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MUNMED Summer 2010 Faculty of Medicine Vol MUNMED summer 2010 Faculty of Medicine vol. 22 no.2 Dr. Dawn Howse An alumna of distinction 2 Getting it right 18 Of note 5 History of medicine days 21 Do you have a salty tooth? 6 Graduation stories 26 Exercise our minds inside 14 Graduate student awards 32 MGS news MUNMED news History of medicine research engages students FIVE MEDICAL STUDENTS from Memorial participated in the 2010 History of Medicine Days at the University of Calgary in March. There were two posters and three podium presentations, including two premier presentations by Shaina Goudie, second-year, who received first prize for the best audiovisual presentation; and David Harnett, first-year, who received the William Whitelaw Award for placing second overall for his paper. Shaina’s project looked at the diaries of Dr. Robert Dove while aboard the floating clinic, the boat Lady Anderson, that serviced the southwest coast of Newfoundland. Her presentation was titled “Keeping healthcare afloat: Dr. Robert Dove and the Lady Anderson, 1936-1938.” David Harnett’s paper was “A Scourge No More: The Portrayal of the WHO Smallpox Eradication Program by the North American Media.” David praised the efforts of Dr. Jim Memorial medical students at the History of Medicine Days at Connor, John Clinch Professor of Medical Humanities and the University of Calgary. From left: Angelique Myles, David History of Medicine. “He has committed himself to cultivating Harnett, Curtis Budden, Shaina Goudie and Bolu Ogunyemi. student interest in the history of medicine. Without his help and guidance, my project would not have been possible.” Also participating in the History of Medicine Days were MUNMED is published by the Division Curtis Budden, second-year and Angelique Myles and Bolu of Marketing and Communications Ogunyemi, both first-year students. and the Faculty of Medicine, Memorial University of Newfoundland. Curtis presented a paper on “Plastic surgery in World War I and today: the pedicle flap.” He commented that the conference Editor: Sharon Gray was great and exposed him to a completely different area of Graphics and layout: Jennifer Armstrong medical research – the history of medicine. Photography: John Crowell, Terry Upshall and Chris Hammond Angelique’s paper was titled “A Leper by No Other Name: news Perpetuating Stigma in Discourse.” She said she really enjoyed ISSN: 0846-4395 the conference and found it to be very engaging and thought provoking. Contact: MED Sharon Gray Bolu’s paper was on “The Role of the Pharmaceutical [email protected] Industry in the Medicalization of Mental Illness.” 709 777 8397 Bolu said, “The History of Medicine Days Conference Printed by MUN Printing Services was a great chance to explore historical and social aspects of 010-579-08-10-2500 medicine outside of a classroom or hospital setting and interact MUN www.med.mun.ca with medical students from across the country.” 2 MUNMEDnews Getting it right at 18 months A NEW INITIATIVE in Ontario will provide funding for family physicians to conduct an enhanced 18-month well-baby visit. One of the tools doctors will use for this visit is the Rourke Baby Record (Ontario version), developed by Drs. Leslie and James Rourke, both now at Memorial’s Faculty of Medicine. “We developed this baby record in 1979 when we first started our medical practice in Goderich, Ontario,” explained Dr. Leslie Rourke, an associate professor in the Disciple of Family Medicine. Her husband, Dr. James Rourke, is dean of medicine. The Rourke Baby Record was first published in 1985 and the most recent edition was completed in 2009 by Drs. L. and J. Rourke and co-author Dr. Denis Leduc, an associate professor of pediatrics at McGill University and a past president of the Canadian Pediatric Society. Dr. Leslie Rourke said the Rourke Baby Record is a practical health supervision tool for health care practitioners of children from birth to five years of age. “It is evidence- based and includes structured forms for well baby and child visits, growth charts, an Dr. Leslie Rourke immunization chart and selected guidelines and resources.” In Ontario, the enhanced 18-month well-baby visit builds on the current 18-month check-up. The Ministry of Children and Youth Services describes this initiative as introducing a process which uses standardized tools to allow physicians to have a discussion with parents on child development and parenting, to identify those children who will require referral to specialized services and to inform parents about the local community programs that promote healthy child development and early learning. Dr. Rourke said 18 months is an important time to assess a child’s development. “It is an optimal time to assess development in speech and language as well as for consideration of autism spectrum disorder. It’s late enough to detect problems in the child’s development but early enough to do something about it.” Eighteen months is also an important time because it is the age of the last scheduled immunization before the pre-school vaccines, and thus some children are not seen again until almost five years of age. Would an initiative like Ontario’s be valuable to the people of Newfoundland and Labrador? “Absolutely,” said Dr. Rourke. “It is time to look into this and to involve several groups locally such as pediatricians, public health professionals and the provincial government.” Since coming to Memorial in 2004, Dr. Leslie Rourke has continued work on the Rourke Baby Record. Related projects have included validation research on the tool with support from the province of Ontario, Ontario College of Family Physicians, and MUN’s Primary Healthcare Research Unit (PHRU). She has also developed a website with the help of staff in the Faculty of Medicine’s Professional Development and Conferencing Services, assisted by a Dr. Wallace Ingram Award for new faculty from the MUN Medical Graduates’ Society. The website address is www.rourkebabyrecord.ca. “It is an optimal time to assess development in speech and language as well as for consideration of autism spectrum disorder.” 3 MUNMED news An alumna of distinction FOR HER SERVICE to medicine and to Africa, Dr. Dawn Howse was awarded an honorary doctor of laws degree from Memorial on May 27. Dawn Howse graduated from Memorial’s medical school in 1978. Her first appointment was at Woody Point where she worked until 1981 when she moved into private practice in Corner Brook. Four years later she took a momentous decision; she would become a Salvation Army officer and put her medical abilities to use in Africa. With training in tropical medicine at the Liverpool School of Tropical Medicine, England, she went to Howard Hospital in northern Zimbabwe in 1988. In 1992 she moved to Tshelanyemba, near the border with Botswana, to a hospital that had been upgraded from a nursing station. While there serving the 45,000 people in the region, she was the only medical doctor in the 105-bed hospital, supported by a staff of 25 nurses. In that role, Dr. Howse managed the care of an average Dean James Rourke and Dr. Dawn Howse of 50 in-patients daily, and was consulted on management of an average of 25 out-patients daily. The hospital saw some 350 new tuberculosis patients a year, as well as men Perhaps no one at this convocation should be surprised and women diagnosed with HIV/AIDS. In addition, she to learn that the woman standing before you plunged 110 was consulted by the region’s midwives, doing about 40 metres from the bridge at Victoria Falls, zip-lined over the ultrasounds per month, and performed about 20 surgical Zambezi River gorge and flew in a hot air balloon. Above all procedures per month. else, Dawn Howse is a woman of faith.” She returned to this province after 20 years of service to Dr. McKay said that Dr. Howse’s career in Zimbabwe Zimbabwe and for the past two years has practiced medicine serves as a template for the perfect medical school curriculum in Newfoundland. in which the medical expert also demonstrates competency as a scholar, professional, advocate, communicator, collaborator In an oration honouring Dr. Howse, Dr. Don McKay and manager. “In working with a steady stream of patients used the metaphor of bungee jumping for her life. “Bungee from early morning to late in the evening, Dr. Dawn Howse jumping involves a leap of faith. With one small step, you was a teacher to nursing students, patients and their families. plummet headlong into an experience praying all the while She represented her hospital in professional associations and that the preparations were adequate, the supports will hold, was a tireless advocate for her patients in Zimbabwe and the harness will not slip, and perhaps that there are no abroad. Quite likely, a number of people at this convocation crocodiles lurking in the waters below. And then, when you supported some of the many projects and appeals that were reach the end, you bob up and down a few times, until you initiated or promoted by her.” are winched back to where it all started. Some will thank God for their safe return and then get right back in line to take another jump or seek a new adventure. 4 MUNMEDnews A special connection Drs. Dawn Howse and Kathryn Sparrow both received degrees at spring convocation. Dr. Howse was awarded an honorary degree in recognition of her years of service in Zimbabwe; Kathryn received her medical degree. But the two women share another relationship. On Sept. 18, 1984, Dr. Howse brought Kathryn into the world. She was one of two female doctors in private practice in Corner Brook at the time, and Anne Lynch chose her to deliver her first child.
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