Ob/Gyn Inside Story - University of Rochester Medical Center
Ob/Gyn Inside Story - University of Rochester Medical Center
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