VERMONT VOL. 50, ISSUE 1 • 2013 medicineUNIVERSITY OF VERMONT COLLEGE OF MEDICINE

THE “VERMONT MODEL” FOR 25 YEARS OF HIV CARE AND ADVOCACY

ALSO FEATURED:

▲ Dallas Boushey Remembers ▲ PEP Guides Potential Medical Careers PROFILE IN GIVING VERMONT

UVM COLLEGE OF MEDICINE MAGAZINE

2 From the Dean 3 College News Two rsts at the College: a new chair of neurological sciences and a new College ombudsperson, plus research features news, student notes, and more. 12 20 26

George Fearons, III (seated at center) at his beloved Lake Mans eld Trout Club with his son, George, and grandsons Patrick (left) and Seamus (right). 25 Years of Care and A Look Ahead to a Life in Anatomy of an Advocacy Medicine Extraordinary Life Beginning in 1987, a team of Vermonters Medical school is rigorous; but blazing the In the depths of the Depression, a kid from A Vermont Tribute built a statewide network — a safe place path through the undergraduate years to South Burlington with just an eighth-grade for people with HIV and AIDS to receive prepare for medical school can be daunting education came to work at the College of When your roots are in Vermont, you never really leave the state behind, even if circumstances lead you to a life the best of care. Today, with improved too. UVM’s Premedical Enhancement Medicine. Fifty years later he retired as an away from the Green Mountains. That’s what happened to George Fearons, III. As he neared the end of his life, Mr. medications, the response to the disease has Program seeks to help ease the task. assistant professor of anatomy. Now in his Fearons, who had spent more than 50 years as the owner and operator of Stowe Travel Service, shared with his changed, but the caregivers are still at work. By Erin Post tenth decade, Dallas Boushey remembers. family his deep desire to leave something behind that would have a positive impact for Vermonters. By Sarah Zobel By Edward Neuert The Fearons family, though they live now in Massachusetts, decided to direct funds from his estate to support research by College of Medicine faculty members. The Fearons’ gift will fund new research on Alzheimer’s Disease 31 Hall A by Professor of Neurological Sciences William Pendlebury, M.D.’76. Another portion of the gift will support cancer- WebXtras in this issue: related research by Associate Professor of Medicine Chris Holmes, M.D. • “The Mary Fletcher” circa 1965 • PEP student comments President’s Corner • Schweitzer Fellows blog • CCC Rural Health article 32 As Mr. Fearons’ son, also named George, said: “We knew that giving in this way would have a greater impact in • Student tablet video • Dallas Boushey model Class Notes Vermont than any other place, and it would honor my father’s ties to the state in a really meaningful way.” • Translational research article slideshow and 1988 pro le 33 • Match Day video & student • Foundation Awards listing perspective 35 Development News Go to: uvm.edu/medicine/vtmedicine For more information about how you can University of Vermont College of Medicine 42 Obituaries support the College of Medicine and its faculty ON THE COVER: Professor of Medicine and Comprehensive Care Clinic founder Medical Development & Alumni Relations O ce Christopher Grace, M.D., sees a patient in the Rutland clinic. Photograph by Raj Chawla. and students, please contact the Medical (802) 656-4014 | [email protected] The College of Medicine is now on Facebook and Twitter. Check in to see what's happening today! Development and Alumni Relations O ce. www.med.uvm.edu/medicine/alumni COLLEGE NEWS

VOL. 50, ISSUE NO. 1 PUBLISHED APRIL 2013 Holmes Named Chair of FROM THE DEAN Neurological Sciences Gregory Holmes, M.D., has Medical Center, where he been appointed the inaugural served as professor and chair Spring is a busy time on our campus, with the medical Editor professor and chair of of neurology and director school seniors learning their residency matches and Edward Neuert neurological sciences at the of the Neuroscience Center. preparing for commencement in May, a transition in the Assistant Dean for College of Medicine and After joining Dartmouth in clinical clerkship year for second- and third-year students, Communications & Planning Carole Whitaker physician leader of neurology 2002 as professor of medicine and graduate students preparing to defend their doctoral Contributing Writers at Fletcher Allen Health Care. and pediatrics and section theses. In addition, we welcomed new department chairs Jennifer Nachbur He succeeds Rodney Parsons, chief of neurology, he became Debra Leonard, M.D., in Pathology and Gregory Holmes, M.D., in Neurological Sciences Erin Post Ph.D., and Rup Tandan, M.D., Dartmouth’s inaugural chair this spring. While it’s easy at a time like this to focus on what’s happening here, our work Nina Shedd who have shared leadership of neurology in 2009. Prior to continues to have a much broader impact throughout Vermont and across the nation. Assistant of the new department since joining Dartmouth, Holmes Michelle Iasilli Gregory Holmes, M.D. Twenty- ve years ago, HIV infection and AIDS were hot topics around the world. In this August 2012.  e establishment served as professor of neurology Art Director of the Department of at Harvard Medical School notch patient care, directing  e Department of country, AIDS was widely considered an “urban disease” and few people realized the need Steve Wetherby, Wetherby Design for specialized care for HIV-positive people in a rural environment. However, College of Neurological Sciences — a and director of the clinical strong clerkship and teaching Neurological Sciences is Contributing Photographers merger of the departments of neurophysiology and epilepsy programs, and leading well- closely aligned with the UVM Medicine faculty, along with our partners at the Vermont Department of Health, saw what Raj Chawla, Sally McCay, Mario Morgado, others had not seen. Led by infectious disease specialist Professor Christopher Grace, M.D., Alec Jacobson neurology and anatomy and program at Children’s Hospital funded translational research,” Neuroscience, Behavior and they set out to create a comprehensive care system to serve this widely scattered patient neurobiology — was approved Boston, where he also directed said Dean Rick Morin when Health initiative. by the UVM Board of Trustees the Center for Research in announcing the appointment. population in Vermont — essentially creating a “medical home” over two decades ago. University of Vermont in May 2011. Pediatric Epilepsy. Our cover story highlights this groundbreaking project that continues as a model for care. College of Medicine A graduate of the “Dr. Holmes is an “ Dr. Holmes is an outstanding scientist, Outreach to students that encourages the pursuit of medicine as a career has always Dean University of Virginia Medical outstanding scientist, been an important initiative of the College. Here on the UVM campus, the Premedical Frederick C. Morin III, M.D. School, Holmes comes to clinician, and teacher, as clinician and teacher, as well as a Enhancement Program (PEP) identi es outstanding undergraduate students with interests Senior Associate Dean for UVM from the Geisel School well as a dynamic leader and in the sciences and medicine.  rough a unique mentoring partnership, current medical Medical Education of Medicine at Dartmouth administrator with a successful dynamic leader and administrator...” William Je ries, Ph.D. students, and faculty guide PEP students throughout their undergraduate years to prepare and Dartmouth-Hitchcock track record for delivering top- — Dean Rick Morin in the best way possible to enter the medical professions. In this issue, alumni, medical Senior Associate Dean for Research students and undergraduates re ect on the bene ts of this early mentorship. Ira Bernstein, M.D.’82 For our alumni, that intensely personal brand of teaching is a familiar memory. Graduates Interim Senior Associate Dean for Clinical A airs Nurse and Clinical Ethicist from the 1940s through the 1980s will remember Dallas Boushey, whose personal journey Howard Schapiro, M.D.’80 was as compelling as his knowledge of human anatomy was amazing. Everyone who reads Appointed Ombudsperson for Senior Associate Dean for Professor Boushey’s words in this issue, and especially his former students, will be glad to Finance & Administration see that his journey continues still, even in his tenth decade. Brian L. Cote, M.B.A. the College of Medicine  ank you for all you do to support the College in ful lling our missions. I look forward Sally Bliss, R.N., M.S.B., clinical “I anticipate serving Send Us Your Stories to seeing many of you as we prepare for Commencement and Reunion, and as my travel ethicist at Fletcher Allen Health the college’s greatest asset, its If you have an idea for something that schedule increases with the coming of the warmer months. should be covered in Vermont Medicine, Care and adjunct assistant students, as a con dential, neutral please email: [email protected]. professor of medicine, has been facilitator for problem solving and appointed as ombudsperson for referrals,” Bliss said. Visit Vermont Medicine Online the College of Medicine. In this Bliss holds a Master of For full current and past issues and exclusive webXtras at: new position, Bliss will provide Science degree in bioethics from Frederick C. Morin III, M.D. www.uvm.edu/medicine/vtmedicine. medical students, residents, and the Union Graduate College/ fellows with a neutral, safe, and Mt. Sinai School of Medicine Dean, University of Vermont College of Medicine Sally Bliss, R.N., M.S.B. con dential environment to Program for Bioethics, where hear concerns and complaints, she taught for four years as an “ I anticipate serving the college’s greatest mediate con icts, discuss assistant professor of clinical CASE Article of the Year Award options, and provide referrals ethics. As ombudsperson, Bliss This January, the Council for Advancement and Support of Education (CASE) District I asset, its students, as a con dential, recognized “The Miracle and the Martyrs,” an article by Sarah Zobel that ran in 2011 in to appropriate resources. In this will report to Dean Rick Morin, Vermont Medicine, with the bronze medal in the Article of the Year category of the neutral facilitator for problem solving role, she will not participate in and will work closely with the association’s Excellence Awards. The story, which was inspired by former Chair and existing academic processes or Learning Environment and Professor Emeritus of Radiology John Tampas, M.D.’54, detailed two early radiological Vermont Medicine is published by the University pioneers at UVM who lost their lives to radiation poisoning. of Vermont College of Medicine. Articles may be and referrals.” — Sally Bliss, R.N., M.S.B., Ombudsperson the formal grievance process. Professionalism Committee. reprinted with permission of the editor. Please send address changes, alumni class notes, letters to the editor, and other correspondence by visiting: 2 VERMONT MEDICINE www.uvm.edu/medicine/vtmedicine Ed Neuert; UVM Med Photo VOL 50, ISSUE 1 • 2013 3 COLLEGE NEWS Notables COLLEGE NEWS Larners Donate Cardiopulmonary Low Named UVM Interim Provost Adams to Serve as Interim UVM President Tom Sullivan has appointed Chair for Anesthesiology Manikins to Simulation Lab Robert B. Low, Ph.D., professor emeritus David Adams, M.D., has been named interim of molecular physiology and biophysics, as chair and physician leader of anesthesiology. An Five high-tech manikins that interim provost and senior vice president of associate professor and vice chair for education can simulate a range of cardiac UVM. Low’s service began in January, and and research for anesthesiology, he also serves conditions have been introduced will continue through the completion of UVM’s as associate dean for graduate medical education to the UVM/Fletcher Allen national search for a permanent provost. Low at the College of Medicine and designated Clinical Simulation Laboratory replaces Jane Knodell, Ph.D., who served in the institutional o cial at Fletcher Allen. After joining thanks to a $300,000 gift from role from December 2010 through December the Department of Anesthesiology at UVM and College of Medicine alumnus 2012. Low has been a faculty member in Fletcher Allen in 2000, Adams was appointed Robert Larner, M.D.’42 and the College of Medicine since 1970, and has residency program director in 2004 and vice Helen Larner. served in several administrative positions chair for education and research in 2006. He  e Larners, who live including UVM interim provost and provost has served as chair of the Graduate Medical in California, have a long Robert B. Low, Ph.D. from 1992–1996. Education Committee since 2007, and currently history of giving at the Helen Larner & Robert Larner, M.D.’42 chairs the UVM Medical Group Research and College of Medicine. In 1985, Education Committee. He is also chair of the joint they established the Larner UVM/Fletcher Allen Learning Environment and Endowment Fund, which has provided nancial support to more Schapiro Named Interim Senior Associate Dean of Professionalism Committee. than 1,000 UVM medical students and receives over 150 alumni Clinical A airs and UVMMG Interim President contributions annually. Howard Schapiro, M.D.’80 has been named in 1995 and in 1997,  e Harvey® Cardiopulmonary Patient Simulator is a full- interim president of the University of Vermont assumed leadership sized, portable manikin. Students can feel pulses and use built-in Medical Group at Fletcher Allen and interim of the Fletcher Allen stethoscopes — which are connected via infra-red technology to senior associate dean of clinical a airs at the Health Care Service the manikin — to listen to six di erent breath sounds and nine College of Medicine. Schapiro comes to the role and UVM Department di erent cardiac auscultation areas.  e Larners also funded the after serving as health care service leader for of Anesthesiology. acquisition of a “Choking Charlie,” an adult torso used to train Senior Simulation Specialist Eric Zelman (at left) observes medical students Nicholas anesthesiology at Fletcher Allen and associate Throughout students in the Heimlich Abdominal  rust Maneuver. Sinclair ’16 (center) and Matthew Lin ’16 as they work with a new Harvey® simulator in the Clinical Simulation Laboratory. professor and chair of anesthesiology at his tenure, Schapiro the College of Medicine. Schapiro earned his has been actively Howard Schapiro, M.D.’80 medical degree from UVM in 1980 before involved in the David Adams, M.D. going on to surgical and anesthesiology UVM Medical Group, where he is chair of residencies at the former Medical Center the Finance Committee, and the Fletcher Looking Back 200 additional Hospital of Vermont (now Fletcher Allen). He Allen Medical Sta , for which he serves as beds, increasing then completed a fellowship in obstetrical treasurer. Recently re-elected as treasurer Vermont Cancer Center “No one can foresee the future the hospital anesthesia at Columbia-Presbyterian Medical of the Vermont Medical Society, he has been Receives Top Ranking from of our nation’s hospitals, nor bed count Center in New York City before returning active in numerous national professional National Commission even predict the changes and by about 60 to UVM/Fletcher Allen as an attending societies, including the American Society The Vermont Cancer Center has been awarded a trends of the next decade.”  e percent. At the anesthesiologist and assistant professor. of Anesthesiology and the International “Three Year Accreditation with Commendation” words could have been written same time, the Schapiro was promoted to associate professor Anesthesia Research Society. from the Commission on Cancer, a component of for a 21st century audience, construction the American College of Surgeons. It is the highest but when the brochure about Mary “hypothermia of the Given performance rating granted by the Commission, Fletcher Hospital was published in 1965, machines,” and a Building was Ray Keller, M.D., Named Medical Director and is based on comparisons to all accredited change was in the air: legislation creating “two million volt x-ray underway, and of Emergency Department cancer programs in the nation. The Vermont Medicare and Regional Health Centers generator” — and outlines plans to meet by 1968 the College of Medicine would Cancer Center (VCC) earned this renewed stood to transform health care in the changing needs. fully reside next to “the Mary Fletcher.” Ray Keller, M.D., FACEP, associate professor of Level 1 Trauma Center designation for surpassing numerous standards United States. Titled “ e Mary Fletcher A precursor to today’s Fletcher Allen A graphic in the brochure — illustrated surgery, has been appointed medical director in Vermont. In his that encompass research activity, clinical care, Hospital, 90 Years of Progress,” the booklet Health Care, Mary Fletcher Hospital had with the signs of the Zodiac — highlights of the Emergency Department at Fletcher 20 years as a board quality improvement, and community outreach. highlights the hospital’s state of the art stood atop the same hill adjacent to the how the medical center has changed over Allen Health Care after serving as interim certi ed emergency Seven areas gained special recognition including services — including “three EEG consoles,” UVM campus since 1879. At the time the past roughly 50 years.  e number medical director since October, 2011. As medicine specialist, outcomes analysis, the number of clinical trials the booklet was published, plans were of surgical procedures performed per day chief of the division of emergency medicine, Keller has served in a Ray Keller, M.D., FACEP underway, and strong e orts to educate the underway to construct the Baird Wing, has nearly quadrupled, as have Emergency Keller will oversee 21 emergency medicine variety of leadership public on prevention and early detection. Read the whole 24-page document online. referred to as “phase II of a long-term plan Department visits per day, and the number physicians and 14 physician assistants who roles and was a founder of the Fletcher Allen Go to: uvm.edu/medicine/vtmedicine for keeping pace with the times.”  e $5.5 of births has doubled. What remains the handle approximately 61,000 visits per year Coordinated Transport (FACT) service, of which million project, scheduled for occupancy same are the close ties between Fletcher to the emergency department and the only he remains medical director. in early 1968, was slated to provide about Allen and the College of Medicine.

4 VERMONT MEDICINE UVM Med Photo UVM Med Photo VOL 50, ISSUE 1 • 2013 5

COLLEGE NEWS STUDENT NOTES COLLEGE NEWS 3 QUESTIONS First-Year Medical Student for Margaret Tandoh, M.D. Appointed to UVM Board of Assistant Dean for Diversity and Inclusion and Assistant STATSHOT Trustees Professor of Surgery at the UVM College of Medicine First-year medical Dr. Tandoh, in addition to her role as assistant dean, also chairs the Dean’s Vermont Earns an “A” student Raj Thakrar has been appointed by the Advisory Committee on Diversity and Inclusion, which she has been a member of Vermont was tops among four states, including Oregon, New Hampshire, Associated Directors for the Appointment of Student since its formation in 2012. She also conducts research, teaches, and performs and Maine — to receive an “A” on the March of Dimes latest Premature Trustees to the UVM Board of Trustees. He began clinical duties as an attending trauma surgeon at Fletcher Allen Health Care. Birth Report Card, based on 2012 data. his two-year term of service in March. “I am very She joined UVM/Fletcher Allen in July 2011. Dr. Tandoh came to Vermont from honored to have been selected as the next Student SUNY Upstate Medical University in Syracuse, N.Y., where she was assistant Trustee for the University of Vermont,” Thakrar said. professor of surgery and director of the Clark Burn Center, and assistant dean “I believe that, as a medical student, I will bring for multicultural a airs. She earned her bachelor’s degree in biology at Grinnell The U.S. preterm birth rate percentage a unique perspective to the Board of Trustees.” during the past year, which dropped to Thakrar received a master’s in physiology and College in Iowa, and her medical degree from Meharry Medical College in Margaret Tandoh, M.D. 11.7 the lowest level in a decade. biophysics from Georgetown and a bachelor’s in Nashville, Tenn. neuroscience from Johns Hopkins University.

Number of babies born prematurely Patten Receives each year worldwide. More than one million VMS Education 15 of those infants die as a result of their and Research VM: What are the most VM: Your title includes not VM: How do you spread your MILLION early births. Foundation important things for people just the word “diversity,” but message e ectively and see Scholarship to realize about the scope of “inclusion” too. What’s the that it gets put into action? U.S. ranking on premature birth number Third-year medical student your new position and this signifi cance of that? in a 2012 report issued by the March of Vanessa Patten has received new o ce? a $10,000 scholarship Dimes and several partners. (of 184 reported) 131 from the Vermont Medical Society’s Education and Research Foundation. The March of Dimes goal for preterm birth scholarship is awarded annually to medical students MT: For 1a lot of people, when they hear MT: Inclusion2 is a very important part MT: We’re3 open to using any avenue we rate percentage that earned Vermont and who are committed to practicing medicine in Vermont. diversity, they naturally think in terms of how we look at ourselves. When you can, whether that is through education, the other three states an “A.” The U.S. as Mildred Reardon, M.D., professor emerita of medicine, of black and white. But at the College of look at a community, you have to see more through programming, through our 9.6 created the scholarship program. Patten earned a a whole earned a “C” on the Report Card. Medicine we de ne diversity as more than than just that group of people over there, curriculum, faculty development, or sta bachelor’s degree in animal science in 2009 from just race and ethnicity. We’ve included and that other group over there. We look development. Outreach, too — through UVM, where she participated in the Premedical Enhancement Program (PEP) detailed on page 20. gender, so we have a diversity statement at our community as a whole, because pipeline programs for students, undergrads, Patten hopes to practice family medicine in Vermont. that says diversity is more than just race. that’s how it functions, and we’re trying even middle school students and high And the College values diversity as a to include everybody as a whole. Typically school students; getting them interested in The Institute of Medicine has estimated Schweitzer driver of excellence in everything we do, when I explain this to people I ask them science early, giving them the message that Fellow Project whether it’s our research, patient care, and to think about people with disabilities they can choose the health professions, and that prematurity is a $25 billion per year Featured in teaching, and everything else that comes — whether it’s physical or learning or UVM is a great place to do that. Close to Beyond with it. “Diversity” is a wide-ranging term, emotional disabilities — being included, as home, we’ve begun to use the Association problem, due not only to the immediate Boulders Blog and it points to the broad scope of people they are today, as part of the whole and not of American Medical Colleges’ teaching and situations that our students will nd as singled-out groups.  at’s the direction assessment for cultural competencies tool Through her work as a care of the preterm babies, but New Hampshire-Vermont in their future practices. It’s our job to we’re approaching this from — making to examine our curriculum and see how Schweitzer Fellow, second- make sure this happens throughout their sure that the community understands we can incorporate material to keep these the long-term disabilities year student Tamar Goldberg created a respite care experience at the College of Medicine. Part that when we talk about diversity we’re competencies strong throughout our program for families of children with special health of what I’m doing now is introducing our talking about our whole community, instruction. Our students see a very diverse they develop because needs. Beyond Boulders, the Schweitzer Fellow blog, new o ce of diversity and inclusion, going and everybody is a part of that. We patient population at our four clinical featured her project in a “Five Questions for a Fellow” to every department and meeting with embrace diversity in its broadest forms, teaching sites from Florida to Maine, and piece. In the post she says: “Through providing chairs and faculty members and explaining encompassing not only racial and ethnic we know that is vital preparation for their of prematurity. temporary relief for these parents, respite care can help reduce stress levels and promote the health in detail why we’re here and laying out in diversity, but also gender, gender identity, future careers. It’s important to keep in and well-being of the entire family.” She is one of detail the full scope of our e orts. religion, sexual orientation, socioeconomic mind that, though we’re a Vermont school, nine current Schweitzer Fellows from the College background, and life experience. our students get their clinical education in of Medicine. a wide spectrum of places.

Read the Schweitzer Fellow blog post about Tamara Goldberg. Go to: 6 VERMONT MEDICINE UVM Med Photo, istockphoto.com uvm.edu/medicine/vtmedicine UVM Med Photo VOL 50, ISSUE 1 • 2013 7 COLLEGE NEWS Research Notebook COLLEGE NEWS One Tablet, One Ready Source of Information Research Yields Breath Test for Lung Infections Galbraith Co-Authors on A team that includes College of Medicine UVM College of Medicine students who Translational faculty recently published research showing Research headed into their clerkships in March the e ectiveness of a breath test to detect brought the same tools generations of di ering strains and species of bacteria in the The challenge of students have found useful, including a lungs of laboratory mice. This new technology “engaging basic stethoscope, a supply of pens, a notepad, may lead to faster and less expensive scientists in translational and maybe a medical reference guide.  is diagnosis for infections like tuberculosis. research” was the topic year, they have one more item to slip into Richard Galbraith, Results were presented online in the Journal Jane Hill, Ph.D. of an article co-authored M.D., Ph.D. the pocket of their white coat: A Google of Breath Research. Team members include by Richard Galbraith, Nexus 7 tablet. Laurie Leclair, M.D., associate professor of for Immunology and Infectious Diseases, M.D., Ph.D., professor of medicine and director of After thoroughly testing the devices, medicine, Matthew Wargo, Ph.D., assistant co-led the study. The College of Medicine’s the Center for Clinical and Translational Science, the College decided to purchase a tablet professor of microbiology and molecular Institutional Development Award (IDeA) from in the December 2012 issue of the Association for every member of the class of 2015, says genetics, and engineering researcher Heather the National Institute of General Medical of American Medical Colleges’ AAMC Reporter. Jill Jemison, director of technology services Bean. UVM graduate student Jiangjiang Zhu Sciences within the National Institutes of His coauthor was Judith Bond, Ph.D., president for the College of Medicine.  ey were and Jane Hill, Ph.D., assistant professor of Health; the Cystic Fibrosis Foundation; and of the Federation of American Societies for distributed to students in early March, engineering and an investigator in the Center NASA EPSCoR supported the study. Experimental Biology. making the College one of the rst medical schools in the country to be using this Read the AAMC Reporter particular tablet as a professional tool. article co-authored by Richard Functionality is key. After the Kirkpatrick, Pierce, and Team Publish on Promising Galbraith, M.D., Ph.D. Go to: device debuted in the summer of Dengue Fever Vaccine uvm.edu/medicine/vtmedicine 2012, information technology sta Third-year medical student George “Bud” Vana uses a Google Nexus tablet while rounding at Fletcher Allen Health Care. and several students vetted the tablet New results from an early-stage clinical trial to make sure it worked with all of the Jemison says she wanted to make sure costs he found himself using it to quickly access of a dengue fever vaccine co-developed by tools and applications medical students “were not passed along to students.” the most current information available, researchers at UVM, Johns Hopkins University, commonly use, including COMET, the “If this is an important learning device including potential drug interactions or and the National Institutes of Health, bring College’s online learning environment, it needs to be something we support and relevant research. At a site in Maine, he positive news for the reported 50 to 100 the College’s email and calendar system, a sustain,” she says. pulled up new information on genetic million individuals infected annually with the virtual microscope application, a clinical Andy Jones, a second-year medical diseases for a pediatric geneticist. At another virus. According to the ndings, the vaccine interaction tracker, and several other student who helped test the tablet, says the site, he accessed statistics a pulmonary is safe and stimulates a strong immune programs.  e tablet, which uses the convenience and functionality of the device doctor needed about a rare condition. response in most vaccine recipients. The study Kristen Pierce, M.D., and Beth Kirkpatrick, M.D. Android operating system and apps from make it a viable tool for students. “It’s a way we can become more useful appeared in the March 15, 2013, issue of the the Google Play store, performed well in all “It’s a world of well-respected peer- to the attending and help out the team,” he Journal of Infectious Diseases. Associate the NIH vaccine induced an immune response of the tests, Jemison says.  e devices are reviewed information in your pocket,” he says. says. “It makes us more productive.” Professor of Medicine Beth Kirkpatrick, M.D., comparable to three doses of the leading (From left) Adam Mirando, Ph.D., postdoctoral fellow was one of two principal investigators. Kristen candidate vaccine. Kirkpatrick’s work in the in biochemistry; Tamara Williams, Ph.D., Christopher also equipped with the same sophisticated Before pursuing medicine Jones spent As the volume of medical research Francklyn, Ph.D., and Karen Lounsbury, Ph.D. security features as smartphones and other six years in the information technology continues to grow, Jemison says knowing Pierce, M.D., assistant professor of medicine vaccine eld was recently recognized when tablets supported by the College. eld, most recently as associate director “the question to ask and the database to and investigator at UVM, says that she and she received the 2012 Bailey K. Ashford Medal Study Uncovers Enzyme’s “ e goal is for students to be able to of help-desk services at California College use” will only become more important for her collaborators found that a single dose of for distinguished work in tropical medicine. Double Life, Critical Role bring them as a reference device,” Jemison of the Arts, so his background makes him physicians.  is, in turn, has implications Several amino acids known as tRNA synthetases says. “ is is evidence-based medicine at particularly suited to vetting the tablet’s for medical education. were recently found to have an unexpected — their ngertips.” technical features. “Most of technology is culture change,” Weiss Publishes Results of Stem Cell Therapy Trial for COPD and critical — role in cancer metastasis in a study One of the main selling points was “Everything I wanted to go to my she said. “We have to be respectful of the conducted collaboratively in the labs of Karen cost: At just under $200 each, the tablets computer to do I went to the tablet rst,” change it will have in the teaching culture.” Daniel Weiss, M.D., Ph.D., professor of marrow, adipose, and Lounsbury, Ph.D., professor of pharmacology, carry a “price point we could feel good he said, nding that its ease of use and Introducing the tablets now is an medicine and a pulmonologist at Fletcher other tissues. Isolated and Christopher Francklyn, Ph.D., professor of about,” Jemison says. Other universities portability was great for doing research and opportunity for students to learn early on Allen Health Care, has conducted the rst- MSCs are not associated biochemistry. The group determined that threonyl jumped into the tablet market earlier, accessing information quickly. how they want to integrate technology ever clinical trial examining the potential of with immune system tRNA synthetase (TARS) helps regulate a pathway in some cases relying on one-time grant Bud Vana, a third-year medical into their practice. For Vana, he sees it mesenchymal stem cell (MSC) therapy to rejection, which allows used by invasive cancers to induce angiogenesis funding for more expensive devices, but student, brought his own tablet with him as preparation for his career and fodder reduce in ammation in patients with moderate for safe administration — the formation of new blood vessels that during clerkships in Maine, Connecticut, for thought on how “these devices may to severe Chronic Obstructive Pulmonary of MSCs obtained from sustain their growth. Tamara Williams, Ph.D., and at Fletcher Allen Health Care, with an improve the patient/doctor experience.” Disorder (COPD). Weiss’s study, which involved unrelated donors. The 62 patients at six sites, demonstrated the results of Weiss’s study a lecturer in nursing and postdoctoral fellow in See a video demonstration of a tablet eye on trying it out as a reference device. He “ is is an opportunity to learn Daniel Weiss, M.D., Ph.D. pharmacology, was rst author on the study. by a medical student. consulted with the IT sta as they tested etiquette and best practices,” he said. safety of administering the MSCs, and opens were published online The team’s research was published in February Go to: uvm.edu/medicine/vtmedicine the Google tablets and will be on hand to “UVM can send out medical students to the door for larger trials to determine e cacy. in CHEST, the journal of the American College of in Nature Scienti c Reports. help train students. During his clerkships, harness this technology in the right way.” MSCs are stem cells isolated from bone Chest Physicians.

8 VERMONT MEDICINE UVM Med Photo Sally McCay; UVM Med Photo: Ed Neuert VOL 50, ISSUE 1 • 2013 9 COLLEGE NEWS ’13 RESIDENCY MATCHES FOR THE COLLEGE OF MEDICINE CLASS OF 2013 MATCH ANESTHESIOLOGY GENERAL SURGERY ORTHOPAEDIC SURGERY opens the Interpreting Medicine Jessica Cassavaugh University of Pittsburgh Nkem Aziken University of Minnesota Lindsay Kleeman Duke University Medical Medical Center Gri n Boll Tufts Medical Center Center Across Cultures next chapter for Bryan Clark Loma Linda University Mayo Fujii UVM/Fletcher Allen Jeremy Korsh UMDNJ-R. W. Johnson the Class of 2013 Ti any Kuo Univ. of Florida — Mohammad Ja erji Dartmouth-Hitchcock Darryl Whitney Albany Medical Center At times, translating medical terms from English into Somali Shands Hospital Medical Center DAY Je rey McLaren Brigham & Women’s Hospital Haddon Pantel Lahey Clinic requires more than just nding the right word. Bisharo Kasim, Christina Pedro UVM/Fletcher Allen Katie Shean St. Elizabeth’s Medical PATHOLOGY a medical interpreter who speaks several languages, often nds Center (Boston) Javier UVM/Fletcher Allen herself detailing the symptoms or consequences of a disease, Cristine Velazco Mayo Clinic (Arizona) DeLuca-Johnson DERMATOLOGY Stell Patadji University of Pittsburgh knitting a connection between what the doctor says and the Naiara Barbosa Mayo Clinic (Minn.) Medical Center language a patient understands. William Damsky Yale-New Haven Hospital INTERNAL MEDICINE Kurt Schaberg Stanford University “Some of the diseases you have a name for — we don’t have a Phillip Perrinez Naval Medical Center name for back home,” she said. “I have to explain the e ects.” (San Diego) DIAGNOSTIC RADIOLOGY Idil Aktan University of Virginia PEDIATRICS Kasim, who is originally from Somalia, shared her story Christopher Duncan Hospital of the University Meghan UMass Medical School Elisabeth Anson Children’s National Medical and talked about medical interpretation with rst-year medical of Pennsylvania Garcia-Webb Center (D.C.) students at the College of Medicine in their Professionalism, Lindsay Thornton Univ. of Florida — Megan Gray University of Virginia Felicia Bahadue Case Western University Shands Hospital Alberto Gutierrez University of Texas Asya Mu’Min Tripler Army Medical Center Communication and Re ection (PCR) course. PCR is part Medical Branch (Hawaii) of the College of Medicine’s Vermont Integrated Curriculum. Adam Bensimhon University of North Carolina EMERGENCY MEDICINE Andrew Harris University of Washington Nine interpreters from the Burlington area met with students in Quillan Huang Baylor College of Medicine Hospitals Jonathan Ameli Rhode Island Hospital/ February, discussing everything from translating in the labor and Jonathan Jolin Dartmouth-Hitchcock Aaron Burley UVM/Fletcher Allen Brown University Medical Center Christopher Cahill Children’s National Medical delivery room to the nuances of interpretation over the phone. Mark Dammann Oregon Health & Taylor Lincoln Univeristy of North Carolina Center (D.C.) Hailing from countries including Somalia, Burundi, Bhutan, Science University Hospitals Katherine Clark University of Virginia Burma, Congo, and Iraq, the group also shared some of their own Shane Diamond Baystate Medical Center Alexandra Messerli Mayo Clinic (Minn.) Jessica Clem Maine Medical Center Ashleigh Kennedy Maine Medical Center Stephen Morris Case Western University Jennifer Covino UVM/Fletcher Allen stories as refugees from con ict-ridden areas of the world. Michael Lahey Baystate Medical Center Shetal Patel University of Texas Erin Hayes University of North Carolina  is is the second year medical interpreters have visited the Anna Meyendor Einstein/Jacobi Southwestern Hospitals PCR course, said Lee Rosen, Ph.D., PCR course director and Medical Center Tyler Stewart University of Texas Delia Horn UVM/Fletcher Allen Joseph Rosenberg University of South Florida Southwestern Emily Keller Maine Medical Center assistant professor of psychiatry. During the 33-week course Susanna Thach UVM/Fletcher Allen Harry Kreider Wake Forest Baptist students build connections with their peers and re ect on their Medical Center FAMILY MEDICINE experience in medical school. When the interpreters visit, he said Louisa Mook University of Washington Robert Areson Exempla St. Joseph NEUROLOGICAL SURGERY Catherine Naber UVM/Fletcher Allen he sees students think about medicine in ways that goes beyond Hospital (Denver) Matthew Davies Univeristy of Texas Kyle Schoppel UMass Medical School what they’re learning in Chantell Hemsley David Grant USAF Southwestern Peymaun University of Rochester/ labs and lectures.  e Medical Center (Calif.) Vakhshoorzadeh Strong Memorial interpreters have often Leslie Bradbury Central Maine Jared Winikor University of Rochester/ Medical Center NEUROLOGY Strong Memorial overcome great odds Emily Crook University of South Florida Aleksey Androsov Jackson Memorial to be where they are, Gwendolyn University of Colorado Hospital (Miami) PLASTIC SURGERY and bearing witness to Fitz-Gerald Jonathan Thomas San Antonio USHECP Brooke Claire Frost University of Montana Army Medical Center Sarah Persing Yale-New Haven Hospital their stories can be a Matthew Graf Swedish Medical Center Aleksey Tadevosyan Dartmouth-Hitchcock meaningful reminder (Seattle) Medical Center PSYCHIATRY of the responsibility John Hoyt Utah Valley Regional Jesse Victor Univ. of Florida — Medical Center Shands Hospital Michael Boggs UVM/Fletcher Allen inherent in being a Kuang-Ning Huang UVM/Fletcher Allen Serena Chang Jackson Memorial Hospital physician. The Fates — or, rather, a computer algorithm doing a keen Catherine Kelley UVM/Fletcher Allen (Miami) Bisharo Kasim, a medical interpreter to the OBSTETRICS & GYNECOLOGY Somali Bantu community, speaks with a rst-year  ere are many impersonation of the Greek gods of destiny — occupied center stage Aaron Kinney Sutter Health (Sacramento) Brian Costello University of Michigan medical student group that included Katia Chavez nuances to the process on March 15 as the members of the College of Medicine Class of 2013 Damian Ray St. Anthony North Hospital Charles Ashley University of Wisconsin Daniel Fischer Cambridge Health Alliance and Nicholas Monte. (Col.) Hospitals and Clinics (Mass.) of interpreting, participated in the National Residency Match, an event that took place Melissa Romero Kaiser Permanente Olivia Carpinello University of Connecticut Julia Knight UVM/Fletcher Allen especially in a doctor’s at noon Eastern time all across the United States and Canada. UVM’s (San Diego) Samantha Couture Dartmouth-Hitchcock Ariana Nesbit Cambridge Health Alliance o ce or hospital where patients may not be familiar with the Match ceremony was held in the Health Science Research Facility’s Laura Sturgill Lancaster General Hospital Medical Center (Mass.) Hoehl Gallery. Balloons, a song, screams, laughter, and tears lled the air (Penna.) Katherine Irving Exempla St. Joseph interaction. Professional interpreters know how to make sure both Emily Wood Concord Hospital (N.H.) Hospital (Denver) parties are heard and understood. during the hour-long event. Senior Associate Dean for Medical Education Katie Wright Eastern Maine Victoria Lindstrom UVM/Fletcher Allen VASCULAR SURGERY For Nick Monte ’16, the experience opened his eyes “to the William Je ries, Ph.D., College of Medicine Dean Frederick C. Morin III, Medical Center Erica Pasciullo George Washington Lynsey Rangel Cleveland Clinic M.D., UVM President Thomas E. Sullivan, J.D., and Lewis First, M.D., University realization that our interpreters serve an essential role that extends Amanda Schwartz University of Wisconsin far beyond their translation skills.” professor and chair of pediatrics, spoke to the students. Just before Hospitals and Clinics Watch a video of the Match Day event, “[ ey] are fundamental in helping to bridge the cultural noon, Associate Dean for Student A airs Christa Zehle, M.D., delivered Allison Smith Pennsylvania Hospital the Match envelopes and introduced the student presenters. At exactly (Philadelphia) and read “The Matchmakers,” an and social gaps that are vital to providing comprehensive care that online article by Class of 2013 member meets all of our patients’ needs,” he said. “ is experience is one noon, envelopes were randomly selected from a bin, and the student Christopher Cahill. Go to: that I will carry with me throughout my career, and one that I am names on each of the Match envelopes were announced. Most students uvm.edu/medicine/vtmedicine certain will enhance my ability to care for my future patients.” chose to come to the stage and share their results publicly.

10 VERMONT MEDICINE Photographer Name, Photographer Name UVM Med Photo VOL 50, ISSUE 1 • 2013 11 25 YEARS OF CARE AND ADVOCACY by Sarah Zobel | photographs by Raj Chawla

Beginning in 1987, a team of Vermonters built a statewide network — a safe place for people with HIV and AIDS to receive the best of care. Today, with improved medications, the response to the disease has changed, but the caregivers are still at work.

for the better SO MUCH HAS CHANGED in the quarter Professor of Medicine and Comprehensive Care Clinic founder century since infectious disease specialist and Professor of Medicine Christopher Christopher Grace, M.D., listens to Grace, M.D., and his colleagues founded the network of Comprehensive a patient at the clinic in Rutland. Care Clinics (CCC) that serve people with Human Immunode ciency Virus throughout Vermont. Twenty- ve years ago, patients with HIV/AIDS contracted dis guring and deadly infections and cancers, su ered terribly, and were doomed to die.  e human toll on the patients, most of whom were still young, and on their loved ones was catastrophic. Mostly they needed hospice care, or a plan that included it eventually. Today they need job training and routine cholesterol checks.  eir future has been altered in that most of them now have a future. “I never used to ask when they’d gotten their last tetanus shot,” says Deborah Kutzko, A.P.R.N., of her HIV-positive patients at Fletcher Allen’s Comprehensive Care Clinic, for whom tetanus was low on the list of concerns.

12 VOL 50, ISSUE 1 • 2013 13 “Now we’re doing tetanus shots and the patient and the care team was We created a ‘medical mammograms and colonoscopies key, so the model used a specialty The CCC Genesis because we fully expect them to live a outreach design that focused home’ before the The Special Projects of National normal lifetime.” on bringing the expertise to the term was invented. Signi cance (SPNS) from the Federal “ at’s been the biggest change in patient in their own community. Health Resources and Services HIV practice,” says Kemper Alston, M.D.,  e clinic program is actually — Christopher Grace, M.D., Professor of Administration (HRSA) provided a grant to professor of medicine and director of four clinics, speci cally placed in Medicine and Infectious Disease establish the satellite clinics in Rutland, Division Director infection prevention at Fletcher Allen, each of Vermont’s geographical Brattleboro, and St. Johnsbury. According “the shift from a traditional hospital-based, quadrants.  e initial clinic was to HRSA, SPNS is intended to assist in the hospice-based illness model to more of established in 1987, about ve round trips of 200 to 300 miles in addition development of “innovative models of HIV a social one.” Behind that change is the years after the rst reported case to the hours spent providing care to a full treatment, in order to quickly respond to signi cant advancement in medications of the disease in Vermont, and day’s schedule of patients. Vermont winters emerging needs of clients served by Ryan that control the level of the Human is located in the Fletcher Allen add to the challenge of making this model White HIV/AIDS Programs,” particularly among underserved populations. Immunode ciency Virus. While in the Infectious Disease division in of care work. U.S. Senator Jim Je ords in 1996 with David Curtis and The Ryan White Comprehensive early years of the epidemic patients had to Burlington; it’s still the largest of Senator Nancy Kassebaum of Nebraska. AIDS Resources Emergency (CARE) Act take stfuls of pills several times a day — the four.  e three satellites are === was signed into law in 1990 to provide HIV-related treatment to any patient with insu cient sometimes 30 to 40 daily pills laden with in Rutland (founded in 1994), insurance or nances to cover it. The Act has been amended and reauthorized four times since highly toxic medications — the advent Brattleboro (1995), and St. Funding for the expanded clinics came then — in 1996, 2000, 2006, and 2009 — and is due to expire this year. At the time of the initial of protease inhibitors in 1996 led to the Johnsbury (1996). from a 1994 Special Projects of National reauthorization, in 1996, Sen. Jim Je ords was a member of the Health, Education, Labor and development of highly active antiretroviral  e idea behind the clinics Signi cance (SPNS) grant under the Pensions committee (HELP), overseeing the legislation. A close personal friend, David Curtis, a treatment (HAART). was to bring medical care to the Ryan White HIV/AIDS Program through Montpelier native with whom Je ords had clerked in the 1960s and who would later chair the “ at was a game changer,” says Grace, patients, so that, for example, a the U.S. Health Resources and Services Vermont Democratic Party, was openly HIV positive and urged Je ords to support the Act. who in addition to directing the CCC is Bennington patient Administration (see sidebar). Grace and Curtis testi ed before the HELP committee: “As you know, . . . AIDS is a disease that can director of the Infectious Disease Division who called in with Kutzko spent two years planning the strike anyone, whether it be a white, Anglo-Saxon, Protestant lawyer like me, or whether it be at the College of Medicine and Fletcher uncontrollable clinic program, which entailed patient women, children, or people of color. . . . It is also expanding and growing in rural areas such as Vermont, and that is a problem that we need to deal with as well. My experience in Vermont has Allen. “It’s almost like a switch was turned, diarrhea wouldn’t and hospital surveys, data collection, been that the majority of people with AIDS . . . are considerably less advantaged than I am, and I and outcomes changed.” As a rule, today’s have to make the grant writing, innumerable meetings would ask you to seriously consider these people in your deliberations and the reauthorization of patient only needs to take one pill, once a nightmarish drive all with AIDS service organizations, local this Act.” Curtis died in 1999. day.  e drawback is that the medications the way to Burlington hospitals, administrators, patients, and In 2000, with Je ords then chair of the HELP committee, Vermont CCC director Christopher cost in the range of $22,000 to $28,000 or Albany or Boston patient advocacy groups.  e hospitals were Grace, M.D., was invited to testify. He reinforced the fact that although the “AIDS epidemic has per year. Most insurances cover some or to be seen by medical very supportive, and more than willing traditionally been considered a phenomenon of large metropolitan areas . . . [it] has crept all of that, but for patients faced with a 50 personnel. to provide space for the clinics, generally insidiously into all rural areas of the United States.” Grace also noted that the fear that many percent copay or those without insurance, “We created a ‘medical home’ before located within other departments, partly patients feel about telling their families, friends, employers, and even doctors about testing the Ryan White Care Act lls the gap. the term was invented,” says Grace, for purposes of con dentiality.  ey named positive is compounded in close-knit, rural communities. “ ere is virtually nobody in our surrounding the patient with all points of them the Comprehensive Care Clinics clinic who should be on drugs who isn’t care that he or she might need, including because they knew patients might shy because they can’t a ord it, which is truly doctors, nurses, social workers, psychiatrists, away from an “HIV Clinic.” Grace and wonderful,” says Kutzko. and dieticians.  e word cocoon comes up his colleagues have published their results,  e goal of the program in 1987 was frequently in conversations about the clinics. which show that the model provided the to develop a model of care for those with a  e clinic nurse is on site at each of same expert care to rural Vermonters with complex, deadly, and socially-stigmatizing the satellite clinics.  e clinic physicians, HIV as they would have received in any disease that could be delivered in a rural psychiatrist, and dietician drive to the (Top) Professor of Medicine Kemper Alston, M.D., treats urban university program. state such as Vermont, where the level of satellite clinics monthly, while working with patients at the CCC clinics in both Brattleboro and “We certainly had HIV/AIDS medical expertise was limited.  e team felt the clinic nurse by phone between visits. Burlington. (Above) Deborah Kutzko, A.P.R.N., has been patients here in the community,” says a part of the CCC sta since the program's inception. that the direct personal relationship between  ese clinic days can be long ones, with Tom Huebner, Rutland Regional Medical Center CEO, “and we had internists and family practitioners dealing with it, but I never used to ask when they’d gotten their last tetanus shot… Now we’re they didn’t have the level of expertise doing tetanus shots and and mammograms and colonoscopies because we that was needed, so we said yes almost immediately.” THE GROWTH OF COMPREHENSIVE CARE CLINICS ACROSS THE U.S. fully expect them to live a normal lifetime. Northeastern Vermont Regional Funding from the 1990 Ryan White Comprehensive AIDS Resources Emergency (CARE) Act has Hospital’s CEO Paul Bengtson echoes allowed the number of comprehensive care centers in the nation to grow more than thirty-fold. — Deborah Kutzko, A.P.R.N., Infectious Disease Nurse Practitioner, that sentiment. The “Vermont Model” has become the approach for delivering HIV care in rural settings. Fletcher Allen Comprehensive Care Clinic

14 VERMONT MEDICINE VOL 50, ISSUE 1 • 2013 15 people, “as soon as I step out and say It’s a huge lifestyle change to say, ‘Now you have to something, then I’m the poster child. I want to believe that the stigma is over, but once I take pills every day of your life for the rest of your take that step, it’s all over. I don’t want HIV life, and by the way, you can’t miss more than ve to be why people are looking at me.” Gary Barto is another CCC patient; percent of your meds.’ One CCC patient, Kris (at left, in his kitchen) waited three — Casey Lapointe, R.N., CCC adherence nurse years before telling his family of his HIV-positive status. he’s been seeing Dr. Grace since 1992, Above, he apportions his medications for the week. and he and his wife, Susan, helped with hospital administration training services maintains that in areas where HIV is not she was also tested for HIV.  ough she was when the Rutland clinic was getting going. prevalent, it is just not on physicians’ radar. careful to avoid alcohol and to properly take A psychiatric nurse practitioner and a  e Bartos helped deliver a primer on HIV He and his colleagues want to change that. her medications during the remainder of her dietician were brought on board to round patient care to doctors and nurses on sta  e Centers for Disease Control standards pregnancy, when her twins were six months out the team — the two now travel to each there. “ ey were going to be the hand recommending routine testing for everyone old, she was overcome with despair and of the satellite locations monthly. Postlewaite holders,” says Gary, “and they needed to between the ages of 16 and 64, as a matter reversed that approach. She stopped visiting also routinely helped patients get community know that it was safe to hold hands.” of standard medical care, will help. the CCC and her husband, Michael, had support from various AIDS service  e couple speak candidly about to force her to take her pills. Eventually, she organizations, con rmed that they were set Gary’s infection (“I can be open about it === went back, but with trepidation, concerned Grace. “We wait until some of the social “Without a lot of fanfare, it was set with insurance or some form of coverage, in certain circles,” he says, “but it’s not that she would not be welcomed. up and running pretty quickly,” he says, and psychiatric issues are stabilized before and that they had needed social support. something I run around broadcasting”), Deborah Kutzko has been the driving force “ e reason I’m here today is noting that the only real concern expressed we even see them, because if they’re not “In the beginning, I tell people that in part because he didn’t t the patient behind a protocol that encourages local because they never judged me,” Tanya was by patients, who were worried about stabilized then they’re not going to take if you choose to talk to someone, make it stereotype. He says he doesn’t know how obstetricians to routinely test pregnant says, explaining that the entire sta was con dentiality.  at has not proved to be their meds.” someone who has the ability to support he contracted the virus — he’s not “the women; Fletcher Allen now has a policy “pro-Tanya” — even providing Christmas an issue. Once the proper medications have you,” says Postlewaite, adding that there one people think of” — and was shocked that every woman who comes to the presents for her children, unsolicited. In Burlington, the clinic was initially been successfully established, ideally are still plenty of patients who don’t feel when he tested positive 11 days before the hospital to deliver must be tested. “It’s like a big family,” Michael says. housed in the oncology department at patients only need to be seen every four to comfortable talking about HIV and AIDS couple’s wedding. Susan has accompanied According to Kutzko, roughly 17 One that gently encouraged Tanya to take University Health Center. six months.  ere are those who visit more outside the clinic walls. Kris (not his Gary to every appointment at the clinic, percent of the CCC’s patients are women, her medications, while helping her feel “We were at the very end of a hall, often, particularly for help with psycho- real name) is one such individual. After which Kutzko says is common. “We have a and to date, no pregnant woman in their empowered to do so. which was perfect,” says Kutzko, since the social issues. testing positive in 2000 he waited three lot of partners and even parents who come care has given birth to an HIV-positive “All I could think when I saw them majority of patients hadn’t even told their “I always looked at my job as handling years before telling his family.  ey all live to visits,” she said, “and we try to make infant.  at’s because after the rst was, I have HIV,” she says of her pills. families and friends of their HIV-positive barriers to care: what do we need to do locally, and he didn’t want the news to family members feel comfortable coming to trimester, every HIV-positive mother-to-  at’s a common sentiment, one that status. “We had our own little waiting to make sure that person comes back adversely a ect the family’s reputation. clinic if the patient wants them there.” be is given enough medication to get her adherence nurse Casey Lapointe, R.N., room, and people would just hang out. We for the next appointment?” says Ellen “ ere’s a lot more education now  e question of an HIV-positive viral load down to an undetectable level. encounters routinely. One patient who was tried hard to make it a safe place.” Many of Postlewaite, M.Ed., the Burlington clinic’s about how HIV does not equal AIDS patient “pro le” is part of the reason new Newborns are continued on medications, diagnosed years ago had stopped taking his those patients were wasting, covered with social worker from its inception until her does not equal death,” says Kris, 39, but cases go undetected, often for years. So administered at six-hour intervals for one medicine around the year 2000, and only Kaposi’s sarcomas, but they were treated retirement earlier this year. Some of the at the same time he feels there’s still plenty one of the goals of the clinics’ medical month, and then tested intermittently until recently decided to come back to the clinic warmly by the sta , who joked with them more common barriers included issues of ignorance on the part of the general teams is to encourage primary care doctors 18 months. for care. He told Lapointe, “When I take and were welcoming. around money, insurance, transportation, public. He thinks many at-risk Vermonters to routinely test for HIV, rather than Tanya (not her real name), 42, an those pills, I’m reminded of HIV every day, “ at’s what you have to do when and the anticipated stigma, as well as a aren’t getting tested because they don’t waiting until all other possible avenues alcoholic, was pregnant with twins when she and I don’t want that.” She suggested he you’re treating a bad disease with toxic sense of resignation in the early days of understand that HIV is still something to have been considered. Kutzko describes learned she was HIV medicine,” says Grace. “You have to create “What can they do for me since I’m going be concerned about. a new patient who exhibited classic HIV positive. Like Gary that welcoming atmosphere.” to die anyway?” she says. In addition, many “‘Oh, HIV. Isn’t that taken care of? symptoms, including swollen lymph Barto, she didn’t t the In addition to a clinician and a nurse patients had pre-existing psychiatric issues, Don’t we have that cured yet?’  ose are nodes and signi cant weight loss, but who pro le, so even though practitioner, each clinic is sta ed with while others su ered reactive depression in words people have said to me,” says Kris, nevertheless wasn’t diagnosed by his doctors she’d been sick before a social worker. New patients routinely response to their diagnosis. explaining that, while he wants to educate for ve years. her pregnancy and meet with the nurse practitioner and social “It’s not something they think about,” undergone extensive worker before seeing a physician, which she says. “ ere’s this myth that we don’t blood tests and the was a fairly unique approach to care. Both We have a lot of partners and even parents who have HIV here in Vermont, or it’s just too removal and biopsy Kutzko and the team social workers have come to visits,” she said, “and we try to make family embarrassing to ask the question.” Others of a lymph node, it sat in primary care physicians’ waiting might be concerned that their patients will wasn’t until the time rooms so they could be on hand when members feel comfortable coming to clinic if the feel judged, or that assumptions are being of glucose testing, patients were given HIV diagnoses. patient wants them there. made about their lifestyle choices. Grace around 24 weeks, that “A lot of ground work is done before a new patient comes in to see the doc,” says — Deborah Kutzko, A.P.R.N., Infectious Disease Nurse Practitioner, Christopher Grace, M.D., holds a patient report that shows a positive reaction to medication. Fletcher Allen Comprehensive Care Clinic

16 VERMONT MEDICINE 17 think of them di erently, as being what’s physician from Dartmouth-Hitchcock at the Vermont Department of Health e ect on checking the nearly 50,000 new keeping him alive, for himself, and his Medical Center, Je rey Parsonnet, M.D., (VDH), the Green Mountain State “owns” cases per year that consistently appear in partner, and even his job. Two months later in an arrangement that was established at 420 HIV cases and serves 588 people with the U.S. he returned, telling her that he had a new the outset.  at means a doctor is on site HIV who are owned elsewhere.  e CCC “A lot of the younger folks grew up outlook toward the medication. every two weeks, rather than every four, as clinics see roughly 450 of those patients. in an era where there was always HIV  e role of adherence nurse evolved as in St. Johnsbury and Rutland (where Grace VDH surveillance information suggests around them,” says Kutzko, “and they’re the hospice nurse’s job was phased out. It’s is the physician on sta ). there are another 100 or so individuals who more blasé about it” because they don’t see not a common part of most medical teams All sites have enjoyed minimal are HIV positive but don’t know it. people dying from it. Indeed, the rates of because the decision to take medications as personnel turnover, and that continuity has As always, one key to limiting new sexually transmitted diseases — including prescribed is individual. In the case of HIV, not gone unnoticed. Grace attributes that infections is reaching those who are chlamydia and gonorrhea — in all however, it’s a public health issue. longevity to “the dedication of the sta , most at risk.  e CCC, speared on by populations are soaring, both nationwide Lapointe, whose patients a ectionately being part of an important mission for Postlewaite and the VDH, have worked and locally. Even syphilis, once thought to call her the “pill police,” sees some Vermont, and, I like to think, a well-run together to establish gettestedvermont.com, be under control, is on the rise, particularly patients every week, lling their pill boxes program.” which they’re using to spread the word among men who have sex with men, and and ensuring that they understand the Associate Professor Mary Ramundo, M.D., sees patients in the St. Johnsbury Comprehensive Care Clinic. She works “For patients, when things are chaotic, about all aspects of HIV, from infection to potentially contributing to new incidences importance of taking their medications closely with the St. Johnsbury Vermont CARES o ce located in the same facility. having the same caregivers is reassuring,” testing and treatment. Clinic sta are also of HIV. routinely. Others use alarm watches or says Alston. “ at’s been a huge attribute contacting service providers working with Daniel Daltry, MSW, who is VDH gure out the best place to keep the pill For patients, when things are chaotic, having the of this clinic.”  e ratio of providers vulnerable and notoriously di cult to reach Program Chief for HIV, STDs, and bottle so they don’t miss a dose — that to patients at all four locations mean populations — those dealing with poverty, Hepatitis, says the Comprehensive Care often means the bedside table, which isn’t same caregivers is reassuring. That’s been a huge individualized care not found in other HIV domestic violence, and drug treatment Clinics are a resource for all infectious an option for the many CCC patients who attribute of this clinic. clinics, particularly those in larger cities, — to let them know that no client will be disease — particularly HIV, of course, but are homeless. where physicians can have thousands of refused testing and treatment.  ose are the also for STDs. “We ask what life looks like for — Kemper Alston, M.D., professor of medicine and patients, some of whom might eventually people whose numbers are rising. “I feel like I have a golden resource them,” says Lapointe, recalling one patient director of infection prevention fall through the cracks, Alston says. He has “We’re seeing more people whose native in my pocket,” says Daltry, “knowing that who kept his medication in his socks patients who have moved to Florida and intelligence is hovering around the mentally Comprehensive Care is there for anyone then come back, once they’d spent time disabled level,” says Kutzko. “Or it’s people who tests positive, or for someone who until, he says, someone stole them. “It’s a physician who told him he had less with the Vermont Committee for AIDS sitting in waiting rooms and realizing “what who are having sex for a place to live, or might have a complicated infectious understanding what their day to day looks than ve years to live, the longest life Resources, Education and Service a good thing they had here.” folks who are destitute or regular drug users. disease.” like,” but also recognizing that not everyone expectancy at the time. He was told to nd (CARES), so every time the clinic’s location It’s a hard place to get people tested.” For patients, acceptance is perhaps one has a routine. For patients who start the day a specialist, but that would have meant has changed, the St. Johnsbury Vermont === But it’s testing that could play a of the most important pieces, second only with a cigarette, Lapointe suggests keeping traveling to New York or San Francisco, CARES o ce has moved alongside it. For major role in minimizing the spread of the to regular and proper use of medications. pills next to the cigarette box. so instead he did nothing for a decade (“I someone like Michael, who lives just a few In Vermont, roughly 30 to 50 new patients virus, since data have shown that some 21 “It’s always on my mind, it’s always “It’s a huge lifestyle change to say, ‘Now think I got through the rst ten years by miles away, having the clinic nearby has come to the clinics each year for treatment. percent of U.S. residents who are infected something I think about, but now it’s you have to take pills every day of your life pickling myself,” he says, laughing). When literally meant the di erence between life According to Erin LaRose, grant manager with HIV are not aware of it. Until there is become a background, a sub-line to my for the rest of your life, and by the way, you he did get around to seeking treatment, and death. Echoing the comments of many a cure, the route life,” says Kris. “For the rst ve years or can’t miss more than ve percent of your Associate Professor of Medicine Mary CCC patients, he appreciates Ramundo’s to cutting down so, you’re always thinking about it — when meds,’” says Lapointe. She hopes her job Ramundo, M.D., the St. Johnsbury clinic’s expertise and the fact that she knows him on new cases life is going to end — and you’re constantly may one day be rendered moot, as advances physician, tried various combinations of as an individual. depends on thinking about your mortality.  e last ve in care continue. medications before nding the one that “We have a one-on-one relationship, suppressing viral years or so, it’s just become a background “It’s a wily virus,” says Postlewaite, “and was e ective. Michael says that having the and I’m talking to somebody who’s loads, thereby thing to me. I don’t think about it every it mutates around the medications.” Because clinic religiously monitoring him meant knowledgeable,” he says. minimizing day. I don’t think about my mortality. I they’re strong drugs, there are also concerns they were more quickly able to nd the In Brattleboro, Alston hears the the risk of just take my meds and think about it every about long-term side e ects, including bone combination of medicines that would work same thing. His patients know he drives transmission. three months when I get my checkup, and demineralization and renal function. to control the virus, in a way that a general 150 miles each way to see them, and they  at’s a di erent make sure my health stays in check.”  practitioner could not. are grateful. approach than ===  e St. Johnsbury clinic is the smallest “ ey know that with less than early responses, which focused more on of the four; Ramundo says she averages perfect weather conditions, it’s sometimes behavioral change, including safe-sex It’s the keeping track of medications that between 12 and 15 patients, many of a big deal to get there,” Alston says, “so practices — “which quite frankly never Read the 2010 peer-reviewed journal at least one patient cites as a signi cant whom are brought over from the nearby the attendance is really good and they’re really worked,” says Grace — and had little article authored by Vermont CCC bene t of the CCC. Michael, 49, has Northeast Correctional Complex. Because appreciative, and at some level they realize clinicians on “The Vermont Model for been a patient in the St. Johnsbury clinic of the clinic’s relatively small size, there is they’re getting specialty care in their little Rural Health Care Delivery” in the Journal of Rural Health. Go to: for close to 15 years. He was diagnosed no on-sta social worker. Instead, it has clinic.” In Brattleboro, uniquely among At left and above, sights in the waiting room at the uvm.edu/medicine/vtmedicine in 1984, while living in Burlington, by an extremely close working relationship the clinics, Alston shares duties with a Comprehensive Care Clinic in St. Johnsbury.

18 VERMONT MEDICINE VOL 50, ISSUE 1 • 2013 19 The Premedical Enhancement Program from the College’s O ce

of Primary Care and the UVM Honors College gives promising

undergraduates an early immersion in the healing arts.

n his sophomore year at the each year with professional careers, University of Vermont, Tyler medical student helping to shape Van Backer walked into Fletcher mentors and how they practice i Allen Health Care for his rst day physician medicine. shadowing a trauma surgeon. Just after mentors. “It makes he arrived, the physician — amidst the rough a strong impact bustling of the surgical intensive care unit observing on them when — pointed to a room and suggested he di erent they become might want to watch a team insert a chest specialties and physicians,” tube in a patient. participating in Reback said. As he watched the scene unfold, activities at the “ ey have an early something clicked with Van Backer. College of Medicine, understanding of what “I found that I love the environment of the PEP students enter medical it means to be a doctor.” OR — the teamwork, the collaboration,” school with a deep understanding said the Wilmington, Vt., native. “I like of the rewards and challenges of the idea of being able to x something the  eld. Finding a Balance with my hands.” Mildred Reardon, M.D., professor Running the PEP Program is a Van Backer visited the hospital of medicine emerita and former associate collaborative e ort: e UVM Honors nearly every week he was on campus that dean for primary care, describes PEP as a College advertises the program and gathers year, observing and asking questions. chance for undergraduate students to see applications; the College of Medicine After graduating from UVM with a themselves in the role of doctor. O ce of Primary Care coordinates neuroscience degree in 2011, he’s now “ is is a wonderful opportunity placements with physicians and tracks the a second-year medical student at UVM. for an undergraduate student to see what progress of PEP students. Students who And the surgeon he worked with as a medicine is like,” she said. meet all PEP requirements and MCAT sophomore undergraduate wrote him a Reardon spearheaded the program expectations for the College of Medicine letter of recommendation for his medical at its inception; she has since retired and can apply in their junior year and are given school application. passed the reins to Charlotte Reback, the chance to interview. e Admissions by Erin Post photographs by Raj Chawla | UVM’s Pre-Medical Enhancement M.D., associate professor of medicine and Committee for the College makes  nal Program (PEP) helped make Van Backer’s director of medical student programs in the decisions. About half of the PEP students academic path possible. Founded in 2004, O ce of Primary Care. Reback says the the highly-competitive program matches experiences PEP students bring to medical Above: UVM undergraduate Greg Roy (at left) shadows ten academically gifted UVM undergrads school stick with them well into their his PEP mentor, medical student Tyler Van Backer.

20 VERMONT MEDICINE © Ocean/Corbis VOL 50, ISSUE 1 • 2013 21 who have graduated in the past three years We want to see them make connections between PEP: the Vision of have entered medical school at UVM. “Gifted Leaders” Others have attended medical school the outside world and the practice of medicine. at the University of Pennsylvania and As one of many programs under the University of Massachusetts, or have gone Medicine is becoming such an integrative umbrella of the O ce of Primary Care on to veterinary, dentistry and chiropractic (OPC), students in the PEP Program schools, and physician assistant and discipline; we’re looking for original thinkers. bene t from the OPC’s focus on education and awareness. Founded by Reardon graduate dietetics programs. — Charlotte Reback, M.D., Associate Professor of Medicine and  e relationship between each PEP Director of Medical Student Programs in the O ce of Primary Care in 1993, the OPC supports the state’s student and their medical student mentor healthcare workforce and links UVM lasts for the three years PEP students are in academic healthcare programs with communities, in part through the program, and often much longer. Once they are in the program, students “We want to see them make a network of Area Health It’s a program that requires careful are expected to meet GPA requirements, connections between the outside world Education Centers. planning. And every academic year, PEP take required pre-med classes, attend two and the practice of medicine,” said  is same spirit students spend a minimum of 16 hours medical seminars per semester and log the Reback. “Medicine is becoming such an of community per semester with their physician mentor; required time with their physician mentors. integrative discipline; we’re looking for involvement infuses At left: Soon to be a graduate of the College of Medicine, Gwen Fitz-Gerald ’14 rotating through specialties including  e admissions process is governed by original thinkers.” the PEP Program, found that PEP gave her a more realistic view of life as a med student. Above: everything from primary care and surgery a six-member committee, which includes It’s a sentiment echoed by Rushford. Current PEP student Rob Rudy at Burlington's Community Health Center. said Reback, and is to dermatology and infectious diseases. Charlotte Reback; Faith Rushford, UVM’s Authenticity and seriousness of purpose one of the reasons Laurie McLean, program specialist pre-health advisor; Lisa Schnell, Ph.D., are important to the committee, she said. In every student in the O ce of Primary Care, tracks each associate dean of the Honors College; and her work with students in all pre-health elds years since piqued her interest in mentoring. As a shadows a primary undergraduate student’s progress. She leaders in the College of Arts and Sciences she helps them seek out opportunities that its founding medical student she helped with another care physician for at watches grades and makes sure students and the College of Agriculture and Life put them in work settings, getting to know PEP has program run by the O ce of Primary least one year. As an submit written re ections. McLean said her Sciences. With roughly 25 applicants practitioners. PEP is especially bene cial for also become a Care, called MedQuest, that introduces undergraduate, students o ce supports students as they learn how from across the university annually, the rst-generation college students and others community. high school students to health careers. can absorb what they to manage their time and navigate college committee is tasked with determining who may be building those connections “A special Gwen Fitz-Gerald (UVM ’08), experience, and enter medical requirements. Although it’s rigorous, the which students will t well and bene t from the ground up. attribute of the program a fourth-year medical student from school grounded in what primary care goal is to make sure students have the most from the program. Academic “Students vary in the kind of network is its ability to connect undergrads, Vergennes, Vt., learned a lot from her practice and other specialties are all about. academic preparation they need for future achievement is certainly important, but they have to begin with,” Rushford said. medical students and physicians and get medical student mentor. She remembers “ e program teaches them to take success in medical school. so are factors such as maturity level and “PEP is a great opportunity to develop them all working together,” Reardon said. her surprise at walking into her mentor’s some responsibility,” Reback said. “It also “We want students to stay healthy and critical-thinking ability.  e committee professional mentors.” apartment for dinner to see a group of her gives them some autonomy while being nd a good balance,” she said. asks questions that tease out students’  e PEP Program is a “big classmates chatting and relaxing. Some of accountable.” Each semester, PEP students A Day in the Doctor’s O ce  e ten students who enter the PEP perceptions of medicine, recruiting tool,” said Schnell, the mystique of the medical school — that must attend four clinical sessions and two Program annually have already proven focusing on how and students often hear During her three years in the PEP they are lled with super-achievers who are academic medical seminars. themselves to be high achievers. PEP applicants relate the of it through word of Program, Heather Lutton (UVM ’10), supremely focused and always on task —  ere are few, if any, models for a applicants are required to have a cumulative eld to issues that mouth before the now a third-year UVM medical student, lifted a little. pre-medical program as comprehensive as GPA of 3.5 after their rst two semesters may not seem Honors College witnessed a baby’s birth. She was also “Nothing is really preparation for PEP, said Reardon, and that it exists at all at UVM, and a 3.5 GPA in math and immediately even sends present in moments of crisis, and when med school until you’re in it,” she said. is thanks in large part to the “vision of two science classes.  ey must submit letters of pertinent to the out notices to doctors delivered life-changing news to “But it was nice to have a bit of the very gifted leaders at the University,” both recommendation and sit for an interview. doctor’s o ce. undergrads. patients.  e gravity of these situations anxiety relieved. I could see people not of whom have since passed away. Although helped her understand the responsibility only survived medical school, they could Joseph Warshaw, M.D., who served in the past, and privilege inherent in being a doctor. actually thrive there.” as dean of the College of Medicine from recruitment “I saw patients rely on their doctors Some PEP students nd their I saw patients rely on their 2000 to 2003, and Joan Smith, Ph.D., has focused on and con de in them,” she said. “Seeing intuitions con rmed. Rob Rudy, a senior former dean of the College of Arts and doctors and confi de in them … students in hard them in that moment — as hard as it was undergraduate from Palo Alto, Calif., Sciences, created the program in an science majors, now — made me realize the special nature of said his time shadowing physicians in e ort to support talented and motivated Seeing them in that moment — as all rst-year students the physician’s role.” neurology/sleep medicine, breast cancer UVM undergraduates pursing medicine, with a 3.3 GPA or higher A Cambridge, Vt., native who has no surgery, and primary care gave him the and to encourage them to apply to the hard as it was — made me realize the after their rst semester receive immediate family members in the medical experience he craved. It also turned him on UVM College of Medicine.  ey saw information about PEP. eld, Lutton said the PEP Program gave to mentoring. He’s one of the rst pre-med special nature of the physician’s role. the opportunity to shepherd students her connections she might not have made peer mentors on campus. Combined with Above: PEP Program founder, Professor of Medicine through the sometimes daunting process of otherwise. Participation helped her decide — Heather Lutton ’14 international public health volunteer work, Emerita Mildred Reardon, M.D.’67. becoming a physician, said Reardon. In the that medicine was right for her. It also he’s on his way to nding his calling.

22 VERMONT MEDICINE VOL 50, ISSUE 1 • 2013 23 Students vary in the kind of network they the importance of working as a team in the operating room.  e goal, she said, is to have to begin with … PEP is a great opportunity make sure students feel comfortable asking all of the questions they need answered. to develop professional mentors. “ ey’re like sponges,” she said. — Faith Rushford, UVM Pre-Health Advisor “ ey soak it all up.” Lindsay Christensen Corse graduated from UVM in 2008 and from the College “PEP makes you really con dent in of Medicine in 2012. She was one of what you’re getting into,” he said. “It’s the rst PEP students to complete the only made me want to do this more.” PEP and graduate from medical Tyler Van Backer developed school. A biology major and a a similar passion that has stayed Spanish minor, her time in PEP with him into medical school. helped in unexpected ways. After enjoying his time  e experiences she had with the trauma surgeon shadowing — in pediatrics, while an undergraduate, emergency medicine, and he joined the Surgery oncology — all fed into Interest Group as a the choice she made medical student.  is to become a primary led to an opportunity care physician. working in the research Now she’s a resident lab of Professor of Surgery at Boston University A Deeper Peter Cataldo, M.D. Van Medical Center, working Backer credits PEP with in a clinic in East Boston helping to steer his focus. where roughly 70 percent of Understanding Rob Rudy UVM ’13 “ ere is no way I would the patient population speaks have gotten where I am today Spanish. She’s been on rounds Every year, students who take part in the Premedical Enhancement Program are asked to write a re ection where translators for ve di erent without help,” he said. “I want to on their time as a PEP student. The following are some typical submissions from PEP participants. continue to give back.” languages have participated. Van Backer has already started to A Jericho, Vt., native, she hasn’t ruled I thought everything would be so serious very emotional for both her and her husband. introduced to a new realm of medicine with return the favor. He’s served as a MedQuest out coming back to Vermont to practice and sad at the Breast Care Center, but Dr. Dr. Sowden’s entire body language changed. which I previously had no experience. Like counselor and now he’s a PEP mentor at some point, although she’s keeping her options open. She knows, however, that Sowden, with her gift of humor, skillfully She sat close to the patient and leaned in as if the previous PEP doctors I have shadowed, himself, paired up with sophomore UVM there in his nal semester — beyond the managed to make the topic of breast cancer to let her know that she’s not alone. I saw the Dr. Applebee is a fantastic teacher; we were primary care was the right choice for her, engineering major Greg Roy. Roy, a required 16 hours. funny to her patients and made them laugh incredibly serious and truly caring side of Dr. frequently accompanied by medical students, and PEP helped her see that. Rutland, Vt., native, has attended labs,  at students want to spend as much and smile. Out of all the experiences I had with Sowden. It was a reminder of the most basic residents, and a sleep fellow working in the “Having gotten an early look at Grand Rounds, and a panel discussion that time as they can with their mentors is no her and the patients that’s what I’ve come part of being a doctor — being a supportive clinic. As I get closer to medical school and medicine, I knew I wanted to do introduced him to the ethical dilemmas surprise to Mary Stanley, M.D., a away with and that’s what has really made caretaker. Thank you for giving me the chance to medicine in general, I greatly appreciate everything and see everything involved with in vitro fertilization. He spent surgeon who has served as a an impression on me — the smiles that she to witness the special relationships that Dr. time with doctors who are not only incredibly and work with di erent time shadowing a physician at Burlington’s PEP mentor at various put on her patients’ faces… Dr. Sowden often Sowden had with all her patients. She is truly an knowledgeable and skilled in their trade, but are age groups. I love the Community Health Center, where doctors times for more than said that she was both a psychiatrist and a inspiration. also great at working with others, and helping scope of practice surgeon. She had to pick up on the personalities others to learn as much as they can about their see many recent immigrants and refugees. a decade. She said — Inessa Manuelyan UVM’14 and the emphasis of her patients very quickly, to explain a specialty. Dr. Applebee, like Dr. Goering and One afternoon, Roy watched as his students have on preventative painful topic to them, to o er them support Dr. Stanley, will serve as a role model for how physician-mentor communicated with a scrubbed in on care,” she said. and reassurance, and to perform the surgery. I spent the past four months shadowing I would like to practice medicine one day. patient from  ailand through a translator. surgeries and “It was really This gave her a close relationship with her Dr. Garrick Applebee, a pediatrician by training — Rob Rudy UVM’13 Roy said it opened his eyes to the nuances talked about patients, one that any good doctor would want. helpful to have who, after further fellowship training, now of primary care; in fact, he enjoyed the everything from Most of the patients I saw were already aware specializes in sleep medicine. Over the course a picture of Community Health Center so much the science of of their disease and were either going into of my shadowing experience, I began to what daily life Read more comments from PEP he is planning to spend additional time breast cancer to surgery very soon or had already been through understand the complexity and necessity as a physician students, as they re ect on the value surgery. However, I remember one woman in of treating people who have extraordinary of the program, and see additional  Above: UVM undergraduate PEP student Greg Roy listens to a Pathology Lab instructor. is like.” particular who was waiting to hear for the rst di culty getting a good night’s sleep… I had photos from their encounters. Go to: At right: Lindsay Christensen Corse, M.D.’12, opens her residency match letter in 2012. time from Dr. Sowden about her disease. It was a great semester with Dr. Applebee, and was uvm.edu/medicine/vtmedicine The PEP alumnus is now a resident at Boston Medical Center.

24 VERMONT MEDICINE VOL 50, ISSUE 1 • 2013 25 ssistant Professor Emeritus Dallas Boushey’s house A on Shelburne Road in Burlington stands square and stately, a reminder of a time decades ago when this was a mostly residential district, practically the outskirts of the town. Now, stores and restaurants are mixed in with the homes, and tra c whizzes by at all hours. Behind Boushey’s house sits a black four-door Lincoln that has obviously not been driven in a while. Al’s French Frys is now. It was a rural Dallas Boushey is almost always home place then. We had a lot of truck farmers these days, in the house where he and his out there. We had a neighbor who raised late wife, Mary Ann, raised four daughters. asparagus and gladiolas and used to use a At 93, his characteristic vigor is somewhat horse and wagon to bring his wares into diminished. He spends most of his day town in Burlington to peddle them. comfortably ensconced in an easy chair We were too poor for me to pay in a sunny ground- oor parlor room, tuition to Burlington High School (South with everything he needs in easy reach, Burlington didn’t have a high school back including a walker that he now uses to get then), but we were not poor enough to go around. His body may be weakened, but on welfare relief and get free tuition, so I his mind is still scalpel-sharp, and he can left school, or it left me, after eighth grade. trace back the memories of his nine-plus It was the Depression, so I worked lots of decades as easily as he once tracked the jobs for very little. Before I got to UVM I blood vessels of the heart for the thousands did landscape gardening for a house near of medical students he taught during the Redstone campus for 35 cents an hour. all the years he spent in the College of You didn’t break the bank with that, or ll Medicine anatomy lab, a tenure that lasted it up either! And then I got into painting Facing page: Dallas Boushey and two medical students formally from 1940 to 1987, but that — sign painting for a fellow on Center examine “Killer” the skeleton in the anatomy lab in the continued on with informal stints in Street. I was learning gold-leaf lettering and 1950s. Above right: Boushey at home earlier this year; the lab well into the 1990s. getting a dollar a week at that time. I wasn’t and his honorary UVM degree. Above left: Boushey’s handmade model of the trachea and bronchi. making enough to put parts on my bicycle! So you might say I started out pretty small, VERMONT MEDICINE: You have and when I got to UVM it increased a bit. animals that you’re going to get? And the some copies on the table next to you of My rst job there was seven days a week for doctor said no, not really. And my uncle OF AN publications, such as Yankee, that have 15 dollars a week. said, well I got just the person for you. ANATOMY written about you over the years.  at was me. And that’s where I started. VM: So where did you start at UVM? DALLAS BOUSHEY: Now that VM: And that was in the old medical EXTRAORDINARY LIFE story in there, in Yankee, doesn’t exactly DB: Well the College of Medicine decided building, on the corner of Pearl and start where I really started. that they needed an animal research Prospect? In the depths of the Great Depression, a kid from the farm elds of laboratory. And the doctor that was in South Burlington with just an eighth-grade education came to work VM: Where did you start? charge heard of my uncle, who was a sheet DB:  e little building next to it. I think metal worker, because they needed a lot now it’s for the Outing Club. And then at the College of Medicine. Fifty years later, he retired as an assistant DB: Most of my family was from here, of cages made for the animals — rats, they put in another building, a Quonset but I was born in Kampsville, Illinois, pigeons, you name it. So the doctor in hut, behind it, and they moved the professor of anatomy. Now in his tenth decade, DALLAS BOUSHEY in 1919. My parents were separated and charge went over to my uncle’s shop, just animals into that, but that was after my at about 6 years old I moved with my before you cross the bridge to Winooski. time. 1937 was when all this happened — shares his memories with Edward Neuert of Vermont Medicine. family to my grandparents’ house in South He was an auto body shop and a sheet when I started with the animal research Burlington. We had a little house that’s metal worker. And my uncle said to him — department.  en in 1940, the job opened still there, across the street from where you got anybody to take care of all these up in the anatomy and neurobiology

26 VERMONT MEDICINE Alec Jacobson VOL 50, ISSUE 1 • 2013 27 “ Dr. Stultz saw that I was able to you come out in the lab and see how parts for it. Well, we couldn’t carry them you get along with the students? And I up the back stairway, because the turns adapt and learn. He said, why don’t was nervous, but said OK. I had to learn were too short, and we’d have them in every muscle. I had to know the origin, heavy wicker baskets. So we’d have to wait you come out in the lab and see how the insertion, the blood supply, the nerve till the tra c through the main lobby front you get along with the students? supply, the lymphatic drainage, the venous door died down, and then grab a student drainage, the whole nine yards. And after or whoever happened to be around, and And I was nervous, but said OK.” a couple years of doing that I had quite carry the basket through the front stairway! — Dallas Boushey a lot of that information in my little bird Had to do this for the rest of the war. I was brain. So I went out into the lab. I had a gone for part of the war years, in the Navy dental probe, and I led the end so it was medical corps. just a little bit sharp. So when I was out in department.  ey were looking for VM: I guess it agreed with you? the lab and looking for a certain thing, if a VM: Did you gradually over the years somebody, and the head of the department student said “I can’t nd the axillary nerve” take on more of a teaching role? at that time was Dr. Newhall — Chester A. DB: I stayed. I didn’t know how it would I’d say, hang on then, and I’d use the probe Newhall, M.D. work out — I used to get queasy in the and nd it and say here it is, and then I’d DB: Yes, but I always had stage fright, barber chair! I don’t know what happened, move on to the next table, wherever they so I didn’t lecture per se. My job was in VM: We hear a lot of people at Nostalgia but I just took to it. And that lasted nearly asked me to go. So I kept right on with the lab, nding structures that the students Hour at reunions reminisce about Dr. 50 years. that. And I was still mopping up the lab couldn’t nd. And I’d try to nd them — Newhall. Was he a pretty formidable guy? and things of that nature. I’d nd most of them. And then as time VM: At  rst, what were your duties in the Of course, once World War II started went on, in 1972, the fourth-year medical DB: Oh yes, but fair. He’d heard that I anatomy department? we had quite a time there with all the students gave me the Teacher of the Year was a good worker, and when I seemed a shortages. We had an elevator that went award, so the people in charge of the little squeamish about the anatomy lab, he DB: Mopping the  oors, up on the 4th from the basement up to the 4th  oor that anatomy department at the time, they said well, give it a try and if you don’t like  oor, and then I started working with we used to transport bodies that had been realized that they didn’t quite know what to it you can have your old job back.  at skeletal material. Painting muscles on donated. But it was only a few feet wide, call me — a technician, senior technician, seemed fair enough. So I tried it in 1940, them. Red for origin, blue for exertions. At and it wasn’t long enough for a whole a demonstrator in anatomy — what can and I retired from it in 1987. one point in time we had about 50 of them casket or basket, so we’d have to put a body we call you, they asked? You don’t have that I had made and painted, so that each in the elevator and stand it on end to get any degrees!  at made the administrators student could have an upper and lower it upstairs. Well then the elevator broke think about doing something else for me. limb, besides a selection of bones, a variety down during the war, and we couldn’t get So they made me an assistant professor. from throughout the body — a clavicle,  en, in 1990, the university gave me an a vertebra, humerus, radial ulna, honoris causa, doctor of science degree — At top: Walter Stultz, M.D. (in white coat) lectures students in the anatomy lab in the 1950s. At Stultz’s urging, Boushey that sort of thing. me with my eighth-grade education! I don’t began one-to-one instruction of students in the 1940s that continued (above right) into the early 1990s. Above left: After a couple of think they’ll ever do that again! Boushey holds his well-worn, personalized copy of Gray’s Anatomy. years, Dr. Walter I stayed at UVM three years longer Stultz saw that than I needed for retirement. Dean stovepipe wire, and wrapped with gauze I was able to Luginbuhl said, “You don’t have to go, strips about a half inch wide and soaked adapt and you can stay as long as you want.” I stayed in shellac. When they were dry, I’d put red learn. He because I loved it, and I wanted to round it latex, liquid rubber, over the gauze, and “ I always had stage said, why out at 50 years. then I’d color the di erent branches of the don’t bronchial trees, for instance, di erent colors fright, so I didn’t VM: Can you talk about the models you and then label them.  ey are still using a lecture per se. My Above: Professor and Chair of Anatomy Chester A. made? You are well known for these, and lot of my old models.  at’s nice to know. Newhall, M.D.’28, (at right above, holding skeleton’s hand) they continue to be used to this day. job was in the lab, brought Dallas Boushey into his department in 1940. VM: Do alumni still come back and At right: Boushey’s model of the blood vessels of the nding structures heart is still frequently used by today’s medical students. DB: I know they use the whole skeleton visit you? — we called it “Killer.” I added a lot of that the students wires to it representing the arteries and DB: Yes! Rick Houle, he’s from the Class See a slideshow of anatomical models, nerves. And I made over a dozen other of ’72, he’s been here two or three times couldn’t nd.” and read the 1988 Hall A pro le of Dallas models, like the brachial plexus, blood with breakfast. I remember after the lab Boushey written to mark his retirement. — Dallas Boushey Go to: uvm.edu/medicine/vtmedicine supply of brain, venous drainage of the sessions were over, I’d still have to do a brain.  ese were all wire models, using lot of washing up and cleaning, and I

28 VERMONT MEDICINE Bottom left: Alec Jacobson VOL 50, ISSUE 1 • 2013 29 remember Rick several times coming in to VM: You retired in help me — I really appreciated that. So he 1987, but you still saw still comes and looks me up when he’s here. your old colleagues often? VM: You must have always had an incredible memory. DB: After I retired I used to go up and cover DB: My memory was pretty good at that for the person who took time. I’ve got my Gray’s Anatomy here — my job, Bruce Fonda. this is what I learned most from.  is is a I had about six people special copy the publishers gave me, and up interviewing for my they put my name on the bottom. It’s had a job when I was about to bit of use.  ey sent that to me gratis. retire, and as soon as I’d mention cadavers, they VM: There’s a story that you once say “see you later”! And received a phone call from a former of course I knew Bruce, student who was calling from an operating because he’d gotten his master’s room to ask you an anatomy question. degree in our department. So I knew One of the larger models made by Dallas Boushey is Did that really happen? this showcase of the layers of the abdominal wall, him quite well. He used to take pictures which allows each component of muscle, fat, etc. of my kids’ weddings and was very good to be pulled away like the pages of a book. DB: Yes, I recall he was calling from to me. So we worked together for about out of state. seven years and then I retired and he took over. He called me the Big D and he was the Little-D-in-training. We had a good VM: Ever drive one of those funny association. And he’d come down, and little cars? sometimes Pat Powers, after I’d retired, and we’d get in my old Lincoln, and we’d go DB: No, but I’ve owned three-wheel down to the Ponderosa for lunch. ATVs — owned three of them, and I used to take them up to some land I owned in Editor’s note: Bruce Fonda died in 2005, and Patricia Powers, Ph.D., passed away in 2007. Bakers eld, up in the boonies. I also did Meals on Wheels for about VM: How long have you lived in ve years after I retired. I was the runner. hall Upstairs — downstairs — you name it. In 1905, when the College of Medicine completed its third home at the corner of Prospect and Pearl Streets in this house? President’s Corner  at was an experience. Burlington, the main lecture room was named Hall A. For the next 63 years, students (such as the members of a 32 class in the 1950s shown below) learned the science of medicine while perched on those rows of steeply-raked DB: Since 1952.  is was my wife’s wooden seats. When the College moved to the top of the hill in 1968, the designation of Hall A moved too: to a Class Notes 33 family’s house. I said “we’ll never ll it up VM: Well, you’re still fondly recalled at the College of Medicine. slightly more comfortable assemblage of orange-upholstered seats on the second  oor of the Given Building. with furniture,” and now I have too many Development News 35 things! We raised four daughters here. Today’s learning environment ts today’s medical curriculum. Students take in lectures as a class in the Sullivan Classroom, and they work in small group environments and in UVM’s cutting-edge Clinical Simulation Laboratory. My daughter Suzanne checks on me every DB: I hear there’s a plaque on the wall The settings have changed, but the mission remains the same: inspiring a lifetime of learning in the service Class Agent Directory 40 day, brings the Free Press and any groceries up there. Students must see that today and see “1937 to 1987” and I bet they of patients. This section of Vermont Medicine, named in honor of that storied hall, serves as a meeting place in I need. I’ve been borderline diabetic for print for all former students of the College of Medicine. Obituaries 42 years. I stick myself every night and do a think — well, he must’ve died in 1987!” blood sample, and if it’s a little bit o I But no, here I am. Still here, for now. know how much of something sweet to eat, like a Little Debbie cake. I’ve got that all scaled out.  at’s so I’ll wake up in the e UVM Board of Trustees, by special vote, morning! approved the naming of Dallas Boushey as an I’ve been in Masonry for 70 years, assistant professor of anatomy in 1972. He so that took up some of my time after I remains the only UVM professor in modern retired. I’ve got 70 years in Washington times without a formal degree. As he notes in At top: Dallas Boushey’s protegé and successor Bruce Fonda, M.S. Above: Associate Professor Patricia Powers, Lodge No. 3, and 50 years in the Scottish his interview, the university presented him Ph.D., was a colleague of Boushey’s for many years. rite. I’ve been a member of the Mount with an honorary Sc.D. degree in 1990.  s s Sinai Shriners in Montpelier for 25 years. 1950 1980

30 VERMONT MEDICINE Above: Ed Neuert VOL 50, ISSUE 1 • 2013 31

The University of HALL A | M.D. CLASS NOTES UPCOMING Vermont Foundation If you have news to share, please contact your class agent or the Development & Alumni Relations MEDICAL DEVELOPMENT & o ce at [email protected] or (802) 656-4014. If your email address has changed, EVENTS ALUMNI RELATIONS OFFICE please send it to [email protected]. For complete list of class agents, please see page 40. Interim Team Leader — Medical PRESIDENT’S CORNER Development & Alumni Relations; Vice President and Chief Operating O cer, UVM Foundation In mid-March, I had the pleasure of attending my rst Shane Jacobson 1950s ’65 James F. Butler, III reports that 24, 2013; youngest Cristin has May 19, 2013 Match Day as President of the Medical Alumni Association he “Will retire (soon).” had my fourth grandchild, Hanna. 2:30 p.m. Director, Annual Giving & Major Gifts REUNION 2013: 1953 + 1958 December 30, 2012 celebrated Graduation Executive Committee. Of course, I’ve been to Match Day Sarah Keblin eleventh wedding anniversary Ira Allen Chapel Paul G. Stevens writes: “I am before — once as a nervous fourth-year student, and several Senior Director of Development — ’55 1970s with Teresa.” UVM Campus times after that as a faculty member hoping to see my Vermont Cancer Center still doing a little o ce practice REUNION 2013: 1973 + 1978 David Bronson writes: “We continue students realize their dreams. Manon O’Connor in Hawaii, but not enough to interfere May 31–June 2, 2013 with getting to the golf course. Also to work at the Cleveland Clinic where Richard Houle is “Still hanging Medical Reunion Weekend Director of Major Gifts active as a trustee of Molokai General Kathy is dean of admissions and Match Day is even more celebratory these days at the College of Medicine. Instead of Meredyth Armitage ’72 on, not retired yet. Losing UVM Campus Hospital and a trustee in the Molokai student a airs of our Case Western taking place in one quick rush of students tearing envelopes from our mailboxes at the Russell Page was a big blow to our Director, Medical Alumni Relations Health Foundation.” Reserve University-based medical August 12–16, 2013 stroke of noon, as it happened in my day, the College now makes a much more extended Cristin Gildea class. We miss him.” school, and I serve as president of Don R. Lipsitt reports that he Class of 2017 Medical Student ceremony out of it, where students and family members gather in the Hoehl Gallery and Bruce Sha ro retired December 31, our nine-community-hospital health Director, Administration ’56 is: “Still teaching, writing and Orientation cheer as individual students come up on stage and are handed their match envelopes, which 2012. He is president of The Humane system. Kathy was recognized as the Ginger Lubkowitz practicing. But to simplify life have UVM Campus Association of Central New York, A institution's Master Educator this year. they open and read in front of the crowd. It’s kind of like a loud,  ash-mobbed, Oscar night, Assistant Director, Annual and Major moved from home of 50-plus years in large no-kill shelter. Shirley (1967) I am serving this year as president of October 4–6, 2013 only much shorter in length! Gifts Brookline, Mass., to a small condo in has fully recovered from her CVA; the American College of Physicians, UVM Homecoming & James Gilbert Cambridge. See John Manuelian from Annie (UVM 2001) is teaching in and continue as a board member of Family Weekend And we certainly had some nice things to celebrate. Our senior medical students matched time to time at our son’s concerts with Assistants South Burlington, Vt. the Joint Commission and the AHA UVM Campus to a range of prestigious programs. You can read the whole list on page 11, and I invite Boston Classical Orchestra.” Jane Aspinall Health Systems Governing Council. Trish Hartigan Joseph Lacy begins his you to follow the link address on that page to see the online video of the actual Match Day Francis J. Durgin writes that he Honored with fellowship in the Royal October 7, 2013 ’73 third year as chairman of the celebration. Even if you watch just a few minutes it will bring a smile to your face. ’58 is still “practicing psychiatry College of Physicians of Edinburgh and Alumni reception in conjunction board of the Palo Alto Foundation University of Vermont half-time.” the European Federation of Internal with the American College Medical Group (PAFMG). PAFMG is Match Day gives us a chance to see a whole class of students, and to get a feeling for what Medical Alumni Association Medicine this year. Our six children are of Surgeons — Annual a multi-specialty group of 1,000 extraordinary individuals they are, and how important it is that we keep supporting them doing well with three in health care — Clinical Congress ALUMNI EXECUTIVE COMMITTEE physicians that serves the peninsula one an NP, one a PA, and our youngest Washington, DC with scholarship assistance, so they can go on to practice the specialties they want based 1960s costal region south of San Francisco, O cers (Two-Year Terms) a second-year Family practice resident (All local alumni & friends welcome.) solely on their talent and interests. REUNION 2013: 1963 + 1968 California. President at Northwestern, and one fabulous October 18, 2013 I also saw this same class the night before Match Day, at the Fourth-Year Dinner. I Mark Pasanen, M.D.’92 (2012–2014) Prescott J. “Mike” Cheney Ralph S. Albertini writes “I hope to granddaughter. Enjoyed dinner with ’64 writes: “Approaching 75th see many classmates at our reunion John Frymoyer recently; and shared Medical Student White Coat welcomed them into the fold as alumni of the College, and I noted that this return to Vice-President birthday, very active and feel great in June 2013!” many warm stories of our UVM years.” Ceremony campus from clinical rotations around the country is a bit like the returning feeling they’ll H. James Wallace III, M.D.’88 (2012–2014) Ira Allen Chapel but have prostate cancer — Cressey W. Brazier reports: “Eldest Irvin Paradis writes: “I have decided to experience at future reunions. I encouraged them — as I encourage all graduates of this Treasurer expectant management at Brigham & UVM Campus Paul B. Stanilonis, M.D.’65 (2012–2014) daughter Cressica in architecture retire from the practice of medicine at special school — to take advantage of reunion as a chance to reconnect with their old Women’s in Boston. Otherwise out of doctoral program at MIT; second- the end of May of this year in order to October 19, 2013 friends and teachers. I hope to see many members of the classes ending in “3” and “8” Secretary the loop in medicine.” oldest Shireen to be married August Naomi Leeds, M.D.’00, M.P.H. (2012–2014) pursue other interests such as historic Medical Student Family Day this year from May 31 to June 2. UVM Campus Executive Secretary John Tampas, M.D.’54 (Ongoing) October 26, 2013 Members-at-Large (Six-Year Terms) Alumni reception in conjunction Ernest Bove, M.D.’81 (2012–2018) New Major with the American Academy of Mary Cushman, M.D.’89 (2012–2018) Gift O cer Pediatrics National Conference Mark Pasanen, M.D.’92 Betsy L. Sussman, M.D.’81 (2012–2018) Orlando, Fla. The newest member of the Associate Professor of Medicine Mark Allegretta, Ph.D.’90 (2012–2016) (All local alumni & friends welcome.) Suzanne R. Parker, M.D.’73 (2012–2016) Medical Development and Omar Khan, M.D.’03 (2012–2016) Alumni Relations O ce of the December 3, 2013 Ellen Andrews, M.D.’75 (2012–2016) Alumni reception in conjunction UVM Foundation is Meredyth Don P. Chan, M.D.’77 (2012–2015) with Radiological Society Leslie S. Kerzner, M.D.’95 (2012–2015) Armitage. Meredyth, who North America Frederick Mandell, M.D.’64 (2012–2015) joined the department in Chicago, Ill. Ex O cio Member early April, comes with (All local alumni & friends welcome.) Dean Frederick C. Morin III, M.D. many years’ experience in For updates on events see: MAY 31–JUNE 2, 2013 fundraising in the world of www.uvm.edu/medicine/alumni medicine, most recently at 1943 1953 1963 1973 1983 1993 2003 Newton-Wellesley Hospital College of Medicine graduates are 1948 1958 1968 1978 1988 1998 2008 and Charitable Foundation. also members of the UVM alumni Association. See those events at: Send Us Your Stories alumni.uvm.edu If you have an idea for something that should be covered in Vermont Medicine, 32 VERMONT MEDICINE pleasePhotographer email: [email protected]. Name, Photographer Name Opposite: UVM Med Photo; above: Ed Neuert VOL 50, ISSUE 1 • 2013 33 HALL A | M.D. CLASS NOTES Development News HALL A | M.D. CLASS NOTES

preservation, gardening, shing, and ’87 ’88 Susan Kim Foley (’87) Grateful Patients Fund travel. I have always been grateful for and Christopher Foley Professorship the quality of the education I received (’88) write: “We continue to evolve at UVM, both at the undergraduate towards an empty nest. We have a Two anonymous donors have given a total and graduate level. This education has senior in college applying to med of $1 million for a professorship to honor served me well. Thank you, UVM! I met school and a freshman at Bowdoin. Professor of Surgery Frank Ittleman, my future wife, Cynthia Fox, Class of Our professional lives are satisfying M.D., who provided treatment to both the 1973, as an undergraduate nursing and our youngest keeps us active!” student at UVM. We are still together individuals. The Ittleman Professorship in Michael Rousse writes: 40 years later. Our three sons and two Cardiothoracic Surgery will help the College ’88 “Looking forward to seeing grandchildren all live out west and of Medicine and Fletcher Allen Health Care John Koella, John Davine, Nial want us to move out there but New McGarvey, Art Papier, Jamie Rines, attract and retain a nationally recognized England still holds us fast. One of our Bill Roberts and all the fellas at cardiothoracic surgeon. sons is also a UVM undergraduate. our reunion!” “I am humbled, proud, and pleased. I Patent attorney and pilot Erving Trunk Please visit us whenever you might do want to make clear, however, that this be in our neighborhood in Hallowell, Wendy Cathcart is an internist in gift is not about me — it is a re ection Maine.” Portland. Maine, where she lives Professor of Surgery Frank Ittleman, M.D. A Di erent Path to with her husband, Charles, and three on the institution as a whole and all the Mark S. Yerby is Chairman of Gratitude children. She was recently elected people who work here every day,” said ’76 the Scienti c Advisory division chief of internal medicine at The College of Medicine has many grateful Committee of the North American Ittleman, who has performed approximately 10,000 operations in his 33-year career at UVM/Fletcher InterMed, and is a teaching attending alumni. But Erving Trunk of Plano, Texas, Epilepsy and Pregnancy Registry. Allen. “Any of my colleagues could have treated these two individuals, so I feel fortunate to have this at Maine Medical Center, where she professorship named for me,” said Ittleman. is something very special — a grateful Bob Backus continue as a Family acts as an advisor to Tufts medical “The Ittleman professor will provide superb clinical expertise, excellent training for our medical “almost” alumnus. Mr. Trunk came to the Physician/Geriatric of Grace Cottage students. College to study for his M.D. in the early Hospital in Townshend, Vermont, and students and residents, and continued innovation with new procedures,” said Marion Couch, M.D., Class of ’81 Alumnus in Rwanda George Terwilliger “Just says “I owe my ability to be a doctor Ph.D., M.B.A., professor and interim chair of the Department of Surgery. 1950s. In 1953, at the end of two years of ’89 moved with my wonderful Bruce Leavitt, M.D.’81 nished a ten-day experience this February in to Dave Tormey.” study that he himself would characterize wife from rural Putney to urban as not as successful as originally planned, Rwanda with Team Heart, a non-pro t agency that has been working Brattleboro, Vt., and loving it! We're since 2007 to build cardiac surgery programs in Rwanda. In an email busy with a passel of adult children, he left the school. But there was a good 1980s second chapter in store for the Erving to friends and colleagues sent during his trip, Leavitt said: “We will two of whom are in college and one to A Special 55th do 16 heart valve operations these 8 days. All valve replacements REUNION 2013: 1983 + 1988 be entering college in a few months. I Trunk story. Mr. Trunk went on to earn a law work in three EDs: Keene, N.H., Preparations for Reunion 2013 are well degree and become a successful patent for untreated rheumatic valve disease. I operated on 5 patients so Andrew Weber is “still in solo far ranging from 15 to 25 years of age. It has been an incredible ’81 Brattleboro, and Middlebury. We visit underway, and alumni from across the attorney in Texas. He remains grateful to the practice in a private house and our UVM freshman daughter in experience.” past six decades are stepping forward medical school whose decision 60 years feeling like a dinosaur. Boys doing Burlington fairly often.” Dr. Leavitt’s work with a Doctors Without Borders team in Sri well in college, and we’re enjoying to support their medical alma mater’s ago, though it may have seemed unlikely Lanka was recounted in the spring 2010 issue of Vermont Medicine. living on Long Island as empty- Dean Mastras writes: “My radiation development e orts. One of these is Rees at the time, actually put him on the path nesters. Playing tennis, gardening, oncology practice continues to grow Midgely, M.D.’58, from Ann Arbor, Mich. A to a rewarding and successful life helping and sports remain my passion — that serving a large area of the South retired professor of pathology (he spent to foster technological innovation. That Puget Sound. We are part of the and never growing up!” 41 years on the faculty of the University of American College of Brachytherapy gratitude, and that love of innovation, have Fellowship Program and are training Michigan Medical School), Dr. Midgely has led Mr. Trunk to donate $400,000 to support residents from all over the country. made a generous gift to the Dean’s Fund in the leading-edge x-ray crystallography We have hired our own urologist who honor of his class. He now is president of research of Professor of Microbiology and Generations has joined our group.” InDepthLearning, a non-pro t company he Molecular Genetics Sylvie Doublié, Ph.D., Together founded upon his retirement to promote whose Given laboratory room will be named using the World Wide Web for teaching. in honor of Mr. Trunk’s father, William Trunk. The oldest living graduate of 1990s Rees Midgely, M.D.’58 examining his class photo at Reunion 2008. the Neurosurgery Residency REUNION 2013: 1993 + 1998 Training Program at the University of Minnesota is Philip Lapp reports: “Well, it’s ’90 o cial — our beautiful Gerald L. Haines, M.D.’44 Millers Give to Palliative Care Collaborative daughter Kate Lapp is a proud (center). The current member of the UVM class of 2016! A passion and concern for the community is the motivation behind the department chair and program She’s pursuing her passion: political most recent gift to UVM from Holly and Bob Miller of Burlington. The director is his son, Stephen J. science. Look out world!” Palliative Care Collaborative, composed of the College of Medicine, College Haines, M.D.’75 (right). And Mara Liebling is “Now o cially of Nursing and Health Sciences, Fletcher Allen Health Care, and the Visiting the newest resident in the ’92 raising a teenager! Enjoying Nurse Association of Chittenden and Grand Isle counties, has recently program is Molly Hubbard, M.D., my part-time practice on Cape Cod received a $100,000 gift from the Millers to fund the Advanced Practice UVM College of Medicine Class with Phoebe (13), Sam (12), and Nursing Fellowship in Hospice and Palliative Care. of 2012 (left). Quinn (9).” Bob and Holly Miller

34 VERMONT MEDICINE Top: Bruce Leavitt; bottom:Haines family PhotographerTop right: Erving Name, Trunk; Photographer all others: UVM Name Med Photo VOL 50,49, ISSUE 12 • 20132012 35 2013 MEDICAL ALUMNI ASSOCIATION AWARDS HALL A | M.D. CLASS NOTES

 e Medical Alumni Association of the College of Medicine has, for four decades, honored the accomplishments of its members for their A. BRADLEY SOULE AWARD work caring for patients, creating new advances in the laboratory, and contributing to their communities.  e 2013 awardees will receive John J. (Jack) Murray, MD ’63 their honors at the Celebration of Achievements during Reunion 2013 on May 31. Pediatrician (retired), partner, Timber Lane Pediatric Associates, South Burlington, Vt; Clinical Professor of Pediatrics (retired), University of Vermont College of Medicine A. Bradley Soule Award: Distinguished Academic Service to Medicine and Early Achievement Award: Dr. John J. (Jack) Murray has a long history of dedication and service to the College Of Medicine. Returning to Burlington in 1968 Presented to an alumnus/a whose Achievement Award: Community Award: Presented to alumni who have after serving two years in the U.S. Air Force, Dr. Murray worked as a pediatrician in private practice and as a clinical instructor in loyalty and dedication to the Presented to alumni in Presented to alumni who have graduated within the past 15 years the Department of Pediatrics from 1968 to 2007. During his clinical teaching years he was privileged to help educate House sta College of Medicine most emulate recognition of outstanding maintained a high standard of in recognition of their outstanding and students in both hospital and o ce settings. He developed the Pediatric Senior Sports Medicine Elective in 1983, serving as those qualities as found in its rst scienti c or academic medical service and who have community or College service Director until 2005. As a member of the UVM Admissions Committee from 2007 through July 2012, Dr. Murray helped to select an impressive group of recipient, A. Bradley Soule, M.D.’28. achievement. achieved an outstanding record of and/or scienti c or academic candidates for admission to the College. His dedication to excellence in medical practice is re ected in his service on that Committee and the wisdom community service or assumed achievement. other signi cant responsibilities not acquired from his many years of working as a pediatrician. He has been a class agent since graduation, ensuring that the members of his class remain directly related to medical practice. engaged with the College and one another. Dr. Murray also earned the Medical Alumni Association’s Service to Medicine and Community Award in 1995.

DISTINGUISHED ACADEMIC ACHIEVEMENT AWARDS SERVICE TO MEDICINE & COMMUNITY AWARDS

Richard H. Feins, MD ’73 Edward P. Havranek, Douglas W. Losordo, Joyce M. Dobbertin, MD ’98 Omar Khan, MD ’03 MD’ 83 Professor of Surgery, Division MD ’83 Family Physician, Corner Medical O ce, Medical Director, Preventive Medicine & Community Health of Cardiothoracic Surgery, Professor, University of Interventional Cardiologist Northeastern Vermont Regional Hospital & Director, Global Health Residency Track, Christiana University of North Carolina Colorado School of Medicine, Care Health System; Chair, Global Health Working Group, and Professor of Medicine, Dr. Joyce M. Dobbertin is celebrating her 15th School of Medicine, Chapel cardiologist at Denver Health Northwestern University Delaware Health Sciences Alliance; Section Editor, Global reunion year and has been a dedicated and active Hill, N.C. Medical Center, and Director Feinberg School of Medicine Health, BMC Public Health member of her local community in St. Johnsbury, of Health Services Research Chicago, Illinois Dr. Feins is a thoracic for Denver Health Vt. As a physician, she has been tireless in her Dr. Omar Khan has made extensive contributions surgeon celebrating Celebrating his 30th in the realm of global and community health, Celebrating his 30th reunion year, Dr. Edward involvement with patient care as well as the coming of age of medicine as his 40th reunion year. He trained in general reunion year, Dr. Losordo is board-certi ed in including experience working with USAID and serving as faculty at the Johns P. Havranek is a Denver, Colo., cardiologist with regards electronic health records, community outreach, and epitomizing surgery and cardiothoracic surgery at the internal medicine, cardiovascular disease, and Hopkins School of Public Health and UVM. In addition to his appointments a long-standing interest in measuring and what a “community doc” should be. She is the physician champion for the University of Rochester, where he served on interventional cardiology and is a fellow of the at Christiana Care and Alfred I. duPont Hospital for Children, he holds faculty improving the quality of care for cardiovascular Vermont Blueprint at NVRH, Corner Medical helping with the design and the faculty until 2005. He then moved to the American College of Cardiology, the American appointments as clinical associate professor with Drexel University’s College disease, particularly heart failure. His current implementation of the Blueprint in the Northeast Kingdom. Dr. Dobbertin University of North Carolina at Chapel Hill as Heart Association, the American Association of Health Sciences and as clinical assistant professor with the Departments funded research focuses on causes and was named Physician of the Year in 2012 by the Vermont Medical Society Professor of Surgery and Head of General for the Advancement of Science, the American of Family Medicine at the University of Pennsylvania, Je erson Medical solutions to the problems of health disparities and Medical Director of the Year in 2008 by the Vermont Health Care Thoracic Surgery. Throughout his career, Dr. College of Physicians, the American College of College, and UVM. A reviewer and editorial board member for a number of based on race and ethnicity. Dr. Havranek served Association. For the last several years, Dr. Dobbertin has served as Volunteer Feins has demonstrated creative leadership and Chest Physicians, and the Society for Cardiac prestigious medical journals, he has authored or co-authored ve books, as chair of the American Heart Association’s Medical Director for two weeks a year at the Hillside Medical Clinic in innovation in thoracic surgery education. He Angiography and Interventions. His major inluding the 2011 Megacities & Global Health and more than 55 journal Quality of Care and Outcomes Research Annual Punta Gorda, Belize, and performed similar volunteer work in Kingston and has served on the American Board of Thoracic research interests encompass angiogenesis/ articles. He is a reviewer for the Patient-Centered Outcomes Research Scienti c Forum Program Committee, and was throughout Jamaica. In addition, she served on the Board of Trustees of the Surgery as a director for eight years and then vasculogenesis, progenitor/adult stem cells, Institute. In 2009 he was named a “Top Doc” by Philadelphia magazine. a member of the Database Steering Committee Northeastern Vermont Regional Hospital in St. Johnsbury from 2007 to 2010. as Chair from 2007–2009. In addition, he has tissue repair/regeneration, and vascular biology. for the American Heart Association, as well as served on the Board of Directors of the Society of Working with the late Je Isner at St. Elizabeth’s a member of the Technical Advisory Committee Thoracic Surgeons, the Joint Council for Surgical Medical in Boston, Mass., he developed a for Colorado’s Regional Health Information EARLY ACHIEVEMENT AWARD Education, the Thoracic Surgery Foundation for program in therapeutic angiogenesis and Organization. He was a clinical coordinator for Research and Education, and the General cell-based tissue repair and executed the full the Centers for Medicare & Medicaid Services- Thoracic Surgery Club. He is the co-director of “translational medicine” paradigm: identifying Halleh Akbarnia, MD ’98 2014 sponsored National Heart Care Projects from the national Cardiothoracic Surgery Resident novel therapeutics in the laboratory, developing Attending Emergency Physician, St. Francis Hospital of Evanston, Ill. NOMINATIONS... Boot Camp and the Executive Director of the 1999 to 2005, chair of the Care Standards these strategies in small and large animal Dr. Halleh Akbarnia is celebrating her 15th reunion year. She joined the medical sta of Saint Do you know a class Cardiothoracic Surgery “Senior Tour,” a nationwide Committee of the Heart Failure Society of models and designing and executing rst in Francis Hospital (SFH) in 2007, and is an active member of the SFH Critical Care, Sepsis, member deserving of organization of retired cardiothoracic surgeons America from 2002 to 2006, and a member of human clinical trials. Dr. Losordo previously and Graduate Medical Education Committees. She served as the Chair of the Performance recognition? Send in who volunteer in the training of cardiothoracic the governor’s Health Information Technology served as director of the Feinberg Cardiovascular Distinction Committee, representing SFH at the system level, and a member of the Medical surgery residents. Dr. Feins is recognized Advisory Committee for Colorado in 2008 and your nominations for Research Institute and the Eileen M. Foell Executive Committee 2010–2011. She was awarded the “Non-Medicine Specialist of the Year” nationally as a “go-to guy” on matters pertaining 2009. Dr. Havranek serves on the editorial the 2014 awards at: Professor of Heart Research at Northwestern for the 2010–2011 year by the graduating 2011 Internal Medicine Residents, and the 2009–2010 “Teacher of the Year” to the education of future thoracic surgeons and boards for several major cardiology journals. www.uvm.edu/ University’s School of Medicine and director of by the Resurrection Emergency Medicine Residents. Prior to joining St. Francis Hospital, she was Assistant Medical for simulation-based training. medicine/alumni. the Program in Cardiovascular Regenerative Director at her residency program, VCUHS/MCV in Richmond, Virginia, and was named “Teacher of the Year” in 2005 by Medicine at Northwestern Memorial Hospital. the residents there. Dr. Akbarnia is a class agent for the Class of 1988.

36 VERMONT MEDICINE VOL 50, ISSUE 1 • 2013 37 HALL A | M.D. CLASS NOTES HALL A | M.D. CLASS NOTES 2013 FLASHBACK CONTINUING MEDICAL EDUCATION CONFERENCE SCHEDULE

Women’s Health Conference Breast Cancer Conference May 8–10, 2013 October 4, 2013 DoubleTree Hotel Sheraton Hotel Burlington, Vt. Burlington, Vt.

Child Psychiatry in Critical Care Conference Primary Care October 17–19, 2013 May 31, 2013 The Essex Hampton Inn Essex Junction, Vt. Colchester, Vt. Class of ’98 Mini-Reunion Northern New England Some members of the Class of 1998 held a “mini-reunion” last fall. Family Medicine Review Neurological Society Course Annual Meeting Attendees included: Top Row, Right to Left: Ben Lowenstein, Jim June 11–14, 2013 October 25–26, 2013 Parker, Stewart Jester (undergrad UVM ’94 and Halleh Akbarnia’s Sheraton Hotel North Conway Grand Hotel husband), Halleh Akbarnia, Gavin Webb; bottom Row, Right to Left: Burlington, Vt. North Conway, N.H. Scott Musicant, Beth Lowenstein (Ben’s wife), Amy (Floor) Parker, Vermont Summer Neurology for the Carrie Musicant (Scott’s wife), Melanie Mailloux. Pediatrics Seminar Non-Neurologist June 13–16, 2013 October 25, 2013 The Equinox Hotel North Conway Grand Hotel Manchester, Vt. North Conway, N.H. was one of the winners of a 2013 2000s Arnold P. Gold Foundation Humanism Je ords Quality Care Bridging the Divide REUNION 2013: 2003 + 2008 and Excellence in Teaching Award Symposium November 8, 2013 from the College of Medicine class of September 6, 2013 Hampton Inn ’00 Melanie Lawrence is enjoying 2014 students at the Student Clinician Sheraton Hotel Colchester, Vt. running her own clinic in Ceremony held March 14. Burlington, Vt. Newbury, Vt. Her dream of working as a small town doctor, walking or riding The College of Medicine Class of Primary Care Sports ’09 2014 awarded Anne FOR INFORMATION CONTACT: her bike to the o ce, and serving a Medicine local community has been ful lled. Doughtery, who is a resident in September 25–27, 2013 obstetrics, gynecology at Fletcher Sheraton Hotel University of Vermont Megan Moran Leitch reports: Continuing Medical Education ’08 Allen Health Care, one of the 2013 Burlington, Vt. “John and I welcome our rst Arnold P. Gold Foundation Humanism 128 Lakeside Avenue, Suite 100 child, Mark Leitch, in November. I’m Imaging Seminar Burlington, VT 05401 and Excellence in Teaching Awards at completing a fellowship this year in the Student Clinician Ceremony. September 27–29, 2013 (802) 656-2292 Clinical Neurophysiology. I have Sheraton Hotel www.uvm.edu/medicine/cme recently accepted a faculty position ’10 Sanchit Maruti was honored Burlington, Vt. at Robert Wood Johnson Medical with an Arnold P. Gold School in New Jersey. We hope to Foundation Humanism and Excellence ? make it to the reunion. We miss in Teaching Award from the College of Rapt Attention, ca. 1951 Burlington!” Medicine Class of 2014 at their Christina Atkin writes: grandchildren. (!) My family is Student Clinician Ceremony on March Albert George Mackay, M.D., (1907–1978) a member of the College of Medicine’s Class of 1932, held the chair of the Department of ’93 “Have been for several years scattered from N.H. to Hawaii! Some Deanna Nelson, who is a resident in 14. Sanchit is a resident in psychiatry New York Medical College’s Child & signi cant changes in my personal surgery at Fletcher Allen Health Care, at Fletcher Allen Health Care. Surgery longer than anyone else in the College’s history — for the 27 years from 1942 to 1969. He is identi ed in this archive photo from Adolescent Psychiatry Division life have made my last year my the 1950s, speaking to Class of 1954 members (probably somewhere in the Mary Fletcher Hospital, since a patient is seen on the left). director.” happiest ever, and I hope the same is true for each of you.” We’re pretty sure that’s John Tampas, M.D.’54 partially obscured in the back row, and would be happy to note the identi cation of Cli ord Chapin sends ’97 other class members. Send in any information you may have to [email protected] and we will include it in a future issue “Greetings all! I'm living a few Joyce Dobbertin writes: “Last CALLING ALL PH.D.S! miles south of the Laurentian Divide ’98 November Anne Galante and I of Vermont Medicine. in severely northern Minnesota. After went to Jamaica and worked with The Graduate Alumni committee of the UVM College of Medicine seeks 12 years of IM outpatient, Hospitalist Medicine in Action. My rst grandchild more news from Ph.D. graduates of the College to share with their fellow The Flashback photo in the previous issue of Vermont Medicine (at left) generated enthusiastic response from alumni and friends of the work and ER moonlighting, I am was born in May and, luckily, I get to community members in the pages of Vermont Medicine. Send your College, and the remaining two “unknowns” in the picture with Dr. Donaghy were identi ed as Stan Stein, M.D.’59 on the left, and Bruce working solely in the ER. It is nice to see him often.” news to [email protected] or call (802) 656-4014. Chafee, M.D.’60 on the right. Thanks to Dr. Stein and Phil Whitney, M.D.’60, Dick Caldwell, M.D.’60, Dan Palant, M.D.’62, and former sta have less than two simultaneous member Judith McGivney Moulton, who wrote in. No need to write another dissertation — just a brief catch-up for your FTEs. Noah, age 20, lives with me, and Another touching message was passed along from Mrs. Frances Donaghy, who called in to the alumni o ce to say how pleased old friends and former faculty on where you are, and what you’re doing! I have four platinum-blonde she was to open the magazine and see the face of her wonderful husband. We’re pleased to have been able to show him in action, teaching students who would go on to decades of medical practice.

38 VERMONT MEDICINE VOL 50, ISSUE 1 • 2013 39 ClassHALL A | M.D. Agent CLASS NOTES Directory HALL A | M.D. CLASS NOTES

Class agents are dedicated alumni who ’57 Larry Coletti, 34 Gulliver Circle, Norwich, CT 06360, ’68 David Jay Keller, 4 Deer Run, Mendon, VT 05701, ’00 Jay Edmond Allard, USNH Yokosuka, PSC 475 Box volunteer their time to serve as the voice of (860) 887-1450 (802) 773-2620, [email protected] 1757, FPO, AP 96350, [email protected] Timothy John Terrien, 14 Deer eld Road, South Michael Jim Lee, 71 Essex Lane, Irvine, CA 92620, Peter Ames Goodhue, Stamford Gynecology, P.C., their classmates at the College of Medicine, ’58 Burlington, VT 05403, (802) 862-8395 [email protected] 70 Mill River Street, Stamford, CT 06902, (203) and who work to encourage support of Todd Gladstone, [email protected] Naomi R. Leeds, 305 Third St. #204, Cambridge, MA 359-3340 the College each year. Agents help deliver 02142, [email protected] Susan Pitman Lowenthal, 200 Kennedy Drive, Jay E. Selcow, 27 Reservoir Road, Bloom eld, CT ’69 information to their far- ung friends about ’59 Torrington, CT 06790, (860) 597-8996, Ladan Farhoomand, 1481 Regatta Road, Carlsbad, 06002, (860) 243-1359, [email protected] ’01 the ongoing work of the College, and at susan_w_pitmanlowenthal@p zer.com CA 92009, (626) 201-1998, [email protected] the same time help their medical alma Marvin A. Nierenberg, 15 West 81st Street, Joel W. Keenan, Greenwich Hospital, Five Perryridge ’60 Raymond Joseph Anton, 1521 General Knox Road, New York, NY 10024, (212) 874-6484, ’70 Road, Greenwich, CT 06830, [email protected] mater keep abreast of the news and views Russell, MA 01071, (413) 568-8659, [email protected] JoAn Louise Monaco, 1034 Fifth Avenue, New York, of their class. If you would like to learn [email protected] Melvyn H. Wolk, Clinton Street, P.O. Box 772, NY 10028, (212) 988-7788, [email protected] more about serving as a class agent, John F. Beamis, Jr., 1296 Kapiolani, Apt. 1605, Waverly, PA 18471, (570) 563-2215, Honolulu, HI 96814 Jonathan Vinh Mai, 504 Ga ney Road, contact Cristin Gildea at (802) 656-4014 [email protected] ’02 Bristol, TN 37620, (570) 275-4681, or [email protected]. Wayne E. Pasanen, 117 Osgood Street, Wilfred L. Fortin, 17 Chapman Street, Nashua, NH ’71 [email protected] ’61 North Andover, MA 01845, (978) 681-9393, 03060, (603) 882-6202, [email protected] Kerry Lee Landry, (919) 732-9876, [email protected] ’43 Francis Arnold Caccavo, 51 Thibault Parkway, [email protected] Burlington, VT 05401, (802) 862-3841, ’62 Ruth Andrea Seeler, 2431 North Orchard, Chicago, IL Edwin G. Singsen, 439 Indian Avenue, Portsmouth, Mary O’Leary Ready, [email protected] 60614, (773) 472-3432, [email protected] RI 02871, (401) 849-6482, [email protected] [email protected] Class agent Alyssa Wittenberg, M.D.’08 Maureen C. Sarle, [email protected] Carleton R. Haines, 88 Mountain View Road, John J. Murray, P.O. Box 607, Colchester, VT 05446, F. Farrell Collins Jr., 205 Page Road, Pinehurst, NC Williston, VT 05495, (802) 878-3115 ’63 ’72 ’03 Omar Khan, 33 Clearwater Circle, Shelburne, VT (802) 865-9390, [email protected] 28374, (910) 295-2429 05482, (802) 985-1131, [email protected] H. Alan Walker, 229 Champlain Drive, Plattsburgh, NY ’44 Wilton W. Covey, 357 Weybridge Street, James M. Betts, 715 Harbor Road, Alameda, CA ’78 Paul McLane Costello, Essex Pediatrics, Ltd., Lawrence I. Wolk, 5724 South Nome Street, Scott Goodrich, 309 Barben Avenue, Watertown, NY 12901, (518) 561-8991, [email protected] ’73 Middlebury, VT 05753, (802) 388-1555 94502, (510) 523-1920, [email protected] 89 Main Street, Essex Junction, VT 05452, (802) Greenwood Village, CO 80111, (303) 771-1289, 13601, [email protected] 879-6556, [email protected] [email protected] Anthony P. Belmont, 211 Youngs Point Road, Philip L. Cohen, 483 Lakewood Drive, Winter Park, ’45 Robert E. O’Brien, 414 Thayer Beach Road, ’64 Jillian S. Sullivan, [email protected] FL 32789, (407) 628-0221, [email protected] ’04 Colchester, VT 05446, (802) 862-0394, Wiscasset, ME 04578, (207) 882-6228, ’79 Sarah Ann McCarty, [email protected] ’89 Peter M. Nalin, 13216 Gri n Run, Carmel, IN 46033, Steven D. Lefebvre, [email protected] [email protected] [email protected] Suzy Parker, [email protected] Dennis Plante, [email protected] (317) 962-6656, [email protected] H. Gordon Page, 9 East Terrace, South Burlington, VT ’05 Julie A. Alosi, [email protected] George A. Little, 97 Quechee Road, Hartland, VT Douglas M. Eddy, 5 Tanbark Road, Windham, NH Richard Nicholas Hubbell, 80 Summit Street, Barbara Angelika Dill, 120 Hazel Court, Norwood, NJ 05403, (802) 864-7086 ’65 ’74 ’80 ’90 Richard J. Parent, [email protected] 05048, (802) 436-2138, 03087, (603) 434-2164, [email protected] Burlington, VT 05401, (802) 862-5551, 07648, (201) 767-7778, [email protected] Please email [email protected] [email protected] Cajsa Schumacher, 78 Euclid Avenue, Albany, NY [email protected] ’06 William C. Eward, 101 Wood Valley Corner, Durham, ’46 John Dewey, 15 Eagle Street, Cooperstown, NY if you’d like to serve as 1946 class agent. Joseph H. Vargas III, 574 US Route 4 East, Rutland, 12203, [email protected] ’91 NC 27713, [email protected] VT 05701, (802) 775-4671, [email protected] ’81 Bruce Leavitt, 312 Four Sisters Road, South 13326, [email protected] Deborah Rabinowitz Abrams, Edward Crane, MD ’47, P.O. Box 1799, ’75 Ellen Andrews, 195 Midland Road, Pinehurst, NC Burlington, VT 05403, [email protected] 2777 Noll Valley Loop NE, Poulsbo, WA 98370, ’47 Mark Eliot Pasanen, 1234 Spear Street, South Frisco, CO, 80443 ’66 Robert George Sellig, 31 Overlook Drive, 28374, (910) 295-6464, [email protected] Betsy Sussman, 325 Dorset Heights, South ’92 [email protected] Burlington, VT 05403, (802) 865-3281, Queensbury, NY 12804, (518) 793-7914, Burlington, VT 05403, [email protected] Don P. Chan, Cardiac Associates of New Hampshire, [email protected] ’48 S. James Baum, 1790 Fair eld Beach Road, Fair eld, [email protected] ’76 Louis Polish, 11 Vale Drive, South Burlington, VT ’07 Allison Collen, [email protected] CT 06430, (203) 255-1013, [email protected] Suite 103, 246 Pleasant Street, Concord, NH 03301, Scot Millay, [email protected] G. Millard Simmons, 3165 Grass Marsh Drive , 05403, [email protected] Joanne Taplin Romeyn, 22 Patterson Lane, Durham, (603) 224-6070, [email protected] ’93 Anne Coates, [email protected] Mount Pleasant, SC 29466, [email protected] CT 06422, (860) 349-6941, [email protected] ’49 Joseph C. Foley, 32 Fairmount Street, Burlington, VT Diane Rippa, [email protected] 05401, (802) 862-0040, [email protected] ’77 James C. Hebert, 583 Stockbridge Road, Charlotte, ’82 Brad Watson, [email protected] ’67 John F. Dick II, P.O. Box 60, Salisbury, VT 05769, ’08 Mark Hunter, 21 Lindenwood Drive, South Edward S. Sherwood, 24 Worthley Road, Topsham, VT 05445, [email protected] Burlington, VT 05403, [email protected] (802) 352-6625 Holliday Kane Ray eld, P.O. Box 819, Waits eld, VT VT 05076, (802) 439-5816, [email protected] Mark A. Popovsky, 22 Nauset Road, ’83 Diane M. Georgeson, 2 Ravine Parkway, ’94 Alyssa Wittenberg, 1800 N. Normandie Ave. 05673, (802) 496-5667, ray [email protected] Sharon, MA 02067, (781) 784-8824, Oneonta, NY 13820, (607) 433-1620, #303, Los Angeles, CA 90027, Simon Dorfman, 8256 Nice Way, Sarasota, FL [email protected] [email protected] ’50 Allyson Miller Bolduc, 252 Autumn Hill Road, [email protected] 34238, (941) 926-8126 Anne Marie Massucco, 15 Cedar Ledge Road, ’95 South Burlington, VT 05403, (802) 863-4902, Ashley Zucker, 2209 Albany Street, West Hartford, CT 06107, (860) 521-6120, Edward W. Jenkins, 7460 South Pittsburg Ave., [email protected] Durham, NC 27705, [email protected] ’51 [email protected] Tulsa, OK 74136 , (918) 492-7960, Anne Marie Valente, 66 Winchester St., Rebecca Brakeley, [email protected] [email protected] Richard C. Shumway, 34 Coventry Lane, Avon, CT ’96 ’09 ’84 Apt. 503, Brookline, MA 02446, Kate Murray Mitchell, [email protected] 06001, (860) 673-6629, [email protected] ’52 Arthur Kunin, 226 Windmill Bay Road, Shelburne, VT [email protected] Campbell Stewart, [email protected] 05482, (802) 985-5410, [email protected] Patricia Ann King, 832 South Prospect Street, ’85 Vito Imbasciani, [email protected] Michael Alavian, [email protected] Arthur Perelman, 165 Woodland Ave., Summit, NJ Burlington, VT 05401, (802) 862-7705, ’10 Suzy Frisch, [email protected] Pei Chen, [email protected] 07901, (908) 277-6454, [email protected] [email protected] Heidi Schumacher, [email protected] ’86 Darrell Edward White, 29123 Lincoln Road, Bay Please email [email protected] Julie Smail, 390 Bridge St., South Hamilton, MA ’53 Village, OH 44140, (440) 892-4681, ’97 Carrie Moats, [email protected] if you’d like to serve as 1953 class agent. 01982, (978) 468-1943 , [email protected] ’11 [email protected] Nicholas Aunchman, Halleh Akbarnia, 2011 Prairie Street, Glenview, IL [email protected] ’54 John E. Mazuzan Jr., 366 South Cove Road, ’87 J. Michael Jaeger, Grove Road, Charlottesville, VA ’98 Burlington, VT 05401, (802) 864-5039, 60025, (847) 998-0507, [email protected] 22901, [email protected] Melissa Marotta Houser, [email protected] Je rey Rosenblatt, 11 McQuillans Hill Drive, ’12 Everett Jonathan Lamm, 11 Autumn Lane, [email protected] Gorham, ME 04038, je [email protected] ’99 Richard Bailey, 2100 Lambiance Circle, Apt 201, Stratham, NH 03885, (603) 580-2666, Auna Leatham, [email protected] ’55 Helene Goldsman, 105 Pamunkey Turn, Naples, FL 34108, [email protected] [email protected] Meghan Beucher, [email protected] Yorktown, VA 23693, [email protected] Deanne Dixon Haag, 4215 Pond Road, Sheldon, VT Martha Choate Monson, Ira H. Gessner, 1306 Northwest 31st Street, ’56 H. James Wallace III, 416 Martel Lane, 05483, (802) 524-7528 [email protected] Gainesville, FL 32605, (352) 378-1820, ’88 Class agent Wayne Pasanen, M.D.’71 St. George, VT 05495, (802) 872-8533, [email protected] .edu [email protected]

40 VERMONT MEDICINE UVM Med Photo Photographer Name, Photographer Name VOL 50, ISSUE 1 • 2013 41 Obituaries HALL A | OBITUARIES

’55 Marshall G. London, M.D. psychiatry, and a leader in the eld ’63 Peter D. Upton, M.D. American Pathology Foundation Defense called Medical Education Dr. London died at home in of behavioral psychiatry. He was Dr. Upton died March and as a delegate to the Board of for National Defense, whose Burlington, Vt., on Dec. 12, 2012. a founder of the National Head 4, 2013, at his home in the College of American Pathology. mission was to interest young He was 83. He was born and raised Injury Association, and served on Wallingford,Vt. He was 76 years Although he retired from his physicians in medical careers in the in Burlington’s Old North End, its board for many years. Born old and had battled cancer for pathology practice in 1993, he armed services. During this time and graduated with his bachelor’s in Philadelphia, Pa., in 1927, he the past two years. Dr. Upton came out of retirement in 2001 to he developed an excellent rapport degree in 1951 from UVM, where was a graduate of Central High was born in Burlington, to Dr. work as the chief pathologist for with medical schools throughout he was president of the Tau Epsilon School, and served in the United Hiram Eugene Upton and Doris Miners’ Colfax Medical Center the country. For his service during Phi Fraternity. After medical school States Navy during World War Dodds Upton. He graduated from in Raton, and later served as chief this time, he was awarded the Dr. London began his career with II. After the war, he attended Burlington High School in 1953. medical o cer at Lovelace Medical Legion of Merit and the Army an internship at the Mary Fletcher Temple University on the GI bill, After graduating from Dartmouth Center in Albuquerque until Commendation Medal and was Hospital, followed by a residency earning his B.S. degree in 1950. College in 1958, he attended the retiring again in 2010.  roughout promoted to the rank of Colonel at Mount Zion Hospital in San After graduating from Temple, he College of Medicine, graduating his career, he was active in in September 1966. He retired Francisco, Calif. Subsequently, he earned an M.S. in Experimental in 1963, and earning a master’s government a airs, working with from the U.S. Army in 1968. served as a  ight surgeon in the Psychology at Columbia University, degree in neuroanatomy along New Mexico state legislators as well Beginning in 1970, Dr. Tormey U.S. Air Force in South Carolina. and then a Ph.D. in Psychology the way. After nishing medical as members of the New Mexico served as the Assistant Dean for From 1961 to 1963, he completed from the University of Pennsylvania. school, he completed his training congressional delegation on matters the College of Medicine and soon a rheumatology fellowship at the After receiving his M.D. from the in Denver, Colo., and Burlington, a ecting health care. after, became the Associate Dean Manchester Royal In rmary in College of Medicine, he completed and in 1969 moved with his family for Admissions and Student A airs. England, which included clinic his residency training at  e Johns to Wallingford, where he began ’76 David A. Paulus, M.D. During the next two decades, he visits across Europe. After returning Hopkins University and served as what would be a 40-year career as a Dr. Paulus, a professor of shepherded hundreds of young to Burlington from England, he Chief Resident from 1956 to 1958. neurosurgeon, serving the Rutland anesthesiology at the University physicians-in- training through the and his family moved to California, After an initial appointment at area and southern Vermont, until of Florida and Shands Health ups and downs of medical school. where he joined a private practice Hopkins, Dr. Pollack served as the illness forced him to fully retire System, died unexpectedly on He was also an Associate Professor in Los Gatos. In 1970, they again founding chair of the Department in 2011.  roughout his life, Dr. December 12, 2012. He was of Family Practice, and chaired the returned to Burlington, where Dr. of Psychiatry at the Mt. Sinai Upton was an avid outdoorsman, 67. Dr. Paulus received an medical school’s Committee on London opened a private practice Hospital in Baltimore. He joined naturalist, and conservationist. engineering master’s degree from Instructional Improvement and on Orchard Terrace. A lifelong the faculty of the Rutgers Medical the University of Wisconsin Curriculum. From 1983 to 1991, advocate of universal healthcare, School in 1968, and served as ’64 S. Victor Savino, M.D. prior to entering the College of Dr. Tormey also served as Associate he was committed to providing for the Chair of the Department of Dr. Savino died on March Medicine. After graduation he David M. Tormey, M.D. Dean for Alumni Relations and the underserved and the elderly, Psychiatry at the Robert Wood 10, 2011, in Raton, New Mexico, pursued an anesthesiology residency used his considerable writing and he volunteered as a mentor and Johnson Medical School from from natural causes. He was born in at the University of Florida/ and editorial talents to develop teacher at the College of Medicine 1972 to 1986. Northampton, Mass., in 1931, and Shands Health system. At Shands, with a bachelor’s degree in botany. Ophthalmology in Burlington. N.Y. After completing his residency the College of Medicine’s alumni for many years. He made house graduated from St. Michael’s High he served as associate chair for He earned a master’s in botany He was a member of the faculty of in internal medicine at Brooke magazine, then known as Hall A. School in Northampton before calls equipped with his medical ’57 Leonard W. Halling M.D. clinical care in the department of from UVM in 1941. In the 1930s the College of Medicine, reaching General Hospital in San Antonio, In 1991 Dr. Tormey retired from bag, and sometimes with plumbing Dr. Halling died on earning a degree in chemistry from anesthesiology, medical director he was a member of the Vermont the rank of Clinical Professor, and Texas, he entered the U.S. Army UVM, but continued to serve or electrical tools to assist with all November 13, 2012. Born in the University of Massachusetts of Shands’ operating room and National Guard. Following was acting Chief of the Division and served in Korea from 1953 as Associate Dean for Alumni manner of repairs. He retired in Aurora, Ill., he received a bachelor’s at Amherst. His college career Shands HomeCare. He also served graduation from UVM, he was of Ophthalmology from 1972 to 1954 as Commanding O cer Relations until 1994. At the time 1997, but continued, even in his degree from the University of was interrupted by two years as president of the Alachua County commissioned as a Lieutenant to 1977. He was an Attending of the 3rd Medical Battalion, 3rd of his retirement, the Medical last year, attending Grand Rounds Chicago. He was drafted into of military service in the U.S. Medical Association and chair of in the US Army. He stayed on at Surgeon at both the Medical Infantry Division. In recognition Alumni Association and other at Fletcher Allen Health Care and the Army in 1945. After earning Army. He worked as a laboratory the Council on Medical Education UVM to teach Military Science and Center Hospital of Vermont and of his service in Korea, Major donors established the David M. visiting former patients in their his M.D. from UVM he did technologist at Cooley Dickinson and Science at the American Tactics (ROTC) during World War Fanny Allen Hospital. He was Tormey was awarded the Bronze Tormey Award for Perseverance in homes. an internship at General Rose Hospital in Northampton and Medical Association. Dr. Paulus II. During 1945 he was stationed active in the College of Medicine Star. From 1954 to 1959, he the Pursuit of Medical Education, Hospital in Denver, Col..  at later chief laboratory technologist was also a professor of mechanical in Alaska on the Aleutian Island of Alumni Association, serving as the continued his military service as in appreciation of his years of ’56 Irwin W. Pollack, M. D. was followed by a residency in at Franklin County Hospital in engineering and helped create a Shemya. On return from the Army, Association’s President from 1972 Chief of Outpatient Service at service to the College of Medicine Dr. Pollack, a professor pathology from 1957–1962 at Green eld, Mass., before entering course for engineers to improve he earned a Doctor of Optometry to 1974. the U.S. Army Hospital at the and its students.  e annual award emeritus of psychiatry and Tripler Hospital in Honolulu, the College of Medicine in 1960. the design of operating room degree from Pennsylvania College U.S. Military Academy at West continues in perpetuity. neurology at the Robert Wood Hawaii. Following his residency he In 1968, after nishing residency equipment. of Optometry in Philadelphia. In David M. Tormey, M.D. Point, N.Y. He served next for All who knew Dr. Tormey, Johnson Medical School, died on was stationed at Ft. Bragg, N.C. He at Mary Fletcher Hospital, he 1950 he entered practice with his Dr. Tormey died on Feb. 26, 2013, two years as Assistant Chief of the especially former students, are Jan. 6, 2013, due to complications was later transferred to the Armed started his anatomic and clinical father-in-law, Francis W. Norris, in the Vermont Respite House in Department of Internal Medicine encouraged to join in a celebration from cancer/mylodysplastic Forces Institute of Pathology in pathology practice at St. Joseph’s FACULTY M.D., of St. Albans. In 1951 he Williston, Vt. Born in Rochester, at Madigan General Hospital in of his life at his home at 163 syndrome. He was 85, and resided Washington DC. In 1967 he retired Hospital in Albuquerque, and entered the College of Medicine, N.Y., in 1925, he attended Aquinas Tacoma, Wash., prior to moving Killarney Dr. in Burlington on Edward S. Irwin, M.D. in Tucson, Ariz., and Cabot, Vt. from the Army and headed to Hays, shortly thereafter became the chief ’55 earning an M.D. in 1955. After Institute in Rochester and in 1944 with his wife and young children May 4, 2013, at 4 p.m. A pioneer in the treatment of Kansas to start his own pathology pathologist for the hospital system. Dr. Irwin died on Feb. 7, graduation, he served an internship graduated from  e College of the back east in 1961. From 1961 to traumatic brain injury, Dr. Pollack lab, which became a major reference In 1972, he founded S.E.D. 2013, at the Converse Home in at the Glens Falls, N.Y. Hospital Holy Cross in Worcester, Mass., 1965, Dr. Tormey served in various made fundamental contributions laboratory for western Kansas and Medical Laboratories, an outpatient Burlington after a long journey and an Ophthalmology Residency with a degree in biology. In 1948, capacities in the O ce of the We also note the passing of Edgar Jacob to the development of cognitive eastern Colorado. Dr. Halling medical reference laboratory. He with Alzheimer’s disease. He was at the Strong Memorial Hospital he graduated from New York Surgeon General in Washington, Caldwell III, M.D.’58; Joseph R. Kelly, rehabilitation therapy. Later in also taught at Fort Hays State served in various capacities in 94. He graduated from Burlington of the University of Rochester, Medical College in New York City DC. In 1965, he became the M.D.’56; Richard Charles Manjoney, his career, he became a professor University, and served as the county several professional organizations, High School in 1936 and the Rochester, N.Y. In 1958 he and subsequently did his internship National Coordinator for a M.D.’50; Paul M. Stoddard, M.D.’43; of neuropsychiatry in addition to coroner. He retired in 1992. including a term as president of the University of Vermont in 1940 returned to the private practice of at St. Mary’s Hospital in Rochester, program of the U.S. Department of and William T. Wallace, Jr., M.D.’61.

42 VERMONT MEDICINE College archives VOL 50, ISSUE 1 • 2013 43 January 28, 2013 4:40 p.m. Class of 2015 member Colleen Kerrigan, left, presents an award for outstanding performance as a standardized patient to Bob Bolyard, standardized patient trainer at the Clinical Simulation Laboratory. Foundations Awards honored outstanding teaching and support by individuals and departments during the rst level of the Vermont Integrated Curriculum.

photograph by Raj Chawla, UVM Med Photo

View all the latest Foundation Awards online. Go to: uvm.edu/medicine/vtmedicine Non-Pro t Org. U.S. POSTAGE PAID Burlington VT Permit No. 143

VERMONT MEDICINE 89 Beaumont Ave. Burlington VT 05405

Reconnect with faculty. Revisit the your medical career place where began. Recall the good times. Renew old friendships. old Renew good times. the Recall

May 31–June 2 2013

ATTENTION CLASSES OF 1943, ’48, ’53, ’58, ’63, ’68, ’73, ’78 ’83, ’88, ’93, ’98, ’03 & ’08!

The UVM Medical Alumni Association invites you and your family to plan now to join your classmates for Reunion 2013 — May 31–June 2, 2013. Come back to Burlington and the UVM campus, your home during medical school. You may have lost contact with your classmates and former teachers, but Reunion will give you the chance to reconnect, rekindle old friendships, check out favorite places, talk with faculty, meet the medical students of today, and experience rst-hand the For more information, contact the UVM Medical Development & Alumni growth and evolution of your medical alma mater. Relations O ce at (802) 656-4014 or [email protected]

EVENTS INCLUDE: Medical Education Today Session • Tours of the College, including the Clinical Simulation Laboratory Alumni Awards and Reception • Medical Alumni Picnic • Nostalgia Hour • Class Receptions

WWW.UVM.EDU/MEDICINE/ALUMNI