging will allow us to do more translational research than we’ve ever done before. The second area that I proposed for consideration is the science of quality. VM: How do you define that term? Everybody seems to have their own idea of what “quality” means. JE: Well, it’s an idea that needs to evolve through the strategic planning process. Of course we need to be a quality organization. Every healthcare organization, every company has that as a goal. What we’re talking about is being an organization that develops a culture where everyone — including faculty, staff and students — knows how to measure it, how to improve it. Integrating the science of quality into the curriculum for our medical students is an integral part of their education. When our graduates are out there as practicing physicians or scientists, they will understand the science of quality, and will be advocates for how to best measure it, and implement processes to improve it. The third area is an opportunity that, in a sense, is an extension of imaging. Science today is very dependent upon technology, and engineering is an area where technologies often are developed. We have proposed to the president and the provost a significant strengthening of the biomedical engineering efforts here on campus. One of the charges I have made to the strategic planning group of the college is to develop a plan for how the College of Engineering and the College of Medicine can collaborate to create on this campus a strong biomedical engineering program with shared faculty, shared space, and shared resources. There are already collaborative projects underway and there seems to be a lot of interest in developing a more formalized initiative. Dean Evans explains lung elasticity in a physiology class. VM: What is your involvement in current fundraising for the College? JE: The University, as you know, has a $250 million capital campaign underway. Within that, the College of Medicine is responsible for raising $60 million. We have the good fortune of having great support from our alumni, from our faculty, staff, and friends, and we’re well ahead of target at this point in the campaign. I believe it’s time for us to raise the bar and, rather than trying to raise $60 million during this capital campaign, to aim for $80 million. I’m confident we can achieve a higher goal. We have exciting things to talk about to inspire donors, and we have good people who are working on outreach. The capital campaign is extraordinarily important to us because it helps support scholar- ships for our students and will give resources to the College to make the strategic investments we need to make to stay competitive in the research arena. So, this is a place where I plan to spend a fair amount of my time over the next couple of years. VM: To close this conversation — another new school year will soon be upon us, with another new class of students filling our halls. What do you think about when you see those new faces coming through the doors? JE: Mostly, it makes me think about the great promise we have. How something new is happening here every day. I often say to students: don’t ever think that ten years from today you’re going to be doing what you now think you’ll be doing. My own life has been an example of this. My advice — and it comes out of that spirit of promise — is to be broadbased in what you choose to learn. Realize that learning is not about content, it’s about how to think, how to solve problems, how to build relationships, how to work in a team. If you have those skills, you can be at the bench, you can be in the classroom, you can be in the private sector, you can be in the administrative side of things — as long as you’re open-minded about it. My advice to new students is to never rigidly characterize yourself and say “I’m going to be a person who does X, and I’m going to do that for the next 40 years.” That could be the case, but always keep in mind all the unexpected things that can happen to you, all the opportunities that can open new paths. F A L L 2004 27 HALL A P R E S I D E N T C L A S S ’ S C O R N E R N O T E S 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 29 30 31 38 PRESIDENT ’S CORNER UNIVERSITY OF VERMONT COLLEGE OF MEDICINE DEVELOPMENT & ALUMNI RELATIONS OFFICE ASSISTANT DEAN rick blount DIRECTOR , MEDICAL ANNUAL GIVING ginger lubkowitz DIRECTOR , MEDICAL ALUMNI RELATIONS kelli shonter DEVELOPMENT OFFICER 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. That tradition continued with the naming of the current Hall A in the Given medical complex. The Hall A magazine section seeks to be a meeting place for all former students of the College of Medicine. Even though I live and practice medicine in New Jersey, UVM, and especially the College of Medicine, is never far from my thoughts. Anytime my thoughts turn to UVM, I erin douglas am always reminded of my first trip across Vermont on ASSISTANT Route 12 in my sister’s Corvair in 1964, back before jane aspinall Interstate 89 was built. That fateful trip, though it took place 40 years ago, seems so much more recent. Before setting out in the Corvair, I UNIVERSITY OF VERMONT MEDICAL ALUMNI ASSOCIATION had rarely been outside the Boston area. The beauty of the Vermont ALUMNI EXECUTIVE COMMITTEE countryside beckoned to me around every curve in the road. That first 2004–2005 OFFICERS TERMS ) ( TWO -YEAR PRESIDENT charles b. howard, m.d. ’ 69 (2004-2006) PRESIDENT- ELECT marvin a. nierenberg, m.d. ’60 (2004-2006) TREASURER day, even before I got to Burlington, I knew that, if accepted, I would attend the UVM College of Medicine. While life’s choices have kept me living elsewhere, Vermont, and the College of Medicine, will always merit special affection in the hearts and lives of the Howard family. All four of our children have earned patricia fenn, m.d. ’65 degrees at UVM — two of them from the College of Medicine. The (2004-2006) SECRETARY last graduated this past May. Thanks to the thoughtfulness of Ray (2004-2006) Anton, I enjoyed the honor and privilege of being allowed on stage EXECUTIVE SECRETARY with the faculty to share her joy in receiving her diploma. Just before ruth a. seeler, m.d. ’62 john tampas, m.d. ’54 ( ONGOING ) MEMBERS - AT- LARGE ( SIX-YEAR TERMS ) mark pasanen, m.d. ’92 (1998-2004) james c. hebert, m.d. ’77 (2000-2006) carleton r. haines, m.d.’43 (2004-2006) the ceremony began, Dean Evans told me that if I was sad about no longer having a child in school at UVM, he would delay her graduation. I declined his kind offer — writing tuition checks has never been much fun. Thus the last of our children graduated. For many years, I have watched UVM grow in many positive ways. paul b. stanilonis, m.d. ’65 (2000-2006) The Alumni Executive Committee has been part of that growth, don p. chan, m.d. ’76 (2002-2008) thanks to the able and gifted leadership of Ray Anton and his prede- leslie s. kerzner, m.d. ’95 cessors. As I begin my tenure as president of the committee, I look for- frederick mandell, m.d. ’64 ward to the opportunity both to follow the course set by them and, h. james wallace iii, m.d. ’88 when appropriate, to suggest change. (2002-2008) (2002-2008) (2003-2004) mark allegretta, ph.d. ’90 (2003-2009) Charles Howard, M.D.’69 naomi l. rice, m.d.’00 (2004-2010) 28 V E R M O N T M E D I C I N E F A L L 2004 29 M.D. CLASS NOTES H A L L A Class agents are listed at the beginning of each year’s notes. If you have news to share, please contact your class agent or the alumni office at medalumni.relations@ uvm.edu or (802) 656-4014. 1941 1946 John S. Poczabut 62 Doral Farm Road Stamford, CT 06902 (203) 322-3343 Frederick C. Barrett Crossroads Place, Apt. 238 1 Beechwood Drive Waterford, CT 06385 (860) 326-2156 1943 J. Bishop McGill 152 Sanborn Road Stowe, VT 05672 (802) 253-4081 [email protected] 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 1945 ’ 0 5 H. Gordon Page 9 East Terrace South Burlington, VT 05403 (802) 864-7086 V E R M O N T M E D I C I N E George H. Bray 110 Brookside Road New Britain, CT 06052 (860) 225-3302 1948 Robert E. O’Brien 414 Thayer Beach Road Colchester, VT 05446 (802) 862-0394 [email protected] 30 1947 Porter H. Dale 5 McKinley Street Montpelier, VT 05602 (802) 229-9258 Wilton W. Covey 357 Weybridge Street Middlebury, VT 05753 (802) 388-1555 R E U N I O N Howard MacDougall writes: “Still kicking and fighting the unfriendly masters that come with age. Hi to my old classmates. I miss my old roommate Pat Izzo.” S. James Baum 1790 Fairfield Beach Road Fairfield, CT 06430 (203) 255-1013 [email protected] 1949 James Arthur Bulen P.O. Box 640339 Beverly Hills, FL 34464 (352) 746-4513 [email protected] DEVELOPMENT NEWS 1954 Joseph C. Foley 32 Fairmount Street Burlington, VT 05401 (802) 862-0040 [email protected] John E. Mazuzan, Jr. 366 South Cove Road Burlington, VT 05401 (802) 864-5039 [email protected] Richard E. Pease P.O. Box 14 Jericho, VT 05465 (802) 899-2543 Edward S. Sherwood 24 Worthley Road Topsham, VT 05076 (802) 439-5816 [email protected] R E U N I O N 1950 ’ 0 5 Simon Dorfman 8256 Nice Way Sarasota, FL 34238 (941) 926-8126 1951 Edward Jenkins tells us that he “has continued to practice medicine (not cardiothoracic, now general medicine) on short term missionary trips — Kazakhstan, Uganda, Peru, etc. Spouse Mary Jane (Durfee) usually travels with me.” 1952 Brewster Davis Martin Box 128 362 VT RT 110 Chelsea, VT 05038 (802) 685-4541 1953 Richard N. Fabricius 17 Fairview Road Old Bennington, VT 05201 (802) 442-4224 [email protected] Peter Palmisano tells us: “After a very satisfying career, my wife Joan and I have found a most enriching retirement with very much to do with our community, our Texas children, grandchildren, and friends. I wish my fellow classmates a great 50th celebration and regret that I am unable to be with you all in Burlington.” R E U N I O N 1955 ’ 0 5 Stanley L. Burns 27 Colonial Square Burlington, VT 05401 (802) 862-6205 [email protected] 1956 Ira H. Gessner 1306 Northwest 31st Street Gainesville, FL 32605 (352) 378-1820 [email protected] 1957 Larry Coletti 34 Gulliver Circle Norwich, CT 06360 (860) 887-1450 [email protected] Jack Farnham reports: “Now retired as Professor of Medicine (University of Texas at Tyler) and serving on foundation board of directors at Florida Hos- REUNION SPURS NEW PHILANTHROPY This year’s medical reunion, as always, served to rally classes from across the past decades to increase their charitable giving to their alma mater. But 2004 topped most people’s expectations. In total, reunion giving brought over $900,000 to the College for use in helping today’s medical students. THE FABULOUS FIFTIES A key focus of any reunion is the fiftieth anniversary class. This year, the Class of 1954, spurred on by class members John Tampas, M.D., and John Mazuzan, M.D., raised $709,000 for the College. More than 81% of the class members participated in the drive. Dr. Tampas and his wife Katherine established a Green & Gold Professorship. A Green & Gold Professorship provides additional funding for a faculty member who is particularly deserving of a reward for teaching and research, or to a younger faculty member of promise to facilitate career development. Dr. Mazuzan and his wife Carol made a $50,000 gift in Dean John Evans and Dr. Maeck, honor of the fiftieth M.D.’54 reunion. Benjamin H. Maeck, M.D.’54 celebrated his fiftieth reunion by documenting a $300,000 estate provision for the John Van Sicklen Maeck Chair in Obstetrics and Gynecology, named in ADAM RIESNER honor of his late brother, a longtime chair of Class of ’54 at Reunion the Department of Obstetrics and Gynecology at the College of Medicine. The Maeck Chair was established in 2000, and is currently held by Mark Phillippe, M.D., Chair and Professor of Obstetrics and Gynecology, who is the second person to hold the chair. Benjamin Maeck is a retired orthopaedic surgeon who resides in San Francisco, California. CROSSING THE WIRE The spring issue of Vermont Medicine noted that Tony Belmont, M.D.’64 had put together his surname, and his desire to encourage his class to increase their fortieth reunion giving, and come up with the Belmont Stakes challenge. Simply put: if the rest of his class members could reach the 60% participation level, Dr. Belmont would add a $7,500 gift to the total. Smarty Tony Belmont, Jones may have had a disappoint- M.D.’64 ing finish in this year’s Belmont, but the Class of ’64 sailed right across the wire. They topped 60% participation, and contributed a total of $29,000. PASSING IT ON Cajsa and Jeff Schumacher (both M.D.’74 graduates) celebrated their thirtieth reunion in a personal way, by sponsoring one of the many sturdy oak student lockers that now line the hall on the second floor of Given. The Schumachers donated $2,500 to sponsor a locker in honor of their daughter Erika, who is entering the College as a medical student this fall. F A L L 2004 31 M.D. CLASS NOTES H A L L A pital – Waterman with classmate Walt Miner. Moved to Florida in 2001, but still have summer home in New Hampshire.” 1958 Peter Ames Goodhue Stamford Gynecology, P.C. 70 Mill River Street Stamford, CT 06902 (203) 359-3340 1959 Jay E. Selcow 27 Reservoir Road Bloomfield, CT 06002 (860) 243-1359 [email protected] Stanley Stein is “Still practicing pediatrics. My four daughters have now provided us with 13 grandchildren.” Stephen Weinstein reports: “Currently Marlene and I are living in Sudbury, Vermont. Happily retired from an active career in research/teaching/nephrology, I am making up for lost time away from all my other interests and motivations.” R E U N I O N 1960 32 V E R M O N T M E D I C I N E Wilfrid L. Fortin 17 Chapman Street Nashua, NH 03060 (603) 882-6202 [email protected] John Mesch writes: “Still enjoying part time practice in pulmonary medicine. Looking forward to the 45th class reunion.” Alan Mackay retired from ophthalmology solo practice in July 2002. He visits Vermont a number of times a year to see his daughter, grandchildren, sisters, cousins and aunt. 1962 Ruth Andrea Seeler 2431 North Orchard Chicago, IL 60614 (773) 472-3432 1963 John J. Murray P.O. Box 607 Colchester, VT 05446 (802) 865-9390 [email protected] H. Alan Walker 229 Champlain Drive Plattsburgh, NY 12901 (518) 561-8991 ’ 0 5 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] 1961 1964 Anthony P. Belmont 211 Youngs Point Road Wiscasset, ME 04578 (207) 882-6228 [email protected] R E U N I O N 1965 George A. Little 97 Quechee Road Hartland, VT 05048 ’ 0 5 (802) 436-2138 george.a.little@ dartmouth.edu dancing, and three grandchildren fill our days.” Joseph H. Vargas, III 574 US RT 4 East Rutland Town, VT 05701 (802) 775-4671 [email protected] 1967 1966 Robert George Sellig 31 Overlook Drive Queensbury, NY 12804 (518) 793-7914 [email protected] G. Millard Simmons 2101 Calusa Lakes Blvd. Nokomis, FL 34275 (941) 484-6418 [email protected] Richard Falk is a reproductive endocrinologist and retired in January 2004. He is “still consulting, some lecturing, but mainly boating on the Chesapeake and spending time with my wife Carole and three (almost four) grandchildren. Son Andrew (delivered by Dr. Durfee at the Mary Fletcher) is now a corporate attorney with two children. Daughter Hayley is an art teacher with a one year old, Parker. Son Bradley is finishing his residency at the University of Pennsylvania in emergency medicine and is expecting a baby with wife Lynn imminently.” Fred Fagelman reports: “I retired from my neurosurgery practice in Glens Falls, New York, in January 2004. Nancy and I still live in Queensbury and are busier than ever. Outdoor activities, pottery, Morgan cars, ballroom John F. Dick, II P.O. Box 60 Salisbury, VT 05769 (802) 352-6625 1971 1968 Wayne E. Pasanen 117 Osgood Street North Andover, MA 01845 (978) 681-9393 wpasanen@lowell general.org 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 William French is currently a Professor of Medicine at the UCLA School of Medicine. 1969 Charles B. Howard 256 Bridgepoint Road Belle Mead, NJ 08502 (908) 359-6161 [email protected] Susan Pitman Lowenthal 75 Blue Swamp Road Litchfield, CT 06759 (860) 597-8996 susan_w_pitmanlowen [email protected] R E U N I O N 1970 have a new grandson! John Bernard Hunt ( J.B.) born on St. Patrick’s Day 2004. John Hunt III, M.D., and Claudia Hunt are great parents and we are thrilled!” ’ 0 5 Raymond Joseph Anton 1521 General Knox Road Russell, MA 01071 (413) 568-8659 [email protected] John F. Beamis, Jr. 24 Lorena Road Winchester, MA 01890 (781) 729-7568 [email protected] John Hunt writes: “We Charles Belisle reports that he is a grandfather of four. Three of his children are alumni of the College of Medicine as well: Lisa Belisle, M.D.’96 practices in Yarmouth, Maine; Amy Belisle, M.D.’99 is a pediatrician at the Yokato Air Base in Japan; and Adelle Belisle, M.D.’01 is an orthopedic resident at the University of Connecticut. 1972 F. Farrell Collins, Jr. 205 Page Road Pinehurst, NC 28374 (910) 295-2429 Richard Teixeira writes: “Natalie and I are expecting our first grandchildren this year, one from our daughter Jane and one from our son Todd, who was born at Mary Fletcher during our years at UVM. In January 2004, I participated in a church mission trip to Guatemala and headed a pediatric clinic in that impoverished country. It was a humbling experience.” 1973 Suite 103 246 Pleasant Street Concord, NH 03301 (603) 224-6070 [email protected] James M. Betts 715 Harbor Road Alameda, CA 94502 (510) 523-1920 [email protected] 1977 UPCOMING EVENTS 2004-2005 September 23 George Schumacher Symposium UVM College of Medicine Philip L. Cohen 483 Lakewood Drive Winter Park, FL 32789 (407) 628-0221 [email protected] Mark A. Popovsky 22 Nauset Road Sharon, MA 02067 (781) 784-8824 mpopovsky@ haemonetics.com 1974 Mark Novotny reports: “I am continuing to enjoy work as hospitalist at Southwestern Vermont Health Care in Bennington, and have several medical staff leadership roles including medical director of hospitalists and PHO and president of medical staff. With three kids in high school and one in college, life (and tuitions) are busy!” Saturday, October 2 Alumni Executive Committee Meeting Given Building 1978 January 14, 2005 White Coat Ceremony Carpenter Auditorium Douglas M. Eddy 5 Tanbark Road Windham, NH 03087 (603) 434-2164 [email protected] Cajsa Schumacher 441 Church Hill Road Morrisville, VT 05661 (802) 888-1799 [email protected] Fred Perkins writes: “Sorry I missed the Reunion. Our son was in the New England track meet representing New Hampshire in shot put and discus. We like the Hanover area, and my position as chief of anesthesia at the V.A. is both stimulating and pleasant.” R E U N I O N 1975 ’ 0 5 Ellen Andrews 195 Midland Road Pinehurst, NC 28374 (910) 295-6464 [email protected] 1976 Don P. Chan Cardiac Associates of New Hampshire Paul McLane Costello Essex Pediatrics, Ltd. 89 Main Street Essex Junction, VT 05452 (802) 879-6556 Anita Henderson tells us: “After twenty-two years in private practice in Greensboro, North Carolina, I left to work in a walk-in clinic in the summer of 2003. This year my husband and I are moving to Blowing Rock, N.C. — near the Blue Ridge Parkway, which I first saw with classmate Jim Murray in 1978 when we were interviewing for residencies! Our son is graduating from the university of October 1-3 UVM Homecoming Saturday, October 9 Parents Weekend November 28-December 3 Alumni Reception at the Radiological Society of North America 2004 Scientific Assembly and Annual Meeting McCormick Place, Chicago February 22, 2005 Third-Year Student Dinner March 7, 2005 Golf Outing with Dinner & Guest Speaker Pelicans Nest Golf Club, Bonita Springs, Fla. For updates on events see: www.med.uvm.edu/ medalum F A L L 2004 33 M.D. CLASS NOTES H A L L A North Carolina–Chapel Hill and entering a seminary near Philadelphia, Penn. My husband, a product liability attorney, continues his ADR work I will be looking for family practice positions in the Blowing Rock-Boone area of N.C.” Anne Ehrlich writes: “Our daughter Hazel graduates from high school this year as salutatorian. She is headed to Stony Brook University to study biology. She has some interest in medicine, much to our surprise. Our son Harry is a sophomore in high school. To our total surprise he added musical comedy to his many talents, playing Mr. Magix in “My One and Only.” Linda Schroth reports: “I remain in the same family medicine private practice I have been in since graduating from my residency. But I now have an empty nest — our oldest, Alison, is a second year medical student at Penn State, and is now in Uganda for the next six weeks, teaching villagers about HIV prevention and hygiene. Jon just graduated from art school and will soon be doing computer animation for the movie “Ice Age 2.” Brian is following in Dick’s footsteps and studying software engineering at RIT. And, Dick and I will soon be celebrating our 30th wedding anniversary by taking a three-week trip to China.” 34 V E R M O N T M E D I C I N E 1979 Sarah Ann McCarty 1018 Big Bend Road Barboursville, WV 25504 (304) 691-1094 [email protected] James Jarvis reports that he was appointed chief of the Pediatric Rheumatology Section of the University of Oklahoma in 1997. He is particularly interested in the high prevalence rate and familial occurrence of rheumatic disease in indigenous Americans and currently serves on the American Academy of Pediatrics’ Committee on Native American Child Health (CONACH). He is also involved in using genomic approaches to understanding the pathogenesis of rheumatic diseases and serves on the AAP’s Section on Rheumatology Executive Committee. James also tells us: “I am deeply indebted to the elders who guided me throughout my academic career, including Drs. Jerold Lucey and Jim McKay at UVM. I feel deeply blessed to be a physician. UVM gave me just the right start in my career, and I am grateful to the College and its faculty for starting me on this journey. Thank you, too, UVM classmates, who provided support, camaraderie, and challenge during those four years.” Courtland Lewis reports: “In 2001, after fifteen years as a fulltime faculty member at the University of Connecticut, I joined a private practice of 20 orthopods in Hartford (as junior partner of a number of former residents). Am a Clinical Professor (read volunteer) and interestingly, more academically active than I’ve been for years! Barbara and I have two kids in college and a 13 year-old to keep us going strong.” R E U N I O N 1980 ’ 0 5 Richard Nicholas Hubbell 80 Summit Street Burlington, VT 05401 (802) 862-5551 rich.hubbell@ vtmednet.org Kathryn Moyer writes: “Looking forward to seeing you all at our 25th reunion in 2005! Hard to believe!” 1981 Craig Wendell Gage 5823 Interbay Blvd. Tampa, FL 33611 CraigGage@ alumni.uvm.edu Jacques Larochelle tells us: “I am still a full-time Emergency Physician at EMMC in Bangor, Maine, with some teaching and administrative responsibilities. Carolyn and I are still very busy raising our six boys. Our oldest, Matthieu, is presently a freshman at Bowdoin College with twins Michael and Nicholas joining him there next fall. With the household becoming smaller, we hope to make the next reunion.” Andrew Weber writes: “This year we look forward to my son Marc’s thirteenth birthday and a big party. I’m still in solo practice in pulmonary medicine working much too hard. All is well with Laury and the boys, Marc and Harris, who have no plans to be a doctor.” Jim Worthington reports that his middle son, Chris, is now enrolled at UVM as a freshman in the College of Natural Resources. 1982 Linda Hood 4 Cobbler Lane Bedford, NH 03110 (603) 471-2536 [email protected] 1983 Diane M. Georgeson 2 Ravine Parkway Oneonta, NY 13820 (607) 433-1620 [email protected] Anne Marie Massucco 15 Cedar Ledge Road West Hartford, CT 06107 (860) 521-6120 1984 Richard C. Shumway 34 Coventry Lane Avon, CT 06001 (860) 673-6629 rshumway@ stfranciscare.org Thomas Munger writes: “I would have very much liked to attend Reunion, but alas I could not this year. My two oldest of four children graduated high school on June 12th and I had to leave with my youngest daughter on the 13th for Paris for the European EP meetings the following week. I send my warmest regards to all my classmates from UVM 1984, and hope they are doing well. Hopefully, I’ll get to the 25th.” Gordon Wood tells us: “I was sorry to miss our 20th Reunion this year. Practicing pediatrics in Chicago suburbs and busy coaching soccer and camping with Boy Scouts. Hospital and office converted to all-electronic medical records in October — what a mess!” R E U N I O N 1985 ’ 0 5 Vito D. Imbasciani 1915 North Crescent Heights Blvd. Los Angeles, CA 90069 (323) 656-1316 [email protected] Bruce Rothschild “ran the N.Y.C. Marathon in November and beat P. Diddy!” Linda Walker writes: “Greetings to all from Georgia. I’m still a transplanted Yankee, now an acclimatized Southern Belle. Don’t know if this is a class ‘record’, but I felt prematurely aged after having an acute MI last fall. After thrombolysis and a cath, I have one of those fancy new drugeluting stents in my LAD (99% stenosis).” Vito Imbasciani’s latest activites in the Medical Corps in Iraq can be read at www.yovito.com. 1986 Darrell Edward White 29123 Lincoln Road Bay Village, OH 44140 (440) 892-4681 [email protected] Howard Pride reports that this summer will mark the tenth year of offering a summer camp for children with skin disease at Camp Horizon in Millville, Penn. He still practices dermatology at Geisinger Medical Center in Danville, Penn., where he completed both his med-pediatrics and dermatology residencies. Sons Chris (22) and Matt (19) are students at Susquehanna University and Ithaca College. He and his wife, Kathy, also have daughters Tianna (7) and Nicole (5). Dora Anne Mills writes: “I am entering my ninth year as Maine’s Public Health Director. With the emergence of SARS, obesity, and post9/11 issues, my job is always exciting and challenging. Life is also fabulous and full with my two children (ages 2 and 5) and husband, Michael Fiori.” 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 David Couillard tells us: “We now have three children following the birth of my second daughter Michelle last August. Both my wife Patricia and I are urologists in Roseville, Calif. and are doing fine.” 1989 Congratulations to Peter Nalin. On June 2, 2004, the Association of Family Practice Residency Directors (AFPRD) welcomed Dr. Nalin as President for 2004-2005. He currently leads the Indiana University Family Practice Residency at Indianapolis. 1990 Mark Eliot Pasanen 1234 Spear Street South Burlington, VT 05403 (802) 865-3281 mark.pasanen@ vtmednet.org 1993 Joanne Taplin Romeyn 22 Patterson Lane Durham, CT 06422 (860) 349-6941 Peter M. Nalin 13216 Griffin Run Carmel, IN 46033 (317) 962-6656 [email protected] R E U N I O N 1992 ’ 0 5 Barbara Angelika Dill 120 Hazel Court Norwood, NJ 07648 (201) 767-7778 barbrichanddillon@earth link.net 1991 John Dewey 15 Eagle Street Cooperstown, NY 13326 [email protected] Catherine Welch Dinauer tells us: “I’m a pediatric endocrinologist practicing very part-time right now in the Washington, D.C., area. I’m enjoying being home with my three kids: Kate (6); Claire (4); and Will (3).” Veronica Mueller Rooks writes: “One more move for Bob and Roni with Lexi (age 11), Tori (age 8), and Liza (age 4) back to Hawaii!” Scott Jaynes reports that he is the newly-elected Medical Staff President of Monadnock Community Hospital, Antrim, N.H. 1994 Holliday Kane Rayfield P.O. Box 819 Waitsfield, VT 05673 (802) 496-5667 [email protected] Carol Saunders tells us: “Since finishing my training in pathology in Rochester, N.Y., I have had two jobs at two different hospitals in central Maine. I am (finally!) a partner at Maine General Hospital where I work with four other pathologists in Augusta and Waterville. Most of my free time is spent with my two terrific kiddos: Jacob (6) and Katherine (2). Doug and I are enjoying life in Maine and living in a small town.” Deborah Bowers reports: “What a great 40th year! I made F A L L 2004 35 M.D. CLASS NOTES H A L L A CONTINUING MEDICAL EDUCATION NEWEST CLASS AGENTS ARE NAMED The beginning of Fall 2004 will find the members of the College of Medicine’s Class of 2005 farflung across New England the nation and the world as they perform rotations and prepare for their coming years of residency. Just before leaving this summer, two members of the class were confirmed as the latest class agents. Julie Alosi and Richard Parent join the more than 70 alumni agents who help maintain connections between their class members and their medical alma mater. partner in my practice — seven docs and seven midwives doing more than 1000 deliveries a year. I have two budding ballerinas who are very proficient at hospital rounds and I recently reconnected with Beth Foley and Lauren Archer — Tim Waite, where are you?” Lauren Archer writes: “Completed five years of active duty in the U.S. Navy after graduation. Completing year four of six of a combined general surgery/plastic surgery residency. Living and working in Cincinnati, Ohio, but looking forward to heading back to the East Coast soon.” R E U N I O N 36 V E R M O N T M E D I C I N E ’ 0 5 1995 Allyson Miller Bolduc 252 Autumn Hill Road South Burlington, VT 05403 (802) 863-4902 allyson.bolduc@ vtmednet.org Kendra Hutchinson tells us: “Nick (Kenyon ’94) and I are living in Davis, California. I am working part-time as a hematologist/oncologist at Kaiser. Nick is an assistant professor in pulmonary/ critical care at UC Davis. Our daughters Anna (3) and Elyse (1) keep us busy, humbled and constantly laughing!” Brian Levine writes: “Been busy at Christiana Care in Delaware — enjoying suburban life, lecturing, and serving as president of the Delaware chapter of the American College of Emergency Physicians.” Aaron Stern reports: “Working in Queens at Elmhurst Hospital as Staff Nephrologist. Recently promoted to Assistant Professor at Mt. Sinai. Zina working on her next musical; Rachel just turned five and Adam just turned three.” Mitchell Wolfe reports: “We are moving to Hanoi, Vietnam this summer for two years to work with the Centers for Disease Control and the Vietnamese government on HIV/AIDS.” 1996 Anne Marie Valente 4616 Dolwick Drive Durham, NC 27713 (919) 806-8110 Patricia Ann King, M.D., Ph.D. 832 South Prospect Street Burlington, VT 05401 (802) 862-7705 patricia.king@ vtmednet.org Brian and Neelima Chu invite their classmates to “come and visit us in San Diego.” Danette Colella is: “Enjoying private practice south of Boston. Spending all my free time with my husband David Berowitz, M.D. and our two children Jacob (4) and Delia (2). Hoping to see everyone at our tenth reunion!” Bonny Whalen reports that she is now the Newborn Nursery Attending for the University of Wisconsin Hospital, pediatric residency. She is loving her new position and enjoying more time with Emily, who just turned twelve, and Paul. Anders Holm writes: “Andrea and I are doing well in Vermont. We are keeping busy during the week in private practice in Middlebury. On the weekends, we are busy enjoying outdoor activities in the Green Mountains and on Lake Champlain. We also enjoy taking care of our gardens and orchard with our children Sara (age 4) and Jakob (age 1).” 1997 Julie Clifford Smail 3094 Mt. Baker Circle Oak Harbor, WA 98277 (360) 240-8693 jsmail@ fidalgomedical.com Jason Lyman reports: “I am currently an assistant professor in the Health Evaluation Sciences Department at the University of Virginia. My wife, Kristen Atkins ’96 and I welcomed our son, Cole Atticus Lyman, into the world in January 2004.” Matt Danigelis writes: “My girlfriend Donna and I are living in the town of Florence on the Oregon coast. We are having a good time but miss good friends.” Cherise Rowan tells us: “Paul and I move to New York this summer. I start a fellowship in Pediatric Cardiology at the brand new Children’s Hospital at Columbia-Cornell, and Paul is finishing his search for a new parish.” Lucien Ouellette and Amy Ouellette’99 recently welcomed Laura Malia as the newest addition to their family. 1998 Halleh Akbarnia 4700 Bromley Lane Richmond, VA 23226 (804) 204-2595 [email protected] 1999 Everett Jonathan Lamm 18 Roberts Drive Hampton, NH 03842 (603) 929-7555 [email protected] Deanne Dixon Haag 4215 Pond Road Sheldon, VT 05483 (802) 524-7528 Linda McMorrow Ries tells us she is a hematology oncology fellow (PGY 5) at Brown University in Providence and will be doing a rotation in Boston at Beth Israel to gain more experience in bone marrow transplant. She married in September 2002, having met her husband while in Seattle for an “away” selective. They plan to move to the northwest next year. Ian Greenwald writes: “Moving to Atlanta summer 2004 for a staff job with the Department of Emergency Medicine at Emory University/Grady Healthcare System.” R E U N I O N 2000 Jay Edmond Allard 215 Redland Blvd. Rockville, MD 20850 ’ 0 5 (301) 926-8959 [email protected] 2004-2005 CONFERENCE SCHEDULE Michael Jim Lee Apt. 413 2300 Overlook Road Cleveland Heights, OH 44106 (216) 229-7799 michael_j_lee1681@ yahoo.com The 2nd Annual Northern New England Critical Care Conference September 23-25, 2004, Stoweflake Resort, Stowe, Vt. Naomi Leeds Rice, M.P.H. Apt. 5, 38 Grove Street Boston, MA 02114 (617) 771-8060 [email protected] Maya Jerath writes: “I am about to complete my internal medicine residency at Duke and plan to do a fellowship in oncology. My husband and I have a one-year old daughter named Noor.” 2001 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, The Sophian Plaza 4618 Warwick Blvd. Kansas City, MO 64112 (816) 753-2410 [email protected] Michelle Cassara was one of five resident physicians at the University of North Carolina Hospital to be honored with the 2004 House Officer Award, which recognizes outstanding performance and compassion to patients and their families. Dr. Cassara is a member of the 16th Annual Eastern Winter Dermatology Conference January 21-24, 2005, Topnotch Resort, Stowe, Vt. Current Concepts & Controversies in Surgery February 3-5, 2005, Stoweflake Resort, Stowe, Vt. Emergency Medicine Update February 2-5, 2005, Stoweflake Resort, Stowe, Vt. 10th Annual Vermont Perspectives in Anesthesia February 28-March 4, 2005, Stoweflake Resort, Stowe, Vt. The Stowe Conference on Digestive Diseases March 3-5, 2005, Trapp Family Lodge, Stowe, Vt. College of Medicine alumni receive a special 10% discount on all UVM Continuing Medical Education conferences. For more information contact: Continuing Medical Education 75 University Heights Burlington, VT 05405-1736 (802) 656-2292 http://cme.uvm.edu General Medicine and Clinical Epidemiology Departments at UNC. 2002 Jonathan Vinh Mai 15 Meadow Lane Danville, PA 17821 (570) 275-4681 [email protected] April and Ronald Hirschberg report: “We are finishing up our second year of residency in Massachusetts. Ron is at Spaulding Hospital and I am at both Mass General and McLean Hospitals. We have a condo in Belmont and would love to hear from classmates when you are in the Boston area.” 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 scott.goodrich@ vtmednet.org F A L L 2004 37 OBITUARIES H A L L A HAYDON ROCHESTER, M.D.’38 Dr. Rochester, of Orange County, Calif., died April 18, 2004, at Gifford Medical Center in Randolph, Vt., following a stroke. He was born Dec. 16, 1912, in Los Angeles, Calif., the son of Dr. Haydon Rochester and Margaret Matthias Rochester. Dr. Rochester graduated from Woodrow Wilson High School in Long Beach, and the University of California– Berkeley in 1934. He received his M.D. degree from the University of Vermont College of Medicine in 1938. He served in the U.S. Navy Medical Corps from 1939 through 1948, and in the Pacific Theater during World War II. After the war he continued to serve in the U.S. Naval Reserve. In 1940 he married Hazel Jeanette Hall in Norfolk, Va. His wife predeceased him in 1988. Dr. Rochester practiced adult psychiatric medicine in Long Beach from 1952 until the late 1980s. He served as chairman of the psychiatric department and interim director of Long Beach Memorial Hospital in California. During his retirement he obtained a real estate broker’s license in California, and became principal of Best Realty International of Rolling Hills Estates. of fifty-eight years, Claire A. Murdock, who was a student nurse. They were married after Claire's graduation on June 26, 1943, shortly before Dr. Wakefield entered the armed forces as a medical doctor. He served three years in the Army, both Air Corps and ground forces and was discharged in 1946 with the rank of Major. After military service, he underwent four years of residency training in pathology in hospitals in and around Boston, including one year at the Harvard Medical College. He became assistant pathologist at the Central Maine General Hospital in Lewiston, Maine in 1950 and was named the Chief Pathologist at the Holyoke Hospital in Massachusetts in 1953. During that time he was also Director of the School of Medical Technology as well as pathologist to the Holyoke Soldier’s Home and the Mary Lane Hospital in Ware, Massachusetts. While at Holyoke, he also became certified by the board of Nuclear Medicine and started this department in the hospital, which is named after him. Dr. Wakefield retired from the Holyoke Hospital in 1983. The Wakefields retired to Vermont, where they remained until 1997. They then returned to live in Massachusetts. H. PAUL WAKEFIELD, M.D.’42 Dr. Wakefield died April 16, 2004. He was born in 1917 and was raised in Burlington, Vermont. He attended local schools, worked on boats crossing Lake Champlain, and played trombone in his own dance band. After graduating from high school, he enrolled as a student at the University of Vermont, where he earned both an undergraduate and a medical degree. Upon graduation, he served as a medical intern at St. Francis Hospital in Hartford, Connecticut, where he met his wife 38 V E R M O N T M E D I C I N E ROBERT WILLIAM AGAN, M.D.’44 Dr. Agan died in his sleep on Saturday, April 17, 2004 at his home in Cape Elizabeth, Maine. He was 84. He was born a twin in Bennington, Vt. on Feb. 13, 1920. Dr. Agan was predeceased by his twin brother, Dr. Lawrence Martin Agan of Topeka, Kan. A graduate of the University of Vermont and the UVM College of Medicine, Dr. Agan continued his medical training at Stamford (Conn.) Hospital and St. Luke’s Hospital in New York City. Dr. Agan was a U.S. Navy veteran. He served aboard ships in the Pacific in the last year of World War II. He continued as an officer in the U.S. Naval Reserve for 20 years and retired as a lieutenant commander. In 1949, he and his family came to Maine. He practiced at the Maine General Hospital in Portland until the Navy recalled him during the Korean War. He then served at the Portsmouth Naval Hospital. Dr. Agan practiced anesthesiology at Mercy Hospital in Portland for more than 30 years, retiring in 1985. HAROLD MOSKOVITZ, M.D.’44 Dr. Moskovitz died December 10, 2003 from Chronic Obstructive Pulmonary Disease (COPD). A nonsmoker, he suffered from asthma. Dr. Moskovitz was born in 1919 in Boston to Rose and Morris Moskovitz, immigrants from eastern Europe, who believed strongly in education. The family moved to Burlington, Vt. where their son graduated from high school at age 16. He earned his Ph.D. in social sciences in 1940 from the University of Vermont, where he was elected to Phi Beta Kappa. He followed his older brother, Abraham, into the study of medicine. In 1944, he graduated from the College of Medicine, and interned at Queens General Hospital, Long Island, N.Y. from 1944-45. He was drafted into the Army in 1945 and was stationed in the Philippines as a division surgeon in the medical corps. In 1947, he moved to Cincinnati where he served a four-year residency in surgery at Jewish Hospital. There he met student nurse Helene “Tootsie” Schwartz, whom he married in 1951. Dr. Moskovitz was called back to active duty for the Korean war in 1953 and served as assistant chief of surgery at the U.S. Army Hospital, Aberdeen, Md. He returned to Cincinnati in 1954 and began his surgical practice. He was chief of surgery 1956-77 and trained surgical residents at the former Longview State Hospital. He was in private practice from 1951-94. ROBERT D. GITTLER, M.D.’49 Dr. Gittler died on April 29, 2004 in New York. During a distinguished career, he practiced medicine for four decades. He was a physician who found great pleasure in his work and his patients, many of whom count themselves among his lifelong friends. He served as the Deputy Chief Police Surgeon to the City of New York and taught at two hospitals and one medical school in the metropolitan area. WILLIAM H. THURLOW IV, M.D.’69 Dr. Thurlow died suddenly on February 14, 2004, at his home in Halifax, N.S. He was born in Baltimore, Md., and was a graduate of the University of Maine before earning his medical degree at the College of Medicine. He interned in St. John’s, Newfoundland, where he began his residency in General Surgery. He continued his residency in Hamilton, Ont., qualifying for his Fellowship in 1975. He practiced in Gander, Newfoundland, Digby, and Summerside, P.E.I. He was a member of the Royal College of Surgeons (Canada) and he served on the board of the American College of Surgeons. Dr. Thurlow loved the outdoors in all aspects, but he reserved a special love for astronomy. He was an active member of the Halifax Centre of the Royal Astronomical Society of Canada for many years. ALBERT MILLER M.D.’72 Dr. Miller died May 10, 2004, at his home in Bensalem, Penn. Born in Cambridge, Mass., he was formerly of Barre, Vt. and Burlington, Vt. He received his medical degree from the University of Vermont and he served his internship at Maine Medical Center and his residency at the Medical Center Hospital of Vermont. He had a fellowship in infectious diseases at the University of Vermont and was in an internal medical practice with Dr. Jeffrey Rubin at Fletcher Allen Health Care in Burlington. Dr. Miller also dedicated his time as a physician in the Indian Health Service in Nevada and was a member of the American Medical Association and Vermont Medical Society. GEOFFREY KELAFANT, M.D.’85 born in Geneva. N.Y., and was a graduate of Hamilton College, Clinton, N.Y, before receiving his medical degree from the College of Medicine. He served his internal medicine internship at the Bethesda Naval Hospital in Bethesda, Md. In 1986, he studied at the Naval Undersea Medical Institute in New London, Conn., and Panama City, Fla. From 1987 to 1989, he was a Senior Diving and Submarine Medical Officer in the U.S. Navy, Submarine Group 6, in Charleston, S.C. He earned his Master’s Degree in public health from the University of Kentucky, and completed his Occupational Medicine Residency, at the University of Kentucky College of Medicine in 1991. Dr. Kelafant served as medical director for the Center for Occupational Health and the Center for Work Performance at Union Hospital in Terre Haute, Ind., from 1993 to 1997. He then became medical director for Sarah Bush Lincoln Health Center, Occupational Health Department, where he served until 2003 when he became medical director for the McLeod Regional Medical Center Occupational Health and Employee Health in Florence, S.C. Dr. Kelafant died March 16, 2004, in Tulum, Mexico. He was 45. He was F A L L 2004 39 reunion 2004 Vermonters are used to dealing with “serious weather,” but that doesn’t stop anyone from hoping for the best when an event the size of Medical Reunion is concerned. This year, it looked like all the rabbit-foot rubbing in the world would not keep the skies over Burlington from clouding up and continuing some of the rainiest spring weather in years. Then, as June 11 dawned, all those worries drifted away. This year’s Reunion attendees were treated to three crystal-clear summer-like days in the sun. More than 350 College of Medicine graduates and guests returned to their medical alma mater this year to catch up with old friends and see the latest changes to their school. They gathered together at class dinners, at a reunion picnic at the local Quarry Hill Club, and at the gala “Legends & Leaders” ceremony honoring members of the fiftieth reunion class and this year’s Medical Alumni Association Award winners. 40 vermont medicine fall 2004 41 re u n i o n 2 0 0 4 Reunion is a fun time for all the family, as the children of alumni found out this year when they checked out the very intelligent “dummy” used to help train medical students in the Student Assessment Center in the Given Building, or worked off their excess energy in the bouncing room at the family picnic. As always, alumni from across the past 60 years joined together during Nostalgia Hour to share their funniest stories of the sometimes harrowing, and often humorous process of becoming a physician. This year, longtime nostalgia emcee John Tampas’ service was noted with a special photographic collage presented by Dean John N. Evans. 42 V E R M O N T M E D I C I N E Tribute to a Lifetime of Caring saturday, may 8, 2004 1:30 p.m. Dozens of girls from across Vermont gathered at the College of Medicine for Girls’ Science Discovery Day, where this group of middle schoolers in the Health Science Research Facility learned about the physics of light. Jacqueline Noonan’s intense desire to help children began when she was a child herself. She knew she wanted to be a doctor when she was five; by the time she was seven, she was sure she would become a pediatrician. For a poor girl in Hartford, Connecticut, who would become the first in her family to go to college, medical school seemed a very remote possibility. “I would have been in great difficulty if I hadn’t been accepted by Vermont. I was very nervous. My mother’s friends kept telling her that they hoped that I didn’t get my hopes up because I would never get in,” Noonan remembers. She did find a place in the class of 1954, and she thrived. Less than five years after graduating from the College, Noonan had completed a pediatric cardiology fellowship at the Boston Children’s Hospital and joined the faculty of the University of Iowa. Two years later, she became a founding faculty member at the University of Kentucky. She spent 37 years there as chief of pediatric cardiology, 18 of those while simultaneously holding the chair in pediatrics. She has a permanent place in medical references as the first to describe Noonan’s Syndrome, a genetic multiple malformation syndrome that affects one in 1,500 infants. Dr. Noonan is proud of these accomplishments, but she believes a truer measure of her career is in the quality of her relationships with her patients. Parent by parent, child by child, decade by decade, Noonan has worried over and cared for her young charges and their families with a devotion that remains steadfast even today, several years after her retirement. “From childhood on I have been in touch with the mythology of this profession and after all these years my belief in it has not been shattered,” Noonan says. “Although medicine has changed…the doctor-patient relationship is an awesome and precious thing.” Recently, Dr. Noonan showed her deep commitment to her medical alma mater — and its future students — by documenting a major estate provision for the College of Medicine’s Dean’s Discretionary Fund. The flexibility inherent in unrestricted giving was an important factor for her. “I plan on living a long time,” says Dr. Noonan, with a smile. “But when I go, I want to know that I’m helping the College react to whatever needs its dean thinks are most important at that time.” Do you need assistance in finding the best way to include the College of Medicine in your estate? Our charitable giving professionals can assist you whenever you are ready to make these important plans. photograph by Adam Riesner (802)656-4014 [email protected] www.med.uvm.edu/giving 44 V E R M O N T M E D I C I N E THE MEDICAL IRA ALLEN SOCIETY honoring a FOUNDER’S legacy T hough he last walked across the UVM Campus Green in the early 19th Century, Ira Allen is to this day an unforgettable presence at the university he helped found, and is memorialized by a statue, a chapel, and a growing society of generous individuals. Originally from Cornwall, Connecticut, Ira Allen was actively interested in the affairs of Vermont, where he received large grants of land and was a member of the Green Mountain Boys, commanded by his brother Ethan. A prominent figure in the development of the state constitution, Ira Allen was also elected a member of the Governor’s Council and first treasurer of the Republic of Vermont. In addition, Allen was the author of the Vermont Bill of Rights and Declaration of Independence. Allen also had great interest in establishing a university in Burlington, Vermont. In 1789 he pledged £4,000 and donated land for such a purpose. He became one of the university’s trustees in 1791. Allen’s memory was long neglected until James B. Wilbur donated funds to erect a statue of Ira Allen that now stands on the Campus Green. Wilbur also provided the funds to build the Ira Allen Chapel, erected in 1927 in honor of the founder of the University of Vermont. The commitment to excellence in education at the University of Vermont and its College of Medicine is a tradition made possible by alumni, parents, and friends who share the vision of its founder. Since 1964, that vision has been recognized for donors by annual membership in the Ira Allen Society. Today, the Medical Ira Allen Society has nearly 400 members who make generous leadership contributions each year. Help strengthen this cornerstone of individual support to the College by joing the 2005 Medical Ira Allen Society. 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