Document No. Nchh-44-036
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NORTH CAROLINA HISTORY OF HEALTH DIGITAL COLLECTION Medical Alumni Bulletin [1977-2002] Volume 36 (1990) DOCUMENT NO. NCHH-44-036 || http://hsl.lib.unc.edu/specialcollections/nchealthhistory || This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). For more information about the collection, or to search other volumes, please visit: || http://hsl.lib.unc.edu/specialcollections/nchealthhistory || Vol. 36. Mentoring Medi^h ' Students i Deans Page advocates for our patients or potential pa Certainly basic research offers the best tients in urging more comprehensive and promise of major advance in diagnosis, pre effective (and often more expensive) pro vention, and treatment of disease. But health grams. Even now many of us believe it very services research offers the best hope of important to find a way to provide compre maximizing our effectiveness within the cur hensive health care for the millions of unin rent state of the art. We need both. We also sured and underserved poor in this country, need experienced clinicians who participate but we do not usually seek offsetting savings. actively at the federal and state levels in the The cost of health care is now a serious design and analysis of a program of cost burden on the economy of the nation as well containment. as that of many individuals and corporations. This is tedious and demanding work that 1 believe we are now bumping up against is not for the casual amateur. But it is possi limits of the compromise in other personally ble for practicing physicians, through serious and socially valuable services which the application, to become broadly knowledge nation will tolerate in order to fund further able of health care financing and its conse increases in the cost of health care. quences, and 1 hope that among our alumni In North Carolina, for example, it seems there will be some who will take up this that there is a broad consensus supporting challenge. improved primary and secondary education as our great social need for the coming decade. I anticipate serious and at least par .^</^.(?>^/- /^^'^'-^^'^^ tially effective further moves to control the Stuart Bonditnint. Dean cost of health care over the next few years, and 1 believe these efforts must result in or many years now the costs of discriminating choices among competing health care in the United States virtues and values. have increased faster than the It is not at all clear that these efforts, often costs of most other goods and quite reasonable in themselves, will be de Fservices. signed to anticipate the full range of conse And also for many years critics have urged quence in a complex system. For example, various approaches to restrain the continu many support the adoption of some version ing increase in health care costs. Often these of the resource-based relative value system approaches to cost containment have been as a basis for determining payment of physi flawed and ineffective or even counterpro cians. Who has considered, however, what ductive, in part, in my view, because they the effect of this arrangement will be on rural have been designed without allowing for hospitals? some of the the characteristics of clinical The ultimate choices will be made by the practice and for some of the values by which public, in part through their elected repre patients make decisions. sentatives in federal and state government Often those of us with immediate patient and in part through the individual decisions care responsibilities have quite rightly been by which they determine their health care. But these choices are best informed by fact and experienced judgment. The facts we most need are those that define the effective ness of our interventions as practiced in the community setting, ft is urgent. I think, that those who are paying for health care support the costs of analyzing its effectiveness. Medical Alumni BULLETIN School of Medicine, University of North CaroHna at Chapel Hill Alumni Publications Advisory Committee Contents Nancy C. Cliescheir. M. D, '82 W. Grimes Byeriy Jr., M.D. "50, ex officio Features Gerald W. Fernald. M.D. '60 Advisors Program Helps Students Daniel Gottovi, M.D. 71 (HS), Pursue Their Careers 2 ex officio Integrity in Research: GeorgeJohnson Jr.. M.D. "50 Finding the Right Balance 5 Janice C. Keene, M.S. Kenneth J. Levin, M.D. Laughter—It's Good Medicine 8 William S. Pollitzer. Ph.D. With Re-accreditation, CME Program David A. Rendleman, M.D. 70, Embarks on New Course 10 ex officio Computer Modeling Emerging William E. Easterling Jr.. M.D. '56, As Reliable Research Adjunct 12 ex officio John W. Stokes, ex officio Departments Editor Dean's Page Inside Front Cover John W. Stokes, Director. Inslitiitioiuil Relations News Briefs 15 Class Notes 20 Contributing P^ditors Val Lauder Faculty Notes 22 Leslie M. Purcell Honor Roll 24 Jon Ross President's Letter Inside Back Cover Beverly B. Thompson Alumni/CME Calendar Back Cover Michael A. Wagoner On the Cover The heart of the Advisors Piogrum is the one-to-one time shaicil between medical The Mciliuil Ahiimii Hiillclin is published limr (IIIILS students and faculty, in settings such as this with Herhert A. Coopct, M. D.. professor annually hy the llniversilynr North Carolina at Chapel Hill MeJieal Alunini Assdeialiim, Chapel Hill. NC of pediatrics and pathology. In the smaller photographs: M, Susan Tucker. M,D,. 27514 Puslage is paid hy the non profit association assistant professor of surgery, discusses reterence materials with tlrst-year student lhrouj;h US. Postal Permit No. 2-4 Address eorrc- Teressa McKoy; and James K Huth. M,D,. associate professor of surgery, meets in spondenec to the editor, OITiee of Medieal Center his home with Herb Harwell, a first-year student. {Photos In Jay Manf>iini) Puhlic Alfairs. .School of Medicine. CB #7hO(l. University ol North Carolina. Chapel Hill. NC 27514. The Many Facets of the Advisors Program By Val Lauder advocates in any official review that deals Advisors are always with problems in performance or behavior. he problems that medical students Advisors typically work with administrators face have been the basis for more to pinpoint the source of the problem and novels, movies and TV dramas included as students' offer solutions. than one can count without a "For example, a student may underestimate Tcalculator. But that in no way takes away from advocates in any the impact of a part-time job on study time the real problems that medical students can until a poor evaluation is recorded. Or, learn experience. official review that ing disabilities or anxiety problems may in "This medical school, I'm pleased to say, terfere with effective study and/or test per has a lot of resources to help people along deals with problems formance. Remedial programs are available the way," says Cheryl F. McCartney, M.D., to help students master difficulties such as associate dean for student affairs. The in performance or i these." school's Advisors Program is central to these Twice a year, McCartney hosts lunchtime efforts. behavior. Advisors meetings for the entire group of faculty ad The advisors include about 100 faculty visors to discuss issues of general concern to members, all volunteers. The help they pro typically work with | students and to present new policies and vide can take a number of forms: counseling programs. on personal problems; help in finding assist McCartney says she receives calls from ance and tutoring for academic problems; administrators to j advisors seeking advice about counseling advice about research projects; arranging students. Generally, she helps them to help visits with practicing physicians; and even pinpoint the source the student, rather than stepping in herself. help in determining career goals. Nadia Malouf, M.D., associate professor "The Advisors Program is one of many of the problem and of pathology, dealt with a student who came ways that we have to help medical students," to her office almost daily the first two or McCartney points out, "so we have to place offer solutions.^^ three weeks, concerned about passing it in that context. Often, an advisor helps the anatomy. student to find the appropriate resource in Cheryl F. McCartney, M.D.; "I think she was concerned that she could our system. Students meet their faculty ad not do as well as she was used to doing," visors during their orientation on the first Malouf recalls. "She had taken biochemistry weekend." and cell biology before, so they were not new Traditionally, advisors invite their new to her. Human anatomy, she felt, was not students to dinner during the orientation communicate the advisor's encouragement totally under control." time and include their students from the up- for continued success, congratulations for The situation was so severe that Malouf perclasses, so they can meet the new arrivals. accomplishment or the advisor's availability called McCartney for guidance in handling They let students know what their office to students who may need academic assist the case.