Spring/Summer 2001 - University of Rochester Medical Center
Spring/Summer 2001 - University of Rochester Medical Center
Spring/Summer 2001 - University of Rochester Medical Center
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ROCHESTER MEDICINE<br />
U N I V E R S I T Y O F R O C H E S T E R S C H O O L O F M E D I C I N E A N D D E N T I S T R Y • SPRING <strong>2001</strong><br />
Translational Research
With this issue <strong>of</strong> <strong>Rochester</strong> Medicine, we turn our<br />
attention toward the growing emphasis on and need for translational<br />
research—the process <strong>of</strong> turning laboratory discoveries made by basic<br />
scientists into new medical therapies that can be delivered to patients.<br />
The term also speaks <strong>of</strong> the collaboration between basic scientists and<br />
clinical researchers—an activity at which our faculty excels.<br />
As you will soon discover, the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />
is not only already actively engaged in translational research, but is<br />
uniquely placed to lead the nation in this type <strong>of</strong> investigation. Our<br />
facilities are designed to encourage and facilitate the sharing <strong>of</strong><br />
information between individuals to improve human health. As we<br />
move forward with the construction <strong>of</strong> our second medical research<br />
building, we do so with a clear vision <strong>of</strong> asking and answering scientific<br />
questions that will lead eventually to the testing <strong>of</strong> hypotheses in clinical<br />
environments here in <strong>Rochester</strong>.<br />
As our nation’s investment in basic science has led to an explosion <strong>of</strong><br />
knowledge about the biological processes at work within each <strong>of</strong> us, a<br />
new and urgent need for translators has evolved. The School <strong>of</strong> Medicine<br />
and Dentistry, in keeping with its bold, forward-thinking approach to<br />
medical education, expands its M.D./Ph.D. program in the fall. This<br />
move to deepen our investment in training physician scientists reflects<br />
the great value placed on translational research here at the <strong>Medical</strong><br />
<strong>Center</strong>, as does the creation last summer <strong>of</strong> the new position <strong>of</strong> dean for<br />
research in the School <strong>of</strong> Medicine and Dentistry.<br />
Our efforts to invigorate our research programs are succeeding.<br />
Evidence <strong>of</strong> this is the record 18 percent increase in research funding to<br />
the medical school from the National Institutes <strong>of</strong> Health. We received<br />
$89.9 million during the previous fiscal year, up from $76.1 million just<br />
one year before.<br />
On other fronts, our medical education program continues to<br />
flourish. In 2000, our faculty received more than $3 million in grants<br />
from various foundations as well as the federal government to support<br />
the development <strong>of</strong> the groundbreaking Double Helix curriculum. And<br />
in February, the medical school received the highest accreditation status<br />
<strong>of</strong> any medical school in the country from the Liaison Committee on<br />
<strong>Medical</strong> Education (LCME). The LCME praised the school’s curricular<br />
reforms, citing numerous strengths and no areas <strong>of</strong> concern. I simply<br />
cannot express how proud we are <strong>of</strong> this honor and all <strong>of</strong> the success that<br />
the new curriculum is achieving.<br />
As <strong>Rochester</strong> continues to be looked at as a model for innovative<br />
thinking and teaching, I know that there is more progress to be made.<br />
But I believe deeply that our strong foundation and passion for being the<br />
best will secure us a permanent place among the nation’s most highly<br />
regarded academic medical centers.<br />
Jay H. Stein, M.D.<br />
Senior Vice President and Vice Provost for Health Affairs<br />
<strong>Medical</strong> <strong>Center</strong> and Strong Health CEO<br />
ROCHESTER MEDICINE 3
FROM THE DEANS<br />
The<br />
last issue <strong>of</strong> <strong>Rochester</strong> Medicine highlighted the Double<br />
Helix curriculum, a complete integration <strong>of</strong> basic and clinical<br />
sciences across the four years <strong>of</strong> medical student education. While this<br />
curriculum has certainly energized our students and faculty, and has<br />
recently given us the highest rating in the country by the Liaison<br />
Committee on <strong>Medical</strong> Education, which accredits medical schools, one<br />
<strong>of</strong> our ultimate goals for the program is building new connections—<br />
translational research—between our basic and clinical faculty. Our<br />
curriculum is built when basic scientists and clinicians come together to<br />
write problem-based learning (PBL) cases designed to drive our students<br />
to think across the basic and the clinical levels. The hope is that these<br />
faculty will spark <strong>of</strong>f one another to develop and test new approaches to<br />
the diagnosis, treatment, or prevention <strong>of</strong> the disease facing the patient<br />
in the PBL case they are writing. That goal <strong>of</strong> translational research—<br />
to bridge the two strands <strong>of</strong> the Double Helix curriculum—is the focus<br />
<strong>of</strong> this issue <strong>of</strong> <strong>Rochester</strong> Medicine.<br />
As described in the feature stories in this issue, translational research<br />
is simultaneously one <strong>of</strong> the most challenging missions to achieve and<br />
a goal the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> is perhaps better prepared to meet<br />
than is any other medical center in the country. Consider our culture <strong>of</strong><br />
collegiality among all the disciplines; our great tradition <strong>of</strong> translational<br />
research, from George Whipple’s pioneering work on anemia to David<br />
Smith’s development <strong>of</strong> the Hib vaccine; and the fact that from the<br />
Ambulatory Care Facility to Strong Memorial Hospital to the School <strong>of</strong><br />
Medicine and Dentistry to the Kornberg <strong>Medical</strong> Research Building and<br />
its new extension now under construction, we are still under one ro<strong>of</strong>,<br />
albeit a large one!<br />
This last feature is a rarity among medical schools that expect to<br />
have a nine-figure National Institutes <strong>of</strong> Health research budget this<br />
year, and we are looking for ever more creative ways to catalyze the free<br />
flow <strong>of</strong> ideas from bedside to bench and back to the bedside.<br />
This year in the education mission, we will be expanding our<br />
M.D./Ph.D. program to produce more pr<strong>of</strong>essional translators, piloting<br />
new opportunities for graduate students to take pathophysiology in the<br />
Double Helix curriculum, and launching a required research project<br />
for medical students, so that our graduating physicians will be better at<br />
asking questions <strong>of</strong> their basic research colleagues.<br />
In the research mission, we have a budgetary incentive program for<br />
<strong>Medical</strong> <strong>Center</strong> and program project grants that bring disciplines<br />
together to solve basic research problems that might have clinical<br />
applications. We are beginning to organize new research groups around<br />
diseases (such as Parkinson’s) to stimulate translational interactions<br />
between the basic and clinical researchers who work in all the areas that<br />
relate to the same disease. And, we are also launching a new clinical<br />
pharmacology unit and a center to support clinical trials, so that<br />
discoveries coming out <strong>of</strong> all these creative interactions can be tested on<br />
patients right here in <strong>Rochester</strong>.<br />
We look forward to hearing from you, as always, with any ideas you<br />
would like to share. This is a vital time to be at the School <strong>of</strong> Medicine<br />
and Dentistry, and we hope you will come for a visit or at least send a<br />
letter or e-mail to stay in touch with us.<br />
Edward M. Hundert, M.D.<br />
Dean<br />
Deborah A. Cory-Slechta, Ph.D.<br />
Dean for Research<br />
4 ROCHESTER MEDICINE
CONTENTS<br />
ROCHESTER<br />
MEDICINE<br />
A message from the Deans<br />
FEATURES<br />
From Molecules to Cures: Translational Research Points <strong>Rochester</strong> in the Right Direction 6<br />
Training the Translators <strong>of</strong> Tomorrow: It’s All About Critical Thinking 9<br />
Collaboration by Design 10<br />
A Look at Four <strong>Rochester</strong> Translators: 11<br />
Arthur J. Moss, M.D.: A Long and Successful Journey to Understanding Long QT 11<br />
Richard Reichman, M.D.: Stopping Papillomavirus in Its Tracks 12<br />
Cargill Alleyne Jr., M.D.: From Lab to Operating Room in Search <strong>of</strong> Ways to Reduce the Effects <strong>of</strong> Stroke 13<br />
Dale Phelps, M.D.: One Pediatrician Searches for Ways to Improve Preemies’ Eyesight 14<br />
DEPARTMENTS<br />
<strong>Medical</strong> <strong>Center</strong> News 16<br />
School News 27<br />
Alumni News 32<br />
Class Notes 38<br />
In Memoriam 42<br />
<strong>Rochester</strong> Medicine is published by:<br />
The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>, Department <strong>of</strong> Public Relations and Communications,<br />
in conjunction with the Department <strong>of</strong> <strong>Medical</strong> Alumni Relations and Development<br />
Teri D’Agostino, Director <strong>of</strong> Public Relations and Communications<br />
Susan E. Fandel, Editor<br />
Christopher DiFrancesco and Tom Rickey, Contributing Writers<br />
Shirley D. Zimmer, Art Director<br />
Lori Farr and Vince Sullivan, Photographers<br />
Rita J. Ciarico, Editorial Assistant<br />
Christopher Raimy, Director <strong>of</strong> Development for <strong>Medical</strong> Alumni Programs<br />
For questions or comments, contact:<br />
Department <strong>of</strong> Alumni Relations and Development<br />
300 East River Road, <strong>Rochester</strong>, NY 14627<br />
1-800-333-4428 716-273-5954 Fax 716-461-2081<br />
E-mail address: alumni@urmc.rochester.edu<br />
ROCHESTER MEDICINE 5
T R A N S L A T I O N A L R E S E A R C H<br />
From Molecules to Cures:<br />
Translational Research Points <strong>Rochester</strong><br />
in the Right Direction<br />
By Susan Fandel<br />
“To me it’s really all one thing. I’m in the<br />
lab. I’m back in the nursery. Something I see<br />
or learn in one place naturally leads me to<br />
the other. That is inescapably translational.”<br />
Dale L. Phelps, M.D., neonatologist<br />
Clinicians, basic researchers, and educators<br />
all share a core vision: improving human<br />
health. One <strong>of</strong> the most effective ways to reach<br />
that goal is through translational research,<br />
which in its broadest definition is the process <strong>of</strong><br />
turning basic science discoveries into medically<br />
relevant solutions. At the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>, there is a deep<br />
appreciation <strong>of</strong> the ways in which this facility is<br />
uniquely placed to succeed and lead in using<br />
translational research to reach that goal.<br />
Translational research is a complex process<br />
that ends in new methods <strong>of</strong> preventing and<br />
treating disease. Each step along the way to<br />
that end—from molecular biology and basic<br />
physiology to preclinical animal models to<br />
bedside solutions—can be considered a<br />
translation, and each investigator involved in<br />
that continuum a translator. Because <strong>of</strong> the<br />
complexity inherent in this method, every<br />
person involved may <strong>of</strong>fer a somewhat different<br />
view on what exactly translational research<br />
is. And certainly, the way that the <strong>University</strong><br />
<strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong> looks at it may<br />
be vastly different from the way that other<br />
research institutions see and approach it. Each<br />
organization’s perspective on translational<br />
research reflects its individual personality,<br />
direction, and resources.<br />
The United States first shot to the forefront<br />
in medical research about fifty years ago when,<br />
following World War II, the federal government<br />
established significant funding for this work.<br />
At this point and for many years, there was<br />
a concentrated focus on the “physician<br />
investigator”—an academic physician who<br />
was responsible for both patient care and<br />
conducting basic research, most commonly<br />
looking at physiology through the use <strong>of</strong><br />
laboratory animals. These individuals could<br />
move easily and naturally from the exam<br />
room to the lab, and back again. “They<br />
posed a triple threat,” says Arthur J. Moss, M.D.<br />
(R ’62), pr<strong>of</strong>essor <strong>of</strong> medicine and director <strong>of</strong><br />
the Heart Research Follow-Up program. “They<br />
could teach students, care for patients, and do<br />
research. This was the norm.”<br />
Supporting them in their efforts were<br />
investigator-initiated grants from the National<br />
Institutes <strong>of</strong> Health. The majority <strong>of</strong> these<br />
grants were awarded time and time again to<br />
single researchers.<br />
The late 1970s and 1980s saw the explosion<br />
<strong>of</strong> medical knowledge that continues today.<br />
Much <strong>of</strong> this was basic in orientation, dealing<br />
with molecular biology. The specificity <strong>of</strong> this<br />
field soon meant that it was no longer the clinicians—most<br />
<strong>of</strong> whom weren’t trained to do<br />
research in molecular biology—who<br />
were most active. Instead, the preponderance<br />
<strong>of</strong> key discoveries was being made by Ph.D.s.<br />
The emphasis on clinically oriented research<br />
lessened; the divide between clinical practice<br />
and basic research widened and an increasing<br />
number <strong>of</strong> medical pr<strong>of</strong>essionals found themselves<br />
on one side or the other. The result:<br />
the last 10 years, in particular, have seen a<br />
precipitous decline in the number <strong>of</strong> physicianinitiated<br />
research grants awarded.<br />
“The physician investigator is becoming<br />
an endangered species,” says Dr. Moss.<br />
As medical research in the United States<br />
continues to be conducted at a fast and furious<br />
pace, there is an increasing need for people who<br />
possess the skills to translate vast amounts <strong>of</strong><br />
basic science into therapies and treatments.<br />
The perfect candidates are the M.D./Ph.D.s. The<br />
School <strong>of</strong> Medicine and Dentistry recognizes<br />
that and is actively working to expand that<br />
program (see article on page 9). What has also<br />
come about is an increase in the number <strong>of</strong><br />
collaborative projects wherein physicians<br />
and basic scientists share their expertise in<br />
their respective areas to eventually realize new<br />
therapeutic approaches.<br />
“A lot <strong>of</strong> people who are busy seeing patients<br />
aren’t going to know the basic science aspects<br />
it takes to make a discovery at the molecular<br />
level,” says Dale L. Phelps, M.D., pr<strong>of</strong>essor <strong>of</strong><br />
pediatrics and <strong>of</strong> ophthalmology at Children’s<br />
Hospital at Strong, (see p. 14). “Yet, those<br />
working in the labs aren’t seeing sick patients<br />
and seeing what’s wrong at that level.<br />
Where the translation comes is within the<br />
communication between the two groups. It<br />
happens in the c<strong>of</strong>fee rooms, the lounges, the<br />
meeting rooms.”<br />
Certainly, clinicians are not the only ones<br />
who benefit from the exchange inherent to<br />
6 ROCHESTER MEDICINE
T R A N S L A T I O N A L R E S E A R C H<br />
translational research. Basic scientists also see<br />
value added to their experiences when it comes<br />
to working with their colleagues on the clinical<br />
side. “While I don’t see patients, I still get a<br />
lot from going to grand rounds in neurology.<br />
I can still converse with a clinician, ask<br />
insightful questions and pull things that I can<br />
use from that,” says M. Kerry O’Banion, M.D.,<br />
Ph.D., associate pr<strong>of</strong>essor <strong>of</strong> neurobiology and<br />
<strong>of</strong> anatomy and neurology and co-director <strong>of</strong><br />
the medical school’s M.D./Ph.D. program.<br />
Opportunities for cooperation and<br />
translational research abound at the <strong>Medical</strong><br />
<strong>Center</strong>, nurtured by a pervasive atmosphere <strong>of</strong><br />
support as well as a unique array <strong>of</strong> clinical<br />
and research facilities all under one ro<strong>of</strong><br />
(see story on page 10). “I think there’s very<br />
good integration here <strong>of</strong> clinical science and<br />
basic science,” says Richard Reichman, M.D.,<br />
senior associate dean for clinical research and<br />
head <strong>of</strong> the Infectious Diseases Unit. “Certainly<br />
better than at most places. There is a lot <strong>of</strong><br />
emphasis on collaboration. And I think that the<br />
structure <strong>of</strong> the <strong>Medical</strong> <strong>Center</strong> is purposefully<br />
aimed at conducting research that will have<br />
clinical impact.”<br />
That is no accident. The plan to boost<br />
the prominence <strong>of</strong> the <strong>Medical</strong> <strong>Center</strong>’s<br />
research programs included and resulted in the<br />
construction <strong>of</strong> the Arthur Kornberg <strong>Medical</strong><br />
Research Building and a second research<br />
building, now under construction, that is<br />
dedicated to basic research in clinical departments.<br />
More than 100 researchers and 500<br />
technicians and support personnel are expected<br />
to work in those buildings. The <strong>University</strong> is<br />
making this 10-year, $550 million investment<br />
because it knows the value <strong>of</strong> medical research.<br />
“Dr. [Jay] Stein has made a huge difference,”<br />
says Dr. Reichman. “His emphasis on<br />
increasing the breadth and depth <strong>of</strong> basic<br />
research will be what in the end leads to more<br />
and more clinical answers.”<br />
The basic research being<br />
conducted in the Aab Institute <strong>of</strong><br />
Biomedical Sciences will surely<br />
become the basis for numerous<br />
joint projects in <strong>Rochester</strong>. In<br />
fact, that work has already<br />
started in earnest. “We’re<br />
encouraging our faculty from<br />
across the <strong>Medical</strong> <strong>Center</strong> to<br />
collaborate with their newly<br />
recruited colleagues,” says<br />
Deborah Cory-Slechta, Ph.D.,<br />
dean for research at the<br />
School <strong>of</strong> Medicine and<br />
Dentistry and director <strong>of</strong> the Aab<br />
Institute. “These synergistic<br />
collaborations <strong>of</strong>fer the ability<br />
to maximize our research<br />
potential to a new level across<br />
the institution.”<br />
For example, researchers<br />
in the <strong>Center</strong> for Vaccine Biology<br />
and Immunology recently<br />
teamed up with colleagues in<br />
the Division <strong>of</strong> Infectious<br />
Diseases, the Department <strong>of</strong><br />
Microbiology and Immunology,<br />
and the Department <strong>of</strong> Dermatology to<br />
devise a team research program aimed at<br />
understanding the body’s immune response<br />
to human papillomavirus, believed to<br />
cause nearly all cases <strong>of</strong> cervical cancer.<br />
Understanding the immunology <strong>of</strong> the disease,<br />
the researchers predict, will be a steppingstone<br />
to creating an effective vaccine or treatment for<br />
it. The group applied to the National Institutes<br />
<strong>of</strong> Health for a grant to fund the project, and<br />
was awarded $2.2 million—one <strong>of</strong> the largest<br />
research grants awarded to the <strong>Medical</strong> <strong>Center</strong><br />
in 2000.<br />
“Much <strong>of</strong> what is taking place in research<br />
labs throughout the <strong>Medical</strong> <strong>Center</strong> is basic<br />
research that is driven by clinical questions,”<br />
says Edward M. Hundert, M.D., dean <strong>of</strong> the<br />
School <strong>of</strong> Medicine and Dentistry.<br />
A similar collaborative effort led to the<br />
<strong>Medical</strong> <strong>Center</strong>’s being chosen as one <strong>of</strong> four<br />
institutions nationwide to receive funding from<br />
the National Institute on Aging to establish a<br />
ROCHESTER MEDICINE 7
T R A N S L A T I O N A L R E S E A R C H<br />
prestigious center that will focus on biological<br />
issues related to aging. The award, establishing<br />
a Nathan Shock <strong>Center</strong> <strong>of</strong> Excellence in Basic<br />
Biology <strong>of</strong> Aging, brings with it $2.5 million for<br />
the <strong>University</strong> during the next five years. The<br />
<strong>Center</strong> is headed by Howard Feder<strong>of</strong>f, M.D.,<br />
Ph.D., director <strong>of</strong> the <strong>Center</strong> on Aging and<br />
Development. <strong>Rochester</strong> scientists affiliated<br />
with the Shock <strong>Center</strong> are using a variety <strong>of</strong><br />
sophisticated new methods to study the biology<br />
<strong>of</strong> aging. Among them are molecular and<br />
cellular imaging, which will take detailed<br />
“snapshots” <strong>of</strong> cells and allow researchers to<br />
understand the differences between healthy and<br />
sick cells, new DNA array techniques that allow<br />
scientists to study the functions <strong>of</strong> thousands <strong>of</strong><br />
genes simultaneously, and new ways to deliver<br />
genes to cells or body organs.<br />
There are more than two dozen major<br />
research projects at the <strong>Medical</strong> <strong>Center</strong><br />
looking at the basic biology <strong>of</strong> diseases like<br />
Parkinson’s and Alzheimer’s. At the same<br />
time, tens <strong>of</strong> thousands <strong>of</strong> patients turn to<br />
physicians at Strong Memorial Hospital each<br />
year for treatment as they age. The Shock<br />
<strong>Center</strong> will help bring those researchers and<br />
physicians together.<br />
It’s the recipe for success, says Dr. Moss.<br />
“This is what’s needed to make it work. You<br />
have to have basic scientists. You have to have<br />
doctors caring for patients. You have to have<br />
patients. Eventually you get to clinical trials,<br />
with investigation <strong>of</strong> the safety and efficacy <strong>of</strong><br />
new therapy for patients,” he notes.<br />
Realizing in the last few years that this type<br />
<strong>of</strong> cooperation between investigators is what<br />
is urgently needed, the NIH is funding an<br />
increased number <strong>of</strong> multicentered, multiinvestigator<br />
research proposals. “Ultimately,”<br />
says Dr. Cory-Slechta, “that is the best way to<br />
build research grants.”<br />
Organizing research programs around<br />
diseases is one direction that Dr. Cory-Slechta<br />
and others hope will encourage and facilitate<br />
more translational research. “By building<br />
some programs based on diseases such as<br />
Parkinson’s, which we would like to do, you<br />
build a natural bridge between the molecular<br />
basics and the therapeutics,” she says.<br />
But Dr. Cory-Slechta admits there is a<br />
clear challenge in bringing together two very<br />
different cultures: the basic researchers and<br />
the clinicians. “In fairness, many medical<br />
centers and universities are struggling with<br />
this very question. Each group has unique<br />
responsibilities and obligations pulling them<br />
back in their own direction. But, when they<br />
do work together, it’s the best way to work,”<br />
she says.<br />
Dr. Hundert echoes those thoughts. “One <strong>of</strong><br />
the goals <strong>of</strong> integrating the basic and clinical<br />
sciences across the two ‘strands’ <strong>of</strong> our Double<br />
Helix curriculum for the medical students is<br />
that the creation <strong>of</strong> this integrated curriculum<br />
requires the coming together <strong>of</strong> the basic and<br />
clinical faculty. As these relationships have been<br />
building around curricular redesign, we hope<br />
they will lead to new research collaborations.<br />
<strong>Rochester</strong>’s biopsychosocial model is itself a<br />
reflection <strong>of</strong> bridging from the molecular,<br />
cellular, and organism levels to the levels <strong>of</strong><br />
patient, family and culture,” he says.<br />
Indeed, bridging basic and clinical is not<br />
new to <strong>Rochester</strong>. The <strong>Medical</strong> <strong>Center</strong> has a<br />
proud history <strong>of</strong> translational research. David<br />
Smith, M.D., was a physician who believed<br />
that the best research began at the bedside. A<br />
graduate <strong>of</strong> the School <strong>of</strong> Medicine and<br />
Dentistry, Dr. Smith returned to <strong>Rochester</strong> in<br />
1976. Together, he, Richard Insel, M.D., and<br />
Porter Anderson, Ph.D., and their research<br />
team worked tirelessly on a vaccine that would<br />
protect against Haemophilus influenzae<br />
type b, the cause <strong>of</strong> bacterial meningitis. By the<br />
early 1980s, the first Hib vaccine had been<br />
tested and licensed, and was being produced in<br />
a small laboratory within the medical school.<br />
The initial Hib vaccine was the first vaccine<br />
to be licensed in the United States in a decade.<br />
The second, a conjugate vaccine, was the first<br />
to be licensed for universal use with infants<br />
since the vaccine for measles and mumps.<br />
Today, the Hib vaccine is regarded as one <strong>of</strong> the<br />
medical success stories <strong>of</strong> the 20th century.<br />
Administered to all newborns in the United<br />
States, the vaccine has reduced the incidence <strong>of</strong><br />
bacterial meningitis in children by 98 percent.<br />
Researchers here continue to refine this vaccine<br />
to further boost its effectiveness.<br />
Work is also underway on eight separate<br />
AIDS research projects, ranging from basic<br />
research into the pathology <strong>of</strong> the HIV virus to<br />
the testing <strong>of</strong> potential AIDS vaccines.<br />
“Our goal here remains the same as it has<br />
always been, whether in our educational,<br />
clinical, or research mission,” says Dr. Hundert.<br />
“Translational research is one <strong>of</strong> the most<br />
important ways to achieve our end result—<br />
namely, making a difference in people’s lives<br />
by reducing the burden <strong>of</strong> human illness. That<br />
is what we are all about.”<br />
8 ROCHESTER MEDICINE
T R A N S L A T I O N A L R E S E A R C H<br />
Training the Translators <strong>of</strong> Tomorrow:<br />
It’s All About Critical Thinking<br />
By Susan Fandel<br />
“Our goal is to provide from the Ph.D.<br />
side a training experience that is very<br />
practiced at using scientific methods. But<br />
we also want our students to be well<br />
prepared to take on the additional<br />
experience that comes with the M.D.—<br />
the humanistic side, the clinically<br />
perceptive side.”<br />
M. Kerry O’Banion, M.D., Ph.D.<br />
As translational research grows in<br />
importance in the American medical<br />
community, so too does the need for<br />
translators—people who know how to<br />
turn basic research discoveries into medically<br />
relevant solutions and clinical experience<br />
into new scientific inquiry. These individuals<br />
may be clinicians who make it a practice to<br />
collaborate with pure researchers or scientists<br />
who seek to partner with doctors who care<br />
for patients—or they may be M.D./Ph.D.s<br />
who maintain a strong footing in both sides<br />
<strong>of</strong> the medical arena. The School <strong>of</strong> Medicine<br />
and Dentistry M.D./Ph.D. program prepares<br />
both types <strong>of</strong> translators by providing them<br />
with rigorous training in research, basic and<br />
clinical medicine, and patient care.<br />
Most important, the program aims to<br />
graduate investigators who possess the<br />
keenest ability to think critically. “Physician<br />
scientists are definitely the best prepared to<br />
be translators. Though they may tend to lean<br />
one way or another in their careers—to the<br />
basic side or the clinical—they carry both <strong>of</strong><br />
those pieces with them, which means they will<br />
look at things in ways differently than<br />
others might,” says M. Kerry O’Banion, M.D.,<br />
Ph.D., co-director <strong>of</strong> the medical school’s<br />
M.D./Ph.D. program.<br />
“We want to teach them not only how to<br />
answer questions by giving them experiences<br />
that will lead them to those answers, but teach<br />
them also how to define the questions that are<br />
being asked,” says Dr. O’Banion.<br />
One way students gain this experience<br />
is by spending a half day every week<br />
Kerry O’Banion, M.D., Ph.D., advises Antonia<br />
Eyssallenne, an M.D./Ph.D. program trainee and<br />
second-year graduate student in the Department<br />
<strong>of</strong> Pathology.<br />
throughout their graduate training in<br />
clinic, an opportunity that Dr. O’Banion says<br />
“keeps them in touch with people.”<br />
This is clearly a benefit <strong>of</strong> <strong>Rochester</strong>’s<br />
program when it comes to translational<br />
research. “It’s so important to teach students<br />
that the information learned through basic<br />
science is directly applicable to patient care.<br />
They have to be knowledgeable. But they<br />
also need to see the clinical relevance,”<br />
says Arthur J. Moss, M.D. (R ’62), pr<strong>of</strong>essor <strong>of</strong><br />
medicine and director <strong>of</strong> the Heart Research<br />
Follow-Up program, and a long-time<br />
translational researcher.<br />
Third-year medical student in the<br />
M.D./Ph.D. program Nikolaus R. McFarland<br />
agrees. “The neat thing about the M.D./<br />
Ph.D. is that we are exposed to both medicine<br />
and basic and clinical research, and get to<br />
see how research is translated into patient<br />
care,” he says.<br />
Douglas H. Turner, Ph.D. (left), discusses clinical<br />
mapping experiments that reveal the secondary<br />
structure <strong>of</strong> the RNA from a retrotransposable<br />
element with David Matthews, an M.D./Ph.D.<br />
program trainee.<br />
Another advantage <strong>of</strong> <strong>Rochester</strong>’s program<br />
is the opportunity that M.D./Ph.D. students<br />
are given to work with experts in The College<br />
on the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong>’s River Campus.<br />
Students can tap into the knowledge <strong>of</strong><br />
researchers in diverse disciplines, including<br />
such areas as biomedical engineering,<br />
biology, and chemistry. “That expertise is<br />
there for them to draw on at any point,” says<br />
Douglas H. Turner, Ph.D., co-director <strong>of</strong> the<br />
M.D./Ph.D. program.<br />
The program currently enrolls an average<br />
<strong>of</strong> three students each year. Beginning in the<br />
fall <strong>of</strong> <strong>2001</strong>, the program will be expanded<br />
and will admit six students annually. The<br />
goal is to bring the program to the point<br />
where, at any given time, there are at least<br />
50 active students.<br />
As leaders throughout the <strong>Medical</strong><br />
<strong>Center</strong> wrestle with the challenge <strong>of</strong> how to<br />
encourage more crossover from clinical<br />
to basic and back again, the M.D./Ph.D.<br />
program finds support through the National<br />
Institutes <strong>of</strong> Health (NIH). The NIH’s <strong>Medical</strong><br />
Scientist Training Program grant is highly<br />
competitive and is only for M.D./Ph.D.<br />
students. Designed to alleviate some <strong>of</strong> the<br />
financial obligations medical students<br />
typically face upon graduation, the grant<br />
allows physician investigators to focus on<br />
their work without necessarily having to<br />
go straight into clinical practice because <strong>of</strong><br />
the need to repay loans. “At some point or<br />
another, virtually all <strong>of</strong> our students receive<br />
some assistance through this program,” says<br />
Dr. O’Banion.<br />
The expansion <strong>of</strong> the M.D./Ph.D. program<br />
reflects the growth in research overall that is<br />
taking place at the <strong>Medical</strong> <strong>Center</strong> and the<br />
commitment <strong>of</strong> the school to producing the<br />
nation’s leaders in biomedicine.<br />
“We want students in our program to<br />
realize that as physician investigators they<br />
may be the people who understand something<br />
that no one else has noticed before. This may<br />
happen through their basic research, or it<br />
may result from their being trained to listen<br />
well to what a patient is saying,” says Edward<br />
M. Hundert, M.D., dean <strong>of</strong> the School <strong>of</strong><br />
Medicine and Dentistry.<br />
ROCHESTER MEDICINE 9
T R A N S L A T I O N A L R E S E A R C H<br />
Collaboration by Design<br />
Again and again, one factor comes up as<br />
the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong>’s most valuable<br />
secret weapon when it comes to translational<br />
research: the way that facilities are designed.<br />
The <strong>Medical</strong> <strong>Center</strong> is one <strong>of</strong> the few<br />
institutions in the United States to have<br />
everything needed for this type <strong>of</strong> research<br />
contained under one ro<strong>of</strong>.<br />
“You can walk from the Ambulatory Care<br />
Facility to Strong Memorial Hospital through<br />
the medical school and down to the new<br />
medical research buildings all by going down<br />
one hallway. In that single walk, you have<br />
spanned the bench-to-bedside spectrum,” says<br />
Edward M. Hundert, M.D., dean <strong>of</strong> the School<br />
<strong>of</strong> Medicine and Dentistry.<br />
When the second research building is<br />
completed, the <strong>Medical</strong> <strong>Center</strong> will encompass<br />
4.45 million square feet <strong>of</strong> space dedicated<br />
to medical research, training, education,<br />
and patient care. Within that space, the<br />
communication and collaboration that is at<br />
the core <strong>of</strong> translational research flourishes.<br />
Though the <strong>Medical</strong> <strong>Center</strong> is not as<br />
large as some other research and educational<br />
institutions, in many ways its smaller size<br />
is a plus. “Quite honestly, it’s just easier to<br />
hold meetings, interact with colleagues,<br />
design studies, and carry out data analysis<br />
in the <strong>Rochester</strong> environment,” says<br />
Arthur J. Moss, M.D. (R ’62), pr<strong>of</strong>essor <strong>of</strong><br />
medicine and director <strong>of</strong> the Heart Research<br />
Follow-Up program.<br />
Though Dr. Moss admits that at times<br />
the entire expertise needed for a project may<br />
not be available—“We can conduct 90<br />
percent <strong>of</strong> the research here and do the other<br />
10 percent elsewhere,” he says—he and<br />
most translational researchers find that the<br />
size and scope <strong>of</strong> the <strong>Medical</strong> <strong>Center</strong> are ideal<br />
for their needs.<br />
“I think one <strong>of</strong> the reasons we have the<br />
positive interaction across the board between<br />
clinicians and basic scientists is because <strong>of</strong><br />
our size,” says Richard Reichman, M.D.,<br />
senior associate dean for clinical research<br />
and head <strong>of</strong> the Infectious Diseases Unit.<br />
“We are just big enough that most <strong>of</strong> the<br />
things we need are here. That is certainly<br />
one <strong>of</strong> <strong>Rochester</strong>’s strengths.”<br />
10 ROCHESTER MEDICINE
T R A N S L A T I O N A L R E S E A R C H<br />
A Long and Successful Journey to<br />
Understanding Long QT<br />
By Christopher DiFrancesco<br />
The path to new medical treatments <strong>of</strong>ten<br />
goes full circle. Puzzling observations<br />
made at the patient’s bedside become research<br />
questions in the lab; the research may<br />
lead to a better understanding <strong>of</strong> the patient’s<br />
condition, resulting in new treatments that<br />
are brought back to the bedside.<br />
Traveling that circuit from bedside to<br />
lab and back again has been a 30-year<br />
journey for cardiologist and researcher<br />
Arthur J. Moss, M.D. (R’62), pr<strong>of</strong>essor <strong>of</strong><br />
medicine and director <strong>of</strong> the Heart Research<br />
Follow-Up program.<br />
Dr. Moss’s journey began at the bedside.<br />
After graduating from Harvard <strong>Medical</strong><br />
School, he came to the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
in the 1960s to complete his residency<br />
in internal medicine and a fellowship in<br />
cardiology. Afterward, he joined the faculty<br />
and, as a young cardiologist, encountered a<br />
clinical mystery that would alter the course<br />
<strong>of</strong> his career.<br />
Dr. Moss was asked to examine a woman<br />
in her 30s who had suddenly and briefly<br />
fallen unconscious several times. An EKG on<br />
the otherwise healthy and active woman<br />
revealed something unusual in her heart<br />
rhythm, and Dr. Moss admitted her to Strong<br />
Memorial Hospital for tests. While she was in<br />
the hospital, she suddenly fell unconscious<br />
once again, and this time quickly lapsed into<br />
cardiac arrest. Dr. Moss resuscitated her.<br />
During the woman’s hospitalization,<br />
Dr. Moss narrowed the cause <strong>of</strong> her problem<br />
to a mysterious glitch in her heart’s electrical<br />
system. He prescribed medications, but they<br />
proved to be <strong>of</strong> little help. Ultimately, he<br />
recommended a radical surgical procedure to<br />
sever the stimulatory sympathetic nerves from<br />
the brain to the heart. The surgery worked,<br />
and the problem vanished. The woman, now<br />
in her mid-60s, has had no recurrence.<br />
At that time, Dr. Moss began studying the<br />
disorder, now known as Long QT syndrome.<br />
He has since become the world’s leading expert<br />
on the condition, conducting more than 50<br />
research studies and, in the past decade,<br />
pioneering the use <strong>of</strong> beta blocker drugs and<br />
implantable defibrillators in children and<br />
young adults who suffer from the syndrome.<br />
Perhaps Dr. Moss’s most important<br />
contributions to the understanding <strong>of</strong> the<br />
disorder came more recently. In the 1990s,<br />
he assembled a team <strong>of</strong> basic scientists, who<br />
studied its genetic basis. Long QT syndrome<br />
stems from genetically caused defects in the<br />
thousands <strong>of</strong> tiny channels in the heart<br />
muscle that allow electrically charged ions to<br />
flow in and out <strong>of</strong> cells. Patients with these<br />
genetically defective channels can experience<br />
sudden episodes in which the heart muscle<br />
becomes unable to contract and pump blood<br />
effectively due to a chaotic heart rhythm. If the<br />
dangerous heart rhythm lasts for only a few<br />
seconds, the patient may pass out momentarily<br />
and will regain consciousness once the heartbeat<br />
resumes. But if the chaotic rhythm<br />
lasts for 30 seconds or longer, the episode is<br />
almost certain to be fatal.<br />
Three years ago, Dr. Moss and his team<br />
identified three genes that are responsible<br />
for some <strong>of</strong> the ion-channel defects that<br />
result in Long QT syndrome. In the past<br />
six months they identified two more genes<br />
involved in the disorder; the findings have<br />
led to the development <strong>of</strong> genetic tests for the<br />
Long QT syndrome. Researchers in <strong>Rochester</strong><br />
and elsewhere are working to develop drugs<br />
and gene-specific therapies to effectively treat<br />
the disorder.<br />
“The contributions made by Dr. Moss<br />
during the past three decades have helped to<br />
save the lives <strong>of</strong> tens <strong>of</strong> thousands <strong>of</strong> people,”<br />
says David Cannom, M.D., a cardiologist at<br />
the <strong>University</strong> <strong>of</strong> California at Los Angeles<br />
and an international authority in electrical<br />
disorders <strong>of</strong> the heart. “In addition, he has<br />
given us a better understanding <strong>of</strong> several<br />
disorders that will contribute to even<br />
greater medical advances in the years and<br />
decades ahead.”<br />
Arthur J. Moss, M.D. (R ’62), talks with patient Christine Ritzenthaler about Long QT syndrome, which he has been<br />
studying since the 1960s.<br />
ROCHESTER MEDICINE 11
Richard Reichman, M.D.<br />
Stopping Papillomavirus in Its Tracks<br />
By Tom Rickey<br />
The study <strong>of</strong> sexually transmitted diseases<br />
usually doesn’t hold a lot <strong>of</strong> glory for<br />
researchers. But in the world <strong>of</strong> infectious<br />
disease, several <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
scientists are VIPs, thanks to some VLPs, or<br />
virus-like particles.<br />
Richard Reichman, M.D., senior associate<br />
dean for clinical research and head <strong>of</strong> the<br />
Infectious Diseases Unit, is part <strong>of</strong> a team<br />
<strong>of</strong> physicians and scientists that developed<br />
one <strong>of</strong> the first vaccines against human<br />
papillomavirus (HPV), the most common<br />
sexually transmitted viral disease in the United<br />
States. The vaccine sailed through Phase I<br />
clinical trials, proving safe and provoking an<br />
immune response, and is now in Phase II.<br />
The road from basic science to clinical<br />
relevance has been filled with both difficulty<br />
and promise. Finding a company interested<br />
in the technology and willing to make the<br />
necessary investment, preparing patent papers,<br />
drawing up claims, designing clinical trials,<br />
making sure the product is manufactured<br />
correctly—those are just a few <strong>of</strong> the tasks<br />
taken on by Dr. Reichman and colleagues<br />
Robert C. Rose, Ph.D., and William Bonnez,<br />
M.D., both <strong>of</strong> whom work in the Infectious<br />
Diseases Unit.<br />
It was soon after arriving at the <strong>University</strong><br />
in 1982, fresh from the <strong>University</strong> <strong>of</strong> Vermont<br />
and after several years in research at the<br />
National Institutes <strong>of</strong> Health, that Dr.<br />
Reichman began studying HPV in earnest.<br />
12 ROCHESTER MEDICINE<br />
Viral sexually transmitted diseases is his forte;<br />
he had studied herpes, and heads one <strong>of</strong> 32<br />
AIDS clinical trials units around the nation.<br />
Dr. Reichman was attracted to HPV partly<br />
by the challenge it poses. “It’s a majorleague<br />
pathogen that causes an extremely<br />
common disease, and it’s associated with<br />
malignancies. There’s no good therapy, and<br />
no good prevention against HPV,” he says.<br />
Physicians estimate that as many as 40<br />
million people in the United States carry HPV,<br />
which causes recurring warts <strong>of</strong> the genitals<br />
and nearly all cases <strong>of</strong> cervical cancer in<br />
women. HPV actually includes a family <strong>of</strong><br />
more than 100 closely related viruses. Most<br />
are harmless and give rise to such nuisances<br />
as warts on the hands or plantar warts on the<br />
feet, but as many as 30 infect the genital tract,<br />
causing warts that are painful, difficult to<br />
treat, and <strong>of</strong>ten recurring. A handful cause<br />
nearly all <strong>of</strong> the hundreds <strong>of</strong> thousands <strong>of</strong><br />
cases <strong>of</strong> cervical cancer in women worldwide<br />
every year, including 15,000 in the United<br />
States. In a small percentage <strong>of</strong> men, HPV<br />
infections cause penile cancer.<br />
“In some age groups, such as young men<br />
and women who are sexually active, two <strong>of</strong><br />
every five people are infected with HPV,”<br />
Dr. Reichman says. “In some areas <strong>of</strong> the<br />
developing world, cervical cancer caused by<br />
the infection is the leading cause <strong>of</strong> death<br />
by cancer in women.”<br />
If it proves effective, the <strong>Rochester</strong> vaccine<br />
would be one <strong>of</strong> the first vaccines to actually<br />
prevent cancer from occurring, by preventing<br />
the underlying cause, HPV. The key to the<br />
vaccine is a genetic technology designed to<br />
trigger an immune response. The <strong>Rochester</strong><br />
team cloned the gene that codes for the virus’s<br />
protein coat, or capsid, producing VLPs whose<br />
shape exactly mimics the shape <strong>of</strong> HPV. Then<br />
the team turned to a cell line derived from<br />
silkworms to grow large amounts <strong>of</strong> VLPs.<br />
After the basic laboratory research, a<br />
series <strong>of</strong> animal experiments confirmed<br />
that the VLPs held promise. The <strong>University</strong><br />
filed for a patent on the technology,<br />
searched for interest in the pharmaceutical<br />
community, and eventually licensed it to<br />
a biotechnology company, MedImmune<br />
Inc. That company sponsored the Phase<br />
I trial which demonstrated that the<br />
vaccine is safe and provokes an immune<br />
response. MedImmune then sold the rights<br />
to SmithKlineBeecham, now part <strong>of</strong><br />
GlaxoSmithKline.<br />
The technology is under development.<br />
Glaxo is conducting the Phase II trials,<br />
establishing doses and checking for side<br />
effects. Meanwhile, the U. S. patent <strong>of</strong>fice is<br />
weighing the <strong>University</strong>’s patent application,<br />
along with applications from three other<br />
research groups. Dr. Reichman and his<br />
colleagues are awaiting that decision and<br />
monitoring the vaccine’s progress through<br />
the research process.<br />
“The work has been immensely rewarding,<br />
and it’s gratifying to know that this project<br />
has been pursued so far. But it can be a source<br />
<strong>of</strong> regret that at this point in development<br />
the project is in other hands and out <strong>of</strong> our<br />
control,” he says.<br />
While GlaxoSmithKline tests the vaccine,<br />
Dr. Reichman and colleagues continue to<br />
evaluate different formulations to protect<br />
against as many types <strong>of</strong> HPV as possible;<br />
Robert Rose, for example, is also working<br />
with Cornell researchers to eventually<br />
provide the vaccine in edible form. The team<br />
inserted the gene for VLPs into tomatoes,<br />
then fed the leaves to mice and found<br />
evidence <strong>of</strong> an immune response. They<br />
hope the work could result in an edible<br />
HPV vaccine that could be made available<br />
throughout the world via plants like tomatoes,<br />
potatoes, or bananas.
T R A N S L A T I O N A L R E S E A R C H<br />
From Lab to Operating Room in Search <strong>of</strong><br />
Ways to Reduce the Effects <strong>of</strong> Stroke<br />
By Tom Rickey<br />
Every minute spent in the laboratory now<br />
could mean a world <strong>of</strong> difference for countless<br />
victims <strong>of</strong> stroke decades from now. That’s<br />
the view <strong>of</strong> Cargill Alleyne Jr., M.D., a young<br />
neurosurgeon determined to establish a<br />
thriving research program in a specialty where<br />
clinical demands <strong>of</strong>ten override basic research.<br />
Dr. Alleyne is working with researchers<br />
Berislav Zlokovic, M.D., Ph.D., a researcher<br />
in the <strong>Center</strong> for Aging and Developmental<br />
Biology, part <strong>of</strong> the Aab Institute <strong>of</strong><br />
Biomedical Sciences, and Howard<br />
Feder<strong>of</strong>f, M.D., Ph.D., director <strong>of</strong> the<br />
<strong>Center</strong> on Aging and Development, to<br />
ultimately reduce the effects <strong>of</strong> stroke,<br />
which is the leading cause <strong>of</strong> disability<br />
in the United States. Approximately<br />
700,000 people each year suffer a stroke,<br />
and about three million Americans are<br />
disabled by it.<br />
“Stroke is a heavy hitter in terms<br />
<strong>of</strong> work loss,” says Dr. Alleyne, an<br />
assistant pr<strong>of</strong>essor in the Department<br />
<strong>of</strong> Neurological Surgery. “If we can<br />
develop a tool that can be applied in<br />
stroke patients down the road, that<br />
will have a huge effect. With stroke,<br />
we’re just starting to scratch the surface<br />
in terms <strong>of</strong> treatment.”<br />
Neurosurgeons, neurologists, and<br />
vascular surgeons use a variety <strong>of</strong> options<br />
to prevent strokes or limit their effects. But<br />
while clot-busting drugs like TPA have gotten<br />
a lot <strong>of</strong> press, only 4 percent <strong>of</strong> stroke victims<br />
make it to the hospital in time and are eligible<br />
for the treatment. Dr. Alleyne seeks to help the<br />
other 96 percent, most <strong>of</strong> whom will suffer<br />
impairments ranging from a slight limp to<br />
slurred speech to paralysis or worse.<br />
Dr. Alleyne’s research focuses on several<br />
factors that appear to hinder the molecular<br />
cascade <strong>of</strong> events that occurs when brain cells<br />
are deprived <strong>of</strong> oxygen. The brain is an energy<br />
hog that uses about 15 percent <strong>of</strong> the body’s<br />
blood flow even though it makes up only<br />
about 2 percent <strong>of</strong> the body’s weight. Without<br />
new blood and the nutrients and energy it<br />
provides, cells begin dying within minutes:<br />
calcium levels rise, cells misfire, free radicals<br />
build up and create a toxic environment,<br />
proteins unravel, and some cells go into<br />
programmed cell death. The downward<br />
spiral begins immediately in the core area<br />
<strong>of</strong> the brain where the stroke is centered,<br />
but it can last for days in the “penumbra”<br />
surrounding the core.<br />
Cargill Alleyne Jr., M.D.<br />
It’s this environment that Dr. Alleyne<br />
and his colleagues seek to alter. They’re<br />
investigating several compounds that have<br />
been shown to either protect cells that have<br />
been stressed by lack <strong>of</strong> blood, such as<br />
protein S or its cousin, activated protein C,<br />
or that are known to spur new blood-vessel<br />
growth, such as various angiogenic factors.<br />
Perhaps cells can be protected for the days<br />
or weeks until new blood vessels can resupply<br />
the damaged tissue.<br />
Victims <strong>of</strong> stroke are just one type <strong>of</strong><br />
patients who appear on Dr. Alleyne’s doorstep.<br />
As chief <strong>of</strong> the Division <strong>of</strong> Stroke and<br />
Cerebrovascular Neurosurgery, he sees a<br />
gamut <strong>of</strong> cases: ruptured aneurysms,<br />
arteriovenous malformations, brain tumors,<br />
trauma cases, brain hemorrhages, and<br />
ruptured discs and other spinal cases.<br />
Dr. Alleyne, who also serves as residency<br />
program director for the Department <strong>of</strong><br />
Neurological Surgery, is complementing<br />
his surgical skills with techniques in<br />
interventional neuroradiology, completing a<br />
fellowship with Yuji Numaguchi, M.D., Ph.D.<br />
It’s the second fellowship in three years for Dr.<br />
Alleyne, who spent 1998-1999 on fellowship<br />
at the Barrow Neurological Institute in<br />
Arizona, working with Robert Spetzler, M.D.,<br />
a renowned neurovascular surgeon.<br />
He has also produced an impressive<br />
stream <strong>of</strong> book chapters and research<br />
publications since graduating from Yale<br />
<strong>Medical</strong> School and doing his residency<br />
at Emory <strong>University</strong>.<br />
The pace is challenging. One<br />
morning Dr. Alleyne might be performing<br />
brain surgery on a patient who has just<br />
suffered a ruptured aneurysm or another<br />
grave brain injury, and that afternoon<br />
he might use those same expert skills<br />
to operate on a mouse, as part <strong>of</strong> a study<br />
to monitor the effects <strong>of</strong> stroke.<br />
“Patient care doesn’t stop when<br />
you enter the lab. You can’t just turn<br />
your beeper over to someone else. They<br />
are your patients,” he says.<br />
Despite the difficulties, Dr. Alleyne is<br />
determined to launch his own research<br />
program as he establishes himself<br />
at an institution with a long and proud<br />
history <strong>of</strong> excellence in neurology and<br />
neurosurgery. He points to a handful <strong>of</strong><br />
neurosurgeons nationwide who have thriving<br />
research programs. “It’s a l<strong>of</strong>ty goal, to try to<br />
make one’s mark on the specialty by tackling<br />
difficult problems in the laboratory and<br />
coming up with some answers. In the long<br />
run, that would benefit patients. Now is<br />
the time to establish a research program,<br />
before the demands <strong>of</strong> my pr<strong>of</strong>ession become<br />
overwhelming and I’m in the operating room<br />
100 percent <strong>of</strong> my time.”<br />
ROCHESTER MEDICINE 13
<strong>Summer</strong> Farmen holds her son Jackson, who was born at 24 weeks gestation, as she talks with Dale L. Phelps, M.D.,<br />
a neonatologist at Strong Memorial Hospital.<br />
One Pediatrician Searches for<br />
Ways to Improve Preemies’ Eyesight<br />
By Susan Fandel<br />
Imagine someone holding a mixing bowl<br />
in front <strong>of</strong> you so that you are staring into the<br />
bowl. A single layer <strong>of</strong> plastic wrap lines the<br />
inside <strong>of</strong> that bowl. Now, on top <strong>of</strong> that plastic<br />
wrap, filling the inside <strong>of</strong> the bowl, is gelatin<br />
that hasn’t quite solidified. This is how Dale L.<br />
Phelps, M.D., pr<strong>of</strong>essor <strong>of</strong> pediatrics and <strong>of</strong><br />
ophthalmology at Children’s Hospital at<br />
Strong, describes the interior <strong>of</strong> the eye. In a<br />
healthy baby born at term, the blood vessels in<br />
the eye grow within the plastic wrap, which<br />
represents the retina. They grow out from the<br />
bottom <strong>of</strong> the bowl all the way to the very<br />
edges <strong>of</strong> the rim. This growth, which begins at<br />
about 16 weeks’ gestation, continues until the<br />
time <strong>of</strong> birth, which is at 40 weeks. The last 12<br />
weeks <strong>of</strong> a full-term pregnancy is particularly<br />
active for the growth <strong>of</strong> the fetal eye’s retinal<br />
blood vessels.<br />
But sometimes in a premature baby,<br />
retinopathy <strong>of</strong> prematurity (ROP) occurs. In<br />
this eye disorder, the vessels have grown only<br />
part way out when the pre-term birth occurs.<br />
The birth stops the vessels for a time, and then<br />
they begin to grow again, but abnormally. If<br />
they get badly out <strong>of</strong> control, they grow into<br />
the center <strong>of</strong> that mixing bowl—into the s<strong>of</strong>t<br />
gelatin. This abnormal, excess growth results<br />
in scarring and bleeding. The vessels, looking<br />
14 ROCHESTER MEDICINE<br />
for something to hold onto inside <strong>of</strong> that<br />
gelatin, begin to contract. If they pull hard<br />
enough, they can detach the retina, which<br />
means vision loss for these tiny babies.<br />
ROP develops in about 14,000 to 16,000<br />
infants each year who weigh less than two<br />
pounds at birth. In about 80 percent <strong>of</strong> cases,<br />
the condition improves and leaves no<br />
permanent damage. Annually, however,<br />
1,100 to 1,500 infants develop ROP that is<br />
severe enough to require surgical treatment.<br />
Dr. Phelps has been focusing her research<br />
both clinically and in the lab on this disorder<br />
since 1974, when she first became interested<br />
in it. Since then, she has investigated methods<br />
<strong>of</strong> preventing ROP with antioxidants, treating<br />
it with cryotherapy or oxygen in randomized,<br />
controlled, multicenter clinical trials, and<br />
examined basic mechanisms at work in the<br />
growth <strong>of</strong> blood vessels that are affected in this<br />
disorder. In February 2000, the results <strong>of</strong> a<br />
study that Dr. Phelps chaired were published<br />
in the journal Pediatrics. This six-year clinical<br />
trial determined that while supplemental<br />
oxygen given to infants with moderate cases <strong>of</strong><br />
ROP may not significantly improve ROP, it<br />
definitely did not make it worse. The study<br />
results are important because clinicians have<br />
tended to restrict supplemental oxygen to<br />
premature infants to protect their eyes during<br />
their entire hospitalization. This study showed<br />
that once ROP has developed, supplemental<br />
oxygen does not need to be so restricted.<br />
Dr. Phelps is keenly interested in research<br />
that will explain exactly how blood vessels<br />
in the eyes grow. “In the lab, we try to<br />
understand blood-vessel growth in the<br />
normal, healthy eye, so that we can then see<br />
if some <strong>of</strong> the same mechanisms, or other<br />
mechanisms entirely, are exaggerated in a<br />
diseased eye,” she says. When Dr. Phelps<br />
arrived at Children’s Hospital at Strong in<br />
1984, much <strong>of</strong> her lab work consisted <strong>of</strong><br />
stimulating and retarding growth <strong>of</strong> these<br />
blood vessels. This work soon led to a clinical<br />
trial. “I couldn’t manage both a multicenter<br />
clinical trial and be in the lab,” she says—<br />
and thus came one <strong>of</strong> the many moves that<br />
Dr. Phelps made from the lab to the Neonatal<br />
Intensive Care Unit and back again.<br />
“To me it’s really all one thing. I’m in the<br />
lab. I’m back in the nursery. Something I see<br />
or learn in one place naturally leads me to the<br />
other. That is inescapably translational,” she<br />
says. “I think it’s an incredibly important role<br />
for me and for other pediatricians here at<br />
Strong to play. We have the opportunities to<br />
care for sick children and see what’s wrong.<br />
But we also have the chance to work alongside<br />
those in the labs, who can tell you about the<br />
trends that they are seeing. If we were only in<br />
private practice, we would miss this wonderful<br />
opportunity to stimulate and guide people in<br />
the labs toward clinical solutions or recognize<br />
when some lab discovery has a previously<br />
unsuspected clinical application.”<br />
Dr. Phelps is involved in a 26-center,<br />
randomized nationwide clinical trial that<br />
examines the outcomes <strong>of</strong> surgically treating<br />
ROP at different times. This study looks at<br />
whether conducting surgery before it reaches<br />
the degree <strong>of</strong> severity where surgery becomes<br />
inevitable improves the condition <strong>of</strong> the eye in<br />
the long run. The study began in October<br />
2000 and is projected to run for two years.<br />
“What an academic medical center is,<br />
what we have here, is the right thing,” says Dr.<br />
Phelps. “You’re a doctor part time. You’re a<br />
researcher part time. And you collaborate all<br />
the time. The answers we are seeking are in<br />
the communication process. They will come<br />
out <strong>of</strong> groups.”
T R A N S L A T I O N A L R E S E A R C H<br />
the Clinical Trials Office at Loyola <strong>University</strong><br />
<strong>Medical</strong> <strong>Center</strong>, where Protecting Study<br />
Volunteers in Research is being used to meet<br />
the new training requirement. “I was trying to<br />
set up a training program last year and was<br />
going to develop our own. But in looking<br />
through the manual, I found that it answered<br />
all <strong>of</strong> the questions that I would ask. It’s very<br />
concise and engaging, especially the historic<br />
perspective on clinical trials,” she says.<br />
Dr. Dunn is very pleased at the overwhelmingly<br />
favorable reaction to the book. “We’re<br />
really proud <strong>of</strong> the manual and <strong>of</strong> the fact<br />
that it has established a new standard for<br />
clinical research,” she says.<br />
Cynthia McGuire Dunn, M.D. (M ’85, R ’88), and Gary Chadwick, Pharm.D., M.P.H.<br />
Research Guide by Two URMC Faculty<br />
Sets a National Standard<br />
In October 1999, Cynthia McGuire Dunn,<br />
M.D. (M ’85, R ’88), and Gary Chadwick,<br />
Pharm.D., M.P.H., published Protecting Study<br />
Volunteers in Research: A Manual for<br />
Investigative Sites. As <strong>of</strong> February <strong>2001</strong>, more<br />
than 75,000 copies <strong>of</strong> the book have been<br />
purchased, generating nearly $1 million in<br />
sales, with all royalties from sales <strong>of</strong> the book<br />
going to the <strong>University</strong> for the development<br />
<strong>of</strong> more clinical research education material.<br />
With the federal government in June 2000<br />
mandating training for all investigators<br />
receiving National Institutes <strong>of</strong> Health<br />
funding, the book has become a favorite<br />
among academic researchers (see chart).<br />
The 234-page manual is<br />
intended to aid clinical<br />
research pr<strong>of</strong>essionals in<br />
understanding regulatory<br />
requirements for human<br />
subject protections and<br />
the ethical principles<br />
upon which they are<br />
based, and help them to<br />
provide the highest<br />
standards <strong>of</strong> safety and<br />
ethical treatment for study volunteers.<br />
The manual was developed as part <strong>of</strong> the<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>’s own<br />
mandatory training program for researchers.<br />
“We were out there doing this before it<br />
was required because we felt it was the right<br />
thing to do,” says Dr. Dunn, director <strong>of</strong> the<br />
Clinical Research Institute and assistant<br />
pr<strong>of</strong>essor <strong>of</strong> medicine.<br />
Dr. Chadwick, executive director <strong>of</strong> the<br />
Research Subjects Review Board Office and a<br />
clinical associate pr<strong>of</strong>essor in the Division <strong>of</strong><br />
<strong>Medical</strong> Humanities, and Dr. Dunn worked<br />
with numerous people at the <strong>Medical</strong> <strong>Center</strong><br />
as well as an advisory committee to create a<br />
program that was practical, easy to use, and<br />
pertinent. It would seem they accomplished<br />
just that based on sales <strong>of</strong> the book, the<br />
positive reaction from those directing research<br />
programs at other universities, and the fact<br />
that the federal government, in mandating<br />
training on the topic, cited the manual<br />
as an excellent resource and a way to fulfill<br />
training requirements.<br />
Kathleen Mullane, D.O., Pharm.D., is an<br />
assistant pr<strong>of</strong>essor <strong>of</strong> medicine and director <strong>of</strong><br />
Top 25 <strong>University</strong> Purchasers <strong>of</strong><br />
Protecting Study Volunteers in Research:<br />
A Manual for Investigative Sites<br />
PURCHASER<br />
# OF COPIES<br />
Cornell <strong>University</strong> 2000<br />
Mount Sinai School <strong>of</strong> Medicine 2000<br />
Case Western Reserve <strong>University</strong> 1519<br />
Virginia Commonwealth <strong>University</strong> 1500<br />
Emory <strong>University</strong> 1000<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong> 1000<br />
St. Louis <strong>University</strong> 710<br />
<strong>University</strong> <strong>of</strong> Colorado HSC Warehouse 603<br />
Albert Einstein College <strong>of</strong> Medicine 551<br />
Loyola <strong>University</strong> <strong>Medical</strong> <strong>Center</strong> 501<br />
<strong>University</strong> <strong>of</strong> Maryland Baltimore 500<br />
<strong>University</strong> <strong>of</strong> Arizona 500<br />
Georgia Tech 370<br />
Brown <strong>University</strong> 302<br />
New York <strong>Medical</strong> College 281<br />
<strong>University</strong> <strong>of</strong> Oklahoma<br />
Health Science <strong>Center</strong> 253<br />
Princeton <strong>University</strong> 230<br />
Abbott Northwestern <strong>University</strong> 202<br />
Rockefeller <strong>University</strong> 195<br />
<strong>University</strong> <strong>of</strong> Buffalo 170<br />
Albany <strong>Medical</strong> College 160<br />
<strong>Medical</strong> College <strong>of</strong> Georgia 100<br />
<strong>University</strong> <strong>of</strong> Michigan 100<br />
Johns Hopkins <strong>University</strong> 80<br />
Columbia <strong>University</strong> 77<br />
ROCHESTER MEDICINE 15
M E D I C A L C E N T E R N E W S<br />
<strong>Medical</strong> <strong>Center</strong> Posts Record<br />
Growth in Research Funding<br />
As funding leaps 18 percent, the<br />
<strong>Medical</strong> <strong>Center</strong> sees its strategy<br />
begin to pay <strong>of</strong>f<br />
In a clear sign <strong>of</strong> success for the strategy<br />
to bolster its medical research programs,<br />
the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />
has posted a record 18 percent increase in<br />
research funding from the National Institutes<br />
<strong>of</strong> Health. The <strong>Medical</strong> <strong>Center</strong> received<br />
research grants totaling $89.9 million for the<br />
fiscal year that ended Sept. 30, 2000, up from<br />
$76.1 million the previous year.<br />
This 18 percent funding increase more<br />
than triples the 5.4 percent increase achieved<br />
last year, and represents the largest funding<br />
boost at the <strong>Medical</strong> <strong>Center</strong> in two decades.<br />
“We’re absolutely delighted by this news,”<br />
says Jay H. Stein, M.D., senior vice president<br />
and vice provost for health affairs and<br />
<strong>Medical</strong> <strong>Center</strong> and Strong Health CEO.<br />
“This funding increase is the strongest<br />
indication yet that the efforts we’ve<br />
undertaken to strengthen the research<br />
program are working.”<br />
Four years ago Dr. Stein led a task force<br />
<strong>of</strong> more than 100 faculty members and<br />
administrators that developed a plan to boost<br />
the prominence <strong>of</strong> the <strong>Medical</strong> <strong>Center</strong>’s<br />
research programs. Their proposal called for<br />
the construction <strong>of</strong> new, state-<strong>of</strong>-the-art<br />
research facilities and an international<br />
recruitment effort to attract top research<br />
scientists to <strong>Rochester</strong>. In June 1999, the first<br />
new research facility, the Arthur Kornberg<br />
<strong>Medical</strong> Research Building, was completed; in<br />
June 2000, crews broke ground on a second<br />
research facility adjacent to it. In total, more<br />
than 100 researchers and 500 technicians and<br />
support personnel will be hired to work in the<br />
new facilities in the largest recruitment effort<br />
at the <strong>Medical</strong> <strong>Center</strong> since the School <strong>of</strong><br />
Medicine and Dentistry was founded in 1924.<br />
More than 50 scientists have been recruited so<br />
far. The <strong>University</strong>’s Board <strong>of</strong> Trustees has<br />
approved plans to spend $550 million over a<br />
10-year period on the construction and<br />
recruitment efforts.<br />
A key objective <strong>of</strong> the strategy is to bolster<br />
the <strong>Medical</strong> <strong>Center</strong>’s research program in its<br />
entirety—that is, to foster growth in selected<br />
areas while boosting the quality <strong>of</strong> research<br />
being conducted throughout the institution.<br />
This year’s NIH funding results indicate<br />
that that goal is being realized. Of the<br />
$13.8 million in new research funding this<br />
year, about half <strong>of</strong> it was awarded to “new<br />
recruits”—researchers in the new facility—<br />
and about half was awarded to faculty<br />
throughout the <strong>Medical</strong> <strong>Center</strong>.<br />
Strong Health Launches 20-Year<br />
Effort to Help Make <strong>Rochester</strong><br />
America’s Healthiest Community<br />
In October 2000, Strong Health<br />
announced the launch <strong>of</strong> Project Believe,<br />
a 20-year initiative to help make <strong>Rochester</strong><br />
the healthiest community in the nation by<br />
the year 2020.<br />
Project Believe will effectively partner<br />
Strong Health with schools, employers,<br />
churches, and other organizations to provide<br />
information about healthful lifestyles<br />
and develop ways to interrupt cycles <strong>of</strong> illness<br />
and injury.<br />
Anything’s possible.<br />
STRONG<br />
HEALTH<br />
16 ROCHESTER MEDICINE
M E D I C A L C E N T E R N E W S<br />
Consumers will be able to access free<br />
health screenings and education classes,<br />
Web-based health risk assessments, and<br />
other community outreach activities. In<br />
addition, for each <strong>of</strong> the next 20 years,<br />
Strong Health will introduce at least one<br />
new project to improve community health<br />
status, working from public health priorities<br />
established through Monroe County’s<br />
HealthAction initiative.<br />
“Project Believe is our commitment to use<br />
Strong’s leadership position and resources to<br />
make a major improvement in the health <strong>of</strong><br />
everyone in our community,” says Jay H. Stein,<br />
M.D., senior vice president and vice provost for<br />
health affairs and <strong>Medical</strong> <strong>Center</strong> and Strong<br />
Health CEO. “This is the right thing to do,<br />
both in terms <strong>of</strong> quality <strong>of</strong> life and as the only<br />
ethical and sustainable way to temper the rise<br />
<strong>of</strong> health care costs.”<br />
Health promotion experts have long<br />
understood the potential <strong>of</strong> preventive<br />
medicine to lower costs. A recent national<br />
study by the health information company,<br />
The Medstat Group, estimates that about<br />
25 percent <strong>of</strong> our nation’s health care costs<br />
(some $250 billion a year) is spent on<br />
medical care for unhealthy habits and other<br />
modifiable health risks.<br />
“There is a tremendous opportunity to<br />
make a real and positive impact by instilling,<br />
promoting, and supporting sound health<br />
habits. Through Project Believe, Strong Health<br />
and the <strong>Medical</strong> <strong>Center</strong> will concentrate on<br />
making improvements in areas in which we<br />
can make a measurable and sustainable<br />
improvement,” says Lowell Goldsmith, M.D.,<br />
dean emeritus at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
School <strong>of</strong> Medicine and Dentistry.<br />
“We’re interested in building on many <strong>of</strong><br />
the programs we already have in place—such<br />
as programs to help chronically ill children—<br />
well as launching new projects that have the<br />
potential to make a real difference for people,<br />
in areas such as hypertension and depression,”<br />
Dr. Goldsmith says.<br />
ENT Clinic Named in Honor and<br />
Memory <strong>of</strong> Its First Chair<br />
The outpatient ear, nose, and throat clinic<br />
at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />
has been named the Clyde Alexander Heatly,<br />
M.D., Outpatient Clinic in recognition <strong>of</strong> the<br />
physician who established the <strong>Medical</strong> <strong>Center</strong>’s<br />
otolaryngology service and physician training<br />
program 75 years ago. He died in January<br />
(see obituary on page 42).<br />
Dr. Heatly was recruited from Johns<br />
Hopkins in 1926 to develop a Division <strong>of</strong><br />
Otolarygology, commonly referred to today as<br />
the ear, nose, and throat (ENT) specialty; he<br />
also developed a residency program to train<br />
physicians in the specialty. Dr. Heatly chaired<br />
the division for 36 years, during which new<br />
medications and technologies led to great<br />
advancements in the treatment <strong>of</strong> sinus<br />
disease and other disorders involving the<br />
head and neck.<br />
To honor Dr. Heatly and express gratitude<br />
for his generous gift to the Division <strong>of</strong><br />
Otolaryngology, the <strong>Medical</strong> <strong>Center</strong> renamed<br />
its ENT clinic, which serves 18,000 patients<br />
annually. The clinic provides general ENT<br />
services as well as tertiary care for patients<br />
with head and neck cancer, hearing and<br />
speech problems, pediatric airway problems,<br />
and cosmetic and reconstructive needs.<br />
“Clyde developed an early awareness<br />
<strong>of</strong> our specialty in this community, and<br />
laid the foundation for modern care <strong>of</strong><br />
ear diseases and problems related to the<br />
airway,” said Arthur S. Hengerer, M.D.,<br />
pr<strong>of</strong>essor and current chair <strong>of</strong> the Division<br />
<strong>of</strong> Otolaryngology.<br />
“Dr. Heatly had special interest in issues<br />
concerning the larynx and airway and was<br />
gifted with significant technical skills which<br />
were essential to the practice at that time<br />
since so many procedures were done by<br />
‘feel,’ without the imaging technology<br />
we have today,” Dr. Hengerer noted. “He<br />
practiced in an era before antibiotics, when<br />
emergency surgery was <strong>of</strong>ten the treatment<br />
for mastoid and sinus problems. The practice<br />
<strong>of</strong> ENT has changed significantly with<br />
antibiotics and technologies such as lasers<br />
for surgery. Such developments allow<br />
physicians to perform significantly advanced<br />
surgeries <strong>of</strong> the ear, head, and neck with<br />
complex reconstruction.”<br />
Strong Memorial<br />
Chosen as <strong>Rochester</strong>’s<br />
Most Preferred Hospital<br />
Strong Wins NRC’s 2000<br />
Consumer Choice Award<br />
Strong Memorial Hospital in October 2000<br />
won the National Research Corporation’s<br />
(NRC) Consumer Choice Award. The annual<br />
award is based on the perceptions <strong>of</strong> 500<br />
<strong>Rochester</strong>-area residents regarding multiple<br />
quality and image ratings, which are<br />
collected in the company’s annual Healthcare<br />
Market Guide. Strong Memorial Hospital has<br />
consistently won the award all five years since<br />
its inception.<br />
“We are delighted that Strong Memorial<br />
Hospital has again been recognized as<br />
<strong>Rochester</strong>’s most preferred hospital,” said<br />
Robert Panzer, M.D., chief quality <strong>of</strong>ficer <strong>of</strong><br />
Strong Health. “This recognition reflects the<br />
success <strong>of</strong> our staff in meeting the challenge<br />
<strong>of</strong> providing care that is patient centered, high<br />
quality, and cost effective.”<br />
Strong Memorial Hospital was among 122<br />
American hospitals in 100 markets to earn the<br />
Clyde Heatly, M.D.<br />
ROCHESTER MEDICINE 17
M E D I C A L C E N T E R N E W S<br />
honor. In accepting the award, Strong<br />
Memorial Hospital CEO Steven I. Goldstein<br />
noted, “This award carries special significance<br />
because it is based on the experiences<br />
and impressions <strong>of</strong> our most important<br />
audience—our patients.”<br />
NRC specializes in measuring health care<br />
performance. Its 2000 Healthcare Market<br />
Guide is the largest and most comprehensive<br />
study <strong>of</strong> its kind in the nation. The company<br />
was the first to introduce performance<br />
norms to the health care industry and has<br />
conducted more satisfaction studies for health<br />
care organizations than any other firm.<br />
Construction Begins<br />
on New Outpatient<br />
Facility at<br />
Clinton Crossings<br />
Ground was <strong>of</strong>ficially broken in August<br />
2000 for Strong Health’s new two-story<br />
outpatient orthopaedic, imaging, and<br />
rehabilitation facility on the campus <strong>of</strong><br />
Clinton Crossings in <strong>Rochester</strong>. The<br />
construction <strong>of</strong> this 106,000-square-foot,<br />
state-<strong>of</strong>-the-art facility will mean higher<br />
standards in outpatient care, the convenience<br />
<strong>of</strong> one-stop shopping for patients, ease<br />
<strong>of</strong> parking, and the necessary space to<br />
accommodate Strong Health’s growing<br />
patient population.<br />
The new facility will be home to a number<br />
<strong>of</strong> programs, including: all <strong>of</strong> Strong’s outpatient<br />
orthopaedic services, <strong>University</strong> Sports<br />
Medicine, hand rehabilitation, the Orthotics<br />
and Prosthetics Clinic, occupational and<br />
physical therapy, a portion <strong>of</strong> the Department<br />
<strong>of</strong> Radiology, and <strong>University</strong> <strong>Medical</strong> Imaging.<br />
The anticipated completion date is fall <strong>2001</strong>.<br />
18 ROCHESTER MEDICINE<br />
Immunologist Named Director <strong>of</strong><br />
<strong>Center</strong> for Human Genetics and<br />
Molecular Pediatric Disease<br />
Richard A. Insel, M.D., has been appointed<br />
director <strong>of</strong> the <strong>Center</strong> for Human Genetics and<br />
Molecular Pediatric Disease at the <strong>University</strong><br />
<strong>of</strong> <strong>Rochester</strong>. The research center is part <strong>of</strong> the<br />
Aab Institute <strong>of</strong> Biomedical Sciences.<br />
Dr. Insel will lead a team <strong>of</strong> 12 scientists<br />
who will study a variety <strong>of</strong> diseases that are<br />
caused by damaged genes, with a special<br />
focus on diseases that affect children,<br />
such as birth defects, asthma, cystic fibrosis,<br />
and diabetes.<br />
“More than 30 percent <strong>of</strong> children who<br />
are admitted to hospitals are suffering from<br />
diseases that have genetic roots,” says Dr.<br />
The facility, which will house over 200<br />
physicians, therapists, technicians, and<br />
support staff, expects more than 121,000<br />
patient visits a year. With its impressive size<br />
and comprehensive range <strong>of</strong> services, it is the<br />
largest <strong>of</strong>f-campus project the <strong>University</strong> has<br />
ever undertaken. The initiative represents<br />
Strong Health’s quest to provide its patients<br />
with the highest quality and most convenient<br />
health care.<br />
“With our expanding patient population,<br />
the need to bring these many services together<br />
at one location became increasingly evident,”<br />
said Jay H. Stein, M.D., senior vice president<br />
and vice provost for health affairs and<br />
<strong>Medical</strong> <strong>Center</strong> and Strong Health CEO. “This<br />
facility will set a new standard for outpatient<br />
services in <strong>Rochester</strong> and will make us better<br />
equipped to deliver the best possible health<br />
care to our patients.”<br />
Richard A. Insel, M.D.<br />
Insel. “We’re entering a new era <strong>of</strong> medicine<br />
in which understanding the genetic causes <strong>of</strong><br />
diseases will lead to remarkable advances in<br />
medical care. By establishing this new<br />
research center, the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
is making a commitment to be at the very<br />
forefront <strong>of</strong> medical science and health care.”<br />
In addition to studying childhood diseases,<br />
researchers in the <strong>Center</strong> for Human Genetics<br />
and Molecular Pediatric Disease will also<br />
collaborate with research teams throughout<br />
the <strong>Medical</strong> <strong>Center</strong> that are studying the<br />
genetic basis <strong>of</strong> adult diseases such as heart<br />
disease, Alzheimer’s disease, and cancer.<br />
Dr. Insel was selected for the post after an<br />
extensive national search in which more<br />
than 50 candidates were considered. “This is a<br />
key leadership position that calls for a skilled<br />
scientist with innovative ideas and the ability<br />
to foster collaborations with scientists across<br />
the instutition. It became clear to us during<br />
the search that the candidate who best met<br />
those criteria was right here in the <strong>Medical</strong><br />
<strong>Center</strong>,” said Jay H. Stein, M.D., senior vice<br />
president and vice provost for health affairs<br />
and <strong>Medical</strong> <strong>Center</strong> and Strong Health CEO.<br />
Dr. Insel, a pediatric immunologist, has<br />
served as director <strong>of</strong> the Strong Children’s<br />
Research <strong>Center</strong> since 1993. He joined the<br />
<strong>University</strong> in 1977 after serving for two years<br />
as a researcher at the <strong>Center</strong>s for Disease<br />
Control in Atlanta, and completing fellowships<br />
in immunology and pediatric research at<br />
Harvard <strong>Medical</strong> School.<br />
He was one <strong>of</strong> three <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> researchers who, in the early<br />
1980s, developed the vaccine that has<br />
virtually wiped out Haemophilus influenzae<br />
type b, the organism that is a leading cause <strong>of</strong><br />
meningitis in preschoolers.
M E D I C A L C E N T E R N E W S<br />
Elizabeth McAnarney, M.D.<br />
Child-Health Advocate Named to<br />
Prestigious Institute <strong>of</strong> Medicine<br />
Elizabeth McAnarney, M.D., pediatricianin-chief<br />
<strong>of</strong> Children’s Hospital at Strong,<br />
was chosen in October to join the National<br />
Academy <strong>of</strong> Sciences’ prestigious Institute<br />
<strong>of</strong> Medicine.<br />
Dr. McAnarney also serves as chair <strong>of</strong> the<br />
Department <strong>of</strong> Pediatrics at the <strong>Medical</strong><br />
<strong>Center</strong>. She and Robert Haggerty, M.D., are the<br />
only department members to be so honored<br />
by the Institute <strong>of</strong> Medicine. Only 60 people<br />
were chosen this year, based on their major<br />
contributions to health and medicine, or to<br />
fields such as social and behavioral sciences,<br />
law, administration, and economics.<br />
“This is a tremendous honor for Dr.<br />
McAnarney, one that recognizes her<br />
achievements as a physician and as an<br />
investigator,” says Richard Insel, M.D.,<br />
director <strong>of</strong> the <strong>Center</strong> for Human Genetics<br />
and Molecular Pediatric Disease at the<br />
<strong>Medical</strong> <strong>Center</strong>. “She will provide valuable<br />
expertise, particularily in advising<br />
on national policy.”<br />
The Institute <strong>of</strong> Medicine’s projects<br />
include studying the creation <strong>of</strong> a medical<br />
system to support long-duration space travel<br />
beyond Earth’s orbit, the development <strong>of</strong> new<br />
technologies for the early detection <strong>of</strong> breast<br />
cancer, and the safety and efficacy <strong>of</strong> the<br />
anthrax vaccine used by the U.S. military.<br />
This was the second major honor for Dr.<br />
McAnarney in 2000. She was also appointed to<br />
a four-year term on the U.S. Health Resources<br />
and Services Administration’s Advisory<br />
Committee on Infant Mortality.<br />
Nephrologist Named<br />
Vice Chair <strong>of</strong> Medicine at UR<br />
Daniel B. Ornt, M.D. (M ’76), has been<br />
named vice chair <strong>of</strong> the Department <strong>of</strong><br />
Medicine at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
<strong>Medical</strong> <strong>Center</strong>.<br />
As associate chair <strong>of</strong> medicine for the past<br />
two years, Ornt was instrumental in managing<br />
the administrative challenges facing the<br />
clinical operation <strong>of</strong> the department. He also<br />
has become the key person responsible for<br />
hospital as well as faculty practice matters.<br />
“As we move forward in this dynamic<br />
clinical arena, we anticipate Dr. Ornt’s role<br />
as vice chair <strong>of</strong> medicine will continue<br />
to be critical to our success,” says Bradford C.<br />
Berk, M.D., Ph.D., chair <strong>of</strong> the Department<br />
<strong>of</strong> Medicine, director <strong>of</strong> the <strong>Center</strong> for<br />
Cardiovascular Research and chief <strong>of</strong><br />
cardiology at the <strong>Medical</strong> <strong>Center</strong>.<br />
Dr. Ornt’s expanded responsibilities will<br />
include establishing new practice models<br />
for the department and Strong Memorial<br />
Hospital, particularly those related to<br />
recruitment <strong>of</strong> new faculty, integration <strong>of</strong><br />
community physicians and Strong Memorial<br />
Hospital physicians to provide optimal patient<br />
care, and implementation <strong>of</strong> critical care<br />
pathways and computer-based approaches to<br />
patient care.<br />
A nephrologist, Dr. Ornt has been a<br />
member <strong>of</strong> the <strong>Medical</strong> <strong>Center</strong> faculty for<br />
nine years.<br />
James E. Melvin, D.D.S., Ph.D.,<br />
Named Acting Director <strong>of</strong> the<br />
<strong>Center</strong> for Oral Biology<br />
James E. Melvin, D.D.S., Ph.D., has been<br />
named acting director <strong>of</strong> the <strong>Center</strong> for Oral<br />
Biology in the Aab Institute <strong>of</strong> Biomedical<br />
Sciences at the <strong>Medical</strong> <strong>Center</strong>.<br />
Melvin, who earned his doctorate at<br />
the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong>, will lead the<br />
interdisciplinary research teams that<br />
integrate and blend aspects <strong>of</strong> biochemistry,<br />
developmental biology, genetics, immunology,<br />
microbiology, physiology, pharmacology,<br />
and structural biology to explore important<br />
problems <strong>of</strong> crani<strong>of</strong>acial, dental, and<br />
oral biology.<br />
Daniel B. Ornt, M.D. (M ’76)<br />
ROCHESTER MEDICINE 19
M E D I C A L C E N T E R N E W S<br />
William Bowen, D.D.S., Ph.D. (M.A.S. ’62)<br />
Dental Researcher William<br />
Bowen, D.D.S., Ph.D.<br />
(M.A.S. ’62), Honored<br />
A dental researcher at the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> School <strong>of</strong> Medicine and Dentistry<br />
has joined an elite group by receiving the<br />
American Dental Association’s highest honor,<br />
the Gold Medal for Excellence.<br />
William Bowen, D.D.S., Ph.D. (M.A.S. ’62),<br />
Welcher Pr<strong>of</strong>essor <strong>of</strong> Dentistry, became the<br />
sixth recipient <strong>of</strong> the prestigious Gold Medal<br />
in October. He received a medallion and<br />
$25,000 at the annual ADA Board <strong>of</strong> Trustees<br />
meeting. Given once every three years, the<br />
award is presented to an individual who has<br />
exhibited extraordinary scientific achievement<br />
and commitment to service in the pr<strong>of</strong>ession.<br />
The recipient <strong>of</strong> many industry, academic,<br />
and government awards, Dr. Bowen is one <strong>of</strong><br />
the world’s leading authorities on the causes<br />
and prevention <strong>of</strong> tooth decay. His discovery in<br />
1997 that prenatal exposure to lead makes<br />
rats more susceptible to cavities prompted<br />
further research by <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
scientists. Ultimately, the research showed that<br />
lead exposure puts children and adults at risk<br />
<strong>of</strong> developing cavities.<br />
Dr. Bowen has carried out extensive studies<br />
on the interactions <strong>of</strong> bacteria and food<br />
that occur on the tooth surface, resulting in<br />
dental plaque formation. His research has<br />
also linked the treatment <strong>of</strong> heart disease<br />
and depression with tooth decay, by<br />
demonstrating that medications used for<br />
those conditions may inhibit the production<br />
<strong>of</strong> saliva, a natural shield against cavities.<br />
“Special care must be taken to observe<br />
the adverse effects <strong>of</strong> some prescription drugs<br />
on the teeth and gums, particularly in the<br />
elderly,’’ he says. “If neglected, they may have<br />
a devastating effect on oral health.’’<br />
Dr. Bowen joined the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> from the National Institutes <strong>of</strong><br />
Health in 1982, as chair <strong>of</strong> the Department<br />
<strong>of</strong> Dental Research. He also founded the<br />
<strong>Rochester</strong> Caries Research <strong>Center</strong>, one <strong>of</strong><br />
the first centers in the nation to study tooth<br />
decay. In 1998, he received the <strong>University</strong>’s<br />
Kornberg Research Award for excellence in<br />
medical research.<br />
Dr. Bowen has served in numerous other<br />
top academic and government positions,<br />
including president <strong>of</strong> the International<br />
Association for Dental Research, and<br />
chair <strong>of</strong> the Food and Drug Administration’s<br />
subcommittee for dental products sold to<br />
the public.<br />
A native <strong>of</strong> Ireland, Dr. Bowen earned a<br />
dental degree at the National <strong>University</strong> <strong>of</strong><br />
Ireland before coming to the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> for his master’s degree. He then<br />
earned a doctorate at the <strong>University</strong> <strong>of</strong><br />
London. He has also received five honorary<br />
doctorates from universities throughout the<br />
world. Bowen is a member <strong>of</strong> the Institute <strong>of</strong><br />
Medicine <strong>of</strong> the National Academy <strong>of</strong> Sciences.<br />
Irwin N. Frank, M.D. (M ’45)<br />
Irwin N. Frank, M.D. (M ’45),<br />
Elected President <strong>of</strong> American<br />
Urological Association<br />
Irwin N. Frank, M.D. (M ’45), pr<strong>of</strong>essor<br />
<strong>of</strong> urology at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
<strong>Medical</strong> <strong>Center</strong>, was installed as president <strong>of</strong><br />
the American Urological Association (AUA) at<br />
the organization’s annual meeting in Atlanta<br />
in May 2000.<br />
With over 13,000 members worldwide,<br />
the American Urological Association is the<br />
largest and most prestigious medical<br />
organization in the world dedicated to<br />
improving the prevention, diagnosis, treatment,<br />
and management <strong>of</strong> genitourinary disorders.<br />
Dr. Frank earned his undergraduate<br />
degree from the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> and<br />
his M.D. from the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
School <strong>of</strong> Medicine and Dentistry. He<br />
completed a residency in urology at Strong<br />
Memorial Hospital.<br />
During his career, Dr. Frank has held<br />
numerous positions at the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> School <strong>of</strong> Medicine and Dentistry<br />
and Strong Memorial Hospital, including<br />
pr<strong>of</strong>essor <strong>of</strong> urology, senior associate dean for<br />
clinical affairs, pr<strong>of</strong>essor <strong>of</strong> health sciences,<br />
acting chair <strong>of</strong> urology, senior director, and<br />
medical director—a position he held for 10<br />
years while he continued his active clinical<br />
practice and teaching.<br />
He is a founding member and past<br />
president <strong>of</strong> the New York State Urological<br />
Society and a past president <strong>of</strong> the<br />
Northeastern Section <strong>of</strong> the AUA. He<br />
served as that section’s representative on the<br />
AUA Board <strong>of</strong> Directors from 1987 to 1995.<br />
Dr. Frank has been a clinician, educator,<br />
and investigator involved in numerous<br />
medical research studies throughout his<br />
distinguished career. He has published many<br />
original scientific articles in peer-reviewed<br />
journals, written chapters for several books,<br />
and presented papers and participated in<br />
panels at scientific meetings.<br />
20 ROCHESTER MEDICINE
M E D I C A L C E N T E R N E W S<br />
James A. Manning, M.D. (F ’60) and Chloe G. Alexson, M.D. (M ’54)<br />
After 45 Years, Cardiologists Have<br />
Their Hearts Set on Retirement<br />
After 45 years as pediatric cardiologists,<br />
Chloe G. Alexson, M.D. (M ’54), and James A.<br />
Manning, M.D. (F ’60), are retiring this year.<br />
“It’s been a bucket <strong>of</strong> tears overflowing<br />
with emotion,” Dr. Manning says. “There’s<br />
been a touching, gratifying outpouring <strong>of</strong><br />
support. During the last 45 years, I’ve received<br />
many <strong>of</strong>fers to go elsewhere and start pediatric<br />
cardiology programs, but I had no trouble<br />
turning down the <strong>of</strong>fers. I’ve had so much fun<br />
developing this program that I never left.”<br />
In 1955, Dr. Manning left Johns Hopkins<br />
<strong>University</strong> and joined the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>, intent on creating<br />
a pediatric cardiology service. At that time,<br />
he says, pediatric cardiology was “the most<br />
exciting, developing field there was.”<br />
One <strong>of</strong> Dr. Manning’s first moves was<br />
to convince Dr. Alexson to study pediatric<br />
cardiology. “When I graduated from medical<br />
school, I wanted to be an obstetrician,” she<br />
says. “Jim asked me to do otherwise, and here<br />
I am 45 years later.”<br />
In 1960, as a part <strong>of</strong> the <strong>University</strong>’s<br />
outreach, Dr. Manning started opening<br />
children’s heart clinics throughout upstate<br />
New York. Today, cardiologists from Children’s<br />
Hospital at Strong see patients as far away<br />
as Watertown and Olean on a regular basis.<br />
In 1962, Dr. Manning started the pediatric<br />
cardiology clinic in Watertown. He and Dr.<br />
Alexson made their last visit in January. In<br />
between, more than 1,600 children were<br />
evaluated for heart problems.<br />
During their 45 years <strong>of</strong> treating children<br />
and teaching about cardiology, the doctors<br />
have seen their fair share <strong>of</strong> changes. Many <strong>of</strong><br />
the improvements in the way hospitals care<br />
for patients are now taken for granted. “When<br />
we started, there were no recovery rooms or<br />
intensive-care units,” Dr. Alexson says. “In the<br />
1950s, there were few people who understood<br />
the principles <strong>of</strong> intensive care.”<br />
In 1998, Children’s Hospital at Strong<br />
opened the Children’s Heart <strong>Center</strong>—<br />
dedicated to the care <strong>of</strong> kids who have heart<br />
problems— and designated the James A.<br />
Manning Children’s Cardiology Service. It was<br />
such a high point for Dr. Manning that he<br />
considered retiring then, but decided he still<br />
had some unfinished business.<br />
As his last major research effort, Dr.<br />
Manning is taking a six-month sabbatical to<br />
study Williams syndrome, which is caused by<br />
an abnormality in chromosome seven.<br />
Although they are hanging up their<br />
stethoscopes, Drs. Manning and Alexson<br />
are excited about the future <strong>of</strong> pediatric<br />
cardiology locally.<br />
“In the last few years, we’ve seen a<br />
dramatic increase in the institutional<br />
support that pediatric cardiology is<br />
receiving,” Dr. Manning says. “I’m<br />
delighted with the way the administration<br />
has supported us with money, space, and<br />
recruitment. I’m proud <strong>of</strong> this department<br />
and what we’ve accomplished.”<br />
Dr. Alexson retired on Feb. 1. Dr.<br />
Manning will <strong>of</strong>ficially retire on Aug. 1,<br />
once his sabbatical and research on<br />
Williams syndrome is complete.<br />
“For 45 years, children came from all<br />
over the state to seek out the wise counsel<br />
<strong>of</strong> these two outstanding pediatricians,”<br />
says Elizabeth McAnarney, M.D., pediatricianin-chief<br />
<strong>of</strong> Children’s Hospital at Strong.<br />
“They both taught hundreds <strong>of</strong> trainees—<br />
medical students, house <strong>of</strong>ficers, and<br />
fellows—all <strong>of</strong> whom remember their skill as<br />
teachers and outstanding role models. We<br />
shall miss their wisdom and their devotion.”<br />
ROCHESTER MEDICINE 21
M E D I C A L C E N T E R N E W S<br />
Vaccine <strong>Center</strong> Renamed to<br />
Honor Visionary Researcher<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />
<strong>of</strong>ficials in December dedicated one <strong>of</strong> the<br />
facility’s new research centers to David H.<br />
Smith, M.D., whose legendary work, along<br />
with others’, resulted in a vaccine that has<br />
virtually wiped out bacterial meningitis<br />
in children.<br />
The David H. Smith <strong>Center</strong> for Vaccine<br />
Biology and Immunology is part <strong>of</strong> the Aab<br />
Institute <strong>of</strong> Biomedical Sciences, located on<br />
the top floor <strong>of</strong> the Arthur Kornberg <strong>Medical</strong><br />
Research Building. The <strong>Center</strong> focuses<br />
on research designed to lead to the next<br />
generation <strong>of</strong> vaccines for infectious diseases,<br />
cancer, and allergies.<br />
Dr. Smith, who died in February 1999, was<br />
an alumnus <strong>of</strong> the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
School <strong>of</strong> Medicine and Dentistry’s class <strong>of</strong><br />
1958. Following pediatrics training in Boston<br />
and postdoctoral research at Harvard<br />
<strong>University</strong>, Dr. Smith returned to <strong>Rochester</strong> in<br />
1976 to chair the Department <strong>of</strong> Pediatrics.<br />
During the next decade, Dr. Smith and<br />
his team tested, licensed, and began<br />
producing the first vaccine for Haemophilus<br />
influenzae type b, the bacterium responsible<br />
for nearly all cases <strong>of</strong> childhood meningitis.<br />
Dr. Smith also founded Praxis Biologics,<br />
a pharmaceutical company, when other<br />
major pharmaceutical firms resisted<br />
buying the rights to the vaccine. The Hib<br />
vaccine is now administered to all newborns<br />
in the United States, and has reduced<br />
the incidence <strong>of</strong> bacterial meningitis by<br />
98 percent.<br />
Research being done today at the <strong>Center</strong><br />
includes an investigation into why some<br />
immune systems—such as those <strong>of</strong> the<br />
elderly—respond differently to certain<br />
vaccines. Researchers are also developing<br />
the first vaccine against human<br />
papillomavirus (HPV), a leading cause<br />
<strong>of</strong> cervical cancer, and are working on<br />
eight separate AIDS projects.<br />
The <strong>Center</strong> for Vaccine Biology and Immunology was named the David H. Smith <strong>Center</strong> for Vaccine Biology and<br />
Immunology in December. Attending the dedication were Richard A. Insel, M.D., director <strong>of</strong> the <strong>Center</strong> for Human<br />
Genetics and Molecular Pediatric Disease, Tim R. Mosmann, Ph.D., director <strong>of</strong> the <strong>Center</strong> for Vaccine Biology and<br />
Immunology, and Joan M. Smith, widow <strong>of</strong> David Smith.<br />
<strong>Rochester</strong>’s School-Based<br />
Dental Program Receives<br />
National Recognition<br />
The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> Eastman<br />
Dental <strong>Center</strong>’s collaborative school-based<br />
dental program was recognized at the recent<br />
Surgeon General’s Conference on Children<br />
and Oral Health as one <strong>of</strong> the five success<br />
stories on community collaboration and<br />
dental health in the United States.<br />
Federal studies indicate that about 80<br />
percent <strong>of</strong> children who are eligible under<br />
Medicaid for dental services never receive<br />
them. Buddhi Shrestha, D.D.S., director <strong>of</strong><br />
the Dental <strong>Center</strong>’s Community Outreach<br />
Program, addressed this issue during his<br />
presentation at the conference. He spoke<br />
<strong>of</strong> efforts by the <strong>Rochester</strong> collaboration to<br />
meet the needs <strong>of</strong> the underserved child<br />
population by bringing dental services to<br />
children in schools.<br />
Dr. Shrestha was instrumental in forming<br />
the collaboration in 1994. The partnership<br />
includes the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> Eastman<br />
Dental <strong>Center</strong>, the <strong>Rochester</strong> City School<br />
District, the Monroe County Health<br />
Department, the NYS Bureau <strong>of</strong> Dental<br />
Health, the <strong>Rochester</strong> Primary Care Network,<br />
a number <strong>of</strong> rural school districts, and the<br />
county health and social service departments<br />
from Livingston, Genesee, Wyoming, and<br />
Orleans counties.<br />
While other school-based programs screen<br />
students and, at most, apply sealants, the<br />
<strong>Rochester</strong> approach involves bringing oral<br />
health treatment to the school site. The<br />
services, targeted at Medicaid-eligible students<br />
who have no dentist <strong>of</strong> their own, are provided<br />
using onsite portable dental units, year-round<br />
satellite clinics near the schools, and<br />
Smilemobiles—movable clinics that travel<br />
from site to site.<br />
Dr. Shrestha reported that the collaboration<br />
has been highly successful. The program<br />
served 2,200 students at 11 service sites in<br />
1994. “Our goal is to increase that number<br />
so that over 10,000 children will be seen<br />
at the 37 sites during the upcoming school<br />
year,” he says.<br />
22 ROCHESTER MEDICINE
M E D I C A L C E N T E R N E W S<br />
Documenting<br />
a Rich History<br />
Now available is the story<br />
<strong>of</strong> how a relatively small,<br />
university-based medical<br />
school became a national<br />
leader in medical research,<br />
medical education, health<br />
care, and reform over the<br />
course <strong>of</strong> 75 years. The<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
<strong>Medical</strong> <strong>Center</strong>: Teaching,<br />
Discovering, Caring is<br />
edited by Jules Cohen, M.D.<br />
(M ’57), and Robert J.<br />
Joynt, M.D., Ph.D., and<br />
features the writings <strong>of</strong><br />
senior faculty members.<br />
The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
<strong>Medical</strong> <strong>Center</strong> is the proud<br />
record <strong>of</strong> how hundreds <strong>of</strong><br />
dedicated scientists, learners<br />
and educators, and clinical<br />
caregivers have created a<br />
collegial enterprise that<br />
continues to bring the best<br />
<strong>of</strong> health care to the region,<br />
the country, and the world.<br />
Copies <strong>of</strong> the book are<br />
available for $25 and may<br />
be purchased by calling the<br />
Office <strong>of</strong> Alumni Relations<br />
at 800-333-4428.<br />
75th Anniversary Committee:<br />
Members <strong>of</strong> the 75th Anniversary Planning Committee gathered for a photo. They are: (front row, left to right)<br />
Robert Joynt, M.D., Ph.D.; Gilbert Forbes, M.D.; and Jules Cohen, M.D.; (center row, left to right) Nancy Baldwin,<br />
Leon Miller, Richard Collins, M.D., Lucretia McClure, M.A.; Bethel Powers, R.N., Ph.D.; Julia Sollenberger, M.L.S.;<br />
Rebecca DiNatale; (back row, left to right) Ruth Lawrence, M.D.; Christopher Raimy, Eric Schoen, John Hansen,<br />
Ph.D.; Robert Marquis, Ph.D.; Paul Lambiase, George Kimmich, M.D.; Victor Laties, Ph.D.; and Amy Gregory.<br />
Missing from the photo are James W. Bartlett, M.D.; Jacqueline Beckerman, Ronald Billings, D.D.S., M.S.D.; Nancy<br />
Bolger, Philip Bonanni, M.D.; Mary Jo Ferr, Karin Gaffney, Eleanor Hall, Christopher Hoolihan, M.L.S.; Harriett<br />
Kitzman, R.N., Ph.D.; Elizabeth Kunz, Paul LaCelle, M.D.; and Madeline Schmitt, R.N., Ph.D., F.A.A.N.<br />
75th anniversary book authors:<br />
Those who contributed to The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>: Teaching, Discovering, Caring took time to pose for<br />
a photo. They are: (front row, left to right) Robert Joynt, M.D., Ph.D.; Gilbert Forbes, M.D.; and Jules Cohen, M.D.;<br />
(back row, left to right) Ruth Lawrence, M.D.; Lucretia McClure, M.A.; Bethel Powers, R.N., Ph.D.; Robert Marquis,<br />
Ph.D.; Julia Sollenberger, M.L.S.; George Kimmich, M.D.; and Victor Laties, Ph.D. Missing from the photo are James<br />
W. Bartlett, M.D.; Ronald Billings, D.D.S., M.S.D.; Nancy Bolger; Christopher Hoolihan, M.L.S.; Harriett Kitzman,<br />
R.N., Ph.D.; Paul LaCelle, M.D.; and Madeline Schmitt, R.N., Ph.D., F.A.A.N.<br />
ROCHESTER MEDICINE 23
M E D I C A L C E N T E R N E W S<br />
CELEBRATING 75 Y EARS AND LOOKING TOTHE FUTURE<br />
The Role and<br />
Responsibilities <strong>of</strong><br />
Academic <strong>Medical</strong><br />
<strong>Center</strong>s as We Enter the<br />
New Century Symposium<br />
In celebration <strong>of</strong> the 75th anniversary <strong>of</strong> the<br />
<strong>Medical</strong> <strong>Center</strong> and the investiture <strong>of</strong> Edward M.<br />
Hundert, M.D., as dean <strong>of</strong> the School <strong>of</strong> Medicine<br />
and Dentistry, Deborah A. Cory-Slechta, Ph.D., as<br />
dean for research, and Patricia A. Chiverton, R.N.,<br />
Ed.D., F.N.A.P., as dean <strong>of</strong> the School <strong>of</strong> Nursing,<br />
deans from leading academic medical centers<br />
across the nation met in <strong>Rochester</strong> on Oct. 12 to<br />
participate in the symposium: “The Role and<br />
Responsibilities <strong>of</strong> Academic <strong>Medical</strong> <strong>Center</strong>s as<br />
We Enter the New Century.”<br />
Dr. Hundert’s opening remarks reflected the<br />
school’s pride in the outstanding alumni who<br />
have emerged to lead academic medicine<br />
throughout the United States. “It is a thrill to have<br />
this distinguished panel <strong>of</strong> deans here to talk with<br />
us about the roles and responsibilities <strong>of</strong> academic<br />
medical centers,” he said. “I never realized before<br />
I came to <strong>Rochester</strong> that <strong>of</strong> the many things<br />
<strong>Rochester</strong> is famous for—the biopsychosocial<br />
model, all sorts <strong>of</strong> innovations in medical<br />
research, education, clinical care—one <strong>of</strong> the<br />
things we produce more than just about any<br />
school in the country is deans. This entire 75th<br />
anniversary has really been a celebration <strong>of</strong> what<br />
it is about <strong>Rochester</strong> that produces these leaders <strong>of</strong><br />
academic medicine, a celebration <strong>of</strong> the nurturing<br />
environment <strong>of</strong> this institution that produces these<br />
kinds <strong>of</strong> leaders.”<br />
Maintaining and building on that nurturing<br />
environment is clearly a priority <strong>of</strong> the new<br />
<strong>Rochester</strong> deans in the years ahead. Following are<br />
highlights <strong>of</strong> each <strong>of</strong> the visiting dean’s talks.<br />
Jordan Cohen, M.D.,<br />
President, AAMC,<br />
Keynote Speaker<br />
“I don’t know where else in<br />
our society we’re going to<br />
find the sources <strong>of</strong> creativity<br />
and leadership that are<br />
needed in order to begin to<br />
address some <strong>of</strong> these major issues. It’s got to<br />
come from academic medical centers and I<br />
believe it’s the hallmark for the challenge for<br />
this century. We do have the tradition <strong>of</strong> leadership.<br />
We are clearly respected for our quality.<br />
“I believe we have the talent and the expertise<br />
in order to make dramatic improvements in<br />
the health care system. Our core purpose as<br />
academic medical centers is to improve health.<br />
That’s why we educate, that’s why we do<br />
research, that’s why we mount high-level<br />
medical care services—to try to improve the<br />
health <strong>of</strong> the community.”<br />
William A. Peck, M.D.<br />
(M ’60), Dean,<br />
Washington <strong>University</strong><br />
School <strong>of</strong> Medicine<br />
“We will be able to revolutionize<br />
health care over the<br />
next 10 to 20 years in an<br />
almost unbelievable way.<br />
[It is] up to academic<br />
medical centers to lead this process.<br />
“We must establish ourselves as the highest<br />
quality providers <strong>of</strong> health care: customer<br />
friendly and cost efficient. We must also push<br />
for quality research in health care delivery.”<br />
C. McCollister Evarts,<br />
M.D. (M ’57, R ’64),<br />
Senior Vice President<br />
for Health Affairs<br />
and Dean Emeritus,<br />
Pennsylvania State<br />
<strong>University</strong> College<br />
<strong>of</strong> Medicine<br />
“[We] must combine education, research, and<br />
patient care into a unified and synergistic<br />
enterprise. We have to teach these students<br />
together. Collaboration is critical.<br />
“The collective intellect, innovation, and<br />
improvisation <strong>of</strong> those who reside in such<br />
centers will ultimately prevent the<br />
disintegration <strong>of</strong> the academic health care<br />
center and will create the viable, thriving<br />
academic health care centers <strong>of</strong> the future.<br />
That is what <strong>Rochester</strong> is all about, and<br />
that is what I am so positive about [for] the<br />
future <strong>of</strong> this institution.”<br />
Catherine Gilliss,<br />
D.N.Sc., R.N., F.A.A.N.<br />
(F ’79), Dean, Yale<br />
<strong>University</strong> School <strong>of</strong><br />
Nursing<br />
“Today consumers expect<br />
high-quality care and they<br />
want it when they want it<br />
and they want it the way they want it. They<br />
would like to be involved in the choice <strong>of</strong><br />
how that care comes. And they are also very<br />
interested in personalizing it to their own<br />
environment.<br />
“What does the public expect <strong>of</strong> health care<br />
delivery at academic health care centers?<br />
Excellence <strong>of</strong> innovation [and a] commitment<br />
to community.”<br />
24 ROCHESTER MEDICINE
M E D I C A L C E N T E R N E W S<br />
Edward Miller, M.D.<br />
(M ’68), Dean <strong>of</strong> the<br />
<strong>Medical</strong> Faculty and<br />
Chief Executive Officer,<br />
Johns Hopkins<br />
<strong>University</strong> School<br />
<strong>of</strong> Medicine<br />
“The number <strong>of</strong> uninsured<br />
has continued to climb . . . and academic<br />
health care centers have actually taken on this<br />
social responsibility and have met their needs<br />
at our expense. In the past, when there was<br />
enough money to do that, we could support<br />
many <strong>of</strong> our admissions. But we can’t do that<br />
anymore and that’s why uncompensated care<br />
is becoming a major problem for us.<br />
“We’ve got to figure out mechanisms to<br />
improve coverage for these people [the<br />
uninsured] because we know if they get<br />
coverage, they get better care . . . We know<br />
that the uninsured population is critical to<br />
fulfilling the mission <strong>of</strong> research and teaching.<br />
People come in. They get the care they deserve<br />
at the academic center and we need these<br />
patients, but we need them insured. So we’ve<br />
got to find a way to help.”<br />
Successful Aging<br />
Symposium<br />
“People aging is defined in many different<br />
ways, one <strong>of</strong> these being to die young at an old<br />
age,” said Robert J. Joynt, M.D., Ph.D., as he<br />
opened the Oct. 13 symposium “Successful<br />
Aging.” Dr. Joynt is founder <strong>of</strong> the Department<br />
<strong>of</strong> Neurology at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
<strong>Medical</strong> <strong>Center</strong>, Distinguished <strong>University</strong><br />
Pr<strong>of</strong>essor, and pr<strong>of</strong>essor <strong>of</strong> neurology and <strong>of</strong><br />
neurobiology and anatomy.<br />
The symposium <strong>of</strong>fered five points <strong>of</strong> view<br />
from five outstanding leaders in the field<br />
<strong>of</strong> aging, all with <strong>Rochester</strong> connections.<br />
Following are highlights <strong>of</strong> their perspectives.<br />
David Satcher, M.D.,<br />
Ph.D. (R ’72), U.S.<br />
Surgeon General,<br />
Keynote Speaker<br />
“Even though it was 30<br />
years ago when I was here as<br />
a resident, it doesn’t seem<br />
that long ago because my<br />
experience at <strong>Rochester</strong> has been such a part <strong>of</strong><br />
my whole career—my approach to things, my<br />
priorities. And so <strong>Rochester</strong> has been a part <strong>of</strong><br />
me wherever I have gone . . . I certainly owe a<br />
lot to this institution.<br />
“Successful aging is healthy aging. We must<br />
use the resources <strong>of</strong> this great country to<br />
support successful aging . . . Now we must<br />
have the will to make the changes that can<br />
lead us in that direction.”<br />
Howard J. Feder<strong>of</strong>f,<br />
M.D., Ph.D., Director,<br />
<strong>Center</strong> for Aging and<br />
Developmental Biology,<br />
Chief, Molecular<br />
Medicine and Gene<br />
Therapy, <strong>University</strong><br />
<strong>of</strong> <strong>Rochester</strong><br />
<strong>Medical</strong> <strong>Center</strong><br />
“The genes that underlie our adaptive abilities<br />
to cope with environmental factors are at<br />
present poorly understood. As we learn<br />
about these adaptive mechanisms we look<br />
forward to modulating them in order to achieve<br />
successful aging.”<br />
John W. Rowe, M.D.<br />
(M ’70), President and<br />
Chief Executive Officer,<br />
Aetna U.S. Healthcare<br />
“We have made tremendous<br />
advancements in the treatment<br />
<strong>of</strong> many diseases in<br />
late life. But while treatment<br />
has advanced, prevention <strong>of</strong> disease in old age<br />
has been neglected, despite the fact that the<br />
most common causes <strong>of</strong> death in old age—<br />
heart disease, cancer, stroke, chronic lung<br />
disease, pneumonia, and influenza—are all<br />
potentially preventable.<br />
“There are many, many exciting opportunities<br />
before us in health care, both in treatment and<br />
prevention. But as we enter this new century, in<br />
the many interfaces <strong>of</strong> health care with our<br />
broader society, none can be more exciting or<br />
full <strong>of</strong> promise than this new gerontology.”<br />
Thelma Wells, R.N.,<br />
Ph.D., F.A.A.N., F.R.C.M.,<br />
Helen Denne Schulte<br />
Pr<strong>of</strong>essor, <strong>University</strong> <strong>of</strong><br />
Wisconsin-Madison,<br />
School <strong>of</strong> Nursing<br />
Academic Affairs<br />
“The key in interdisciplinary<br />
care is exchange <strong>of</strong> thought that is integrated<br />
to new ideas. At its most meaningful,<br />
interdisciplinary care involves the trust to<br />
take another’s perspective. Exchange involves<br />
questioning each other in order to understand<br />
different perspectives. If we don’t ask questions,<br />
then we’re really not understanding.<br />
“Successful aging is about having the resources<br />
both physically and financially to not only<br />
do what you have to do, but to do what you<br />
want to do.”<br />
T. Franklin Williams,<br />
M.D., Pr<strong>of</strong>essor <strong>of</strong><br />
Medicine, <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> <strong>Medical</strong><br />
<strong>Center</strong> and Monroe<br />
Community Hospital<br />
“I think what we’ve seen is<br />
an explosion <strong>of</strong> effort and<br />
knowledge about the full range <strong>of</strong> aspects <strong>of</strong><br />
aging from the genes to an organism level to the<br />
society level—we’re just at the cusp <strong>of</strong> further<br />
knowledge. We need to be training more people<br />
to give academic leadership in this field.”<br />
Note: If you would like to receive a complimentary<br />
copy <strong>of</strong> the videotape <strong>of</strong> either <strong>of</strong> these symposia,<br />
please contact Eric Schoen in the Office <strong>of</strong> Alumni<br />
Relations at 800-333-4428 or by e-mail at<br />
eric_schoen@urmc.rochester.edu.<br />
ROCHESTER MEDICINE 25
SCHOOL NEWS<br />
Growing StrongER<br />
Strong Memorial Hospital opened the doors to the area’s largest, most<br />
modern emergency department on Wednesday, March 14. The new<br />
Frank and Caroline Gannett Emergency <strong>Center</strong> has been modeled<br />
after the <strong>University</strong> <strong>of</strong> Cincinnati, which is well known and respected<br />
for its top-notch emergency and trauma services.<br />
The Ronald McDonald House Charities Children’s Emergency <strong>Center</strong><br />
is built in the round to enhance visibility and features 10 rooms,<br />
as opposed to six in the old ED. It boasts a private waiting room and<br />
playroom as well as child-friendly murals.<br />
The Laurence and Dennis Kessler Regional<br />
Trauma Unit sets a new standard in care.<br />
Designed for quick access from the new helipad, the<br />
3,200-square-foot space features ceiling-mounted<br />
heating units to keep patients warm. Digital x-ray<br />
equipment placed overhead minimizes the need to<br />
transport patients to other imaging areas and<br />
speeds up the delivery <strong>of</strong> care.<br />
The new emergency facility is designed to<br />
preserve patient dignity and incorporate the<br />
latest medical technology. For efficiency, the<br />
<strong>Center</strong> <strong>of</strong>fers quick access to Strong’s cardiac<br />
catheterization laboratories, operating<br />
rooms, and imaging units. It also has<br />
the flexibility to expand in response to a<br />
community-wide disaster or crisis. The<br />
facility can accommodate 59 patients,<br />
19 more than the old ED. But in a masscasualty<br />
situation, it can hold up<br />
to 101 patients.<br />
The adult treatment area features 26 private patient<br />
rooms surrounding a raised, semicircular nursing<br />
station, which allows for constant patient monitoring<br />
by staff, no matter where the patient is located.<br />
26 ROCHESTER MEDICINE
SCHOOL NEWS<br />
School <strong>of</strong> Medicine and Dentistry<br />
Receives Perfect Score from<br />
Accreditation Board<br />
Double Helix Curriculum Praised in<br />
Spotless Review <strong>of</strong> <strong>Medical</strong> School<br />
The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School <strong>of</strong><br />
Medicine and Dentistry is one <strong>of</strong> only a few<br />
school in the country to receive the highest<br />
accreditation status from the Liaison<br />
Committee on <strong>Medical</strong> Education (LCME).<br />
The LCME, which accredits U.S. and<br />
Canadian medical schools, spans both the<br />
American <strong>Medical</strong> Association and the<br />
Association <strong>of</strong> American <strong>Medical</strong> Colleges.<br />
The LCME survey team, comprised <strong>of</strong><br />
leaders from medical schools throughout<br />
the country, presented the <strong>University</strong> with a<br />
clean bill <strong>of</strong> health and a full, seven-year<br />
accreditation. Typically, LCME accreditation<br />
reports identify six to eight global “strengths”<br />
and six to eight “areas <strong>of</strong> concern” for a<br />
medical school’s curriculum, students,<br />
faculty, facilities, policies, finances, and<br />
related areas.<br />
The survey team spent five days at the<br />
<strong>University</strong> in October. During an exit<br />
conference with Edward M. Hundert, M.D.,<br />
dean <strong>of</strong> the School <strong>of</strong> Medicine and Dentistry,<br />
Jay H. Stein, M.D., senior vice president and<br />
vice provost for health affairs and <strong>Medical</strong><br />
<strong>Center</strong> and Strong Health CEO, and Thomas<br />
H. Jackson,president <strong>of</strong> the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong>, members reported many identified<br />
strengths and that there were “no areas <strong>of</strong><br />
concern—an unprecedented finding in<br />
American medical education.”<br />
The team’s written report, which rates the<br />
medical school as “lauded,” was formally<br />
approved by the LCME board in Washington,<br />
D.C., in February, and it becomes the <strong>of</strong>ficial<br />
accreditation status <strong>of</strong> the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> School <strong>of</strong> Medicine and Dentistry<br />
for the next seven years, the maximum period<br />
<strong>of</strong> accreditation.<br />
“This is a tremendous endorsement <strong>of</strong> our<br />
medical school and a wonderful validation <strong>of</strong><br />
the superior quality level <strong>of</strong> our curriculum,<br />
our faculty, and the caliber <strong>of</strong> students that we<br />
graduate,” says Dr. Hundert.<br />
The team praised the <strong>University</strong>’s<br />
educational reforms as “innovative, bold,<br />
and highly successful.” Two years ago, the<br />
medical school instituted the Double Helix<br />
curriculum. Named after the intertwining<br />
strands that comprise DNA, the program<br />
integrates basic science and clinical medicine<br />
throughout all four years <strong>of</strong> medical school,<br />
with students learning to care for patients as<br />
they learn the biological and social sciences,<br />
which are fundamental to understanding<br />
diseases and their treatment and prevention.<br />
LCME members also praised the senior<br />
administrators for their leadership in<br />
the development <strong>of</strong> and transition to the<br />
new program.<br />
“Dean Hundert has demonstrated<br />
extraordinary leadership and has developed<br />
broad-based, enthusiastic support for the<br />
school’s educational reform that is reflected<br />
in the Double Helix curriculum,” the team<br />
wrote in its summary report. “The senior<br />
leadership <strong>of</strong> the <strong>Medical</strong> <strong>Center</strong> and school<br />
reflect highly effective synergy and have<br />
committed substantial financial and infrastructure<br />
resources to advance the medical<br />
education and research missions.” Other<br />
areas particularly praised were the school’s<br />
innovative student advising and mentoring<br />
program and the level <strong>of</strong> pr<strong>of</strong>essionalism<br />
exhibited throughout the school.<br />
Unique to the Double Helix curriculum<br />
is the inclusion <strong>of</strong> a comprehensive<br />
“Pr<strong>of</strong>essional Competency Assessment”<br />
that goes far beyond evaluating clinical skills,<br />
and the Ambulatory Clerkship Experience,<br />
which places medical students in community<br />
physicians’ <strong>of</strong>fices while they are learning<br />
the basic science related to the patients they<br />
are seeing.<br />
The Double Helix curriculum has been<br />
praised by many and is considered a model<br />
for the future <strong>of</strong> medical training. It is<br />
helping shape curricula at medical schools<br />
throughout the country and even internationally.<br />
The <strong>University</strong> has received<br />
more than $3 million in grants to support its<br />
development (see story on the next page).<br />
To date, the first two years <strong>of</strong> the medical<br />
school curriculum have been converted to the<br />
Double Helix curriculum; implementation<br />
will continue over the next two years to<br />
include the third and fourth. Plans are also<br />
in the works to apply the Double Helix<br />
principles to the medical school’s graduate<br />
medical education programs. Just as the<br />
new curriculum integrates basic science and<br />
clinical medicine in the training <strong>of</strong> medical<br />
students, the goal is to better integrate the two<br />
in the training <strong>of</strong> residents.<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School <strong>of</strong> Medicine and Dentistry<br />
One <strong>of</strong> Only a Few <strong>Medical</strong> Schools in America Granted<br />
P ERFECT S CORE<br />
by the LCME Accreditation Board<br />
Congratulations to students, faculty, and staff!<br />
ROCHESTER MEDICINE 27
SCHOOL NEWS<br />
UR Receives More Than<br />
$3M to Develop<br />
Groundbreaking Curriculum<br />
Over the course <strong>of</strong> just a few months last<br />
year, the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School <strong>of</strong><br />
Medicine and Dentistry received five grants<br />
totaling nearly $1.7 million to support the<br />
school’s new Double Helix curriculum. These<br />
grants, which came from a variety <strong>of</strong> sources<br />
including the federal government, are in<br />
addition to another $1.5 million the medical<br />
school received in the last two years—all<br />
directed toward the development <strong>of</strong> the<br />
groundbreaking Double Helix curriculum.<br />
“We are thrilled to have received such<br />
tremendous support for the Double Helix<br />
curriculum. The awarding <strong>of</strong> the grants<br />
reaffirms our belief that we are taking medical<br />
education in the right direction. And at a time<br />
when competition for funding is fierce, we are<br />
pleased to see the creativity and innovation <strong>of</strong><br />
our faculty recognized at the national level,”<br />
says Edward M. Hundert, M.D., dean <strong>of</strong> the<br />
School <strong>of</strong> Medicine and Dentistry. “Other top<br />
medical schools around the country are<br />
already starting to adopt the principles <strong>of</strong> the<br />
Double Helix curriculum. The <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> is truly a national leader in this<br />
area and it is wonderful to see this recognized<br />
by federal agencies, foundations, and others.”<br />
The most recent grants awarded support<br />
the development <strong>of</strong> a number <strong>of</strong> features<br />
unique to the Double Helix curriculum,<br />
including a comprehensive “Pr<strong>of</strong>essional<br />
Competency Assessment” that goes far beyond<br />
evaluating clinical skills, and the Ambulatory<br />
Clerkship Experience, which places medical<br />
students in community physicians’ <strong>of</strong>fices.<br />
Money is also being directed to the creation <strong>of</strong><br />
“evidence-based medicine” modules, designed<br />
to teach medical students how to integrate<br />
clinical expertise and research results. Another<br />
grant will provide a distinctive new approach<br />
to teaching end-<strong>of</strong>-life care.<br />
Three new deans were invested in 2000:<br />
Patricia A. Chiverton, R.N., Ed.D., F.N.A.P., dean <strong>of</strong> the School <strong>of</strong> Nursing,<br />
Edward M. Hundert, M.D., dean <strong>of</strong> the School <strong>of</strong> Medicine and Dentistry, and<br />
Deborah Cory-Slechta, Ph.D., dean for research, the School <strong>of</strong> Medicine and Dentistry.<br />
The medical school has also received<br />
grants to develop one <strong>of</strong> the first courses that<br />
will teach medical students how to educate<br />
patients about nutrition; a course that<br />
teaches and assesses empathy; courses that<br />
look at women’s health in new ways; and a<br />
class on spirituality.<br />
“We believe very strongly in this<br />
curriculum and the vision <strong>of</strong> our faculty.<br />
We are pleased that top-level funders have<br />
recognized the unique and pioneering<br />
aspects <strong>of</strong> our program. Our faculty is<br />
second to none, and these resources will<br />
enable them to prepare our graduates with<br />
new levels <strong>of</strong> skill and thoughtfulness in<br />
integrating basic science and clinical<br />
medicine, and in their ability to<br />
communicate with patients,” says Elaine<br />
F. Dannefer, Ph.D., associate dean for<br />
curricular affairs.<br />
Schools <strong>of</strong> Nursing and Medicine<br />
Inaugurate Three New Deans<br />
For the first time in its history, the<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />
invested three new deans in a single ceremony<br />
on Oct. 12, 2000. Patricia A. Chiverton, R.N.,<br />
Ed.D., F.N.A.P., dean <strong>of</strong> the School <strong>of</strong> Nursing,<br />
Deborah A. Cory-Slechta, Ph.D., dean for<br />
research at the School <strong>of</strong> Medicine and<br />
Dentistry, and Edward M. Hundert, M.D., dean<br />
<strong>of</strong> the School <strong>of</strong> Medicine and Dentistry, were<br />
<strong>of</strong>ficially inaugurated during ceremonies at<br />
the David Hochstein Memorial Music School.<br />
Dr. Chiverton, who is also vice president <strong>of</strong><br />
Strong Health, served as associate dean for<br />
clinical affairs at the School <strong>of</strong> Nursing and<br />
<strong>Medical</strong> <strong>Center</strong> since 1996. She received the<br />
Excellence in Leadership Award from the<br />
American Psychiatric Nurses Association in<br />
1994 and the Pr<strong>of</strong>essional Advancement<br />
Award from the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> in<br />
28 ROCHESTER MEDICINE
SCHOOL NEWS<br />
1997. In 1999, she was elected to the National<br />
Academies <strong>of</strong> Practice. She became the third<br />
dean <strong>of</strong> the School <strong>of</strong> Nursing.<br />
Dr. Cory-Slechta, who also serves as the<br />
director <strong>of</strong> the Aab Institute <strong>of</strong> Biomedical<br />
Sciences and chair <strong>of</strong> the Department<br />
<strong>of</strong> Environmental Medicine, has received<br />
exceptional support for her work in<br />
environmental medicine, and has earned<br />
numerous awards, including the National<br />
Institutes <strong>of</strong> Environmental Health Sciences<br />
New Investigator Award. She is the first person<br />
appointed to this newly created position.<br />
Dr. Hundert, who is the eighth dean <strong>of</strong><br />
the School <strong>of</strong> Medicine and Dentistry, is<br />
also a pr<strong>of</strong>essor <strong>of</strong> psychiatry and <strong>of</strong> medical<br />
humanities. He most recently served as senior<br />
associate dean for medical education, leading<br />
the medical school’s faculty and student effort<br />
to create the Double Helix curriculum, which<br />
integrates the basic and clinical sciences<br />
across all four years <strong>of</strong> medical school. Dr.<br />
Hundert has received numerous fellowships<br />
and awards during his career.<br />
Investiture ceremonies included the<br />
conferring <strong>of</strong> two honorary doctor <strong>of</strong><br />
science degrees. One was presented to Loretta<br />
C. Ford, R.N., Ed.D., and the other to William<br />
Peck, M.D. (M ’60).<br />
Ford, dean emeritus, was the founding<br />
dean <strong>of</strong> the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong>’s School<br />
<strong>of</strong> Nursing when it became autonomous in<br />
1972. She retired from the school in 1986.<br />
Ford fostered a collaborative nursing practice<br />
and nursing education model that remains a<br />
standard in schools and hospitals today.<br />
Dr. Peck is an alumnus <strong>of</strong> the medical<br />
school and a pr<strong>of</strong>essor emeritus <strong>of</strong> medicine<br />
and <strong>of</strong> biochemistry. He is currently executive<br />
vice chancellor for medical affairs and dean<br />
at Washington <strong>University</strong> School <strong>of</strong> Medicine.<br />
The integration <strong>of</strong> basic science and<br />
clinical research has driven Dr. Peck’s work<br />
throughout his career. He is known as a<br />
distinguished investigator and a leader in<br />
academic medicine.<br />
M. Kerry O’Banion, M.D., Ph.D.<br />
Acclaimed Researcher to<br />
Co-Direct M.D./Ph.D. Program<br />
M. Kerry O’Banion, M.D., Ph.D., was<br />
appointed co-director <strong>of</strong> the <strong>University</strong> <strong>of</strong><br />
<strong>Rochester</strong> School <strong>of</strong> Medicine and Dentistry’s<br />
M.D./Ph.D program.<br />
The M.D./Ph.D. program provides rigorous<br />
training in research, basic and clinical<br />
Thomas Jackson congratulates<br />
William Peck, M.D. (M ’60)<br />
medicine, and patient care. It typically lasts<br />
seven to nine years and prepares physicians for<br />
some <strong>of</strong> the most demanding and rewarding<br />
careers available in health care today.<br />
Dr. O’Banion, associate pr<strong>of</strong>essor <strong>of</strong><br />
neurobiology and <strong>of</strong> anatomy and neurology,<br />
will lead the <strong>Medical</strong> <strong>Center</strong>’s program with<br />
Douglas H. Turner, Ph.D., pr<strong>of</strong>essor in the<br />
Department <strong>of</strong> Chemistry.<br />
“This is a very exciting time for the<br />
<strong>Medical</strong> <strong>Center</strong>, with its new buildings, new<br />
faculty, and incredible advances in biomedical<br />
research,” Dr. O’Banion says. “Medicine<br />
now interfaces with diverse disciplines,<br />
including areas such as engineering and<br />
chemistry and the new field <strong>of</strong> genomicsbased<br />
investigation. I am delighted to be<br />
involved in training physician scientists to be<br />
future leaders in biomedicine.”<br />
Dr. O’Banion was part <strong>of</strong> a UR research<br />
team that was awarded a pioneering patent<br />
last April involving the COX-2 enzyme. The<br />
research, by Donald Young, M.D., Virginia<br />
Winn, M.D., Ph.D., and Dr. O’Banion, led<br />
to a new class <strong>of</strong> drugs, known as COX-2<br />
inhibitors, which work to ease pain without<br />
typical side effects such as stomach pain.<br />
Included in this class <strong>of</strong> drugs is the arthritis<br />
medication, Celebrex, the fastest-selling drug<br />
in the United States in 1999.<br />
After earning undergraduate, graduate,<br />
and medical degrees from the <strong>University</strong><br />
<strong>of</strong> Illinois, Dr. O’Banion came to the<br />
<strong>University</strong> for postdoctoral training in 1987<br />
and began working with Dr. Young as a<br />
fellow in the Departments <strong>of</strong> Medicine and<br />
Biochemistry. Since then, Dr. O’Banion<br />
has done extensive research in the brain’s<br />
reaction to injury and disease, with a specific<br />
focus on Alzheimer’s disease.<br />
Loretta C. Ford, R.N., Ed.D.<br />
ROCHESTER MEDICINE 29
SCHOOL NEWS<br />
Dianne M. Hartmann, M.D.<br />
(M ’87, R ’91), Named<br />
Associate Dean for Graduate<br />
<strong>Medical</strong> Education<br />
Dianne M. Hartmann, M.D. (M ’87, R ’91),<br />
has been named associate dean for graduate<br />
medical education (GME) in the School <strong>of</strong><br />
Medicine and Dentistry.<br />
Dr. Hartmann has been director <strong>of</strong> resident<br />
and medical student education in the<br />
Department <strong>of</strong> Obstetrics and Gynecology<br />
since 1997. She has played a major role in the<br />
ongoing development and implementation<br />
<strong>of</strong> the medical school’s new curriculum,<br />
and, in addition to her role educating her<br />
own residents, she is co-director <strong>of</strong> the<br />
medical school’s GME Core Curriculum<br />
program for residents from all specialties.<br />
Dr. Hartmann will be working to help<br />
develop creative approaches to integrating<br />
educational programs across the continuum—<br />
from undergraduate to graduate medical<br />
education—while addressing the ongoing<br />
challenges in GME.<br />
Dianne M. Hartmann (M ’87, R ’91)<br />
Gregory Lam<br />
UR <strong>Medical</strong> Student Receives<br />
Prestigious AMA Leadership Award<br />
Gregory Lam, a third-year medical student<br />
and Sarn<strong>of</strong>f Fellow <strong>of</strong> Cardiovascular Science<br />
at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong><br />
<strong>Center</strong>, has been selected as a <strong>2001</strong> American<br />
<strong>Medical</strong> Association Leadership Foundation<br />
Fellow. Lam is one <strong>of</strong> only 50 medical<br />
students, residents, and fellows selected for<br />
the prestigious honor.<br />
The AMA Leadership award is presented<br />
to individuals who demonstrate strong,<br />
non-clinical leadership skills in medicine<br />
or community affairs. The award program<br />
encourages involvement in organized<br />
medicine and continued leadership<br />
development among the country’s brightest<br />
and most energetic medical students<br />
and residents.<br />
A special AMA National Leadership<br />
Development Conference was held in March<br />
in Washington, D.C. Lam participated in<br />
workshops designed to enhance leadership<br />
skills and met with nationally prominent<br />
political, civic, and medical leaders to discuss<br />
issues relevant to health care.<br />
“This award is a vote <strong>of</strong> support for the<br />
concept <strong>of</strong> the physician scientist,” says<br />
Bradford C. Berk, M.D., Ph.D., chair <strong>of</strong><br />
the Department <strong>of</strong> Medicine and chief <strong>of</strong><br />
cardiology at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
<strong>Medical</strong> <strong>Center</strong>, and director <strong>of</strong> the <strong>Center</strong><br />
for Cardiovascular Research, a component<br />
<strong>of</strong> the Aab Institute <strong>of</strong> Biomedical Sciences.<br />
Dr. Berk served as Lam’s sponsor for the<br />
Sarn<strong>of</strong>f Fellowship.<br />
“Individuals such as Greg bring a sense <strong>of</strong><br />
commitment and creativity to medical science<br />
that has stimulated the enormous progress<br />
over the last few decades,” Dr. Berk notes.<br />
“I have strongly supported the Sarn<strong>of</strong>f<br />
Fellowship program because it provides a<br />
unique opportunity for students to be exposed<br />
to cutting-edge science and develop close<br />
mentorships and relationships with other<br />
physician scientists—a key to future success.”<br />
“Mr. Lam is truly a renaissance student,”<br />
says Laurence Guttmacher, M.D., advisory<br />
dean, associate pr<strong>of</strong>essor <strong>of</strong> psychiatry, and<br />
director <strong>of</strong> Faculty Development at the<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School <strong>of</strong> Medicine<br />
and Dentistry. “During his time at the<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong>, he has been on a<br />
medical mission to the Dominican Republic,<br />
was selected for a highly competitive<br />
research fellowship in cardiology, succeeded<br />
in a rigorous academic curriculum, and<br />
has now been tapped for his leadership<br />
potential by the AMA. This sort <strong>of</strong> diverse<br />
achievement is a tribute to his hard work<br />
and extraordinary values.”<br />
Lam, one <strong>of</strong> 15 Sarn<strong>of</strong>f Fellows in the<br />
United States, is serving a one-year research<br />
sabbatical supported by the Stanley J. Sarn<strong>of</strong>f<br />
Foundation at the Heart and Lung Research<br />
Institute at Ohio State <strong>University</strong>. His<br />
research relating to cardiac disease focuses<br />
on monocyte/macrophage biology, which<br />
studies immune cells that are integral in<br />
coronary artery disease.<br />
30 ROCHESTER MEDICINE
SCHOOL NEWS<br />
<strong>Medical</strong> <strong>Center</strong> Enrolls<br />
Congressional Staffers<br />
Imagine going through medical school in<br />
just three days. Fourteen “students” did just<br />
that Aug. 28-30. Project <strong>Medical</strong> Education<br />
(PME)—a partnership <strong>of</strong> the Association <strong>of</strong><br />
American <strong>Medical</strong> Colleges (AAMC) and 28<br />
member institutions, including the <strong>University</strong><br />
<strong>of</strong> <strong>Rochester</strong>—brought members <strong>of</strong><br />
Congress and their staff to <strong>Rochester</strong> to learn<br />
about the unique role <strong>of</strong> medical schools<br />
and teaching hospitals in our nation’s health<br />
care system.<br />
“Our goal was to heighten awareness <strong>of</strong><br />
how our activities are linked to public funding<br />
and policy decisions that are being made in<br />
Washington,” says Karen Pryor, director <strong>of</strong><br />
Government Relations at the <strong>Medical</strong> <strong>Center</strong>.<br />
“We wanted to send them back with a clearer<br />
understanding <strong>of</strong> the complexity <strong>of</strong> medical<br />
education and how it relates to patient care<br />
and research.”<br />
Launched in 1999, PME grew out <strong>of</strong> initial<br />
research by the AAMC and anecdotal feedback<br />
from government relations representatives<br />
that lawmakers and staff members responsible<br />
for health-related legislation—while<br />
appreciating the value <strong>of</strong> biomedical research<br />
and patient care—had only a limited<br />
understanding <strong>of</strong> their relationship to the<br />
training <strong>of</strong> physicians. What has evolved is<br />
a dynamic, campus-based model education<br />
program aimed at helping congressional<br />
staff understand how the nation’s doctors<br />
are trained, what makes the process unique,<br />
and why it is so costly.<br />
So, for two and a half days, representatives<br />
from eight congressional <strong>of</strong>fices made their<br />
way through the <strong>Medical</strong> <strong>Center</strong> as students.<br />
They experienced a white-coat ceremony,<br />
shared time with a physician researcher<br />
joined by a patient and her family, visited<br />
basic science labs, and talked with faculty,<br />
residents, and students. At a Match Day<br />
ceremony they received “assignments” for<br />
hospital field trips and rounds. Sessions on<br />
health care financing and clinical trials and<br />
drug development were supported by a tour <strong>of</strong><br />
community education and service sites.<br />
Those that participated in the PME<br />
program included representatives from the<br />
<strong>of</strong>fices <strong>of</strong> Senator Daniel Patrick Moynihan,<br />
Senator Charles E. Schumer, Congresswoman<br />
Louise M. Slaughter, Congressman Tom<br />
Reynolds, Congressman John J. LaFalce,<br />
Congressman Jack Quinn, Congressman<br />
Amory Houghton Jr., and Congressman<br />
Vito Fossella.<br />
Other medical schools that have hosted<br />
congressional delegations include <strong>University</strong><br />
<strong>of</strong> California at Los Angeles, Duke, and<br />
Columbia <strong>University</strong> in conjunction with<br />
New York <strong>University</strong> School <strong>of</strong> Medicine.<br />
Correction<br />
Captions on two photos in the Fall<br />
2000 issue <strong>of</strong> <strong>Rochester</strong> Medicine were<br />
inadvertently switched. Faculty alum John<br />
S. McIntyre, M.D. (M ’67, R ’73), and son<br />
Kevin, a graduate <strong>of</strong> the class <strong>of</strong> 2000, were<br />
incorrectly identified as Robert Hogan, M.D.<br />
(M ’74), and his son Jeremy, also a graduate<br />
<strong>of</strong> the class <strong>of</strong> 2000. We apologize for the error.<br />
Lindsey C. Henson, M.D., Ph.D. (right), senior associate dean for medical education, works with Nicole Rutberg,<br />
a congressional aide to Senator Charles E. Schumer, during Project <strong>Medical</strong> Education in August.<br />
ROCHESTER MEDICINE 31
ALUMNI NEWS<br />
ALUMNI NEWS<br />
ALUMNI NEWS<br />
Harvey J. Alter, M.D. (M ’60),<br />
Receives Prestigious<br />
Albert Lasker Award<br />
Harvey J. Alter, M.D. (M ’60), received the<br />
2000 Albert Lasker Award for Clinical Research<br />
in September 2000. Dr. Alter is chief <strong>of</strong> the<br />
Infectious Disease Section and associate<br />
director <strong>of</strong> research, Department <strong>of</strong><br />
Transfusion Medicine, at the Warren<br />
Magnuson Clinical <strong>Center</strong>, National Institutes<br />
<strong>of</strong> Health (NIH) in Bethesda, Md.<br />
Dr. Alter was honored along with Dr.<br />
Michael Houghton, director <strong>of</strong> non-A, non-B<br />
hepatitis research at Chiron Corporation,<br />
for the pair’s pioneering work leading to the<br />
discovery <strong>of</strong> the virus that causes hepatitis C<br />
and the development <strong>of</strong> screening methods<br />
that reduced the risk <strong>of</strong> blood transfusionassociated<br />
hepatitis in the United States from<br />
30 percent in 1970 to virtually zero in 2000.<br />
Thirty years ago, a blood transfusion<br />
intended to save a life might have killed the<br />
recipient. About a third <strong>of</strong> transfused people<br />
received tainted blood, which later inflamed<br />
their livers, producing hepatitis. To combat<br />
this problem, Dr. Alter spearheaded a<br />
project at the NIH aimed at uncovering the<br />
causes and reducing the risk <strong>of</strong> transfusionassociated<br />
hepatitis. Because <strong>of</strong> his work, the<br />
United States instituted blood and donor<br />
screening programs that made a massive<br />
impact on the safety <strong>of</strong> the blood supply.<br />
Dr. Alter used this repository <strong>of</strong> clinically<br />
linked blood samples to identify another<br />
puzzling clinical problem. “Most tranfusionrelated<br />
hepatitis was found to be due to a virus<br />
different from the two then-known hepatitis<br />
agents, A and B,” he said. He called this new<br />
form <strong>of</strong> hepatitis non-A, non-B hepatitis and<br />
subsequently proved through transmission<br />
studies in chimpanzees that it was due to<br />
a new agent. Vigorous efforts in dozens <strong>of</strong><br />
laboratories failed to identify the presumptive<br />
virus. Eventually, a Chiron Corporation<br />
team led by Dr. Houghton exploited the<br />
blossoming methods <strong>of</strong> molecular biology to<br />
isolate the virus.<br />
32 ROCHESTER MEDICINE<br />
Harvey J. Alter, M.D. (M ’60)<br />
Without any distinctive molecular markers<br />
or chemicals to flag the virus, they tracked<br />
it down. Today, the risk <strong>of</strong> acquiring<br />
transfusion-associated hepatitis has<br />
dropped to almost zero.<br />
A native <strong>of</strong> New York City, Dr. Alter arrived<br />
at the Clinical <strong>Center</strong> as a senior investigator<br />
in 1969.<br />
For 54 years, the Albert Lasker <strong>Medical</strong><br />
Research Awards have celebrated scientists,<br />
physicians, and public servants whose<br />
accomplishments have made major advances<br />
in the understanding, diagnosis, prevention,<br />
treatment, and even cure <strong>of</strong> many <strong>of</strong> the great<br />
crippling and killing diseases <strong>of</strong> our century.<br />
The Lasker Awards have come to be known<br />
as “America’s Nobels” and are as coveted<br />
among biomedical researchers as any prizes<br />
in medicine and science.<br />
In creating the Lasker Awards for Basic<br />
and Clinical <strong>Medical</strong> Research, the Laskers<br />
sought to raise public awareness <strong>of</strong> the<br />
enormous value <strong>of</strong> biomedical research<br />
to a healthy society. The Lasker Awards focus<br />
keen attention each year on an elite list<br />
<strong>of</strong> remarkable contributors to basic and<br />
clinical medical research whose work has<br />
been seminal and far-reaching.<br />
Aetna Names John W. Rowe, M.D.<br />
(M ’70), President and CEO <strong>of</strong><br />
Aetna U.S. Healthcare<br />
John W. Rowe, M.D. (M ’70), former<br />
president and chief executive <strong>of</strong>ficer <strong>of</strong><br />
Mount Sinai NYU Health, was named president<br />
and chief executive <strong>of</strong>ficer <strong>of</strong> Aetna U.S.<br />
Healthcare, the nation’s largest health insurer,<br />
in September 2000.<br />
As president and CEO <strong>of</strong> Mount Sinai NYU<br />
Health, a position he assumed after overseeing<br />
the 1998 merger <strong>of</strong> the Mount Sinai and<br />
NYU medical centers, Dr. Rowe was responsible<br />
for the successful integration <strong>of</strong> the two<br />
organizations. Significant achievements in<br />
this effort included greater than anticipated<br />
merger-related cost savings, increases in<br />
patient volume and market share post merger,<br />
the completion <strong>of</strong> a $660 million bond<br />
<strong>of</strong>fering, the implementation <strong>of</strong> the largest<br />
fully automated clinical laboratory, and the<br />
purchase <strong>of</strong> Western Queens Community<br />
Hospital, which was converted to the Mount<br />
Sinai Hospital <strong>of</strong> Queens.<br />
At Mount Sinai prior to the merger, under<br />
Dr. Rowe’s leadership the medical center,<br />
school, and hospital sustained superior<br />
financial performance throughout a period <strong>of</strong><br />
significant fiscal pressure in academic medical<br />
centers. Dr. Rowe also is credited with the<br />
establishment <strong>of</strong> the Mount Sinai Health<br />
System, which grew to be the largest integrated<br />
health care system in the region, and with<br />
improving Mount Sinai Hospital clinical<br />
services and effectiveness, with significant<br />
John W. Rowe, M.D. (M ’70)
ALUMNI NEWS<br />
ALUMNI NEWS<br />
ALUMNI NEWS<br />
Philip A. Pizzo, M.D. (M ’70)<br />
increases in patient volume and the<br />
complexity <strong>of</strong> services rendered.<br />
During Dr. Rowe’s tenure as president<br />
<strong>of</strong> the School <strong>of</strong> Medicine, Mount Sinai’s<br />
basic and clinical research efforts grew<br />
dramatically, as reflected in the construction<br />
<strong>of</strong> major new research facilities, a near<br />
tripling <strong>of</strong> federal research grant support,<br />
increases in the national ranking <strong>of</strong> the<br />
medical school, and a substantial increase in<br />
the academic credentials <strong>of</strong> the student body.<br />
Before joining Mount Sinai, Dr. Rowe was<br />
a pr<strong>of</strong>essor <strong>of</strong> medicine and the founding<br />
director <strong>of</strong> the Division on Aging at Harvard<br />
<strong>Medical</strong> School, and served as chief <strong>of</strong><br />
gerontology at Boston’s Beth Israel Hospital.<br />
He was a director <strong>of</strong> the MacArthur<br />
Foundation Research Network on Successful<br />
Aging, and served on the board <strong>of</strong> governors<br />
<strong>of</strong> the American Board <strong>of</strong> Internal Medicine<br />
and as president <strong>of</strong> the Gerontological<br />
Society <strong>of</strong> America. He is a member <strong>of</strong> the<br />
Institute <strong>of</strong> Medicine <strong>of</strong> the National Academy<br />
<strong>of</strong> Sciences and the Medicare Payment<br />
Advisory Commission.<br />
Dr. Rowe has authored over 200 scientific<br />
publications, primarily in physiology <strong>of</strong><br />
the aging process, and recently co-authored<br />
Successful Aging. He has received many<br />
honors and awards for his research and<br />
health policy efforts.<br />
After receiving his medical degree from the<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School <strong>of</strong> Medicine in<br />
<strong>Rochester</strong> in 1970, Dr. Rowe completed his<br />
residency in internal medicine at Beth Israel<br />
Hospital in Boston, and served as a clinical<br />
and research fellow at Massachusetts General<br />
Hospital and Harvard <strong>Medical</strong> School, as well<br />
as at the National Institutes <strong>of</strong> Health.<br />
Philip A. Pizzo, M.D. (M ’70),<br />
Named Dean <strong>of</strong> Stanford’s<br />
School <strong>of</strong> Medicine<br />
Philip A. Pizzo, M.D. (M ’70), physicianin-chief<br />
<strong>of</strong> Children’s Hospital in Boston and<br />
chair <strong>of</strong> the Department <strong>of</strong> Pediatrics at<br />
Harvard <strong>Medical</strong> School, was named dean <strong>of</strong><br />
the School <strong>of</strong> Medicine in December 2000.<br />
“Stanford <strong>Medical</strong> School is poised to be a<br />
beacon <strong>of</strong> hope in academic medicine because<br />
<strong>of</strong> a community <strong>of</strong> excellence that brings<br />
together physicians and scientists as well as<br />
other disciplines within the university,” says<br />
Dr. Pizzo, who assumed his post April 2.<br />
“I hope to continue to build on the new<br />
alignments currently under way that will<br />
permit us to take advantage <strong>of</strong> discoveries<br />
that will improve diagnosis, treatment, and<br />
prevention <strong>of</strong> disease and create new<br />
opportunities for education and training<br />
<strong>of</strong> physicians and scientists who will become<br />
the future leaders <strong>of</strong> this century.”<br />
At Children’s Hospital and Harvard since<br />
1996, Dr. Pizzo has overseen about 250 faculty<br />
members and 350 trainees in the clinical and<br />
basic sciences divisions, and a budget <strong>of</strong> about<br />
$55 million. He has helped the hospital<br />
achieve financial stability by increasing its<br />
clinical volume, reducing its debt related to<br />
clinical programs, addressing issues related to<br />
managed care, and negotiating the building<br />
<strong>of</strong> a new research facility.<br />
In addition, Dr. Pizzo has been widely<br />
recognized for his contributions as a clinical<br />
investigator, especially in the treatment <strong>of</strong><br />
children with cancer and HIV.<br />
Before joining Children’s Hospital and<br />
Harvard, Dr. Pizzo was head <strong>of</strong> the infectious<br />
disease section, chief <strong>of</strong> pediatrics, and<br />
then acting clinical director <strong>of</strong> the National<br />
Cancer Institute, part <strong>of</strong> the National<br />
Institutes <strong>of</strong> Health.<br />
Holly G. Atkinson, M.D. (M ’78,<br />
R ’79), Named President<br />
<strong>of</strong> allHealth.com<br />
Holly G. Atkinson, M.D. (M ’78, R ’79),<br />
was appointed president <strong>of</strong> allHealth.com, the<br />
consumer health channel <strong>of</strong> iVillage.com.<br />
She is responsible for overseeing the daily<br />
operations and strategy <strong>of</strong> all health initiatives,<br />
partnerships, and sponsors on allHealth.com.<br />
Dr. Atkinson is an award-winning medical<br />
journalist, a leader in medical education, and<br />
a nationally acclaimed lecturer on health<br />
issues. After receiving her medical degree,<br />
she worked as a staff physician for the Public<br />
Health Service before pursuing a master’s<br />
degree in journalism from Columbia<br />
<strong>University</strong>. That training led her immediately<br />
into medical television, where she worked first<br />
as a researcher for Walter Cronkite’s Universe<br />
and then as a medical reporter for CBS<br />
Morning News. She later co-hosted the PBS<br />
health program Body Watch and went on to<br />
become the medical correspondent for the NBC<br />
Today show.<br />
In addition to her work in broadcast<br />
journalism, Dr. Atkinson wrote the highly<br />
acclaimed book Women and Fatigue and<br />
served as a health advisor and columnist for<br />
New Woman magazine and associate editor<br />
for Journal Watch, a newsletter for physicians.<br />
As a member <strong>of</strong> the American Heart<br />
Association’s board <strong>of</strong> directors, Dr. Atkinson<br />
helped launch a nationwide awareness<br />
campaign on women and heart disease.<br />
She is an active volunteer for several<br />
organizations dedicated to promoting health,<br />
women’s issues, and human rights and<br />
has testified on their behalf before Congress<br />
and the U.S. surgeon general.<br />
ROCHESTER MEDICINE 33
ALUMNI NEWS<br />
ALUMNI NEWS<br />
ALUMNI NEWS<br />
Wendy S. Harpham, M.D.<br />
(M ’80), Inducted into Texas<br />
Women’s Hall <strong>of</strong> Fame<br />
Wendy S. Harpham, M.D. (M ’80), received<br />
the Governor’s Award for Health and was<br />
inducted into the Texas Women’s Hall <strong>of</strong><br />
Fame in December 2000. Dr. Harpham practices<br />
internal medicine, is a long-term cancer<br />
survivor, and a best-selling author.<br />
Dr. Harpham was board certified in internal<br />
medicine in 1983 and was one <strong>of</strong> the first<br />
women to open a solo practice at Presbyterian<br />
Hospital <strong>of</strong> Dallas. In 1990, she developed<br />
non-Hodgkins lymphoma. Forced to redefine<br />
her medical career, she saw opportunities to<br />
use her new perspective as a physician-patient<br />
to help cancer patients. While undergoing<br />
various cancer treatments, Dr. Harpham<br />
began writing as a way to educate and<br />
comfort patients. She wrote award-winning<br />
books for newly diagnosed patients, survivors<br />
dealing with recovery and long-term<br />
survivorship, and parents with cancer and<br />
their children.<br />
Her books include Diagnosis: Cancer,<br />
Your Guide Through the First Few Months;<br />
After Cancer: A Guide to Your New Life; and<br />
When a Parent Has Cancer: A Guide to<br />
Caring for Your Children, with a companion<br />
book for children called Becky and the<br />
Worry Cup. She also contributed a chapter to<br />
the 1997 textbook Principles and Practice <strong>of</strong><br />
Supportive Oncology.<br />
A nationally recognized speaker, Dr.<br />
Harpham addresses pr<strong>of</strong>essional and lay<br />
audiences across the country. In addition, her<br />
input on many committees has helped shape<br />
cancer care in Texas and the United States.<br />
Wendy S. Harpham, M.D. (M ’80)<br />
34 ROCHESTER MEDICINE<br />
David B. Nash, M.D., M.B.A. (M ’81)<br />
David B. Nash, M.D., M.B.A.<br />
(M ’81), Named to Endowed<br />
Pr<strong>of</strong>essorship in Health Policy<br />
David B. Nash, M.D., M.B.A. (M ’81), was<br />
named the Dr. Raymond C. and Doris N.<br />
Grandon Pr<strong>of</strong>essor <strong>of</strong> Health Policy at<br />
Jefferson <strong>Medical</strong> College <strong>of</strong> Thomas Jefferson<br />
<strong>University</strong>, Philadelphia. Jefferson is one <strong>of</strong> a<br />
handful <strong>of</strong> schools in the nation with an<br />
endowed pr<strong>of</strong>essorship in health policy.<br />
Dr. Nash, a board-certified internist, is the<br />
founding director <strong>of</strong> the Office <strong>of</strong> Health<br />
Policy and Clinical Outcomes, and pr<strong>of</strong>essor<br />
<strong>of</strong> medicine, Jefferson <strong>Medical</strong> College. In<br />
1996, he was named the first associate dean<br />
for health policy at Jefferson.<br />
Dr. Nash is internationally recognized for<br />
his work in outcomes management, medical<br />
staff development, and quality-<strong>of</strong>-care<br />
improvement. He received the Philadelphia<br />
Business Journal Healthcare Heroes Award<br />
in October 1997 and was named an honorary<br />
distinguished fellow <strong>of</strong> the American College<br />
<strong>of</strong> Physician Executives in 1998.<br />
Dr. Nash’s work has appeared in more<br />
than 60 articles in major journals<br />
and 12 edited books. In 1995, he was<br />
awarded the Clifton Latiolais Prize by the<br />
Academy <strong>of</strong> Managed Care Pharmacy<br />
for his leadership in disease management<br />
and pharmacoeconomics.<br />
Dr. Nash is repeatedly cited as one <strong>of</strong> the<br />
most influential policy makers in academic<br />
medicine. He is a member <strong>of</strong> the Joint<br />
Commission on Accreditation <strong>of</strong> Healthcare<br />
Organizations Steering Committee and the<br />
Foundation for Accountability Board, two key<br />
national groups focused on quality measurement<br />
and improvement.<br />
Michael J. Fox, M.D. (M ’74), to<br />
Lead PenWest Pharmaceuticals<br />
Michael J. Fox, M.D. (M ’74), was named<br />
president and chief operating <strong>of</strong>ficer <strong>of</strong><br />
PenWest Pharmaceuticals Co. Penwest is<br />
engaged in the research, development, and<br />
commercialization <strong>of</strong> novel drug delivery<br />
technologies.<br />
Prior to joining Penwest, Dr. Fox served as<br />
president and chief executive <strong>of</strong>ficer <strong>of</strong><br />
Healthcare Advisors, Inc., consulting to biopharmaceutical<br />
and health care-related companies<br />
as well as venture capital companies<br />
and investment banking institutions.<br />
Previously, he was senior vice president <strong>of</strong><br />
medical and regulatory affairs for Alkermes,<br />
Inc. Dr. Fox has also served as senior vice<br />
president <strong>of</strong> Astra USA and vice president,<br />
medical affairs, and clinical development<br />
(U.S.) and U.S. medical director <strong>of</strong><br />
SmithKlineBeecham. In these positions,<br />
he focused on clinical development and<br />
regulatory affairs, resulting in the approval<br />
<strong>of</strong> seven new drug applications and six<br />
supplemental new drug applications.<br />
Dr. Fox is a member <strong>of</strong> the Board<br />
<strong>of</strong> Directors <strong>of</strong> Atlantic Preferred Capital<br />
Corporation and co-founder <strong>of</strong><br />
E-Tractions.com, Inc.<br />
Michael J. Fox, M.D. (M ’74)
ALUMNI NEWS<br />
ALUMNI NEWS<br />
ALUMNI NEWS<br />
Author! Author!<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> alumni who have<br />
written books are welcome to submit a copy<br />
and any additional information to the <strong>Medical</strong><br />
Alumni Relations Office for mention in<br />
future issues <strong>of</strong> <strong>Rochester</strong> Medicine. We will<br />
gladly return your books, or donate them to<br />
the Edward G. Miner Library upon your<br />
request. Here are some <strong>of</strong> the alumni who<br />
have recently published:<br />
Leonard R. Mees, M.D. (M ’72),<br />
wrote Get a Life, America! In this book,<br />
Dr. Mees talks about empowerment for<br />
personal health management. While he<br />
doesn’t discount the role that traditional<br />
medicine will play in 21st-century healthcare,<br />
he <strong>of</strong>fers the perspective that well-guided,<br />
individualized lifestyle habits produce not<br />
only better health and therefore less illness,<br />
but greater leisure and career productivity,<br />
improved awareness <strong>of</strong> life’s value, and<br />
lower health care expenses for individuals,<br />
businesses, and the country.<br />
Charles Snook M.D. (M ’51),<br />
penned a newly published medical<br />
memoir entitled Unlocking the Doctor’s Little<br />
Black Bag. School <strong>of</strong> Medicine and Dentistry<br />
alumni will awaken their own memories<br />
<strong>of</strong> medical school in <strong>Rochester</strong> when they<br />
read this delightful book, which<br />
highlights the life <strong>of</strong> a doctor from<br />
college to medical school to active<br />
practice. The memoir also touches<br />
upon retirement.<br />
Dr. Snook hopes that the book will be <strong>of</strong><br />
interest to students considering a career in the<br />
medical field, medical students, doctors in<br />
private practice, and those who simply wish to<br />
take a peek into the life <strong>of</strong> doctor. “Often, a<br />
look at another’s experience will jump start<br />
students’ enthusiasm and help them visualize<br />
their ultimate goal—and that’s what this<br />
book is about,” he says.<br />
Dr. Snook, who will celebrate his 50th<br />
class reunion in October <strong>2001</strong>, is a recently<br />
retired surgeon from Orinda, Calif.<br />
Join the School’s<br />
Online Community<br />
The School <strong>of</strong> Medicine and<br />
Dentistry recently launched an online<br />
community for our alumni. We<br />
encourage you to visit the site and<br />
become a registered user. It’s easy to<br />
do! This free service will allow you to<br />
reconnect with old friends, register for<br />
lifelong e-mail forwarding, check out<br />
news at the <strong>Medical</strong> <strong>Center</strong>, chat with<br />
friends and colleagues about what’s<br />
important to you, create your own<br />
homepage, check out the events<br />
calendar, and let us know what is new<br />
in your life.<br />
To register for the online<br />
community, follow these simple steps:<br />
• Visit our Web site at:<br />
www.alumniconnections.<br />
. com/URMC<br />
• Click on the Click Here to<br />
Register button.<br />
• Enter your name in the<br />
registration boxes provided.<br />
• Click on your name when<br />
it appears.<br />
• Confirm that the information<br />
given is correct.<br />
• Enter the identification number<br />
provided at the bottom <strong>of</strong><br />
your screen.<br />
• Click Validate button.<br />
• Choose a username, password,<br />
and hint word.<br />
• Enter your e-mail address.<br />
• Highlight I Agree to Terms and<br />
Conditions <strong>of</strong> the Web site.<br />
• Click Complete Registration<br />
button.<br />
For additional information, call<br />
the Office <strong>of</strong> Alumni Relations at<br />
800-333-4428 or drop us an e-mail at<br />
alumni@urmc.rochester.edu.<br />
ROCHESTER MEDICINE 35
ALUMNI NEWS<br />
ALUMNI NEWS<br />
ALUMNI NEWS<br />
Outreach to Young Alumni<br />
In an effort to provide better support to our G.O.L.D. members<br />
(Graduates <strong>of</strong> the Last Decade), the Office <strong>of</strong> Alumni Relations has<br />
paired with the Student Services <strong>Center</strong> <strong>of</strong> the Offices for <strong>Medical</strong><br />
Education to create a comprehensive program for our young alumni.<br />
Paula Smith, director <strong>of</strong> student services, spearheads this effort.<br />
Watch for information on exciting programs, mentoring opportunities,<br />
and valuable resources.<br />
For more information on this program, contact Paula Smith at<br />
716-275-7923.<br />
<strong>Medical</strong> <strong>Center</strong><br />
Northeast Regional <strong>Summer</strong><br />
Alumni Event<br />
Saratoga <strong>Spring</strong>s, New York<br />
“Day at the Races”—<br />
The Running<br />
<strong>of</strong> the Whitney<br />
July 28, <strong>2001</strong><br />
Tent opens at noon<br />
Fore! The 1st Annual <strong>Medical</strong> <strong>Center</strong> Golf Classic was held at Oak Hill Country Club on<br />
Aug. 28. Pictured here are PGA pro Billy Andrade (left), and Walter Pegoli Jr., M.D.,<br />
section chief, Pediatric Surgery.<br />
The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong><br />
<strong>Center</strong> invites alumni, faculty, and friends<br />
for a “Day at the Races.” There will be seats<br />
reserved in the Tent at the Rail for each <strong>of</strong><br />
our guests, all <strong>of</strong> whom will enjoy cocktails<br />
along with an elaborate gourmet buffet. A<br />
representative from the New York Racing<br />
Association Pr<strong>of</strong>essionals will be on hand for<br />
a brief tutorial. Bus transportation to and<br />
from <strong>Rochester</strong> will be provided.<br />
There are a limited number <strong>of</strong> tickets<br />
available, so please reserve yours today. The<br />
new Hilton Gardens is also holding a limited<br />
number <strong>of</strong> rooms (minimum two-night<br />
stay) until May 15 for those interested in<br />
staying in Saratoga <strong>Spring</strong>s.<br />
For more information, to reserve tickets,<br />
or to reserve one <strong>of</strong> the hotel rooms, please<br />
contact the Office <strong>of</strong> Alumni Relations at<br />
800-333-4428, or e-mail us at<br />
alumni@urmc.rochester.edu.<br />
36 ROCHESTER MEDICINE
ALUMNI NEWS<br />
ALUMNI NEWS<br />
ALUMNI NEWS<br />
Class <strong>of</strong> 1940<br />
Reunion <strong>2001</strong><br />
Classes <strong>of</strong> 1931, 1936, 1941, 1946, 1951, 1956,<br />
1961, 1966, 1971, 1976, 1981, 1986, 1991, and 1996<br />
College <strong>of</strong> Surgeons Meeting:<br />
School <strong>of</strong> Medicine and Dentistry alums, <strong>Medical</strong> <strong>Center</strong> faculty, and others met up with each other during the<br />
annual meeting <strong>of</strong> the American College <strong>of</strong> Surgeons in Chicago in October. Among those in attendance were: (left<br />
to right) James DeWeese, M.D. (M ’49, R ’56); James Sitzman, M.D., chair, Department <strong>of</strong> Surgery; James Peacock,<br />
M.D.; Christopher Weinmann, M.D. (R ’96); Luke Schoeniger, M.D.; Karl Illig, M.D. (R ’95, F ’97); and Paul<br />
Whitehead, M.D. (R ’85).<br />
Mark Your<br />
Calendars!<br />
The dates have been set for<br />
Reunion <strong>2001</strong>: Oct. 18-21. It<br />
promises to be a great weekend.<br />
Reminisce with old friends,<br />
reconnect with faculty and staff,<br />
and find out what’s new and<br />
exciting at the school. Some <strong>of</strong><br />
the activities the Alumni Office is<br />
planning include:<br />
• A golf tournament<br />
• Tours <strong>of</strong> <strong>Rochester</strong>-area sights<br />
• Tours <strong>of</strong> the new <strong>Medical</strong><br />
<strong>Center</strong> facilities<br />
• Activities with your classmates<br />
Call the Office <strong>of</strong> Alumni<br />
Relations at 800-333-4428<br />
or drop us an e-mail at<br />
alumni@urmc.rochester.edu for<br />
more information.<br />
We hope you’ll join us!<br />
ROCHESTER MEDICINE 37
CLASS NOTES<br />
Class <strong>of</strong> 1940<br />
A gift from the estate <strong>of</strong> Ruth A. Boak,<br />
M.D., combined with gifts from other<br />
members <strong>of</strong> the class <strong>of</strong> 1940, helped<br />
establish the Class <strong>of</strong> 1940 Problem-<br />
Based Learning Room, which was<br />
dedicated during the group’s 60th<br />
reunion celebration held in October.<br />
Frank Pye Smith, M.D., is writing a<br />
textbook entitled Neurology and<br />
Neurosurgery: Common Principles,<br />
which he will publish this year.<br />
Class <strong>of</strong> 1945<br />
David S. Baldwin, M.D., has retired<br />
from internal medicine/nephrology<br />
practice but continues teaching at New<br />
York <strong>University</strong> School <strong>of</strong> Medicine.<br />
Paul A. Dewald, M.D., is working<br />
on a case vignette book on ethics for<br />
psychoanalysts.<br />
Marion E. McDowell, M.D., spends his<br />
time tutoring in math and English at a<br />
multicultural school for adults seeking<br />
a GED.<br />
Nevin S. Scrimshaw, M.D., writes, lectures,<br />
and is a consultant to international<br />
agencies and developing countries. He is<br />
also an editor for Food and Nutrition<br />
Bulletin. Dr. Scrimshaw is conducting field<br />
studies in Pakistan and China and working<br />
on an intervention for reducing iron<br />
deficiency anemia in developing countries.<br />
Class <strong>of</strong> 1950<br />
Neil Elgee, M.D., runs the Ernest<br />
Becker Foundation.<br />
James J. Ferguson Jr., M.D., is a<br />
consultant for the National Library <strong>of</strong><br />
Medicine and Johns Manville Trust.<br />
Aaron Miller, M.D., is teaching and<br />
consulting in hematology at the Boston VA<br />
<strong>Medical</strong> <strong>Center</strong>.<br />
Robert Scholes, M.D., is operating<br />
The Bioresearch Ranch, Inc. with his<br />
wife, Kathryn.<br />
Class <strong>of</strong> 1955<br />
Warren M. Greene, M.D., is an<br />
associate at Southwest Urology Associates,<br />
a member <strong>of</strong> the board <strong>of</strong> directors <strong>of</strong><br />
the Methodist Hospitals <strong>of</strong> Dallas, and<br />
chairman <strong>of</strong> the Department <strong>of</strong> Surgery<br />
for the Methodist <strong>Medical</strong> <strong>Center</strong>.<br />
Douglas B. Hansen, M.D., is teaching<br />
at Baylor College <strong>of</strong> Medicine Department<br />
<strong>of</strong> Psychiatry and the Houston-Galveston<br />
Psychoanalytic Institute.<br />
John Bernard Henry, M.D., is editing<br />
and writing two books this year: On Call:<br />
Laboratory Medicine and Pathology and<br />
Todd-Sanford-Davidsohn Clinical<br />
Diagnosis and Management by<br />
Laboratory Methods.<br />
Allan E. Inglis, M.D., is involved in the<br />
design and development <strong>of</strong> upper extremity<br />
artificial joint replacements in addition to<br />
his surgical (orthopaedic) practice.<br />
Class <strong>of</strong> 1960<br />
Richard E. Behrman, M.D., is still<br />
working full time as well as editing the<br />
Pediatric Nelson Textbook, and a journal,<br />
The Future <strong>of</strong> Children. Dr. Behrman has<br />
appointments as clinical pr<strong>of</strong>essor <strong>of</strong><br />
pediatrics at Stanford and the <strong>University</strong><br />
<strong>of</strong> California at San Francisco.<br />
Stanley O. Foster, M.D., teaches,<br />
mentors students, and is a consultant on<br />
disease prevention and control activities<br />
around the world. This year he has<br />
traveled to India, Nepal, Bangladesh,<br />
Nigeria, and Guatemala.<br />
John Klahn, M.D., is the president <strong>of</strong><br />
the medical staff <strong>of</strong> the San Antonio Baptist<br />
Health System, which includes 2,300<br />
physicians and five hospitals.<br />
Richard Loughry, M.D., is leading a<br />
local Parkinson’s disease support group in<br />
Wyoming and is a review physician for the<br />
Social Security Disability Unit.<br />
Lewis B. Morrow, M.D., is teaching<br />
medical students and residents at the<br />
<strong>University</strong> <strong>of</strong> Nevada School <strong>of</strong> Medicine,<br />
and traveling around the world with his<br />
consulting practice in endocrinology.<br />
38 ROCHESTER MEDICINE
CLASS NOTES<br />
William E. Powell, M.D., is writing<br />
a Eucharistic minister manual for the<br />
Episcopal Diocese <strong>of</strong> Texas.<br />
Elizabeth Richardson Ruben, M.D.,<br />
has worked at Bryce Hospital in Tuscaloosa,<br />
AL, as the director <strong>of</strong> medical services for<br />
the past 13 years.<br />
John A. Stewart, M.D., is working<br />
at the <strong>Center</strong>s for Disease Control and<br />
Prevention in Atlanta, examining the<br />
herpes virus as well as studying chronic<br />
fatigue syndrome.<br />
Stephen R. Yarnall, M.D., answers<br />
letters and writes the “DocTalk” column<br />
for the Hope Health Letter.<br />
Class <strong>of</strong> 1965<br />
James C. Dangel, M.D., is working at<br />
the Framingham Heart <strong>Center</strong> with four<br />
other cardiologists as senior partner and<br />
director <strong>of</strong> clinical services.<br />
Duane A. Lawrence, M.D., is chief <strong>of</strong><br />
staff for the Sentara Bayside Hospital in<br />
Virginia Beach, VA.<br />
Richard G. Lynch, M.D., recently<br />
stepped down as head <strong>of</strong> pathology at the<br />
<strong>University</strong> <strong>of</strong> Iowa after 18 years, two spent<br />
as interim dean <strong>of</strong> the College <strong>of</strong> Medicine.<br />
He currently divides his time between basic<br />
research, teaching medical students and<br />
residents, and directing the autopsy service.<br />
Beverly P. Wood, M.D., is at the<br />
<strong>University</strong> <strong>of</strong> Southern California, where<br />
she trains faculty, teaches medical students,<br />
and instructs faculty in multimedia<br />
authority. She is completing her Ph.D.<br />
dissertation on medical expertise.<br />
Class <strong>of</strong> 1968<br />
Edward Reiter, M.D., was elected<br />
president <strong>of</strong> The Lawson Wilkins Pediatric<br />
Endocrine Society.<br />
Class <strong>of</strong> 1970<br />
David B. Graham, M.D., has traveled to<br />
Hawaii and Hong Kong for his lecture series<br />
on child protection, trauma, and abuse<br />
with Youth with a Mission. His next lecture<br />
stop is Ethiopia.<br />
Robert A. Hallowitz, M.D., has been<br />
developing assays to detect the productivity<br />
<strong>of</strong> cells infected with HIV and HEPC. He is<br />
about to launch the first cell-based assay<br />
to monitor HIV disease progression and<br />
response to therapy.<br />
Thomas W. Panke, M.D., is the<br />
president <strong>of</strong> Southern Ohio Pathology<br />
Consultants Inc., which includes 13<br />
physicians covering six hospital<br />
laboratories in Cincinnati.<br />
John Richert, M.D., is working on<br />
abnormal gene expression in multiple<br />
sclerosis at Georgetown <strong>University</strong><br />
<strong>Medical</strong> <strong>Center</strong>.<br />
O. J. Sahler, M.D., is director <strong>of</strong><br />
psychosocial services and research in<br />
oncology as well as director <strong>of</strong> integrated<br />
complementary medicine at Thompson<br />
Health in Canandaigua, NY.<br />
Richard L. Worland, M.D., developed a<br />
rotator cuff needle that not only lessens the<br />
amount <strong>of</strong> time needed to perform rotator<br />
cuff surgery, but also costs hospitals less<br />
money. An associate clinical pr<strong>of</strong>essor at the<br />
<strong>Medical</strong> College <strong>of</strong> Virginia, Dr. Worland<br />
specializes in the treatment, reconstruction,<br />
and total replacement <strong>of</strong> damaged knee<br />
and shoulder joints.<br />
Class <strong>of</strong> 1973<br />
Frank Eismont, M.D., is director <strong>of</strong> the<br />
American Board <strong>of</strong> Orthopedic Surgeons,<br />
vice chairman <strong>of</strong> the Residency Review<br />
Committee for Orthopedic Surgery, and<br />
vice chairman <strong>of</strong> the Department <strong>of</strong><br />
Orthopedic Surgery at the <strong>University</strong> <strong>of</strong><br />
Miami School <strong>of</strong> Medicine.<br />
Class <strong>of</strong> 1975<br />
Christopher T. Bever, Jr., M.D., is<br />
actively involved in clinical and basic<br />
research on the cause and treatment <strong>of</strong><br />
multiple sclerosis. He is also a part <strong>of</strong> an<br />
MS clinical trials group where he is<br />
involved in several clinical trials <strong>of</strong> new<br />
immunomodulating agents in MS patients.<br />
ROCHESTER MEDICINE 39
CLASS NOTES<br />
Morris Swartz, M.D., is in a clinical<br />
position at the <strong>University</strong> <strong>of</strong> Pennsylvania,<br />
located at the Presbyterian <strong>Medical</strong> <strong>Center</strong>.<br />
He continues to practice pulmonary and<br />
critical care medicine, as well as teach at<br />
the university.<br />
Class <strong>of</strong> 1980<br />
Susan C. Bayer, M.D., is a member <strong>of</strong> a<br />
multispecialty practice at the Laconia (NH)<br />
Clinic as well as an adjunct associate pr<strong>of</strong>essor<br />
working with first-year medical students<br />
at Dartmouth <strong>Medical</strong> School.<br />
Matthew L. Cartter, M.D., has been<br />
in charge <strong>of</strong> the Infectious Diseases<br />
Epidemiology Program for the Connecticut<br />
Department <strong>of</strong> Public Health for the past<br />
15 years.<br />
Randall Chadwick, Jr., M.D.,<br />
has been working in the orthopedics<br />
department at the Alling <strong>Medical</strong> Group,<br />
with an emphasis on adult reconstruction<br />
<strong>of</strong> the hip, knee, and shoulder.<br />
Laurie Beth Forrest, M.D., is a<br />
radiologist at Kaiser Permanente in<br />
Portland, OR.<br />
John H. Helzberg, M.D., has been<br />
working with Mid-America Gastrointestinal<br />
Consultants P.C. in Kansas City, as director<br />
<strong>of</strong> the Division <strong>of</strong> Gastroenterology at<br />
St. Luke’s Hospital <strong>of</strong> Kansas City, and<br />
as a co-director <strong>of</strong> the Division <strong>of</strong><br />
Gastroenterology at the <strong>University</strong> <strong>of</strong><br />
Missouri-Kansas City School <strong>of</strong> Medicine.<br />
Lee Deakins Hieb, M.D., is involved in<br />
clinical research on geriatric spinal<br />
disorders and has a private practice in<br />
orthopedic spinal surgery. Recently, he<br />
published a paper on the spine.<br />
Joel Pasternack, M.D., is working full<br />
time as clinical faculty in the Emergency<br />
Department at Strong Memorial Hospital.<br />
For the past few years, he had devoted his<br />
time completely to the pediatric ED; he is<br />
now caring for both children and adults.<br />
Class <strong>of</strong> 1985<br />
Alan J. Cohen, M.D., is the director <strong>of</strong><br />
clinical services for the North Shore<br />
<strong>University</strong> Hospital-Manhasset Division <strong>of</strong><br />
Child and Adolescent Psychiatry at the<br />
North Shore-Long Island Jewish Health<br />
System in Manhasset, NY.<br />
40 ROCHESTER MEDICINE
CLASS NOTES<br />
Holly J. Duck, M.D., is secretary <strong>of</strong> the<br />
Ruth Jackson Orthopaedic Society and a<br />
member <strong>of</strong> the American Academy <strong>of</strong><br />
Orthopaedic Surgeons Diversity<br />
Committee.<br />
Brett M. Harrison, M.D., is working at<br />
Doylestown Hospital in Doylestown, PA,<br />
where he practices general, vascular, and<br />
thoracic surgery. He is the president <strong>of</strong> the<br />
medical staff through <strong>2001</strong>.<br />
Thomas Neil Thompson, M.D., is<br />
working in the Ide Group in Geneva, NY.<br />
He limits his practice to interventional<br />
MRI and CT and has received a CAQ in<br />
neuroradiology.<br />
Class <strong>of</strong> 1990<br />
Michelle Klinek, M.D., is an allergist<br />
in private practice and chief <strong>of</strong> allergy/<br />
immunology at a hospital in York,<br />
PA, where she has the opportunity to<br />
train residents.<br />
Laura Jean Shipley, M.D., is working<br />
at Panorama Pediatric Group as a primary<br />
care pediatrician. She is also co-directing<br />
a resident education and child advocacy<br />
program that places pediatric residents out<br />
in the community to provide health care<br />
and health education for impoverished,<br />
at-risk children and families in <strong>Rochester</strong>.<br />
Opportunities Abound to Support<br />
Work at the <strong>Medical</strong> <strong>Center</strong><br />
Throughout its history, the <strong>University</strong>’s medical school and hospital<br />
have been strengthened and supported by thoughtful donors<br />
who believe in the important work conducted here. By making a<br />
gift through your estate—whether it be including a charitable gift<br />
in your will or establishing a charitable beneficiary in another<br />
component <strong>of</strong> your estate, such as a retirement plan—you can<br />
honor and promote the work <strong>of</strong> the <strong>Medical</strong> <strong>Center</strong>. A gift through<br />
your estate can help to continue and expand this tradition while<br />
ensuring a healthy future for the School <strong>of</strong> Medicine and Dentistry<br />
and Strong Memorial Hospital.<br />
The <strong>Medical</strong> <strong>Center</strong>’s investment pr<strong>of</strong>essionals and development<br />
staff are available to advise you. You may wish to designate in your<br />
will that your gift memorialize someone important to you, or<br />
endow a family fund. Or, you may want to designate your gift for a<br />
particular department or program. All are feasible and welcomed.<br />
Please do not hesitate to contact us, or have your advisors<br />
write or call:<br />
Peggy Martin<br />
Office <strong>of</strong> <strong>Medical</strong> <strong>Center</strong> Development<br />
300 East River Road, PO Box 278996<br />
<strong>Rochester</strong>, NY 14627-8996<br />
(716) 275-0808 / (800) 333-4428<br />
Fax: (716) 461-5351<br />
ROCHESTER MEDICINE 41
IN<br />
MEMORIAM<br />
Clyde A. Heatly, M.D.<br />
Clyde A. Heatly, M.D., who developed<br />
the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong>’s Division <strong>of</strong><br />
Otolarygology (more commonly referred to<br />
as ear, nose and throat), died Jan. 17, <strong>2001</strong>.<br />
He was 103.<br />
A native <strong>of</strong> Schenectady, as a teen Dr.<br />
Heatly’s vocational choice was influenced by<br />
an uncle who was an ENT specialist. He<br />
graduated as valedictorian <strong>of</strong> his class from<br />
both Union College and Johns Hopkins<br />
medical school, and completed his residency<br />
at Johns Hopkins. In 1925 he embarked<br />
on a two-year fellowship sponsored by the<br />
Rockefeller Foundation, traveling to<br />
Edinburgh, Zurich, and Vienna to study<br />
among the masters <strong>of</strong> the specialty.<br />
Dr. Heatly was recruited from Johns<br />
Hopkins in 1926 to develop the ENT program<br />
at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>.<br />
He also developed a residency program to<br />
train physicians in the specialty. He chaired<br />
the division for 36 years, during which time<br />
new medications and technologies led to<br />
great advancements in the treatment <strong>of</strong><br />
sinus disease and other disorders involving<br />
the head and neck.<br />
Clyde A. Heatly, M.D.<br />
In addition to chairing the division, Dr.<br />
Heatly was chief <strong>of</strong> the ENT service, became<br />
pr<strong>of</strong>essor in 1957, and pr<strong>of</strong>essor emeritus in<br />
1964. He also served as a consultant to other<br />
area hospitals, established several endoscopy<br />
clinics in <strong>Rochester</strong>, and was instrumental in<br />
developing the <strong>Rochester</strong> Hearing and Speech<br />
<strong>Center</strong>. Aside from his roles at the <strong>Medical</strong><br />
<strong>Center</strong>, he saw patients at his downtown <strong>of</strong>fice<br />
on North Goodman Street for over 40 years.<br />
Dr. Heatly published a major paper in<br />
each <strong>of</strong> his 38 academic years and contributed<br />
sections to noteworthy medical<br />
textbooks. He was active in local and<br />
national medical societies and, shortly after<br />
his retirement, was honored by the <strong>Rochester</strong><br />
Academy <strong>of</strong> Medicine with its prestigious<br />
Award <strong>of</strong> Merit.<br />
A devoted family man, Dr. Heatly was<br />
predeceased by two wives, Martha Kinsey<br />
Heatly and Charlotte Sibley Heatly. He is<br />
survived by his daughter Mrs. Richard D.<br />
(Sally H.) Castle; three stepdaughters,<br />
three grandchildren, and seven greatgrandchildren.<br />
The outpatient ear, nose, and throat<br />
clinic at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong><br />
<strong>Center</strong> has been renamed the Clyde Alexander<br />
Heatly, M.D., Outpatient Clinic in his honor<br />
and memory.<br />
James V. Neel, M.D., Ph.D.<br />
(Ph.D. ’39, M ’44)<br />
James V. Neel, M.D., Ph.D. (Ph.D. ’39, M<br />
’44), a pioneer in the study <strong>of</strong> human genetics<br />
and one <strong>of</strong> the first to foresee its importance<br />
in the diagnosis and treatment <strong>of</strong> medical<br />
conditions, died Feb. 1, 2000. He was 84.<br />
Dr. Neel was born in Hamilton, Ohio. He<br />
earned an undergraduate degree from the<br />
College <strong>of</strong> Wooster in Ohio in 1935, then came<br />
to <strong>Rochester</strong>, where he earned his doctorate<br />
and medical degrees. He joined the faculty<br />
at the <strong>University</strong> <strong>of</strong> Michigan in 1946 as an<br />
assistant geneticist. From 1946 to 1947, he<br />
served in the Army <strong>Medical</strong> Corps and directed<br />
field studies for the Atomic Bomb Casualty<br />
Commission <strong>of</strong> the National Research Council.<br />
In 1948, he returned to the <strong>University</strong> <strong>of</strong><br />
Michigan to direct the Institute <strong>of</strong> Human<br />
Biology’s Heredity Clinic.<br />
Dr. Neel went on to establish the<br />
U-M <strong>Medical</strong> School’s Department <strong>of</strong> Human<br />
Genetics in 1956, which he chaired for 25<br />
years. He was named the Lee R. Dice <strong>University</strong><br />
Pr<strong>of</strong>essor <strong>of</strong> Human Genetics in 1966, a<br />
position he held until he retired in 1985.<br />
Highlights <strong>of</strong> Dr. Neel’s career include his<br />
being the first scientist to recognize the genetic<br />
basis for sickle cell anemia. During the 1960s,<br />
he proposed the “thrifty gene” hypothesis,<br />
which states that genes associated with<br />
common diseases like diabetes, hypertension,<br />
James V. Neel, M.D., Ph.D. (Ph.D. ’39, M ’44)<br />
42 ROCHESTER MEDICINE
IN<br />
MEMORIAM<br />
and obesity are part <strong>of</strong> the human gene pool,<br />
because they helped early ancestors survive<br />
when calories and salt were less abundant.<br />
His most recent research focused on severe<br />
chromosomal damage in what he termed<br />
“rogue cells,” which he first identified in his<br />
studies <strong>of</strong> the Yanomama tribe in the Amazon<br />
and Japanese populations.<br />
Dr. Neel’s many honors include the Albert<br />
Lasker Award, election to the National Academy<br />
<strong>of</strong> Sciences, the Allen Award from the American<br />
Society <strong>of</strong> Human Genetics, the National Medal<br />
<strong>of</strong> Science, the Smithsonian Institution Medal,<br />
and many more.<br />
He is survived by his wife, Priscilla, <strong>of</strong> Ann<br />
Arbor; a daughter, Frances Neel, also <strong>of</strong> Ann<br />
Arbor; and two sons, James <strong>of</strong> Santa Rosa, CA,<br />
and Alexander <strong>of</strong> Dodge City, KS; a sister, Mary<br />
Ann Blackwood <strong>of</strong> Atlanta; a granddaughter<br />
and two grandsons.<br />
Claire Cutten Manwell, M.D.<br />
(M ’30)<br />
Claire Cutten Manwell, M.D. (M ’30), a<br />
member <strong>of</strong> the School <strong>of</strong> Medicine and<br />
Dentistry’s first entering class in 1925, died<br />
July 9, 2000. She was 93.<br />
A longtime pediatrician in the town <strong>of</strong><br />
Northampton, MA, Dr. Manwell was well<br />
regarded as a gifted doctor whose kindness in<br />
caring for children served as a model for all<br />
who knew her.<br />
Born in Corning, NY, Dr. Manwell and her<br />
husband, Edward Manwell, M.D., were both<br />
members <strong>of</strong> <strong>Rochester</strong>’s Class <strong>of</strong> 1930. She<br />
went on to study at Acadia <strong>University</strong> in Nova<br />
Scotia. With her husband, she opened a<br />
medical practice in Northampton in 1935.<br />
During World War II, while her husband was in<br />
the service in the Pacific, Dr. Manwell was busy<br />
Claire Manwell, M.D. (M ’30)<br />
raising three daughters and working as the only<br />
pediatrician in Hampshire County.<br />
After their retirement in the late 1960s, the<br />
Manwells spent years doing volunteer medical<br />
work in Africa, South Africa, and southeast Asia,<br />
as well as on some American Indian<br />
reservations out west.<br />
During her career, Dr. Manwell received<br />
numerous honors from various organizations,<br />
including the Hampshire District <strong>Medical</strong><br />
Society, the Zonta Club, and Acadia <strong>University</strong>.<br />
She is survived by her husband <strong>of</strong> 70 years,<br />
Edward, <strong>of</strong> Northampton, MA; three daughters,<br />
Suzanne Ames <strong>of</strong> Tulsa, OK, Gail Gaustad <strong>of</strong><br />
Swarthmore, PA, and Sara Bradford <strong>of</strong><br />
Providence, RI; eight grandchildren; and<br />
seven great-grandchildren.<br />
Benjamin Sischy, M.D. (F ’83)<br />
Benjamin Sischy, M.D. (F ’83), who was<br />
chief <strong>of</strong> radiation oncology at Highland<br />
Hospital from 1967 to 1988, died on Sept. 23,<br />
2000. He was 82.<br />
Dr. Sischy was born in Germiston, South<br />
Africa, not far from Johannesburg. After<br />
receiving his medical degree at the <strong>University</strong> <strong>of</strong><br />
Witwatersrand, he practiced family medicine<br />
and specialized in obstetrics. In 1961, Dr.<br />
Sischy and his family fled South Africa. His<br />
wife, Claire, was a member <strong>of</strong> the Black Sash,<br />
a group <strong>of</strong> white women who were peacefully<br />
opposing apartheid. The family’s decision to<br />
leave came after a patient <strong>of</strong> Dr. Sischy’s warned<br />
him that his wife’s arrest was imminent. The<br />
Sischys went to Edinburgh, where Dr. Sischy<br />
retrained in radiology. In 1967, he moved his<br />
family to <strong>Rochester</strong> and began his work at<br />
Highland Hospital.<br />
The author <strong>of</strong> 45 articles on radiation<br />
treatment for cancer, Dr. Sischy is credited<br />
with introducing endocavitary radiation to<br />
North America. The procedure, used for<br />
early-stage rectal cancer, delivers precise hits<br />
<strong>of</strong> radiation to tumors through a narrow tube<br />
that resembles a sigmoidoscope.<br />
Following his retirement, in 1990, Dr. Sischy<br />
was active in community causes, including a<br />
program in which retirees mentored criminals<br />
on parole. He was a past president <strong>of</strong> the<br />
American Jewish Committee in Sarasota, FL,<br />
where he was living at the time <strong>of</strong> his death,<br />
and belonged to the Jewish Federation, the<br />
Jewish Housing Council, and the <strong>Center</strong> for<br />
Catholic-Jewish studies.<br />
Dr. Sischy is survived by his wife, Claire; his<br />
sons, David, <strong>of</strong> <strong>Rochester</strong>, and Mark, <strong>of</strong><br />
Edinburgh; a daughter, Ingrid, <strong>of</strong> New York<br />
City; a sister, Clarice Sischy, <strong>of</strong> London; and<br />
three grandchildren.<br />
Benjamin Sischy, M.D. (F ’83)<br />
ROCHESTER MEDICINE 43
IN<br />
MEMORIAM<br />
William A. Greene, M.D. (R ’48)<br />
William A. Greene, M.D. (R ’48),<br />
Pr<strong>of</strong>essor Emeritus<br />
William A. Greene, M.D. (R ’48), a wellknown<br />
<strong>Rochester</strong> internist and one <strong>of</strong> the<br />
individuals who helped develop the biopsychosocial<br />
model for understanding the origins<br />
<strong>of</strong> disease, died on Dec. 2, 2000, following<br />
a long battle with Alzheimer’s disease. He<br />
was 85.<br />
Born June 15, 1915, in Worcester, MA, he<br />
grew up on the family apple farm. He<br />
received his undergraduate degree from<br />
Harvard College in 1936 and graduated from<br />
Harvard <strong>Medical</strong> School in 1940. From 1942<br />
to 1946, he was a member <strong>of</strong> the <strong>Medical</strong><br />
Corps <strong>of</strong> the U.S. Army, spending three years<br />
in the European Theater <strong>of</strong> Operations.<br />
During the D-Day invasion in 1944, Dr.<br />
Greene earned the Bronze Star for valor<br />
under fire. It was during his armed forces<br />
service that he met Kay, his wife <strong>of</strong> 50 years,<br />
who predeceased him in 1995.<br />
Dr. Greene came to <strong>Rochester</strong> and served<br />
two years <strong>of</strong> medical residency and two years<br />
<strong>of</strong> fellowship in medicine and psychiatry<br />
from 1948-1950 under George Engel, M.D.,<br />
and John Romano, M.D. Dr. Greene had dual<br />
appointments in medicine and psychiatry<br />
and rose to the ranks <strong>of</strong> full pr<strong>of</strong>essor in both<br />
departments. Together, he and his colleagues<br />
in the <strong>Medical</strong>-Psychiatric Liaison Group<br />
worked toward a new understanding <strong>of</strong> the<br />
medically ill patient. He retired as emeritus<br />
pr<strong>of</strong>essor <strong>of</strong> medicine and <strong>of</strong>psychiatry.<br />
Dr. Greene, whose earliest research looked<br />
at how leukemia and lymphomas were<br />
related to emotional states, conducted<br />
pioneering research on the correlation<br />
between psychological factors and<br />
disease. Past president <strong>of</strong> the American<br />
Psychosomatic Society, he was widely<br />
published and internationally recognized<br />
for his contributions.<br />
Dr. Greene is survived by two children,<br />
Hilary, <strong>of</strong> Minneapolis, and Steve, <strong>of</strong><br />
<strong>Rochester</strong>; two granddaughters; a sister; the<br />
family <strong>of</strong> another sister who predeceased him,<br />
and many friends and colleagues.<br />
1930<br />
Claire Manwell Cutten, M.D.<br />
Northampton, MA<br />
1932<br />
Paul Ferrara, M.D.<br />
Canastota, NY<br />
1934<br />
Michael Lepore, M.D. (MAS ’31)<br />
Englewood, NJ<br />
1935<br />
Estelle Boynton, M.D. (R ’35)<br />
Highland Village, TX<br />
1937<br />
George Freeman Bantleon, M.D.<br />
(B ’32)<br />
Scottsdale, AZ<br />
1938<br />
George Anderson, M.D. (B ’33)<br />
Hunt Valley,MD<br />
1940<br />
Ruth Alice Boak, M.D.<br />
Long Beach, CA<br />
1941<br />
Ralph W. Brauer, Ph.D. (MAS ’41)<br />
Wilmington, NC<br />
J. Robert Close, M.D.<br />
Oakhurst, CA<br />
44 ROCHESTER MEDICINE
IN<br />
MEMORIAM<br />
1943<br />
Leslie Bennett, M.D.<br />
Los Angeles, CA<br />
William H. Masters, M.D. (HNR ’87)<br />
Tucson, AZ<br />
Helen E. Van Alstine, M.D. (B ’30)<br />
<strong>Spring</strong>field, MA<br />
Herman D. Zeifer, M.D.<br />
Chappaqua, NY<br />
1944<br />
Franklin Brayer, M.D. (B ’42)<br />
<strong>Rochester</strong>, NY<br />
Charles W. Caccamise Jr., M.D.<br />
(B ’41)<br />
Jackson, MS<br />
James Vangundia Neel, M.D.<br />
(Ph.D. ’39)<br />
Ann Arbor, MI<br />
Robert A. Pfaff, M.D.<br />
Dubuque, IA<br />
1945<br />
Jay B. Moses, M.D.<br />
Westwood, MA<br />
1946<br />
William S. Abbey, M.D.<br />
Fort Collins, CO<br />
John Bruce Perkins, M.D.<br />
Pittsford, NY<br />
1947<br />
George L. Fletcher, M.S.<br />
New Durham, NH<br />
1949<br />
Herbert Epstein, M.D.<br />
Glencoe, IL<br />
J. Edward Gilda Jr., M.S. (B.A. ’44)<br />
Pittsford, NY<br />
Alfred James Grose, M.D.<br />
Ellensburg, WA<br />
Louis Nelson Jr., M.D.<br />
White Bear Lake, MN<br />
William G. Shafer, M.S.<br />
Indianapolis, IN<br />
1950<br />
Gordon L. Deshler, M.D.<br />
Phoenix, AZ<br />
Fred V. Lucas, M.D.<br />
Baton Rouge, LA<br />
S. Marsh Tenney, M.D. (R ’50)<br />
Hanover, NH<br />
John Bacon Westcott Jr., M.D.<br />
Binghamton, NY<br />
1953<br />
Mary F. Leahy Firra, M.D. (B ’47)<br />
Olympia, WA<br />
1954<br />
Nathaniel J. Hurst, M.D.<br />
<strong>Rochester</strong>,NY<br />
1955<br />
Daniel L. Gilbert, Ph.D.<br />
Bethesda, MD<br />
1956<br />
Joyce P. Davis, M.S.<br />
San Diego, CA<br />
James Duckworth, M.S.<br />
Rio Vista, CA<br />
1958<br />
Svend Eldrup-Jorgensen, M.D.<br />
(R ’58)<br />
<strong>Rochester</strong>, NY<br />
1969<br />
Dorothy Ann Geddes, M.D.<br />
Glasgow, Scotland<br />
1970<br />
Ralph Rashbaum, M.D. (R ’70)<br />
Chicago, IL<br />
1979<br />
Richard Cullen Crain Jr., Ph.D.<br />
Storrs Mansfield, CT<br />
1983<br />
Benjamin Sischy, M.D. (F ’83)<br />
Sarasota, FL<br />
1984<br />
Mary Ellen Riegel, M.D. (R ’88)<br />
Pittsford, NY<br />
Andrew Mark Silverstein, M.D.<br />
Atlanta, GA<br />
ROCHESTER MEDICINE 45
Betina Desmmarais<br />
Illana Seligman<br />
Looking<br />
for<br />
alums . . .<br />
Help us to locate the<br />
alums shown on this<br />
page. If you see yourself<br />
or a friend, please contact<br />
the Office <strong>of</strong> Alumni<br />
Relations at 800-333-4428,<br />
or e-mail us at<br />
alumni@urmc.rochester.edu.<br />
Jane Z. Sahler<br />
Richard C. Friedman<br />
Danya Warshaver Yemina<br />
Bruce S. MacDonald<br />
James B. Butterfield<br />
Carlyle de Castro<br />
John G. Cope<br />
Richard F. Defendini<br />
Stephanie Prisch<br />
Michael J. Channick<br />
Thang Duc Ngo<br />
Susan Clark Ristow<br />
Donna Herforth Bradshaw<br />
Joe and Yvonne Reading<br />
William M. Kuzon and Linda Blaszczyk<br />
46 ROCHESTER MEDICINE
Experimental Biochemistry—photo taken by Eugene H. Traher, October 1926<br />
Left to right, inside front cover: Gordon Sinclair, S.H. Erlenback, M.D.<br />
Left to right, inside back cover: H. Gregg Smith and Ruth Snider
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School <strong>of</strong> Medicine and Dentistry<br />
One <strong>of</strong> Only a Few <strong>Medical</strong> Schools in America Granted<br />
P ERFECT S CORE<br />
by the LCME Accreditation Board<br />
Congratulations to students, faculty, and staff!<br />
<strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />
School <strong>of</strong> Medicine and Dentistry<br />
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