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Ob/Gyn Inside Story - University of Rochester Medical Center

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<strong>Ob</strong>/<strong>Gyn</strong> <strong>Inside</strong> <strong>Story</strong><br />

Chair’s Corner<br />

A New Chapter<br />

June 6, 2013 Volume 5, Issue 1<br />

This is my last quarterly Chair’s letter. In<br />

June, I will step down from this privileged<br />

position after eleven years to re-enter<br />

medicine full time, joining Henry Hess as<br />

part <strong>of</strong> a <strong>Gyn</strong> practice within our Department<br />

focused on the midlife issues <strong>of</strong> women.<br />

Perhaps it is a product <strong>of</strong> age or perhaps<br />

nostalgia, but it seems appropriate to look<br />

back at some <strong>of</strong> the key events that have<br />

transpired since I first relocated to <strong>Rochester</strong><br />

in 1986 that trace the history <strong>of</strong> this<br />

Department.<br />

I apologize to those I may have inadvertently<br />

overlooked as I look back at our collective<br />

history. Many <strong>of</strong> these events were built<br />

on the broad shoulders and accomplishments <strong>of</strong> Henry Thiede, who served as<br />

Chair until his retirement in 1995, David Guzick, who chaired this department<br />

from 1995-2002 before becoming our Dean, and whatever part I was able to<br />

play as Chair from 2002 to the present.<br />

Let me start by thanking all the nurses, nurse practitioners and social workers<br />

who have made my life, and that <strong>of</strong> the entire faculty, such an enriched<br />

experience. Names such as Sue Zigrossi, Ann Dozier, Deb Phillips, Pat Allen,<br />

and Mardy Sandler come to mind, all dedicated to a common goal, the best<br />

and safest care for our patients.<br />

Our success as a clinical program committed to advancing our specialty could<br />

not have occurred without the dedication, and <strong>of</strong>ten unsung efforts, <strong>of</strong> our<br />

support staff, many <strong>of</strong> whom have been with us for decades. As I look around,<br />

I see faces <strong>of</strong> those who throughout the years have been steadfastly loyal to<br />

our goals and passionate about their part in that process.<br />

(continued on page 2)<br />

INSIDE THIS ISSUE<br />

Chair’s Corner 1 - 5<br />

Love Letters 6<br />

Peri-FACTS Authors 6<br />

<strong>Ob</strong>/<strong>Gyn</strong> Service Council 6<br />

Congratulations 7 - 8<br />

Lean on L&D 8<br />

ORA Flash: NIAID Updates 8<br />

New Statue at Lattimore 9<br />

Lattimore Anniversary 9<br />

Resident Research Day 10<br />

30 Years <strong>of</strong> IVF at URMC 11<br />

A Note from Beth Cooper 12<br />

PIVOT for Grant Funding 12<br />

CARE After Cancer 13<br />

New Grant Awards 13<br />

Meet the New Interns 14<br />

Community Updates 15 - 16<br />

<strong>of</strong><br />

1


Chair’s Corner (Continued)<br />

I accepted the job <strong>of</strong> Division Director <strong>of</strong> Maternal Fetal Medicine in 1984, but<br />

because I was writing my first book on Communication in Medicine, Dr. Thiede<br />

agreed to wait until the summer <strong>of</strong> 1986 for my arrival. That year our epidural rate<br />

was 10%. Today, in contrast, it is over 60%.<br />

Upon arrival at URMC, the MFM division was in transition. Jules Moodley had just<br />

left for Cleveland and, within a year, Yogesh Shah would join him. Steve Sanko<br />

had just finished his MFM fellowship and joined us; Jeanne Cullinan was already in<br />

the division; David Graham was both MFM and Radiology (ultrasound), and Larry<br />

Dolkart was our first MFM fellow.<br />

Within a few short years, Graham would relocate, Cullinan would move to<br />

Philadelphia to run a women’s imaging center (but sadly would later die <strong>of</strong> cancer),<br />

Sanko would join a private group (RGOA), and Dolkart would return to a successful<br />

MFM career in Elmira, New York.<br />

With only David Sherer and Howard Thompson as my MFM fellows, and no other<br />

faculty but me, it was a relief when Jacques Abramowicz joined the division,<br />

followed by Richard Jaffe. Together, we guided the expansion <strong>of</strong> <strong>Ob</strong> and <strong>Gyn</strong><br />

ultrasound outside the hospital. Today, under Eva Pressman, we provide an<br />

amazing network across the city.<br />

In time, MFM expanded. Ruth Anne and John Queenan joined us from South<br />

Carolina where John was running a successful REI program. Eva Pressman relocated<br />

from Johns Hopkins and later would become a great MFM Division Director.<br />

During those early years, the program was growing and changing constantly,<br />

but some components provided stability. Marvin Amstey was Chief <strong>of</strong> <strong>Ob</strong>/<strong>Gyn</strong> at<br />

Highland Hospital, devoting time to medical student and resident teaching. Bob<br />

Tatelbaum headed up Genesee Hospital and Phyllis Leppert chaired <strong>Rochester</strong><br />

General Hospital. Phyllis and I were fierce competitors. However, at one annual<br />

ACOG meeting we danced together and we were good! At Strong, I recall Al Jones<br />

mentoring resident care in our small outpatient hallway while posting the “case <strong>of</strong><br />

the week” to challenge our residents. He would later become the Chief <strong>of</strong> <strong>Ob</strong>/<strong>Gyn</strong><br />

at Unity Health Systems.<br />

In those early years, the clinical divisions were also changing. <strong>Gyn</strong> Oncology was<br />

initially directed by Jack Beecham, with Cindy Angel and Brent DuBeshter finishing<br />

their fellowships. Jack would depart to Vermont, leaving the growth <strong>of</strong> the division<br />

to Cindy and Brent. It ultimately grew, with some speed bumps as other <strong>Gyn</strong><br />

Oncologists came and then departed. Today this group <strong>of</strong> four is the busiest group<br />

<strong>of</strong> <strong>Gyn</strong> Oncologists in New York State.<br />

The Reproductive Endocrinology Division had a more circuitous path <strong>of</strong> growth.<br />

When I arrived in 1986, Eberhard Muechler and Ko-En Huang were conducting<br />

IVF and Grace Centola was coordinating the sperm bank. Eb would later leave the<br />

<strong>University</strong> to join another health system and Ko-En would become a senior leader<br />

2<br />

(continued on page 3)


Chair’s Corner (Continued)<br />

in Taiwan. Grace would leave URMC for a private blood banking company. The<br />

next division faculty was John Mattox who held the division together until he<br />

departed for Arizona. Shortly thereafter, we were led to the real deal. Vivian Lewis<br />

had just moved to San Francisco when we notified her <strong>of</strong> the opening <strong>of</strong> this<br />

leadership position. Because circumstances had delayed her establishing a base in<br />

San Francisco, she accepted our invitation, and the rest is history. A great division<br />

now headed by Kathy Hoeger has five faculty and one <strong>of</strong> the longest-running and<br />

most successful IVF programs in New York State.<br />

Urogynecology also took a winding path. Our initial faculty member, Hillary<br />

Cholhan, departed for <strong>Rochester</strong> General Hospital, and Gunhilde Buchsbaum took<br />

charge, building the division to three before one, Mike Flynn, moved to head the<br />

Division <strong>of</strong> Urogynecology at the <strong>University</strong> <strong>of</strong> Massachusetts. By this fall, the<br />

division will be back to three, and is the go-to group for significant pelvic floor<br />

disorders.<br />

Our Nurse Midwives have always been part <strong>of</strong> our foundation. Begun by Beth<br />

Cooper under the wise leadership <strong>of</strong> Dr. Thiede, they rapidly grew to be not only<br />

an integrated part <strong>of</strong> our clinical enterprise but also <strong>of</strong> our educational programs.<br />

Skills learned by a medical student or younger resident under the watchful eye <strong>of</strong> a<br />

midwife have provided a lifetime foundation for compassionate care.<br />

What about the generalists in the Department? Under David Guzick, David Foster<br />

and Fred Howard expanded their expertise in vulvar disease and laparoscopic<br />

surgery respectively to address the question “who teaches our residents general<br />

<strong>Ob</strong>/<strong>Gyn</strong> care?” From an early departmental need developed what is now one <strong>of</strong> our<br />

largest divisions. Sireesha Reddy served initially as Division Director. Subsequently<br />

Adrienne Bonham, the current Division Director, took a strong hand in establishing<br />

an academic orientation for each <strong>of</strong> the division members. Out <strong>of</strong> that group have<br />

emerged experts in family planning, pediatric gynecology, midlife women’s health,<br />

pelvic pain management, and vulvar disease.<br />

Despite all the good that was happening, dark clouds were on the horizon. In time,<br />

the residency that had expanded to include all four hospitals would be brought<br />

back to Strong, Highland, and Genesee. Later, Genesee Hospital would close.<br />

Our research program has always been oriented toward bringing the clinician and<br />

the scientist closer. Early on, we made our mark through Rich Miller’s placental<br />

perfusion model, my cocaine studies in pregnant sheep, and Patty Rodier’s autism<br />

research (aided by Chris Stodgell). Later, Ron Wood would advance Urogynecology<br />

in the mouse model, Shanna Swan would expand environmental chemical effects<br />

in pregnancy, Shawn Murphy would champion studies <strong>of</strong> placental infections, and<br />

others focused on lead exposure, vulvodynia, and polycystic ovarian disease. With<br />

this commitment to research, one year we ranked number one nationally among<br />

<strong>Ob</strong>/<strong>Gyn</strong> departments for NIH research dollars in environmental chemical studies,<br />

(continued on page 4)<br />

3


Chair’s Corner (Continued)<br />

and second overall for <strong>Ob</strong>/<strong>Gyn</strong> department for total NIH research dollars. Moreover<br />

while these investigators have contributed much scientifically, the development<br />

<strong>of</strong> the Office <strong>of</strong> Research Administration, now led by Emily Barrett and Rebecca<br />

Rowley, has provided a platform supporting investigators to develop grants and<br />

manage budgets, and for young investigators to find their footing.<br />

Critical to our success as a Department has always been the strong commitment<br />

from our community physicians. Many <strong>of</strong> us recall fondly Tichell, Clay, Choate,<br />

Fullerton, and many others. Their patients, and the education these physicians<br />

<strong>of</strong>fered our residents, were part <strong>of</strong> the backbone <strong>of</strong> our Department. Later Warner,<br />

Stookey, and others would carry the banner. What a great group to be so dedicated<br />

to our program.<br />

The brick and mortar footprint <strong>of</strong> our Department’s outpatient services significantly<br />

changed over the years. In the mid-1990s, REI and MFM initially moved <strong>of</strong>fsite<br />

but later relocated back into the ambulatory building <strong>of</strong> Strong Memorial. General<br />

<strong>Gyn</strong> and Urogyn also moved <strong>of</strong>fsite, recognizing the need for a single subspecialty<br />

facility. So in 2007, our 21,000 square foot subspecialty building, consisting <strong>of</strong><br />

REI, MFM, <strong>Gyn</strong> Specialties, and Urogynecology, was opened at Red Creek near<br />

Marketplace Mall. Shortly thereafter, we began our search for a similar site closer<br />

to Strong Memorial Hospital to provide comprehensive general <strong>Ob</strong>/<strong>Gyn</strong> care. After<br />

two false starts, in 2012 we opened our new Lattimore Women’s <strong>Center</strong>, also<br />

a 21,000 square foot center just four blocks from Strong. This step left Strong<br />

Hospital as an inpatient-only facility and placed all <strong>of</strong> our outpatient services<br />

<strong>of</strong>fsite, providing patients with free parking and easy access. Tara Gellasch became<br />

our first <strong>of</strong>ficial <strong>Medical</strong> Director for the Women’s Health Practice at Lattimore<br />

Women’s <strong>Center</strong>.<br />

Education has always remained one <strong>of</strong> our highest priorities and over the decades,<br />

we engaged in several different educational models. Our first regional Perinatal<br />

Conference was held in 1987 at the Holiday Inn. Starting with 70 participants, it<br />

would run for over 25 years and grow to engage 400 physicians and nurses. The<br />

first Friday combined perinatal-neonatal weekly conference also began in 1987,<br />

later to be referred to as “Shark Rounds” although I do not know why. Along the<br />

way, to promote women’s health, we ran a golf tournament for two years, and<br />

for the past five years we have coordinated an annual Women’s Health Screening<br />

Fair at the <strong>Rochester</strong> Public Market, screening over 400 women during a four hour<br />

period on a Saturday in September.<br />

Who would have ever thought back in 1991, when we first initiated Peri-FACTS<br />

(called Peri-FACTS then because <strong>of</strong> the limited technology), that today that<br />

educational journal would reach over 30,000 nurses, physicians and students in<br />

<strong>Ob</strong>stetrics and <strong>Gyn</strong>ecology?<br />

4<br />

(continued on page 5)


Chair’s Corner (Continued)<br />

Early on, David Baram and Tony Labrum provided the psychosocial <strong>Ob</strong>/<strong>Gyn</strong> teaching<br />

to residents and students, Diane Hartmann marshaled the residents, and our<br />

Maternal Fetal Fellowship continued to be productive. Diane’s resident director role<br />

would shift to Ruth Anne Queenan as Diane took a more national role in education.<br />

Later Ruth Anne would pass the residency directorship to our current Erin Duecy, as<br />

Ruth Anne became Chief <strong>of</strong> <strong>Ob</strong>/<strong>Gyn</strong> at Highland Hospital.<br />

New fellowships have also been founded. Our long-standing MFM fellowship<br />

would be joined by our Urogynecology fellowship and the Scibetta Minimally<br />

Invasive Fellowship, training academic leaders who will write the next chapters <strong>of</strong><br />

their respective clinical fields.<br />

We have been blessed by a long history <strong>of</strong> outstanding residents. There have been<br />

so many over the years we’ve been together. To name just a few: Polly Rounds,<br />

Steve Dewey, Sandra Stell, John McAndrew, Linda Syiek, Ellen Tourtelot, the<br />

Johnsons, Mary Jo Montanarella, but <strong>of</strong> course there are far too many to name<br />

them all. But side by side over the decades they worked many hours in the hospital<br />

and always ensured that patients received exceedingly good care.<br />

Finally, it is my personal tribute to the leadership <strong>of</strong> Henry Thiede, and later David<br />

Guzick, that such a fine Department evolved.<br />

As the torch is now passed to the new Chair, how does it feel? It feels great. This<br />

is a wonderful Department and the success we have enjoyed together is truly<br />

the legacy <strong>of</strong> all the extraordinary men and women who have preceded us. I will<br />

always be grateful for the honor and privilege <strong>of</strong> having been part <strong>of</strong> this proud<br />

story and I end my term as chair confident that our department’s future is in the<br />

right hands.<br />

5


Love Letters - Mentees and Mentors<br />

Love Letters: An Anthology<br />

<strong>of</strong> Constructive Relationship<br />

Advice Shared Between Junior<br />

Mentees and Their Mentors<br />

In late January, the authors <strong>of</strong> a recent<br />

article in the Journal <strong>of</strong> Graduate <strong>Medical</strong><br />

Education: “Love Letters: An Anthology<br />

<strong>of</strong> Constructive Relationship Advice<br />

Shared Between Junior Mentees and<br />

Their Mentors” (click here for article) held<br />

a panel discussion open to all members<br />

<strong>of</strong> the <strong>University</strong>. The panel included:<br />

Loralei L. Thornburg, MD, Suzanne M.<br />

Gillespie, MD, RD, Thomas V. Caprio, MD,<br />

MPH, Annette Medina-Walpole, MD, and<br />

Christopher Glantz, M.D., M.P.H.<br />

The event began with the panelists<br />

discussing their own frustrations and good<br />

advice on improving the mentor-mentee<br />

relationship. It was a multidisciplinary<br />

panel and included both mentees and<br />

mentors. A lively and informal group<br />

discussion followed with the participants.<br />

Feedback from the participants was<br />

extremely positive- the overwhelming<br />

majority rated the event as “Very Helpful.”<br />

The comments from the participants<br />

further expressed appreciation for the<br />

breadth <strong>of</strong> perspectives on mentoring from<br />

the panel, the frank conversation, and the<br />

explanation <strong>of</strong> the sensitive aspects <strong>of</strong><br />

mentoring that were discussed.<br />

6<br />

<strong>Ob</strong>/<strong>Gyn</strong> Service<br />

Council<br />

The newest <strong>Ob</strong>/<strong>Gyn</strong> Service<br />

Council “Strong Beginnings<br />

Spotlight” is Nancy McKnight,<br />

MD!<br />

Please be sure to stop by and<br />

check it out!<br />

This board is located across<br />

from the triage window near<br />

the red elevators.<br />

This inter-unit staff<br />

recognition project<br />

“spotlights” a staff member<br />

form any discipline across<br />

the service including but not<br />

limited to nursing, residents,<br />

attendings ,secretaries,<br />

environmental service and<br />

technicians.<br />

Enjoy,<br />

The <strong>Ob</strong>/<strong>Gyn</strong> Service Council<br />

Peri-FACTS Issues Call for Authors<br />

Dr. Woods wishes to thank all <strong>of</strong> the faculty and residents who have written articles for<br />

Peri-FACTS in the past couple <strong>of</strong> years. In total, ten (10) articles have been by residents<br />

with faculty backup. These <strong>Ob</strong> or <strong>Gyn</strong> articles have been well written and the feed back<br />

we have received has been very positive. Seventeen (17) articles have been by fellows.<br />

In each case they have been focused and well done. Woods’s reason for passing this<br />

information on is because if any <strong>of</strong> the residents wish to consider writing with a fellow<br />

or faculty member in the near future, Peri-FACTS have a long list <strong>of</strong> possible <strong>Ob</strong> and <strong>Gyn</strong><br />

topics from which to choose.<br />

Interested? Contact Woods or just stop into his <strong>of</strong>fice to look over the topics to see if any<br />

interest you. While most <strong>of</strong> the Peri-FACTS readership is in the U.S., the journal is being<br />

read in Saudi Arabia, Abu Dhabi, Emirates, and on military bases in Europe. After an<br />

article is published, it is posted in a library for any care provider who needs CME credits<br />

and chooses to study the particular topic that the article addresses. This allows outside<br />

care providers beyond our subscribers to access the work.


CONGRATULATIONS!<br />

Papers, Presentations,<br />

and Abstracts<br />

Jen Myers (with mentor Erin Duecy)<br />

presented her resident research as a poster<br />

at APGO/CREOG meeting in Phoenix in<br />

March. Myers’ well-received work is titled<br />

“Half-day vs. Full-day Resident Clinics<br />

and the impact on continuity, provider<br />

satisfaction and inpatient workflow.”<br />

Emily Barrett, Lauren Parlett, Shanna<br />

Swan, and their team published “Prenatal<br />

exposure to stressful life events is<br />

associated with masculinized anogenital<br />

distance (AGD) in female infants” in<br />

Physiology & Behavior.<br />

William Curtin, Nancy L. Stanwood,<br />

and their team (which also includes Erin<br />

Lemcke-Berno) published “Midtrimester<br />

Fetal Herpes Simplex-2 Diagnosis by<br />

Serology, Culture and Quantitative<br />

Polymerase Chain Reaction”in Fetal<br />

Diagnosis and Therapy.<br />

Tom O’Connor, Eva Pressman, and<br />

Emma Robertson-Blackmore, et al<br />

published“Prenatal maternal anxiety<br />

predicts reduced adaptive immunity in<br />

infants” in Brain, behavior, and immunity.<br />

“High-frequency ultrasound in ex vivo<br />

animal lungs in pulmonary edema“ was<br />

published in the Journal <strong>of</strong> Anesthesiology<br />

& Clinical Science by Jacek Wojtczak and<br />

Ron Wood.<br />

Timothy Byler, Ronald Wood, Edward<br />

Messing, Jay Reeder and their team<br />

presented their abstract, “Valproic acid<br />

reduces tumor growth in a mouse model<br />

<strong>of</strong> superficial bladder cancer” at the<br />

AUA Meeting in May.<br />

Tristan Nicholson, Ronald Wood, William<br />

Ricke, and their team presented their<br />

abstract “Bisphenol-A induces urinary<br />

voiding dysfunction in adult male mice”<br />

at the AUA Meeting.<br />

Jed-Sian Cheng, Yachao Zhang, Ronald<br />

Wood, and Jay Reeder presented an<br />

abstract titled “Visualization <strong>of</strong> ureteral<br />

anatomy during surgery using near<br />

infrared fluorescence enhanced by<br />

milk” at the AUA meeting.<br />

Camille Martina, Shanna Swan, and<br />

Bernie Weiss published “Lifestyle<br />

behaviors associated with exposures<br />

to endocrine disruptors” in<br />

Neurotoxicology.<br />

Chris Stodgell, Rich Miller, and their<br />

colleagues published “The effect <strong>of</strong><br />

copper deficiency on fetal growth and<br />

liver anti-oxidant capacity in the Cohen<br />

diabetic rat model”in Toxicol. Appl.<br />

Pharmacol.<br />

Scott Gerber, Shawn Murphy, Edith<br />

Lord, and their team published an<br />

article titled “IFN-gamma Mediates the<br />

Antitumor Effects <strong>of</strong> Radiation Therapy<br />

in a Murine Colon Tumor” in the<br />

American Journal <strong>of</strong> Pathology.<br />

Shanna Swan, Bernie Weiss, and<br />

the BPA GO Team published, “Sex<br />

specific impact <strong>of</strong> perinatal Bisphenol<br />

A (BPA) exposure over a range <strong>of</strong><br />

orally administered doses on rat<br />

hypothalamic sexual differentiation” in<br />

Neurotoxicology.<br />

Jay Reeder, Ron Wood, David Foster,<br />

and their colleagues published<br />

“Polymorphism in the SCN9A voltagegated<br />

sodium channel gene associated<br />

with interstitial cystitis/bladder pain<br />

syndrome” in Urology.<br />

Ron Wood, et al published “Efficacy<br />

<strong>of</strong> B cell depletion therapy for murine<br />

joint arthritis flare is associated with<br />

increased lymphatic flow” in Arthritis<br />

and Rheumatism.<br />

Congratulations!<br />

Congratulations to Patricia<br />

Jones, who celebrated<br />

40 years <strong>of</strong> service at the<br />

<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> in<br />

<strong>Ob</strong>stetrics and <strong>Gyn</strong>ecology<br />

on March 12th. Jones is<br />

a member <strong>of</strong> the Billing<br />

department and works closely<br />

with the Labor & Delivery<br />

deck on the third floor. She<br />

states that she feels like it’s<br />

only been 25 years!<br />

Jones is still going strong.<br />

She has fond memories <strong>of</strong><br />

working at the hospital and<br />

remembers so many staff,<br />

some <strong>of</strong> whom have retired<br />

or left the <strong>University</strong>. The<br />

stories she could tell!!<br />

If you get a chance send an<br />

email <strong>of</strong> congratulations!<br />

Forty years is a huge<br />

milestone.<br />

7


Congratulations! (Continued)<br />

ORA Flash:<br />

Great Advice<br />

from NIAID<br />

Keep Your eRA Commons<br />

Pr<strong>of</strong>ile From Becoming<br />

Your Enemy<br />

With so many electronic<br />

systems at NIH, it’s more<br />

important than ever to keep<br />

your eRA Commons pr<strong>of</strong>iles<br />

well-maintained and up to<br />

date. Read the full article by<br />

clicking here.<br />

National Media Spotlight<br />

Emily Barrett was interviewed by URMC<br />

Scripts about results from the <strong>Rochester</strong><br />

Young Men’s Study (RYMS) which linked<br />

poor semen quality with increased TV<br />

watching. Check it out by clicking here.<br />

Reuters carried a story reporting on the<br />

link new research has revealed between an<br />

epilepsy drug, if taken during pregnancy,<br />

and autism in children. URMC’s Christopher<br />

Stodgell, associate pr<strong>of</strong>essor <strong>of</strong> <strong>Ob</strong>stetrics &<br />

<strong>Gyn</strong>ecology, who studies autism, weighed<br />

in. Get the story by clicking here.<br />

The Huffington Post carried URMC<br />

<strong>Ob</strong>stetrics & <strong>Gyn</strong>ecology pr<strong>of</strong>essor Kathy<br />

Hoeger’s comments on a study that<br />

suggested a low-carb, high-protein diet<br />

may increase fertility. Hoeger said more<br />

study is needed. Read the article by clicking<br />

here.<br />

Brandy Becker was quoted in Contemporary<br />

OB/<strong>Gyn</strong> for her research with Sarah<br />

Betstadt on knowledge <strong>of</strong> the risks <strong>of</strong><br />

pregnancy and contraception presented at<br />

ACOG. See the whole article here.<br />

Other Awards<br />

Dr. Miller is the recipient <strong>of</strong> the 2013<br />

Distinguished Service Award from the<br />

Teratology Society which was given to<br />

him at the annual meeting. This award is<br />

in recognition <strong>of</strong> Miller’s dedicated years<br />

<strong>of</strong> service to the Society, from his early<br />

participation and continued leadership<br />

roles to his current involvement.<br />

The Society writes, “Your expertise in<br />

Teratology is well known and respected<br />

internationally and your own research<br />

is exemplary. Your continuouslyfunded<br />

research in environmental and<br />

occupational exposures as well as human<br />

placenta pharmacokinetic studies resulted<br />

in many seminal papers in the field <strong>of</strong><br />

teratology. Your continuous mentorship<br />

activities deserve a special recognition.<br />

Many active contributing members to<br />

the Teratology Society have been in your<br />

laboratory. In summary, through these and<br />

other numerous contributions you have<br />

left an indelible mark on The Teratology<br />

Society and the field <strong>of</strong> birth defects<br />

research at large. You embody perfectly<br />

what this award is meant to recognize.”<br />

Next Step for Ten Steps to a<br />

Winning R01 Application<br />

With the advent <strong>of</strong> Spring,<br />

NIAID has freshened up their<br />

excellent series Ten Steps to<br />

a Winning R01 Application.<br />

Check out the Ten Steps here<br />

before starting your<br />

next application.<br />

8<br />

Lean Improvements to Labor and Delivery<br />

Until recently, there were different delivery carts for the units 3-1400 and 3-1600.<br />

Attendings and staff had concerns about the difference and brought it to the attention<br />

<strong>of</strong> leadership. Keri Cockman and Jamie Gallery agreed that the delivery carts within the<br />

units as well across units should be organized in the same way so that anyone using them<br />

would be familiar with the contents.<br />

Dawn Martin and Sarah Chopan took on the challenge <strong>of</strong> standardizing the 3-1600 Birth<br />

<strong>Center</strong> carts and have done a great job organizing and simplifying the carts for easier<br />

access. Martin took this challenge on for a project and did a great job!<br />

The carts now contain labels, photographs, and reference charts to indicate where each<br />

item is stored. This will improve stocking <strong>of</strong> the carts and help ensure no items in the carts<br />

are expired.<br />

In addition, the Birth <strong>Center</strong> has loaned one <strong>of</strong> their carts to 3-1400 as a model for<br />

organizing the carts on that unit . Many thanks to the Birth <strong>Center</strong> for sharing their ideas<br />

and equipment with the 3-1400 unit. It is very much appreciated and as Cockman put it so<br />

nicely, “It’s great that we are able to work together across the service on projects!”


Statue to Honor Women<br />

At the end <strong>of</strong> May, a statue was<br />

installed in front <strong>of</strong> the Lattimore<br />

Road Women’s <strong>Center</strong>. Following<br />

six years <strong>of</strong> work, the granite<br />

statue stands as a tribute to the<br />

interconnectedness <strong>of</strong> women’s<br />

lives. The artist’s statement is on a<br />

plaque near the door:<br />

“Caring<br />

Women are blessed with a strength<br />

that represents the divine because<br />

they create life. The woman<br />

emerges from the stone in an<br />

embrace <strong>of</strong> mutual caring. Their<br />

arms encircle one another and give<br />

strength and balance.<br />

The essence <strong>of</strong> the sculpture is flowing. The stone flows with peacefulness that I hope<br />

stimulates the viewer’s [sic] minds to contemplate how much we all need each other.<br />

Everything in the universe follows the cycle <strong>of</strong> birth, growth, maturity, death, and rebirth.<br />

Understanding this concept brings peace and healing within.”<br />

In the coming weeks bushes will be planted around the sculpture to s<strong>of</strong>ten the image.<br />

Women’s Health at<br />

The Lattimore Road<br />

Women’s <strong>Center</strong><br />

Celebrates First<br />

Anniversary<br />

The first anniversary <strong>of</strong> our<br />

space was celebrated during<br />

a luncheon on April 12th. It’s<br />

hard to believe that it has<br />

been a year since the move<br />

into our new home at 125<br />

Lattimore Road.<br />

After all the preparations,<br />

anxiety and anticipation we<br />

are here and have settled<br />

in. The move was a huge<br />

undertaking which was<br />

compounded by going live<br />

with Ambulatory eRecord a<br />

short time afterward.<br />

The fresh colors, ample<br />

windows, and spacious break<br />

room are a welcome change<br />

from our previous space and<br />

the large clinical area allows<br />

us to serve our patients with<br />

excellence.<br />

9


Education Corner: Resident Research Day<br />

Resident Research Day was held this year on April 25.<br />

Seven R3s and one R2 presented their research. The day<br />

kicked-<strong>of</strong>f with a Grand Rounds by Dr. Richard S. Legro,<br />

Pr<strong>of</strong>essor <strong>of</strong> <strong>Ob</strong>stetrics and <strong>Gyn</strong>ecology and Public Health<br />

Sciences from The Pennsylvania State <strong>University</strong> College<br />

<strong>of</strong> Medicine, Hershey <strong>Medical</strong> <strong>Center</strong>. He spoke about the<br />

challenge <strong>of</strong> getting, and interpreting, good quality data<br />

and <strong>of</strong> reproducing those findings, as well as the lack <strong>of</strong><br />

publication <strong>of</strong> negative trials in interpretation <strong>of</strong> literature,<br />

in a lecture entitled: “First Line Treatment in PCOS: What<br />

have we learned from Clinical Trials.”<br />

The residents this year put together a great group <strong>of</strong><br />

research projects, from a wide variety <strong>of</strong> areas <strong>of</strong> interest.<br />

They all did a wonderful job, and award winners will be<br />

announced at the banquet.<br />

Topics this year included:<br />

• Do increased peripheral markers <strong>of</strong> inflammation<br />

predate the occurrence <strong>of</strong> a short cervical length?<br />

Dr. Olson-Chen with Dr. Hackney<br />

• Early pregnancy iron status and development <strong>of</strong><br />

preeclampsia<br />

Dr. Campito with Dr. Ho.<br />

• Cervical length in women with a prior preterm birth:<br />

Does progesterone change the incidence <strong>of</strong> short<br />

cervix?<br />

Dr. Klosterman with Dr. Seligman<br />

• Prenatal stomach size in cleft lip and/or palate and<br />

subsequent reflux disease<br />

Dr. Burhans with Dr. Thornburg<br />

• Time <strong>of</strong> Delivery <strong>of</strong> the Anomalous Fetus - Effects on<br />

Maternal and Neonatal Outcomes<br />

Dr. Paivanas with Dr. Thornburg and Dr. Glantz<br />

• Does anogenital distance, a marker <strong>of</strong> prenatal<br />

androgen exposure, differ in women with polycystic<br />

ovarian syndrome (PCOS)?<br />

Dr. Fountaine with Dr. Barrett and Dr. Hoeger<br />

• Timing <strong>of</strong> Delivery and Maternal and Neonatal<br />

Outcomes<br />

Dr. MacDonald with Dr. Glantz and Dr. Thornburg<br />

• Impact <strong>of</strong> Delivery Mode on the Pelvic Floor using<br />

Transperineal Imaging<br />

Dr. Vilasagar with Dr. Ozcan<br />

Next year’s research day will be on May 8th, 2014.<br />

Residents have been hard at work with a number <strong>of</strong> great<br />

projects underway! Some have already been presented<br />

nationally, including one presented as an oral at this year’s<br />

ACOG meeting. Our guest speaker will be Dr. Jeffery<br />

Peipert, whose work on the cost effectiveness <strong>of</strong> IUDs in<br />

preventing unintended pregnancy in women and teens The<br />

CHOICE Project was recently featured in both the NEJM and<br />

<strong>Ob</strong>stetrics and <strong>Gyn</strong>ecology. Please mark your calendars and<br />

block your schedule for what is sure to be a great talk, and<br />

great day <strong>of</strong> resident projects!<br />

10


Strong Fertility <strong>Center</strong> Marks IVF Program’s 30-Year Anniversary<br />

by Honoring its Founder<br />

Dr. Henry Thiede’s Vision Launched One <strong>of</strong> New York State’s<br />

Most Successful Programs<br />

Just four short years after the birth <strong>of</strong> the world’s first “testtube<br />

baby,” Henry A. Thiede, M.D., proposed the creation<br />

<strong>of</strong> an in vitro fertilization program (IVF), at the <strong>University</strong> <strong>of</strong><br />

<strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>. IVF is a process by which eggs are<br />

fertilized in a laboratory and then transferred to a woman’s<br />

uterus in order to implant for pregnancy.<br />

On Friday, May 3, URMC’s Strong Fertility <strong>Center</strong> celebrated<br />

30 years <strong>of</strong> helping families grow through IVF by honoring<br />

Thiede. A retired chair <strong>of</strong> the Department <strong>of</strong> <strong>Ob</strong>stetrics and<br />

<strong>Gyn</strong>ecology and pr<strong>of</strong>essor emeritus, Thiede’s vision helped<br />

create one <strong>of</strong> the first in vitro fertilization programs in New<br />

York state. Thiede’s contributions were highlighted at Strong<br />

Fertility <strong>Center</strong>’s annual IVF Family Reunion, a private party at<br />

the <strong>Rochester</strong> Museum and Science <strong>Center</strong>.<br />

“It is a great privilege to pay tribute to the physician whose<br />

wisdom and vision launched one <strong>of</strong> the earliest successful<br />

programs for in vitro fertilization and the longest-running<br />

program in upstate New York,” said Strong Fertility <strong>Center</strong><br />

director Kathleen M. Hoeger, M.D., pr<strong>of</strong>essor <strong>of</strong> <strong>Ob</strong>stetrics<br />

and <strong>Gyn</strong>ecology at URMC. “What better way to show our<br />

appreciation than to surround Dr. Thiede with the physicians<br />

and staff he inspired and mentored, and the families who’ve<br />

benefitted from his commitment to providing optimal services<br />

to our community.”<br />

Following Thiede’s proposal in November 1982, physicians<br />

began the first IVF treatment cycle in July 1983, achieving the<br />

first pregnancy on the sixth attempt. The program’s first birth<br />

occurred in July 1984.<br />

Henry Thiede and Kathy Hoeger<br />

“When we reflect on those who have influenced our<br />

pr<strong>of</strong>essional lives, we turn to individuals dedicated to<br />

improving medicine, public health and community welfare.<br />

Dr. Thiede spent his entire career addressing these three<br />

areas,” said James R. Woods, M.D., pr<strong>of</strong>essor and chair <strong>of</strong><br />

the Department <strong>of</strong> <strong>Ob</strong>stetrics and <strong>Gyn</strong>ecology who holds<br />

the pr<strong>of</strong>essorship in Thiede’s name. “It is his shoulders upon<br />

which the success <strong>of</strong> our Department rests.”<br />

11


ORA Flash:<br />

Looking for Grant<br />

Opportunities?<br />

Check out PIVOT!<br />

We’re excited to let you know<br />

that the <strong>University</strong> now has<br />

a new funding opportunities<br />

and pr<strong>of</strong>ile s<strong>of</strong>tware product<br />

called Pivot.<br />

Pivot focuses on what matters<br />

most to you: the ability to<br />

identify and connect with<br />

funding opportunities and<br />

with other researchers locally<br />

and globally. It combines a<br />

comprehensive database <strong>of</strong><br />

funding opportunities with a<br />

unique database <strong>of</strong> 3 million<br />

scholar pr<strong>of</strong>iles and growing.<br />

Your GENUIS/SMARTS/<br />

SPIN pr<strong>of</strong>ile was loaded<br />

into the PIVOT system and<br />

can be used to match you<br />

with colleagues and grant<br />

opportunities.<br />

Click here to claim your<br />

pr<strong>of</strong>ile and start finding<br />

opportunities: https://pivot.<br />

cos.com/<br />

For assistance in using PIVOT<br />

or to get started with your<br />

application, just send an<br />

email to Rebecca Rowley<br />

at rebecca_rowley@urmc.<br />

rochester.edu.<br />

A Note from Beth Cooper<br />

Dear colleagues:<br />

Effective July 1, I will be stepping down from the<br />

role <strong>of</strong> Midwifery Division Director to provide time<br />

to pursue leadership opportunities at the state and<br />

national level. It is my intention to maintain some<br />

clinical practice, primarily at the Red Creek <strong>of</strong>fice,<br />

assist with some new Department initiatives, and<br />

spend more time with my family.<br />

As many <strong>of</strong> you know, I have been on the faculty<br />

<strong>of</strong> the Department <strong>of</strong> <strong>Ob</strong>stetrics-<strong>Gyn</strong>ecology<br />

since 1975, when Dr. Henry Thiede gave me the<br />

opportunity to become the first nurse-midwife<br />

practicing in upstate New York. For the last 23<br />

years I have had the opportunity to develop,<br />

direct, and provide care in the Midwifery Division’s<br />

practice, first at Strong, and since 2000, at<br />

Highland. Since 1999, I have also served as Director<br />

<strong>of</strong> RAMP.<br />

Elizabeth M. Cooper, CNM, FACNM, EdD<br />

I am privileged to have dedicated, skilled midwifery colleagues who provide the highest<br />

standard <strong>of</strong> care to our patients and their families. I know that the Division will continue<br />

to flourish under their leadership. While recruitment is underway for my successor, Michele<br />

Burtner will assume many <strong>of</strong> my current administrative responsibilities. Helene Thompson-<br />

Scott will continue her leadership in RAMP. I am extremely grateful to them for their<br />

commitment <strong>of</strong> time and talent.<br />

I want to express my deepest appreciation to my many mentors in midwifery, obstetricsgynecology,<br />

nursing, pediatrics, hospital administration, higher education, and public<br />

health, both in <strong>Rochester</strong> and in the national midwifery community. Without their guidance<br />

and support, the URMC Midwifery Group would not exist.<br />

12


C.A.R.E. After Cancer Event<br />

The annual C.A.R.E. After Cancer Event and Silent<br />

Auction to benefit cancer survivors was held on<br />

March 1 at Artisan Works. The event raises funds to<br />

assist women with childbearing after recovery from<br />

cancer.<br />

Wendy Vitek, director <strong>of</strong> the CARE program, and Jim<br />

Woods, Chair <strong>of</strong> <strong>Ob</strong>/<strong>Gyn</strong>, lead the night’s festivities.<br />

ORA Flash:<br />

New Grant Awards<br />

Tara Gellasch and Ellen<br />

Poleshuck were awarded a<br />

grant by the Genesee Valley<br />

<strong>Medical</strong> Foundation for<br />

“Caring for Growing Families:<br />

A Multidisciplinary Approach<br />

to Group Prenatal Care in a<br />

Community <strong>Ob</strong>/<strong>Gyn</strong> Clinic.”<br />

Ellen Poleshuck and her team<br />

(including Tara Gellasch)<br />

were awarded a Patient<br />

<strong>Center</strong>ed Research Outcomes<br />

Institute (PCORI) award to<br />

study effective treatments for<br />

depression in impoverished<br />

women.<br />

Jeanne Marino, Anne Tedrow, Lynda<br />

Kochman, Kathy Hoeger, Chief <strong>of</strong> the<br />

Division <strong>of</strong> REI, and Bill Hoeger enjoy the<br />

evening’s events.<br />

Dave Martin and David Gandell put down<br />

their bids.<br />

13


Education Corner: Welcome the New Intern Class!<br />

Elizabeth Marie Bard<br />

BS, Biology and English,<br />

<strong>University</strong> <strong>of</strong> Wisconsin<br />

MD, <strong>University</strong> <strong>of</strong> Minnesota<br />

<strong>Medical</strong> School<br />

Whitney Anne Hanan<br />

BS, Cellular Molecular and<br />

Developmental Biology,<br />

<strong>University</strong> <strong>of</strong> Washington<br />

MD, <strong>University</strong> <strong>of</strong> Washington School<br />

<strong>of</strong> Medicine<br />

Lauren L. Coyle<br />

BS, Psychology,<br />

Penn State <strong>University</strong><br />

MD, Pennsylvania State <strong>University</strong><br />

College <strong>of</strong> Medicine<br />

Stefanie Joy Hollenbach<br />

BS & MS, Biomedical Engineering<br />

Neuroengineering,<br />

Drexel <strong>University</strong><br />

MD, The Commonwealth <strong>Medical</strong><br />

College<br />

Beatriz Folch Torres-Aguiar<br />

BS, Biology, Univ. <strong>of</strong> Puerto Rico<br />

MS, Health Pr<strong>of</strong>ession Education<br />

U <strong>of</strong> R Warner School <strong>of</strong> Education<br />

MD, <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School<br />

<strong>of</strong> Medicine and Dentistry<br />

Tessa Lynn Reisinger<br />

BA, Anthropology/Biology,<br />

<strong>University</strong> <strong>of</strong> Delaware<br />

MD, Emory <strong>University</strong> School <strong>of</strong><br />

Medicine<br />

Ethan Gable<br />

BS, Psychology with concentration<br />

in Behavioral Neuroscience,<br />

<strong>University</strong> at Buffalo SUNY<br />

School <strong>of</strong> Medicine & Biomedical<br />

Sciences<br />

MD, <strong>University</strong> at Buffalo State<br />

<strong>University</strong> <strong>of</strong> New York School <strong>of</strong><br />

Medicine & Biomedical Sciences<br />

Daniel George Terk<br />

BA, Journalism; BS, Chemistry,<br />

<strong>University</strong> <strong>of</strong> Massachusetts<br />

MD, <strong>University</strong> <strong>of</strong> Massachusetts<br />

<strong>Medical</strong> School<br />

14


COMMUNITY UPDATES<br />

Faculty Promotions<br />

Jacqueline Nasso, CNM, MS was promoted to Assistant Pr<strong>of</strong>essor <strong>of</strong> <strong>Ob</strong>stetrics and<br />

<strong>Gyn</strong>ecology effective February 1, 2013.<br />

New Faculty<br />

The following physicians have joined the full-time faculty in <strong>Ob</strong>stetrics and <strong>Gyn</strong>ecology at<br />

Highland Hospital:<br />

Brianne Brandt-Griffith, MD was promoted to Assistant Pr<strong>of</strong>essor effective May 1, 2013.<br />

Joan Chisholm, MD was promoted to Assistant Pr<strong>of</strong>essor effective February 4, 2013.<br />

Marcy Mulconry, MD was promoted to Assistant Pr<strong>of</strong>essor effective March 1, 2013.<br />

Departures<br />

Carolyn Leja, CNM, MS will be leaving our Department effective April 30, 2013 to relocate<br />

to Michigan.<br />

Lauren Parlett accepted the position <strong>of</strong> Senior Research Data Analyst at The Johns Hopkins<br />

Bloomberg School <strong>of</strong> Public Health in the Department <strong>of</strong> Epidemiology starting May 1,<br />

2013. Parlett has been working with Emily Barrett, Rick Stahlhut, and Eva Pressman on a<br />

variety <strong>of</strong> studies relating to environmental exposures.<br />

New Staff Members<br />

The Strong Fertility <strong>Center</strong> welcomes Sean Hickey. Dana Prince, Lindsay Azzolina, and<br />

Tammy Steurrys to their team.<br />

Let us know<br />

what you think <strong>of</strong><br />

<strong>Ob</strong>/<strong>Gyn</strong> <strong>Inside</strong> <strong>Story</strong>!<br />

We’ve recently updated our<br />

look and want to know what<br />

you think. Also, if you have<br />

something you’d like to add to<br />

our next edition, a comment,<br />

or a concern, please email<br />

Rebecca Rowley at rebecca_<br />

rowley@urmc.rochester.edu<br />

15


COMMUNITY UPDATES (continued)<br />

New Arrivals<br />

Michele Burtner, CNM and her husband Curtis Burtner, RN welcomed their third child,<br />

Fiona Marian Burtner on December 1,2012. She was assisted by fellow midwife, Rebecca<br />

Skovgaard, CNM.<br />

Mitchell and Laura Linder welcomed their second child Emmett Mark on April 2, 2013. He<br />

weighed 7lbs, 2oz. Big sister Bridget is delighted to have a baby brother.<br />

Tracy and Neil Seligman, and big sister Samantha, welcomed Eliana Sadie on March 19,<br />

2013 at 6:54pm. Eliana weighed<br />

6 pounds, 12 ounces, and was 20<br />

inches long.<br />

<strong>Ob</strong>/<strong>Gyn</strong> @ URMC<br />

The Department <strong>of</strong> <strong>Ob</strong>stetrics<br />

and <strong>Gyn</strong>ecology at the<br />

<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School<br />

<strong>of</strong> Medicine and Dentistry<br />

is a leader in patient care,<br />

investigative research, and<br />

obstetric education.<br />

The Faculty is dedicated to<br />

promoting excellence in all<br />

areas that support<br />

women’s health.<br />

The Department is proud<br />

to <strong>of</strong>fer care to our patients<br />

by physicians who were<br />

ranked among the<br />

nation’s best in<br />

U.S. News & World Report’s<br />

America’s Best Hospitals list.<br />

Eliana Sadie<br />

#<br />

The faculty and staff <strong>of</strong> the Department <strong>of</strong> <strong>Ob</strong>stetrics and <strong>Gyn</strong>ecology at the <strong>University</strong> <strong>of</strong><br />

<strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong> are proud <strong>of</strong> the work we do in caring for women throughout<br />

the lifespan. Your tax deductible contribution advances our mission <strong>of</strong> excellence in<br />

patient care, research and education.<br />

Make a secure transaction with your Visa, MasterCard, Discover or AMEX at<br />

http://www.rochester.edu/advancement<br />

Make sure you specify in the comments that you wish you to direct your gift to <strong>Ob</strong>/<strong>Gyn</strong><br />

and the specific program within the Department.<br />

Thank you for your generosity!<br />

Department <strong>of</strong><br />

<strong>Ob</strong>stetrics and <strong>Gyn</strong>ecology<br />

601 Elmwood Avenue<br />

Box 668<br />

<strong>Rochester</strong>, NY 14642<br />

Phone: 585-275-9306<br />

Fax: 585-275-7366

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