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AlumniAlumniNewsDukeMedMed News Training Ground 8 A close look at residency training SPRING 2002 4 New Hope for Severe Depression 6 Cracking the Hospital Information System Reunion Save-the-Date Medical classes from years ending in 2 or 7, and any classes from 1952 and earlier are invited to attend Integrative Medicine Offers Conferences for Physicians and Women Medical Alumni Weekend, October 18-20, 2002. The NEWS weekend celebration will include an awards luncheon, Duke Integrative Medicine, under the direction of Tracy Women, Wellness, and the Transformation of NEWS continuing medical education events, class gatherings, Gaudet, T’84, MD’91, will offer several special programs Health Care, October 11-13, is the and an induction ceremony for members of the class of this year. first annual Duke Center for 1952, the newest members of the Half Century Club. Integrative Medicine conference on “Exploring the Power of the Midlife Journey,” integrating conventional, comple- June 2-7 at the Miraval luxury resort mentary, and alternative medicine in ‘52‘‘57 ‘62 ‘67 ‘72 ‘77 ‘82 ‘87 ‘92 ‘97 and spa in Catalina, Ariz., is dedicat- women’s health. Designed to attract a national audi- ed to the health, wisdom, and ence of women and their health care providers, the empowerment of a woman’s journey conference will be held at the Sheraton Imperial in through all of the stages of her life. RTP, and will feature Ralph Snyderman, MD, DUMC Library Web Site Connects Specifically focused on the transitions of chancellor for health affairs; Vivan Pinn, MD, director Alumni to “Life After Duke” midlife into the wisdom years, the six-day retreat of the Office of Research on Women’s Health at the DukeMed alumni are invited to visit a new Web site offers experiential and educational workshops, National Institute of Women’s Health; Charles created by the Duke University Medical Center Library gourmet meals, cooking classes, daily spa services, Hammond, MD, Duke chair of obstetrics and gyne- staff. Called “Life After Duke” the site offers free and deluxe accommodations and activities offered cology and president of the American College of access to library services in support of life long learn- by Miraval. Obstetricians and Gynecologists; as well as several ing. It provides links to a wealth of information, nationally prominent women’s health experts. including Medline and other health databases, elec- “Healing the Healer” July 18-21, is a three-day tronic professional journals, information services, text- intensive weekend retreat for physicians Other programs include “LifeSkills,” September 13- books, and a list of web sites. The address is aimed at recovering the heart and soul 14, a two-day workshop on improving http://www.mclibrary.duke.edu/respub/refres/ of medicine. Participants will work interpersonal relationships, "Healing lifeafterduke.html. toward such goals as “recovering the for Life" a six-day retreat on design- authentic voice of medicine,...moving ing your own comprehensive cus- from burn-out to soul growth, and exploring tomized health plan, April 7-12 and Medical Alumni Council News an ongoing renewal process to further future growth.” August 11-16, and the “Third Annual Clinical Hypnosis Workshop for Health Care New Committees Will Target Gather, Give, Grow served as reunion chair for the class of 1975 Professionals,” April 26-28. Alumni Programs and Theme of Reunion for Medical Alumni Weekend 2000 and is a DukeMed AlumniNews is published quarterly by the Duke Development Efforts Planning Weekend member of the Davison Club. He and his wife, Information on these programs and others is available Medical Alumni Association. In an effort to better coordinate alumni pro- Two new committees will get together May Sandra, have three children, Harrison, Isabel, on the Web at www.dcim.org, or by calling The current and archived issues are available online at gramming and fund-raising efforts, the 3-4 during the Spring Medical Alumni and Benjamin. 1-866-313-0959 or writing the Duke Center for http://medalum.mc.duke.edu. Medical Alumni Council recently formalized Council Meeting, along with Medical Class John C. Murray, MD’76, HS’79-’82, an Integrative Medicine, DUMC 3022, Durham, N.C. 27710. Your comments, ideas, and letters to the editor are welcome. two committees, the Alumni Development Agents, Class Reunion Chairs, and Davison associate professor of dermatology at Duke Please contact us at: Committee and the Alumni Programs and Club Development Committee members. University Medical Center. He is a member of the DukeMed AlumniNews Communications Committee. During this weekend at Duke, the commit- Davison Club and a supporter of the Callaway 512 S. Mangum St., Suite 400 Durham, N.C. 27701-3973 The Alumni Programs and Communication tees will put their charges in motion and take Chair in the Division of Dermatology. He is mar- e-mail: [email protected] Committee will look for ways to enhance reunion a strategic look at the largest of our alumni ried to Margaret Williford Murray, MD’76, a Ellen Luken weekend, alumni outreach, and other programs; programs, class reunions. School of Medicine former member of the Medical Alumni Council. Executive Director, improve the effectiveness of Medical Alumni Dean R. Sanders “Sandy” Williams, MD, will They have a daughter, Margaret. Medical Alumni Affairs and External Relations Association communications, including DukeMed kick off the weekend with a luncheon talk. Kenneth D. Weeks, Jr., MD’74, a cardi- Alumni News, electronic communications, and ologist with Mid Carolina Cardiologists in Editor Marty Fisher the World Wide Web; and expand the role of Medical Alumni Council Charlotte, N.C. He is active with the Contributing writers Chris Hoover alumni volunteers. Welcomes New Members Charlotte-area Duke Medical Alumni organi- Renee Twombly The Alumni Development Committee will The Medical Alumni Council is pleased to zation and a member of the Davison Club. Art Director Lacey Chylack lead strategic planning for fund raising, welcome the following new members for He is married to Rebecca Weeks, and they Graphic Designer including the reunion giving program, direct 2002-2004: have three children: Rebecca, Katherine, and Jeff Crawford Photography mail and telemarketing, new ways to attract David Goodkind, MD’75, HS’80-’82, a Kenneth D. Weeks III, a member of the Duke University Photography and retain Medical Center benefactors, as plastic surgeon with Plastic & Reconstructive Duke University Class of 2004. Produced by the Office of Creative well as a number of special projects. Surgery Associates in New Haven, Conn. He Services and Publications. Copyright Duke University Medical Center, 2002 MCOC-2971 DukeMedAlumniNews 3 accepted mainstay in the treatment of resistant unable to work. She had tried many different med- depression. While ECT works for many patients, it ications and therapies to no avail. Finally, she was can cause serious side effects, including memory loss referred to Schlaepfer for ECT therapy, and he For millions of people and temporary learning problems. ECT also carries a offered her an alternative. Alumna certain stigma because of the way it has been por- “We were unable to fully predict the outcome, trayed in popular culture. because this was the first time this was ever tried on who suffer from depression According to Lisanby, MST, in which electromag- a human patient,” says Lisanby. “She was a very netic impulses are administered to the prefrontal cor- courageous young woman.” , Discovers and other mental illnesses tex using a handheld coil, offers more precision and The woman had “a wonderful response,” says less impact to the temporal lobes, which are involved Lisanby. Today she remains depression free and has the late 1990s have been a in memory and learning. In ECT, the electrical returned to school and resumed a normal life. Like New Hope impulse is diffused by the skull and affects a broader ECT, MST is not a cure. Most patients require future revelation. New drugs like area of the brain. Also, because brain structure and treatments and/or follow-up treatment with medica- Prozac, which target chemical thickness varies in individuals, it is difficult to deter- tion. Recently, Lisanby completed a study with 10 for Severe mine the most effective “dose” of ECT therapy for patients at the New York State Psychiatric Institute. receptors in the brain, each patient. Magnetic impulses, on the other hand, Each of the patients had been referred for ECT ther- Depression pass through the skull and go directly to the pre- apy. The study will compare the side effects caused frontal cortex. by MST and ECT. According to Lisanby, the results give many people relief Predating her research on MST, Lisanby and others, showed that MST offers substantial benefits to the including Robert Belmaker, MD’71, HS’70-’72, patient, including fewer muscle aches, headaches, from debilitating symptoms pioneered the use of less intense levels of magnetic and less chance of memory loss. Now Lisanby is stimulation—too low to cause a convulsion. The use starting a two-center study of the antidepressant without causing serious of subconvulsive transcranial efficacy of a full course of MST, magnetic stimulation challenged funded in part by the Stanley side effects. the long held theory that a con- Foundation. vulsion is necessary to stimulate Lisanby says she feels fortu- a response in severely depressed nate to have had the opportunity patients. The treatment showed to contribute to an emerging But for many others, the promise and offered a greater field. A triple “Dukie” who level of safety than ECT since it received undergraduate and Prozac bandwagon was a does not require general anes- medical degrees as well as grad- thesia; however it has not yet uate medical training at Duke, trip to nowhere. been approved by the U.S. Food she was offered a post-doctoral and Drug Administration.