The Magazine of The School of Medicine Alumni Association–University of Utah ILLUMINATIONS Summer 2014 Volume 10 Number 1

The faces of medicine... Celebrating our accomplishments

Alumni Weekend Dean’s Message Alumniawards Match Day Alumni Association CONNECTED TO Association Alumni news commencement

Alumni Association Alumni Association Illuminations ILLUMINATIONS The Magazine for the University of Utah School of Medicine Alumni and Friends

Editor University of Utah School of Medicine Medical Student Representatives: Kristin Wann Gorang Alumni Association Board of Directors TBD Communications Committee David N. Sundwall, MD, 1969 Christine A. Cheng, MD, HS, ‘87 Chair President Ex-Officio: James T. Roth, MD, ’89 Saundra S. Buys, MD, HS, 1984 Vivian Lee, MD, PhD, MBA Saundra S. Buys, MD, HS, ‘84 Past President Sr. Vice President Health Sciences, Bryan L. Stone, MD, ‘86 Dean, School of Medicine Dale B. Hull, MD, MPA, 1985 Dale B. Hull, MD, MPA, ‘85 Kristin Wann Gorang Vice President A. Mason Redd, MD, ‘63 Executive Director, Alumni Relations Wayne Samuelson, MD, ‘80 Susan M. Wiet, MD, HS, 2003 Jay Vogelsang Secretary Illuminations Associate Vice President, Chief Development Officer is published by the Terry Box, MD, HS, 1983 University of Utah Christine A. Cheng, MD, HS 1997 Letters to the editor: These will be posted School of Medicine Camille Collett, MD, 1983 on the SOM Alumni Web site. Submit Alumni Relations Office Thomas D. Coppin, MD, 1967 letters at [email protected] Send address changes or Craig A. Ensign, PA-C, MPS, 2003 to opt out of Illuminations Elizabeth H. Hammond, MD, 1967 mailings email: Scott A. Hopkins, MD, 1994 [email protected] Bruce C. Irvine, MD, 1968 What’s Inside Office of Alumni Relations Dale G. Johnson, MD, 1956 What’s Inside 540 South Arapeen Drive, Suite 120 Kirtly Parker Jones, MD, Faculty Salt Lake City, Utah 84108-1298 Richard H. Keller, MD, HS 1963 1 Dean’s Message 801.585.3818 James O. Mason, MD, DrPH, 1958 2 Alumni Relations Director’s Teresa L. Ota, MD, 1988 Message Donald M. Pedersen, PA, PhD, 1978 A. Mason Redd, MD, 1963 3 From the ER to the Senate James T. Roth, MD, MSPH, 1989 Alumni Relations Staff Contact Wayne M. Samuelson, MD, 1980 5 Far From Home... Bryan L. Stone, MD, 1986

7 Benning Chairs Visit our Web site: www.medicine.utah.edu/alumni 10 Alumni Weekend Update your information at: • Distinguished Awards https://app.medicine.utah.edu/ • Reunions SOMAlumni/index.htm • Continuing Medical Education or email [email protected] Stacey Peterson, Data Analyst 18 Student Life Jacqueline Voland, Associate Director, • Dean’s Roundtable with: Kristin Wann Gorang, Executive Director - Elizabeth Hammond, MD ‘67 - John T. Hopkin, MD ‘68 • Match Day Cover Photos: New physicians Mariam University of Utah School of Liaqat, Theo De Beritto, Stephen Jenkins, Medicine Alumni Association 22 Commencement Heather Narciso and Cherisse Mecham celebrate their graduation. 24 News Notebook Members of the Half Century Society meet to hear speaker DeVon Hale, MD ‘69 talk Join the Unviversity of Utah 33 Alumni Notebook School of Medicine Network on LinkedIn about the University of Utah’s Global • Alumni News In Memoriam Medical Education and Outreach programs. • Vivian S. Lee, MD, PhD, MBA Dean’s Message

Our Unique Mission The unique role of academic medical centers in the landscape of health delivery systems is our role as scientists and as educators. One of the things that we all have to keep in mind as we confront the daily challenges of preparing for health care reform is how important it is to train the next generations of providers. It is this challenge that also serves as one of our greatest assets: the pipeline for the future.

“We celebrate the past to awaken the future.” – John F. Kennedy

When I look at the history of our amazing would have such a standing in the commu- for the new Department of Population institution, I hold so much hope for our nity that the best physicians and surgeons Health Science and for new health systems future. Take the remarkable life of alumni, of the city would aspire to its visiting staff”. innovation research. Tom Rees, MD, class of 1948, whose Today, we see more than 1 million And speaking of serving as a model for story illuminates that life can be well lived, patients every year, from a referral area others, I hope that you happened to notice dedicated to helping the human condi- that covers 10% of the continental U.S., the accolades offered to our University tion. Though Tom sadly passed away last all while maintaining a national top 10 Health Sciences Center in a recent Harvard winter, his inspiration will carry on in all ranking in quality and safety for the last Business Review article. Co-authors Tom What’s Inside of us. Dr. Rees was simultaneously the best five years running. This year, University of Lee and Toby Cosgrove wrote in their plastic surgeon to the stars of his day, and Utah Health Care was ranked as the No. article, “Engaging Doctors in the Health one of the founders of the Flying Doctors 1 healthcare system in Utah according to Care Revolution”, June 2014, that engag- of East Africa—one of the largest not for U.S. News & World Report’s 2014-2015 ing providers will be key for achieving profit organizations responsible for bring- Best Hospitals rankings. As we celebrate health care reform. They went on to recog- ing health care and better lives to Africa. the successful realization of this 50-year-old nize initiatives at Mayo Clinic, Geisinger He, and his wife Nan, also gave so much to vision, we will be drawing to a close the Health, Cleveland Clinic and University our institution, including endowed chairs era of the “521” building. As we begin to of Utah Health Care as organizations who in Global Medicine and in the Division of plan for the new Medical Education and have successfully engaged our doctors in a Infectious Diseases for the Investigation of Discovery (MED) building which will new model of care—in our case, highlight- Vector Borne Diseases. Tom’s generosity take its place, we collectively take on the ing our Exceptional Patient Experience. If permeated every aspect of his life, an challenge of providing a vision for the fu- you haven’t seen the article yet see page attribute we will work to carry forward. ture. An opportunity like this comes along 25 for a recap. Dr. Rees was trained in medicine at once in a generation and we are proud to We have come a long way, but we the University of Utah before we had our share our plans with you for the construc- still have a long way to go. Together we current medical school building, affec- tion of a new MED building. will continue to achieve greatness for our tionately known as “521.” Next year we Our vision for the MED Building is institution and our communities. will celebrate the 50th anniversary of this that it will serve for the next 50 or maybe historic building and we are looking for- 100 years, as a hub of innovation, training On behalf of all of us at the School of ward to hosting a major event. When 521 and research. Students, researchers and cli- Medicine, please keep in touch and be well. was built in 1965, then dean of the medical nicians will work in this collaborative space school, Phillip B. Price, M.D. had a vision to advance health as one integrated system, for a hospital “…which would facilitate leading the transformation of academic carrying on the highest grade of scientific medicine and serving as the new model work, which by the quality and reputation for university health systems, nationwide. of its clinical work would attract patients Besides the departmental offices, the MED Sincerely, from the whole mountain region irrespec- will serve as the home for our innovation Vivian S. Lee, MD, PhD, MBA tive of their economic status and which center, for new simulation training centers,

1 Kristin Wann Gorang, MS Letter from the Director

Ainsworth, PhD, the former medical program for residents completing their director and founder, respectively, of residency programs at the U). So this fall Fourth Street Clinic. Join us on Friday we’re hosting two free dinner focus groups morning when Dean Vivian Lee talks for alums graduating between 1999 and about the exciting future plans for a 2011 to brainstorm and discuss if there new Medical Education and Discovery are any services or programs we could Building, followed by a luncheon presen- provide for younger practitioners deal- tation and tour of the simulation centers ing with new practices, young families, a in the Eccles Health Sciences Education medical marriage and the many changes Building and the College of Nursing. that accompany finishing ones residency Medical students will join you on the tour and starting into full-time practice. We as- and demonstrate how they work collab- sist our medical students to find mentors oratively with students across the health among our alumni; perhaps we should science professions in the simulation cen- be offering the same assistance for our Greetings medical alumni, former ters. The reunions for all classes ending in younger physicians? An email will be house staff, faculty and friends! a four or nine are Friday evening, followed going out about this shortly, but if this is by our traditional CME symposium on something you are interested in participat- It’s hard to believe another sum- Saturday morning. We hope those of ing in please call me at 801-585-3818 and mer is here and we are looking you who aren’t celebrating a reunion this I’ll put you on the list. forward to a new medical class year, but who live “in the neighborhood” Finally, I would like to thank many coming through our doors in a will come out and join us and learn more of you who are assisting our current stu- month. The SOM Alumni Associa- about happenings at the medical school dents financially, either through scholar- since you earned your degree. ship giving, the stethoscope gift program, tion always participates in all the Speaking of getting your degree, this volunteering in our Transitioning into activities; orientation, White Coat edition of Illuminations features the Class Practice program, hosting first and second Ceremony, kick-off picnic, etc. with of 2014 Match Day information and year medical students in our Dinner with the incoming class. In four short commencement celebration. We find a Doc program, supporting education many of our alumni enjoy looking to see through financing lectureships or de- years they will become our if anyone in the graduating class is going partmental named chairs, or housing our alumni…and we want them to to places where they did their training. fourth year students as part of our HOST know that alumni of the U of This year we had 78 individuals match (Help our Students Travel) program. U School of Medicine are their across 24 states. It was quite a day of You are what makes working in the SOM excitement, stress, anxiety, both exhil- Alumni Relations Office a wonderful and friends! erating and exhausting, as I’m sure you exciting experience. Thank you for all Speaking of alumni, we have a wonder- remember. you do and see you this fall during ful Alumni Weekend planned for all of We in the Alumni Relations office are Alumni Weekend! you on October 9-11, whether it is your always looking at new ways we can con- reunion year or not. We always kick nect with you and serve you. As part of Best wishes, off the weekend with the SOM Alumni our 2013-2018 strategic planning process Awards Banquet which bestows three the strategic planning committee, made Distinguished Awards within the School up of current and former board members, of Medicine, a Distinguished Alumni a representative from the Dean’s office and Award, a Distinguished Service Award, a facilitator, recognized that we provide and a Distinguished Humanitarian many services for our students, and quite Kristin Wann Gorang, MS Award. This year those awards are a few activities for older alums, but there Executive Director, SOM Alumni going to Anthony Temple, MD ’68, seems to be a gap in communication and Relations Office Thomas Caine, MD, ’63 and Christina programming for younger alums (other Gallop, MD, House staff, ’05 and Allan than our Transitioning into Practice

2 2 From the ER to the Senate By Senator Brian Shiozawa, MD, HS ‘84

Healthcare is a major topic nationally and locally given the Affordable Care Act and the Medicaid expansion. This is the biggest change in healthcare in forty years, since Medicare. These new changes will affect many citizens personally and our society as a whole. Being a physician gives me a unique perspective in the legislature. I believe physicians do see things differently. We have insight into gov- ernment regulations, dealing with insurance companies, medical liability, health- care costs and most importantly, dealing with sick and injured patients. We know the unique language of medicine and recent patient care issues like obesity and the aging of the Boomer generation. While all legislators are expected to consider the myriad of issues that come up every session, most legislators draw on their personal experience and profession to create and evaluate policy. For example, lawyers in the Senate and House have been very involved in the Attorney General controversy. Teachers have been working on education and realtors have worked on bills about property taxes. In following my knowledge base, I have been involved with many of the healthcare related issues: Medical school class size expansion, Naloxone prescriptions for third parties, clean air, insurance mandates on autism and the Medicaid expansion. I have even had the opportunity to take care of sick and injured fellow legislators while in session!

I am grateful I chose medicine as a when I was at the Capitol advocating for to 122 students in 2015. I was very proud career many years ago. Despite ever confidentiality of peer review and other that we were able to accomplish this goal bills, I realized that it is far more effective and help, in a small way, the issue of increasing and frustrating rules from to be inside the Chamber than outside. It physician shortages in Utah. In 2013 I the government, hospitals and licens- was then, with lots of support from many also started the arduous fight to get insur- ing boards, malpractice issues and others, that I made a bold and life altering ance coverage for children with autism decision, to run for the Utah State Senate. and helped pass a bill which rescinded the the stress of the work itself, I am even After a long, complex, stressful and death penalty for minors. more grateful that I chose medi- rewarding campaign, I was elected as the This year, 2014, healthcare is one cine today. I cherish taking care of newest senator from District 8 in 2012. of the biggest topics in Utah and that I would like to update you on some includes up on Capitol Hill. I worked patients and advocating for public of the legislation I have been involved to insure that SB57, a bill that requires health and health care reform. with during my first two years in the Utah insurance companies to provide cover- Senate and what the outcomes have been. age for children with autism spectrum As a doctor I have a unique perspective of During my first session in 2013, I was disorder, was passed. Although strongly both treating patients and being involved made chairman of the Business, Economic opposed by insurers, this bill mandates in the healthcare system. I am a career Development and Labor Appropriations that thousands of Utah children can now Utah Medical Association member. I committee. I was also appointed to the get hundreds of hours of therapy each discovered during my time as the UMA Social Services Appropriations commit- year which studies have shown make President and also as a delegate to the tee and served on the Health and Human life-changing improvements in their lives American Medical Association, that effec- Services and Political Subdivisions com- and their families. It was hotly contested tive advocacy requires face-to-face contact mittee. I assisted in the passage of the bill legislation but well worth the fight. When with government officials and with legisla- to expand the medical school class size the Governor signed the bill the Gold tors in particular. Two years ago, from 82 to 102 new students in 2013 and Room at the Capitol was packed with

3 support the Governor is now seeking this money from the Federal Government to provide insurance coverage to over 130,000 uninsured Utah citizens with incomes up to 138% of the Federal Poverty Level. These are the Utah citizens who were ironically left out of the cover- age under the Supreme Court ruling on the Affordable Care Act, aka Obamacare; they are the very poorest of the uninsured. They are the patients who frequent the ERs due to lack of health insurance and have no other place to go. I’ve seen a lot of those patients in my ER practice. With the additional Federal money these patients will be directed for coverage through private insurance. The effects of the bill will be improved health care for this vulnerable group of patients. This will also lead to improved access and Dr. Shiozawa at a bill signing. better reimbursement for hospitals, clinics and providers. This is a crucial health- parents and families of children with au- and accountability. I also cosponsored care issue. It is also a huge fiscal issue for tism. Looking out at them I felt my efforts bills that allow naloxone (Narcan) to be Utah. Health care costs are the leading were greatly rewarded. prescribed to third parties, such as family cause of bankruptcy in Utah. Starting in I also worked on the passage of SB62, members, to treat opioid overdoses. This 2014 we will send an additional $600- which reforms the USTAR program. available antidote will save hundreds of 900 million each year in taxes to the Utah Science Technology and Research lives of accidental overdose patients. I also Federal Government under the ACA. (USTAR) is a huge State funded pro- cosponsored a bill that improves licensure This Medicaid expansion will allow us to gram. At the University of Utah site it rules for psychiatric APRNs, and a bill on reclaim over $250 million each year of our involves medically related research and clean air initiatives. own tax monies to use for this healthcare commercialization. I ordered a legislative One of my most publicized efforts program in Utah We can use these mon- audit last year, which showed significant was the sponsoring of SB251, the ies to care for the uninsured patients for deficiencies in the multimillion-dollar Medicaid expansion bill, which suc- whom we have been paying for years via program. The new law requires changes cessfully passed the Senate. This allows cost shifting, increased health insurance in the governance, reporting, audits and the Governor to seek a partial Medicaid premiums and inflated hospital and clinic establishes performance metrics and expansion as well as initiates the Healthy bills. We will probably have a special legis- contracting changes. The intent of the bill Utah plan, which is funded by a Federal lative session to consider this during is to preserve the potential of the USTAR Block grant given to Utah, equivalent the upcoming months. initiative, while enhancing efficiency to a full Medicaid expansion. With this

I am grateful to be serving in the legislature and working to make these significant policy changes that affect so many Utah lives. It is a great opportunity to serve. I was fortunate to choose a medical career so many years ago. I am even more grateful now.

4 Far From Home... Raj Sirvastava, MD, MPH Sabbatical Adventures in Australia I had never seriously considered taking a Mike Dean, MD, MBA, Professor of one gets daily about new research find- sabbatical before. Medical school, residency, Pediatrics, a very well-funded researcher ings. However this one had the title...” and fellowship don’t encourage side jour- himself, guided me through the intrica- Are you a mid-career investigator looking neys. In 2001, after completing my training cies of writing a grant and then doing the to work in Australia?” I forwarded it to I joined the Department of Pediatrics at work once it was funded. My division my wife and asked her how crazy it would the University of Utah, eager to launch my chief, Chris Maloney, had the vision to be if we went to Australia for several career as a clinician and researcher. I spent allow members of his division to take time months next year. She replied back with, the first several years honing my teaching away from strictly clinical schedules to “Totally crazy. Let’s do it!” skills and my clinical skills as a pediatric build a research portfolio for the division. I was remarkably fortunate to hospitalist teaching medical students and All of this support helped me to become be selected as the 2013-14 Australian house staff, establishing a clinical practice, a clinician investigator who studied the American Health Policy Fellow by the and caring for hospitalized children admit- U.S. health care delivery system to better Commonwealth Fund, which is funded by ted to Primary Children’s Hospital. understand how myriad factors impact the Australian government. Having never both the quality of care and costs of care. been on a sabbatical before, I had no real After a few years I felt it was time to add With all this exciting and important concept of what an incredible professional research back into the mix. I had done a research and clinical work to do, it is no and personal opportunity it would turn research fellowship and M.P.H. after resi- wonder I wasn’t even considering taking a out to be. dency and had always wanted to get back sabbatical. The first few months prior to leaving to my research interests after my clinical And then I opened an email. were the most chaotic we had experienced practice was established. My work focuses It was one of those medical society emails as a family, figuring out how to leave my on gaining a better understanding of why there is so much variation in clinical practice without a lot of clear demonstrat- ed benefit in improved patient outcomes associated with various approaches. This seems particularly the case with the new specialty of hospital-based medicine. I wondered if Primary Children’s Hospital was delivering the best quality of care compared to previous institutions where I had trained? I spent several years learning to conduct clinical and health services research—thanks to some pretty serious investment in resources from Chairman Ed Clark, MD and the Department of Pediatrics. My research mentor, Sydney Harbor Raj, Izzy, Bretta and Ethan

5 own work for several months, watching for the six sets of family and friends who Hospital Pricing Authority has cost data my wife do the same, telling our kids, came to visit. If you go someplace a little for all hospitalizations–both child and who were finishing middle school and exotic be prepared for guests!!. We were adult–from Australia’s public hospitals. excited about starting high school with close to the kids’ high school. We were In Australia everyone has access to a their friends, that such was not to be the only a five-minute walk to the train sta- public health system, but there is also a case and that they would miss all but two tion and only a five-stop train ride to the parallel private health care system. There is weeks of summer vacation since Australia Sydney Opera House. I still miss not hav- nothing more exciting for a health services has year-round school with the school ing an opera house a few minutes away!! researcher than having cost data, as op- year starting in January. For those of you We explored our new city, enjoying posed to the charge data we generally considering a sabbatical leave like this, what I am convinced is the best cof- make do with in the United States. I had if you have a pet, be forewarned, one of fee in the world (have a latte for me at built my research career using the cost our most difficult challenges was find- Aslan Coffee should you find yourself data developed by Intermountain Health ing someone to look after our eight year in Sydney). We bought memberships at Care in Utah, but now I had access to old labra-doodle Gryffindor. Australia the magnificent Taronga Zoo, where the similar data for an entire country! I used quarantines domestic animals for six giraffes have the best view of the most this data to examine the differences in months, so bringing him was impossible. beautiful city in the world. We explored hospitalization costs between a healthy It took some effort but we managed to the beaches, swam in the ocean, biked, population and a population with chronic patch together family and neighbors to and took swimming lessons from amaz- conditions, both for children and adults. serve as doggy foster parents. Of course ing teachers. We ate wonderful Thai food, I then took my show on the road, travel- there were details like finding someone to equally wonderful fish and chips, enjoyed ing to almost every major city in Australia, live in our house, changing the utilities our neighborhood pub, and the life- giving talks in many of them about how and homeowners’ insurance, etc., etc. We changing macarons made around the cor- Australian doctors and researchers could were limited to a total of eight bags for six ner from our house. The owner thanked use the data to understand the variation of months to take us from winter to summer, us for our support of his business when we their costs. Once they are able to align the so packing was tricky. We had to secure a left—we ate many, many macarons. The variation in costs to quality of care they home in Sydney, figure out schooling for kids navigated and then mastered school will be in a much stronger position to help the kids, and decide if I should bring my in a very different system—it wasn’t understand what we in the U.S. call the bike with me so I could ride it to work always easy, but they worked hard and value proposition - creating high quality like I do in Utah. And the list went on… did it. In a way, they worked the hard- care at a reasonable cost. I think you get the picture. est of any of us, and I hope that one of The experience was a profoundly The first few weeks of moving the the benefits of the sabbatical will be their satisfying one, and I would welcome family to the other side of the world realization that they can move across the any opportunity to work again with were similarly a whirlwind experience. world and still thrive. the Australian health care system and We found a beautiful house in an area of Then there was the work. I was the extraordinary researchers and Sydney called the Inner West. Our house placed in a new independent department admin-istrators who help make it work. had an extra room thus providing space mandated by Australia’s recent round of health care reform. The Independent

I was remarkably fortunate to be selected as the 2013-14 Australian American Health Policy Fellow by the Commonwealth Fund, which is funded by the Australian government. Having never been on a sabbatical before, I had no real concept of what an incredible professional and personal opportu- nity it would turn out to be.

6 The Amazing Benning Chairs: Two new chairs named in the School of Medicine

The H. A. and Edna Benning Presidential Endowment was established through a generous gift of $22.5 million to the University of Utah School of Medicine through the estate of Arthur E. Benning. The gift is in honor of Mr. Benning’s parents, H. A. and Edna Benning. The endowment allows the university’s medical school to recruit and retain top researchers and clinicians in a variety of fields. H.A. Benning and Arthur E. Benning

The following new chair holders were named in 2014: Mr. Benning’s decision to leave his estate to the University of Utah came, in part, after he remembered the care a colleague’s Christopher Hill (D.Phil.), daughter had received at the University of Utah Hospital. In Distinguished professor 1969 Allan Lipman, a co-worker and friend of the Benning’s, and co-chair of the thought his three-year-old daughter, Tracy, was going to die. Doctors at the University of Utah discovered she was suffer- Department of Biochemistry ing from a rare and often fatal disorder called dermatomyositis. at the University of Utah. Benning, who had no children, told Lipman to take all the time off work that he needed to care for his ailing daughter. Ten years later, Mr. Benning was in the process of re-evaluating the selection of organizations and causes that could benefit from Christoper Hill received a B.A. and D.Phil. from the University his estate. Mr. Lipman shared that the University of Utah had a of York, England, and performed postdoctoral studies at great medical school. “Art remembered my family’s great experi- UCLA before joining the faculty at the University of Utah. Dr. ence when the hospital saved our little three-year-old-daughter Hill studies the structure and function of proteins. His lab during my first year of employment with Amalgamated,” said is expert in the determination of macromolecule structures Mr. Lipman. “I know that Art would be very proud to know that the fruits of his labor will support the important work of by the method of X-ray crystallography, and also employs talented physicians and scientists here in Utah both now and a variety of other structural and biochemical approaches. into the future.” The work is typically collaborative with colleagues who add a more biological dimension and allow the detailed struc- Annual proceeds from the gift help fund the work of 12 tural and biochemical insights to inform about relevance faculty members, each of whom occupy an H. A. and Edna in living systems. Areas of emphasis include HIV biology, Benning Presidential Endowed Chair. An appointment as including interactions between viral and host proteins such an H. A. and Edna Benning Presidential Endowed Chair as those that the viruses exploits to complete its life cycle is made in recognition of the dedication and achievement of and others that host cells have evolved to thwart infection. the university’s top medical researchers and for their contri- A long-standing interest is in the activation of proteasomes, bution to his or her respective field. Chair holders are named which function in many critical cellular activities includ- by the president of the university. ing progression through the cell cycle and protein quality Endowed chairs are vital to the University of Utah. Having the control. A third major interest is in the mechanisms used to ability to provide the University’s top researchers with this type regulate access to DNA, which is central to the fundamen- of funding ensures that the University can retain and recruit the tal processes of replication and expression of phenotype. brightest and most talented minds in the country, guaranteeing In addition to his research program, Hill is committed to the education of future generations. advancing financial and environmental sustainability and chairs the President’s Sustainability Advisory Board.

7 Dr. Matthew Samore received in his success in procuring center and program project his medical degree from Uni- grants, such as the CDC-funded Center of Excellence in versity of Wisconsin School of Public Health Informatics and the VA Consortium for Health- Medicine and Public Health and care Informatics grants. He is the Principal Investigator of did his residency training in in- a new program project, funded under the VA’s Collabora- ternal medicine at Washington tive Research to Enhance and Advance Transformation University and his fellowship in and Excellence (CREATE) initiative. The IDEAS (Informatics, infectious diseases at Beth Israel Decision-Enhancement, and Surveillance) Center engages Deaconess Medical Center in multiple departments and institutes at the University of Boston. He is the Chief of the Division of Epidemiology with- Utah, including Biomedical Informatics, Surgery, Radiology, in the Department of Internal Medicine and the Director of Internal Medicine, Orthopedics, Psychology, Biology, Human the Informatics, Decision Enhancement, and Analytic Scienc- Genetics, College of Nursing, College of Pharmacy, es (IDEAS) Center at the Salt Lake City VA. He has adjunct Scientific Computing and Imaging Institute, and the appointments in the Department of Biomedical Informatics Huntsman Cancer Institute. and the Department of Family and Preventive Medicine. Dr. Dr. Samore’s research focuses on the interface between Samore has dedicated himself to advancing the University epidemiology and informatics. He develops and tests novel of Utah’s stature in epidemiology, health services research, approaches to support decision-making, leading to new biostatistics, and informatics. From its inception in 2001, the frontiers in visual analytics, population surveillance, and Division of Epidemiology has grown from its original size of simulation models. Dr. Samore pushes the envelope on the one member to 24 faculty members. The Division of Epide- application of state-of-the-art epidemiological methods to miology consistently ranks among the top divisions within develop evidence about interventions to control health- the Department of Internal Medicine for research funding. care-associated infection and antibiotic resistance. He has Dr. Samore works across disciplines in ways that foster championed the use of Big Data to transform approaches innovation. His research is highly collaborative, as reflected to monitoring and improving the health of populations.

Moving Forward: Following up a Successful Collaboration between a Sub-Specialty and Primary Care

Karly Pippitt, MD, FAAFP, ’06, House Staff ‘09, Clinical Instructor, Division of Family Medicine Adjunct Clinical Instructor, Department of Neurology

As a busy practicing family medicine continued best quality care and patient physician, I’ve been fortunate to change- satisfaction. Our LEAN project was a col- up my clinical practice through an laborative effort between the Department exceptional opportunity. This began with of Neurology, Headache Division, and my involvement in a LEAN* project. the Department of Family and Preventive The University of Utah Health Sciences Medicine, Division of Family Medicine. leadership encourages the LEAN approach The project’s goal was to improve diag- developed by Toyota, which embraces nosis of migraine in primary care and improving patient processes to ensure thereby improve use of migraine specific

8 medications. We worked with two fam- ily medicine residency clinics and found that by utilizing a validated three-item questionnaire, we increased the frequency of diagnosis of “migraine”, as opposed to just “headache” and thereby decreased the number of opiate prescriptions. This successful pilot project led me to become an adjunct faculty member in the Department of Neurology. With this additional faculty appointment, I am expanding my clinical experience, seeing “headache” referrals from the University of Utah Health Care Community Clinics, because her primary provider was out the treatment at a primary care level and and working alongside the specialists in on maternity leave. This follow-up was their patients are not waiting longer for the Headache Clinic. validating because the time I had to listen treatment. This innovative collaboration seeks to to her in the specialty clinic allowed me to There are many medications which provide recommendations to primary care make a few small changes to her current have an indication for migraine treatment, providers, reduce wait time for patients regimen, which was just the adjustment especially prophylaxis, that might help to be seen in the clinic, and for me to she needed to get better headache control. treat co-morbid medical conditions. For serve as a resource to my primary care Not only does the specialty clinic al- example, a patient with diabetes mellitus colleagues. We are studying how patients low me more time for patient interaction, and hypertension is often treated with an perceive a primary care provider in a spe- I also have immediate access to specialty angiotensin converting enzyme inhibitor cialty clinic via patient satisfaction data; colleagues in neurology, headache special- (ACE-I) or angiotensin receptor blocker we are also studying wait time in clinic ists, and neuroradiology. This has allowed (ARB)– both lisinopril and candesartan and ease of referral. me to maximize my time spent in devel- are indicated for migraine prophylaxis. Now a few months into this experi- oping a differential diagnosis, question Being thoughtful about medication op- ence of seeing patients, I can reflect on my the patient in sufficient detail, and receive tions and thinking outside of the usually role as an embedded primary care provider immediate feedback from experts about considered options can improve patient in a sub-specialty clinic in an academic my thought process and physical examina- care. Additionally, in working in the center. I will confess that I had trepida- tion skills. headache clinic, I have learned that before tions about the reception from patients There is a perception that because I give up on a medication, thinking it after their wait to see a specialist; I was there is a significant wait time to get into did not work, sometimes adding another nervous about how my skill set in primary the specialty clinic, patients are often preventive agent can make the difference. care would translate. reflexively referred, (i.e. to get them in as Though initially anxious about my Although I often feel like an intern soon as possible) prior to exhausting all status as “just a family doc,” I have felt again, asking frequent questions of the options in the primary care toolkit. This nothing but a warm collegial welcome in headache team and staffing for the great has lengthened the wait time for treatment the Headache Clinic from the providers, majority (okay, still all) of my patients, even further. Moving forward, the goal is staff and patients. I am a family physi- my comfort level has grown tremendously. to triage referrals to the headache specialty cian, and proud of it, but I am also very Recently, I saw a patient I had evaluated clinic. By reviewing referrals and charts, proud to have developed a niche in this in the headache clinic in a follow-up at I can provide recommendations to my academic specialty clinic where I am a my home clinic–Sugarhouse Clinic– primary care colleagues so they can handle valued team member.

*LEAN is a production practice that considers the expenditure of resources for any goal other than the creation of value for the end customer to be wasteful, and thus a target for elimination. LEAN is centered on preserving value with less work. LEAN manufacturing is a management philosophy derived mostly from the Toyota Production System.

9 Alumni Weekend University of Utah School of Medicine 2014 Alumni and Medical Community Weekend October 9-11 Welcome back all School of Medicine alumni and former residents and fellows for a weekend of education, fun and reminiscing. Registration material will arrive by mail in August or go online to register for events at http://medicine.edu.utah/alumni.

Thursday Evening, October 9 Medical Alumni Awards Banquet Grand America Hotel 6:30 p.m. Social, 7:00 p.m. Dinner Presentation of Distinguished Awards

Distinguished Alumni Award Anthony R. Temple, MD, ‘68 instrumental in changing the approach to pediatric dosing of Anthony R. Temple, MD was edu- OTC acetaminophen, using a standardized approach he devel- cated in medicine at the University oped, later applying it also to pediatric dosing of OTC ibupro- of Utah School of Medicine (’68). He fen. When he retired in 2005, he was Vice President of Medical trained in pediatrics at the Children’s Affairs. He is widely published and recently published a major Service of the Massachusetts analysis of pediatric antipyretic use of acetaminophen. General Hospital and the University He was President of the American Association of Poison of Utah Medical Center and Control Centers, and on the Boards of the American Academy Affiliated Hospitals. In 1971, he of Clinical Toxicology and the American College of Medical joined the faculty of the School of Toxicology. He received the Distinguished Service Award of the Medicine, combining his interests and skills in general pediatrics AAPCC (1979), the Distinguished Career Achievement Award with his specialty training in medical toxicology. There he taught of the AACT (2003), and the ACMT Award for Excellence in general pediatrics and became the director of the Intermountain Medical Toxicology (2005). He has served on the Utah Poison Regional Poison Control Center (now the Utah PCC). Control Center Advisory Board since 1998. He is now an Adjunct In 1979, he joined the Medical Department at McNeil Associate Professor in the University of Utah, Department of Consumer Products, where, in the early 1980s he was Pediatrics, and a resident of St. George, Utah.

Distinguished Service Award Thomas H. Caine, MD, ‘63 members. Because of his interest in providing comprehensive Thomas H. Caine, MD is a native of medical care for his patients, he was the Medical Director of the Idaho who received his B.S. and MD General Internal Medicine Outpatient Clinics for many years. degrees from the U of U, followed He is a Fellow in the American College of Physicians and with a residency in internal medicine has received the Utah Chapter’s Laureate award. He also was and a fellowship in clinical outpa- awarded an outstanding service award by the Utah Medical tient cardiology at the University of Association and served as their honorary president from 2002- Wisconsin (Madison). He joined the 2003. His activities have stretched across the community in the U of U faculty in 1968. During his areas of patient care, administration, teaching and community time at the U School of Medicine service. His professional activities have included president of he served as Assistant Dean of Student Affairs and was the first the University of Utah Medical staff, president of the Medical chief of the Division of General Internal Medicine. While under School Alumni Association, and a member of the U of U his leadership the division grew from three to 17 faculty Hospital Foundation Board.

10 Distinguished Awards Thomas H. Caine, MD cont... Most of all, he is a skilled physician, ultimate care giver, established three presidential endowed chairs, one professorship scholar and teacher, having taught medical students and and one lectureship honoring his extraordinary patient care mentored residents for many years. His bedside manner is warm and medical knowledge, something that is unprecedented at and reassuring and his professional and humanistic qualities the University of Utah. have long been admired by his patients. Grateful patients have

Distinguished Humanitarian Awards Recognizing Fourth Street Clinic

Christina L. Gallop, MD, MPH She also served as Project Director for a Community Dr. Christina Gallop has served as Hypertension Intervention Project at MLK/Drew University School Fourth Street Clinic’s Medical Director of Medicine in Los Angeles. Christina has worked on several since 2006 after finishing her residency public health research projects at the Medical Entomology in internal medicine at the University Research and Training Unit, the Center of Disease Control, The of Utah and receiving her M.D. from Universidad de Valle in Guatemala, the UCLA Drug Abuse the Temple School of Medicine. Prior, Research Center and at the University of Southern California’s Christina worked as the Hepatitis School of International Relations. Christina holds an MPH from Program Manager and eventually be- the University of California, Los Angeles and a Bachelors in came the Chief of Programs at Los Angeles County Department International Affairs from the University of Colorado. of Health Services’ Immunization Program. Christina is fluent in both Spanish and French.

Allan D. Ainsworth, PhD Through his tireless advocacy Dr. Ainsworth worked collab- Dr. Ainsworth is a medical anthro- oratively with other Salt Lake County service providers to build pologist who worked the majority a nationally recognized tuberculosis surveillance and treatment of his career to provide health care program, which had the additional result of creating more than services for disenfranchised popula- 660 permanent supportive housing units for homeless indi- tions. In 1988 he created Fourth viduals and families. Under his guidance, the clinic integrated Street Clinic in Salt Lake City with behavioral health services with primary health care and $345,000 of initial federal dollars. developed respite care services for homeless people. When he retired 23 years later the For his leadership in the community he received the Pete clinic had a diversified funding base of $7 million and served Suazo Social Justice Award in Community Leadership, the more than 6,000 unique individuals a year, transforming the National Association of Community Health Centers’ Elizabeth K. way homeless individuals receive health care in Utah. The Cooke Advocacy MVP Award, and Utah Business Magazine’s clinic is a major hands-on teaching facility for students from the Health Care Hero Administrative Award. He was president of various disciplines of medicine, social work and pharmacol- the National Health Care for the Homeless Council and served ogy. Many U of U medical students do clinical training there on the Martin Luther King, Jr. Human Rights Commission. He and pharmacy students work in the integrated pharmacy Dr. is currently an Associate Professor at the University of Utah Ainsworth created, which provides more than 65,000 prescrip- where he teaches in the Department of Anthropology and the tions to homeless people annually. Department of Family and Preventive Medicine.

The Awards Banquet also celebrates the induction of the Class of 1964 into the Half-Century Society.

11 Alumni Weekend Alumni Weekend The Fourth Street Clinic

In the mid 1980’s Salt Lake City’s down- caused by bankruptcies, and town began a revitalization process that half of all personal bankrupt- included the demolition and redevelop- cies in the United States are ment of many substandard housing units due to health problems. otherwise known as Single-Room Oc- In response to these is- cupancy Hotels (SROs). The SROs were sues and the growing need, Dr. homes to Salt Lake’s lowest-income resi- Ainsworth founded Fourth dents who often worked odd jobs within Street Clinic in 1988 as a tri- walking distance as janitors or watchmen. age clinic staffed by himself When the roughly 800 housing units were and one part-time nurse who torn down, 1,000 residents were cut off relied heavily on hospitals and from their homes and jobs. Prior to the medical volunteers in the com- mid-1980’s, homelessness in Utah was munity for patient treatments. an isolated and temporary phenomenon, Today, the clinic employs a staff Tooth decay and chronic pain are since then it has become more predictable, of 50 and has a broad volunteer network major issues in the homeless population, intergenerational and permanent. of more than 150 physicians, PA’s, nurses, both as a health issue, and a cosmetic Allan Ainsworth, PhD, a medical dentists and others. The clinic is an problem for individuals searching for em- anthropologist, realized that the issues of AAAHC Patient-Centered Medical Home ployment and housing. In 2012 the clinic health and housing were interdependent. serving 4,100 homeless men, women and received a $2.9 million federal grant from It is impossible to be successful in one children with 25,000 medical, mental the U.S. Department of Health and Hu- without the other. People cannot pay for health, substance abuse, dental, and case man Services to build its own four-chair housing without the presence of good management visits a year. In addition the dental lab at its campus in downtown Salt health, and good health is unobtainable ALSAM Foundation Pharmacy at Fourth Lake City. It also added substance abuse without a safe, permanent home. Home- Street Clinic dispenses 54,000 medica- clinics and did a mechanical and seismic less people are three to six times as likely tions annually. Regular health care visits, upgrade on the existing building. With to experience illnesses than those who are along with the network to other com- further financial help from Alsco, an in- housed, with their average age of death in munity supportive services provided by ternational linen and uniform rental com- the United States being 48—on par with Fourth Street are often an individual’s pany headquartered in Salt Lake City, the the life expectancy of Afghanistan and first steps to move from homelessness dental clinic opened in January 2014 and Nigeria, the lowest in the world. Home- to secure housing. is now staffed with a dentist, a hygienist lessness in the United States is frequently and an assistant. Many University of Utah medical students, physician assistant students and residents receive some of their clinical, patient experience at Fourth Street Clinic. This has provided an invaluable resource for learning to the students and a mutu- ally beneficial relationship between Fourth Street and the School of Medicine. By increasing homeless Utahns access to primary care, Fourth Street Clinic is a major partner in ending homelessness, promoting community health, and achiev- ing across-the-board health care savings.

1412 Alumni Weekend Alumni Weekend

Friday Morning October 10 School of Medicine Department Events 7:45 a.m. – 10:45 a.m. We welcome current or former faculty, house staff, and reunion class members to attend the Department of Internal Medicine’s CME Grand Rounds. Continental Breakfast served and CME credit given.

Program: Rod Hayward, MD, Director, Robert Wood Johnson Foundation Clinical Scholars® and Professor of Medicine & Public Health, University of Michigan “Personalized Decision Science: How to Transform Medical Decision-making”

N. Jewel Samadder, MD, MSc, FRCPC, Director, High Risk Gastrointestinal Cancers Clinic, Assistant Professor of Medicine (GI), Investigator, Huntsman Cancer Institute, University of Utah “Colorectal Cancer: Familial Risk and Prevention in 2014”

11:00 a.m. Dean Vivian Lee M.D., Ph.D., M.B.A. - State of the School Address 12:00-1:30 p.m. Tour and Lunch

Simulation Laboratory Tour with Medical Students and Lunch with the presentation, “A Short Walk Through Planned Giving” by Jay Vogelsang, Associate Vice President of Health Sciences Development

Reunion Evening 6:00 p.m. Reception, 7:00 p.m. Dinner Little America Hotel, downtown Salt Lake City

General reception first then individual groups will dine together in private rooms. MD Classes of: 1964, 1969, 1974, 1979, 1984, 1989, 1994, 1999, 2004, 2009

Accreditation: The University of Utah School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. AMA Credit: The University of Utah School of Medicine designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nondiscrimination and Disability Accommodation Statement: The University of Utah does not exclude, deny benefits to or otherwise discriminate against any person on the basis of race, color, national origin, sex, disability, age, veteran’s status, religion, gender identity/expression, genetic information, or sexual orientation in admission to or participation in its programs and activities. Reasonable accommodations will be provided to qualified individuals with disabilities upon request, with reasonable notice. Requests for accommodations or inquiries or complaints about University nondiscrimination and disability/access policies may be directed to the Director, OEO/AA, Title IX/Section 504/ADA Coordinator, 201 S President’s Circle, RM 135, Salt Lake City, UT 84112, 801-581-8365 (Voice/TTY), 801-585-5746 (Fax).

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Continuing Medical

Saturday, October 11 Continuing Sponsors Medical Education Education 7:30 a.m. – 12:15 p.m. We would like to thank the following commercial Updates in Science and Practice Receive companies for their generous support: 4 CME credit hours AMA Category 1 Primary Sponsor: Welcome

Kirtly Parker Jones, MD Chair, Education Relations Committee, School of Medicine Alumni Association, Professor, Obstetrics/Gynecology, University of Utah.

Prescription Opiate Use and Abuse: The Data, The DOPL and Your Practice Thomas F. Higgins, MD Associate Professor, Orthopaedics, Secondary Sponsors: University of Utah

Rheumatoid Arthritis and Osteoarthritis: Updates on diagnosis and new treatments Grant W. Cannon, MD, MACP, FACR Professor of Medicine, Associate Chief of Staff of Academic Affiliations and Thomas E. and Rebecca D. Jeremy Presidential Endowed Chair in Rheumatology

Organ and Tissue Donation: Past, Present and the Future Tracy Schmidt Executive Director, Intermountain Donor Services

Where Does Parkinson’s Disease Start? An update on clinical and pre-clinical features Rodolfo Savica, MD, MSC Assistant Professor of Neurology, USTAR Professor

Cannibis for Neurological Disease: Cannitbe that good? Fran M. Filloux, MD CME Breakfast Sponsor: Chief, Division of Pediatric Neurology, The Glenn and Ben Schmidt/Edgar Chair of Pediatrics, Neurology

14 Student Life Inter-professional Student-Run Clinic Improves Access for Uninsured

Joanne Rolls, PA-C, Division of Physician Assistant Studies, Department of Family and Preventive Medicine

“The best way to find yourself is to lose yourself in the service of others.” Mahatma Gandhi

A Maliheh Clinic translator works with PA students Ben Pipes and Shaun Curran caring for a patient and her children. PA students Rusty Burns, Justin Gardner and Merinda Sterner work to develop an Assessment and Plan for a patient. PA students Tiffany Fasano and Julie Moore present to Family Medicine preceptor John Houchins, MD

Twice monthly, an inter-disciplinary group Our students identified this access how to deliver care in student cross-disci- of students performs first-time visits for issue as an area where they could make a plinary teams, which will help them uninsured patients at the Maliheh Free difference. Working together with the Ma- to become better providers in the future; Clinic. This completely student-driven liheh staff, the students organized a night- delivering quality, compassionate care endeavor combines first and second year time clinic focused on providing the initial as part of a high functioning multi- Physician Assistant (PA) students, PharmD visit for new patients. The student leaders disciplinary team. candidates and Family Medicine resident created a vision and mission statement for physicians. The students are supervised by the student-run clinic. They organize all The Maliheh Free Clinic, founded by faculty from the Department of Family and student volunteers and are responsible for U of U School of Medicine alumnus, Preventive Medicine as well as the School operations of the evening clinics. In ad- Mansoor Eman, MD, ‘90, serves of Pharmacy. dition to providing a service to members uninsured and low-income families Volunteer providers in primary care of our community while gaining valuable in the Salt Lake Valley. It is funded and other specialties staff the clinic during patient care experience, the students are by private donations and The regular clinic hours. However, the demand receiving many lessons that come from Semnani Foundation. for care far outweighs the available sup- outside the classroom. They are learning ply. New patients have occasionally waited about providing culturally competent care, greater than six months with the greatest how socioeconomic factors affect health- limitation being the time it takes to care delivery and are developing a greater complete an intake history and physical. understanding of the effect of health care disparities on individuals and populations. Most importantly, they are also learning

15 Student Life Deans Roundtable Elizabeth H. Hammond, MD ‘67

When Elizabeth H. Hammond, M.D., applied to the University of Utah School of Medicine in the early 1960s, she should have been a shoo-in. She had outstanding MCAT scores and nearly perfect grades – the only mark on her record was a B in badminton. But it took three interviews, including one with a professor of psychiatry who informed her by entering medical school she would be taking the place of a man, for her to finally be accepted.

She was just one of two women in a class of 50. oncologists. In the early 1980s, a cell-surface protein called By contrast, the first-year 2013-2014 medical class HER2 was discovered in approximately 20 percent of women has 52 women and 50 men. with breast cancer. Women with this particular protein had a much higher mortality rate than those without. Extensive research was conducted and by the late 1990s, a drug called “I was asked if I ever intended to get married or Herceptin was developed to target this particular protein. have kids – but I didn’t answer the question directly. I would About 50 percent of those who had the HER2 protein or gene simply say, ‘Dr. Bliss, I intend to practice medicine my entire expression and correctly used Herceptin responded to the drug. life,’ ” Hammond said at a Dean’s Roundtable event at the However, those who did not have the HER2 protein and took School of Medicine in November 2013. “And I wish he were the drugs were paying more than $100,000 for a useless drug still around so I could say, ‘Dr. Bliss, I practiced medicine my that could have potentially harmful side effects, including entire life.’ ” And she also managed to be happily married and heart damage. raise three children. Correctly identifying the HER2 gene or protein became At the start of the Roundtable Hammond stressed the fact vital for pathologists and patients. Still, around 20 percent of that if she wouldn’t have had a wonderful partnership in her mar- tests produced incorrect results because the process was not riage she couldn’t have done all the things she did, both profes- standardized, Hammond said. sionally and in her personal life. Finding the right partner she believes is essential to success in all aspects of your life. “I became very concerned. I know how likely it is you can Hammond, who obtained undergraduate and medical do it wrong if you play around with the recipe even a little,” degrees from the University of Utah, is a professor of pathol- Hammond said. “We don’t have the luxury of being cow- ogy at the U of U and director of Cardiac Transplant Pathology boys anymore. We have to do things in a standardized way.” for the Utah Cardiac Transplant program. She recently retired as a pathologist at LDS Hospital, an Intermountain Healthcare Her first attempts at standardizing the procedure by educating facility. In 2013 she was the first person to be recognized groups of 60 pathologists were unsuccessful. by the College of American Pathologists with the Pathology “Nothing happened. Everyone perceived that they were al- Advancement Award and in 2007 she received the Distinguished ways perfect and it was someone else’s problem,” Hammond Alumni Award from the University of Utah School of Medicine told the crowd of 50 University of Utah medical students. for her contributions to the field of medicine. After graduating from medical school, Dr. Hammond Taking another approach, she worked with the American Society completed a one-year internship as a fellow from the National of Clinical Oncologists, as well as the College of American Institute of Health in Stockholm, Sweden. She finished her Pathologists, of which Hammond was a board member. After a residency and fellowship at Massachusetts General Hospital. year of research and documentation, the results, along with the Her work as a pathologist includes standardization, collaboration correct process for performing the tests, were jointly published in and publication of a lifesaving technique for pathologists and 2007 by the two organizations.

16 Student Life

“That made a complete switch in interest of the pathologists about what to do. They started doing the right things. It’s not perfect, but it’s a lot better,” Hammond said. Of the approximately 1,100 labs nationwide performing the test, about 900 are fully accredited and go through a rigorous review regularly to ensure correct results, she said. Hammond’s work with HER2 testing and other projects exemplifies a lifetime dedicated to research and medical practice. She confesses she’s loved research since she was an undergraduate student and that she’s always had a burning curiosity to take her knowledge beyond the textbook.

“How do you find the answer to any question that you don’t Research isn’t for everyone and clinical medicine isn’t know the answer to and you can’t find it in a book? You’ve either; finding support with colleagues is vital for medical got to do experiments, you have to use the scientific method advances. to find the answer,” she said. But it’s important to have a balance in life and good “There’s a role for everyone,” Hammond said. “Luckily relationships with other health care professionals, she said. we don’t all like the same things.”

John T. Hopkin, MD ‘68

With just a single year of medical school under his belt, John T. Hopkin, M.D., found himself a little over his head, but intellectually intrigued, while performing mental status exams during a summer job at a Wyoming mental health hospital. This brief exposure to the world of mental illness fascinated Hopkin, and started him on a career in psychiatry that eventually led him to the epicenter of the AIDS epidemic in San Francisco and a calling in life helping people who have been habitually isolated from society. It was a journey more satisfying than he could have imagined.

Before deciding on his career path, Hopkin took a “Wyoming State Mental Hospital was no better or worse summer position following his first year at the School than any other mental hospital at the time. It was kind of of Medicine working as an aide at the Wyoming State discouraging and horrifying. They practiced early psycho- Mental Hospital. Resources were sparse and he was pharmacology with first-generation anti-psychotics,” asked to perform mental status exams and maintain Hopkin told a room of University of Utah medical students as part of the Dean’s Roundtable series in March. “But I found the records of patients for an accreditation audit. With work fascinating – asking a series of questions that was supposed almost no training in the profession, Hopkin found to lead to a diagnosis. That’s where I got a feeling that the mind himself exposed to the practice of psychiatry at the was extraordinary. I was taken with it very much, even though ground level. this was the worst kind of setting you could possibly see it in.”

17 Student Life

That early exposure, and his own battle with depression, influ- enced his decision to join the profession. He also recognized that the field would be exploding and there would be radical breakthroughs in the science, he said. Hopkin, who also had earned his undergraduate degree at the University of Utah, completed medical school at the U of U before going to the University of California, Davis, to finish his residency. He later moved to the Bay Area and held various top positions at San Francisco General Hospital and at the Langley Porter Psychiatric Institute at the University of California, Many gay men and women at the time did not have the oppor- San Francisco (UCSF). He published several articles with his tunity to go through the typical development – date, fall in love, colleagues during that time, and continued to teach and hold be heartbroken and learn that life goes on. Instead, they often leadership positions in the UCSF department of psychiatry. demonstrated psychiatric symptoms, such as depression and anx- While working, teaching and publishing in various areas iety. Quite often, they needed support, not pharmaceuticals, and of his field, his work with those who were affected by HIV and the gay men who were allowed to undergo normal development AIDS in the first stages of the epidemic was especially influen- were psychologically identical to their straight peers, Hopkin tial on his career and life, Hopkin said. When he arrived in San said. The group sessions helped meet that developmental goal. Francisco in 1980, the first patients with AIDS came into the hospital. The condition was unknown and undefined. Symptoms “It was a very rewarding and moving experience, even began as pneumonia and then a strange visible malignancy though it was quite horrible,” Hopkin said. appeared. Recently diagnosed patients were given six weeks to live. There was a real view that the patients were stricken with a Medical treatments began to progress and antivirals were leprosy-like condition and at first it was unclear how it spread, developed. Eventually, HIV and AIDS became a chronic disease. all that was known about transmission was it mainly affected New ways to treat it are being developed and the gay community men who had sex with men. is normalizing, Hopkin said. But the support groups established in The condition had a particularly strong impact in large the early years developed a framework to help and provide com- cities where gay men seeking respite gathered from all around munity to many men and some women in dire circumstances. the country. Los Angeles, New York and San Francisco were After many years of working with HIV and AIDS patients, hit especially hard. Hopkin retired to a farm in rural Utah. But his work helping others hasn’t ended. He has joined in sponsoring a program for “Many of the people who contracted the disease were seek- refugees to the United States, training them to serve as trans- ing love and community for the first time,” Hopkin said. lators and case managers for their own populations. Finding “For the first time in their lives, many had the freedom to trusted individuals from the communities who can empathize engage in social and sexual interaction and they embraced with those who need help is vital, he added. Currently, the that freedom. But to learn that the freedom wasn’t free – program is aiding a group of Bosnian refugees who are dealing well, that was very difficult.” with post-traumatic stress disorder, depression and many other hardships. Local governments were concerned with tourism drop- In 2013, Hopkin established a Presidential Endowed Chair ping and Hopkin was contracted by both the city and county in Autism Research in the University of Utah’s Department of government to create a program of outreach and group sessions Psychiatry. It was the University’s first endowed chair in the for those diagnosed with HIV and AIDS. After diagnosis, many Department of Psychiatry. Hopkin said the development of patients lost support from their friends and family and conse- drugs, as well as psychotherapy treatments, is vital when quentially suffered from other psychological conditions, on top addressing the autism spectrum. Helping people with autism of physical ailments. The programs were also designed to help understand their own thought processes and how and why at-risk people understand how to deal with their own fear fac- they are different from others can be an important step forward tors. Compounding the risk of contracting the disease, gay men in their well being, he said. had other societal pressures and were often needlessly diagnosed To watch the videos of these Roundtables or with borderline personality disorder, Hopkin said. previous Roundtables with Dr. Vivian Lee, view:

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September 3, 2014 5:30-8:30 p.m. Transitioning Alumni Hall – Spencer F. and Cleone P. Eccles into Practice Health Sciences Education Building

The goal of the Transitioning Into Practice program, designed for residents and fellows in the last two years of training, is to provide the physician with information and tools that facilitate a successful transition from training as a resident or fellow into a successful practice in medicine. Presentations The Search & Interview—Keys to Success • Alumni •Physician Employment Contracts Association •A Financial Planning Conversation for Residents Preparing for Practice •Panel Discussion—What I Know Now that I Wish I’d Known Then •Public Service Loan Forgiveness Program

Alumni Association

Registration & information online at www.medicine.utah.edu/alumni or call 801-585-3818 FREE EVENT!

First University of Utah Fall Urologic Summit Conference

The University of Utah Division of Urology is pleased to announce the Division’s first annual Fall Urologic Summit meeting held September 26-28 at Stein Erickson Lodge in Park School of Medicine City, Utah. The meeting’s focus Alumni Association is prostate cancer. Confirmed speakers include Dr. Joseph Smith from Vanderbilt University, Dr. Peter Carroll from UCSF, Dr. Anthony Zeitman from Harvard T-shirts for Sale Medical School, Dr. Fergus Coakley from Oregon Health Sciences, Dr. Sean Elliot from the University of Men’s and Women’s styles, all sizes Minnesota, and Dr. Anthony Bella from the University Polyester blend, athletic styling of Ottawa. $14.00 per shirt, $2.00 shipping fee Call 801-585-1121 or email For more information see [email protected] http://www.utahurologysummit.com to place an order.

19 Match Day Match Day 2014

Hawkins, Morgan Jonathan Jenkins, Stephen L. Medicine – Preliminary Emergency Medicine Program University of Utah Affiliate Hospitals, Candidate Internal Medicine, Utah Ellsworth, German Laurence Banner Good Samaritan Kartchner, Nathan Joseph Kaur, Manpreet Medical Center, University of Nebraska Affiliate Greenwich Hospital, Medicine-Preliminary, Arizona Hospitals, Internal Medicine, Connecticut Emergency Medicine, Nebraska Hoggan, Ryan Noel Kazbour, Hana Virginia Commonwealth University Smyres, Cameron Scott Loma Linda University, Health System, University of California, Internal Medicine, California Medicine-Preliminary, Virgina San Diego Medical Center, Sibbernsen, Erik David Emergency Medicine, California Mohebali, Donya Legacy Emanuel Hospital/Good Beth Israel Deaconess Samaritan, Family Medicine and Medical Center, Medicine-Preliminary, Oregon Occupational and Internal Medicine, Massachusetts Environmental Health Ryley Enz and family Medicine – Primary Narciso, Heather Esposo Chestnut, Robert Aaron Kaiser Permanente/Santa Clara, Callister, Catherine Anesthesiology University of Utah Affiliate Hospitals, Internal Medicine, California Johns Hopkins University/Bayview Family Medicine, Utah Medical Center, Alvord, Jeremy Michael Pestotnik, Michael Lee Medicine-Primary, Maryland Mayo School of Graduate Family Medicine Internal Medicine Program Medical Education, Candidate Neurology Anesthesiology, Arizona Eshenroder, Nathan Michael Anderson Area Medical Center, Redman, Joseph Stapley Bonnell, Gabriel Dain Boucher, Dulce Elizabeth Family Medicine, South Carolina Baylor College of Medicine, Medical University of South Carolina, Morehouse School of Medicine, Internal Medicine, Texas Neurology, South Carolina Medicine-Preliminary, Georgia Garcia, Gary Santiago University of Utah Affiliate Hospitals, University of California, Teles Grilo Teixeira da Silva, Miguel Heidarian, Lauren Lahdan Anesthesiology, Utah Davis Medical Center, Mayo School of Graduate University of Utah Affiliate Hospitals, Family Medicine, California Medical Education, Neurology, Utah Bradley, Derek David Internal Medicine, Minnesota San Antonio Uniformed Services Heath, Natalie Brooke Morales, Jose Roberto Health Education Consortium Pro- Utah Valley Regional Medical Uchida, Amiko Mae University of New Mexico gram, Medicine-Preliminary, Texas Center, University of Washington Affiliate School of Medicine, San Antonio Uniformed Services Family Medicine, Utah Hospitals, Neurology, New Mexico Health Education Consortium Internal Medicine, Washington Program,Anesthesiology, Texas Johnson, Paul Michael Neurological Surgery Utah HealthCare Institute, Warner, David E. Strunk, Joseph Donald Family Medicine, Utah Wake Forest Baptist Medical Center, Tran, Diem Kieu Thi Providence Sacred Heart Internal Medicine, North Carolina University of California, Irvine Medi- Medical Center, See, Melissa Velez cal Center, Neurological Surgery, Transitional, Washington University of Utah Affiliate Hospitals, Medicine – Pediatrics California Virginia Mason Medical Center, Family Medicine, Utah Anesthesiology, Washington Cirulis, Meghan May Hoang, Nguyen Thaller, Tobi Nicole University of Utah Affiliate Hospitals, Ohio State University Medical Masters of Business University of Utah Affiliate Hospitals, Medicine-Pediatrics, Utah Center, Administration Applicant Family Medicine, Utah Neurological Surgery, Ohio Hill, Parker Richards Garbett, Bryson Chadwick General Surgery Univeristy of Rochester/Strong Obstetrics-Gynecology Memorial Hospital, Child Neurology Blevins, Katherine S. Medicine-Pediatrics, New York Janicki, Lindsay Noel Stanford University Program, Mountain Area Health Education Roundy, Lindsi McCoard General Surgery, California Center, Obstetrics-Gynecology University of Utah Affiliate Hospitals, North Carolina Co-Class Presidents Max Padilla Child Neurology, Utah Internal Medicine and Sam Francis

Dermatology Cheyne, Bryan Graeme Exempla St. Joseph Hospital, Liaqat, Maryam Internal Medicine, Colorado Universtiy of California, San Francisco-Fresno, Curtis, Heather Rochelle Medicine-Preliminary, California Providence Health & Services St. Cooper University Hospital, Vincent Hospital, Dermatology, New Jersey Internal Medicine, Oregon

Emergency Medicine Harrison, Jonathan David University of California, San Diego Enz, Ryley Abram Medical Center, Maine Medical Center, Internal Medicine, California Emergency Medicine, Maine

20 Match Day

Ophthalmology Ophthalmic Pathology Fellowship Bernhisel, Ashlie Anne University of Utah Affiliate Hospitals, Farukhi, Mohammed Aabid Ophthalmology, Utah Moran Eye Center, Ophthalmic Pathology Fellowship, Constantine, Ryan Nicholas Utah University of Utah Affiliate Hospitals, Medicine-Preliminary, Utah Orthopaedic Surgery Duke University Medical Center, Ophthalmology, North Carolina Dowdle, Spencer Blake University of Iowa Kirk, Kevin Ronald Hospitals and Clinics, Indiana University Health Ball Orthopaedic Surgery, Iowa Memorial Hospital, Transitional, Indiana Grimm, Nathan L. University of Rochester, Duke University Medical Center, Ophthalmology, New York Orthopaedic Surgery, North Carolina SOM Alumni Association President David Sundwall congratulates Kevin Kirk

Ostler, Erik Moffat Knott, Jonathan Robert Wagner, Graham E. McCullagh, Kassie Lyn St. Luke’s Hospital, UPMC Hamot Medical Center, Washington Hospital Center, University of Utah Affiliate Hospitals, Medicine-Preliminary, Missouri Orthopaedic Surgery, Pennsylvania Medicine-Preliminary, Medicine-Preliminary, Utah St. Louis University, District of Columbia Medical College of Wisconsin Ophthalmology, Missouri Morris, Andrew John University of Utah Affiliate Hospitals, Affiliate Hospitals, University of California, Physical Medicine & Rehabilitation, Radiology-Diagnostic, Wisconsin Irvine Medical Center, Utah Orthopaedic Surgery, California Radiation Oncology Plastic Surgery Shelton, Trevor Jay Francis, Samual Roberts University of California, Garlick, Jared Wayne Riverside Regional Medical Center, Davis Medical Center, University of Utah Affiliate Hospitals, Transitional, California Orthopaedic Surgery, California Plastic Surgery (Integrated), Utah University of Utah Otolaryngology Affiliate Hospitals, Psychiatry Radiation-Oncology, Utah Curtis, Stuart Hal Bell, Patrick Aaron Surgery - Preliminary Albany Medical Center, University of Utah Affiliate Hospitals, Otolaryngology, New York Psychiatry, Utah Coates, Ryan Frederick Oregon Health & Science University, Pediatrics Griffith, Paula Porter Surgery-Preliminary, Oregon University of Utah Affiliate Hospitals, De Beritto, Theodore Vincent Psychiatry, Utah Doble, Justin Alexander Betty Boucher points to Utah University of Chicago Medical Penn State, Hershey Medical Center, Center, where she’ll do her Anesthesiology Radiology - Diagnostic Surgery-Preliminary, Pennsylvania residency after a preliminary Pediatrics, Illinois medicine year in Georgia. Baillargeon, Amanda Marie Wilkinson, Brandon Garth Gunderson, Matthew Donald University of Utah Affiliate Hospitals, Vanderbilt University Medical Center, Phoenix Children’s Hospital, Medicine-Preliminary, Utah Surgery-Preliminary, Tennessee Padilla, Maximilian Roydon Pediatrics, Arizona Mayo School of Graduate University of Nevada Affiliate Medical Education, Transitional Hospitals, Medicine-Preliminary, Jones, Andrew Lee Radiology-Diagnostic, Minnesota Nevada Salt Lake City, Utah Sotiriou, Michael Christopher University of South Florida, University of Michigan Presence Resurrection Medical Chan, Jessica Ivanka Treidl Ophthalmology, Florida Hospitals-Ann Arbor, Center, Transitional, Illinois Intermountain Medical Center, Pediatrics, Michigan Transitional, Utah Miller, Matthew Albert University of Utah Affiliate Hospitals, Pinning the match University of Iowa Hospitals Mecham, Cherisse Radiology-Diagnostic, Utah and Clinics, Phoenix Children’s Hospital,

Medicine-Preliminary, Iowa Pediatrics, Arizona Herde, Ryan Frederick University of Iowa, University of Pennsylvania Ophthalmology, Iowa Murray, Kathryn Margaret Mercy Hospital, University of Utah Affiliate Hospitals, Transitional, Pennsylvania Tucker, James F. Pediatrics, Utah Duke University Medical Center, Providence Sacred Heart Radiology-Diagnostic, North Medical Center, Sorensen, Matthew W. Carolina Transitional, Washington University of Texas Southwestern University of California, Medical School-Dallas, Hu, Eric Mu Irvine Medical Center, Pediatrics, Texas University of Utah Affiliate Hospitals, Ophthalmology, California Physical Medicine Medicine-Preliminary, Utah & Rehabilitation University of Michigan Hospitals, Radiology-Diagnostic, Michigan

21 Commencement 2014 Dean’s Reception

Fourth year student Gary Garcia and his mom finding themselves SOM Staff and Board members Stacey Peterson, Jacqui Voland, Scott Hopkins, David on the SOM alumni banner Sundwall, Susie Wiet, Bruce Irvine and Kristin Wann Gorang with Brandon Wilkinson 4th Year Alumni Award winner

May 24 was a day of celebration and downpour, as 78 medical students, 42 physician assistant, and 144 bachelor, master and PhD graduates of the University of Utah School of Medicine poured out of the rain into Kingsbury Hall to celebrate their graduation.

Nobel Prize Laureate Mario Capecchi spoke to the graduates, faculty members and families about the changes that had occurred in his field of genetics in the past fifty years, stating that the future of medicine, their future, would experience even Jonathan Knott and his wife with Jeremy Alvord reviewing more rapid transformation. He shared that he changed his the yearbook field of research approximately every seven years. From study- ing bacteriophages (bacterial viruses), to mammalian genetics, Commencement 2014 then to developing the “knock out” mice—for which he shares the 2007 Nobel Prize in Physiology and Medicine—and, more recently, developmental genetics of the nervous system and behavior. Today he is consumed with comparative genom- ics across multiple species. He encouraged all graduates to embrace change, saying the status quo is your enemy. He challenged them to never stop being a student, reading, discussing, reevaluating, being curious. It takes the same amount of effort to work on the big questions as the little questions, so whatever your field in medicine, he said, choose the big questions.

I solemnly pledge to consecrate my life to the service of humanity. I will practice medicine with conscience and dignity. Reciting Oath of Hippocrates The health and life of my patient will be my first consideration. - From The Oath of Hippocrates

22 Commencement 2014

Celebratory gathering after graduation

MS IV students Andrew Jones, Paula Griffith, Joseph Strunk and Heather Narciso sing the National Anthem Medical Graduates Aabid Farukhi, Hana Kazbour and friend

Medical student Alex Hoang receives Regents Dan Campbell and Pastor France Davis, Dr. Mario Capecchi, congratulations from Mario Capecchi Regent Jesselie Anderson and Dean Vivian Lee

PA graduates Lisa Stephens and Dalyn Steed Medical Class of 2014

Mario Capecchi addressing the audience PA graduates Rebecca Thatcher, Derek Urban, Matthieu Tuahivaatetonohiti, Dontai Warner and Brady Watkins

23 Newsnews notebook Notebook Brandon Garth Wilkerson, MD Receives School of Medicine Alumni Association 4th Year Student Award

national meetings, as the U of U AMA Cancer Society Relay for Life, which raised Co-President, UMA Co-President and as over $60,000 towards cancer research. a member of the UMA Board of Trustees While in medical school he dedicated time and the SLC Medical Society Executive to cancer research—participating in seven Committee. different projects including NIH funded BrandonWilkinson with Andy commented that Brandon’s research in pancreatic cancer and orthope- SOM Board President David Sundwall greatest wish is for everyone around him dic research in soft tissue sarcoma. The School of Medicine Alumni Associa- to succeed. He reached out repeatedly to An excellent student, Brandon tion Fourth Year Award was established in help and motivate struggling students and worked part-time his first two-years of 1990 by the board of the Alumni Associa- to lift up his peers. He regularly tutored, medical school but still scored among the tion. The criteria for this student-nomi- mentored and otherwise assisted students top in the nation on both the USMLE nated award is a demonstrated concern for from all classes, covering extra call shifts, Step 1 and Step 2 exams and was invited their peers and a life that exemplifies the staying late, and taking on extra work to to teach the SOM’s Step 1 board prep ethical, moral and academic skills deemed lighten the load of those around him. class. He continued to shine in his 3rd necessary to make an exemplary physician. He was particularly interested in chil- and 4th year clerkships often cited as one When fourth year student Andy dren with paralysis or otherwise physically of the top students with an “excellent Jones wrote his nomination for Brandon handicapped. During medical school he work ethic, dedication to the team, and Wilkerson he cited Brandon’s leadership worked with the “Now I Can Foundation” to his patients.” during his time in medical school, which and was the event coordinator for the an- The Alumni Association is proud to was underscored by his humility and quiet nual “Run to Walk” event, raising funds give this well-deserved award and gift of confidence. Brandon served as 3rd year for children with Cerebral Palsy. He is also $1000 to Brandon and look forward to class co-president, UMA delegate, committed to promoting cancer awareness watching him progress as a doctor as he National AMA delegate to two and served as the Event Chair and En- moves forward with his surgery residency tertainment Chair for the local American at Vanderbilt. Long-Term Chair of Internal Medicine Steps Down

John R. Hoidal, also served as the Chief for the Division celebrated successes is the creation of the M.D., Chairman of Pediatric Pulmonary and Interim Chair Society Supporting Leadership in Internal for the Depart- for the Department of Internal Medicine Medicine (SSLIM). SSLIM raises private ment of Inter- prior to his official appointment as Chair- donations from former faculty and train- nal Medicine, man in 2004. ees to encourage junior faculty to go into stepped down Dr. Hoidal led the Department of education and research. By providing as Chairman on Internal Medicine during a period of bridge funding between grants and loan July 1, 2014. tremendous growth. In 2001, when he repayment to junior faculty, the Depart- He has spent the last 30 years in medical became Interim Chairman, the Depart- ment can successfully invest in future school administration both as Division ment’s annual budget was roughly $70 leadership. Currently, the Department has Chief and Department Chairman. million, clinical income reached $33 mil- supported 32 junior faculty through In 1987, Dr. Hoidal came to the Uni- lion, research grants were roughly $24 SSLIM funding. versity of Utah School of Medicine from million, and the Department had 11 Divi- Dr. Hoidal currently holds the the University of Tennessee, where he sions and 142 faculty members. Today the Clarence M. and Ruth N. Birrer Presiden- served as the Director of the Pulmonary Department’s budget is greater than $145 tial Endowed Chair. Although Dr. Hoidal Medicine Division. He joined the Uni- million, clinical income is more than $80 is stepping down as Chairman, he will versity of Utah as Chief for the Division million, research grants surpass $30 mil- continue his clinical practice and research of Respiratory, Critical Care and Occu- lion, and there are now 16 divisions and programs. pational (Pulmonary) Medicine. He has 312 faculty members. One of Dr. Hoidal’s

24 News Notebook

Harvard Business Review Recognizes Physician Engagement Efforts by University of Utah Health Care

University of Utah Health Care was The initiative allowed providers to receive 32,144 page reviews tallied before online recognized in the June edition of Harvard their patient-experience data privately and physician reviews and comments had been Business Review as a health care system opened the door to conversations about fully adopted. The surge in web traffic is embracing new transparency efforts involv- how to make improvements. The data was a strong indicator that patients and con- ing physicians in the challenging process then shared internally, and other physi- sumers appreciate the transparency and of overhauling health care to better meet cians could compare their performance additional information made possible by patient needs. and ratings to colleagues. Eventually, the online reviews. U of U Health Care is one of several concept evolved online, where patients can University of Utah Health Care prestigious health care systems, which publicly review a physician’s report card on uses data from more than 40,000 patient include Cleveland Clinic, Mayo Clinic, http://healthcare.utah.edu. surveys to rate its physicians on nine and Brigham and Women’s Hospital, “With each escalation in transpar- measures using a five-star system. Patients featured in the article titled “Engaging ency, overall performance improved,” are e-mailed an electronic survey within a Doctors in the Health Care Revolution.” the Harvard Business Review article few days of their medical appointment and The article focus is on how physicians states. “One key to Utah’s success with are asked to complete questions about the can help propel health care transforma- the program, we believe, was its gradual care they received and to provide specific tion as the U.S. moves from a fee-based introduction, which allowed physicians to comments. Feedback is then posted to the approach to a broader team-based acclimate at each step.” web site and is also used to improve all ar- approach in patient care. Web traffic to the U’s online physician eas of patients’ clinical experiences. Other Harvard Business Review cites the profiles skyrocketed after implementing health care systems across the country have University of Utah Health Care’s efforts online reviews. The most recent numbers, consulted with University of Utah Health as the first hospital system in the coun- from March 2014, show page views to U Care about lessons learned while adapt- try to post online physician reviews and of U Health Care physician profiles totaled ing their own respective models of online comments, a venture launched in 2012. 122,072 —a dramatic increase from the physician reviews.

Saving Money and Improving Outcomes at Primary Children’s Hospital In 2012 appendicitis treatment at savings of approximately $1,200,000 was designed to eliminate CT imaging Primary Children’s Hospital changed. a year at Primary Children’s Hospital. in patients. This saves cost and decreases The new approach focuses on tailoring Additionally, outcomes have improved. the long-term risk of radiation exposure. the type and duration of care on the pa- Fewer patients are getting readmitted Additionally, a discharge teaching pro- tient’s response. It is designed to decrease (8.4% prior versus 5.9% now) and fewer gram was implemented to ensure parents the length of hospitalization and cost of patients are developing intra-abdominal understand what to expect and how to care as well as improve outcomes. abscesses (5.2% prior versus 1.3% now). treat their child with appendicitis after Since implementation of the new How were these changes achieved? they return home so children can stay protocol the length of hospitalization has First, the way surgeons performed appen- safely at home and out of the emergency decreased by two days for children with dectomies was unified. This dramatically room after discharge. ruptured appendicitis and decreased by decreased the use of high-cost disposable Other hospitals have noticed the one day for children with non-ruptured materials. Previously the average appen- success at Primary Children’s Hospital appendicitis. Cost of care has decreased dectomy cost $760 for disposable single and several have consulted with Primary from $13,610/patient to $9,870/patient use materials. Now an appendectomy Children’s to adopt the same strategies. for ruptured appendicitis and $5,783/pa- utilizes only $240 per appendectomy. Primary Children’s continues to work tient to $4,499/patient for non-ruptured Then an emergency room appendicitis to provide quality value-driven care that appendicitis. This has led to a total cost evaluation protocol was employed that places the child first and always.

25 Newsnews notebook Notebook Animating Biology Janet Iwasa, Ph.D., a research assistant research, teaching and outreach. professor in the Department of Biochem- “Animations are an amazing way istry at the University of Utah, some- to communicate our ideas -- to times receives looks of surprise when she others in the research commu- describes her research. “I’m a molecular nity, to our students, as well as to animator,” she says. “I use 3D animation the public at large” Iwasa says. software from the entertainment industry “They’re also a powerful tool for to create scientifically accurate depictions exploring molecular hypotheses Animated model of Human Immunodeficiency Virus (HIV). of molecular hypotheses.” by allowing researchers to visual- Iwasa created her first scientific ani- ize what might be happening in collaboration with the Center for the mations while she was a graduate student three dimensions and over time.” Structural Biology of Cellular Host Ele- studying cell biology at the University of Since her arrival to the University of ments in Egress, Trafficking, and Assem- California, San Francisco, and went on Utah in 2013, Iwasa has started a num- bly of HIV (CHEETAH), a NIH-funded to pursue animation full time as a post- ber of new collaborations with U faculty, consortium led by Wes Sundquist. Iwasa doctoral fellow at Massachusetts General including Wes Sundquist (Department of is creating a website, called “The Science Hospital and Harvard Medical School. Biochemistry) and Brad Cairns (HCI). A of HIV” which will feature these anima- Her experience working with numerous major focus for the next several years will tions, as well as other resources, such as researchers has shown her that animations be a detailed molecular animation of the interviews with researchers and lesson can play diverse and important roles in full viral life cycle of HIV. This project plans for biology educators. will be carried out through close

U Researchers Seek Patient Input to Improve Surgical Care

Hospital read- network of up to 250 patients from rural relying on a team-based approach with missions fol- and urban areas in Utah and surrounding the patient at the center. This project seeks lowing surgery states that have experienced surgical care to bring together a network of patients add millions of at hospitals such as University of Utah and surgical care stakeholders to study the dollars a year Hospital. The study is funded by The experience of patients undergoing surgery, to the nation’s Patient-Centered Outcomes Research identify common deficiencies in care health care Institute (PCORI), a Washington, D.C., coordination, and investigate interven- bill and often group that advocates for improved com- tions to improve outcomes of surgical occur when munication between patients and provid- care episodes. physicians ers resulting in better-informed health The experiences of the network of Benjamin Brooke, don’t com- care decisions. patients and providers will determine M.D., Ph.D. municate well Patients are frequently perplexed by where major problems in care coordina- with each other or their patients. The Uni- the steps involved in obtaining surgical tion exist. Along with patients the net- versity of Utah recognizes the impact poor care, spanning inpatient as well as preop- work will include primary care physicians, communications has on surgical patients erative and postoperative care in the com- surgical specialists and other follow-up and wants to improve their outcome. In munity. When care is poorly coordinated, care providers involved in surgical care. the next nine months, University of Utah patients are unduly tasked with providing By assembling and engaging patients and researchers are going to address this issue the only consistent linkage longitudinally major stakeholders in the community- by enlisting patients to identify problems across the episode, navigating from step surgical interface, the U hopes to create a they experienced in communication and to step with little guidance. Bridging the research platform allowing a broad range care coordination before and after surgery. siloes between community and inpatient of investigations designed to improve the Led by vascular surgeon Benjamin care across providers has typically relied on experience and outcomes of surgical care Brooke, M.D., Ph.D., assistant professor the vigilance of individual providers with episodes. of surgery, the researchers are forming a limited roles and perspectives, rather than

26 News Notebook University of Utah Study Review helps Establish Newest National Guidelines on Opioid Use Kurt Hegmann, MD, MPH Chief, Division of Occupational and Environmental Health and Director of Rocky Mountain Center for Occupational and Environnmental Health Opioids are the most potent pain re- specialists in addiction medicine and coun- recommended the avoidance of safety- lievers for acute pain. They are also prom- seling, anesthesiology, emergency medicine, sensitive job functions while under treat- inently used for peri-operative pain. Their family medicine, infectious disease, internal ment with opioids. They also noted that use to treat chronic pain is controversial. medicine, neurology, neurosurgery, occu- there are no validated tools to determine if As we know from warning labels on pational medicine, orthopedic surgery, pain someone is safe to operate a vehicle on opi- prescription medication vials, opioids medicine, pharmacology, physical medicine oids. Among those treated with opioids, can cause potential impairments. While and rehabilitation, sports medicine and sufficient time after the last dose is recom- providing potent pain relief for acute pain, toxicology. mended to eliminate approximately 90% of these medications act on the central ner- The guidelines also include a com- the drug and active metabolites from their vous system, causing sedation and other- prehensive opioid treatment consent form system. The guideline also recommends wise impairing higher cognitive functions. combined with an opioid treatment agree- caution among those consuming other They are also quite addictive. ment to facilitate management of patients, depressant medications such as benzodiaz- Recently, The Rocky Mountain and other tools to help health care workers. epines and sedating antihistamines. (e.g., Center for Occupational and Environ- With this convincing epidemiological diphenhydramine including Benadryl). mental Health (RMCOEH), a National evidence, the ACOEM Opioids panel Institute for Occupational Safety and Health-sponsored education and research center serving HHS Region 8 (Utah, The panels work included searching databases going back to 1966. This included Montana, North Dakota, South Dakota, 24,617 articles being screened with a total of 157 high and moderate quality studies Wyoming, and Colorado) completed identified addressing pain treatment. Nine sizable epidemiological studies were an 18-month research review of opioid identified and included in the analyses. Some of the most significant findings of use and came up with the national recom- the study are as follows: mendations to aid physicians and other 1. As the first guideline to systematically 5. Selective use of opioids was recom- health care personnel when prescribing address literature on opioid use and mo- mended for patients with acute and post- opioids. tor vehicle crashes, all 12 studies reviewing operative pain; extended opioid use should The RMCOEH is housed in the motor-vehicle impairment with opioid use only be used with documented functional Division of Occupational and Environ- supported an elevated risk of crash and gain(s). mental Health within the Department of thus recommended people in safety sensi- 6. A strong and reproducible dose-response Family and Preventive Medicine. Kurt tive jobs not to take opioids. relationship identified a recommended mor- Hegmann, the Director of RMCOEH, 2. Out of 28 trials, no quality trials were phine equivalent dose limit of 50mg per day is the editor of the American College of identified showing superiority of opioids, as opposed to prior guidelines, based most- Occupational and Environmental Medi- including when compared with non-steroidal ly on expert opinion, which recommended cine’s Evidence-based Practice Guidelines. anti-inflammatories and other medications a 110-120 mg maximum dose, which likely These guidelines set up standards for a for pain treatment. allowed too many fatalities to occur. variety of different health issues, includ- 3. Lower doses of post-operative opioids 7. The longest placebo controlled trail lasted ing low back pain, neck injuries, opioid were associated with better long-term func- only four months. This confirmed the finding use, respiratory concerns, etc. The Opioid tional outcomes. of others that there is no evidence of long- Guidelines panel was likely the most di- term efficacy from treatment with opioids, 4. The strongest risk factors for overdose and verse, multidisciplinary panel yet formed yet there is an evidence of hazards. to review opioid use, made up of deaths included concomitant use of benzo- diazepines, illicit substances, unemployment, 8. Many patients do not tolerate opioids, psychiatric disorders and substance abuse washing out or dropping out in various history. phases of the trails.

27 News Notebook Awards

2014 Rosenblatt PrizeAwards for Excellence Awarded to Randall J Olson, MD, ‘73 Randall J Olson, MD, Professor and recommends selected candidates for the Chair of Ophthalmology and Visual Sci- award. University of Utah President Da- ences, CEO, John A. Moran Eye Center, vid W. Pershing made the final selection University of Utah School of Medicine, and said that “Dr. Olson has a long, rich was named the 2014 recipient of the history with the University and is an in- Rosenblatt Prize for Excellence, the U’s spired choice for this honor. His forward- most prestigious award. The $40,000 gift thinking leadership has effectively put is presented annually to a faculty member the Moran Eye Center on the national who displays excellence in teaching, re- map, bringing life-changing research and search, and administrative efforts. outreach, renowned patient care, and The Rosenblatt Prize Committee, a academic excellence together in one out- group of distinguished faculty members, standing institution.”

Dr. Vivian Lee named one of the 40 Smartest People in Healthcare

In the Spring of 2014 Vivian Lee, MD, and in measuring things,” she told Becker’s PhD. was named as one of the 40 smartest Hospital Review. That belief spurred the people in healthcare by Becker’s Health- development of UHC’s Value-Driven Out- care, the leading source of business and comes Tool, an algorithm meant to mea- legal information for healthcare industry sure the true cost — not sticker price — of leaders. Since July 2011, Dr. Lee has a patient’s episode of care. Dr. Lee, a radi- served as senior vice president for health ologist, was awarded a Rhodes Scholarship sciences at the University of Utah, dean of to study at Oxford University in England, U of U’s School of Medicine and CEO of where she earned a doctorate in molecular University of Utah Health Care. While at engineering. She earned her medical degree the U Dr. Lee has championed transpar- with honors from Harvard University in ency and value-driven care in academic Boston and completed her MBA at NYU’s medical centers. “I’m a big believer in data Stern School of Business.

Clough Shelton, MD Recognized by American Otological Society

Clough Shelton, MD, Chief of the The American Otological Society Division of Otolaryngology, was recently is the second oldest medical society in awarded a Presidential Citation by the the United States, founded in 1868. Its American Otological Society. This cita- membership consists of those who have tion recognizes his leadership and out- distinguished themselves in the field of standing contributions to education and Otology, including publication of a major research in Otolaryngology, Otology, and thesis and/or a record of significant Neurotology. He is also a Past President research contributions supported by of this organization. extramural funding.

28 News Notebook Otolaryngologist Dr. Richard Orlandi receives Awards National Award for Collaboration

Dr. Richard ing collaborations between their society offered in otolaryngology. Collaboration Orlandi received and the American Rhinologic Society between the two societies had been lagging an award from (ARS). These two societies represent for years and this joint research program the American the largest block of subspecialists within has become a platform for shared goals Academy of the field of otolaryngology. The award and alignment. Drs. Todd Kingdom, out- Otolaryngologic acknowledged Dr. Orlandi’s efforts to going president of the ARS, and Dr. Tim Allergy (AAOA) establish a research grant jointly offered Smith, incoming president of the ARS, recognizing his by the two societies, making it one of the also received an award for their leadership success in form- largest nongovernmental research grants in supporting Dr. Orlandi’s project.

Prestigious Sloan Research Fellowship Awarded to Division of U of U Researcher Adam Douglass, PhD Urology Faculty to Study Novel Douglass studies how dopamine Treatments for influences behavior using a genet- Bladder Pain ically-encoded, fluorescent voltage indicator on larval zebra fish. The Siam Oottamasathien, MD, FACS, simple fish are in their first week FAAP, a member of the University of life. Their transparency works of Utah Division of Urology, was well with optical research awarded a NIH R01 grant from the techniques. National Institute of Diabetes and “One of the areas where we’re Digestive and Kidney Diseases to fur- really lacking is describing what ther investigate urologic chronic pelvic dopamine does to the entire pain and explore glycosaminoglycan brain,” Douglass said. “The tech- derivatives as novel treatment options. A Utah neuroscientist who specializes nique we’re developing will let us The Oottamasathien Laboratory has in dopamine has received a 2014 Sloan do that while maintaining cellular resolu- pioneered a new rodent model of Research Fellowship. Adam Douglass, tion. That allows us to investigate the con- bladder inflammation and pain, while Ph.D., assistant professor of neurobiology tribution of individual neurons.” characterizing the role of mast cells in and anatomy, is among the 126 American Dopamine is critical to certain be- diseases affecting the urinary bladder. and Canadian researchers who will receive haviors. The disruption of dopaminergic In collaboration with Presidential Pro- $50,000 to further their research. neurotransmission is intricately connected fessor of Medicinal Chemistry, Glenn The prestigious awards identify sci- to diseases such as Parkinson’s and Prestwich, PhD, the Center for Thera- entists and scholars early in their careers schizophrenia. peutic Biomaterials, and GlycoMira with the potential to become future lead- The voltage indicator allows the lab Therapeutics, they have developed ers in their field. Dozens have gone on to to record neuron activity without us- a new family of anti-inflammatory win a Nobel Prize and other awards. ing electrodes. Researchers have built a therapeutics. With this strong collab- “These researchers are pushing the microscope that can image this indicator orative team, they are hopeful that this boundaries of scientific knowledge in in thousands of neurons in one experi- new family of drug will someday effec- unprecedented ways,” said Dr. Paul L. ment. The Sloan dollars will assist the lab tively treat those afflicted with painful Joskow, president of the Alfred P. Sloan in paying for staffing support. bladder syndrome. Foundation.

29 Newsnews notebook Notebook Junior Faculty Members Tracy Manuck, MD and Erin Clark, MD Win Awards at Society for Maternal Fetal Medicine Nearly half a million babies are born too soon each year in the United States. Preterm birth (birth before 37 weeks of pregnancy) is the leading cause of newborn death, and babies who survive an early birth face an increased risk of a lifetime of health challenges, such as breathing problems, cerebral palsy, intellec- tual disabilities and others.New research findings may soon help doctors personalize preterm birth prevention treatments by identifying which women at higher risk for preterm birth will be helped by progesterone injections. Injections of one type of progesterone, a synthetic form of a hormone naturally pro- duced during pregnancy, have been shown to reduce the risk of recurrent preterm births by about a third.

Tracy Manuck, Dr. Manuck was presented with the Dr. Clark’s MD, assistant March of Dimes award for Best Abstract study results add professor of in Prematurity at the SMFM’s Annual to the evidence Maternal Fetal Meeting. 2014 marks the 11th year the that genes may Medicine and March of Dimes award has been present- play a role in co-director of ed. Dr. Manuck is a two-time recipient of risk of brain in- the University of the honor. She was honored in 2009 for jury and death in Utah Prematu- research that looked at progesterone recep- preterm babies. rity Prevention tors and progesterone response. The study, titled Clinic at University of Utah Health Care, A second award for best research of Genetic Predisposition to Adverse Neurode- has been working to understand why pro- the session was given to Erin Clark, MD, As- velopmental Outcome After Early Preterm gesterone treatments prevent preterm birth sistant Professor of Obstetrics and Gynecol- Birth: A Validation Analysis, was a collab- for some women but not for others. She ogy at the University of Utah. Her study orative effort between the Eunice Kennedy hopes to determine whether there is a way showed that a variant in SERPINE1, a gene Shriver NICHD Maternal-Fetal Medicine to personalize their treatment based on involved in inflammation and blood clot- Units and Neonatal Research Networks. their genetic makeup. She presented her ting, was associated with cerebral palsy and Researchers evaluated two different popu- latest findings at the Society for Maternal- death in very preterm babies. lations of very early preterm births (earlier Fetal Medicine’s (SMFM) 34th annual Preterm birth is the leading cause than 32 weeks) with the goal of confirm- meeting, The Pregnancy Meeting™. of childhood brain injury in otherwise ing the same genetic risk factors in both Dr. Manuck and her colleagues evalu- normal children. The earlier a baby is groups. The first population of preterm ated 50 women followed in a prematurity born, the higher the risk of brain injury. births was enrolled in a large Neonatal prevention clinic that received proges- However, even among the tiniest preemies, Research Network study, and the other terone treatment and separated them by some babies develop quite normally, while group was of births that were enrolled in whether they responded to the treatment. others have devastating brain injury and a Maternal Fetal Medicine Units Network The team then sequenced all of the areas life-long disability. The reason for this study of magnesium sulfate before preterm of the women’s genomes that code for difference in outcomes is not well under- birth for prevention of cerebral palsy. proteins and looked for genetic differences stood. Genetics may allow identification of Results revealed a variant in the gene between the two groups. The team identi- babies at increased risk so that those babies SERPINE1, a gene involved in inflam- fied several genes and general biologic can be targeted for prevention and treat- mation and blood clotting, was associated pathways that were more likely to be ment strategies. Previous genetic studies of with cerebral palsy and death after early expressed in women who did not respond very preterm babies have suggested several preterm birth in both populations of to progesterone. genetic variations that might predispose to preterm babies. brain injury and developmental problems. However, different studies have had different results.

30 News Notebook Catherine R. deVries Honored at Annual National Physician of the Year Awards University of physicians and nurses so they can meet the to combine their experience and talents Utah surgeon needs of the populations they serve. to find innovative ways for resource-poor Catherine R. Dr. deVries became interested in areas to develop the infrastructure to pro- deVries, MD, providing urologic care to undeveloped vide surgery. In March 2013, the center MS, professor of nations when she visited Honduras shortly held its first annual conference, which was pediatric urology after completing her surgical residency attended by people from across the United and director of at Stanford University. Seeing children States and throughout the world. deVries the University who needed urologic care but had no ac- serves on two World Health Organization of Utah Center cess to it, she developed a surgical care projects, including the committee for for Global Surgery was honored with the and education model built around the Global Initiatives for Emergency and Clinical Excellence Award at the Ninth conditions and limited resources available Essential Surgery. Annual Castle Connolly Medical Ltd. in undeveloped countries. In 1994, she About the National Physician 2014 National Physician of the Year founded International Volunteers in Urol- of the Year Awards Awards. Dr. deVries was one of just three ogy, which focuses on teaching urology Castle Connolly Medical Ltd. created the physicians from across the nation to win in resource-poor areas. The not-for-profit National Physician of the Year Awards near- the Clinical Excellence Physician of the organization, now called IVUmed, has set ly a decade ago to acknowledge the clinical Year award in 2014. up educational partnerships to teach all excellence that typifies American medicine. In the past two decades deVries has aspects of urology to doctors and nurses in Building upon its already broad and deep made dozens of trips to Africa, Latin 30 nations. processes for the identification of Castle America, and Asia where hundreds of Recognizing that people in undevel- Connolly Top Doctors®, it annually solicits millions of people have extremely lim- oped nations need access to all types of special nominations from thousands of ited access or no access at all to surgery. surgery, she recently established the Cen- physicians across the country and the leader- While performing countless operations for ter for Global Surgery at the University of ship of more than 1,000 hospitals to identify people with urologic needs, her primary Utah. The center brings together people extraordinary physicians who have made goal is to establish a sustainable approach with backgrounds in surgery and anesthe- significant and cutting-edge contributions by teaching surgical procedures to local siology, business, finance, and engineering to their areas of medicine.

University of Utah on the Front Lines of Stroke Research

In September 2013, the University of StrokeNet is the provision of funding local satellite facilities: Primary Children’s Utah was chosen to be one of 25 regional for training of fellows and junior faculty Medical Center (Salt Lake City, UT), coordinating centers in the National Insti- in conduction of translational stroke re- George E. Wahlen Department of Veter- tutes of Health (NIH)-funded stroke trials search. ans Affairs Medical Center (Salt Lake City, network - NIH StrokeNet. The network The University of Utah was a strong UT), Utah Valley Regional Medical Cen- was created to reduce the burden of stroke candidate for this award due to extensive ter (Provo, UT), and 16 other telestroke by maximizing efficiencies to develop, experience in stroke research and a great partner sites. promote, and conduct high-quality, multi- record of patient recruitment and reten- Dr. Jennifer Majersik, the University site clinical trials focused on key interven- tion. The University also uses an attractive of Utah`s Stroke Center Director, is the tions in stroke prevention, treatment interdisciplinary approach to stroke care, Principal Investigator for Utah StrokeNet. and recovery. including integration with vascular neurol- The team also includes Project Director The network provides some unique ogy, pediatric neurology, neurointensive Dr. Sandra Reyna, Co-PI Dr. Gordon features such as a central Institutional care, interventional neuroradiology, emer- Smith, co-investigators Dr. Jana Wold, Dr. Review Board that will reduce the length gency medicine, neurosurgery, and stroke Susan Benedict, and Lorie Richards PhD; and cost of clinical trials as well as a com- rehabilitation. and study coordinators Kinga Aitken prehensive data sharing system. Another The University of Utah is the hub for MPH and Suyi Niu CRC. critical and unique element to NIH Utah StrokeNet and will partner with

31 Newsnews notebook Notebook First Hedi-Fritz-Niggli Professor at the University of Zurich filled by U of U Professor Kathleen Digre, MD

While women are increasing in the ranks While in Switzerland Dr. Digre saw pa- of assistant professors in most universities tients, discussed cases, and attended daily across the world, there are fewer women morning report. who advance to the rank of full professor. During the first three months of her This is true at the University of Utah as professorship, She gave several lectures at well as the University of Zürich. The Uni- conferences and seminars and assumed versity of Zürich (UZH) has developed responsibility for the residents’ weekly an Action Plan in which, by 2016, at least journal club conference. Working with 25% of professors in each of its faculties women faculty was inspiring since many (or schools) will be women. While UZH of the women have excellent research enjoys 18% women faculty (data from backgrounds. Several workshops were held 2012), these are not evenly split among all – including one on negotiations. This of the schools and each has different chal- workshop was led by University of Utah lenges to face. Professor Kirtly Jones, herself a certified As a result, the faculties have de- negotiator and full professor in the De- veloped their own action plan projects partment of Obstetrics and Gynecology. to address their specific situations and Dr. Digre also participated in programs priorities. One of these plans is to invite that were working to expand leadership in an outside tenured woman professor to the various schools of the University, in- the University to spend 6 months (one crease the number of women on strategic semester) working within one of their committees, and increase the number of schools -- teaching, giving lectures, and women in neuroscience leadership. working with the Gender Equality Office One of the key events of the academic on this important task. The professorship life in Zürich is the Dies Academicus, - The Hedi Fritz-Niggli Visiting Professor- where the University grants honorary ship – is named for Professor Hedi Fritz degrees and where the newly appointed Niggli,(1921-2005), a radiation biologist Rektor (president) Michael Hengartner of and the first woman full professor at the the University presented his vision for the University of Zürich, and the first woman University. The Hedi Fritz Niggli Profes- member of the Swiss Science and Technol- sorship was first announced at this meet- ogy Council. ing in April 2014. This Professorship is sponsored by the While working hard on many proj- Office on Gender Equality and the Gen- ects, Dr. Digre learned many new things der Equality Commission. Dr. Digre was which she hopes to bring back to the Uni- invited to be the inaugural guest professor. versity of Utah. Her husband, Professor The Zurich School of Medicine currently Michael Varner, also from the University has 15 women professors, representing of Utah, came to Switzerland with her Rektor Michael Hengartner greeting Kathleen Digre 10% of all professors in the School. The and was associated with the Department as she was announced as the first Hedi Fritz Niggli School of Medicine’s action plan is called of Obstetrics and the newly established Guest Professor. (Photograph by Frank Brüderli). ‘Filling the Gap’ and is focused on men- Competence Center in Personalized toring, career planning and protected time Healthcare; he also has lectured and February 2014, annual meeting of the women for research for junior would-be faculty. attended many conferences during their professors (Photograph by Marc Latzel).

The host department is the Depart- time there. Programs like these promote Kathleen Digre MD lecturing to neurology residents ment of Ophthalmology at the School of true bidirectional learning with the ulti- (Photograph courtesy of the University of Zürich). Medicine, under the direction of Professor mate goal of promoting women faculty Klara Landau who is also on the Gender at all institutions. To see Dr. Kirtly Jones’ Commission of the University of Zürich. negotiation workshop live view:

32 To register for weekend events or update information go to http://medicine.utah.edu/alumni Alumni NewsAlumni Notebook Class of 1964 Rodney C. Petersen, MD R. Ralph Bradley, MD Use. She has been the laboratory Dr. Petersen spent his entire career at Dr. Bradley served medical director since 2009 for a Utah Valley Regional Medical Center as president of high complexity clinical lab. Dr. Paul Geniec, MD as a diagnostic radiologist. He was Intermountain McIlvaine is also a volunteer trainer Dr. Geniec and his founder and chief of the Department Dermatology and for Snow Leopard Enterprises and has wife Kathryn live in of Diagnostic Ultrasound. He served president of Utah spent significant time in South Gobi, Jamestown, NC. as chair of the Radiology Department Dermatology Society. Mongolia doing outreach work to He feels fortunate as well as various other committee He also served on pastoral nomads, working for conser- to have practiced assignments. He has been retired the advisory council for the American vation and economic improvement the entire gambit since 2011 and states LIFE IS GOOD! Academy of Dermatology. He still through the development of cottage of otolaryngol- practices at the Murray-Cottonwood industries. ogy from head and neck surgery to Medical Clinic in Murray, UT. some facial plastic and reconstructive Class of 1974 surgery during his career. He has fond Class of 1989 memories of the anatomy course with E. William Parker, Class of 1979 Dr. Hashimoto and his lab partners, Jr., MD Robin Berger, MD Ken Morrison, Michael Clements and During his career Petra N. Joseph, MD Dr. Berger is married, has four chil- Fred Miya. In his spare time he enjoys Dr. Parker delivered Dr. Joseph has done significant work dren, and two Corgis. She served as farming and gardening and raising 7800 babies. He in helping patients with chronic pain president of the Washington County Cairn Terriers. He states that he is is supportive of and addiction to opioids and other Medical Society from 2013-2014. now relating to his patients when they certified nurse mid- drugs. She currently lives in Chicago She practices internal medicine in St. said, “You can’t retire, you’re the only wifery. He promoted and practices physical and rehabilita- George, UT. doctor I’ve ever known” as his physi- vaginal delivery after tion medicine at the Rehabilitation cians are retiring! multiple previous cesarean sections Institute of Chicago. Dr. Joseph is and is an advocate for patience in planning on retiring soon and moving Class of 2004 Class of 1969 labor. He is now retired, but enjoyed to Boston with her spouse. a wonderful career as an obstetrics Tracy James Robinson, MD and gynecological physician. Since finishing his body imaging Clark Edman Jaynes, MD Class of 1983 fellowship at UW, Dr. Robinson has Dr. Jaynes specialized in addiction Robert Keller, MD been working for Integra Imaging, Se- medicine working with impaired D. Bradley Welling, MD , Ph.D., F.A.C.S. attle Radiologist/Western division, as physicians and other professionals Dr. Keller says that having six kids and Dr. Welling has been named the new a nightshift diagnostic radiologist. As in Idaho and Southern California. Chief of Otolaryngology for the Mas- of April 2014, Dr. Robinson completed He has a great family, a single digit nine grandkids equals no retire- sachusetts Eye and Ear/Massachusetts his masters in Biomedical Informat- golf handicap and is enjoying his General Hospital departments, ics at the University of Utah with a retirement. ment. After 24 years working in the ER, he Chairman of Otology and Laryngol- sub-specialty of Imaging Informatics. started doing ogy for Harvard School of Medicine, He married his wife, Sarah, in June H. James Williams, MD cosmetic medicine. and the Walter Augustus LeCompte 2009, and they had their son Tray in Dr. Williams is a retired emeritus Pro- He went totally “Hollywood” produc- Professor of Otology and Laryngology November 2009. fessor of Medicine at the University of ing 350 TV spots and specials. Then at Harvard. Utah. He is a master of the American he did a reality show with Dina College of Rheumatology. In 2004 Class of 2009 Eastwood and learned how much Class of 1984 after retirement he served as a mis- he missed medicine. So, he is now sion president in Denmark, Iceland, Benjamin Frederick Johnson, MD working on stem and immune cell and Greenland. He is currently the Patricia McIlvaine, MD Dr. Johnson works as an anesthesiolo- therapies and developing an organic temple president of the Copenhagen, Dr. McIlvaine plans to retire from her gist for Intermountain Medical Center vaccine program with two Noble Denmark temple for the Church of internal medicine clinical practice in at the IMC Hospital in Murray, Utah. prize winning MDs. He has been very Jesus Christ of Latter Day Saints. July 2014. She has been involved He and his wife, classmate, Eliza fortunate and owes it all to the U of U in CM10 from 2012 to 2014 for EHR Boyer, who finished her ER residency Medical School. Implementation and Meaningful at the U of U in 2012, have three children.

In Memoriam 2014

Eugene L. Bellin, MD MD 1958 9 February 2014 Frederick V. Jackman, MD MD 1951 26 March 2014 Robert F. Bitner, MD MD 1951 18 May 2014 John Margaris, MD MD 1957 1 April 2014 Kent H. Black, MD MD 1983 11 April 2014 Joseph A. Mayer, MD MD 1948 17 March 2014 Brad Nelden Brian, MD MD 2007 7 May 2014 Dan Oniki, MD MD 1947 1 May 2014 Merrill C. Daines, MD MD 1945 8 May 2014 Jerry K. Poulsen, MD MD 1967 22 January 2014 Robert F. Easley, MD MD 1950 28 April 2014 John M. Sanders, MD MD 1965 13 February 2014 Edmund C. Evans, MD MD 1955 8 April 2014 Jack D. Stringham, MD MD 1948 7 July 2014 Hallard B. Harmon, MD MD 1945 2 January 2014 Claude R. Thomas, MD MD 1961 2 June 2014 Raymond D. Hlavaty, MD MD 1961 5 January 2014 Keith M. Wayment, MD MD 1974 31 March 2014 Alumni Association

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Please visit our Web site at http://medicine.utah.edu/alumni

Kirk Neuberger, ‘63, Thomas Caine, ‘63, Mason and Karen Redd, ‘63, Barbara and Lorimer Christensen, ‘61 and Alene and Ned Mangelson, ‘61 enjoying lunch at June Half Century Society gathering.

Reunion year celebration? Watch the mail in August for your registration packet! A registration form is also available on-line at :http://medicine.utah.edu/alumni, where locations, fees and more details are available. Questions? (801) 581-8591