VOLUME 17 • NUMBER 2 • 2015 FOR ALUMNI, FRIENDS, FACULTY AND STUDENTS OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH Quarterly Wisconsin Academy for Rural Medicine ENSURING CARE FOR AN UNDERSERVED POPULATION

MATCH DAY p. 8

GLOBAL HEALTH p. 10

ALUMNI AWARDS p. 16

There’s More Online! Visit med.wisc.edu/quarterly QUARTERLY AUGUST 2015 The Magazine for Alumni, Friends, Sunday, August 30 White Coat Ceremony, Faculty and Students of the University of Wisconsin CONTENTS School of Medicine and Public Health Union South, UW-Madison QUARTERLY • VOLUME 17 • NUMBER 2 EDITOR Kris Whitman SEPTEMBER 2015 ART DIRECTOR Christine Klann Thursday, September 17 Mini Med School: Infectious Disease–Megabugs, Health Sciences Learning Center PRINCIPAL PHOTOGRAPHER John Maniaci Friday, September 25 Middleton Society Event, PRODUCTION Gordon Commons, UW-Madison Michael Lemberger

WISCONSIN MEDICAL OCTOBER 2015 ALUMNI ASSOCIATION (WMAA): OCTOBER 16-17 • HOMECOMING WEEKEND EXECUTIVE DIRECTOR Karen S. Peterson Friday, October 16 Reunions for Classes of 1970, ’80, ’85, ’90, ’95, 2000, ’05 and ’10 EDITORIAL BOARD Christopher L. Larson, MD ’75, chair (details to be announced) Kathryn S. Budzak, MD ’69 Saturday, October 17 UW vs. Purdue Patrick McBride, MD ’80, MPH Maureen Mullins, MD ’79 CALENDAR Sandra L. Osborn, MD ’70 Patrick Remington, MD ’81, MPH NOVEMBER 2015 Wade Woelfle, MD ’95 Thursday, November 19 Green Bay Statewide Outreach Event EX OFFICIO MEMBERS (details to be announced) Robert N. Golden, MD, Andrea Larson, Karen S. Peterson, Jill Watson, Kris Whitman BOARD OF DIRECTORS 2014–2015 OFFICERS Steve Merkow, MD ’80, president Susan Isensee, MD ’83, president-elect Ann Ruscher, MD ’91, treasurer Donn Fuhrmann, MD ’76, past president Patrick McBride, MD ’80, MPH, past president BOARD MEMBERS Karen Adler-Fischer, MD ’80 Rural Health Match Day 14 Alumni Notebook Mathew Aschbrenner, MD ’06 The successful Wisconsin 8 Medical students and 24 Alumni Profile Mark Fenlon, MD ’84, MBA 4 Academy for Rural their loved ones thrill to Dirk Fisher, MD ’79 Medicine bolsters the the news about residency Kent Haselow, MD ’92 26 Awards matches. John Kryger, MD ’92 physician workforce for Daniel Jackson, MD ’03 underserved areas. 28 Spotlight Christopher L. Larson, MD ’75 Kyla Lee, MD ’98 30 Giving Back Ann Liebeskind, MD ’98 Meghan Lubner, MD ’03 32 Connections Kathryn E. Nixdorf, MD ’06 (national) Leon E. Rosenberg, MD ’57 (national) 34 Healer’s Journey John Siebert, MD ’81 Global Health Spring on Campus (above) Alex Tucker, MD ’75 10 Connected through their The Wisconsin State Capitol is a popular attraction 36 Student Life Steven Wiesner, MD ’85 (national) service in Liberia and through during warm spring and summer days. Michael Witcik, MD ’07 their affiliations with the 38 Research Advances BOARD ADVISORY COUNCIL SMPH, three individuals share Kathryn S. Budzak, MD ’69 their perspectives about that On the Cover 40 Perspective Philip Farrell, MD, PhD country’s Ebola crisis. Kay Gruling, MD ’88 QUARTERLY is published four times a year by the Wisconsin Medical Alumni Association (WMAA) Living her dream, Michelle Clark-Forsting, MD ’12, Charles V. Ihle, MD ’65 and the University of Wisconsin School of Medicine and Public Health (SMPH) MPH, soon will begin caring for patients near her Thomas Jackson, MD ’67 For editorial information, call (608) 263-4613 rural Wisconsin hometown. Robert Jaeger, MD ’71 For address corrections and to reach the WMAA, call (608) 263-4915 Sandra L. Osborn, MD ’70 Anne Schierl, MD ’57 E-mail us at [email protected] Wade Woelfle, MD ’95 Visit us on the web at med.wisc.edu/quarterly QUARTERLY 1 MESSAGES

ROBERT N. GOLDEN, MD STEVE MERKOW, MD ’80 ceremony. We are proud of the SMPH ello fellow Badger medical alumni! That weekend, I also competed in the students and faculty members and the On behalf of the Wisconsin Medical Crazylegs Classic. As a former runner, UW Hospital and Clinics resident who were HAlumni Association (WMAA), I express I decided to take the sport up again a year selected for membership in AOA this year. thanks to all who attended our Winter Event, before I turned 60. The day before my 60th As summarized in the Giving Back featured on page 14. I think the evening, birthday, I ran the Madison Mini-Marathon. article, two remarkable individuals, Dr. Jim “A Taste of Wisconsin,” was the best ever. Now, as I train for more races, I’m taking Berbee and Karen Walsh, are accelerating The Fluno Center provided a comfortable, advantage of a phone app that tells me the pace at which our Department of spacious venue for a record turnout. Medical when I should train for certain distances, Emergency Medicine is evolving into one students, alumni and their guests enjoyed a rest, cross-train, etc. My biggest challenge of the nation’s leading departments in that wide variety of savory Wisconsin fare. I was is making sure I can work these things in field. The Berbee Walsh gift provides for thrilled to be able to mingle with medical with my other responsibilities. It’s the story of an expanded emphasis on research and students to learn about their interesting our lives! academic development, as well as major backgrounds and experiences, as well as As you are aware, the proposed state enhancements in patient care. their future plans following their education budget cuts likely will cause a severe It is clear that the Wisconsin Idea strongly at the University of Wisconsin School reduction in the SMPH’s operating budget, resides in those who have trained and work of Medicine and Public Health (SMPH). affecting everything from faculty recruitment at the SMPH. For example, see the article I also enjoyed the opportunity to catch up and retention, research, education and featuring the UW-Madison Global Health with friends and meet people. We hope the infrastructure to support the school’s Institute—which weaves together stories for an equally successful turnout for our missions. Our financial support has never TODD BROWN/MEDIA SOLUTIONS about our faculty and alumni who have been upcoming events. been more important. If you have thought Middleton Society donations support and involved with the Ebola crisis in Liberia—and If your class is hosting a reunion this fall, about donating to the institution that provided t’s wonderful to embrace spring and transition of another icon, Dr. Norm Fost, encourage scientists, clinicians, teachers and the Alumni Profile of Dr. David Duppler, I encourage you to attend the Homecoming us the benefit of our careers, please follow students who translate hope into action. early summer after a long, cold winter. as he “retires.” Because “retiring” is not a who took a leave from his medical practice Weekend events—you won’t regret it! Dates your heart and donate at whatever level In this issue of , we look back Thank you fellow alumni for your past I Quarterly word that one readily applies to Dr. Fost, we to serve our country at the front lines in are listed on the inside cover of Quarterly you can. at our successful Winter Event, hosted by believe he will continue to serve our school and/or potential future support. I look forward Afghanistan. These are truly inspiring people and on the WMAA web site (www.med.wisc. Additionally, as these cuts take hold, to seeing you at future alumni events! the Wisconsin Medical Alumni Association and our missions for years to come, sharing who are making a difference in the world. edu/alumni) and Facebook page. My Class scholarship donations will be critical to help (WMAA) with the goal of establishing his expertise and passion for bioethics. Other wonderful rites of spring abound, of 1980 will celebrate our 35th reunion this reduce students’ indebtedness and ensure Steve Merkow, MD ’80 meaningful connections among alumni and We look forward to the next chapter in his including graduation, alumni reunions and fall, and I’ll be there, wondering how time has that we have well-trained physicians for our medical students. We also review some of evolving role here. President, Wisconsin Medical Alumni the annual transition of medical students gone so fast since we graduated and started society’s future needs. The recent WMAA Association the most glorious harbingers of spring at the Another wonderful transition is the to the next phases of their education. Stay our careers. Scholarship Reception (see page 17)—which University of Wisconsin School of Medicine appointment of one of our school’s tuned for highlights of these and other events When I was on campus for the annual brought together many generous donors and and Public Health (SMPH): Match Day and longstanding and dedicated leaders in in the next issue of Quarterly. WMAA Awards Banquet in April (see enthusiastic, grateful student recipients— the WMAA awards. the field of cancer, Dr. Howard Bailey, to page 16), I was pleased to celebrate the provided a strong reminder of the difference As we embrace the onset of this season’s the vitally important leadership position of Robert N. Golden, MD success of so many of our alumni, including these gifts can make. warm weather, it is fitting that we also director of the UW Carbone Cancer Center. Dean, University of Wisconsin School of my close friend and medical school With these things in mind, please embrace our WARM Program (Wisconsin In addition, we are delighted that Dr. Ruth Medicine and Public Health classmate, Dr. Pat McBride. After 11 years consider joining the Middleton Society, for Academy for Rural Medicine). WARM O’Regan has joined our faculty as the Vice Chancellor for Medical Affairs, as the SMPH associate dean for students, he which cumulative support and/or pledges provides rays of sunlight throughout rural head of the Division of Hematology and UW-Madison has chosen to step out of that role and focus count toward reaching the $10,000 Wisconsin as we develop a strong, vibrant Oncology in the Department of Medicine. his career on patient care and research— membership level. Those who join the pipeline of physicians who are dedicated These leadership recruitments occurred which he maintained while he was doing all society by early fall will be invited to attend to serving patients in rural communities in time for our wonderful Mini Med School three roles. (Watch for an article in the next the Middleton Society’s annual evening of that have faced a shortage of health care session on cancer, which dovetailed with issue of Quarterly.) gratitude on Friday, September 25, 2015. providers close to home. the PBS special, “Cancer: The Emperor of Spring also is a time in which we All Maladies.” recognize and respect transitions. We mourn This spring, we welcomed home one the passing of a true icon, Dr. William of our most distinguished alumni, Dr. Leon Craig, whose legacy provides a permanent Rosenberg, who inspired students, faculty foundation for our school’s infectious and me through his keynote address at our disease programs. And we celebrate the annual Alpha Omega Alpha (AOA) induction

2 VOLUME 17 • NUMBER 2 QUARTERLY 3 FEATURE STORY BY LISA HILDEBRAND

Rural Health SMPH AND ITS PARTNERS IN MARSHFIELD, LA CROSSE AND GREEN BAY TRAIN MEDICAL STUDENTS TO CARE FOR UNDERSERVED POPULATIONS

or Michelle Clark-Forsting, MD ’12, by her mother—from Stan Gaynor, the now- through WARM, and completed his or MPH, there’s no place like home. She retired CEO of Black River Memorial Hospital. her third and fourth years with one of our Falways wanted to be a physician, and “I read what he described in the academic partners in Marshfield, La Crosse many people in and around her hometown e-mail and thought, well, that’s me!” she or Green Bay,” describes Crouse, who paints of Alma Center, Wisconsin, helped her fulfill exclaims, adding that it offered her the that picture as he recalls visiting UW System that dream. chance to develop clinical skills relevant to campuses to promote WARM. Clark-Forsting (photo on cover), a rural practice. “Before we started the program, many graduate of the Wisconsin Academy for “I’ve always wanted to go back home students eliminated medicine for a career Rural Medicine (WARM) at the University of and serve the people I live with, work because they thought they had to go to a Wisconsin School of Medicine and Public with and play with,” says Clark-Forsting, big city for their undergraduate and medical Health (SMPH), will begin caring for patients whose mother, Cindy Clark, is the hospital’s degrees and on through their residencies. at the Krohn Clinic and Black River Memorial volunteer services manager. With WARM, that’s not the case,” he says. Hospital in November 2015. That’s where A member of WARM’s second class of WARM students spend their first two she received care as a child and where a students, Clark-Forsting will complete her years of medical school on the UW-Madison physician guided her path by sharing his old residency through the SMPH’s Eau Claire/ campus with classmates in the MD medical journals. Augusta Family Medicine Residency Program Program. They complete the required clinical After receiving a bachelor’s degree from in summer 2015. experiences in rural clinics near Madison and UW-Eau Claire in 2006, Clark-Forsting hoped Byron Crouse, MD, FAAFP, says Clark- relocate to Marshfield, La Crosse or Green she would begin medical school. The fact Forsting exemplifies the type of medical Bay for their third and fourth years. All of their that she wasn’t accepted at the schools student he envisioned when he and others required and core clerkships are completed where she applied turned out fortuitous in were planning the WARM Program, with in one of the regional sites, which serve as Third-year medical student Hope Villiard unexpected ways. the goal of easing the physician shortage in gateways to rural communities. examines a pediatric Two years later, she had earned a rural areas. “Marshfield Clinic, Gundersen Health patient at Aurora master of public health degree (MPH) “If I had a stereotype, that would be System and Aurora BayCare are truly equal BayCare in Green Bay. from UW-La Crosse, and the SMPH was someone who spent two years at UW-Barron partners in this,” Crouse says. “Dozens of launching WARM, which didn’t exist when County, went to UW-Eau Claire for a physicians who volunteer in the school’s Clark-Forsting first applied to medical school. baccalaureate degree, came to Madison long-running Preceptorship Program play a

COREY WILSON Further, she received an e-mail—forwarded for the first two years of medical school crucial role in WARM.” —continued on next page

4 VOLUME 17 • NUMBER 2 QUARTERLY 5 Kimberly Lansing, MD, PhD, a family By 2018, almost 60 WARM chose smaller UW campuses for at least medicine physician at Gundersen in some of their undergraduate work. Rebedew La Crosse, has been involved with WARM graduates will have completed stayed in his hometown for his first two since planning discussions ramped up in their residencies. More than years at UW-Fond du Lac before finishing 2004; she is the program’s director for his bachelor’s degree at UW-Madison. western Wisconsin. 40 have trained in primary Clark-Forsting’s undergraduate alma mater, Lansing notes, “WARM is rigorous and UW-Eau Claire, is about 45 miles from where robust. We know it is solid because these care fields, 10 in general and she was raised. COREY WILSON students are getting into residencies without Notably, Nathan Vakharia, MD ’11, was orthopedic surgery, and seven Nathan Vakharia, MD ’11, (above) one of the first a problem.” the first WARM graduate to complete a two WARM graduates, now practices medicine Clark-Forsting, a family medicine in emergency medicine. residency and begin caring for patients. in northern Wisconsin. His classmate, Clay physician, is one of the first WARM students Vakharia grew up in McFarland, Wisconsin, Dean, MD ’11, is completing a general surgery to complete clinical rotations in La Crosse. faculty in 2001 after caring for patients in 10 miles southeast of Madison, and was residency in Iowa and plans to begin practice in a Her classmate and close friend, Abigail Taub, Spooner, Wisconsin, for many years. drawn to WARM because of his desire to small Wisconsin community in 2016. MD ’12, chose a dermatology residency. “Because we heard this from our partners work in an underserved area. Taub shares, “I was initially hesitant as we created the program, we said we “Having the opportunity to train in a The same holds true for WARM students about going into dermatology because of would support our students in pursuing the rural environment for my third and fourth in La Crosse. the stereotype of cosmetic procedures and specialties of their choice,” Crouse adds. years of medical school and for residency “When we send students to our regional big-city medicine. But there is a great need The WARM Admissions Committee deepened my resolve to be a rural general clinics, they often are the only students, for medical dermatology in rural areas. A focuses on students who are most likely to practitioner—in part, because I saw the need and there are no residents, so they get an patient’s skin—on the outside—is a great practice medicine in a rural community— in rural areas,” says Vakharia, who moved to incredible amount of clinical experience,” clue to what’s happening inside.” for instance, those who hail from a rural far northern Wisconsin in 2014 with his wife says Lansing, an SMPH adjunct associate Fifty-eight percent of WARM graduates community, have an interest in family and two children after graduating from an professor. from 2011 to 2015 entered primary care medicine and show a record of community SMPH family medicine residency in Baraboo. Clark-Forsting recalls delivering eight residencies, including 29 who pursued engagement. After working at Michigan–Wisconsin babies on her own as a medical student at family medicine programs. “In talking with students, we can Family Practice Associates for six months, Gundersen in La Crosse, which she describes “We know that the needs are greatest for quickly pick out those who would thrive in Vakharia now splits his time between Oconto as “pretty amazing for a medical student.” family medicine—probably greater than the a rural environment,” Crouse explains. “If Falls, Wisconsin, where he is an urgent care She adds, “I had so many hands-on other specialties combined—but we heard they are committed to rural practice, we’ll and emergency medicine physician, and experiences that I felt extremely well- from our statewide partners that rural areas provide them with opportunities to fulfill the upper-peninsula town of Foster City, prepared to enter residency.” need physicians in almost every specialty, their dreams.” Michigan, where he established a free clinic. Similarly, for Lucas Kuehn, MD ’15, the Each WARM student must participate in a community service project. Analise Ruegsegger- just far fewer of them,” says Crouse, a family David Rebedew, MD ’13, who like Clark- WARM nurtured his independence, he says. potential for many hands-on experiences Hanneman, MD ’15, (left) helped with the Healthy Lifestyles-Marshfield Area Coalition’s farm-to- medicine physician who joined the SMPH Forsting is a family medicine resident, was so “The Marshfield Clinic staff gave us the at Aurora BayCare was a definite draw. table project, which encourages local restaurants to use locally sourced food products. Ruegsegger- sure he wanted to participate in WARM that autonomy to think independently, and that Although many people would not describe Hanneman worked with Kayla Ladwig (right); the chicken in the sandwich is from a local farm. he applied only to the SMPH. helped me grow quickly as a lifelong learner,” Green Bay as rural, Kuehn did his primary “Before medical school, I shadowed a few Vakharia describes. “Learning those skills in care rotation in Howards Grove, Wisconsin, physicians in small communities, and I really medical school was a gift that I will take with population 3,245, and cared for many enjoyed the relationships they had with me throughout my career.” patients who traveled several hours for care Partnership Program Funding Helped Create WARM their patients,” Rebedew says. “That level Vakharia is not alone in expressing at Aurora BayCare. of personal connection with their patients is appreciation for the wide-ranging “It’s unbelievable what some people have The Wisconsin Academy for Rural Medicine (WARM) is one “This grant reflects the true sense of the Wisconsin Idea,” says what I want with my patients.” opportunities that WARM provides, especially to go through to get health care,” Kuehn aspect of the broader curriculum transformation at the University Size, referring to UW-Madison’s century-old guiding principle However, family medicine wasn’t part because of the limited number of medical says. “That’s one of the things WARM is of Wisconsin School of Medicine and Public Health to incorporate that the university should improve people’s lives beyond the of Rebedew’s original plan. With bachelor’s residents at the Marshfield and La Crosse addressing. We want people to have access population and public health into its training. As part of its mission classroom. “It’s about the community learning from the school degrees in psychology and neurobiology, he regional sites and the lack of residents at to health care closer to where they live.” to improve health in the state, the Wisconsin Partnership Program and the school learning from the community.” thought he would become a psychiatrist. Aurora BayCare in Green Bay. Kuehn and Clark-Forsting both mention has provided significant funding for WARM and the overall The Partnership Program’s one-year, $25,000 grant was “Through my medical school rotations, “One of the positive aspects about WARM their childhood physicians when asked what curriculum transformation. followed by a Strategic Planning Grant in 2005 and a Strategic I found that I liked psychiatry, but that I also is that medical students gain a lot of hands- drew them to family medicine. WARM was one of the first projects funded through the Implementation Grant in 2007. In total, the Partnership Program like emergency medicine, dermatology, on experiences,” says Analise Ruegsegger- Clark-Forsting shares, “Family medicine is Partnership Program’s Community-Academic Partnership Fund. has provided approximately $872,000 in grant funding to neurology and obstetrics,” Rebedew shares. Hanneman, MD ’15, who spent her final two what I always thought medicine was. Clearly, “So I chose family medicine.” Tim Size, executive director of the Rural Wisconsin Health WARM, which is now self-sustaining through tuition and in-kind years at the Marshfield site. “You get treated that’s a limited vision—we need specialists, Clark-Forsting and Rebedew are first- too—but I’ve always wanted to practice Cooperative (RWHC), led the project with Byron Crouse, MD, contributions from its academic partners—Gundersen Health more like a resident sometimes because they generation college students and both primary care.” FAAFP, serving as the academic partner. System, Marshfield Clinic and Aurora BayCare. don’t have residents for some specialties.”

6 VOLUME 17 • NUMBER 2 QUARTERLY 7 PHOTO FEATURE PHOTOS BY TODD BROWN Match Day RESIDENCY NEWS THRILLS STUDENTS, FAMILIES AND FRIENDS

n Match Day—held simultaneously with available options. Some students remain Opposite page: Augustine Saiz (left) and across the U.S.—each fourth-year in the Badger State and some choose a Allison Aul celebrate matching together. Above, top row (left to right): Anna Lane and MD student reads aloud where he completely different environment. O her fiance, Clarence Li, react with excitement or she will spend the next few years in a Such is the case for Augustine Saiz, Jr., about his residency location; proud mom residency. More than 150 members of the and Allison Aul, (opposite page) who met in Ifueko B. Okundaye, MD, smiles, and dad University of Wisconsin School of Medicine their first week at the SMPH and matched Ekogiawe B. Okundaye, MBA, gives a thumbs up (background) about Ivie Okundaye’s match; and Public Health (SMPH) Class of 2015 together at University of California-Davis. Saiz Kelly and Andrew Thorson celebrate his news shared their excitement with their loved ones. will enter an orthopedic surgery residency, with their son, Shiloh. Bottom row: Zach Glasser The class includes 23 students in the and Aul, an OB/GYN residency. and Joshua Tarpley share their joy about Wisconsin Academy for Rural Medicine; seven “We will miss our home state and Tarpley’s match; Christine Seibert, MD, writes Emmalie Stay’s chosen specialty on her Match in the Training in Urban Medicine and Public families, but we feel blessed that we had Day shirt, as her husband, Kyle Stay, looks on; Health Program; and five who are earning the opportunity to pursue medical school Loren Krueger lets her mom, Dorothy Brown, combined MD-PhD degrees. and that we can continue residency together open the envelope. Students interview with residency to become the best physicians we can There’s More Online! programs across the nation. A computer- be,”explains Saiz, noting that they hope to Visit med.wisc.edu/45350 based program matches student preferences return to practice in Wisconsin.

8 VOLUME 17 • NUMBER 2 QUARTERLY 9 FEATURE STORY BY ANN GRAUVOGL

Global Health WISCONSIN IDEA EXTENDS TO WEST AFRICA’S EBOLA CRISIS

annah Kirking, MD ’10, Gregg Mitman, as a disease detective, identifying where Mitman, the Vilas PhD ’88, and Janis Tupesis, MD ’01, Ebola was within that country and helping Research and William Hshare Badger ties as University inform the international response. Knowledge Coleman Professor of of Wisconsin-Madison alumni and, for gained through earning her Graduate/ History of Science, Medical Mitman and Tupesis, as faculty members Professional Certificate in Global Health History and Environmental of the UW School of Medicine and Public through the GHI and the SMPH Department Studies, recently produced Health (SMPH). of Population Health Sciences helped a film, “In the Shadow of Ebola,” that takes Their stories converge in the 2014-2015 her understand the connections between viewers inside the Ebola epidemic through Ebola epidemic as it swept through Liberia in medicine and public health. the story of Emmanuel Urey. A UW-Madison western Africa, fracturing families, medical Tupesis, an associate graduate student and Liberian native, Urey care, public health and society. They also professor in the SMPH had to leave two of his children with their are part of the UW-Madison Global Health Department of Emergency great grandmother in his home country. Institute (GHI) community, dedicated to Medicine and an emergency GHI provided partial funding for the film, connecting colleagues and communities in physician at UW Hospital and Mitman is a member of the GHI Wisconsin and across the world to address and Clinics, worked with Advisory Group. the complex, interlinked causes of health colleagues from the United “This movie offers a personal look at what and disease. States and Liberia to build an emergency life has been like for people living through Kirking, an Epidemic medicine program there before the outbreak. the worst Ebola outbreak in history,” says Intelligence Service officer Post outbreak, he is again finding ways to Mitman, who earned a master and doctorate with the U.S. Centers help establish emergency medical education degree in the UW-Madison Department of the for Disease Control and and service in that country. Tupesis chairs History of Science. Prevention (CDC) and the Graduate Medical Education (GME) Global Following a recent visit to the GHI, Kirking lieutenant commander in Health Oversight Committee at UW Hospital brought the film to the CDC. It’s scheduled An Ebola burial team works cautiously on the streets the U.S. Public Health Service, was on the and Clinics and is the GHI-GME liaison. to be screened as part of the mandatory of Monrovia, Liberia (photo by Alexander Wiaplah). ground in Liberia in late 2014. She worked

10 VOLUME 17 • NUMBER 2 QUARTERLY 11 Left to right: Signs across Liberia warn residents of the danger of Ebola and how to stay safe (photo by Hannah Kirking, MD ’10); Janis Tupesis, MD ’01, (left) Left to right: Gregg Mitman, PhD ’88, (left) and cinematographer Alexander Wiaplah (right) were filming a documentary in Liberia when the Ebola epidemic teaches a third-year Liberian emergency medicine resident how to perform pericardiocentesis on a patient with tuberculosis (photo courtesy of Tupesis); the began (photo by James Bayogar); the CDC, community members and international partners established this rapid isolation and treatment center in a remote Liberian military and police enforce a quarantine on West Point, one of the poorest slums in Monrovia (photo by Alexander Wiaplah). Liberian village; during the Ebola crisis, the CDC sent Hannah Kirking, MD ’10 (left) to Liberia, where she worked with families (two photos courtesy of Kirking).

training program for incoming Epidemic LEARNING TO TRUST THE ambulances, one worked only sometimes. to expand international health opportunities the Wisconsin Idea, with its commitment Tupesis and a cohort of U.S. colleagues Intelligence Service officers in July 2015. SCIENCE The guest houses had no running water, and for students and earned her Certificate in to outreach, and the Midwestern ethic spent months in the country, which “The CDC’s strengths are in epidemiology Kirking was familiar with international the generator ran for only an hour or two Global Health. that calls for taking care of neighbors and historically has had high death and disease and disease surveillance. For Ebola, this health before she arrived in Liberia at per day. “When I was in medical school and my building community. Additionally, she credits rates related to road accidents, burns, means understanding the virus, clinical the height of the Ebola epidemic. She’d Kirking worked with the Liberian team to residency, global health issues seemed far her global health success to the passion acute infections and other emergency symptoms, methods of transmission, done clinical work in India and Kenya and improve the local Ebola surveillance systems away,” Kirking says. “The center was a place of mentors, including Lori DiPrete Brown, situations. He helped sort out emergency supportive treatments and how to stop public health projects in the United States, and better understand where the disease to nurture those interests, or I may have GHI associate director of education and training priorities; develop curriculums for the overall epidemic,” she notes. “The film Central America, Africa and Southeast Asia. was occurring in the county and how to lost them.” engagement, and Cindy Haq, MD, a professor nurses, medical students and residents; and complements our technical strengths by In her position with the CDC and Public focus response efforts. She visited villages The program showed Kirking the in the SMPH Department of Family Medicine establish an emergency medicine residency showing the social determinants of health Health Service, she responds to public and communities with ongoing cases to help important ties between clinical medicine and and director of the school’s Training in Urban elective site for residents from UW Hospital in Liberia and how they specifically relate health emergencies and disease outbreaks build rapport and, at times, increase trust in public health, as she learned to look beyond Medicine and Public Health Program. and Clinics. Tupesis saw progress when to Ebola.” nationally and internationally. the response efforts. She worked alongside a tight focus on disease. About their passion, Kirking quips, patients were triaged and the critically ill The film is making the rounds: It Flying into Monrovia, Liberia, she was Liberian colleagues who had to go home “This perspective acknowledges the “It’s contagious, but in a good way.” cared for first. He applauded when nurses keenly aware that she was walking into a premiered at the Wisconsin Film Festival. sick, and she got to know villagers who rest of the players in the equation,” she BUILDING LIBERIA’S EMERGENCY understood they could question doctors and crowded terminal in a country rife with Ebola. The SMPH showed it as part of the disaster died from Ebola. Ultimately, she trusted that notes. “I love clinical medicine, but those INFRASTRUCTURE—AGAIN call on them when patients sickened. Spending a month among villagers in Grand response training curriculum for fourth-year following science-based safety rules would other important factors don’t always get Friendship took Tupesis to Liberia in “It evolved into this rich and robust Cape Mount County while working with the medical students, and MacArthur fellow keep her safe. enough attention.” 2007 to join James A. Sirleaf, MD, the training center for our residents and Liberian Ministry of Health team, she learned and medical historian Julie Livingston, PhD, “In general, as long as you maintain six Kirking credits the Certificate in Global Liberian president’s son, in the non-profit clinicians,” describes Tupesis, who earned to embody the work she believes in. screened it in two classes on the history feet of distance and avoid body fluids from Health for giving her a base on which to Health Education and Relief Through Training his master’s degree at UW-Madison and his “My experience taught me that you have of health and medicine taught at New York anyone with Ebola, you’re OK,” she says. build her career. She also carries with her (HEARTT) Foundation. medical degree at the SMPH. University. It’s premiered in Australia and was to trust science,” Kirking shares. “I wanted to Kirking’s interest in global health The residents and health care providers part of the Sheffield Doc/Fest Videotheque show my Liberian colleagues that you can be began when she took history of medicine also learned to work with sparse resources in the United Kingdom. The Independent compassionate and practice patient-centered and international health classes by Rick as they helped build an emergency Television Service, which supports diverse, communication and still be safe.” Keller, PhD, a professor in the SMPH Global Health Institute medicine training infrastructure. HEARTT’s innovative and independent voices on public In Liberia, the CDC crunched Department of Medical History and Bioethics multidisciplinary, multi-institutional training epidemiological data, established case television, has released a free, online version and the UW-Madison Department of the The University of Wisconsin-Madison ensuring that natural and other resources are program was suspended in March 2014. numbers and identified hot spots and how of the film on the Independent Lens web site History of Medicine. Global Health Institute (GHI) brings together available to provide health for all tomorrow. “Ebola has changed everything,” the disease was progressing in order to (see www.pbs.org/independentlens/ “Those courses opened my eyes,” a community of colleagues from across Led by Professor and GHI Director Tupesis says. “From a professional level in-the-shadow-of-ebola). inform the Ebola response. Kirking was she recalls. and a personal level, it’s heart-breaking campus to address the complex, interlinked Jonathan Patz, MD, MPH, who is The Ebola epidemic brought the among the officers embedded in rural After working for GE Healthcare to see the people you know and have root causes of health and disease. Students, internationally recognized for his work in international community face to face counties to help local teams cope with Technologies and studying international worked with die. The whole thing has been faculty and staff collaborate with villages, health and the environment, the GHI supports with issues, dramatically showing that the disease. health and human rights at the University of overwhelming, as my friends and colleagues health is about more than medicine. “It was the most rewarding and—at Oslo in Norway, she returned to UW-Madison universities and governments—locally and work that finds practical solutions to medical have been affected.” Through their work, Kirking, Tupesis and the same time—most frustrating and to attend medical school. globally—to improve health for humans, and public health challenges and educates He finds hope in how the crisis caused Mitman address and shed light on the heartbreaking global health experience I’ve As a medical student at the SMPH, animals and ecosystems. and empowers the next generation of global the world to see the need for better multi-faceted determinants of health and had,” Kirking reflects. Kirking gravitated toward the fledgling Center The institute’s research, education and citizens. infrastructure—for training health care disease, which are key to the Global Health She traveled on muddy roads in a county for Global Health, the precursor to GHI. She service is guided by a “global health ethic” To learn more, visit ghi.wisc.edu. Institute’s mission. that mostly lacks cell phone signals. Of two worked with the center’s steering committee that calls for improving health today while —continued on page 23

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AWINTER Taste EVENT SERVES UPof STATE’S Wisconsin FINEST FARE, FOSTERS CONNECTIONS

eaturing a colorful array of Wisconsin’s students and music by the Coda Blue event was hugely successful in meeting this rheumatology practice, because she now Although it was her first time attending the Both pages (left to right): Bottom row: M1 finest fare, the 2015 Winter Event medical student group and a jazz trio. goal. Students benefit immensely when they cares for many of his former patients. Winter Event, Schmidt says it will not be her Lawrence Moore talks with Christine Sharkey, MD (PG ’14), and Tim Harrington, MD ’65; also offered an ample serving of a Each participant received a passport are able to ask questions about medical In retirement, Harrington actively last, crediting the “amazing food, great music F Kristin and Matt Ashbrenner, MD ’06, and their very popular course: conversation among that—through a chance to win door prizes— practice, research and other elements of advocates for quality of care improvements, and wonderful people” with whom she talked. daughter; student artwork; a guest visits with medical students and University of Wisconsin encouraged each person to try different health care careers.” which intrigued members of the medical “It was refreshing to take a break from M1 Alan Wang; M1s Kayla Leibl and Bria Rayome School of Medicine and Public Health (SMPH) foods and obtain signatures from people with For instance, first-year medical student student-run Quality Improvement and school and get to see the passion so many and John Siebert, MD ’81. Middle row: Wisconsin fare; M2 Deirdre O’Sullivan and M1s Katharine alumni and guests. whom he or she visited. Lawrence Moore appreciated the chance Innovations Interest Group. A co-leader of the alumni have after many years of practice. Molinarolo and Lin Zhao play with Coda Blue; Hosted by the Wisconsin Medical Alumni “It’s a WMAA strategic priority to foster to talk with Tim Harrington, MD ’65, and group, second-year medical student Kelsey Hearing stories from alumni always gives me M1 Megan Gross plays with Coda Blue; student Association (WMAA) at the Fluno Center, the meaningful connections among alumni and Christine Sharkey, MD (PG ’14) (all in photo Schmidt, adds that Maureen Brady from the more energy to push toward my dreams and artwork; a medical student jazz trio—M1s event showcased artwork created by medical medical students,” explains Karen Peterson, at bottom left). In turn, Sharkey was happy WMAA helped her meet Harrington, who has helps me stay grounded in what really matters Nicholas Vogt, Kusha Rahgozar and Mazdak TODD BROWN/MEDIA SOLUTIONS (12) Bradberry—entertains the crowd. Top row: the association’s executive director. “The to meet Harrington, who retired from his since become a mentor. She appreciates his in medicine,” Schmidt says. Healthy food; M1s Priya Pathak, Adriana Chao advice on how to reach her career goals. and Willa Song pose with Pathak’s drawing.

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WMAA Awards Banquet 2015 WMAA Scholarship Reception

LEMANSKE AND GREEN WIN TOP HONORS educing medical student indebtedness is a major goal of the Wisconsin MORE AWARDS RMedical Alumni Association (WMAA). With this in mind, the association and SIGURD SIVERTSON MEDICAL University of Wisconsin Foundation EDUCATION AWARD coordinate scholarship programs for the Steven M. Murphy, MD ’00 UW School of Medicine and Public Health (SMPH) students, explains Karen Peterson, BASIC SCIENCES EMERITUS WMAA executive director. In April 2015, the association hosted FACULTY AWARD a reception to honor scholarship donors James E. Dahlberg, PhD and recipients. When possible, WMAA representatives introduced each donor to the CLINICAL SCIENCES EMERITUS student who received his or her gift. FACULTY AWARD “These scholarships would not be Don S. Schalch, MD possible without the generosity of our school’s friends, including many of our RALPH HAWLEY DISTINGUISHED alumni,” notes Peterson. “On behalf of our SERVICE AWARD students, who often face an overwhelming Thomas C. Jackson, MD ’67 debt load to attend medical school, we thank everyone who established scholarships.” Gwen McIntosh, MD ’96, assistant CHRIS FRAZEE/MEDIA SOLUTIONS (2) WMAA SERVICE AWARD William C. Nietert, MD ’78 dean for students, explains that the SMPH obert F. Lemanske, Jr., MD ’75, earned hristopher G. Green, MD (PG ’80), earned Scholarship Committee takes seriously the Medical Alumni Citation–Distinguished the Resident Citation–Distinguished the criteria donors set when establishing HONORARY LIFE WMAA RAlumni Award. It honors an alumnus who CResident Award. The award honors scholarships. Each year, the committee MEMBERSHIP is recognized for excellence in medical practice, an individual who completed a residency or selects the best and brightest students and academic activities and research accomplishment. fellowship at UW Hospital and Clinics and Todd M. Brown matches each one with the appropriate Lemanske received his bachelor’s degree achieved distinction in medicine. Honorees exhibit scholarship to align with the donor’s wishes. from the University of Wisconsin-Madison and his excellence in medical practice, academic activities An example is the Compassion in Action CHRIS FRAZEE/MEDIA SOLUTIONS (3) medical degree from the UW School of Medicine and research accomplishment. There’s More Online! Scholarship created by Zorba Paster, MD, The reception offered the opportunity for students to meet and thank donors who made their Visit med.wisc.edu/45888 and Public Health (SMPH). He completed pediatrics After earning his medical degree from the and his wife, Penny, to honor their deceased scholarships possible. Three such groups are shown here: Clockwise from upper left (left to right): and allergy/immunology postdoctorate training University of Rochester in New York, Green parents. The couple wanted their gift to Sandra Bertics and M2 Akaila Cabell; Marilyn Johnsrud Schilling and M2 Mina Alfi; M1 Katharine Kelly, at UW Hospital and Clinics. He joined the SMPH completed his pediatrics residency at UW Hospital “make the world a little better” and to Zorba Paster, MD, and M1 Chinou Vang. Departments of Pediatrics and Medicine in 1983 and Clinics. He has become an internationally “benefit the great state of Wisconsin,” and is a professor and chief of the Division of acclaimed pediatric pulmonologist and has specifically by helping fund living expenses in zoology at UW-Madison, and he feels a SMPH Dean Robert Golden, MD, shared a Pediatric Allergy, Immunology and Rheumatology. uniquely distinguished himself in institutional for students while they are engaged in strong connection to the campus. similar sentiment. Internationally recognized for providing medical leadership at the SMPH and UW Hospital “good-deed” projects. In his reception address, Paster noted, “I want to thank our donors. You have no innovative advances related to the origins of and Clinics, where he is the senior vice president The Pasters have since established other “I find it interesting that students always idea how important your support is to our asthma, Lemanske is widely published and has of medical affairs and chief medical officer, as well types of scholarships and awarded five in say, ‘Thank you so much for what you’ve students, and indeed, to the faculty. I also been well-funded by the National Institutes of as the SMPH assistant dean for inpatient affairs the past year. Two students who received done,’ and my first reaction is to respond, want to thank all of our students. You have no Health. He also has provided leadership to the and a professor in the Department of Pediatrics. their scholarships attended the reception ‘Oh, no. Thank you so much for what you idea how important you are to us.” allergy and immunology community and mentored Green has made significant research (see bottom photo). Zorba Paster, MD, earned are going to do—including what you are numerous young investigators. discoveries in pediatric pulmonology and has had his bachelor’s degree and did graduate work going to do to change the world.’ ” Lemanske was recently installed as the a major impact on clinical program development president of the American Academy of Allergy, and quality improvement. He has an international Asthma and Immunology. reputation as an outstanding clinician, teacher and leader.

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HILLARY BECKER, MD ’07

fter medical school, I are routine surgeries of the I initially thought I would spent six years hand and wrist for conditions specialize in family practice, A completing an such as carpal tunnel but during a third-year orthopedic surgery residency syndrome, trigger fingers, cysts orthopedics elective, I fell in and hand fellowship at and arthritis. I also do some love with orthopedic surgery. Mayo Clinic in Rochester, soft tissue coverage cases like I subspecialized in hand Minnesota. I now am an skin grafting for open wounds. surgery because I like the orthopedic hand surgeon for One of my most rewarding intricate detail of the hand and “On Call” the Sanford Orthopedics and recent cases was a bilateral the collaboration with other Sports Medicine group in syndactyly release for a 2-year- physicians and therapists. Three orthopedic patient be able to write or walk Sioux Falls, South Dakota. We old boy who had webbed I recommend the field of without pain following surgery; surgeons tell Quarterly are a group of 13 orthopedic third, fourth and fifth fingers. orthopedic surgery for many and jobs are diverse in terms what they’ve been up to surgeons who are employed by A partner and I treated this reasons, including because we of group size, call requirements Sanford Hospital. patient together, in a staged have continuity of care starting and schedules. Also, our About half of my cases fashion, due to the significant in the emergency department specialty is ever-changing are trauma-related, including bilateral involvement. Following or clinic and through to with new research, implant injuries to soft tissue, tendons, two surgeries six months recovery; we focus on patients’ design and materials, and nerves and bones from the apart, the boy is able to use his quality of life and function—it bioengineering advances. elbow to the hand. The others fingers independently. is incredibly rewarding to see a

Richard Illgen, MD, (center) performs robotic-assisted unicompartmental knee replacement, assisted by Mark Winston, MD, (left) at University of Wisconsin Hospital in Madison. STEPHEN E. LEMOS, MD ’94, PHD

MARK FLANUM, MD ’02 am the president and chair arthroscopy, and shoulder and medical school rotations, to of Sports Medicine at Detroit knee replacement. orthopedic surgery. Strong work with Orthopedic Alaska’s location and up, let alone walk. One day IMedical Center and direct One of my memorable mentors during my residency Physicians in Anchorage, unique demographics provide when I walked in to check on its Orthopaedic Surgery Sports patients was a 23-year-old at the University of Vermont Alaska. In about 90 percent opportunities to care for many him, he sat up, looked me in I Medicine Fellowship. It has police cadet who was hit during solidified my interest in sports of my practice, I focus on memorable patients. These the eyes and asked, “Are you four fellows per year, and the motorcycle training. One femur medicine, and I completed a the diagnosis and treatment include a Somoan fisherman the guy who fixed my legs?” center’s Orthopaedic Surgery and the opposite knee were fellowship at the Kerlan-Jobe of spinal pathology. I spend with quadriplegia, a six-week Shocked, I stammered out Residency (associated with shattered. I put a plate on his Orthopaedic Clinic in Los the rest on a mix of sports premature baby with a septic “Yes,” to which he responded, Wayne State University) accepts leg from knee to hip for the Angeles. There, I was exposed medicine, orthopedic trauma hip, and a 24-year-old woman “Well, thanks!” four new residents each year, femur and fixed his knee. Our to professional team coverage and general orthopedics. with cauda equina syndrome. Before medical school, and oversee coverage of a high for a total of 20. I am on the goal was to get him back to the (Dodgers, Angels, Kings, Ducks, Additionally, I chair the However, the patient who I held several jobs, including school football team. and Clinics and my fellowship residency faculty and direct the Police Academy. He graduated Lakers, Galaxy and Sparks), Department of Orthopedics stands out most is a 16-year- working for a law firm, painting Sports medicine is the in Auckland, New Zealand. sports rotation. nine months later and joined research and cutting-edge at Alaska Regional Hospital. old boy who was hit by a houses and farming. I wanted a “primary care” of orthopedic I believe orthopedics is one Typically, I handle sports the local police force. clinical medicine. I am involved with the State vehicle while skateboarding. He profession with visible results, surgery. Often I do the initial of the most satisfying areas of medicine cases, including During my graduate and I practiced at the Lahey Orthopedic Society and had multiple injuries, including and I realized jobs like farming diagnosis and treatment, then medicine. You get to directly arthroscopically assisted doctorate work, my interest Clinic in Boston before moving attend the organization’s bilateral open femur fractures. and painting—as well as refer the patient to one of my see the results of your work. anterior cruciate ligament in undersea and aerospace to Detroit. I am the primary national meetings, as well Because he was in a coma, orthopedics—allowed me to partners. This allows me to I have frequent intellectual reconstruction, rotator cuff medicine led to research in orthopedic surgeon for the as those for the Academy every day that I rounded on do that. After medical school, keep up with pathology outside challenges and long-term repair, shoulder instability, dysbaric osteonecrosis and Detroit Tigers and Pistons; I of Orthopedic Surgeons and him for two weeks, I wondered I completed my residency at my specialty so I can be ready relationships with my patients ulnar collateral ligament fostered my interest in bones also help with the Red Wings subspecialty societies. whether he would ever wake University of Wisconsin Hospital for nearly anything. and their families. reconstruction, elbow and ankle and joints—and, through

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countries and is expanding. It is the world’s CLASS NOTES compiled by Andrea Larson only such program with the primary aim IN MEMORIAM to elevate the status and knowledge of CLASS OF CLASS OF Rheumatology. He has served on the expert dermatologic surgeons around the globe. James B. Jones, MD (PG ’88) Christopher A. Graf, MD ’54 panel for the development of guidelines Seattle, Washington Sheboygan, Wisconsin 1990 1980 for childhood asthma treatment in Canada CLASS OF July 28, 2012 April 17, 2015 and the U.S. through the National Asthma Bill McIvor was promoted to professor of Paul Apyan Education and Prevention Program, and 1948 anesthesiology at the University of Pittsburgh completed the Russell E. Holmes, MD ’69 Raymond L. Hansen, MD ’52 he is a member of the program’s Scientific School of Medicine in January 2015. McIvor University of Roland Liebenow and his wife, Martha, East Lansing, Michigan Marshfield, Wisconsin Committee. Lemanske has published widely and his wife, Amy, live in Pittsburgh and have Tennessee at were crowned the king and queen of the January 23, 2015 January 15, 2015 in medical journals, co-edited three books three children: Abigail, age 23; Alan, age Chattanooga’s Knickerbocker Ice Festival in Lake Mills, and authored more than 60 chapters in 16; and Mallory, age 13. In his spare time, master of business Wisconsin, in February 2015. The process medical textbooks. He has presided on the Mark F. Mergen, MD ’64 George R. Kennedy, MD ’47 McIvor enjoys running, hockey, skiing and administration of harvesting ice for use in keeping meat editorial boards of The Journal of Allergy Mt. Kisco, New York Tulsa, Oklahoma scuba diving. He hopes to see many of his program in December and other products from spoiling was once a and Clinical Immunology and Pediatric February 11, 2015 November 6, 2014 classmates at Homecoming. 2014. He will use booming business in Lake Mills thanks to the Allergy and Immunology. His research this to enhance his Knickerbocker Ice Company. A local historian, focuses primarily on the pathophysiology and Henry C. Anderson, MD ’55 Jean C. Born, MD ’46 CLASS OF orthopedic consulting. Apyan and his wife, Liebenow writes articles about historical treatment of asthma, including mechanisms Rockford, Illinois Berkeley, California Laura, live in Hixson, Texas. They have three events for the local newspaper. underlying pulmonary late phase reactions, 1986 children: Emily Rose, age 32; Paul Sarkis, January 13, 2015 February 15, 2015 virus-induced airway dysfunction and asthma In 2012, Louis Ptác˘ek was elected into age 28; and Alexander Cannon, age 26. inception in infants and young children. the National Academy of Science, and most CLASS OF recently, he received the 2015 American CLASS OF Society for Clinical Investigation’s Stanley J. 1976 GOODBYE DEAR FRIEND: WILLIAM CRAIG, MD Korsmeyer Award, which recognized his 1968 research that led to the development of Richard Hodach Stephen Stein recently published a illiam A. Craig, MD (PG ’71 He joined the SMPH faculty in 1973; held the field of ion channel defects, known published a book novel titled The Oath, a passionate work and ’73)—founder and inaugural a dual appointment with the UW School of commonly as channelopathies. Ptác˘ek is the titled Provider-Led of historical fiction describing physicians’ chair of the Division of Infectious Pharmacy from 1981 until 1995; served John C. Coleman Distinguished Professor in Population Health W involvement in human experimentation at Disease in the University of Wisconsin as associate chief of staff for education at the Department of Neurology at the University Management. Hodach Auschwitz. The book’s underlying themes are of California, San Francisco. He also directs is the chief medical School of Medicine and Public Health’s the William S. Middleton Memorial Veterans important for medical students and practicing that university’s Neurogenetics Program. He officer at Phytel in (SMPH) Department of Medicine—passed Hospital and director of the Internal physicians to understand. Stein practiced has been a Howard Hughes Medical Institute Dallas, Texas. The away in March 2015 in Madison. Medicine Residency Program at UW orthopedic surgery for 30 years in Phoenix. investigator since 1997. company develops Craig was renowned as a clinician- Hospital and Clinics; and was appointed software and tools to CLASS OF scholar in antimicrobial therapy and emeritus professor of medicine in 2005. CLASS OF help providers manage populations in the infectious disease. His early work on Craig also served as president of the transition to new models of care. 1955 quantifying the relationship between International Society for Anti-infective

1985 LIFESTYLE PHOTO antimicrobial dosing and treatment Pharmacology, editor of Lawrence Field received an honorary Antimicrobial In January 2015, Rabbi David Baron, CLASS OF David Andes, MD, associate professor membership from the American Academy effect led to development of the field of Agents and Chemotherapy, and chair of the founder of the Beverly Hills Temple of the of medicine and head of the Division 1975 of Dermatology at its 2015 annual meeting antimicrobial pharmacodynamics. These U.S. Food and Drug Administration Anti- Arts at the Saban Theatre, officiated a free in San Francisco. This honor recognizes a advances laid the foundation for dozens infective Advisory Committee and program of Infectious Disease, notes, “Dr. Craig Shabbat service and performance on Martin Robert Lemanske, Jr., was installed as member of the academy who has advanced of new antibiotics, and he had a hand in committees for national associations. inspired a passion for investigation and Luther King Day to honor Rev. Ronald V. the 2015-2016 president of the American the profession through leadership and the preclinical research of most antibiotics SMPH Dean Robert Golden, MD, demonstrated unwavering support of Myers, Sr., a civil rights activist, founder Academy of Allergy, Asthma and Immunology service that affirms an uncommon and independent work by his trainees.” and chairman of the modern movement at the organization’s annual meeting in marketed in the past four decades, leading says, “Dr. Craig was a truly remarkable sustained dedication to dermatology. Field Richard Page, MD, George R. and Elaine promoting the holiday Juneteenth. Myers is a Houston in February 2015. Lemanske is a to profound reduction in deaths due to physician, academician and person. He continues to assist with the development Love Professor and chair of the Department Baptist minister, jazz musician and physician professor in the Departments of Pediatrics bacterial sepsis worldwide. exemplified the best qualities of our of the International Traveling Mentorship serving the disenfranchised in Tchula, and Medicine at the UW School of Medicine He earned his medical degree in profession, including total dedication to of Medicine, shares, “Dr. Craig touched Program of the American Society for Mississippi. He played the piano at the Saban and Public Health (SMPH). Board certified 1965 from Tufts Medical School and his patients. His scientific prowess was innumerable lives of patients and their Dermatologic Surgery. He developed and Theatre event, which also featured jazz in pediatrics and allergy/immunology, he completed an internal medicine residency exceeded only by his commitment to families, students, residents, fellows and endowed the mentorship program, which guitarist Jacques Lesure. also is the head of the SMPH Division and infectious diseases fellowship at UW mentees. We always will remember his faculty. We are fortunate to have counted has approximately 175 mentors from 30 of Pediatric Allergy, Immunology and Hospital and Clinics. Craig served in the warmth, compassion and generous spirit.” him as a mentor, colleague and friend.” U.S. Army as a preventive medicine officer.

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was amazing to participate in operations, talk I was lucky to participate in the recent Message to your classmates? to patients and learn from residents. It helped celebration of his time as the dean of The classmates I have seen on Facebook Know Your Class Representatives me fully appreciate what an incredible career students and wish him all the best. are scattered throughout the country. I am I was embarking on, and I discovered my love What are your hobbies/interests? constantly reminded of how smart and Each University of Wisconsin School Glasgow. I have done humanitarian work in know each of us personally. He has great of surgery. In my spare time, I spend as much time successful you all are, and I am impressed several countries; in 2014, I spent a month in school spirit and pride, and his enthusiasm of Medicine and Public Health What SMPH faculty do you remember as possible with my family. I enjoy boating, by all that you have accomplished. Let’s get Nigeria on the CDC’s Ebola response. is contagious. Dr. John Harting also is a together to reconnect as we all embark on (SMPH) graduating class has one the most, and why? running and renovating our home. What’s your fondest memory of phenomenal professor and friend to the our careers in various specialties. Dean Patrick McBride was a constant Family update? or more class representatives who medical school? class. He made sure everyone mastered his throughout medical school as a teacher, I married Lucas Tevis during my third year of I still treasure the friends I made there. subject and gave us plenty of life advice! play an integral role in working mentor and friend. He continues to be a medical school. We have a 2-year-old son, What are your hobbies/interests? valued mentor as I go through residency. with the Wisconsin Medical Alumni Message to your classmates? William, who is an avid Badger fan! Our reunion will be my first time back in I enjoy taking cooking classes, exploring Association (WMAA) to plan class Madison since graduation. Please consider Chicago—such as concerts at Millennium Park, Jazzin’ at the Shedd and Broadway reunions. Those featured here hope attending. It would be great to see everyone. musicals—and running along Lake Michigan. GLOBAL HEALTH continued from page 13 their classmates will join them at Family update? workers and for building and improving inequities—were clear every time his 14 years of civil war,” Mitman says. “That their reunions in fall 2015. LISA SHEN, MD ’10 In June 2013, I married Mark Howe in hospitals, clinics, roads, sanitation systems “Environment and Health” class met in 2015. led to great public mistrust toward the What type of practice are you in now, Madison. We made it through a total of and all of the other elements that contribute “Disease is never just biology,” notes government.” and where? 5.5 years of a long distance relationship, CAPT. GARY BRUNETTE, to good health. Mitman, who was in rural Liberia in June The film captures anger, terror and hope In August 2015, including medical school! MD ’00, MS, FFTM “The eyes of the world are now on 2014 filming a documentary as Ebola began as Urey, his family and the Liberian people I will be a pediatric What type of Message to your classmates? western Africa,” Tupesis notes. “And the hope to claim lives in that country and nearby face the epidemic. It shows the harsh reality dermatologist at the practice are you in I’m looking forward to reminiscing at our is that this will open the world’s eyes to some Guinea. In the months that followed, Mitman of death and disease, yet captures how Ann and Robert H. now, and where? reunion and cheering on a Badgers victory! of the things that are needed to truly improve relived the history he teaches, watching as Liberians empowered themselves to confront Lurie Children’s After a preventive Thanks to Dr. Mike Colburn, we have a group health outcomes.” once again fear branded West Africa as a Ebola when the international community Hospital of Chicago at medicine residency Facebook page to keep in touch. As Liberia emerges from the Ebola deadly, dark region. Concerned that few were was slow to respond. The film honors the Northwestern University. at the University of outbreak—the World Health Organization heeding the Doctors Without Borders calls visual and hip-hop artists creating Ebola I am completing a Maryland, I became declared the end of the Ebola outbreak for help, Mitman wrote an article, “Ebola in a public service announcements and the burial pediatric dermatology fellowship there. SARAH TEVIS, MD ’10 a U.S. Navy medical in that country in May 2015—Tupesis is Stew of Fear,” for the New England Journal of workers who have not been infected despite officer. In Italy, I What’s your fondest memory of What type of working with the Academic Collaborative to Medicine that explores the history of Western months of working with the dead. provided health risk analysis and consultation medical school? practice are you in Support Medical Education in Liberia, a group medicine in Liberia. The film has been successful, to military units and ships under the Match Day was one of my fondest memories now, and where? headed by the University of Massachusetts That history is fraught with fear related Mitman shares. European Command, and I was deployed for of medical school. You could feel the positive I am a fifth-year and funded by the Paul G. Allen Foundation. to those who extract riches and exploit “I have had students come up to me in eight months during Operation Iraqi Freedom. energy as everyone celebrated the amazing general surgery Tupesis and his colleagues are determining indigenous people, with no concurrent tears telling me how it transformed their In 2006, I became the chief of the Centers successes of our class. Our Match Day party resident at UW Hospital how to redevelop emergency services and effort to build infrastructure that would understanding of epidemics and global for Disease Control and Prevention’s (CDC) also was a blast—thanks to the WMAA. and Clinics. emergency medical education, working with improve public health. Even now, he says, health,” he says. “Putting a face on the Travelers’ Health Branch. I also am a Captain What SMPH faculty do you remember What’s your fondest collaborators who survived the epidemic and multinational corporations are receiving land outbreak enabled them to connect with in the U.S. Public Health Service and a fellow the most, and why? memory of medical school? re-establishing leadership. concessions for agriculture and minerals, the story in ways that they had not before. of the Faculty of Travel Medicine at the Dean Patrick McBride is an amazing student Among the many great memories, my “Rebuilding the infrastructure is key,” but no one is investing in the medical They came to appreciate the ways in which Royal College of Physicians and Surgeons in advocate and made the effort to get to favorite was the first week of third year. It Tupesis says. “If you really think about it, in infrastructure. Liberians were mobilizing to engage and a well-trained, well-run infrastructure, it only Mitman’s job, as he sees it, is to share educate communities and build trust.” takes one doctor you trained to say, ‘I think stories that counteract the stereotype of Engagement, education and trust this is Ebola’ and quarantine the patient, “West Africa as a place of incompetence, are necessary for effective public health and it’s over.” irrationality and disease.” In the film, “In interventions, agree Mitman, Tupesis and Class Representatives who are Planning Reunions IN THE SHADOW OF EBOLA the Shadow of Ebola,” he weaves together Kirking, who plan to continue their Wisconsin As a medical historian, Mitman brings the Emmanuel Urey’s personal experiences Idea efforts in West Africa and beyond. These classes will hold 1970: Sandra Osborn 1995: Thomas Weigel perspective of history and the power of story with the story of a nation torn apart by the outbreak in the aftermath of a civil war. 1980: Patrick McBride 2000: Gary Brunette to the Ebola crisis. —UW-Madison undergraduate student reunions on Friday and “Many of the initial measures instituted Olivia Riedel contributed to this article. 1985: Representative needed 2005: Brian Arndt “What Ebola makes visible are the fault Saturday, October 16 by the Liberian government to contain Ebola 1990: John Hokanson and Joshua Safer 2010: Lisa Shen and Sarah Tevis lines,” Mitman says, adding that those and 17, 2015, during fault lines—of economic, social and health mimicked events that happened during the Homecoming Weekend.

22 VOLUME 17 • NUMBER 2 QUARTERLY 23 ALUMNI PROFILE

a student and faculty lounge near Ebling Library in the Health Services Leaning Center. “Donating money for the Duppler/LaMarre lounge was the right thing to do,” he says. “In 1976, UW-Madison took a chance on a Wisconsin farm kid, and now it was time to show my appreciation.” Through these donations, Duppler and his wife, Tia, wanted to honor their parents— Leila Duppler and Larry LaMarre. “Tia’s father was a U.S. Navy man who survived Pearl Harbor. He was an underwater demolitions expert and all-around good guy. He had seen horrendous things in the war, but he never spoke of them and went about building the rest of his life and providing for his family,” Duppler says. “His ship, the Minneapolis, saved my future godfather, whose aircraft carrier, the Lexington, sunk in Colonel Edgar Fike IV, MD, (left) and David Duppler, MD ’80, operate on the hand of a soldier who the Battle of the Coral Sea.” sustained a shrapnel injury in Afghanistan. “My mother was the heart and soul of our family,” he says. “While running a farm I simply tried to do my part for my country. Forward Surgical Team (FST), which was and keeping track of six active children, she The real heroes are my family. People don’t inside the Forward Operating Base, while and my father instilled in us the value of hard understand the sacrifice of military families, maintaining its functions for patients. work and the indispensability of the Catholic but my family lived it. I could not have done it The FST’s 20 members included faith. She was a blessing. I thank God she without their support.” surgeons, medics, nurses and technicians. was able enjoy my children before she died.” Leaving for three and a half months A reservist physician serving with Duppler Surgeon Goes 7,000 Extra Miles Duppler was inspired by many role meant leaving a lot behind. was on his sixth deployment. models who served in the military. His “It’s a huge burden on others when you “Working with this team was a life- grandfather served in WWI. His father and do something like this,” notes Duppler. “In changing experience,” says Duppler. “We To Help Others DAVID W. DUPPLER, MD ’80 uncle served in WWII, and his uncle was addition to your family, those in your practice did our best to save life, limb and eyesight. wounded twice. His cousin’s husband served face the burden of picking up the slack.” Our role was to perform general stabilization PHOTOS COURTESY OF DAVID W. DUPPLER, MD ’80 DUPPLER, W. OF DAVID PHOTOS COURTESY in Vietnam, and his brother was a career After meeting the Army’s training procedures, such as inserting chest tubes, Army officer in Operation Desert Storm. Two requirements and completing officer training, providing care for wounds from shrapnel and by Sharyn Alden Duppler’s interests led him to pursue of Duppler’s colleagues at Fox Valley Surgical Major David Duppler deployed around setting long-bone fractures. Our all-volunteer an undergraduate degree in bacteriology ot everyone would take time away Associates—Michael J. Black, MD ’81 Thanksgiving 2013 to a tent hospital on the team included amazing people who were at University of Wisconsin-Madison and a from a busy surgical practice to serve (PG ’07), and Matt Bay, PA—were deployed front lines in Afghanistan. It took five days for willing to do what they could to save lives medical degree at the UW School of Medicine in a war zone. But that’s what David to Afghanistan. him to reach Forward Operating Base Shank, under extraordinary circumstances.” N and Public Health (SMPH). There, he made W. Duppler, MD ’80, did. About traveling So, in 2013, at age 57, he volunteered which had a two-by-four-mile footprint in an The situation often required what Duppler many lifelong friends, including classmate 7,000 miles to volunteer as a surgeon in as a surgeon in the Army Reserve Medical austere environment at 7,000 feet elevation. calls “ducking and praying.” Patrick McBride, MD ’80, MPH, an SMPH Afghanistan, he explains, “It was just time.” Corps. Tia Duppler and the couple’s three The base had been nicknamed “Rocket City” “When an alarm alerted the base about a professor of cardiology who has served as While growing up with five siblings on a grown children—twin daughters, Mattie and due to the amount of indirect fire it received. rocket attack, we dropped to the ground— the school’s associate dean for students farm south of Madison, Wisconsin, Duppler Jessie, and son, Lucas—supported him. Of his first impression, Duppler says, and prayed,” Duppler explains, adding that he for 11 years. wasn’t envisioning a medical career. But life “I felt that it was time to do my part,” “I thought this must be what the moon looks tips his hat to those who served outside the After medical school, Duppler completed on that farm fostered his strong work ethic. Duppler explains. “I wanted to contribute like. There were rocks and dust everywhere, base in even more intense settings. a general surgical residency at the University Top: David Duppler, MD ’80, outside the hospital on the what I could to help save lives.” By the time Duppler entered high school, Forward Operating Base in Afghanistan. Above: Duppler and rain turned it to rocks and mud. I never The three FST tents included an of North Carolina Memorial Hospital, a he was fascinated to learn how things scrubs the operating room, a challenge due to the dust. He continues, “I am no hero, although saw anything green.” evaluation area, an operating room where surgical residency at Maine Medical Center work, from a scientific perspective. He was I served with and cared for true heroes. What When he arrived, the U.S. military four surgeons could simultaneously work on and a fellowship at Mt. Sinai Medical Center. intrigued by projects that combined research Grateful for the many opportunities made I did is no different from a teacher who works presence in Afghanistan was winding down. two patients, and an intensive care unit. In 1992, he joined Fox Valley Surgical and science, and he enjoyed volunteering to possible by his education at UW-Madison, in an inner city or someone who volunteers in This required disassembling and moving the Associates, Ltd., in Appleton, Wisconsin, —continued on page 40 help people, especially elderly adults. Duppler has amplified his gratitude through the local food pantry. As corny as it sounds, where he focuses primarily on endoscopy generous donations to the SMPH, including and laparoscopy in a 10-surgeon practice.

24 VOLUME 17 • NUMBER 2 QUARTERLY 25 AWARDS

Alpha Omega Alpha Ceremony ROSENBERG PRESENTS INAUGURAL DE HARTER LECTURE etting the tone for the 2015 Alpha basis of several inherited disorders of Features Inaugural Visiting Professor Lecture Omega Alpha (AOA) ceremony, amino acid and organic acid metabolism. SUniversity of Wisconsin School of Rosenberg’s research team made Medicine and Public Health (SMPH) Dean numerous seminal discoveries related to Robert Golden, MD, described many factors the molecular basis of inherited disorders that made the event special. of amino acid and organic acid metabolism. “Last year, a 1968 graduate of our “It’s fair to say, he helped launch the medical school, Dr. David de Harter and field of pharmacogenomics,” Golden noted. his wife, Diane, made a gift to endow an Following his time at Yale and Princeton, annual AOA Visiting Professorship at the Rosenberg became the chief scientific UW School of Medicine and Public Health,” officer for Bristol-Myers Squibb (BMS) Golden said, noting that Leon Rosenberg, in 1991. MD ’57, was the inaugural Dr. David In 1998, he became a professor in the de Harter and Diane de Harter Visiting Department of Molecular Biology and the Professor that evening. Woodrow Wilson School of Public and Golden described Rosenberg as “a International Affairs at Princeton University. truly distinguished, nationally renowned “Since his so-called ‘retirement’ from graduate of our school.” BMS, he has devoted himself to teaching in A Madison native, Rosenberg earned his the Princeton community, both at Princeton bachelor’s degree from UW-Madison and University and at a local prep school,” Leon Rosenberg, MD ’57, addresses the AOA honorees. his medical degree from the SMPH—both explained Golden. JOHN WINGREN/MEDIA SOLUTIONS (3) JOHN summa cum laude and accompanied by Rosenberg’s honors include election Class of 2015 AOA recipients: front row (left to right): Elyssa Guslits, Ann Chodara, Maggie Moses, Van Ann Tran, Olushola Akinshemoyin Vaughn, Brittney Bernardoni, Jamie Goehner, Loren Krueger, Joanna Zurko. Back row: Chad Ennis, Kelley Kadunc, Caroline Schrieber, Trista Stankowski-Drengler, Matthew membership in Phi Beta Kappa and AOA. to the National Academy of Sciences and Hoffman, Andrew Stein, Shawn Jackson, Jessica Rasmussen, Jennifer Reck, Molly Day, David Mahvi, Zachary Ranta, Nathan Eickstaedt. Not pictured: Nicholas After completing an internal medicine to the Institute of Medicine, receipt of the Clark, Mick Kelly, Michele Malloy, Jon Slezak. residency and fellowship at Columbia- Borden Award from the American Academy Presbyterian Medical Center in New York of Pediatrics and the Kober Medal from n March 2015, the Alpha Omega Alpha At the 2015 AOA ceremony, Leon City, he moved to Bethesda, Maryland, the Association of American Physicians, honor society inducted 26 fourth-year Rosenberg, MD ’57, presented the first to begin a six-year association as an and honorary doctor of science degrees medical students, four faculty leaders de Harter lecture (see next page). I investigator with the metabolism service from the SMPH and the Mt. Sinai School of from the University of Wisconsin School of Rosenberg and de Harter—both honored of the National Cancer Institute. Rosenberg Medicine. Rosenberg was the medalist for Medicine and Public Health (SMPH) and one by the AOA when they graduated from the resident from UW Hospital and Clinics. SMPH—share a passion for the honor joined Yale University’s faculty as an the Australian Society for Medical Research The ceremony—hosted by the society, which recognizes and advocates for assistant professor in 1965. in 2002. He is a past president of the Wisconsin Medical Alumni Association excellence in scholarship and the highest Within seven years, Rosenberg was American Society of Human Genetics, the (WMAA)—featured an inaugural visiting ideals in the profession of medicine. The the founding chair of the Department of Association of American Physicians, the professor lecture that was created a year AOA’s values include honesty, honorable Human Genetics at Yale, and in 1984, Funding First Initiative of the Mary Lasker ago through a significant donation by David conduct, morality, virtue, unselfishness, he became dean of the medical school. Trust and the Association of Patient- de Harter, MD ’68, and his wife, Diane. Their ethical ideals, dedication to serving others During his 26 years at Yale, Rosenberg Oriented Research. gift honored David de Harter’s medical school and leadership. The 123 chapters around the Left to right: AOA honoree Nizar Jarjour, MD also was a research geneticist, clinician, Golden noted that Rosenberg continues alma mater by creating the “AOA Honor world elect their own members. (PG ’89); visiting professor Leon Rosenberg, administrator, and professor of human to be a remarkably loyal alumnus. Medical Society David and Diane de Harter At the SMPH, Laura Zakowski, MD ’90 MD ’57; and AOA honorees Melissa Cercone, MD, genetics, pediatrics and medicine. He Visiting Professorship at the University of (PG ’96), associate professor in the and Samuel Zidovetzki, MD. Additional honorees and his colleagues conducted pioneering Wisconsin School of Medicine and Public SMPH Department of Medicine, is the not pictured are: Mustafa Baskaya, MD, and laboratory investigations into the molecular Health.” (See spring 2014 Quarterly.) AOA councillor. Adam Rindfleisch, MD (PG ’03).

26 VOLUME 17 • NUMBER 2 QUARTERLY 27 SPOTLIGHT

ASTHANA, MESSING BEGIN LEADERSHIP ROLES NEW CENTER AIMS TO BROADEN UNDERSTANDING OF TOXINS

anjay Asthana, MD, As director of the Wisconsin recognized for his unique umans are constantly co-director of the UW Stem With connections to the (left photo) has become Alzheimer’s Disease Research combination of experience, skill exposed to toxins in Cell and Regenerative Medicine SMPH, College of Engineering, Sthe first associate dean Center, Asthana continues to and scientific excellence. Heverything from air, food Center, and Harvey D. Spangler School of Veterinary Medicine, for gerontology at the University forge new ground in geriatrics “Dr. Messing is an and water to the goods we buy. Professor in the Department of Morgridge Institute for Research of Wisconsin School of Medicine and gerontology research. He has internationally renowned scientist While we know the harmful Biomedical Engineering. and Wisconsin Institutes for and Public Health (SMPH). trained more than 40 physician- who has developed an innovative effects of substances such as Murphy is leading a Discovery, the research team “This important new position scientists and investigators in scientific program while serving phthalates, asbestos and lead, diverse team of UW-Madison includes leading experts in will coordinate the activities of aging and dementia research and in a series of leadership roles our environment contains tens of researchers who received human pluripotent stem cell several SMPH research programs credits the remarkable strengths at the Waisman Center. He is UW-Madison vice chancellor for thousands of toxins for which we $6 million from the U.S. biology, tissue development and in aging, promote collaboration and international status of the exceptionally well positioned to research and graduate education. do not know that information. Environmental Protection Agency microscale tissue engineering. animal models and use human among many campus programs SMPH and UW-Madison in these advance the center’s missions “I’m excited and honored to “We do not have a (EPA) to develop models and Researchers will draw on microscale tissues in a dish to and lead strategic planning for fields. through a seamless transition in lead the many Waisman Center good understanding of how screening tools that will rapidly their combined expertise to recreate the complex physiology SMPH research on aging,” says Albee Messing, VMD, PhD, leadership,” says Golden. faculty, scientists and staff who environmental chemicals might advance knowledge of the health develop “organotypic” culture of human tissue. The EPA center SMPH Dean Robert Golden, (right photo) a professor of The Waisman Center carry out the important work of influence human tissues,” says effects of today’s ever-growing models, as well as robust, aims to fundamentally transform MD, adding that Asthana also comparative biosciences at focuses on research, clinical understanding and treating some William Murphy, PhD, a professor assortment of environmental practical technological tools our understanding of how will promote pursuit of new the UW School of Veterinary care, training and outreach of the most challenging health in the University of Wisconsin toxins. The grant will create the that allow researchers to rapidly chemicals in the environment multi-investigator geriatrics- and Medicine and an international related to intellectual and conditions. This work inspires School of Medicine and Public Human Models for Analysis of and reliably screen many can affect human tissues. gerontology-related grants from leader in research on glial cell developmental disabilities and hope for those affected by these Health’s (SMPH) Department of Pathways (H-MAPs) Center at toxins simultaneously. The the National Institutes of Health biology and Alexander disease, neurodegenerative diseases. conditions,” says Messing. Orthopedics and Rehabilitation, UW-Madison. long-term goals are to replace and call upon a cohesive team of has been named director of As director, Messing replaced investigators across campus. the Waisman Center. He is Marsha Mailick, PhD, now the

BYERS-WINSTON SERVING ON NATIONAL BOARD UW RECEIVES $3.7 MILLION TO STUDY E-CIGS

ngela Byars-Winston, PhD, science and engineering labor Twelve scholars serve on s the federal government priorities that may inform emerging policy discussions,” has begun a three-year market, enhance careers and the board. Byars-Winston considers how to regulate regulatory and health agencies, notes Megan Piper, PhD ’06, A term on the Board on education of doctoral scientists was nominated due to her A electronic cigarettes including understanding the an assistant professor in the Higher Education and Workforce and engineers, and improve understanding of the value of (e-cigs)—electronic devices that relationships between vaping SMPH Department of Medicine (BHEW) of the National Academy participation of underrepresented higher education, knowledge allow users to inhale nicotine and nicotine dependence; rates and UW-CTRI associate director of Sciences. groups in science, medicine and of the changing nature of vapor (“vaping”)—the University of smoking vs. vaping; health of research. The BHEW provides technology. the science and engineering of Wisconsin School of Medicine outcomes related to these Piper and Douglas Jorenby, government, academic and “This is a terrific honor and workforce, and deep and Public Health (SMPH) has activities; and whether vaping PhD ’91, a professor in the industry leaders with analyses an incredible opportunity to commitment to excellence, received a $3.7 million grant may affect attempts to quit SMPH Department of Medicine and recommendations to inform help inform and direct national equity and diversity. to further study them over smoking. and UW-CTRI director of clinical action and set strong public policy and funding priorities for Her research focuses on also is a member of a national the next five years. The grant The UW Center for Tobacco services, are co-principal to a study conducted by the policy on issues in higher Congress, and subsequently improving the effectiveness NIH-funded team that is setting is sponsored by the National Research and Intervention investigators on the grant. University of Michigan, in 2014, education and the workforce. the National Institutes of Health of mentoring to diversify the up the National Research Cancer Institute of the National (UW-CTRI) will identify and follow According to the World Health more teens used e-cigarettes Grounding its work in a (NIH) and the National Science science, technology, engineering Mentoring Network. The White Institutes of Health and the U.S. 150 participants who exclusively Organization “2014 E-Cigs than conventional cigarettes or foundation of data analysis, the Foundation,” says Byars- and math workforce. Recently, House named Byars-Winston Food and Drug Administration. smoke cigarettes and 250 who Report,” in 2014 there were any other tobacco product. board analyzes issues in higher Winston, an associate professor the NIH awarded a four-year, a Champion of Change for her E-cigs are largely unregulated both smoke and vape. 466 brands of e-cigs. In 2013, education that affect the nation’s in the University of Wisconsin $1.4 million grant to Byars- research efforts to diversify in the United States. This “This research will allow us consumers spent $3 billion ability to meet national goals School of Medicine and Public Winston and colleagues at science fields. research will provide in-depth, to examine the public health on e-cigs globally. Sales are in science and engineering. Health (SMPH) Division of UW-Madison to investigate the There’s More Online! longitudinal information, based effects of smoking and vaping forecasted to increase by a factor It also seeks to connect General Internal Medicine in the role of diversity awareness in Visit www.med.wisc.edu/ on real-time reports, to address during this critical period of of 17 by 2030. Also, according higher education with the SMPH Department of Medicine. mentoring relationships. She byars-winston

28 VOLUME 17 • NUMBER 2 QUARTERLY 29 GIVING BACK

by Toni Morrissey “Philanthropic support like Major Gift Enhances aren Walsh and Jim Berbee, MD the Berbee Walsh gift allows (PG ’14), MBA, like to fly under the Emergency Care K radar as much as possible with their us to grow robust clinical, philanthropy. But that became challenging educational and research JIM BERBEE, MD (PG ’14), MBA, when the couple donated $10 million to the AND KAREN WALSH University of Wisconsin School of Medicine programs, while continuing and Public Health (SMPH) for the Department of Emergency Medicine. to provide service to the “We want to make a positive impact in community.” the community. We are fortunate to have found a partner in Dr. Azita Hamedani, chair —Azita Hamedani, MD, MPH, MBA of the Department of Emergency Medicine,” says Berbee. “Karen and I know that with her leadership, our investment in emergency Medicine, Azita Hamedani, MD, MPH, MBA. medicine will be used to benefit the Two million dollars was used to create the community, the state, and, through research, vice chair of research and academic affairs the nation.” position in that department—a position Berbee has an insider’s perspective on Manish Shah, MD, will hold as of July 2015. emergency medicine and the UW Hospital Other funds will be used to support junior and Clinics Emergency Department. A research faculty and provide opportunities graduate of UW-Madison with degrees in for emergency medicine residents to become Azita Hamedani, MD, MPH, MBA, (above) has a strong interest in health systems improvement. Her medical engineering and business, he sold Berbee involved in various national activities. Now Information Networks Corporation in 2006 background and degrees equip her with unique expertise to Hamedani is ready to move on to the vision envision and implement expansion of emergency medicine. and then attended Stanford Medical School. for emergency medicine, beyond patient care He completed his emergency medicine and education, to the forefront of research. UW Hospital and Clinics will match training at UW Hospital and Clinics and now “Philanthropic support like the Berbee $4 million of the gift for a major expansion works as an emergency physician in Madison Walsh gift allows us to grow robust clinical, of the hospital’s emergency department, one and rural Wisconsin. educational and research programs, of only two Level I trauma and burn centers Walsh, too, is firmly grounded in the while continuing to provide service to the in the state. The emergency department will university. She obtained BS and MS degrees community,” notes Hamedani. be expanded from 34 beds to more than in journalism from UW-Madison and worked Challenges to implementation of clinical 50 treatment areas. Plans also include the there in public information positions for 23 and academic goals are significant. The creation of a clinical decision unit for patients years. She finished her career as an assistant hospital emergency department sees more who require a longer stay than a typical dean in the College of Engineering. She is than 56,000 patients a year, or 150 patients emergency center visit but not long enough active in the community, currently co-chairing a day. That represents more patient visits to require hospital admission; a flexible care the capital campaign committee for the UW than almost any other UW Health care site. area for initial triage and diagnosis; and School of Veterinary Medicine. The emergency department is cramped, and a multipurpose procedure room for more Both believe that private philanthropy the patients are sicker than ever. There is a complicated procedures that are now moved is needed now more than ever because need to grow the UW Hospital and Clinics to high-demand operating rooms. The newly of shrinking public grants. They point to Emergency Medicine Residency Program remodeled emergency department will be John and Tashia Morgridge who last year to train more and keep more emergency completed in spring 2016. committed $100 million in matching funds physicians in Wisconsin. Attracting the best “Jim and I recognize that who we are to support endowed faculty positions. Part residents and faculty is made easier thanks today is shaped by our experiences at of the Berbee Walsh gift will be matched to the Berbee Walsh gift, shares Hamedani. Longtime Badgers Jim Berbee, MD (PG ’14), MBA, and University of Wisconsin-Madison,” shares by the Morgridge family, for a total gift of Karen Walsh chose to support emergency medicine “Very few academic departments have Walsh. “We are grateful that we can support at the UW School of Medicine and Public Health and $13.5 million. endowed professor positions in emergency an institution that has been important in our UW Hospital and Clinics to make a difference for The gift and match will produce dramatic medicine,” she says. “And now Wisconsin lives and in the lives of countless others.” patients and their families. results, according to the inaugural chair has four. We are in a very fortunate position.” of the SMPH Department of Emergency

30 VOLUME 17 • NUMBER 2 QUARTERLY 31 CONNECTIONS Both pages, bottom row (left to right): SMPH Dean Robert Golden, MD, addresses the audience; Paul Ahlquist, PhD ’80, describes genetic discoveries; Shigeki Miyamoto shares his multidisciplinary research; Paul Sondel, MD, PhD ’75 (PG ’80), talks about pediatric cancer; Richard Page, MD, and K. Craig Kent, MD, are “mini deans” for the series. Middle row: Participants fill the Health Sciences Learning Center auditorium; a Mini Med School videographer captures the event for the web; Paul F. Lambert, PhD ’85, serves as a co-moderator for the event with Howard Bailey, MD (PG ’90) (pictured at right). Top/center: Ruth O’Regan, MD, fields questions after Features Cancer Research and Treatment her talk about breast cancer.

Bailey Named Director of Carbone Cancer Center In April 2015, Howard Bailey, MD (PG ’90), (above) was named director of the University of Wisconsin Carbone Cancer Center (UWCCC), the state’s only National Cancer Institute- designated comprehensive cancer center. A professor of medicine at the UW School of Medicine and Public Health (SMPH), Bailey specializes in gynecologic and soft-tissue cancers and prevention. He was the center’s interim director for two years. Having worked closely with the center’s namesake—Paul Carbone, MD—Bailey has been an active medical oncology clinician and researcher since joining the UW-Madison CLINT THAYER/DEPT. OF MEDICINE (10) THAYER/DEPT. CLINT faculty in 1994. He led the development by Rebecca Wasieleski Cancer Research and continued with the Hughes Medical Institute investigator, Continuing in Bach’s footsteps, Sondel and expose a cancer patient’s cells to a variety of of three state- and national-level clinical 1973 formation of the Comprehensive described the work of the late Howard Temin, others from the SMPH are part of a Pediatric drugs to identify the most effective treatment. research networks to expand access to t’s rare to find an American who hasn’t Cancer Center, now known as the Carbone PhD, the Nobel Prize-winning McArdle Cancer Dream Team supported by the Ruth O’Regan, MD, head of the cutting-edge research. An expert on drug and been affected by cancer first-hand or Cancer Center—both homed in the SMPH. researcher whose discovery of reverse national organization Stand Up to Cancer, Department of Medicine’s Division nutrient development for cancer prevention Ithrough a loved one. The PBS special, which focuses on creating novel therapies for of Hematology and Oncology, is an The university’s long, productive cancer transcription dramatically advanced virus “Cancer: The Emperor of All Maladies”— and treatment, he has directed or participated research and treatment legacy is marked by and cancer research and treatment. Temin’s some of the most lethal childhood cancers. internationally known physician-researcher based on Siddhartha Mukherjee’s Pulitzer in more than 100 clinical trials. discoveries that influence patient care today. legacy has continued in the Human Cancer Shigeki Miyamoto, PhD, professor of in therapy-resistant breast cancer. She Prize-winning book and executive-produced Bailey earned his medical degree at the Howard Bailey, MD (PG ’90), professor in Virology Program, which is advancing oncology at McArdle, profiled the work of profiled the work of Paul Carbone, MD, who by award-winning filmmaker Ken Burns— University of North Dakota and completed the Departments of Medicine and Obstetrics understanding and control of multiple human McArdle researcher Charles Heidelberger, developed the idea of treating breast cancer has renewed the public’s attention to the his residency at Southwestern Michigan Area and Gynecology and newly named director tumor viruses and related cancers. PhD, who in 1957 synthesized 5-fluorouracil patients systemically with chemotherapy need for better treatments and a cure. Health Education Center in Kalamazoo. He of the Carbone Cancer Center (see sidebar), Paul Sondel, MD, PhD ’75 (PG ’80), (5-FU), one of the first chemically synthesized after surgical removal of breast tumors, and The documentary tells a 4,000-year completed fellowships in medical oncology and Paul F. Lambert, PhD ’85, Howard M. the Reed and Carolee Walker Professor in cancer drugs. By inhibiting replication of DNA, the work of V. Craig Jordan, PhD, who found history of cancer, intertwining patient stories and oncologic research at the UWCCC. Temin Professor and Chair of Oncology and Pediatric Oncology and head of the Division 5-FU inhibits tumor growth and is used to the drug tamoxifen could shrink certain and the latest research into a narrative of director of the McArdle Laboratory for Cancer of Pediatric Hematology, Oncology and Bone treat breast, colon and other cancers. breast cancer tumors and prevent them. “The Carbone Cancer Center embodies challenge and hope. It inspired community Research, served as moderators for the Mini Marrow Transplantation, described how the Like Heidelberger’s research, Miyamoto’s O’Regan also described promising research the spirit of what this university accomplishes forums throughout the country, including Med School. The event began with a preview idea of mobilizing a patient’s immune system work embraces a multidisciplinary approach that targets triple negative breast cancer, an for our state,” says SMPH Dean Robert at the University of Wisconsin School of of Burns’ documentary followed by clinical to fight cancer started with UW researcher to cancer research. His team of cancer aggressive, therapy-resistant disease. Golden, MD. “Its researchers make important Medicine and Public Health (SMPH), which vignettes that bridged historic UW-Madison Fritz Bach, MD. In 1968, Bach performed one biologists, engineers, pathologists, clinicians Mini Med School is a free, community- discoveries that lead to better treatments; its hosted its March 2015 Mini Med School on cancer research discoveries with current of the world’s first bone marrow transplants, and statisticians investigate predictive based program. The event’s “mini deans” are the topic “Cancer Research and Treatment.” clinicians deliver those treatments to patients; cancer research programs. essentially transplanting immune system chemotherapy tests using microdevices to Richard Page, MD, George R. and Elaine Love UW-Madison is celebrating 75 years of and both educate health professionals and Paul Ahlquist, PhD ’81, the Paul J. cells as a way to target a patient’s immune analyze a patient’s cancer cells together Professor and chair, Department of Medicine, prominence in cancer research, education scientists who are moving the field forward. Kaesberg Professor of Oncology and system toward cancerous cells, a technique with his or her non-cancer cells. They hope and K. Craig Kent, MD, A.R. Curreri Professor and treatment, which began with the 1940 Howard has excelled in all roles. It is a Molecular Virology at McArdle and a Howard shown to be an effective cancer treatment. doctors can someday use these devices to of Surgery and chair, Department of Surgery. founding of the McArdle Laboratory for privilege to have him in this leadership role.”

32 VOLUME 17 • NUMBER 2 QUARTERLY 33 HEALER’S JOURNEY

Challenging the Norm: Fostering Ethics niversity of Wisconsin School recommended medical care or fail to control their child’s and bariatric surgery, which can reduce BMI and improve addressing underlying obesity while managing of Medicine and Public Health behavior to a degree that places the child at risk of serious comorbidities in obese children. A clinical trial showed comorbidities. Motivating the family is critical for success. U(SMPH) student David Staudt harm, including death.” Her parents have failed to follow positive results in older teens who underwent laparoscopic CPS could assist the parents in meeting expectations. (photo at right) received first place, medical advice, and she required PICU treatment. Thus, banding. But, surgical approaches are new and have However, removal from the home at this point is not and runner up Anna Mirer received these parents’ actions may be considered negligent. problems with complications, payment and consent. warranted. Given the uncertain efficacy of removal and recognition for submissions to the While Wisconsin law permits taking custody of a Another option is aggressive management of the most associated negative psychological effects, this should be second-annual Dr. Norman Fost child under certain circumstances, home removal is symptomatic comorbidities while working with the family. considered only as a last resort. Award for the Best Medical Student drastic. What is legal is not always what is ethical. Some This last option seems preferable. The long-term * Essay has been condensed. The full version, including Bioethics Essay. physicians consider removal justifiable when there is conversation with this family would move toward references, is available at med.wisc.edu/45886. Their work explored the theme of the March 2015, “1) a high likelihood that serious, imminent harm will seventh annual Bioethics Symposium, “Challenging the occur; 2) a reasonable likelihood that coercive state Norm: Fostering Ethics,” sponsored by the SMPH and its intervention will result in effective treatment; and 3) the Department of Medical History and Bioethics. absence of alternative options ....” Are those criteria met? The students’ essays followed criteria in reaction to the Regarding “high likelihood of serious, imminent harm,” following scenario (condensed here; full version online): a large-scale review reports that obese children are at Honoring Norm Fost, MD, MPH You are a pediatric resident. A 12-year-old girl is risk of metabolic syndrome, type 2 diabetes mellitus, For four decades on the University of Wisconsin School of admitted to the pediatric intensive care unit (PICU) with atherosclerosis, hypertension, obstructive sleep apnea, respiratory distress secondary to an asthma attack. Her asthma, non-alcoholic fatty liver disease (NAFLD) and other Medicine and Public Health (SMPH) faculty, Norman Fost, MD, inability to breathe is exacerbated by severe restriction of conditions. While serious, whether the conditions pose MPH, a professor emeritus and bioethics pioneer, has made her chest cavity due to extreme obesity. She also has type 2 imminent harm is debatable. Childhood obesity-associated an enormous difference for children and families across the diabetes, obstructive sleep apnea and hypertension. cardiovascular disease has not been associated with nation. With joint appointments in the Department of Medical Her pediatrician tells you that prior interventions have increased risks of childhood myocardial infarction, stroke or History and Bioethics and the Department of Pediatrics, he had little success. They counseled her parents about malignancy. Obese children with NAFLD have an increased recently retired but will remain part time in both departments. providing her with regular exercise, reduced screen time and risk of mortality or liver transplant as young adults, but that The Department of Medical History and Bioethics honored a nutritional diet, but the parents dismiss the measures. hardly seems “imminent.” More relevant is a correlation Fost at the March 2015 Bioethics Symposium that bears his In this case, should the parents be considered between obesity and asthma requiring emergency care. name. And in December 2014, the Department of Pediatrics Each year, 200 children die from asthma. While this is a negligent of the child’s health? If so, should child protective celebrated his many accomplishments. services (CPS) intervene and remove the child from that tiny fraction of asthmatic and obese children, this child’s Fost directed the Pediatrics Residency Program for 20 years, founded and led the UW-Madison environment? Have all other interventions been exhausted? disease needed PICU care, so this could constitute “serious, Bioethics Program for more than 30 years, chaired the UW-Madison Health Sciences Institutional imminent harm.” However, a PICU stay versus ward care is Winning Essay*: “Ethical Issues in Review Board for 31 years and chaired the UW Hospital and Clinics Ethics Committee for more Childhood Obesity: When is Removal often subjective, and without report of invasive treatments, determining the significance of this PICU care is difficult. than three decades. He also served on President Clinton’s Health Care Task Force in the 1990s and Justifiable?” Regarding effective treatment, one review of pediatric participated in numerous national committees, including those at the National Institutes of Health and The central conflict is between the parents’ autonomy lifestyle interventions reported that greater than 10 percent the U.S. Food and Drug Administration. He has earned numerous lifetime achievement awards. to make child-rearing decisions and the child’s well-being. of patients had sustained, significant weight loss. Successful In Fost’s honor, the Department of Pediatrics recently established the Lecture in Bioethics and, for The U.S. Supreme Court has determined that child-rearing interventions lasted more than six months, targeted younger the first lecture, brought in one of Fost’s former residents: Douglas Diekema, MD, MPH (PG ’89), a decisions are constitutionally protected privacy rights. youth who were overweight but not obese and involved professor of pediatrics at the University of Washington School of Medicine and director of education Opposed to these rights are the child’s “best interests.” motivated children and parents. Thus, a CPS-mandated Although highly criticized, this standard is widely used in at the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Hospital. Diekema says he lifestyle intervention seems unlikely to be effective. Some decisions to treat children against parents’ wishes when considers Fost one of his most influential mentors. Both men have received the American Academy of argue that the goal of intervention isn’t body mass index those wishes are detrimental and could constitute neglect. Pediatrics’ William G. Bartholome Award for Ethical Excellence. (BMI) reduction, only weight loss sufficient to improve Wisconsin law defines neglect as “failure, refusal or Fost expresses sincere appreciation to the many department chairs, SMPH deans and senior leaders comorbidities. Even with this goal, weight regain poses a inability on the part of a parent … to provide necessary who supported his work for more than 40 years. major problem based on available data. care, food, clothing, medical or dental care … so as to “What really matters is what’s going on locally—the people who are close to you, the people who Advocates of CPS intervention hold that removal should seriously endanger the physical health of the child.” In occur only when no alternatives exist. In this case, there know you the best, the people you care about the most,” noted Fost at the Department of Pediatrics obesity cases, one group of physicians asserted that parents are unexplored therapies, such as a medication associated celebration. “Knowing that so many people care has been so gratifying.” are negligent if they “fail to seek medical care, fail to provide with minor weight loss approved for children age 12 and up,

34 VOLUME 17 • NUMBER 2 QUARTERLY 35 STUDENT LIFE

like I ran my best marathon by executing my Both are hard, but the Ironman triathlon’s plan for nutrition and my pace. swimming, running and biking over 11 hours The atmosphere was electric, with a was more complicated in terms of nutrition, never-ending wall of people almost lining endurance and other things you have to the entire length of the race. The course is manage for a 140.6-mile race. The Ironman, designed to test your limits due to some including training, was one of my most rolling steep hills and declines, and I loved humbling and rewarding journeys. every second of the challenge. From the The Boston Marathon is the oldest athletes to the spectators and volunteers, marathon in the world. I feel lucky to have this is a top-notch race that I will do again! qualified just a year after the 2013 bombing. Why do you run? It was surreal to walk Boylston Street near Running started as a way to take care the finish line and see the memorials where of myself when my health was at its worst, the two bombs exploded last year. It gave the and it evolved into a lifestyle. As a college race an even deeper meaning as I thought freshman, I needed surgery to remove some about what that horrible day must have been masses on my chest and neck. Afterward, like for spectators and athletes. I was taking multiple medications, suffering I plan to compete in both events again from frequent flares and struggling with someday and improve my times. M2 Brock Polnaszek scopes out the finish line the day before intense fatigue. Once I was cleared for How is medical school going? the Boston Marathon. exercise, I worked with my rheumatologist As this school year ends, it is an exciting to build up my exercise routine. I remember time of change. The first two years of medical people who support me and encourage me running from the Lakeshore Dorms to Picnic school require digesting a large amount of to pursue my goals. When you surround Point and wondering why in the world anyone information every day. I have a hard time yourself with positive people who are MARATHONFOTO (PAGE 36); PHOTOS COURTESY OF BROCK POLNASZEK (PAGE 37) OF BROCK POLNASZEK (PAGE 36); PHOTOS COURTESY (PAGE MARATHONFOTO sitting still for long periods. I am excited to passionate about something, their passion is begin the next stage of medical education, in contagious and inspirational. That catalytic which I’ll be able to apply my knowledge as I environment is one of the things I value most care for patients. I want to take in as many of about my medical school class, the medical the third-year experiences as possible. field and endurance racing. In spite of the rain and wind, M2 Brock How has rheumatoid arthritis What’s next for you? Polnaszek proudly wears his Boston impacted your life? I have been wondering about that a lot Marathon number 4830 as he competes I had juvenile idiopathic arthritis as a lately! I try to focus on the race in front of in his seventh marathon. child, spent time in remission and was me, but this year I have hit two huge racing diagnosed with rheumatoid arthritis in high milestones. I think it’s time to step back school. This made me the person I am from competitive training and maintain my today and influenced my decision to become endurance base. I will continue to do local Brock Polnaszek Keeps Running races until one of my siblings convinces a doctor. DESPITE RHEUMATOID ARTHRITIS As an endurance athlete, I have seen me to do another big race. We’ve talked the profound ability of the human spirit to about racing the Boston Marathon together. Left to right: M3 Jenny Gassner, M2 Brock Polnaszek, and conquer all types of physical and mental I definitely have a bucket list of big races all Interview by Emily Kumlien September 2014 and ran his first Arthritis Foundation’s Upper Erin and Eugene Boyd (Polnaszek’s sister and brother-in-law) limitations. I have raced with a cancer around the nation and world—maybe even celebrate Polnaszek’s victory in Boston. Boston Marathon—his seventh Midwest Region raise awareness patient who was receiving chemotherapy and the Ironman World Championships in Hawaii. rock Polnaszek, age 25, Schoolwise, I am excited to plan my marathon—in April 2015. about all types of arthritis. watched a father swim, bike and run 140.6 is a second-year medical would do this. As I increased my miles over miles while pulling his son with disabilities. next career moves as a physician. I love time, I slowly was able to cut back on my working as part of a team and learning my student at the University Moreover, he has accomplished These people prove that anything is possible. B medications, and I noticed a change. The role as a physician in caring for patients. How was the Boston Marathon? In my future medical career, I want to be a of Wisconsin School of Medicine this while managing the pain of The experience was indescribable! We “anything is possible” attitude I learned from source of hope and healing for my patients, Rheumatology has always been toward the rheumatoid arthritis, which he and Public Health (SMPH). From had some of the toughest weather in the running trickled into every aspect of my life. regardless of their circumstances. top of my list of potential future specialties refuses to let slow him down. race’s history, with winds up to 35 mph, How did the Ironman Wisconsin and to consider, but I am approaching third year Thorp, Wisconsin, Polnaszek has Where do you get your determination? with my eyes open to all fields. He’s also using his connections rain and cold temperatures, but the weather Boston Marathon compare? I have an amazing support network managed an intense course load, didn’t stop the runners or the million It’s impossible to compare them because to the medical field and as an between my family, my girlfriend and my completed his first Ironman in spectators who lined the course. My race the two races are completely different. friends. I am fortunate to be surrounded by endurance athlete to help the mantra was “Be patient, be strong,” and I felt

36 VOLUME 17 • NUMBER 2 QUARTERLY 37 RESEARCH ADVANCES

Study Finds Key Link in Cold-Virus Picture How Psychopathic Brains Create Reckless Behavior

esearchers at the the receptor, CDHR3, in asthma and Medicine and principal hanks to functional first involves traits such as separately with different types University of Wisconsin was previously unknown. investigator of the study. “But magnetic resonance shallow emotions, manipulation of therapy.” RSchool of Medicine and The new findings, published our research describes the Timaging (fMRI), of others and superficial charm. The first cluster—callous Public Health have made a key in the Proceedings of the protein (CDHR3) that enables neuroscientists are getting a The second involves impulsive lack of empathy and shallow discovery about a cold-causing National Academy of Sciences, RV-C viruses to bind to cells, better look at how the brains of and antisocial traits such as charm—is associated with virus that is strongly associated help clarify the function of enter them and ultimately start psychopathic criminals work, irresponsibility, recklessness reduced communication with severe asthma attacks. CDHR3 and may lead to the the replication process.” and they’re more complicated and criminal behavior. between parts of the brain that Findings point to a new target development of prevention and The findings suggest than previously thought. “Our study shows that control thoughts and behavior. for reducing both colds and treatment strategies against that a gene variant could be A study that scanned the these two clusters of traits The researchers found this “Psychopathy appears asthma attacks linked to RV-C-induced colds and a risk factor for childhood brains of 142 prison inmates have different representations reduced connectivity in three to be linked to deficient the virus. asthma attacks. wheezing illnesses caused by showed different neural in the brain,” says Michael neural networks governing communication between the The research team “This virus had been hard rhinovirus C, which in turn may patterns for two constellations Koenigs, PhD, associate thoughts and behavior, but brain’s main information- identified a cellular receptor to study because none of increase the risk of developing illnesses yearly at an estimated of traits associated with professor of psychiatry at the not in networks that process processing hubs that for rhinovirus C (RV-C), a kind the standard cell lines in the asthma. In the future, annual cost of more than psychopathy. The results were UW School of Medicine and hearing and sight. ultimately control thoughts and of “docking station” where the laboratory would permit growth development of drugs that $40 billion in the United States. published in the Journal of Public Health. “If these different The second cluster, related behavior,” Koenigs explains. virus attaches to the cell and of RV-C because the virus block CDHR3 potentially could Neuroscience. characteristics reflect different to impulsive and violent “This is a more complex starts to multiply. A variant in bound to an unknown receptor help prevent and treat illnesses Scientists have long underlying causes, then from behavior, showed up in the neuropsychological deficit the gene for this receptor had on the surface of cells,” says caused by rhinovirus C. established that two clusters a treatment standpoint, it may brain as increased connectivity than simply an inability to been linked to asthma in past James Gern, MD, professor in Rhinoviruses are of traits make up the be helpful to target these traits in those same three networks. experience fear or anxiety, as studies, but the potential role of the Departments of Pediatrics responsible for millions of psychopathic personality. The others have proposed.

Comparing Treatments for Diabetic Macular Edema Research Calls for Federal Audit Reform

n ophthalmology for people with mild DME, while The SMPH researchers he federal government’s for Medicare hospital benefits. Patients hospitalized as from 2010 to 2013 at the study research team at the Eylea did better for those with recruited eight participants audit system, which The paper, “Recovery Audit inpatients qualify for Medicare hospitals. If auditors contest A University of Wisconsin moderate or worse vision loss. to the study. Three have Tmonitors how hospitals Contractor Audits and Appeals Part A and insurance benefits. a claim, there is a lengthy School of Medicine and Public There were 660 people completed two years of follow- handle Medicare claims, at Three Academic Medical Patients hospitalized under appeals process. Contested Health (SMPH) took part in enrolled at 88 clinical trial up; the others will be followed needs to be reformed, says Centers,” is the first to analyze outpatient status, including claims without a decision spent a nationwide clinical trial sites across the United States. for a full two years. Ann Sheehy, MD, associate hospital data on this issue; it observation, can be covered an average of 555 days in the comparing treatments for Justin Gottlieb, MD, chief of the The results showed when professor in the University of was published in the Journal of under Medicare Part B, but may appeals process. diabetic macular edema (DME). retina service and a professor vision was 20/50 or worse Wisconsin School of Medicine Hospital Medicine. be subject to uncapped out- “Hospitals cannot afford to The study found that three in the SMPH Department of at the start of the trial, Eylea and Public Health’s (SMPH) “The paper’s goal is to of-pocket charges. Medicare have these claims tied up for Laser treatment was commonly used drugs perform Ophthalmology and Visual (aflibercept) provided greater Department of Medicine. provide objective data to policy- observation patients also do so long,” says Sheehy. the standard for DME until much the same for those with Sciences, was the local visual improvement on Sheehy, a UW Health makers so they can reform not qualify for post-discharge “We would like to see a the widespread adoption of mild vision problems, but one principal investigator for the average for the participants hospitalist, and fellow a subjective process,” says skilled facility care. re-focus in how Medicare these drugs a few years ago. performed better for those with trial in Madison. compared to the other two investigators at the two other Sheehy. “Medical fraud and Federal audits are carried dollars are spent. Our goal Investigators found no major more serious vision loss. “Being able to be part of drugs. Each participant was hospitals in the study—Johns abuse should not be tolerated, out by private government always is to provide the best differences in the drugs’ safety. Results of the study, which this research is one of the randomly assigned to receive Hopkins in Baltimore and the and systematic surveillance contractors. Auditors question medical care possible for Diabetic macular edema was funded by a grant from the reasons we practice at the one of the drugs and received University of Utah in Salt Lake needs to be a part of Medicare. hospital claims if they believe patients,” explains Sheehy, who can occur in people with National Institutes of Health, University of Wisconsin,” the assigned study drug by City—draw attention to the We argue that we need fair, hospitals have called a patient testified twice in 2014 in front diabetic retinopathy. About were published in the Gottlieb says. “We are able to injections directly into the Recovery Audit Contractors constructive and cost-efficient stay inpatient rather than of congressional committees New 7.7 million Americans have . be part of these studies and to eye until DME resolved or and growing concern over surveillance of Medicare. We outpatient. to promote changes in how the England Journal of Medicine diabetic retinopathy. Of these, The trial compared three help not only our patients, but stabilized. Patients were outpatient (observation) and are willing to share data and The paper looks at Medicare government enforces decisions about 750,000 have DME. drugs: Eylea, Lucentis and people around the world who evaluated monthly. inpatient status determinations lead this national discussion.” Part A audit and appeals data about hospital-stay status. Avastin. All performed similarly have diabetic macular edema.”

38 VOLUME 17 • NUMBER 2 QUARTERLY 39 PERSPECTIVE

RURAL RESIDENCY TRACK HELPS FILL CRITICAL NEED Inbox

by K. Craig Kent, MD, and Aiming to ease this shortage,  SUBJECT: MINI MED SCHOOL Eugene Foley, MD in 2014 the University of The University of Wisconsin School of Medicine and Public Health (SMPH) hosts a series of Mini Med Schools each year (see page 32), which provide a fun, interactive opportunity to learn about the latest advances in e are deeply concerned Wisconsin School of Medicine and Public Health’s (SMPH) research and patient care from physician-scientists who are changing the way we care for ourselves. The about the looming sessions are open to everyone, and those who can’t attend in person can watch them online. View the upcoming Department of Surgery created Wdeficit of general schedule and view past Mini Med Schools at med.wisc.edu/minimedschool. surgeons willing to practice in the innovative Rural Residency rural areas of the United States. Training Track, accredited by the national Resident Review  SUBJECT: SOCIAL MEDIA This is acute in Wisconsin, where Get the scoop on the latest happenings at the SMPH by following our social media accounts. Join the Committee in Surgery. Our first small communities and critical conversation by connecting with us at twitter.com/uwsmph, facebook.com/uwsmph and youtube.com/ trainee will begin in July 2015. access hospitals are spread over uwmedicine. a great distance. Although many small communities can support K. Craig Kent, MD, A.R. Curreri Eugene Foley, MD, professor, For patients, obtaining SUBJECT: E-NEWSLETTER a single surgeon, residents Professor of Surgery and chair, vice chair of clinical operations,  surgical care—particularly Now you can have the latest news from the SMPH delivered straight to your inbox. The SMPH e-newsletter hesitate to choose rural practice Department of Surgery Division of General Surgery; routine surgical care—far from director, General Surgery Residency will keep you connected to the latest news about education, research, alumni and more. It also will include home is inefficient, costly for many reasons, including: Program, Department of Surgery highlights and photo galleries from events such as Match Day, graduation and Homecoming. Haven’t seen the endoscopies, obstetrics, and undesirable. For rural e-newsletter? Catch up on back issues at med.wisc.edu/1362. You can subscribe at med.wisc.edu/enews. • Most do not have ample rural hand surgeries and urological hospitals, surgical procedures surgery role models. interventions. Average mentors throughout the state. often produce a significant • Individuals are rarely willing general surgeons perform 23 We have created partnerships in financial margin. Also, in small to take 24/7 call in solo different operations; those Neenah and Waupun, Wisconsin, communities, the hospital often practices. Some share in rural environments do and are discussing others. is the largest employer. call with surgeons from even more. We are grateful for funding Rural surgery can provide neighboring communities, • The economics of a private from the Wisconsin Rural an exceptionally rewarding but that may mean covering solo or small group practice Physician Residency Assistance career for surgeons who multiple hospitals, many can be challenging. Program and Wisconsin value independence and enjoy miles apart. Department of Health Services performing a wide array of The “UW Rural Residency” is • Urban-trained surgeons may to support the program’s procedures. However, surgical designed to broaden trainees’ find rural practice challenging development and early trainees often do not choose expertise in surgical areas due to the comparatively implementation. We commend rural practice. In 2011-12, essential to small community limited technology and the state for understanding the although 24 rural surgery practice, including the breadth related infrastructure. This importance of primary care positions were available in of skills necessary to launch may preclude their ability to surgery, and we look forward to Wisconsin, 12 of the 16 successful, satisfying careers. perform procedures for which reporting our program’s impact. graduates of the state’s general During the five-year program, they trained. Also, they may Although our program is starting surgical residencies sought residents will spend 18 months be called upon to perform out small, we hope it will serve specialized fellowships. immersed in a rural surgical interventions for which they as a model for other programs environment alongside strong have little training, such as around the nation.

DAVID W. DUPPLER, MD ’80 continued from page 25

Stabilized patients were sent to the served. He considers serving his country a art of tying intricate flies. Looking back at his next level of care at Bagram Air Field in once-in-a-lifetime experience that he will years at UW-Madison, a rush of memories Afghanistan and then to Landstuhl Regional never forget. takes precedent. Medical Center in Germany before, typically, Today, the physician calls upon surgical “I feel extremely fortunate to have been being transported to the U.S. skills he has built over four decades. He educated at the UW School of Medicine and Upon arriving home in March 2014, uses some of that deft handwork for another Public Health and to have a busy practice Duppler found the experience bittersweet. endeavor. At the family’s cottage in northern doing what I love, and a wonderful and loving He was eager to be home, but it was hard Wisconsin and on a lakeshore near Appleton, family,” he says. “If I die tomorrow, I die as to leave the good people with whom he this avid fly fisherman enjoys practicing the the luckiest guy on the face of the earth.”

40 VOLUME 17 • NUMBER 2 We Want to University of Wisconsin Medical Alumni Association Nonprofit Org. Health Sciences Learning Center U.S. Postage Hear From You 750 Highland Ave. PAID Madison, WI 53705 Madison, WI Please send us information about your honors, Permit No. 2117 appointments, career advancements, publications, volunteer work and other activities of interest. We’ll include your news in the Alumni Notebook section of the Quarterly as space allows. Please include names, dates and locations. Photographs are encouraged. Have you moved? Please send us your new address.

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