the pursuit of parkinson's - The University of Alabama at Birmingham
the pursuit of parkinson's - The University of Alabama at Birmingham
the pursuit of parkinson's - The University of Alabama at Birmingham
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AlumniBulletin<br />
ALABAMA MEDICAL<br />
V O L U M E 3 0 • N U M B E R O N E • W I N T E R 2 0 0 4<br />
THE PURSUIT OF PARKINSON’S:<br />
New Insights into a Debilit<strong>at</strong>ing Disease
Dean’s Corner<br />
Dear Colleagues:<br />
As many <strong>of</strong> you may already know, I have decided to step down as dean and vice president. A<br />
n<strong>at</strong>ionwide search for my successor has recently started, and after a sabb<strong>at</strong>ical I will return to <strong>the</strong><br />
faculty once my replacement has been named.<br />
This decision was not reached easily. During my seven years as dean and vice president, I have<br />
enjoyed meeting and working with people for whom <strong>the</strong> UASOM <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Alabama</strong><br />
<strong>at</strong> <strong>Birmingham</strong> means so much. I have had <strong>the</strong> privilege <strong>of</strong> leading this exceptional program and<br />
am gr<strong>at</strong>eful for <strong>the</strong> opportunities th<strong>at</strong> have presented <strong>the</strong>mselves during my tenure here. It is and<br />
has been a privilege and honor to work with <strong>the</strong> faculty and staff th<strong>at</strong> make <strong>the</strong> UASOM and<br />
UAB so successful. Some recent commendable achievements include:<br />
• Bruce R. Korf, M.D., Ph.D., being named <strong>the</strong> new chairman <strong>of</strong> <strong>the</strong> medical affairs committee<br />
for <strong>the</strong> N<strong>at</strong>ional Neur<strong>of</strong>ibrom<strong>at</strong>osis Found<strong>at</strong>ion (NNFF);<br />
• David Weiss, Ph.D., being selected to receive a Sen<strong>at</strong>or Jacob Javits Award in <strong>the</strong><br />
Neurosciences by <strong>the</strong> N<strong>at</strong>ional Institute <strong>of</strong> Neurological Disorders and Stroke (NINDS), one<br />
<strong>of</strong> <strong>the</strong> N<strong>at</strong>ional Institutes <strong>of</strong> Health (NIH).<br />
During my past seven years as vice president and dean, <strong>the</strong> UASOM has seen <strong>the</strong> total amount<br />
<strong>of</strong> NIH-funded research increase yearly, and we are now ranked 17th in <strong>the</strong> n<strong>at</strong>ion in this<br />
respect. At <strong>the</strong> same time, 11 programs in <strong>the</strong> UASOM are n<strong>at</strong>ionally ranked by <strong>the</strong> U.S. News<br />
& World Report, as is our research (24th) and our primary care (22nd). Clearly, none <strong>of</strong> this<br />
could have occurred without <strong>the</strong> hard work and support <strong>of</strong> committed staff, faculty, physicians,<br />
researchers, and administr<strong>at</strong>ors.<br />
I look forward to wh<strong>at</strong> <strong>the</strong> future holds—both for me pr<strong>of</strong>essionally and personally and for <strong>the</strong><br />
UASOM. Your continued support <strong>of</strong> <strong>the</strong> UASOM and its programs is needed now more than<br />
ever. To find out how you can make a difference, please contact <strong>the</strong> development <strong>of</strong>fice <strong>at</strong> (205)<br />
934-4469 or visit <strong>the</strong>m online <strong>at</strong> [www.uab.edu/uasom/development]. You can also contact your<br />
<strong>University</strong> <strong>of</strong> <strong>Alabama</strong> Medical Alumni Associ<strong>at</strong>ion <strong>at</strong> (205) 934-4463 to learn more about<br />
opportunities and unmet needs in <strong>the</strong> organiz<strong>at</strong>ion.<br />
My best to you.<br />
Sincerely,<br />
William B. Deal, M.D.<br />
Vice President for Medicine and Dean<br />
On <strong>the</strong> Cover: In Parkinson’s disease, dopamine-producing cells within <strong>the</strong> brain die like a tree—<strong>the</strong> axons in<br />
<strong>the</strong> brain’s str<strong>at</strong>ium die back toward <strong>the</strong> cell body. Illustr<strong>at</strong>ion by Art & Science.
ALUMNI ASSOCIATION<br />
BOARD OF DIRECTORS<br />
President<br />
Betty W. Vaughan, M.D., ’63 - Dec<strong>at</strong>ur<br />
President-Elect<br />
Albert J. Tully Jr., M.D., ’64 - <strong>Birmingham</strong><br />
Secretary/Treasurer<br />
Alan R. Dimick, M.D., ’58 - <strong>Birmingham</strong><br />
Past President<br />
T. Riley Lumpkin, M.D., ’58 - Tuscaloosa<br />
<strong>The</strong> Caduceus Club President<br />
Ronald W. Orso, M.D., ’72 - <strong>Birmingham</strong><br />
Vice Presidents<br />
William R. Staggers, M.D., ’89 - Fairhope<br />
J. Noble Anderson Jr., M.D., ’89 - Montgomery<br />
Ka<strong>the</strong>rine R. Cooper, M.D., ’90 - Alexander City<br />
Bill Beasley, M.D., ’74 - A<strong>the</strong>ns<br />
Karen M. Landers, M.D., ’77 - Tuscumbia<br />
Helen R. Thrasher, M.D., ’63 - <strong>Birmingham</strong><br />
James S. Woodard, M.D., ’85 - Columbus, MS<br />
Betty Ruth Speir, M.D., ’63 - Point Clear<br />
Martha E. Pugh, M.D., ’65 - Houston, TX<br />
Robert M. Dimick, M.D., ’84 - Hermitage, TN<br />
Neil E. Christopher, M.D., ’58 - Guntersville<br />
Jarvis D. Ryals, M.D., ’65 - Pueblo, CO<br />
House Staff Represent<strong>at</strong>ive<br />
Edward R. Anderson III., M.D. - <strong>Birmingham</strong><br />
Senior Class President<br />
Darren Malone - <strong>Birmingham</strong><br />
Vice President and Dean<br />
William B. Deal, M.D. - <strong>Birmingham</strong><br />
Executive Secretary<br />
Elaine O. Chambless - <strong>Birmingham</strong><br />
Administr<strong>at</strong>ive Secretaries<br />
Donna F. Thompson - <strong>Birmingham</strong><br />
Diane A. Woods - <strong>Birmingham</strong><br />
BULLETIN STAFF<br />
Executive Editor<br />
Pam Powell<br />
Managing Editor<br />
Dawn Mesa<br />
Editor, Alumni Affairs<br />
Elaine O. Chambless<br />
Editors, Development Office<br />
John Lankford, Ph.D.<br />
Meredith Murdock<br />
Executive Art Director<br />
Ron Gamble<br />
Art Director<br />
Jason Bickell<br />
Medical Editor<br />
Julius Linn, M.D.<br />
Production Manager<br />
Lynn Lowrie<br />
Production Assistant<br />
Monica Ssenkoloto<br />
Writers<br />
Sandra Bearden<br />
Elaine O. Chambless<br />
Nancy Mann Jackson<br />
Dawn Mesa<br />
Photographers<br />
Elaine O. Chambless, Cameron Tichenor, Steve Wood<br />
Editorial Contributors<br />
UAB Media Rel<strong>at</strong>ions<br />
UAB Medical Public<strong>at</strong>ions<br />
UAB Synopsis<br />
Meredith Murdock Roger Shuler<br />
Tim L. Pennycuff Jay Taylor<br />
Ella Robinson Russ Willcutt<br />
AlumniBulletin<br />
ALABAMA MEDICAL<br />
AlumniBulletin<br />
<strong>University</strong> <strong>of</strong> <strong>Alabama</strong> School <strong>of</strong> Medicine, <strong>Birmingham</strong>-Huntsville-Tuscaloosa; Telephone: (205) 934-4463;<br />
Fax: (205) 975-7299; Address: MAB, 811 20th Street South, 1530 3RD AVE S, BIRMINGHAM AL 35294-2140;<br />
Executive editor’s e-mail address: ppowell@uab.edu<br />
Table <strong>of</strong> Contents • W inter 2004 Issue<br />
News Briefs ....................................................................................................................... 2<br />
School & <strong>University</strong> News, Faculty News, Research & Clinical News<br />
Cover Story: <strong>The</strong> Pursuit <strong>of</strong> Parkinson’s........................................................ 6<br />
New Insights into a Debilit<strong>at</strong>ing Disease<br />
Twenty Years <strong>of</strong> Transplants ................................................................................. 10<br />
<strong>The</strong> Liver Transplant Program Celebr<strong>at</strong>es a Milestone<br />
B<strong>at</strong>tling Burns and Winning................................................................................. 12<br />
Tre<strong>at</strong>ment Comes a Long Way<br />
<strong>The</strong> Medical School Admissions Committee............................................... 14<br />
“G<strong>at</strong>ekeepers” <strong>of</strong> <strong>the</strong> UASOM<br />
New Licensing Requirements .............................................................................. 15<br />
Staying Ahead <strong>of</strong> <strong>the</strong> Curve<br />
Clinical Nutrition ........................................................................................................ 16<br />
Laying <strong>the</strong> Groundwork for Tomorrow’s Doctors<br />
Fighting <strong>the</strong> Good Fight.......................................................................................... 16<br />
UASOM Alum Gives It His All<br />
An Upd<strong>at</strong>e on <strong>the</strong> UASOM in Huntsville and Tuscaloosa ................. 17<br />
New Spaces and Developments<br />
Physicians’ Forum ....................................................................................................... 18<br />
Indigent Care<br />
Student Rounds ........................................................................................................... 20<br />
Getting In: Applying to Medical School<br />
From <strong>the</strong> Development Office ............................................................................ 22<br />
Welcoming Jeannie Horton • Pr<strong>of</strong>ile <strong>of</strong> Mike Kilgore • Programs Worth Supporting •<br />
Annual Reception • Baldwin Gift • S. Richardson Hill Society Established • Volker Hall<br />
News • DeBakey Charitable Found<strong>at</strong>ion<br />
ALUMNI ASSOCIATION NEWS ....................................................................... 26<br />
Class Notes • Alumni Form • Annual Donor List<br />
Alumni Pr<strong>of</strong>ile: Stephen Brossette, M.D., Ph.D.................................... 38<br />
Founder and CEO <strong>of</strong> MedMined, Inc.<br />
Alumni Pr<strong>of</strong>ile: Leigh Jefferies, M.D. ............................................................. 39<br />
Bridging <strong>the</strong> Gap between Research Lab and Boardroom<br />
From <strong>the</strong> Archives ...................................................................................................... 40<br />
A Look Back <strong>at</strong> Volker Hall<br />
CME Calendar .................................................................................................. Back Cover<br />
Published three times a year by <strong>the</strong> Alumni Office, <strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> School <strong>of</strong> Medicine, <strong>Birmingham</strong>, <strong>Alabama</strong>. Produced by<br />
UAB’s Public<strong>at</strong>ions and Periodicals Group, Office <strong>of</strong> Public Rel<strong>at</strong>ions and Marketing, with <strong>the</strong> cooper<strong>at</strong>ion <strong>of</strong> Medical Public<strong>at</strong>ions, Office<br />
<strong>of</strong> <strong>the</strong> CEO <strong>of</strong> UAB Health Systems.
SCHOOL &<br />
UNIVERSITY NEWS<br />
ENDOWED PROFESSORSHIP HONORS<br />
JOHN WHITAKER<br />
UAB and <strong>the</strong> Board <strong>of</strong> Trustees <strong>of</strong> <strong>the</strong><br />
<strong>University</strong> <strong>of</strong> <strong>Alabama</strong> System have established an<br />
endowed pr<strong>of</strong>essorship in memory <strong>of</strong> <strong>the</strong> l<strong>at</strong>e John<br />
Whitaker, M.D., former chair <strong>of</strong> <strong>the</strong> Department<br />
<strong>of</strong> Neurology and president <strong>of</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong><br />
<strong>Alabama</strong> Health Services Found<strong>at</strong>ion.<br />
“This endowed pr<strong>of</strong>essorship will honor <strong>the</strong><br />
life and legacy <strong>of</strong> John Whitaker,” says William B.<br />
Deal, M.D., dean <strong>of</strong> <strong>the</strong> UASOM. “He was an<br />
outstanding physician and administr<strong>at</strong>or and<br />
renowned for his research efforts in understanding<br />
and tre<strong>at</strong>ing multiple sclerosis.”<br />
Whitaker, who died in 2001, came to UAB in<br />
1985 to serve as pr<strong>of</strong>essor and chair <strong>of</strong> neurology.<br />
He was serving an unprecedented third term as<br />
president <strong>of</strong> <strong>the</strong> Health Services Found<strong>at</strong>ion <strong>at</strong><br />
<strong>the</strong> time <strong>of</strong> his de<strong>at</strong>h.<br />
Throughout his distinguished career Whitaker<br />
received numerous honors and awards, including<br />
membership in Alpha Omega Alpha and a Javits<br />
Neuroscience Investig<strong>at</strong>or Award. He was given <strong>the</strong><br />
UAB President’s Award posthumously in 2001.<br />
<strong>The</strong> Health Services Found<strong>at</strong>ion’s administr<strong>at</strong>ion<br />
building was renamed to honor Whitaker and is<br />
now known as <strong>the</strong> John N. Whitaker Building.<br />
A n<strong>at</strong>ive <strong>of</strong> Memphis, Whitaker received his<br />
medical degree from <strong>the</strong> <strong>University</strong> <strong>of</strong> Tennessee<br />
College <strong>of</strong> Medicine and obtained neurology<br />
training <strong>at</strong> <strong>the</strong> Albert Einstein College <strong>of</strong><br />
Medicine in 1970. He came to UAB following<br />
service with <strong>the</strong> N<strong>at</strong>ional Institutes <strong>of</strong> Health, <strong>the</strong><br />
<strong>University</strong> <strong>of</strong> Minnesota, and <strong>the</strong> <strong>University</strong> <strong>of</strong><br />
Tennessee Health Science Center in Memphis.<br />
If you would like to contribute to <strong>the</strong> John N.<br />
Whitaker, M.D., Endowed Pr<strong>of</strong>essorship, please<br />
contact Brett Scullen <strong>at</strong> (205) 975-7240 or go<br />
online to [www.uab.edu/supportmedicine].<br />
UAB OPHTHALMIC PATHOLOGY<br />
LAB RENEWS ACCREDITATION<br />
<strong>The</strong> ophthalmic p<strong>at</strong>hology labor<strong>at</strong>ory <strong>at</strong> <strong>the</strong><br />
Callahan Eye Found<strong>at</strong>ion Hospital has been<br />
awarded accredit<strong>at</strong>ion by <strong>the</strong> Commission on<br />
Labor<strong>at</strong>ory Accredit<strong>at</strong>ion <strong>of</strong> <strong>the</strong> College <strong>of</strong><br />
American P<strong>at</strong>hologists (CAP), based on <strong>the</strong><br />
results <strong>of</strong> an on-site inspection.<br />
<strong>The</strong> labor<strong>at</strong>ory’s director, Russell W. Read,<br />
M.D., assistant pr<strong>of</strong>essor in <strong>the</strong> Department <strong>of</strong><br />
Ophthalmology, was congr<strong>at</strong>ul<strong>at</strong>ed for <strong>the</strong><br />
“excellence <strong>of</strong> <strong>the</strong> services being provided.” <strong>The</strong><br />
Callahan Eye Found<strong>at</strong>ion Hospital ophthalmic<br />
p<strong>at</strong>hology labor<strong>at</strong>ory is one <strong>of</strong> more than 6,000<br />
CAP-accredited labor<strong>at</strong>ories n<strong>at</strong>ionwide.<br />
<strong>The</strong> CAP Labor<strong>at</strong>ory Accredit<strong>at</strong>ion Program,<br />
begun in <strong>the</strong> early 1960s, is recognized by <strong>the</strong> federal<br />
government as being equal to or more stringent<br />
than <strong>the</strong> government’s own inspection program.<br />
UAB CHOSEN AS SOUTHEASTERN<br />
REGIONAL CENTER OF EXCELLENCE<br />
FOR EMERGING INFECTIONS<br />
AND BIODEFENSE<br />
UAB is one <strong>of</strong> six regional universities with faculty<br />
selected to a consortium <strong>of</strong> investig<strong>at</strong>ors chosen<br />
to be part <strong>of</strong> a new biodefense initi<strong>at</strong>ive. <strong>The</strong><br />
program will work to develop <strong>the</strong> next gener<strong>at</strong>ion<br />
<strong>of</strong> vaccines, drugs, and diagnostic tests to defend<br />
against emerging infections such as SARS and<br />
organisms such as smallpox th<strong>at</strong> might be used in<br />
terrorist activities.<br />
<strong>The</strong> Sou<strong>the</strong>ast Regional Center <strong>of</strong> Excellence<br />
for Emerging Infections and Biodefense (SERCEB)<br />
will include researchers from Duke <strong>University</strong><br />
Medical Center, UAB, Emory <strong>University</strong>, <strong>University</strong><br />
<strong>of</strong> Florida, <strong>University</strong> <strong>of</strong> North Carolina <strong>at</strong> Chapel<br />
Hill School <strong>of</strong> Medicine, and Vanderbilt <strong>University</strong><br />
Medical Center. <strong>The</strong> consortium will be centered<br />
<strong>at</strong> Duke and led by Barton Haynes, M.D., <strong>of</strong> <strong>the</strong><br />
Duke Human Vaccine Institute.<br />
Selected as one <strong>of</strong> SERCEB’s co-leaders is<br />
Richard Whitley, M.D., pr<strong>of</strong>essor <strong>of</strong> pedi<strong>at</strong>rics and<br />
infectious disease <strong>at</strong> UAB. He joins David<br />
Stephens, M.D., Emory <strong>University</strong>, Richard Moyer,<br />
Ph.D., <strong>the</strong> <strong>University</strong> <strong>of</strong> Florida; Frederick Sparling,<br />
M.D., <strong>the</strong> <strong>University</strong> <strong>of</strong> North Carolina <strong>at</strong> Chapel<br />
Hill School <strong>of</strong> Medicine, and Mark Denison,<br />
M.D., Vanderbilt <strong>University</strong> Medical Center.<br />
<strong>The</strong> N<strong>at</strong>ional Institute <strong>of</strong> Allergy and Infectious<br />
Diseases and <strong>the</strong> Department <strong>of</strong> Health and<br />
Human Services recently announced more than<br />
$45 million in funding over five years for <strong>the</strong><br />
SERCEB consortium, one <strong>of</strong> eight “Regional<br />
Centers <strong>of</strong> Excellence for Biodefense and<br />
Emerging Infectious Diseases Research.” <strong>The</strong> centers<br />
will develop and conduct programs <strong>of</strong> basic<br />
and applied research; train researchers and o<strong>the</strong>r<br />
personnel for emerging infection and biodefense<br />
research activities; and develop and maintain<br />
comprehensive scientific core facilities to support<br />
<strong>the</strong>ir research and training activities.<br />
“This award recognizes <strong>the</strong> excellent science <strong>at</strong><br />
UAB devoted to microbial p<strong>at</strong>hogenesis in an<br />
era <strong>of</strong> emerging infections,” says Whitley. “It<br />
brings toge<strong>the</strong>r scientists in virology, immunology,<br />
structural biology, drug discovery, and clinical<br />
trials. Work performed through this center<br />
applic<strong>at</strong>ion will have a direct impact on potential<br />
bioterrorism diseases such as smallpox but<br />
also, equally importantly, West Nile Virus,<br />
encephalitis, and SARS.”<br />
“UAB is committed to being a leader when it<br />
comes to <strong>the</strong> health issues th<strong>at</strong> face our st<strong>at</strong>e and<br />
n<strong>at</strong>ion,” President Carol Z. Garrison, Ph.D., says.<br />
“This award acknowledges <strong>the</strong> research expertise<br />
<strong>of</strong> our faculty and will enable <strong>the</strong>m to acceler<strong>at</strong>e<br />
important discoveries with a significant impact on<br />
<strong>the</strong> public’s health.”<br />
UAB DOCTORS HELP CHANGE FEDERAL<br />
POLICY ON CANCER TREATMENT<br />
A cancer doctor <strong>at</strong> UAB played a key role in<br />
helping p<strong>at</strong>ients across <strong>the</strong> country gain access to a<br />
potentially cur<strong>at</strong>ive tre<strong>at</strong>ment for life-thre<strong>at</strong>ening<br />
forms <strong>of</strong> melanoma and kidney cancer. Some hospitals<br />
had ceased to <strong>of</strong>fer <strong>the</strong> drug, high-dose<br />
interleukin-2 (IL-2), because <strong>the</strong>y were losing <strong>at</strong><br />
least $10,000 per month <strong>of</strong> <strong>the</strong>rapy for each<br />
p<strong>at</strong>ient receiving <strong>the</strong> <strong>the</strong>rapy, for up to 12 months.<br />
Robert M. Conry, M.D., <strong>of</strong> <strong>the</strong> UAB Comprehensive<br />
Cancer Center, along with cancer specialists<br />
from eight o<strong>the</strong>r centers, provided essential<br />
cost-effectiveness inform<strong>at</strong>ion to <strong>the</strong> federal<br />
agency th<strong>at</strong> determines reimbursement th<strong>at</strong> hospitals<br />
get for Medicare p<strong>at</strong>ients who receive this<br />
tre<strong>at</strong>ment. Th<strong>at</strong> d<strong>at</strong>a led <strong>the</strong> Centers for Medicare<br />
and Medicaid Services to dram<strong>at</strong>ically increase<br />
Medicare reimbursement as <strong>of</strong> October 1.<br />
Medical centers as large as Beth Israel Deaconess<br />
Medical Center in Boston had closed down highdose<br />
IL-2 programs due to low reimbursement for<br />
<strong>the</strong> costly hospitaliz<strong>at</strong>ion and specially trained personnel<br />
required to administer <strong>the</strong> tre<strong>at</strong>ment.<br />
“Although high-dose IL-2 is <strong>the</strong> most effective<br />
<strong>the</strong>rapy for metast<strong>at</strong>ic melanoma and kidney cancer,<br />
most hospitals and physicians don’t <strong>of</strong>fer it or<br />
quit <strong>of</strong>fering it because <strong>of</strong> <strong>the</strong> reimbursement<br />
issue and <strong>the</strong> lack <strong>of</strong> expertise required to administer<br />
<strong>the</strong> drug and monitor p<strong>at</strong>ients for side effects<br />
during <strong>the</strong>ir five-day in-hospital stay each month<br />
<strong>of</strong> tre<strong>at</strong>ment,” Conry says.<br />
“On behalf <strong>of</strong> a small p<strong>at</strong>ient popul<strong>at</strong>ion,<br />
UAB’s Comprehensive Cancer Center is committed<br />
to delivering <strong>the</strong> best possible <strong>the</strong>rapy even in<br />
circumstances where our costs are not fully reimbursed.<br />
Fortun<strong>at</strong>ely, we’ve been able to work with<br />
Medicare decision-makers to completely cover <strong>the</strong><br />
costs <strong>of</strong> this important cancer <strong>the</strong>rapy <strong>at</strong> our hospital<br />
and across <strong>the</strong> n<strong>at</strong>ion,” he added.<br />
“Hopefully,” Conry says, “priv<strong>at</strong>e insurance<br />
companies will follow Medicare’s lead and<br />
increase <strong>the</strong>ir payments as well. If this happens, I<br />
expect <strong>the</strong> tre<strong>at</strong>ment to become even more widely<br />
available to p<strong>at</strong>ients in desper<strong>at</strong>e need.”<br />
COMPREHENSIVE CANCER CENTER<br />
OPENS RESOURCE LIBRARY<br />
FOR PUBLIC<br />
People seeking help in <strong>the</strong>ir fight against cancer<br />
will have ano<strong>the</strong>r tool <strong>at</strong> <strong>the</strong>ir service with <strong>the</strong><br />
October 20 opening <strong>of</strong> <strong>the</strong> UAB Comprehensive<br />
Cancer Center Resource Library.<br />
<strong>The</strong> library, loc<strong>at</strong>ed <strong>at</strong> street level <strong>at</strong> 509<br />
Richard Arrington Blvd., across from <strong>The</strong> Kirklin<br />
Clinic, will be open to <strong>the</strong> public from 10 a.m. to<br />
4 p.m. Monday through Wednesday. It will <strong>of</strong>fer<br />
a trained staff to help use resources such as<br />
Internet access with links to cancer-specific Web<br />
sites, educ<strong>at</strong>ional brochures, reference texts, and<br />
current cancer-rel<strong>at</strong>ed magazines.<br />
<strong>The</strong> Cancer Resource Library also will serve as<br />
a meeting place for support groups and cancer-<br />
2
News Briefs<br />
rel<strong>at</strong>ed educ<strong>at</strong>ional programs.<br />
“<strong>The</strong> Cancer Resource Library will be an<br />
invaluable tool for p<strong>at</strong>ients who want to become<br />
proactive in <strong>the</strong>ir tre<strong>at</strong>ment and recovery,” says<br />
Edward Partridge, M.D., associ<strong>at</strong>e director for<br />
cancer control and popul<strong>at</strong>ion science <strong>at</strong> <strong>the</strong> cancer<br />
center. “A visit may be helpful to <strong>the</strong> newly<br />
diagnosed p<strong>at</strong>ient, or for those seeking follow-up<br />
inform<strong>at</strong>ion during or after tre<strong>at</strong>ment.”<br />
HUW THOMAS NAMED<br />
DEAN OF DENTISTRY<br />
Huw Francis Thomas, B.D.S., M.S., Ph.D.,<br />
has been named dean <strong>of</strong> <strong>the</strong> School <strong>of</strong> Dentistry,<br />
by acting provost Eli Capilouto. Thomas previously<br />
was <strong>the</strong> chairman <strong>of</strong> <strong>the</strong> Department <strong>of</strong><br />
Pedi<strong>at</strong>ric Dentistry <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> Texas<br />
Health Science Center, San Antonio.<br />
“Dr. Thomas has a strong commitment to p<strong>at</strong>ient<br />
care, quality teaching, and community outreach programs,”<br />
Capilouto says. “He also understands and<br />
embraces <strong>the</strong> very important role a strong research<br />
program plays in <strong>the</strong> enhancement and growth <strong>of</strong> <strong>the</strong><br />
school. He is n<strong>at</strong>ionally recognized for his leadership<br />
in all <strong>of</strong> <strong>the</strong>se areas, as well as his ability to develop<br />
collabor<strong>at</strong>ive rel<strong>at</strong>ionships to bring dental educ<strong>at</strong>ion<br />
and better oral health to all facets <strong>of</strong> <strong>the</strong> popul<strong>at</strong>ion.”<br />
Thomas earned his bachelor <strong>of</strong> dental surgery<br />
degree from Guy’s Hospital <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong><br />
London, England. He earned a master’s degree in<br />
dental research from <strong>the</strong> <strong>University</strong> <strong>of</strong> Rochester, a<br />
certific<strong>at</strong>e in pedi<strong>at</strong>ric dentistry from <strong>the</strong> Eastman<br />
Dental Center, and a doctor<strong>at</strong>e in biomedical sciences<br />
from <strong>the</strong> <strong>University</strong> <strong>of</strong> Connecticut.<br />
“<strong>The</strong> School <strong>of</strong> Dentistry <strong>at</strong> UAB has an excellent<br />
reput<strong>at</strong>ion and is well situ<strong>at</strong>ed to continue<br />
providing high-quality educ<strong>at</strong>ion while serving its<br />
p<strong>at</strong>ients and enhancing its research efforts,”<br />
Thomas says. “I very much look forward to being<br />
part <strong>of</strong> this bright future.”<br />
FACULTY NEWS<br />
NATIONAL NEUROFIBROMATOSIS<br />
FOUNDATION NAMES BRUCE R. KORF<br />
NEW CHAIRMAN OF MEDICAL<br />
AFFAIRS COMMITTEE<br />
Bruce R. Korf, M.D., Ph.D., chair <strong>of</strong> <strong>the</strong> recently<br />
cre<strong>at</strong>ed Department <strong>of</strong> Genetics and <strong>the</strong> Wayne<br />
H. Finley and Sara Crews Finley Chair <strong>of</strong> Medical<br />
Genetics, has been named as <strong>the</strong> new chairman <strong>of</strong><br />
<strong>the</strong> Medical Affairs Committee for <strong>the</strong> N<strong>at</strong>ional<br />
Neur<strong>of</strong>ibrom<strong>at</strong>osis Found<strong>at</strong>ion (NNFF).<br />
Korf is one <strong>of</strong> <strong>the</strong> leading clinical experts and<br />
clinical researchers in <strong>the</strong> field <strong>of</strong> neur<strong>of</strong>ibrom<strong>at</strong>osis<br />
and has worked with <strong>the</strong> NNFF for more than<br />
15 years. He previously has served as chairman <strong>of</strong><br />
<strong>the</strong> found<strong>at</strong>ion’s Clinical Care Advisory Board<br />
and as chairman <strong>of</strong> <strong>the</strong> Found<strong>at</strong>ion’s Medical<br />
Policy Committee.<br />
“Dr. Korf’s distinguished career as both scientist<br />
and physician, combined with his long record<br />
<strong>of</strong> service to NF, make him <strong>the</strong> ideal choice to lead<br />
<strong>the</strong> found<strong>at</strong>ion’s medical and research programs,”<br />
says found<strong>at</strong>ion president Peter Bellermann. “<strong>The</strong><br />
found<strong>at</strong>ion has built its reput<strong>at</strong>ion by facilit<strong>at</strong>ing<br />
collabor<strong>at</strong>ion among scientists and institutions<br />
th<strong>at</strong> are normally in competition for resources and<br />
ideas; Dr. Korf’s outstanding credentials will lend<br />
gre<strong>at</strong> weight to <strong>the</strong> found<strong>at</strong>ion’s efforts to continue<br />
this tradition.”<br />
“As we learn more about <strong>the</strong> biology <strong>of</strong> <strong>the</strong><br />
neur<strong>of</strong>ibrom<strong>at</strong>oses, I look forward to working<br />
closely with <strong>the</strong> N<strong>at</strong>ional Neur<strong>of</strong>ibrom<strong>at</strong>osis<br />
Found<strong>at</strong>ion in its efforts to facilit<strong>at</strong>e <strong>the</strong> transl<strong>at</strong>ion<br />
<strong>of</strong> this new knowledge to better methods <strong>of</strong><br />
diagnosis and tre<strong>at</strong>ment,” Korf says.<br />
NF is a genetic disorder th<strong>at</strong> causes tumors to<br />
grow along nerves throughout <strong>the</strong> body. NF<br />
affects 100,000 Americans: 1 in 4,000 have NF<br />
Type 1, 1 in 40,000 have NF Type 2. <strong>The</strong> NNFF,<br />
a nonpr<strong>of</strong>it organiz<strong>at</strong>ion, is <strong>the</strong> leading resource<br />
on NF. NNFF provides direct services to children<br />
and adults with NF, as well as inform<strong>at</strong>ion and<br />
resources to <strong>the</strong> public and medical pr<strong>of</strong>essionals<br />
via a toll-free number, 1-800-323-7938, and <strong>the</strong><br />
NF Web site, [www.nf.org].<br />
ALVAREZ NAMED GYN ONC<br />
DIVISION DIRECTOR<br />
Ronald D. Alvarez, M.D., succeeded Edward<br />
E. Partridge, M.D., as director <strong>of</strong> <strong>the</strong> Division <strong>of</strong><br />
Gynecologic Oncology in <strong>the</strong> Department <strong>of</strong><br />
Obstetrics and Gynecology on October 1, 2003.<br />
After 13 years as division director, Partridge<br />
stepped down to devote more time to community-based<br />
research and service, particularly ongoing<br />
programs for <strong>the</strong> underserved in cancer care,<br />
prevention, and control. He will continue to see<br />
p<strong>at</strong>ients and serve as vice chairman <strong>of</strong> <strong>the</strong><br />
Department <strong>of</strong> Obstetrics and Gynecology and as<br />
associ<strong>at</strong>e director for cancer prevention and control<br />
in <strong>the</strong> UAB Comprehensive Cancer Center.<br />
Alvarez also holds appointments as pr<strong>of</strong>essor <strong>of</strong><br />
gynecologic oncology and senior scientist in <strong>the</strong><br />
Cancer Center, where he leads <strong>the</strong> Women’s<br />
Cancer Program. He is also a senior scientist in<br />
<strong>the</strong> UAB Gene <strong>The</strong>rapy Center and collabor<strong>at</strong>es<br />
on developing gene <strong>the</strong>rapy str<strong>at</strong>egies for reproductive<br />
malignancies.<br />
A n<strong>at</strong>ive <strong>of</strong> New Orleans and gradu<strong>at</strong>e <strong>of</strong> LSU,<br />
Alvarez received his M.D. degree from LSU<br />
Medical Center in 1983. He completed his<br />
internship (1984) and residency (1986) <strong>at</strong> UAB.<br />
He was chief resident in OB/GYN before joining<br />
<strong>the</strong> UAB faculty as an instructor and research fellow<br />
in 1987. <strong>The</strong> recipient <strong>of</strong> numerous awards<br />
and honors, he has been included several times in<br />
<strong>The</strong> Best Doctors in America and on Good<br />
Housekeeping’s list <strong>of</strong> best doctors for women. He<br />
also received <strong>the</strong> 1994 American College <strong>of</strong><br />
OB/GYN Outstanding Pr<strong>of</strong>essor Award.<br />
On future plans for <strong>the</strong> Division <strong>of</strong> Gynecologic<br />
Oncology, Alvarez comments, “We expect to build<br />
upon <strong>the</strong> excellent found<strong>at</strong>ion established under<br />
Dr. Partridge’s superb leadership. We plan to do<br />
this by enhancing our clinical services and continuing<br />
our efforts to educ<strong>at</strong>e <strong>the</strong> practitioners <strong>of</strong><br />
today and tomorrow. Ano<strong>the</strong>r major goal is to continue<br />
<strong>the</strong> cutting-edge research th<strong>at</strong> will improve<br />
<strong>the</strong> lives <strong>of</strong> women <strong>at</strong> risk for or diagnosed with a<br />
gynecologic cancer.”<br />
WEISS RECEIVES PRESTIGIOUS<br />
JAVITS AWARD FOR BRAIN RESEARCH<br />
David Weiss, Ph.D., pr<strong>of</strong>essor <strong>of</strong> neurobiology,<br />
has been selected to receive a Sen<strong>at</strong>or Jacob Javits<br />
Award in <strong>the</strong> Neurosciences by <strong>the</strong> N<strong>at</strong>ional<br />
Institute <strong>of</strong> Neurological Disorders and Stroke<br />
(NINDS), one <strong>of</strong> <strong>the</strong> N<strong>at</strong>ional Institutes <strong>of</strong> Health<br />
(NIH). <strong>The</strong> award is for $2.4 million over seven<br />
years to carry out fundamental studies on <strong>the</strong><br />
dynamics <strong>of</strong> <strong>the</strong> GABA receptor, <strong>the</strong> brain’s major<br />
molecular detector for restraining or inhibiting electrical<br />
activity. <strong>The</strong> receptor plays a role in such<br />
actions as preventing epileptic seizures. Anxiety<br />
and rage can occur due to ineffective function <strong>of</strong> <strong>the</strong><br />
GABA inhibition system, and <strong>the</strong> effects <strong>of</strong> alcohol<br />
and actions <strong>of</strong> sed<strong>at</strong>ives target <strong>the</strong> GABA system.<br />
<strong>The</strong> prestigious Javits Investig<strong>at</strong>or Awards were<br />
established by <strong>the</strong> U.S. Congress in 1983 to honor<br />
<strong>the</strong> l<strong>at</strong>e Sen<strong>at</strong>or Jacob Javits, who suffered from<br />
amyotrophic l<strong>at</strong>eral sclerosis (ALS), a degener<strong>at</strong>ive<br />
neurological disorder also known as Lou Gehrig’s<br />
disease. Javits was a champion <strong>of</strong> research into a<br />
wide variety <strong>of</strong> disorders <strong>of</strong> <strong>the</strong> brain. <strong>The</strong> awards<br />
are intended to recognize and support <strong>the</strong> research<br />
<strong>of</strong> distinguished investig<strong>at</strong>ors who are expected to<br />
be highly productive over <strong>the</strong> next seven years.<br />
Weiss pioneered <strong>the</strong> use <strong>of</strong> labor<strong>at</strong>ory techniques<br />
to allow for molecular manipul<strong>at</strong>ion <strong>of</strong> <strong>the</strong><br />
brain’s GABA receptors, as well as visualiz<strong>at</strong>ion <strong>of</strong><br />
<strong>the</strong> dynamics <strong>of</strong> GABA receptors interacting with<br />
chemical signals from neighboring nerve cells in<br />
<strong>the</strong> brain. This work forms <strong>the</strong> basis for extending<br />
<strong>the</strong> understanding <strong>of</strong> a number <strong>of</strong> aspects <strong>of</strong> brain<br />
function where <strong>the</strong> process <strong>of</strong> chemical inhibition<br />
in <strong>the</strong> brain is essential.<br />
“Weiss’s research into GABA’s interactions<br />
within <strong>the</strong> brain has led to <strong>the</strong> development <strong>of</strong><br />
new ways <strong>of</strong> tracking those processes in <strong>the</strong> living<br />
system in order to provide a precise view <strong>of</strong> <strong>the</strong><br />
GABA receptor in action,” says Michael<br />
Friedlander, Ph.D., chair <strong>of</strong> <strong>the</strong> Department <strong>of</strong><br />
Neurobiology. “It is for <strong>the</strong>se breakthroughs and<br />
<strong>the</strong> promise <strong>of</strong> important discoveries to come<br />
from his program th<strong>at</strong> <strong>the</strong> NIH has made this<br />
prestigious award to Dr. Weiss.”<br />
Weiss received his Ph.D. in neuroscience from<br />
Baylor College <strong>of</strong> Medicine in 1987 and carried out<br />
a postdoctoral fellowship in physiology and biophysics<br />
<strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> Miami School <strong>of</strong><br />
Medicine. He served on <strong>the</strong> faculty <strong>of</strong> <strong>the</strong> <strong>University</strong><br />
<strong>of</strong> South Florida before joining UAB in 1995.<br />
3
News Briefs<br />
MORRIS NAMED CALLAHAN<br />
EYE FOUNDATION HOSPITAL<br />
CHIEF OF STAFF<br />
<strong>The</strong> Eye Found<strong>at</strong>ion, Inc., board <strong>of</strong> directors<br />
announced <strong>the</strong> appointment <strong>of</strong> Robert E. Morris,<br />
M.D., associ<strong>at</strong>e pr<strong>of</strong>essor <strong>of</strong> ophthalmology, as chief<br />
<strong>of</strong> staff <strong>at</strong> Callahan Eye Found<strong>at</strong>ion Hospital<br />
(CEFH). Morris <strong>of</strong>ficially assumed his duties in April<br />
2003. He is <strong>the</strong> first chief <strong>of</strong> staff for <strong>the</strong> hospital,<br />
which joined <strong>the</strong> UAB Health System in July 1997.<br />
“UAB has optimally integr<strong>at</strong>ed <strong>the</strong> CEFH into<br />
its health system since acquiring <strong>the</strong> hospital,” says<br />
Morris. “At <strong>the</strong> same time, it has continued to<br />
improve <strong>the</strong> hospital’s service to community physicians,<br />
who admit most CEFH p<strong>at</strong>ients. Through<br />
<strong>the</strong> chief <strong>of</strong> staff position, which will help both<br />
hospital administr<strong>at</strong>ors and medical staff <strong>of</strong>ficers, I<br />
am pleased to assist with <strong>the</strong>se efforts.”<br />
Morris is <strong>the</strong> immedi<strong>at</strong>e past president <strong>of</strong> <strong>the</strong><br />
CEFH Medical Staff, president <strong>of</strong> <strong>The</strong> Helen<br />
Keller Found<strong>at</strong>ion for Research and Educ<strong>at</strong>ion,<br />
president <strong>of</strong> <strong>the</strong> Intern<strong>at</strong>ional Society for Ocular<br />
Trauma, and serves on <strong>the</strong> board <strong>of</strong> directors for<br />
<strong>the</strong> United St<strong>at</strong>es Eye Injury Registry.<br />
“We are fortun<strong>at</strong>e to have a person <strong>of</strong> Dr. Morris’s<br />
caliber serve as <strong>the</strong> hospital’s first chief <strong>of</strong> staff,” says<br />
CEFH Board Chairman Mike Thompson.<br />
HARDING NAMED TO<br />
SLEEP MEDICINE BOARD<br />
Susan M. Harding, M.D., medical director <strong>of</strong><br />
<strong>the</strong> UAB Sleep-Wake Disorders Center and associ<strong>at</strong>e<br />
pr<strong>of</strong>essor <strong>of</strong> medicine in <strong>the</strong> Division <strong>of</strong><br />
Pulmonary, Allergy, and Critical Care Medicine,<br />
has been elected to serve a three-year term on <strong>the</strong><br />
American Board <strong>of</strong> Sleep Medicine.<br />
<strong>The</strong> board is an independent organiz<strong>at</strong>ion<br />
developed for <strong>the</strong> purpose <strong>of</strong> establishing and<br />
maintaining standards <strong>of</strong> individual pr<strong>of</strong>iciency<br />
in clinical polysomnography. It was initi<strong>at</strong>ed in<br />
1991 to improve <strong>the</strong> practice <strong>of</strong> sleep medicine<br />
and issue certific<strong>at</strong>es <strong>of</strong> special knowledge in sleep<br />
medicine to physicians and Ph.D.s in rel<strong>at</strong>ed<br />
fields. In addition, <strong>the</strong> board assumed <strong>the</strong> duties<br />
<strong>of</strong> <strong>the</strong> former Examin<strong>at</strong>ion Committee <strong>of</strong> <strong>the</strong><br />
American Academy <strong>of</strong> Sleep Medicine.<br />
OBERMAN FESTSCHRIFT HONORS<br />
PREVENTIVE MEDICINE PIONEER<br />
After serving 36 years on <strong>the</strong> UASOM faculty<br />
and 25 years as director <strong>of</strong> <strong>the</strong> Division <strong>of</strong><br />
Preventive Medicine, Albert Oberman, M.D.,<br />
MPH, who founded <strong>the</strong> division, retired. He continues<br />
to act as a part-time pr<strong>of</strong>essor emeritus.<br />
More than 100 friends and colleagues from UAB<br />
and institutions around <strong>the</strong> world ga<strong>the</strong>red <strong>at</strong> an<br />
October Festschrift to honor Oberman’s many<br />
accomplishments and particip<strong>at</strong>ed in a series <strong>of</strong><br />
scientific sessions focused on <strong>the</strong> l<strong>at</strong>est advances<br />
in cardiovascular disease.<br />
Department <strong>of</strong> Medicine Chair William<br />
Koopman, M.D., notes, “In addition to conducting<br />
an exceptional body <strong>of</strong> work spanning four<br />
decades, Dr. Oberman has built one <strong>of</strong> <strong>the</strong> outstanding<br />
divisions <strong>of</strong> preventive medicine in <strong>the</strong><br />
n<strong>at</strong>ion. His vision and leadership have been critical<br />
factors in this success.”<br />
Under Oberman’s direction, <strong>the</strong> Division <strong>of</strong><br />
Preventive Medicine has become one <strong>of</strong> <strong>the</strong><br />
largest programs <strong>of</strong> its kind in <strong>the</strong> United St<strong>at</strong>es,<br />
with 250 faculty and staff members and more<br />
than 80 active grants and contracts totaling<br />
almost $70 million in extramural funding.<br />
NANDA RECEIVES THE “BRIDGE AWARD”<br />
Pr<strong>of</strong>essor <strong>of</strong> medicine Navin Nanda, M.D.,<br />
director <strong>of</strong> <strong>the</strong> Heart St<strong>at</strong>ion/Echocardiography<br />
Labor<strong>at</strong>ory, was recently honored by <strong>the</strong> Associ<strong>at</strong>ion<br />
<strong>of</strong> Black Cardiologists (ABC) with a special<br />
“Bridge Award” for “building bridges across cultures,<br />
particularly among African-American and<br />
Indian cardiologists.” He recently completed two<br />
terms on <strong>the</strong> ABC Board <strong>of</strong> Directors and was<br />
founding president <strong>of</strong> <strong>the</strong> American Associ<strong>at</strong>ion <strong>of</strong><br />
Cardiologists <strong>of</strong> Indian Origin (AACIO), which<br />
was formed in 1986.<br />
Nanda has spearheaded several scientific meetings<br />
between <strong>the</strong> two associ<strong>at</strong>ions and has published<br />
research on ethnic differences in <strong>the</strong> severity<br />
<strong>of</strong> aortic a<strong>the</strong>rosclerosis in p<strong>at</strong>ients presenting with<br />
ischemic stroke. He also has particip<strong>at</strong>ed in investig<strong>at</strong>ing<br />
<strong>the</strong> prevalence <strong>of</strong> stroke, coronary artery<br />
disease, and diabetes in minority communities.<br />
FORMER UASOM DEAN PENS NEW BOOK<br />
Clifton K. Meador, M.D., dean <strong>of</strong> UASOM from<br />
1968 until 1973, has written a book about his experiences<br />
as a medical student <strong>at</strong> Vanderbilt School <strong>of</strong><br />
Medicine between 1951 and 1955. <strong>The</strong> book is Med<br />
School (Providence House).<br />
During his career <strong>at</strong> UAB, prior to becoming<br />
dean <strong>of</strong> <strong>the</strong> School <strong>of</strong> Medicine, Meador was<br />
founder <strong>of</strong> MIST, or Medical Inform<strong>at</strong>ion System<br />
via Telephone. Now living in Nashville, Meador is<br />
executive director <strong>of</strong> <strong>the</strong> recently formed Meharry-<br />
Vanderbilt Alliance, an alliance between Vanderbilt<br />
School <strong>of</strong> Medicine and Meharry Medical College.<br />
Using detail and anecdotes th<strong>at</strong> include both <strong>the</strong><br />
serious and <strong>the</strong> ligh<strong>the</strong>arted, Meador describes in his<br />
book wh<strong>at</strong> it was like to <strong>at</strong>tend medical school during<br />
a period <strong>of</strong> transition in medicine. <strong>The</strong> book<br />
includes a look into wh<strong>at</strong> was being taught in medical<br />
school during this pivotal post-World War II<br />
period th<strong>at</strong> marked <strong>the</strong> beginning <strong>of</strong> a huge explosion<br />
in medical knowledge. For example, he details<br />
how his class took one <strong>of</strong> Vanderbilt’s last parasitology<br />
courses, <strong>at</strong> a time when public health was bringing<br />
under control such parasite-driven diseases as<br />
hookworm and tapeworm. He also describes being<br />
exposed to new cutting-edge knowledge in areas such<br />
as cardiology, nutrition, and diabetes.<br />
Meador tells his story by spotlighting <strong>the</strong> pr<strong>of</strong>essors<br />
under whom he studied, his classm<strong>at</strong>es<br />
with whom he lived and learned, and his first<br />
p<strong>at</strong>ients—whom he also views as his teachers. He<br />
also shares candid personal insights into changes<br />
he underwent and valuable lessons he learned as he<br />
walked <strong>the</strong> p<strong>at</strong>h toward becoming a physician.<br />
4<br />
RESEARCH AND CLINICAL NEWS<br />
UAB AWARDED $16-MILLION GRANT TO<br />
DEVELOP NEW HIV VACCINE<br />
UAB has been awarded a four-and-a-half-year,<br />
$16-million grant from <strong>the</strong> N<strong>at</strong>ional Institutes <strong>of</strong><br />
Allergy and Infectious Diseases (NIAID) to lead a<br />
multicenter study to develop and test a potential<br />
new class <strong>of</strong> HIV vaccines. Jiri Mestecky, M.D.,<br />
pr<strong>of</strong>essor <strong>of</strong> microbiology and medicine, is lead<br />
investig<strong>at</strong>or <strong>of</strong> <strong>the</strong> study.<br />
In preliminary labor<strong>at</strong>ory tests, <strong>the</strong> candid<strong>at</strong>e<br />
vaccine induced an immune response in <strong>the</strong><br />
mucus membranes <strong>of</strong> <strong>the</strong> intestines and genitals—<br />
especially important since most cases <strong>of</strong> HIV are<br />
transmitted by this route. “O<strong>the</strong>r trial vaccines<br />
have been shown to induce immune response in<br />
<strong>the</strong> blood, but not in <strong>the</strong> mucosal membranes <strong>of</strong><br />
<strong>the</strong> reproductive and intestinal tracts,” says<br />
Mestecky. “This test vaccine, which does both,<br />
may prove especially beneficial in protecting<br />
against infection acquired by sexual intercourse.”<br />
O<strong>the</strong>r sites th<strong>at</strong> will particip<strong>at</strong>e in <strong>the</strong> study are<br />
Harvard <strong>University</strong>, Emory, and Novavax, Inc.,<br />
which will develop and manufacture <strong>the</strong> vaccine.<br />
Whe<strong>the</strong>r or not <strong>the</strong> vaccine makes it to human<br />
trials, <strong>the</strong> investig<strong>at</strong>ion promises to shed new light<br />
on <strong>the</strong> elusive virus and a potential vaccine.<br />
“Whe<strong>the</strong>r <strong>the</strong> outcome is positive or neg<strong>at</strong>ive, <strong>the</strong><br />
study will contribute gre<strong>at</strong>ly to HIV vaccine<br />
research. When <strong>the</strong> trial is completed, we will<br />
know whe<strong>the</strong>r to go forward with testing <strong>of</strong> <strong>the</strong><br />
vaccine on a large scale or redesign our str<strong>at</strong>egy.”<br />
UAB RECEIVES $15.9 MILLION FROM NIH<br />
TO CONSTRUCT RESEARCH LAB<br />
A $15.9-million grant from <strong>the</strong> N<strong>at</strong>ional<br />
Institutes <strong>of</strong> Health will help fund construction <strong>of</strong><br />
a new research facility <strong>at</strong> UAB th<strong>at</strong> will be used to<br />
develop <strong>the</strong> next gener<strong>at</strong>ion <strong>of</strong> vaccines, drugs,<br />
and diagnostic tests for emerging infections such<br />
as SARS and West Nile, and for defense against<br />
organisms such as pox viruses th<strong>at</strong> might be used<br />
in bioterrorist <strong>at</strong>tacks.<br />
“This award recognizes UAB’s outstanding<br />
research record in virology, bacterial p<strong>at</strong>hogenesis,<br />
and immunology,” says President Carol Z. Garrison,<br />
Ph.D.<br />
“With this award, we will cre<strong>at</strong>e a facility th<strong>at</strong><br />
will serve as a regional resource for researchers who<br />
are investig<strong>at</strong>ing <strong>the</strong>se pressing health issues,” says<br />
Richard Marchase, Ph.D., senior associ<strong>at</strong>e dean for<br />
biomedical research <strong>at</strong> <strong>the</strong> UASOM and principal<br />
investig<strong>at</strong>or for <strong>the</strong> grant. “Th<strong>at</strong> we would be chosen<br />
as <strong>the</strong> site for this facility indic<strong>at</strong>es <strong>the</strong> regard<br />
with which UAB’s research program is held.”<br />
<strong>The</strong> facility is known as a Biosafety Level (BSL)<br />
-3 Labor<strong>at</strong>ory. Labor<strong>at</strong>ories th<strong>at</strong> handle infectious<br />
agents are r<strong>at</strong>ed on four levels. BSL-1 labor<strong>at</strong>ories<br />
handle agents th<strong>at</strong> are considered harmless. BSL-<br />
4 labs handle agents th<strong>at</strong> are considered extremely<br />
dangerous and life-thre<strong>at</strong>ening. BSL-3 labs<br />
handle agents th<strong>at</strong> may cause serious or potentially<br />
lethal diseases. UAB and its affili<strong>at</strong>e Sou<strong>the</strong>rn
News Cover Briefs Story<br />
Research Institute already oper<strong>at</strong>e BSL-3 labor<strong>at</strong>ories,<br />
and <strong>the</strong>ir safety record has been flawless.<br />
“<strong>The</strong>se facilities provide a very controlled, safe<br />
environment for <strong>the</strong> scientific investig<strong>at</strong>ion into<br />
potentially dangerous diseases and microbes,” says<br />
Richard Whitley, M.D., pr<strong>of</strong>essor <strong>of</strong> pedi<strong>at</strong>rics<br />
and infectious diseases. Whitley is UAB’s principal<br />
investig<strong>at</strong>or in a consortium <strong>of</strong> six Sou<strong>the</strong>astern<br />
universities awarded $45 million in early<br />
September to fund research into emerging infections<br />
and biological agents.<br />
<strong>The</strong> facility will be approxim<strong>at</strong>ely 40,000 square<br />
feet, with 18,000 square feet <strong>of</strong> labor<strong>at</strong>ory space. A<br />
specific site for <strong>the</strong> facility has not yet been selected.<br />
Construction is scheduled to begin in mid-2004.<br />
PANCREATIC CANCER’S 95-PERCENT<br />
MORTALITY RATE TARGETED WITH<br />
MAJOR FEDERAL GRANT<br />
UAB’s Comprehensive Cancer Center has<br />
received a five-year, $4.5-million pancre<strong>at</strong>ic cancer<br />
SPORE (Specialized Program <strong>of</strong> Research<br />
Excellence) P20 grant in a major initi<strong>at</strong>ive to<br />
reduce <strong>the</strong> dismal outcomes <strong>of</strong> pancre<strong>at</strong>ic cancer.<br />
SPORE grants are highly competitive awards<br />
from <strong>the</strong> N<strong>at</strong>ional Cancer Institute. <strong>The</strong>y are<br />
designed to move labor<strong>at</strong>ory findings quickly and<br />
safely into clinical use, with <strong>the</strong> ultim<strong>at</strong>e goal being<br />
more effective tre<strong>at</strong>ments th<strong>at</strong> lead to improved<br />
outcomes and survival. Of 15 cancer centers applying<br />
for planning awards this year, only UAB, M.D.<br />
Anderson, and <strong>the</strong> Mayo Clinic were successful.<br />
<strong>The</strong>y will apply for fur<strong>the</strong>r expansion <strong>of</strong> funding in<br />
2006. Johns Hopkins <strong>University</strong> and <strong>the</strong><br />
<strong>University</strong> <strong>of</strong> Nebraska previously were awarded<br />
pancre<strong>at</strong>ic-cancer SPORE grants.<br />
UAB’s cancer center has been highly successful in<br />
applying for SPORE awards. O<strong>the</strong>rs received are for<br />
ovarian, breast, and brain tumor research. <strong>The</strong> only<br />
o<strong>the</strong>r institutions having as many as four SPORE<br />
awards are Johns Hopkins and M.D. Anderson.<br />
“Pancre<strong>at</strong>ic cancer has a dismal history <strong>of</strong><br />
funding despite being one <strong>of</strong> <strong>the</strong> deadliest malignant<br />
diseases,” says Selwyn Vickers, M.D., <strong>the</strong><br />
surgeon who will direct <strong>the</strong> program. “We are<br />
gr<strong>at</strong>ified th<strong>at</strong> more emphasis is now being placed<br />
on a disease th<strong>at</strong> is <strong>the</strong> fourth leading cause <strong>of</strong><br />
cancer de<strong>at</strong>h in <strong>the</strong> United St<strong>at</strong>es while ranking<br />
only ninth in incidence. In 2003, an estim<strong>at</strong>ed<br />
30,000 Americans were diagnosed with <strong>the</strong> disease.<br />
Notably, it has a 95-percent mortality r<strong>at</strong>e.”<br />
UNIVERSITY GETS NEW $10.4-MILLION<br />
RESEARCH CENTER<br />
<strong>The</strong> UAB Comprehensive Cancer Center has<br />
been named as one <strong>of</strong> only four federal Centers<br />
for Nutrient and Gene Interaction in Cancer<br />
Prevention (CNGI). Noted UAB soy researcher<br />
Stephen Barnes, Ph.D., pr<strong>of</strong>essor <strong>of</strong> pharmacology,<br />
will direct <strong>the</strong> new center, which will be funded<br />
with $10.4 million from <strong>the</strong> N<strong>at</strong>ional Cancer<br />
Institute (NCI).<br />
<strong>The</strong> CNGI program is a new initi<strong>at</strong>ive <strong>of</strong> <strong>the</strong><br />
NCI, <strong>the</strong> n<strong>at</strong>ion’s principal source <strong>of</strong> cancer<br />
research funds. Two <strong>of</strong> UAB’s three initial center<br />
projects will focus on <strong>the</strong> role played by compounds<br />
in dietary soy, green tea, and wine in preventing<br />
cells in <strong>the</strong> breast and prost<strong>at</strong>e from<br />
developing into cancer tumors. <strong>The</strong> third will<br />
examine how scientists can effectively analyze <strong>the</strong><br />
tremendous amounts <strong>of</strong> d<strong>at</strong>a becoming available<br />
with new technology based on <strong>the</strong> Human<br />
Genome Project.<br />
Barnes, intern<strong>at</strong>ionally renowned for his<br />
research on <strong>the</strong> properties <strong>of</strong> dietary soy th<strong>at</strong> may<br />
prevent breast and prost<strong>at</strong>e cancer, says, “Our<br />
ability to study genes and proteins has improved<br />
dram<strong>at</strong>ically in recent years, so we now are trying<br />
to understand how <strong>the</strong>y interact with substances<br />
in <strong>the</strong> environment, such as <strong>the</strong> food we e<strong>at</strong> and<br />
drink. Our group particularly has expertise in <strong>the</strong><br />
chemopreventive aspects <strong>of</strong> a class <strong>of</strong> soy, green<br />
tea, and wine compounds called polyphenols, so<br />
much <strong>of</strong> <strong>the</strong> center’s work will involve how those<br />
interact with cells in breast and prost<strong>at</strong>e tissue.”<br />
O<strong>the</strong>r institutions receiving funding are<br />
Harvard, <strong>the</strong> Albert Einstein College <strong>of</strong> Medicine,<br />
and Georgetown <strong>University</strong>.<br />
UAB RECEIVES $7.6 MILLION TO STUDY<br />
WINE CONSUMPTION BENEFITS<br />
<strong>The</strong> UASOM has received a $7.6-million, fiveyear<br />
grant from <strong>the</strong> N<strong>at</strong>ional Heart, Lung and Blood<br />
Institute (NHLBI) to fur<strong>the</strong>r examine <strong>the</strong> heart-protective<br />
benefits <strong>of</strong> moder<strong>at</strong>e wine consumption.<br />
Francois Booyse, Ph.D., cardiovascular disease<br />
expert and prominent wine researcher, will lead a<br />
multidisciplinary team <strong>of</strong> more than 17 researchers<br />
in exploring <strong>the</strong> cellular, molecular, and genetic<br />
mechanisms by which wine components (alcohol<br />
and polyphenols) work to reduce and prevent heart<br />
disease and de<strong>at</strong>hs rel<strong>at</strong>ed to heart disease.<br />
“<strong>The</strong>se studies will provide new understanding<br />
<strong>of</strong> <strong>the</strong>se mechanisms and should provide opportunities<br />
for future development <strong>of</strong> new drugs and/or<br />
<strong>the</strong>rapeutic str<strong>at</strong>egies th<strong>at</strong> can be used to effectively<br />
mimic <strong>the</strong>se protective effects. In turn, this<br />
could substantially reduce <strong>the</strong> overall long-term<br />
risk for heart disease,” Booyse says.<br />
$5 MILLION AWARDED TO STUDY<br />
EFFECTS OF OZONE ON LUNG<br />
DEVELOPMENT<br />
UAB has received a three-year, $5-million grant<br />
from <strong>the</strong> N<strong>at</strong>ional Institute <strong>of</strong> Environmental<br />
Health Sciences to lead a n<strong>at</strong>ional study th<strong>at</strong> will<br />
begin to evalu<strong>at</strong>e <strong>the</strong> effects <strong>of</strong> poor air quality on<br />
lung growth and development, and on <strong>the</strong> development<br />
<strong>of</strong> asthma in children.<br />
“Despite much research on <strong>the</strong> health effects <strong>of</strong><br />
ozone, fundamental questions remain unanswered,”<br />
says Edward M. Postlethwait, Ph.D., pr<strong>of</strong>essor<br />
and acting chair <strong>of</strong> <strong>the</strong> Department <strong>of</strong><br />
Environmental Health Sciences <strong>at</strong> UAB, “such as<br />
how ozone causes injury to <strong>the</strong> respir<strong>at</strong>ory tract, if<br />
exposure exacerb<strong>at</strong>es <strong>the</strong> development <strong>of</strong> asthma,<br />
or if a child’s exposure to ozone may have long-lasting<br />
effects.”<br />
<strong>The</strong> study is a collabor<strong>at</strong>ive effort <strong>of</strong> 24<br />
researchers from eight institutions: UAB, <strong>the</strong><br />
<strong>University</strong> <strong>of</strong> California <strong>at</strong> Davis, Michigan St<strong>at</strong>e<br />
<strong>University</strong>, Pennsylvania St<strong>at</strong>e <strong>University</strong>, Pacific<br />
Northwest N<strong>at</strong>ional Labor<strong>at</strong>ories, Louisiana St<strong>at</strong>e<br />
<strong>University</strong>, CIIT Centers for Health Research,<br />
and <strong>the</strong> Environmental Protection Agency.<br />
“<strong>The</strong> goal is to be able to predict specific health<br />
risks based on ozone exposures children experience.<br />
We hope results will have direct implic<strong>at</strong>ions<br />
for improving our ability to assess potential<br />
exposure effects. In turn, knowing risks and taking<br />
measures to prevent ozone exposure may<br />
gre<strong>at</strong>ly reduce childhood illnesses and <strong>the</strong>ir rel<strong>at</strong>ed<br />
medical expenses,” Postlethwait says.<br />
MORE THAN $160,000 IN GRANTS<br />
RECEIVED FROM PVA EDUCATION<br />
AND TRAINING FOUNDATION<br />
Two researchers from <strong>the</strong> Department <strong>of</strong><br />
Physical Medicine and Rehabilit<strong>at</strong>ion recently<br />
received major grants from <strong>the</strong> Educ<strong>at</strong>ion and<br />
Training Found<strong>at</strong>ion (ETF) <strong>of</strong> <strong>the</strong> Paralyzed<br />
Veterans <strong>of</strong> America (PVA). In separ<strong>at</strong>ely awarded<br />
grants, <strong>the</strong> two researchers secured a combined<br />
total <strong>of</strong> $164,495 over two years.<br />
One <strong>of</strong> <strong>the</strong> grants went to Amie B. Jackson,<br />
M.D., chair <strong>of</strong> <strong>the</strong> Department <strong>of</strong> Physical<br />
Medicine and Rehabilit<strong>at</strong>ion, who received<br />
$100,000 to establish two one-year accredited fellowships<br />
in spinal-cord injury (SCI) medicine in<br />
<strong>the</strong> department. Accredited fellowship training is<br />
now required for subspecialty boards in SCI medicine.<br />
This is <strong>the</strong> second time Jackson has received ETF<br />
fellowship funding. In addition, in 2000 she was<br />
awarded ETF funding for a study <strong>of</strong> pregnancy and<br />
delivery in women with spinal-cord injury or disease<br />
(SCI/D).<br />
A separ<strong>at</strong>e ETF grant went to Yuying Chen,<br />
M.D., also in <strong>the</strong> Department <strong>of</strong> Physical<br />
Medicine and Rehabilit<strong>at</strong>ion. Chen was awarded<br />
$64,495 for a two-year effort to develop a “selfdirected<br />
weight-management program” for individuals<br />
with spinal-cord injury or disease.<br />
Chen’s grant builds on a previous pilot program<br />
she developed to adapt a n<strong>at</strong>ionally recognized<br />
weight-management program called<br />
E<strong>at</strong>Right© for persons with spinal-cord injury.<br />
<strong>The</strong> program uses diet instruction, behavior modific<strong>at</strong>ion,<br />
and exercise to promote good health.<br />
With <strong>the</strong> grant from ETF, Chen will now develop<br />
a self-directed 12-part video series and accompanying<br />
workbook to make <strong>the</strong> results <strong>of</strong> her<br />
research more readily available to <strong>the</strong> SCI/D community.<br />
Travel barriers may prevent some consumers<br />
from taking advantage <strong>of</strong> a hospital- or<br />
clinic-based program, so altern<strong>at</strong>ive methods <strong>of</strong><br />
dissemin<strong>at</strong>ion are particularly helpful for people<br />
with disabilities.<br />
5
Cover Story<br />
THE PURSUIT OF PARKINSON’S:<br />
New Insights into a Debilit<strong>at</strong>ing Disease<br />
By Russ Willcutt<br />
Illustr<strong>at</strong>ion by Art & Science
According to Ray L. W<strong>at</strong>ts, M.D., <strong>the</strong> days <strong>of</strong> searching for “<strong>the</strong>” cure<br />
for Parkinson’s disease have drawn to a close. Th<strong>at</strong>’s because neuroscientists<br />
now realize <strong>the</strong>re are a number <strong>of</strong> culprits involved in triggering<br />
<strong>the</strong> disease—and quite a variety <strong>of</strong> tre<strong>at</strong>ment p<strong>at</strong>hways as well.<br />
“We’ve never had such a deep understanding <strong>of</strong> neurodegener<strong>at</strong>ive disorders<br />
before, especially Parkinson’s, or so many tre<strong>at</strong>ment options available to us,”<br />
says W<strong>at</strong>ts, who is chair <strong>of</strong> <strong>the</strong> Department <strong>of</strong> Neurology <strong>at</strong> UAB. “This really<br />
is a gre<strong>at</strong> time to be involved in neuroscience.”<br />
Identifying <strong>the</strong> Enemy<br />
<strong>The</strong> first revolution in <strong>the</strong> understanding <strong>of</strong> Parkinson’s came in <strong>the</strong> l<strong>at</strong>e ’50s<br />
and early ’60s, when scientists discovered <strong>the</strong> connection between <strong>the</strong> onset <strong>of</strong> <strong>the</strong><br />
disease and <strong>the</strong> de<strong>at</strong>h <strong>of</strong> brain cells th<strong>at</strong> produce <strong>the</strong> neurotransmitter dopamine.<br />
When present in sufficient quantity, dopamine facilit<strong>at</strong>es such critical functions<br />
as movement, emotional response, and <strong>the</strong> ability to experience pleasure<br />
and pain. Dopamine-containing neurons are clustered in <strong>the</strong> midbrain; in<br />
Parkinson’s disease, <strong>the</strong>se neurons malfunction and die, cutting <strong>of</strong>f dopamine<br />
production and thus causing motor-function impairment.<br />
Neuroscientists are beginning to identify some <strong>of</strong> <strong>the</strong> causes <strong>of</strong> <strong>the</strong> de<strong>at</strong>h <strong>of</strong><br />
dopamine-producing cells in <strong>the</strong> brain. Environmental toxins, such as pesticides,<br />
are among <strong>the</strong> culprits. One pesticide known as rotenone, which has<br />
been widely available for garden use for decades, is on <strong>the</strong> list <strong>of</strong> possible environmental<br />
causes. “A colleague <strong>of</strong> mine <strong>at</strong> Emory, Dr. Timothy Greenamyre,<br />
showed th<strong>at</strong>, when rotenone was administered to r<strong>at</strong>s and <strong>the</strong>n l<strong>at</strong>er to monkeys,<br />
it killed <strong>of</strong>f <strong>the</strong>ir dopamine-producing cells,” says W<strong>at</strong>ts. “Although<br />
nobody has shown a direct link to humans yet, this product is marketed as an<br />
‘organic pesticide,’ and I’ve had p<strong>at</strong>ients who informed me th<strong>at</strong> <strong>the</strong>y’ve been<br />
dusting <strong>the</strong>ir tom<strong>at</strong>o plants with it for years.”<br />
Ano<strong>the</strong>r known environmental toxin th<strong>at</strong> can kill dopamine-producing cells<br />
is MPTP, a “designer drug” th<strong>at</strong> was discovered by accident more than 20 years<br />
ago. “An am<strong>at</strong>eur chemist was trying to cook up ‘street heroin’ in his basement,<br />
and he overhe<strong>at</strong>ed <strong>the</strong> reaction and accidentally made MPTP, which produced<br />
Parkinson’s-like symptoms in <strong>the</strong> drug users who shot it up,” says W<strong>at</strong>ts.<br />
“Suddenly <strong>the</strong>re was a cluster <strong>of</strong> people in <strong>the</strong>ir 20s and 30s in <strong>the</strong> San<br />
Francisco Bay area with <strong>the</strong> rapid onset <strong>of</strong> Parkinson’s.”<br />
<strong>The</strong>se days, MPTP is mostly confined to <strong>the</strong> labor<strong>at</strong>ory, where it’s used to<br />
produce experimental Parkinsonism in animals to aid in <strong>the</strong> effort to develop<br />
tre<strong>at</strong>ments for <strong>the</strong> disease.<br />
Schem<strong>at</strong>ic drawing <strong>of</strong> a dopamine nerve terminal/synapse th<strong>at</strong> points out<br />
molecular targets for imaging <strong>of</strong> <strong>the</strong> dopamine system in Parkinson’s p<strong>at</strong>ients.<br />
Ray W<strong>at</strong>ts, M.D. (right, with UASOM students), believes current and emerging<br />
tre<strong>at</strong>ment <strong>the</strong>rapies mean th<strong>at</strong> medicine is on <strong>the</strong> brink <strong>of</strong> finding a cure for<br />
Parkinson’s disease.<br />
Possible Family Ties<br />
Researchers have also made gre<strong>at</strong> progress in exploring <strong>the</strong> genetics <strong>of</strong><br />
Parkinson’s. Findings so far point to a very small subset <strong>of</strong> individuals who are<br />
strongly genetically predisposed to <strong>the</strong> disease and a larger group th<strong>at</strong> may have<br />
genetic risk factors—which could help scientists presymptom<strong>at</strong>ically identify<br />
p<strong>at</strong>ients who might benefit from early intervention. “Th<strong>at</strong>’s an area we’ve really<br />
been pushing hard over <strong>the</strong> past five or six years,” says W<strong>at</strong>ts. “We’re doing<br />
some large genetic studies in familial Parkinson’s, looking for potentially common<br />
risk-factor genes.”<br />
Of <strong>the</strong> half-dozen gene defects th<strong>at</strong> have been identified so far, all have one<br />
thing in common: <strong>The</strong>y all lead to <strong>the</strong> abnormal handling <strong>of</strong> proteins in <strong>the</strong><br />
cells. “Th<strong>at</strong>’s been found to be <strong>the</strong> case across <strong>the</strong> spectrum <strong>of</strong> neurodegener<strong>at</strong>ive<br />
diseases, whe<strong>the</strong>r you’re talking about Parkinson’s, Alzheimer’s, or<br />
Huntington’s disease,” W<strong>at</strong>ts says. “When <strong>the</strong> first gene defect was discovered<br />
a few years ago, showing alpha synuclein as <strong>the</strong> culprit in Parkinson’s, nobody<br />
could believe it. <strong>The</strong> abnormal handling and buildup <strong>of</strong> <strong>the</strong> alpha synuclein<br />
protein in <strong>the</strong> cells was a completely unexpected finding, but th<strong>at</strong> just goes to<br />
show you <strong>the</strong> potential power <strong>of</strong> a single scientific discovery.”<br />
W<strong>at</strong>ts chooses to see each newly discovered caus<strong>at</strong>ive factor as yet ano<strong>the</strong>r<br />
opportunity to develop effective tre<strong>at</strong>ments. “Besides genetic and environmental<br />
triggers, we know <strong>of</strong> five or six o<strong>the</strong>r ways in which <strong>the</strong> cells can be insulted or<br />
damaged—which means <strong>the</strong>re are half a dozen different ways to develop diseaseblocking<br />
str<strong>at</strong>egies,” he says. “So while <strong>the</strong>re is no single cause for Parkinson’s, we<br />
now know something about <strong>the</strong> different causes; and th<strong>at</strong> knowledge might allow<br />
us to introduce <strong>the</strong>rapies th<strong>at</strong>, used in conjunction with one ano<strong>the</strong>r, could potentially<br />
stop progression <strong>of</strong> <strong>the</strong> disease and even return a p<strong>at</strong>ient to normalcy.”<br />
W<strong>at</strong>ts says it’s important to keep in mind th<strong>at</strong> an individual only needs about<br />
30 percent <strong>of</strong> his or her dopamine-producing cells functioning to be considered<br />
normal, and th<strong>at</strong> is a potentially reachable goal with <strong>the</strong> <strong>the</strong>rapies th<strong>at</strong> are currently<br />
under investig<strong>at</strong>ion. “Maybe one single agent can’t halt <strong>the</strong> disease’s progression<br />
100 percent, but if one <strong>the</strong>rapy slows it by half, and ano<strong>the</strong>r by 30 percent, and<br />
ano<strong>the</strong>r by 10 percent, <strong>the</strong>n you’ve basically stopped progression.”<br />
7
Cover Story<br />
NORMAL<br />
ADD IMAGE<br />
Ki MAP<br />
“Someone who is diagnosed with Parkinson’s <strong>at</strong> age<br />
50 will need a 25- or 30-year tre<strong>at</strong>ment plan, so<br />
you don’t want to burn any bridges behind you,”<br />
says W<strong>at</strong>ts. “You want to tre<strong>at</strong> <strong>the</strong>ir symptoms and<br />
allow <strong>the</strong>m to be functional, while <strong>at</strong> <strong>the</strong> same time<br />
planning for <strong>the</strong> future.”<br />
O<strong>the</strong>r long-acting dopamine agonists th<strong>at</strong> may<br />
last for 24 hours or more are being tested, including<br />
some th<strong>at</strong> are administered orally and o<strong>the</strong>rs<br />
th<strong>at</strong> are absorbed through <strong>the</strong> skin via a skin p<strong>at</strong>ch<br />
similar to <strong>the</strong> nitroglycerin p<strong>at</strong>ch th<strong>at</strong>’s used by<br />
p<strong>at</strong>ients with heart disease. “Researchers are also<br />
developing biochemical compounds th<strong>at</strong> work by<br />
mechanisms th<strong>at</strong> are unlike anything we’ve ever had<br />
before,” says W<strong>at</strong>ts. “We’re really in <strong>the</strong> midst <strong>of</strong> an<br />
explosion in our understanding <strong>of</strong> <strong>the</strong> brain, its<br />
chemistry, and molecular biology. Parkinson’s has<br />
probably been one <strong>of</strong> <strong>the</strong> best examples <strong>of</strong> how<br />
understanding problems, defects, and mechanisms<br />
has led to new <strong>the</strong>rapies <strong>at</strong> every juncture.”<br />
PD<br />
Examples <strong>of</strong> 18 F-DOPA Positron Emission Tomographic (PET) brain images in a normal person (top scans<br />
showing “stronger” signal) and in a person with mild Parkinson’s (bottom scans showing “weaker” signal,<br />
especially on <strong>the</strong> left, indic<strong>at</strong>ing damage/loss <strong>of</strong> some <strong>of</strong> <strong>the</strong> dopamine nigrostri<strong>at</strong>al system).<br />
On <strong>the</strong> Trail <strong>of</strong> Tre<strong>at</strong>ments<br />
Dopaminergic <strong>the</strong>rapies such as levodopa, or L-<br />
dopa, which has been available since <strong>the</strong> ’60s, have<br />
had an enormous impact on tre<strong>at</strong>ment <strong>of</strong> Parkinson’s,<br />
says W<strong>at</strong>ts. To help relieve <strong>the</strong>ir symptoms, Parkinson’s<br />
p<strong>at</strong>ients are given L-dopa, which is converted to<br />
dopamine in <strong>the</strong> brain. “In <strong>the</strong> early stages, you can<br />
make p<strong>at</strong>ients almost normal again with dopaminergic<br />
<strong>the</strong>rapy, if you give <strong>the</strong>m enough.”<br />
Still, he says, it’s important to carefully monitor<br />
how much <strong>of</strong> <strong>the</strong> drug is administered because<br />
more will be needed as <strong>the</strong> disease progresses.<br />
“We’re tre<strong>at</strong>ing <strong>the</strong> symptoms, but <strong>the</strong> dopamine<br />
cells in <strong>the</strong> brain are continuing to die <strong>of</strong>f. We tend<br />
to be conserv<strong>at</strong>ive in <strong>the</strong> early stages because<br />
increased dosages will eventually be required.”<br />
Over <strong>the</strong> past decade, researchers have developed<br />
new syn<strong>the</strong>tic long-acting dopamine compounds, or<br />
“agonists,” th<strong>at</strong> allow for lower dosages <strong>of</strong> L-dopa.<br />
“<strong>The</strong> principle is th<strong>at</strong> if you give <strong>the</strong> p<strong>at</strong>ient a syn<strong>the</strong>tic<br />
dopamine agonist compound, you can use smaller<br />
amounts <strong>of</strong> L-dopa and avoid or reduce <strong>the</strong> associ<strong>at</strong>ed<br />
motor complic<strong>at</strong>ions th<strong>at</strong> may occur 10 or 15 years<br />
down <strong>the</strong> road,” W<strong>at</strong>ts explains. “Every medic<strong>at</strong>ion<br />
has a beneficial pr<strong>of</strong>ile, but if you use enough <strong>of</strong> it,<br />
<strong>the</strong>re are side effects too. So <strong>the</strong> big lesson here is th<strong>at</strong><br />
dopaminergic <strong>the</strong>rapy works, but you need to develop<br />
str<strong>at</strong>egies th<strong>at</strong> can deliver good long-term outcomes.”<br />
W<strong>at</strong>ts likens <strong>the</strong> situ<strong>at</strong>ion to diabetes, in which<br />
blood sugar can be controlled reasonably well in <strong>the</strong><br />
short term, but it’s <strong>the</strong> long-term complic<strong>at</strong>ions,<br />
such as damage to <strong>the</strong> kidneys, th<strong>at</strong> have to be<br />
avoided. “Even a mild to moder<strong>at</strong>e elev<strong>at</strong>ion in<br />
blood sugar can cause kidney failure over time, so<br />
it’s important to develop tre<strong>at</strong>ment str<strong>at</strong>egies th<strong>at</strong><br />
take such possibilities into consider<strong>at</strong>ion years in<br />
advance <strong>of</strong> <strong>the</strong>ir actual occurrence.”<br />
O<strong>the</strong>r problems associ<strong>at</strong>ed with L-dopa are th<strong>at</strong><br />
it’s fairly short-acting and it has <strong>the</strong> tendency to<br />
produce an initial “shockwave” effect on <strong>the</strong> brain<br />
when taken orally. “When <strong>the</strong> brain is ‘pulsed’ in<br />
this manner, it can bring about changes in physiology,<br />
as well as in gene and molecule expression,”<br />
says W<strong>at</strong>ts. “Th<strong>at</strong>’s why it’s important to develop<br />
<strong>the</strong>se new <strong>the</strong>rapies th<strong>at</strong> provide <strong>the</strong> long-acting<br />
dopaminergic stimul<strong>at</strong>ion from <strong>the</strong> beginning.”<br />
An Eye to <strong>the</strong> Future<br />
<strong>The</strong> average age for <strong>the</strong> onset <strong>of</strong> Parkinson’s is<br />
60, but half <strong>of</strong> <strong>the</strong> cases are diagnosed in p<strong>at</strong>ients<br />
who are younger than 60, so tre<strong>at</strong>ment plans spanning<br />
<strong>at</strong> least two or three decades are necessary.<br />
Halting Progress<br />
Building on <strong>the</strong> success <strong>of</strong> dopaminergic tre<strong>at</strong>ments,<br />
researchers have begun to explore <strong>the</strong> promise<br />
<strong>of</strong> neuroprotective <strong>the</strong>rapies to slow down or<br />
stop <strong>the</strong> progression <strong>of</strong> Parkinson’s. “This really<br />
represents <strong>the</strong> second revolution in <strong>the</strong> tre<strong>at</strong>ment <strong>of</strong><br />
Parkinson’s disease,” W<strong>at</strong>ts says. “We’re involved in<br />
an NIH consortium th<strong>at</strong>’s testing four new compounds<br />
in early, untre<strong>at</strong>ed Parkinson’s to see if <strong>the</strong>y<br />
slow <strong>the</strong> r<strong>at</strong>e <strong>of</strong> progression, and <strong>the</strong> potential <strong>of</strong><br />
<strong>the</strong>se compounds is significant.”<br />
<strong>The</strong> first two compounds being tested are cre<strong>at</strong>ine<br />
and coenzyme Q10, which are both bioenergizers th<strong>at</strong><br />
reduce dopamine cell de<strong>at</strong>h. <strong>The</strong> third is <strong>the</strong> antibiotic<br />
minocycline, which is being used in this setting as<br />
an anti-inflamm<strong>at</strong>ory agent in <strong>the</strong> brain. “It’s now<br />
known th<strong>at</strong> a subset <strong>of</strong> cells called microglia lie dormant<br />
in <strong>the</strong> brain, and wh<strong>at</strong>ever’s causing <strong>the</strong> cell<br />
de<strong>at</strong>h in Parkinson’s is activ<strong>at</strong>ing <strong>the</strong>se cells, which<br />
accentu<strong>at</strong>es <strong>the</strong> damage,” he says. “Since minocycline<br />
has an anti-microglial effect, we’re testing it to see if it<br />
will help slow <strong>the</strong> r<strong>at</strong>e <strong>of</strong> progression.”<br />
<strong>The</strong> fourth, and perhaps most promising, <strong>the</strong>rapy<br />
involves “pro-growth factor compounds,” which<br />
can induce increased production <strong>of</strong> dopamine cell<br />
growth factors th<strong>at</strong> can actually repair <strong>the</strong> cell damage<br />
th<strong>at</strong> has already occurred. “<strong>The</strong>se cells die back<br />
like a tree,” W<strong>at</strong>ts says. “<strong>The</strong>ir axons are up in <strong>the</strong><br />
brain’s stri<strong>at</strong>um a couple <strong>of</strong> inches away, and <strong>the</strong>y<br />
die back slowly toward <strong>the</strong> cell body. When a person<br />
is diagnosed with Parkinson’s, <strong>the</strong>y’ve already<br />
lost a number <strong>of</strong> <strong>the</strong>ir dopamine-producing cells,<br />
but a lot <strong>of</strong> <strong>the</strong> cells are sick and gradually dying<br />
back—and pro-growth factors block th<strong>at</strong> action<br />
and rescue <strong>the</strong> cells.<br />
“<strong>The</strong>se growth factors really have a gre<strong>at</strong> deal <strong>of</strong><br />
potential, especially if <strong>the</strong>y’re used early,” W<strong>at</strong>ts says.<br />
“Not only do <strong>the</strong>y bring <strong>the</strong> cells back toward health,<br />
8
VOLUMES OF SIGNIFICANT WITHIN-GROUP PROGRESSION<br />
(P
Fe<strong>at</strong>ure Stories<br />
Twenty Years <strong>of</strong> Transplants<br />
<strong>The</strong> Liver Transplant Program Celebr<strong>at</strong>es a Milestone<br />
By Nancy Mann Jackson<br />
T<br />
his past November, <strong>University</strong> Hospital celebr<strong>at</strong>ed 20 years <strong>of</strong><br />
performing liver transplants, as it looked to complete its<br />
1,000th liver transplant in early 2004. In <strong>the</strong> two decades<br />
since liver transplants were first performed <strong>at</strong> UAB, survival r<strong>at</strong>es have<br />
increased significantly and re-transplant r<strong>at</strong>es have declined dram<strong>at</strong>ically—<br />
in fact, both r<strong>at</strong>es have consistently been among <strong>the</strong> best in <strong>the</strong> n<strong>at</strong>ion.<br />
“In <strong>the</strong> past 20 years, UAB has developed a n<strong>at</strong>ionally<br />
recognized liver-transplant program th<strong>at</strong> is in <strong>the</strong> top 20<br />
by volume, and is in <strong>the</strong> top 10 when ranked by p<strong>at</strong>ient<br />
outcomes,” says Devin Eckh<strong>of</strong>f, M.D., division director<br />
<strong>of</strong> transplant<strong>at</strong>ion surgery. “Liver transplant<strong>at</strong>ion has<br />
improved, reflecting better management <strong>of</strong> people with<br />
liver disease and better management and care <strong>of</strong> p<strong>at</strong>ients<br />
after transplants.”<br />
Focused Care and Teamwork<br />
Eckh<strong>of</strong>f says UAB will soon reach a milestone when it performs<br />
its 1,000th liver transplant. “This shows <strong>the</strong> breadth <strong>of</strong><br />
<strong>the</strong> program and its longevity,” he says. “We couldn’t have<br />
performed this many transplants without taking excellent<br />
care <strong>of</strong> our p<strong>at</strong>ients and <strong>the</strong>reby gener<strong>at</strong>ing more referrals. It’s<br />
a vote <strong>of</strong> confidence by <strong>the</strong> referring physicians who continue<br />
sending <strong>the</strong>ir p<strong>at</strong>ients here, and a vote <strong>of</strong> confidence by<br />
<strong>the</strong> hospital and <strong>the</strong> Department <strong>of</strong> Surgery for supporting<br />
<strong>the</strong> program for such a long time.”<br />
“We couldn’t have performed this many transplants<br />
without taking excellent care <strong>of</strong> our<br />
p<strong>at</strong>ients and <strong>the</strong>reby gener<strong>at</strong>ing more referrals.<br />
It’s a vote <strong>of</strong> confidence by <strong>the</strong> referring physicians<br />
who continue sending <strong>the</strong>ir p<strong>at</strong>ients here,<br />
and a vote <strong>of</strong> confidence by <strong>the</strong> hospital and <strong>the</strong><br />
department <strong>of</strong> surgery for supporting <strong>the</strong> program<br />
for such a long time.” — Devin Eckh<strong>of</strong>f, M.D.<br />
An uncompromising commitment to p<strong>at</strong>ient care and an<br />
uncommon level <strong>of</strong> expertise have helped bring <strong>the</strong> liver<br />
transplant program to its preeminent level, Eckh<strong>of</strong>f says. “All<br />
surgeons are not cre<strong>at</strong>ed equal,” he notes. “Our surgical<br />
results and outcomes are much better than average.”<br />
One reason for this superior record is <strong>the</strong> fact th<strong>at</strong>, unlike<br />
many transplant programs, <strong>the</strong> UAB surgeons who perform<br />
liver transplants primarily focus on caring for people with<br />
liver disease, Eckh<strong>of</strong>f says.<br />
10<br />
Devin Eckh<strong>of</strong>f, M.D., cites UAB’s n<strong>at</strong>ionally recognized transplant programs as<br />
pro<strong>of</strong> positive <strong>of</strong> <strong>the</strong> university’s commitment to p<strong>at</strong>ient care.
Fe<strong>at</strong>ure Stories<br />
In addition to <strong>the</strong> technical skill and clinical expertise <strong>of</strong> <strong>the</strong> surgeons<br />
in <strong>the</strong> program, <strong>the</strong> liver program’s outstanding results can<br />
also be <strong>at</strong>tributed to “<strong>the</strong> development <strong>of</strong> a multidisciplinary approach<br />
to <strong>the</strong> management <strong>of</strong> end-stage liver disease,” says Mark Deierhoi,<br />
M.D., former director <strong>of</strong> <strong>the</strong> Division <strong>of</strong> Transplant<strong>at</strong>ion and current<br />
director <strong>of</strong> <strong>the</strong> Division <strong>of</strong> Renal Transplants.<br />
Caring for each p<strong>at</strong>ient requires teamwork, and UAB health pr<strong>of</strong>essionals<br />
are known for <strong>the</strong>ir collabor<strong>at</strong>ive efforts. “Everything has<br />
to go right in order for a transplant to be successful,” Eckh<strong>of</strong>f says.<br />
“Th<strong>at</strong> includes obtaining <strong>the</strong> donor organ, <strong>the</strong> process <strong>of</strong> p<strong>at</strong>ient<br />
selection, <strong>the</strong> anes<strong>the</strong>sia, <strong>the</strong> surgery, and postoper<strong>at</strong>ive care. It is a<br />
team effort and every part has to be right for us to succeed.”<br />
Strength in Numbers<br />
Such success hasn’t come only in <strong>the</strong> liver department—it spans<br />
<strong>the</strong> spectrum <strong>of</strong> transplant<strong>at</strong>ion <strong>at</strong> UAB. “We have several flagship<br />
programs,” Eckh<strong>of</strong>f says. “We have <strong>the</strong> largest kidney program in<br />
<strong>the</strong> country with some <strong>of</strong> <strong>the</strong> n<strong>at</strong>ion’s best results; we have<br />
“Major accomplishments have been <strong>the</strong><br />
continued growth <strong>of</strong> <strong>the</strong> program, <strong>the</strong> achievement<br />
<strong>of</strong> <strong>the</strong> best graft-survival figures for a<br />
large program, and contributions to <strong>the</strong> development<br />
<strong>of</strong> new immunosuppressive agents.”<br />
— Mark Deierhoi, M.D.<br />
outstanding heart, lung, and bone marrow transplant programs.<br />
We’ve developed strong comprehensive transplant programs here.<br />
UAB does very well in so many areas <strong>of</strong> medicine, but if o<strong>the</strong>r centers<br />
had this kind <strong>of</strong> transplant program, it would be all you’d hear<br />
about. UAB has many o<strong>the</strong>r outstanding programs—like cardiology<br />
and cardiac surgery, infectious diseases, and oncology—th<strong>at</strong> are<br />
hugely successful. <strong>The</strong>refore transplants aren’t <strong>the</strong> central focus,<br />
although our transplant programs are n<strong>at</strong>ionally recognized.”<br />
UAB’s renal transplant program, which started in 1968, “is now<br />
one <strong>of</strong> <strong>the</strong> two largest programs in <strong>the</strong> country,” Deierhoi says.<br />
“Major accomplishments have been <strong>the</strong> continued growth <strong>of</strong> <strong>the</strong><br />
program, <strong>the</strong> achievement <strong>of</strong> <strong>the</strong> best graft-survival figures for a<br />
large program, and contributions to <strong>the</strong> development <strong>of</strong> new<br />
immunosuppressive agents.”<br />
While UAB’s existing transplant programs continue to build on<br />
<strong>the</strong>ir successes, <strong>the</strong> Division <strong>of</strong> Transplant<strong>at</strong>ion also has specific<br />
plans for growth over <strong>the</strong> coming months and years. When asked<br />
about his outlook for <strong>the</strong> future <strong>of</strong> <strong>the</strong> program, Deierhoi says he<br />
foresees “<strong>the</strong> expansion <strong>of</strong> <strong>the</strong> programs to include pancre<strong>at</strong>ic islet<br />
transplant<strong>at</strong>ion.”<br />
“We really want to continue to find different ways to grow and<br />
be able to meet <strong>the</strong> needs <strong>of</strong> our p<strong>at</strong>ients,” Eckh<strong>of</strong>f says.<br />
<strong>The</strong> program’s outstanding results have much to do with teamwork and <strong>the</strong><br />
collabor<strong>at</strong>ive environment <strong>at</strong> UAB, says Mark Deierhoi, M.D.<br />
Desper<strong>at</strong>e for Donors<br />
UAB has very skilled and motiv<strong>at</strong>ed transplant teams available<br />
24 hours a day, 7 days a week; however, <strong>the</strong> truth is th<strong>at</strong> transplants<br />
are only possible when donors are available. “In <strong>the</strong> beginning <strong>of</strong><br />
our programs, we had a lot more donor organs available rel<strong>at</strong>ive to<br />
<strong>the</strong> demand,” Eckh<strong>of</strong>f says. “Today, with <strong>the</strong> explosion <strong>of</strong> hep<strong>at</strong>itis<br />
C, <strong>the</strong>re are not enough livers to transplant all <strong>the</strong> p<strong>at</strong>ients who<br />
could potentially benefit from this lifesaving procedure, and <strong>the</strong>re<br />
are people dying because <strong>the</strong>re are no organs available for <strong>the</strong>m.”<br />
Eckh<strong>of</strong>f estim<strong>at</strong>es th<strong>at</strong> less than one-third <strong>of</strong> potential suitable<br />
donors become actual organ donors. “Without donors, we have<br />
this highly skilled team <strong>of</strong> physicians who are unable to help people<br />
and do wh<strong>at</strong> <strong>the</strong>y love to do,” he says. “None <strong>of</strong> this happens<br />
without donors, whe<strong>the</strong>r <strong>the</strong>y are live donors giving a kidney or<br />
part <strong>of</strong> a lung or liver, or whe<strong>the</strong>r <strong>the</strong>y are family members who<br />
choose to give <strong>the</strong> organs <strong>of</strong> a deceased loved one.<br />
“It all depends on o<strong>the</strong>r people’s willingness to don<strong>at</strong>e,” he<br />
says. “Each <strong>of</strong> our p<strong>at</strong>ients is <strong>the</strong> recipient <strong>of</strong> someone’s incredible<br />
generosity.”<br />
11
B<strong>at</strong>tling Burns and Winning<br />
Tre<strong>at</strong>ment Comes a Long Way<br />
By Roger Shuler<br />
James Cross, M.D., and<br />
Alan Dimick, M.D., along<br />
with many o<strong>the</strong>r physicians<br />
and staff, are part<br />
<strong>of</strong> <strong>the</strong> Burn Center’s<br />
ongoing commitment<br />
to burn care.<br />
When James Cross, M.D., is asked about progress<br />
made in <strong>the</strong> tre<strong>at</strong>ment <strong>of</strong> burns, he thinks<br />
about a scene from <strong>the</strong> 2001 film Pearl Harbor.<br />
“In <strong>the</strong> movie <strong>the</strong>re is a scene where <strong>the</strong><br />
Japanese have <strong>at</strong>tacked, and <strong>the</strong> hospital is inund<strong>at</strong>ed with<br />
p<strong>at</strong>ients,” Cross says. “<strong>The</strong> doctors are triaging <strong>the</strong> p<strong>at</strong>ients,<br />
and when <strong>the</strong>y have a burn p<strong>at</strong>ient, <strong>the</strong>y say, ‘Put him over<br />
<strong>the</strong>re under <strong>the</strong> tree.’ Back <strong>the</strong>n, it was assumed th<strong>at</strong> a p<strong>at</strong>ient<br />
with a severe burn was going to die.”<br />
Th<strong>at</strong> scene was set in 1941. Cross, director <strong>of</strong> <strong>the</strong> UAB<br />
Burn Center, says <strong>the</strong> medical approach to burns has changed<br />
dram<strong>at</strong>ically since <strong>the</strong>n.<br />
“Now we work under <strong>the</strong> premise th<strong>at</strong> most burn p<strong>at</strong>ients<br />
are going to live,” Cross says. “We don’t save everyone. P<strong>at</strong>ients<br />
with severe smoke-inhal<strong>at</strong>ion injuries, and those with burns<br />
over 60 to 70 percent <strong>of</strong> <strong>the</strong> body surface area—we have trouble<br />
saving <strong>the</strong>m. But if <strong>the</strong> burn area is less than th<strong>at</strong>, we work<br />
on <strong>the</strong> premise th<strong>at</strong> we can save <strong>the</strong> p<strong>at</strong>ient.”<br />
Challenges and Complic<strong>at</strong>ions<br />
Burns present some <strong>of</strong> <strong>the</strong> most difficult challenges in medicine.<br />
“With a severe burn, every single organ is affected,”<br />
Cross says. “Dealing with <strong>the</strong> burn to <strong>the</strong> skin is <strong>of</strong>ten <strong>the</strong> easy<br />
part. <strong>The</strong> difficult part comes when <strong>the</strong> lungs go bad, when <strong>the</strong><br />
kidneys and <strong>the</strong> gastrointestinal tract aren’t working.”<br />
For example, a severe burn can cause swelling in <strong>the</strong> GI tract<br />
th<strong>at</strong> makes it difficult for a p<strong>at</strong>ient to absorb nutrients. In fact,<br />
swelling in general is a major complic<strong>at</strong>ion with burns. “When<br />
you get a bee sting, you have swelling right around <strong>the</strong> site,”<br />
Cross says. “A burn is like a total-body bee sting.”<br />
12<br />
For p<strong>at</strong>ients burned over more than 70 percent <strong>of</strong> <strong>the</strong>ir bodies,<br />
<strong>the</strong> mortality r<strong>at</strong>e is very high. “Several things happen,”<br />
Cross says. “Often <strong>the</strong>y don’t make it through <strong>the</strong> initial resuscit<strong>at</strong>ion<br />
effort; <strong>the</strong> insult to <strong>the</strong> body is so gre<strong>at</strong> th<strong>at</strong> <strong>the</strong>y just<br />
can’t toler<strong>at</strong>e it. If <strong>the</strong>y get through th<strong>at</strong>, <strong>the</strong>y <strong>of</strong>ten succumb to<br />
o<strong>the</strong>r complic<strong>at</strong>ions, such as infections or respir<strong>at</strong>ory problems.”<br />
But because <strong>of</strong> progress in burn care, even severely burned<br />
p<strong>at</strong>ients can sometimes pull through. Alan Dimick, M.D., has<br />
seen <strong>the</strong> progress from <strong>the</strong> front lines.<br />
Dimick helped found <strong>the</strong> UAB Burn Center in 1970. He<br />
retired as burn center director in 1998, but he still serves as a<br />
consultant <strong>at</strong> Children’s Hospital and is a site reviewer for <strong>the</strong><br />
American Burn Associ<strong>at</strong>ion’s verific<strong>at</strong>ion program.<br />
“Before I retired, I had 15 p<strong>at</strong>ients walk out <strong>of</strong> <strong>the</strong> hospital<br />
after coming to us with 80- to 85-percent burns,” Dimick says.<br />
“If <strong>the</strong>y were to walk into a room with <strong>the</strong>ir clo<strong>the</strong>s on now,<br />
you couldn’t tell <strong>the</strong>y had a burn.”<br />
Shortly after Dimick joined <strong>the</strong> UAB faculty in 1963, Chief<br />
<strong>of</strong> Surgery Champ Lyons, M.D., asked him to <strong>at</strong>tend a meeting<br />
on burns in Galveston, Texas. “I saw how bad things were in<br />
burn care and how badly we needed to improve it,” Dimick says.<br />
A major step in th<strong>at</strong> direction came when UAB hosted <strong>the</strong><br />
first meeting <strong>of</strong> <strong>the</strong> American Burn Associ<strong>at</strong>ion (ABA) in 1967.<br />
“We had about 200 people <strong>at</strong> th<strong>at</strong> first meeting,” Dimick says.<br />
“Now we have about 3,000 <strong>at</strong> <strong>the</strong> annual meeting.”<br />
Secrets <strong>of</strong> Survival<br />
UAB is one <strong>of</strong> 130 burn centers in <strong>the</strong> United St<strong>at</strong>es and<br />
admits about 250 burn p<strong>at</strong>ients a year. Ano<strong>the</strong>r 150 burn<br />
p<strong>at</strong>ients are admitted each year <strong>at</strong> Children’s Hospital.<br />
A p<strong>at</strong>ient’s length <strong>of</strong> stay, which once was usually two to three<br />
months, now averages 21 to 28 days. But <strong>the</strong> hospital stay is just<br />
<strong>the</strong> beginning <strong>of</strong> <strong>the</strong> challenge. “We call burns a two-year disease,”<br />
Dimick says. “Th<strong>at</strong>’s how long it <strong>of</strong>ten takes to recover.”<br />
When Dimick began to oversee burn care <strong>at</strong> UAB, he did<br />
not have many competitors for <strong>the</strong> job. “Everyone was happy<br />
for me to take care <strong>of</strong> <strong>the</strong> burn p<strong>at</strong>ients,” he says. “You have<br />
p<strong>at</strong>ients with raw, open wounds, crying and smelling bad,<br />
hurting all <strong>the</strong> time. Nobody wanted to deal with <strong>the</strong>m.”<br />
It didn’t help th<strong>at</strong> outcomes <strong>of</strong>ten were not favorable. But<br />
gradually, th<strong>at</strong> began to change.<br />
Early surgery for burn p<strong>at</strong>ients was a major step forward.<br />
“In <strong>the</strong> ’60s and ’70s, we used to wait until <strong>the</strong> burned tissue<br />
was completely <strong>of</strong>f <strong>the</strong> p<strong>at</strong>ient before we did any skin grafting,”<br />
Dimick says. “Now we take <strong>the</strong>m into <strong>the</strong> OR during <strong>the</strong><br />
first couple <strong>of</strong> days. We now know th<strong>at</strong> once you cut <strong>of</strong>f <strong>the</strong><br />
dead tissue and cover <strong>the</strong> burn with a skin graft or artificial<br />
skin, <strong>the</strong> p<strong>at</strong>ient gets much better.”<br />
<strong>The</strong> value <strong>of</strong> nutrition also became apparent. “When you<br />
sustain a burn, <strong>the</strong> body begins working overtime to heal <strong>the</strong><br />
wounds,” Dimick says. “Your metabolic r<strong>at</strong>e goes up 100 to<br />
200 times. So we have to put a tube into <strong>the</strong> stomach and literally<br />
pump food into <strong>the</strong> p<strong>at</strong>ient.”
Skin Grafts: A Tale <strong>of</strong> Twins<br />
Small Burns, Big Impacts<br />
Burn care requires a multidisciplinary approach,<br />
and th<strong>at</strong> is why most burn centers are in large<br />
health-care facilities. “Wh<strong>at</strong> I do is not an isol<strong>at</strong>ed<br />
thing,” Cross says. “I couldn’t do wh<strong>at</strong> I do in a<br />
small-hospital setting, without <strong>the</strong> physical and<br />
occup<strong>at</strong>ional <strong>the</strong>rapy, <strong>the</strong> burn-dressing team, <strong>the</strong><br />
specialists in nutrition, pain control, psychi<strong>at</strong>ry,<br />
plastic surgery, and ophthalmology. All <strong>of</strong> <strong>the</strong>se people<br />
work toge<strong>the</strong>r on our burn p<strong>at</strong>ients <strong>at</strong> UAB.”<br />
<strong>The</strong> ABA has developed criteria for physicians to<br />
use in referring p<strong>at</strong>ients to burn centers. <strong>The</strong> idea,<br />
Cross says, is to let physicians know th<strong>at</strong> burn centers<br />
are not just for p<strong>at</strong>ients with large burns.<br />
“P<strong>at</strong>ients with burns gre<strong>at</strong>er than 20 percent are<br />
going to come here anyway because those are<br />
impressive burns,” Cross says. “But it’s also <strong>the</strong> small<br />
burn on <strong>the</strong> back <strong>of</strong> <strong>the</strong> hand th<strong>at</strong> might affect several<br />
fingers, or <strong>the</strong> burn across <strong>the</strong> neck or face or a<br />
major joint—those are <strong>the</strong> ones we also need to see.<br />
“I couldn’t do wh<strong>at</strong> I do in<br />
a small-hospital setting,<br />
without <strong>the</strong> physical and<br />
occup<strong>at</strong>ional <strong>the</strong>rapy, <strong>the</strong><br />
burn-dressing team, <strong>the</strong><br />
specialists in nutrition, pain<br />
control, psychi<strong>at</strong>ry, plastic<br />
surgery, and ophthalmology.<br />
All <strong>of</strong> <strong>the</strong>se people work<br />
toge<strong>the</strong>r on our<br />
burn p<strong>at</strong>ients <strong>at</strong> UAB.”<br />
— James Cross, M.D.<br />
If a burn has <strong>the</strong> potential to affect a person’s function<br />
or appearance for <strong>the</strong> rest <strong>of</strong> his life, he should<br />
be sent to a burn center.”<br />
Assisting <strong>the</strong> loved ones <strong>of</strong> burn p<strong>at</strong>ients is<br />
ano<strong>the</strong>r part <strong>of</strong> <strong>the</strong> equ<strong>at</strong>ion. A support group<br />
called B.U.R.N.S. (Burns Understanding Resources<br />
Needs Support) meets once a month <strong>at</strong> UAB<br />
Hospital. And Dimick has long been involved in<br />
burn-prevention efforts.<br />
“Burns are always going to be with us,” he says.<br />
“As long as we have industry and transport<strong>at</strong>ion, as<br />
long as we have drugs and alcohol, we will have<br />
burns. Th<strong>at</strong>’s why we need people who will continue<br />
to be on <strong>the</strong> cutting edge <strong>of</strong> caring for burns.”<br />
William Hardin, M.D., examined <strong>the</strong><br />
six-year-old girl with burns over more than<br />
80 percent <strong>of</strong> her body and knew it was<br />
going to be a difficult case.<br />
“After <strong>the</strong> initial evalu<strong>at</strong>ion, I told her<br />
mo<strong>the</strong>r th<strong>at</strong> <strong>the</strong> burns were severe and things<br />
didn’t look good,” Hardin says. “<strong>The</strong> mo<strong>the</strong>r<br />
was distraught and said this was going to devast<strong>at</strong>e<br />
<strong>the</strong> little girl’s twin sister. <strong>The</strong> implic<strong>at</strong>ions<br />
<strong>of</strong> her comment were enormous.”<br />
<strong>The</strong> mo<strong>the</strong>r’s comment touched <strong>of</strong>f a<br />
medical, legal, and ethical story th<strong>at</strong> has<br />
<strong>at</strong>tracted n<strong>at</strong>ional <strong>at</strong>tention. Thankfully,<br />
<strong>the</strong> story has a happy ending.<br />
Jenny with a UAB staff member during a<br />
recent appointment <strong>at</strong> <strong>the</strong> hospital.<br />
Jenny Cowan was badly burned in<br />
early December 2002 after a fireplace<br />
explosion <strong>at</strong> <strong>the</strong> family’s home in<br />
Lynn Haven, Florida, near Panama<br />
City. She was transferred to Children’s<br />
Hospital in <strong>Birmingham</strong> with burns<br />
everywhere but on her head, her<br />
hands, behind her knees, and under<br />
her arms. She was on a ventil<strong>at</strong>or for<br />
five days and in desper<strong>at</strong>e need <strong>of</strong> skin<br />
grafts. Doctors put her chance <strong>of</strong> survival<br />
<strong>at</strong> 50 percent.<br />
Those chances improved when<br />
Hardin learned about Jenny’s twin<br />
sister, Sydney. “We know, from our experience with transplants, th<strong>at</strong> <strong>the</strong> absolutely best<br />
m<strong>at</strong>ch for any organ is an identical twin,” Hardin says. “But <strong>the</strong>re were ethical and legal<br />
issues to be considered. Can you take skin from a normal child to benefit a sibling? Do<br />
you ask <strong>the</strong> child? Can a six-year-old consent? Who decides?”<br />
Hardin consulted experts n<strong>at</strong>ionwide, and <strong>the</strong> Cowan twin oper<strong>at</strong>ion was approved<br />
by a medical ethics committee. <strong>The</strong> family went before a prob<strong>at</strong>e judge, who appointed<br />
<strong>at</strong>torneys for both children and conducted a hearing. <strong>The</strong> judge expressed “significant<br />
concerns,” Hardin said, but approved <strong>the</strong> grafts.<br />
Skin was taken from Sydney’s back, scalp, and bottom and successfully grafted onto Jenny.<br />
“Both girls are back in school, and <strong>the</strong> burned child is now in gymnastics class,” Hardin says.<br />
“<strong>The</strong>y both are doing beautifully.”<br />
ABC’s 20/20 has filmed interviews for a<br />
segment about <strong>the</strong> Cowan twins.<br />
For Hardin, <strong>the</strong> ethical questions linger,<br />
and he recently made a Grand Rounds present<strong>at</strong>ion<br />
about <strong>the</strong> case. “I posed <strong>the</strong> question:<br />
How much does <strong>the</strong> outcome influence<br />
perception <strong>of</strong> wh<strong>at</strong> we did? It was<br />
wildly successful from a medical perspective,<br />
but wh<strong>at</strong> if it had gone badly? We<br />
would be called to account for th<strong>at</strong>.<br />
“Is <strong>the</strong> correctness <strong>of</strong> this, in terms <strong>of</strong><br />
ethics, determined by <strong>the</strong> clinical outcome?<br />
I’ve had people say <strong>the</strong>y can view <strong>the</strong> two<br />
separ<strong>at</strong>ely. But I’m not sure I buy th<strong>at</strong>.”<br />
Sydney (left) and Jenny Cowan.<br />
Sydney and Jenny (L and R, with an<br />
unidentified friend) recently celebr<strong>at</strong>ed<br />
<strong>the</strong>ir seventh birthday.<br />
13
<strong>The</strong> Medical School Admissions Committee<br />
“GATEKEEPERS” OF THE UASOM<br />
By Dawn Mesa<br />
Each year, anywhere from 48 to 55 committee members work<br />
toge<strong>the</strong>r to evalu<strong>at</strong>e applicants to <strong>the</strong> UASOM. <strong>The</strong> members<br />
<strong>of</strong> <strong>the</strong> Admissions Interview Committee and its subcommittee,<br />
<strong>the</strong> Admissions Selection Committee, are directly<br />
responsible for <strong>the</strong> current face <strong>of</strong> <strong>the</strong> UASOM’s m<strong>at</strong>ricul<strong>at</strong>ing student<br />
body. For <strong>the</strong> 2003-2004 admissions year, <strong>the</strong>re are 53 committee<br />
members total, 35 men and 18 women; 44 are on <strong>the</strong> Interview<br />
Committee and 9 on <strong>the</strong> Selection Committee.<br />
<strong>The</strong> committee members <strong>the</strong>mselves are a diverse group hailing from<br />
many backgrounds and holding varied job titles; some are UASOM<br />
alumni, while o<strong>the</strong>rs are not. Most are appointed to three-year terms;<br />
<strong>The</strong> UASOM interview process is just one part <strong>of</strong> <strong>the</strong> big picture th<strong>at</strong> is<br />
admissions, says N<strong>at</strong>han Smith, M.D.<br />
o<strong>the</strong>rs, such as deans, serve on <strong>the</strong> committees as part <strong>of</strong> <strong>the</strong>ir administr<strong>at</strong>ive<br />
responsibility. <strong>The</strong> committees consist <strong>of</strong> a variety <strong>of</strong> UASOM<br />
and UAB faculty (M.D.s, Ph.D.s, and M.D./Ph.D.s from various specialty<br />
areas), staff from medical student services, assistant deans, faculty<br />
from <strong>the</strong> Huntsville and Tuscaloosa programs, <strong>Alabama</strong> physicians<br />
from a variety <strong>of</strong> communities (rural, towns, and cities), and many<br />
more, says N<strong>at</strong>han B. Smith, M.D., assistant dean for admissions.<br />
“<strong>The</strong>re are also a few non-physicians and non-UASOM individuals on<br />
<strong>the</strong> committees,” Smith adds. “We usually have one or two people on<br />
<strong>the</strong> Interview Committee who are community leaders.”<br />
IMPORTANCE OF THE INTERVIEW<br />
<strong>The</strong> interview “season” begins on June 1 <strong>of</strong> each year when applicants<br />
begin to prepare <strong>the</strong>ir applic<strong>at</strong>ions through AMCAS, <strong>the</strong> American Medical<br />
College Applic<strong>at</strong>ion Service. AMCAS <strong>the</strong>n begins processing applic<strong>at</strong>ions<br />
on August 1. <strong>The</strong> UASOM typically begins receiving applic<strong>at</strong>ions in l<strong>at</strong>e<br />
July, and <strong>the</strong> interview process gets underway in September <strong>of</strong> each year.<br />
Former Admissions Committee member Suzanne M. Bergman,<br />
M.D., says th<strong>at</strong> her favorite part <strong>of</strong> <strong>the</strong> evalu<strong>at</strong>ion process is speaking<br />
with <strong>the</strong> applicants. “We look for <strong>the</strong>ir ability to interact with people,<br />
how well <strong>the</strong>y’ll be able to work with people from all walks <strong>of</strong> life,” she<br />
says. “We also want to make sure th<strong>at</strong> medicine is something th<strong>at</strong> <strong>the</strong>y<br />
really want to do and not something <strong>the</strong>y’ve been directed toward.” This<br />
is an important consider<strong>at</strong>ion for <strong>the</strong> children <strong>of</strong> physician parents.<br />
Bergman <strong>of</strong>fers some words <strong>of</strong> advice for applicants: “Not only<br />
should you have a real interest in and love for people, biology, and <strong>the</strong><br />
physiology <strong>of</strong> <strong>the</strong> body, but you should also know wh<strong>at</strong> you’re getting<br />
into—how hard it really is. You should also spend time shadowing<br />
physicians in clinics and hospitals, see people suffering, see wh<strong>at</strong> is<br />
done to help <strong>the</strong>m out and wh<strong>at</strong> can’t be done, and understand th<strong>at</strong>.”<br />
In addition to <strong>the</strong> Medical College Admission Test (MCAT) score,<br />
grade-point average (GPA), and prerequisite course requirements for<br />
acceptance into medical school, <strong>the</strong> UASOM considers <strong>the</strong> rigors <strong>of</strong> an<br />
applicant’s academic curriculum, a composite or prepr<strong>of</strong>essional committee<br />
letter, <strong>the</strong> applicant’s communic<strong>at</strong>ion skills (via <strong>the</strong> interview process<br />
and written essay), service and volunteer activities, health-rel<strong>at</strong>ed experience<br />
and/or “shadowing,” leadership roles, o<strong>the</strong>r extracurricular activities<br />
and campus involvement, and letters <strong>of</strong> recommend<strong>at</strong>ion.<br />
MAKING IT ON THEIR OWN<br />
On occasion, anxious parents <strong>of</strong> medical-school applicants—including<br />
physician parents <strong>of</strong> applicants—contact <strong>the</strong> admissions <strong>of</strong>fice to<br />
make inquiries for <strong>the</strong>ir children. Given <strong>the</strong> level <strong>of</strong> m<strong>at</strong>urity expected<br />
from medical-school applicants, <strong>the</strong> admissions process is something <strong>the</strong><br />
UASOM Admissions Committee expects <strong>the</strong> applicants to handle<br />
<strong>the</strong>mselves, says Smith.<br />
In addition, some parents <strong>of</strong>ten think th<strong>at</strong> <strong>the</strong> only way <strong>the</strong>y can really get<br />
<strong>the</strong> ‘scoop’ on whe<strong>the</strong>r or not <strong>the</strong>ir child will be admitted is by knowing<br />
someone on <strong>the</strong> committee. Not so, says Smith. “<strong>The</strong> reality is th<strong>at</strong> anything<br />
<strong>the</strong> committee has to share will be shared with <strong>the</strong> applicant. We want to<br />
communic<strong>at</strong>e directly with th<strong>at</strong> individual; it’s <strong>the</strong> best way for <strong>the</strong>m to find<br />
out where <strong>the</strong>y stand, and it prevents any miscommunic<strong>at</strong>ion.”<br />
<strong>The</strong> UASOM does its best to foster open lines <strong>of</strong> communic<strong>at</strong>ion<br />
with applicants. From <strong>the</strong> start, it’s made clear to applicants “th<strong>at</strong> if<br />
<strong>the</strong>y have questions, ask us—we specifically advise <strong>the</strong>m, ‘You ask<br />
us,’ ” says Smith. “If <strong>the</strong>y want to get feedback on <strong>the</strong>ir interview, ask<br />
us. <strong>The</strong> way we give feedback is th<strong>at</strong> we literally read <strong>the</strong>m <strong>the</strong> comments<br />
from <strong>the</strong> committee.”<br />
In making decisions for admission, notes Smith, <strong>the</strong> Selection<br />
Committee takes into consider<strong>at</strong>ion both objective and subjective<br />
aspects <strong>of</strong> wh<strong>at</strong> an applicant brings to being a physician. While solid<br />
academics are critical to becoming a physician, equally important are<br />
subjective <strong>at</strong>tributes such as compassion and concern for o<strong>the</strong>rs. Adds<br />
Smith, “no one wants this to be a process in which we simply accept<br />
applicants with <strong>the</strong> highest grades and MCAT scores; <strong>the</strong>re’s a lot<br />
more than th<strong>at</strong> to deciding who would likely be a good medical student—and<br />
physician.”<br />
14
New Licensing Requirements<br />
STAYING AHEAD OF THE CURVE<br />
By Dawn Mesa<br />
In 1968 <strong>the</strong> Feder<strong>at</strong>ion <strong>of</strong> St<strong>at</strong>e Medical Boards<br />
(FSMB) and <strong>the</strong> N<strong>at</strong>ional Board <strong>of</strong> Medical<br />
Examiners (NBME) got toge<strong>the</strong>r to cre<strong>at</strong>e <strong>the</strong><br />
Feder<strong>at</strong>ion Licensing Examin<strong>at</strong>ion (FLEX),<br />
which remained <strong>the</strong> n<strong>at</strong>ional standard by which physicians<br />
became licensed to practice medicine in <strong>the</strong><br />
United St<strong>at</strong>es until 1994. At th<strong>at</strong> time, <strong>the</strong> FSMB and<br />
NBME integr<strong>at</strong>ed a new three-part examin<strong>at</strong>ion<br />
known as <strong>the</strong> United St<strong>at</strong>es Medical Licensing<br />
Examin<strong>at</strong>ion (USMLE) to replace <strong>the</strong> FLEX as well as<br />
<strong>the</strong> certifying exams <strong>of</strong> <strong>the</strong> NBME.<br />
ADDRESSING CONCERNS<br />
More recently, both <strong>the</strong> FSMB and NBME voiced<br />
concern th<strong>at</strong> <strong>the</strong> three written tests th<strong>at</strong> make up <strong>the</strong><br />
USMLE weren’t adequ<strong>at</strong>ely testing <strong>the</strong> clinical skills,<br />
pr<strong>of</strong>essionalism, and communic<strong>at</strong>ion abilities <strong>of</strong> medical<br />
students. To address this problem, a new component—<strong>the</strong><br />
Clinical Skills Examin<strong>at</strong>ion (CSE)—was<br />
added to <strong>the</strong> second part <strong>of</strong> <strong>the</strong> USMLE in early<br />
2003. This action was taken in response to extensive<br />
research showing th<strong>at</strong> poor physician communic<strong>at</strong>ion,<br />
interpersonal skills, and clinical skills are directly<br />
rel<strong>at</strong>ed to a higher incidence <strong>of</strong> malpractice suits, as<br />
well as poor p<strong>at</strong>ient compliance and lower r<strong>at</strong>es <strong>of</strong><br />
p<strong>at</strong>ient s<strong>at</strong>isfaction. <strong>The</strong> CSE is scheduled to be rolled<br />
out in 2004 and will be required for <strong>the</strong> class <strong>of</strong> 2005<br />
and subsequent years.<br />
“<strong>The</strong> UASOM particip<strong>at</strong>ed as a subcontractor for<br />
<strong>the</strong> NBME when <strong>the</strong>y were developing <strong>the</strong> CSE,” says<br />
Dennis W. Boulware, M.D., FACP, senior associ<strong>at</strong>e<br />
dean <strong>of</strong> medical educ<strong>at</strong>ion. “We were a beta site; we<br />
knew how <strong>the</strong> cases were going to be constructed, we<br />
knew wh<strong>at</strong> <strong>the</strong>y wanted, and we put our students<br />
through it and added our own cases to see how <strong>the</strong> students<br />
were doing and how—consequently—our curriculum<br />
was doing.”<br />
FROM VOLUNTARY TO MANDATORY<br />
Before anyone could have predicted such a development,<br />
<strong>the</strong> UASOM had already instituted its own exam<br />
to test <strong>the</strong> clinical skills <strong>of</strong> its medical students. Known as<br />
<strong>the</strong> Objective Structured Clinical Examin<strong>at</strong>ion (OSCE),<br />
<strong>the</strong> exam was a voluntary effort for senior students when<br />
it was introduced in <strong>the</strong> early 1990s. <strong>The</strong> senior OSCE<br />
became standard in 1994 when <strong>the</strong> UASOM decided to<br />
make passing it a requirement for all gradu<strong>at</strong>es beginning<br />
with <strong>the</strong> class <strong>of</strong> 1997.<br />
Once <strong>the</strong> exam became mand<strong>at</strong>ory <strong>at</strong> <strong>the</strong> UASOM,<br />
it became necessary to centralize <strong>the</strong> loc<strong>at</strong>ion <strong>of</strong> <strong>the</strong><br />
test’s administr<strong>at</strong>ion. After several years <strong>of</strong> students<br />
from <strong>the</strong> <strong>Birmingham</strong> and Huntsville schools having to<br />
travel to various loc<strong>at</strong>ions in Tuscaloosa for <strong>the</strong> exam, it<br />
was moved to <strong>Birmingham</strong> in l<strong>at</strong>e 2003—and space<br />
was design<strong>at</strong>ed specifically for administr<strong>at</strong>ion <strong>of</strong> <strong>the</strong><br />
OSCE. Housed on <strong>the</strong> third floor <strong>of</strong> Volker Hall, <strong>the</strong><br />
space consists <strong>of</strong> 20 exam rooms, each <strong>of</strong> which is<br />
designed “in much <strong>the</strong> same manner as exam rooms<br />
found in a typical physician’s <strong>of</strong>fice,” notes Boulware.<br />
An OSCE is administered several times a year. First- and<br />
second-year students take <strong>the</strong> test early on as part <strong>of</strong> <strong>the</strong><br />
Introduction to Clinical Medicine course; and fourth-year<br />
students take it as a “high stakes” exam, since <strong>the</strong>y must<br />
pass it to gradu<strong>at</strong>e from <strong>the</strong> UASOM. According to<br />
Boulware, each fourth-year student being tested must<br />
rot<strong>at</strong>e through 10 st<strong>at</strong>ions—or “p<strong>at</strong>ients” in exam rooms<br />
who’ve been trained in wh<strong>at</strong> to disclose for purposes <strong>of</strong><br />
diagnosis and wh<strong>at</strong> to keep in mind in evalu<strong>at</strong>ing <strong>the</strong> student’s<br />
contact with <strong>the</strong>m. <strong>The</strong> entire process is videorecorded.<br />
“Each ‘p<strong>at</strong>ient’ completes a checklist for each student;<br />
<strong>the</strong> checklists are <strong>the</strong>n scored and l<strong>at</strong>er evalu<strong>at</strong>ed to<br />
see th<strong>at</strong> <strong>the</strong> student meets <strong>the</strong> criteria necessary to pass,”<br />
says P<strong>at</strong> Norton, Ed.D., director <strong>of</strong> <strong>the</strong> standardized<br />
p<strong>at</strong>ient content and administr<strong>at</strong>ion <strong>of</strong> <strong>the</strong> program. <strong>The</strong><br />
senior OSCE is managed by Roger Berkow, M.D., assistant<br />
dean for clinical curiculum, who chairs a faculty<br />
OSCE committee.<br />
Given <strong>the</strong> fact <strong>the</strong> n<strong>at</strong>ional CSE will soon be required<br />
for all medical students, <strong>the</strong> UASOM will need to<br />
rethink how it administers and counts <strong>the</strong> OSCE<br />
toward gradu<strong>at</strong>ion. “When <strong>the</strong> new USMLE requirements<br />
go into effect, we may change <strong>the</strong> UASOM’s<br />
requirements so th<strong>at</strong> students have to pass our OSCE<br />
but have to take <strong>the</strong> CSE as well. Afterward, when we<br />
can compare <strong>the</strong> results, we may even end up changing<br />
ours so th<strong>at</strong> students need to pass <strong>the</strong> n<strong>at</strong>ional CSE to<br />
gradu<strong>at</strong>e from <strong>the</strong> UASOM, but use our OSCE to help<br />
<strong>the</strong>m get ready for th<strong>at</strong> exam,” Boulware says.<br />
(Top and bottom) First-year<br />
UASOM students took part in <strong>the</strong><br />
introduction to clinical medicine<br />
test in <strong>the</strong> newly renov<strong>at</strong>ed space<br />
in Volker Hall on October 25.<br />
15
Clinical Nutrition<br />
LAYING THE GROUNDWORK FOR TOMORROW’S DOCTORS<br />
By Dawn Mesa<br />
Ask most medical-school gradu<strong>at</strong>es wh<strong>at</strong> <strong>the</strong>ir experience with clinical nutrition<br />
was during <strong>the</strong>ir four years, and <strong>the</strong> answer will likely be “minimal” or<br />
even “none <strong>at</strong> all.” But if you ask a recent UASOM gradu<strong>at</strong>e th<strong>at</strong> same question,<br />
<strong>the</strong> answer may well surprise you.<br />
Currently, UASOM students are required to <strong>at</strong>tend 50 hours <strong>of</strong> clinical<br />
nutrition lectures during <strong>the</strong> spring quarter <strong>of</strong> <strong>the</strong>ir first year <strong>of</strong> medical school.<br />
“<strong>The</strong> required course th<strong>at</strong> we <strong>of</strong>fer has <strong>the</strong> most contact hours <strong>of</strong> any medical<br />
school nutrition course in <strong>the</strong> United St<strong>at</strong>es,” says Douglas C. Heimburger,<br />
M.D., M.S., FACP, course director and pr<strong>of</strong>essor in <strong>the</strong> Division <strong>of</strong> Clinical<br />
Nutrition and Dietetics in <strong>the</strong> Departments <strong>of</strong> Nutrition Science and<br />
Medicine. “Probably <strong>the</strong> school <strong>of</strong> medicine with <strong>the</strong> second-highest number<br />
requires 25 to 30 hours.”<br />
HEALTHY CHOICES<br />
<strong>The</strong> clinical-nutrition training th<strong>at</strong> UASOM students receive includes many<br />
<strong>of</strong> <strong>the</strong> nutrition principles and clinical practice skills necessary for tre<strong>at</strong>ing and<br />
preventing cardiovascular diseases, obesity, diabetes, and o<strong>the</strong>r chronic diseases.<br />
In addition to <strong>the</strong> mand<strong>at</strong>ory 50 hours <strong>of</strong> clinical nutrition in <strong>the</strong> first year,<br />
students receive nutrition training via <strong>the</strong> introduction to clinical medicine<br />
(ICM) course th<strong>at</strong>’s taught during <strong>the</strong> first and second years. <strong>The</strong>re is also an<br />
opportunity for fourth-year medical students to do ei<strong>the</strong>r a two- or four-week<br />
elective rot<strong>at</strong>ion in clinical nutrition.<br />
Wes Stubblefield, a fourth-year UASOM student, elected to do <strong>the</strong> clinicalnutrition<br />
rot<strong>at</strong>ion so th<strong>at</strong> he can better serve his p<strong>at</strong>ients l<strong>at</strong>er on in life. “My<br />
goal eventually is to pursue a field in primary care—pedi<strong>at</strong>rics specifically—<br />
and I really wanted to pursue this as a way to communic<strong>at</strong>e with my p<strong>at</strong>ients—<br />
kids and <strong>the</strong>ir parents—and find ways to change people’s minds and health and<br />
e<strong>at</strong>ing behaviors,” he says.<br />
“<strong>The</strong>re were so many o<strong>the</strong>r courses th<strong>at</strong> played into wh<strong>at</strong> we learned in <strong>the</strong><br />
first-year course—biochemistry and physiology, for example. I thought, ‘Wh<strong>at</strong><br />
better way to solidify my training than to do <strong>the</strong> fourth-year elective rot<strong>at</strong>ion?’<br />
I think <strong>the</strong> ability to communic<strong>at</strong>e and change p<strong>at</strong>ients’ minds about <strong>the</strong>ir<br />
health behaviors is a special part <strong>of</strong> primary care, but <strong>the</strong> clinical nutrition<br />
training is useful in any discipline with p<strong>at</strong>ient contact,” says Stubblefield.<br />
“Healthy choices by adults and caregivers make healthy choices for families. As<br />
Douglas Heimburger, M.D. (right), with Wes Stubblefield, takes pride in <strong>the</strong><br />
number <strong>of</strong> clinical-nutrition contact hours required by <strong>the</strong> UASOM.<br />
a pedi<strong>at</strong>rician, if you’re able to educ<strong>at</strong>e adults, you’re really able to change children<br />
secondarily.”<br />
BROAD IMPLICATIONS AND APPLICATIONS<br />
<strong>The</strong> UASOM first instituted clinical nutrition in its curricula back in 1976<br />
under <strong>the</strong> direction <strong>of</strong> Roland Weinsier, M.D. “He got a lot <strong>of</strong> things started<br />
here th<strong>at</strong> have survived and thrived,” says Heimburger, “and th<strong>at</strong> was one <strong>of</strong><br />
<strong>the</strong>m.” Reflective <strong>of</strong> <strong>the</strong> broad scope nutrition plays in <strong>the</strong> “real world” as well<br />
as in curricula, <strong>the</strong> department is currently affili<strong>at</strong>ed with four UAB schools:<br />
health-rel<strong>at</strong>ed pr<strong>of</strong>essions, medicine, public health, and dentistry.<br />
Most physicians who specialize in clinical nutrition end up in priv<strong>at</strong>e practice<br />
or in academic settings, and <strong>the</strong>ir p<strong>at</strong>ients represent a broad spectrum <strong>of</strong><br />
conditions and diseases. “Some physician nutrition specialists are interested<br />
strictly in research and management <strong>of</strong> p<strong>at</strong>ients with obesity; some take care <strong>of</strong><br />
really sick p<strong>at</strong>ients, in ICUs for example, and coordin<strong>at</strong>e enteral and parenteral<br />
feeding; o<strong>the</strong>rs tre<strong>at</strong> p<strong>at</strong>ients with gastroinstestinal disorders; while still o<strong>the</strong>rs<br />
tre<strong>at</strong> p<strong>at</strong>ients undergoing palli<strong>at</strong>ive care,” Heimburger adds. “A lot <strong>of</strong> <strong>the</strong><br />
people who do nutrition aren’t necessarily ‘card-carrying’ physician nutrition<br />
specialists; <strong>the</strong>y are actually sc<strong>at</strong>tered among a variety <strong>of</strong> specialty fields.”<br />
For more inform<strong>at</strong>ion about <strong>the</strong> clinical nutrition program <strong>at</strong> <strong>the</strong> UASOM,<br />
please contact Douglas Heimburger <strong>at</strong> (205) 934-7058 or visit <strong>the</strong> program’s<br />
Web site <strong>at</strong> [http://www.uab.edu/nutrition].<br />
FIGHTING THE GOOD FIGHT: UASOM ALUM GIVES IT HIS ALL<br />
By Jay Taylor<br />
Among <strong>the</strong> many achievements <strong>of</strong> Ronald<br />
Henderson, M.D., is one he hopes will have an<br />
impact for gener<strong>at</strong>ions to come. He has written a<br />
book, titled Attacking Myas<strong>the</strong>nia Gravis: A Key in<br />
<strong>the</strong> B<strong>at</strong>tle Against Autoimmune Diseases (Court Street<br />
Press), about his personal experiences with myas<strong>the</strong>nia<br />
gravis (MG). <strong>The</strong> book delves into issues rel<strong>at</strong>ed<br />
to MG, as well as o<strong>the</strong>r autoimmune and chronic<br />
diseases.<br />
Henderson can hold his head up high for more<br />
than just th<strong>at</strong>, though. Not only is he leading a noble<br />
fight against a variety <strong>of</strong> debilit<strong>at</strong>ing diseases, he can<br />
also physically hold his head up on his own. At one<br />
point, MG, an autoimmune disease th<strong>at</strong> limits <strong>the</strong><br />
body’s ability to use its muscles, was severely affecting<br />
his neck. “I suffered from f<strong>at</strong>igue and loss <strong>of</strong> stamina,”<br />
says <strong>the</strong> UASOM alum and former OB/GYN<br />
faculty member. As <strong>the</strong> disease progressed, his symptoms<br />
got worse. “After 10 a.m., my voice would go<br />
away because my larynx muscles wouldn’t work.”<br />
<strong>The</strong>n went his ability to hold his head up, eyehand<br />
coordin<strong>at</strong>ion, and o<strong>the</strong>r basic functions most<br />
people take for granted. “In severe cases, people lose<br />
<strong>the</strong> ability to brea<strong>the</strong> and have to go on a ventil<strong>at</strong>or,”<br />
he says. “Luckily, I never had to do th<strong>at</strong>,<br />
although I came close one time.”<br />
He first experienced symptoms <strong>of</strong> MG in<br />
February 1994. By th<strong>at</strong> September, <strong>the</strong> disease had<br />
16
An Upd<strong>at</strong>e on <strong>the</strong> UASOM in Huntsville and Tuscaloosa<br />
By Dawn Mesa<br />
With <strong>the</strong> recent opening <strong>of</strong> <strong>the</strong> new clinical building,<br />
UASOM faculty and students in Huntsville are<br />
thrilled to be loc<strong>at</strong>ed under one ro<strong>of</strong>. Consisting <strong>of</strong><br />
three stories with approxim<strong>at</strong>ely 93,000 square feet<br />
<strong>of</strong> space, <strong>the</strong> building had its grand opening celebr<strong>at</strong>ion<br />
in March.<br />
<strong>The</strong> first floor <strong>of</strong> <strong>the</strong> building houses <strong>the</strong> VA clinic, as<br />
well as lease space for a pharmacy and a durable medical<br />
equipment showroom. <strong>The</strong> second floor is where <strong>the</strong><br />
family medicine center is loc<strong>at</strong>ed—with OB/GYN,<br />
pedi<strong>at</strong>rics, and internal medicine clinics. O<strong>the</strong>r clinical<br />
activities also take place on <strong>the</strong> second floor, with 36<br />
exam rooms and a special procedures area. <strong>The</strong> administr<strong>at</strong>ive<br />
and faculty <strong>of</strong>fices are loc<strong>at</strong>ed on <strong>the</strong> third floor,<br />
along with <strong>the</strong> medical library, three classrooms, three<br />
<strong>The</strong> new clinical space <strong>at</strong> <strong>the</strong> UASOM Huntsville<br />
brings all <strong>of</strong> its departments toge<strong>the</strong>r in one place.<br />
conference rooms, a student and resident lounge, and an<br />
auditorium. At <strong>the</strong> same time, <strong>the</strong> UASOM has kept<br />
space available in <strong>the</strong> new facility for future growth.<br />
Founded in 1973, <strong>the</strong> UASOM Huntsville had<br />
been housed in two loc<strong>at</strong>ions since its inception.<br />
This new building places all <strong>of</strong> its departments and<br />
people under <strong>the</strong> same ro<strong>of</strong>. “It’s given us an opportunity<br />
to be one cohesive group,” says Paula<br />
Cothren, director <strong>of</strong> academic programs and<br />
administr<strong>at</strong>ive affairs in Huntsville.<br />
In addition to <strong>the</strong> new facility, <strong>the</strong> Huntsville program<br />
recently became a member <strong>of</strong> <strong>the</strong> Nor<strong>the</strong>rn<br />
<strong>Alabama</strong> Health Educ<strong>at</strong>ion Consortium (NAHEC)—<br />
a pipeline program designed to help identify and mentor<br />
students in junior colleges throughout <strong>the</strong> st<strong>at</strong>e<br />
who are interested in careers in health-rel<strong>at</strong>ed fields<br />
including medicine, nursing, and pharmacy.<br />
NEW BUILDING, ONGOING PROGRAMS<br />
Looking to <strong>the</strong> south, ground was recently broken<br />
for a new UASOM Tuscaloosa building.<br />
According to William Curry, M.D., FACP, associ<strong>at</strong>e<br />
dean <strong>of</strong> <strong>the</strong> Tuscaloosa program, “It’s really going to<br />
be a gre<strong>at</strong> building, functionally and appearancewise.”<br />
Construction began in December 2002 and<br />
is sl<strong>at</strong>ed to be complete in April 2004. Totaling<br />
77,000 square feet, <strong>the</strong> two-story building will<br />
house all faculty and departmental <strong>of</strong>fices, as well as<br />
central administr<strong>at</strong>ion, clinics, <strong>the</strong> health-sciences<br />
library, medical student affairs, and all support<br />
services. A few <strong>of</strong> <strong>the</strong> rural programs will remain in<br />
Nott Hall because <strong>the</strong>y serve a lot <strong>of</strong> undergradu<strong>at</strong>e<br />
and gradu<strong>at</strong>e students, says Curry.<br />
Ano<strong>the</strong>r development in Tuscaloosa th<strong>at</strong> involves<br />
both p<strong>at</strong>ient care and clinical teaching is <strong>the</strong> conversion<br />
<strong>of</strong> <strong>the</strong> medical records system from a paperbased<br />
to an electronic system. Implement<strong>at</strong>ion<br />
began in April 2002, and <strong>the</strong> last remaining department<br />
was brought on in July 2003.<br />
<strong>The</strong> Rural Health Scholars Program for rural highschool<br />
students is still a big initi<strong>at</strong>ive <strong>at</strong> <strong>the</strong> UASOM<br />
Tuscaloosa, as is <strong>the</strong> Rural Medical Scholars Program,<br />
which is in its eighth year. In this program, rural college<br />
students receive early admission to medical school<br />
if <strong>the</strong>y have expressed an intent to return to rural<br />
<strong>Alabama</strong> communities to practice medicine once <strong>the</strong>ir<br />
formal medical educ<strong>at</strong>ion is complete. <strong>The</strong>re is also a<br />
Rural Minority Scholars Program in place th<strong>at</strong> targets<br />
minority students <strong>at</strong> <strong>the</strong> same high-school level as <strong>the</strong><br />
Rural Health Scholars Program. “We are looking for<br />
ways to expand th<strong>at</strong> ‘pipeline’ concept to get more<br />
rural college students interested in health pr<strong>of</strong>essions,<br />
especially rural medicine,” Curry says.<br />
<strong>The</strong> Institute for Rural Health Research, under<br />
John C. Higginbotham, Ph.D., MPH, <strong>at</strong> <strong>the</strong><br />
UASOM Tuscaloosa has a number <strong>of</strong> communitybased<br />
research projects under way th<strong>at</strong> have to do with<br />
dispar<strong>at</strong>e outcomes in cancer and infant mortality<br />
r<strong>at</strong>es, particularly common in rural <strong>Alabama</strong>. <strong>The</strong><br />
biggest single project <strong>the</strong>y have in place is Project<br />
EXPORT (Excellence in Partnerships for Community<br />
Outreach, Research on Health Disparities and<br />
Training), which is a five-year, $5-million-plus collabor<strong>at</strong>ive<br />
effort between <strong>the</strong> Tuscaloosa program and<br />
Construction continues on <strong>the</strong> new UASOM<br />
building in Tuscaloosa.<br />
Tuskegee <strong>University</strong>. <strong>The</strong> funds are being used to<br />
establish a center <strong>of</strong> excellence through facilities on<br />
both campuses. <strong>The</strong> center will demonstr<strong>at</strong>e <strong>the</strong> effectiveness<br />
<strong>of</strong> a str<strong>at</strong>egy combining <strong>the</strong> methods <strong>of</strong> public<br />
health and bioethics in programs <strong>of</strong> research, educ<strong>at</strong>ion,<br />
and outreach to reduce disparities in disease<br />
and disabilities in <strong>the</strong> Black Belt region <strong>of</strong> <strong>Alabama</strong>.<br />
progressed so far th<strong>at</strong> he was forced into early<br />
retirement from his practice <strong>at</strong> St. Vincent’s<br />
Hospital. But it wasn’t until November 1995 th<strong>at</strong><br />
he was actually diagnosed with <strong>the</strong> rare disease.<br />
“Prior to th<strong>at</strong>, I thought I had ALS [amyotrophic<br />
l<strong>at</strong>eral sclerosis] because I had a lot <strong>of</strong> symptoms <strong>of</strong><br />
Lou Gehrig’s disease,” he says. But, to his relief, a<br />
steak dinner proved th<strong>at</strong> diagnosis wrong. “I came<br />
home and my wife had cooked some steak,” says<br />
Henderson. “With ALS, you lose <strong>the</strong> ability to swallow<br />
before you lose <strong>the</strong> ability to chew. When I was<br />
e<strong>at</strong>ing <strong>the</strong> steak, I found th<strong>at</strong> I couldn’t chew.”<br />
Since <strong>the</strong>n, he’s come a long way in improving<br />
his health. “I feel as good as I will feel until we find<br />
a cure for MG,” he says. “I <strong>at</strong>tribute th<strong>at</strong> to <strong>the</strong>rapy<br />
and my coming to peace with <strong>the</strong> fact th<strong>at</strong> I am<br />
66 years old and have MG.” He also points to<br />
keeping his stress level down, meaning th<strong>at</strong> he can’t<br />
return to work despite his desire to do so. But for<br />
someone not “working,” he certainly is making a<br />
difference in <strong>the</strong> world.<br />
In addition to his new role as author, Henderson<br />
is also <strong>the</strong> founder and chairman <strong>of</strong> <strong>the</strong> Intern<strong>at</strong>ional<br />
Autoimmune Disease Research Found<strong>at</strong>ion, and he<br />
counsels o<strong>the</strong>rs with autoimmune diseases. He’s also<br />
enlisted UAB physiology pr<strong>of</strong>essor J. Edwin Blalock,<br />
Ph.D.—who’s had some successful breakthroughs<br />
already—to research cures, and he’s working on getting<br />
more funding through <strong>the</strong> N<strong>at</strong>ional Institutes <strong>of</strong><br />
Health and o<strong>the</strong>r sources.<br />
So far, though, <strong>the</strong>re haven’t been enough financial<br />
resources dedic<strong>at</strong>ed to autoimmune disease<br />
research, he says. “We want our fair share <strong>of</strong> funding<br />
for research,” considering th<strong>at</strong> <strong>the</strong> number <strong>of</strong> workdays<br />
lost by a p<strong>at</strong>ient with autoimmune disease is<br />
double those lost by all heart disease and stroke<br />
p<strong>at</strong>ients combined, he says.<br />
While <strong>the</strong> b<strong>at</strong>tle for funding continues, so does his<br />
b<strong>at</strong>tle against MG. “I have good days and bad days,”<br />
he says, adding th<strong>at</strong> his emotional and spiritual<br />
health are factors th<strong>at</strong> help keep his MG in check.<br />
17
Physicians’ Forum By<br />
Dawn Mesa<br />
I NDIGENT C ARE: A CRISIS IN THE WORKS<br />
Indigent p<strong>at</strong>ients are not just <strong>the</strong> homeless; <strong>the</strong>y are <strong>the</strong> elderly, <strong>the</strong>y are minimum-wage workers, <strong>the</strong>y are people<br />
who make too much money to qualify for Medicaid but not enough to afford priv<strong>at</strong>e health insurance. <strong>The</strong>y are<br />
our neighbors, and <strong>the</strong>ir medical care is straining <strong>the</strong> system in most <strong>of</strong> <strong>Alabama</strong>. It is a taxing situ<strong>at</strong>ion for all<br />
involved: county public-health systems, as well as hospitals and clinics and <strong>the</strong>ir staff, and, not least <strong>of</strong> all, indigent<br />
p<strong>at</strong>ients <strong>the</strong>mselves.<br />
While <strong>the</strong> st<strong>at</strong>e supreme court has ruled th<strong>at</strong> indigent care is <strong>the</strong> responsibility <strong>of</strong> <strong>the</strong> counties, typically no taxes<br />
or o<strong>the</strong>r county-gener<strong>at</strong>ed revenue are set aside for <strong>the</strong> medical tre<strong>at</strong>ment <strong>of</strong> indigent p<strong>at</strong>ients or reimbursement for<br />
<strong>the</strong> care <strong>of</strong> <strong>the</strong>se p<strong>at</strong>ients in area hospitals. In an effort to comb<strong>at</strong> <strong>the</strong> challenging issue <strong>of</strong> indigent care, free clinics<br />
have been established in some <strong>of</strong> <strong>the</strong> st<strong>at</strong>e’s smaller cities, and <strong>the</strong>ir existence<br />
has changed <strong>the</strong> landscape <strong>of</strong> medical care in <strong>the</strong>se communities.<br />
In <strong>the</strong> first <strong>of</strong> a two-part Physician’s Forum, <strong>the</strong> <strong>Alabama</strong> Medical Alumni<br />
Bulletin asked two prominent alumni about <strong>the</strong>ir experiences in tre<strong>at</strong>ing <strong>the</strong> medically<br />
indigent popul<strong>at</strong>ion in two metropolitan areas <strong>of</strong> <strong>Alabama</strong>. Mike Hall, M.D.,<br />
who specializes in internal medicine in Cullman, and Tim Howard, M.D., who specializes<br />
in family medicine in Huntsville, were both integral in establishing free<br />
clinics in <strong>the</strong>ir respective hometowns.<br />
Wh<strong>at</strong> medical programs are presently in place in your community to assist <strong>the</strong> indigent popul<strong>at</strong>ion?<br />
Mike Hall, M.D.<br />
Mike Hall, M.D., (MH): At this point in time, we have two programs in place to assist indigent p<strong>at</strong>ients here<br />
in Cullman, and a third program should be up and running by <strong>the</strong> time this issue goes to press. I’m associ<strong>at</strong>ed<br />
with Cullman Regional Medical Center, which is a 501(c)3 (not-for-pr<strong>of</strong>it) corpor<strong>at</strong>ion; th<strong>at</strong> means th<strong>at</strong><br />
anyone who shows up in <strong>the</strong> emergency room—regardless <strong>of</strong> <strong>the</strong>ir ability to pay—will be seen and cared for.<br />
I’m also affili<strong>at</strong>ed with <strong>the</strong> second program we have in place, which is a walk-in clinic owned by a group <strong>of</strong><br />
physicians, simply called Urgent Care.<br />
<strong>The</strong> third very exciting program in our community will be called Good Samaritan Clinic. <strong>The</strong> hospital,<br />
Cullman Regional Medical Center, has don<strong>at</strong>ed a free-standing clinic to a local board <strong>of</strong> community activists<br />
whose goal is for every person in <strong>the</strong> community to receive medical care, regardless <strong>of</strong> <strong>the</strong>ir ability to pay. It started<br />
as a community project; <strong>the</strong>n <strong>the</strong> hospital got on board and don<strong>at</strong>ed <strong>the</strong> space, and physicians have agreed to<br />
don<strong>at</strong>e <strong>the</strong>ir time. Wh<strong>at</strong> makes this so refreshing is th<strong>at</strong> it’s community-driven, not just physician-driven. I feel<br />
strongly th<strong>at</strong> communities should embrace and care for <strong>the</strong>ir own. Th<strong>at</strong> cannot be done just by physicians.<br />
Tim Howard, M.D.<br />
Tim Howard, M.D., (TH): Here in Huntsville/Madison County, we have <strong>the</strong> Community Free Clinic, which<br />
was established about five years ago. We were seeking to meet <strong>the</strong> needs <strong>of</strong> those we call <strong>the</strong> “working poor”—<br />
individuals who made too much to qualify for Medicare and too little to afford priv<strong>at</strong>e insurance. We cre<strong>at</strong>ed<br />
<strong>the</strong> first free-standing, priv<strong>at</strong>ely run, free clinic in <strong>the</strong> st<strong>at</strong>e <strong>of</strong> <strong>Alabama</strong> but didn’t realize it <strong>at</strong> <strong>the</strong> time.<br />
Before <strong>the</strong> Community Free Clinic, <strong>the</strong>re really wasn’t very much available for indigent p<strong>at</strong>ients in our community.<br />
<strong>The</strong>n, about five years ago, over lunch one day, Fran Ward, a local pharmaceutical rep, Scott McCary,<br />
M.D., and I talked about possibly starting up a free clinic in our area. We took an explor<strong>at</strong>ory look into it to<br />
see wh<strong>at</strong> we could do. Dr. McCary did his residency in Virginia, where one <strong>of</strong> <strong>the</strong> n<strong>at</strong>ion’s oldest free clinics,<br />
Bradley Free Clinic, is based, and <strong>the</strong>y sent us a free guidebook on how to start such a clinic. It walked us through<br />
<strong>the</strong> steps, and we were able to use it as a map to start working from. Our mantra all along was “we’ll go until<br />
somebody stops us.” <strong>The</strong> community, as a whole, was so excited about <strong>the</strong> notion <strong>of</strong> a free clinic in <strong>the</strong> area. <strong>The</strong><br />
medical community was a slightly harder sell: We went to every medical entity th<strong>at</strong> provided indigent care in our<br />
area—hospitals, clinics, etc.—and let <strong>the</strong>m know th<strong>at</strong> our goal was to help folks and th<strong>at</strong> we had no ulterior<br />
motives. Once we made th<strong>at</strong> clear, <strong>the</strong>y got on board.<br />
Wh<strong>at</strong> has been your experience in tre<strong>at</strong>ing indigent p<strong>at</strong>ients?<br />
MH: I do my best not to look <strong>at</strong> <strong>the</strong> p<strong>at</strong>ient’s insurance inform<strong>at</strong>ion if I’m on call in <strong>the</strong> emergency room.<br />
Th<strong>at</strong> is a financial issue th<strong>at</strong> has to be discussed between <strong>the</strong> hospital and <strong>the</strong> p<strong>at</strong>ient. If something can be<br />
18
Physicians’ Forum<br />
done for <strong>the</strong> p<strong>at</strong>ient on an outp<strong>at</strong>ient basis, which<br />
is less costly than on an inp<strong>at</strong>ient basis, I try to do<br />
th<strong>at</strong>. <strong>The</strong> bottom line, though, is th<strong>at</strong> physicians<br />
are in <strong>the</strong> business <strong>of</strong> caring for p<strong>at</strong>ients, caring<br />
with a capital “C.”<br />
TH: Unfortun<strong>at</strong>ely, <strong>the</strong>y do print a p<strong>at</strong>ient’s insurance<br />
inform<strong>at</strong>ion on <strong>the</strong> super bill. P<strong>at</strong>ients will tell<br />
me, “I don’t have coverage” or “I don’t have this or<br />
th<strong>at</strong>,” but I’ll tell <strong>the</strong>m not to ever let th<strong>at</strong> be an<br />
issue. My issue is “how can we care for you?” I’ll<br />
work with wh<strong>at</strong>ever plan <strong>the</strong>y’re working within.<br />
In wh<strong>at</strong> ways has this impacted you and/or your<br />
practice?<br />
MH: My practice probably hasn’t been impacted a<br />
gre<strong>at</strong> deal. We have about 30,000 p<strong>at</strong>ients in my<br />
practice, and I would say th<strong>at</strong>, <strong>of</strong> those, less than 2<br />
percent have no intermediary in place to pay for <strong>the</strong><br />
services <strong>the</strong>y receive. If <strong>the</strong>y don’t, we work with<br />
<strong>the</strong>m. In addition, each physician here <strong>at</strong> <strong>the</strong> hospital<br />
has a case manager and access to a social worker.<br />
Th<strong>at</strong> coordin<strong>at</strong>ion occurs on day one for a p<strong>at</strong>ient; as<br />
soon as a p<strong>at</strong>ient is admitted, if a problem is recognized,<br />
<strong>the</strong> case manager and social worker work with<br />
me as team members to see how <strong>the</strong> p<strong>at</strong>ient’s needs<br />
can be met. Most <strong>of</strong>ten finances are on every<br />
p<strong>at</strong>ient’s mind.<br />
TH: I still practice priv<strong>at</strong>ely, and I don’t think <strong>the</strong>re’s<br />
been much impact on my priv<strong>at</strong>e practice. <strong>The</strong> clinic<br />
is free-standing and self-supporting. Early on, I<br />
told <strong>the</strong>m we needed to be inclusive, not exclusive,<br />
and to look into how we could broaden <strong>the</strong> program.<br />
Two years ago, I was able to rot<strong>at</strong>e <strong>of</strong>f as president <strong>of</strong><br />
<strong>the</strong> clinic board—I’m obsolete, and th<strong>at</strong>’s wonderful!<br />
I wanted it to be th<strong>at</strong> way; we don’t want to depend<br />
on one person to run <strong>the</strong> clinic. We want it to keep<br />
working long after we’re gone. I still see p<strong>at</strong>ients in<br />
<strong>the</strong> free clinic, but if you let physicians know th<strong>at</strong><br />
<strong>the</strong>y don’t have to be <strong>the</strong>re every day or every week<br />
to make a difference, you broaden <strong>the</strong> philanthropy<br />
in <strong>the</strong> community and you don’t burn out <strong>the</strong> physicians.<br />
In <strong>the</strong> free clinic, we’re just working to serve;<br />
being able to see people being cared for for free—<br />
th<strong>at</strong>’s incredible and also incredibly generous on <strong>the</strong><br />
part <strong>of</strong> everyone involved.<br />
Has your p<strong>at</strong>ient base changed in <strong>the</strong> last five<br />
years and, if so, how?<br />
MH: Absolutely. More than 50 percent <strong>of</strong> my<br />
p<strong>at</strong>ients now are over 60 years <strong>of</strong> age; <strong>of</strong> course,<br />
many <strong>of</strong> <strong>the</strong>se people have Medicare. Wh<strong>at</strong> I see as<br />
a major issue for <strong>the</strong>se p<strong>at</strong>ients is <strong>the</strong>ir inability to<br />
afford pharmaceuticals. Fortun<strong>at</strong>ely, a lot <strong>of</strong> companies<br />
in <strong>the</strong> pharmaceutical industry are coming<br />
toge<strong>the</strong>r to address this problem. In particular,<br />
<strong>the</strong>re’s a program called Share RX where eight to 10<br />
major pharmaceutical companies got toge<strong>the</strong>r to<br />
<strong>of</strong>fer options for about a hundred different medic<strong>at</strong>ions,<br />
typically <strong>the</strong> most popular on <strong>the</strong> formulary.<br />
In this program, for example, if a p<strong>at</strong>ient qualifies to<br />
particip<strong>at</strong>e, a medic<strong>at</strong>ion th<strong>at</strong> could cost a couple <strong>of</strong><br />
hundred dollars for a one-month supply can be purchased<br />
for $15. I lean heavily on <strong>the</strong>se types <strong>of</strong> programs.<br />
In addition, we have a local community<br />
action group and also three volunteers in our <strong>of</strong>fice<br />
who come in one day a week and spend <strong>the</strong> whole<br />
day completing paperwork to enroll our p<strong>at</strong>ients in<br />
various assistance programs. We also have <strong>at</strong> least<br />
four churches th<strong>at</strong> provide food, assistance, and<br />
o<strong>the</strong>r available aid to our citizens when needed.<br />
TH: I don’t think my p<strong>at</strong>ient base has really<br />
changed. <strong>The</strong> reason I say th<strong>at</strong> is because I made it<br />
clear up front th<strong>at</strong> p<strong>at</strong>ients couldn’t just be<br />
“unloaded” into <strong>the</strong> Community Free Clinic. <strong>The</strong><br />
free clinic was established to capture <strong>the</strong> community<br />
popul<strong>at</strong>ion who aren’t receiving care because<br />
<strong>the</strong>y don’t have insurance or <strong>the</strong> funds necessary to<br />
pay for <strong>the</strong>ir tre<strong>at</strong>ment. In addition, I’m not going<br />
to see p<strong>at</strong>ients in <strong>the</strong> free clinic if <strong>the</strong>y’re already my<br />
p<strong>at</strong>ients in my priv<strong>at</strong>e practice. Th<strong>at</strong> was not <strong>the</strong><br />
idea <strong>of</strong> <strong>the</strong> free clinic; it is for those people who<br />
have not sought medical help because <strong>the</strong>y’re uninsured<br />
and know <strong>the</strong>y would encounter a bill immedi<strong>at</strong>ely<br />
upon entering a medical <strong>of</strong>fice.<br />
How does indigent care affect hospitals and clinics<br />
in your area?<br />
MH: From an absolute numbers standpoint, Cullman<br />
Regional Medical Center spends approxim<strong>at</strong>ely $10<br />
million a year on indigent care. Th<strong>at</strong>’s a big piece <strong>of</strong> <strong>the</strong><br />
pie; <strong>the</strong>y do <strong>the</strong>ir best to budget for it, but <strong>the</strong> costs<br />
change from year to year and are difficult to predict.<br />
TH: Hopefully, if we take care <strong>of</strong> indigent p<strong>at</strong>ients’<br />
primary-care needs—diabetes, hypertension, and<br />
<strong>the</strong> like and keep <strong>the</strong>m prevent<strong>at</strong>ively under control—<strong>the</strong>se<br />
p<strong>at</strong>ients will be less likely to be seen in<br />
area hospitals and clinics. We’ve had incredible support<br />
from local hospitals, labs, X-ray facilities, and<br />
physicians—almost 100 <strong>of</strong> <strong>the</strong> hospital’s physicians<br />
were involved last year. Th<strong>at</strong> tells you th<strong>at</strong> we care<br />
about our people and meeting <strong>the</strong>ir needs. Both<br />
area hospitals and <strong>the</strong>ir ancillary services have been<br />
very open to providing staff and volunteers, and a<br />
lot <strong>of</strong> times <strong>the</strong>y ei<strong>the</strong>r lower <strong>the</strong>ir costs or write<br />
<strong>the</strong>m <strong>of</strong>f entirely. It’s been incredible. Logically<br />
thinking, if we do things right, in <strong>the</strong> long-term<br />
we’ll decrease <strong>the</strong> numbers <strong>of</strong> people in <strong>the</strong> emergency<br />
rooms for routine care. Physicians want to<br />
help people—th<strong>at</strong>’s <strong>the</strong> bottom line.<br />
19<br />
Do you have any ideas or suggestions for improving<br />
<strong>the</strong> current st<strong>at</strong>e <strong>of</strong> indigent care in <strong>Alabama</strong>?<br />
MH: Again, I would encourage local communities<br />
to get involved, not just physicians. Indigents are<br />
people who work beside you every day—you live<br />
with <strong>the</strong>m, you play with <strong>the</strong>m, you go to church<br />
with <strong>the</strong>m, you go to school with <strong>the</strong>m. A community-based<br />
holistic approach to helping <strong>the</strong>m is<br />
wh<strong>at</strong> I would suggest—everyone benefits from it. I<br />
think community leaders need to spearhead it, get it<br />
in motion, and local physicians will come on board.<br />
I don’t think I know any physician who would say<br />
“no” to don<strong>at</strong>ing time to care for p<strong>at</strong>ients who need<br />
it. For instance, we have 85 physicians here; if you<br />
spread <strong>the</strong>ir care out over time and everyone<br />
becomes involved, it doesn’t require a huge amount<br />
<strong>of</strong> time for each person, but it provides an excellent<br />
service th<strong>at</strong> is morally and ethically correct and one<br />
whose benefits outweigh <strong>the</strong> costs.<br />
TH: I think counties need to tell <strong>the</strong>ir folks, “Hey,<br />
look, this is your deal, you can do this.” It’s important<br />
th<strong>at</strong> we, as physicians, take care <strong>of</strong> <strong>the</strong> folks “<strong>at</strong><br />
home,” and it’s just a m<strong>at</strong>ter <strong>of</strong> getting physicians<br />
involved; let <strong>the</strong>m see <strong>the</strong>re’s a need and formul<strong>at</strong>e a<br />
plan; <strong>the</strong>y don’t need to reinvent <strong>the</strong> wheel. A gre<strong>at</strong><br />
starting point would be <strong>the</strong> free guidebook available<br />
from <strong>the</strong> Bradley Free Clinic—anyone can request a<br />
copy. If we get enough physicians in <strong>the</strong> st<strong>at</strong>e <strong>of</strong><br />
<strong>Alabama</strong> on board with <strong>the</strong> idea <strong>of</strong> establishing free<br />
community clinics, wh<strong>at</strong> a model we could be for <strong>the</strong><br />
rest <strong>of</strong> <strong>the</strong> n<strong>at</strong>ion. We could say, “Hey, we take care <strong>of</strong><br />
our own—we’re not dependent on ano<strong>the</strong>r government-run<br />
program to help our communities.” And I<br />
think physicians need to know th<strong>at</strong> <strong>the</strong>y can make a<br />
difference—know th<strong>at</strong> it’s just a m<strong>at</strong>ter <strong>of</strong> persistence,<br />
and it doesn’t take a huge group <strong>of</strong> people to start <strong>the</strong><br />
ball rolling. One or two folks can be <strong>the</strong> c<strong>at</strong>alysts to<br />
ask, “Where can we do this?” Don’t be afraid to try.<br />
I believe th<strong>at</strong> health care is a privilege and not a<br />
right; <strong>the</strong>re are people in this popul<strong>at</strong>ion who work<br />
<strong>the</strong>ir tails <strong>of</strong>f and have earned th<strong>at</strong> privilege, but<br />
can’t get <strong>the</strong> insurance or <strong>the</strong> medical care th<strong>at</strong> <strong>the</strong>y<br />
deserve. Community free clinics are one way to get<br />
<strong>the</strong>se folks <strong>the</strong> care and tre<strong>at</strong>ment <strong>the</strong>y need.<br />
<strong>The</strong> second part <strong>of</strong> this Physicians’ Forum topic will appear<br />
in <strong>the</strong> Summer 2004 issue <strong>of</strong> <strong>the</strong> <strong>Alabama</strong> Medical Alumni<br />
Bulletin. In th<strong>at</strong> issue, we will look <strong>at</strong> indigent care in <strong>the</strong><br />
st<strong>at</strong>e’s larger metropolitan areas.<br />
Editor’s Note: If you are interested in <strong>the</strong> guidebook “How<br />
to Start a Free Clinic,” published by <strong>the</strong> Bradley Free Clinic,<br />
it is available online <strong>at</strong> [http://medkind.com/scripts/medkind/X30.idc?code=1004&index=35413].<br />
In addition,<br />
you can contact <strong>the</strong> Bradley Free Clinic <strong>at</strong> (540) 344-5156,<br />
or by mail <strong>at</strong> 1240 3rd St. SW, Roanoke, VA 24016, for<br />
more inform<strong>at</strong>ion.
Student Rounds:<br />
Getting In: Applying to Medical School<br />
By Dawn Mesa<br />
<strong>The</strong> process <strong>of</strong> applying to medical school can be intimid<strong>at</strong>ing, even for <strong>the</strong> best<br />
<strong>of</strong> students. Not all who want to become doctors will; for a select group, though,<br />
<strong>the</strong> dream becomes a reality, and <strong>the</strong>y are admitted to medical school—<strong>the</strong> first<br />
step on <strong>the</strong> journey to becoming physicians.<br />
N<strong>at</strong>han B. Smith, M.D., assistant dean <strong>of</strong> admissions <strong>at</strong> <strong>the</strong> UASOM, says, “A lot<br />
<strong>of</strong> people are interested in going to medical school—some have harbored th<strong>at</strong><br />
desire all <strong>the</strong>ir lives, while o<strong>the</strong>rs come to it l<strong>at</strong>er in life—and many are disappointed<br />
when <strong>the</strong>y realize th<strong>at</strong> <strong>the</strong>y can’t just study, do well on <strong>the</strong> MCAT, and be admitted.<br />
<strong>The</strong>re are prerequisite courses in place for reasons, not <strong>the</strong> least <strong>of</strong> which is to<br />
help students get ‘up to speed’ in terms <strong>of</strong> where <strong>the</strong>y start; you need to know some<br />
things, understand some things, in order to succeed in medical school.”<br />
To apply to <strong>the</strong> UASOM, in general, a student must take <strong>the</strong> MCAT and have <strong>at</strong><br />
least three years <strong>of</strong> undergradu<strong>at</strong>e college experience. Each applicant must also<br />
have <strong>at</strong> least 90 semester hours <strong>of</strong> acceptable credit, including eight hours <strong>of</strong> general<br />
biology or zoology (embryology and genetics are recommended), eight hours<br />
<strong>of</strong> general chemistry (with lab), eight hours <strong>of</strong> organic chemistry (with lab), eight<br />
hours <strong>of</strong> general physics (with lab), six hours <strong>of</strong> college ma<strong>the</strong>m<strong>at</strong>ics (which can<br />
include computer science or st<strong>at</strong>istics), and six hours <strong>of</strong> English (such as composition<br />
and liter<strong>at</strong>ure).<br />
Additional factors weighed for admission include scholastic aptitude and performance,<br />
extracurricular activities, direct health-rel<strong>at</strong>ed work experience, a composite<br />
college evalu<strong>at</strong>ion, character recommend<strong>at</strong>ions, inform<strong>at</strong>ion contained in <strong>the</strong> applic<strong>at</strong>ion<br />
and from interviews with <strong>the</strong> applicant, as well as residence st<strong>at</strong>us. All college<br />
majors are considered equally, so most advisors encourage students to consider how<br />
<strong>the</strong>ir chosen major can be used if <strong>the</strong>y don’t get accepted to medical school.<br />
<strong>The</strong> <strong>Alabama</strong> Medical Alumni Bulletin recently asked first-year “nontraditional” medical<br />
student Lisa Rivera, second-year medical student Timothy Udoji, and third-year medical<br />
student Gigi Youngblood to share <strong>the</strong>ir applic<strong>at</strong>ion experiences with our readers.<br />
Wh<strong>at</strong> was your undergradu<strong>at</strong>e major?<br />
Lisa Rivera (LR): I majored in cytotechnology<br />
<strong>at</strong> UAB. My major didn’t include physics and<br />
organic chemistry classes, so I had to take extra<br />
time to get those requirements done once I<br />
decided to apply to medical school.<br />
Tim Udoji (TU): My major was biology <strong>at</strong><br />
Tennessee St<strong>at</strong>e <strong>University</strong>. I would definitely recommend<br />
this major to undergradu<strong>at</strong>es considering<br />
going to medical school. It encompasses <strong>the</strong> building<br />
blocks <strong>of</strong> almost all <strong>the</strong> basic science courses<br />
taught in medical school. This way, students are<br />
exposed to <strong>the</strong> basic concepts th<strong>at</strong> <strong>the</strong>y will l<strong>at</strong>er<br />
build upon in medical school.<br />
Garland Gail (Gigi) Youngblood (GY): I was a<br />
biomedical engineering major <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong><br />
Tennessee. I would definitely recommend engineering<br />
to o<strong>the</strong>r undergradu<strong>at</strong>es considering<br />
going to medical school. Fortun<strong>at</strong>ely, a student’s<br />
undergradu<strong>at</strong>e major does not seem to have a significant<br />
impact on performance in medical<br />
school, so I would recommend majoring in something<br />
you think you’ll enjoy; in doing so, be sure<br />
to study hard and learn as much as you can about<br />
wh<strong>at</strong>ever you might be studying. As an undergradu<strong>at</strong>e,<br />
<strong>the</strong> most important things to learn th<strong>at</strong><br />
can prepare you for medical school are good time<br />
management and effective study skills.<br />
Was <strong>the</strong>re any one factor th<strong>at</strong> influenced<br />
your decision to apply to medical school?<br />
LR: I did an internship <strong>at</strong> <strong>the</strong> Jefferson County<br />
Health Department as part <strong>of</strong> my Master <strong>of</strong><br />
Public Health coursework <strong>at</strong> UAB. While <strong>the</strong>re, I<br />
worked closely with pregnant teenagers, and th<strong>at</strong><br />
experience allowed me to see how much I enjoyed<br />
helping <strong>the</strong>m with <strong>the</strong>ir problems and talking<br />
with <strong>the</strong>m about <strong>the</strong>ir physical well-being.<br />
TU: I tore my medial meniscus while playing soccer<br />
for my high-school team. My doctor’s<br />
demeanor and approach toward tre<strong>at</strong>ing my<br />
injury were things th<strong>at</strong> stood out most in my<br />
experience with him. Afterward, I got <strong>the</strong> opportunity<br />
to shadow him and one <strong>of</strong> <strong>the</strong> radiologists<br />
in <strong>the</strong> hospital. It was an enriching experience<br />
th<strong>at</strong> fur<strong>the</strong>r solidified my interest in medicine.<br />
An undergradu<strong>at</strong>e major in a field you enjoy is<br />
important, says Gigi Youngblood; biomedical<br />
engineering opened <strong>the</strong> door to her decision<br />
to apply to medical school.<br />
20
A high-school soccer injury was <strong>the</strong> impetus behind Tim Udoji’s interest in<br />
becoming a physician.<br />
Was <strong>the</strong>re any part <strong>of</strong> <strong>the</strong> process<br />
th<strong>at</strong> was intimid<strong>at</strong>ing?<br />
LR: Most <strong>of</strong> <strong>the</strong> applicants I met were<br />
in <strong>the</strong>ir early twenties, so I felt a little<br />
“old” in comparison. Since I’m married<br />
and have a child, I still feel old sometimes;<br />
<strong>the</strong>re’s only one person in my<br />
class who’s older than I am. I’ve been in<br />
<strong>the</strong> workforce all my adult life so I do<br />
think my experiences have helped me<br />
get through a lot. I also believe th<strong>at</strong> if<br />
my family wasn’t so supportive, I<br />
would be gre<strong>at</strong>ly hindered—but with<br />
<strong>the</strong>ir help I’m able to keep going.<br />
GY: My favorite part was, believe it or<br />
not, <strong>the</strong> interview, and my least favorite<br />
part was <strong>the</strong> AMCAS applic<strong>at</strong>ion.<br />
Wh<strong>at</strong> led you to choose <strong>the</strong><br />
UASOM over o<strong>the</strong>r medical<br />
schools?<br />
TU: <strong>The</strong> structure <strong>of</strong> <strong>the</strong> academic curriculum<br />
and <strong>the</strong> distance from home<br />
were two <strong>of</strong> <strong>the</strong> main reasons I chose<br />
UASOM. In terms <strong>of</strong> <strong>the</strong> curriculum,<br />
I liked <strong>the</strong> fact th<strong>at</strong> I would be exposed<br />
to <strong>the</strong> hospital environment prior to<br />
my clinical rot<strong>at</strong>ion years.<br />
GY: In my engineering classes, I<br />
found th<strong>at</strong> it was <strong>the</strong> medical side <strong>of</strong><br />
things ra<strong>the</strong>r than <strong>the</strong> engineering<br />
side th<strong>at</strong> I was most interested in. For<br />
example, when we studied pros<strong>the</strong>tic<br />
knee replacements, I was more interested<br />
in learning about <strong>the</strong> an<strong>at</strong>omy<br />
<strong>of</strong> <strong>the</strong> knee than in trying to calcul<strong>at</strong>e<br />
<strong>the</strong> forces in <strong>the</strong> knee <strong>at</strong> various positions<br />
and angles.<br />
Did you research <strong>the</strong> requirements<br />
for admission to medical school<br />
early on?<br />
LR: Yes, I started researching admission<br />
requirements as soon as I realized th<strong>at</strong> I<br />
wanted to apply to medical school.<br />
Th<strong>at</strong> was about two and a half years<br />
before I actually applied.<br />
TU: Yes. I did so prior to <strong>the</strong> beginning<br />
<strong>of</strong> my junior year as an undergradu<strong>at</strong>e.<br />
Luckily, I had taken a majority <strong>of</strong> <strong>the</strong><br />
core courses by <strong>the</strong>n. Shadowing both<br />
my orthopedic surgeon and a radiologist<br />
<strong>at</strong> Nashville Metropolitan General<br />
Hospital helped as well.<br />
process and <strong>the</strong> timeline <strong>of</strong> each stage<br />
were clearly outlined.<br />
GY: I applied “early decision” to <strong>the</strong><br />
UASOM, so I may not have had <strong>the</strong><br />
“typical” admissions experience. I still<br />
found it to be very laid-back and<br />
enjoyable, though.<br />
In wh<strong>at</strong> ways did <strong>the</strong> reality <strong>of</strong> <strong>the</strong><br />
admissions process surprise you?<br />
LR: I was surprised <strong>at</strong> <strong>the</strong> number <strong>of</strong><br />
students interviewing on <strong>the</strong> same day.<br />
GY: I was surprised <strong>at</strong> how “lowstress”<br />
it was. I can actually say th<strong>at</strong> I<br />
enjoyed applying to medical school. I<br />
especially enjoyed my interviews <strong>at</strong><br />
<strong>the</strong> UASOM. <strong>The</strong>y were less like a<br />
“typical” interview and more like sitting<br />
down and having a convers<strong>at</strong>ion<br />
with someone you’ve just met.<br />
TU: <strong>The</strong> interview was intimid<strong>at</strong>ing<br />
mainly because I did not know wh<strong>at</strong> <strong>the</strong><br />
interviewers expected from me. Looking<br />
back, I think <strong>the</strong>y were looking to see if<br />
I had <strong>the</strong> ability to articul<strong>at</strong>e and communic<strong>at</strong>e<br />
my experiences to <strong>the</strong>m.<br />
GY: O<strong>the</strong>r than <strong>the</strong> level <strong>of</strong> detail<br />
required on <strong>the</strong> AMCAS applic<strong>at</strong>ion and<br />
some standard preinterview butterflies, I<br />
was comfortable with <strong>the</strong> whole process.<br />
Wh<strong>at</strong> was your favorite part <strong>of</strong><br />
<strong>the</strong> process? Least favorite?<br />
LR: Touring <strong>the</strong> campus with <strong>the</strong><br />
o<strong>the</strong>r applicants and seeing <strong>the</strong> an<strong>at</strong>omy<br />
lab on interview day were my<br />
favorite aspects. My least favorite part<br />
was taking <strong>the</strong> MCAT!<br />
TU: My favorite part <strong>of</strong> <strong>the</strong> admissions<br />
process was learning wh<strong>at</strong> makes<br />
<strong>the</strong> UASOM unique—for example,<br />
<strong>the</strong> curriculum th<strong>at</strong> exposes first-year<br />
students to hospital/clinic situ<strong>at</strong>ions.<br />
GY: Overall, I decided to apply “early<br />
decision” to <strong>the</strong> UASOM because I<br />
could not justify paying out-<strong>of</strong>-st<strong>at</strong>e<br />
or priv<strong>at</strong>e tuition when <strong>the</strong>re is a medical<br />
school with such an excellent reput<strong>at</strong>ion<br />
right here in my hometown.<br />
Do you have any words <strong>of</strong> wisdom<br />
for students who are applying to<br />
<strong>the</strong> UASOM?<br />
LR: Study hard for <strong>the</strong> MCAT and take<br />
as many practice tests as possible. Think<br />
<strong>of</strong> your undergradu<strong>at</strong>e courses as prepar<strong>at</strong>ion<br />
for <strong>the</strong> test as well. Don’t give up,<br />
and keep your eye on your goal.<br />
TU: I would advise incoming students<br />
not to put up a façade, but to simply<br />
“be <strong>the</strong>mselves” during <strong>the</strong> interview.<br />
GY: Hang in <strong>the</strong>re and don’t let yourself<br />
get discouraged or overwhelmed. Make<br />
lots <strong>of</strong> lists during <strong>the</strong> applic<strong>at</strong>ion<br />
process and tackle things in a methodical<br />
manner so nothing will be overlooked.<br />
Talk to anyone you can find<br />
who has been through <strong>the</strong> process and<br />
ask for advice. It’s a long road, but so far<br />
it’s been well worth it. Oh, and bring<br />
some comfortable shoes for <strong>the</strong> tour!<br />
GY: I really started digging in and<br />
actively researching medical school<br />
during my third year <strong>of</strong> college (out <strong>of</strong><br />
<strong>the</strong> five years in my degree program).<br />
Wh<strong>at</strong> was your overall impression<br />
<strong>of</strong> <strong>the</strong> admissions process <strong>at</strong><br />
<strong>the</strong> UASOM?<br />
For more inform<strong>at</strong>ion on <strong>the</strong> admissions<br />
process <strong>at</strong> <strong>the</strong> UASOM, visit <strong>the</strong><br />
school Web site <strong>at</strong> [http://main.uab.edu/<br />
uasom/show.asp?durki=2023]. In addition,<br />
please see <strong>the</strong> article titled “<strong>The</strong><br />
Medical School Admissions Committee”<br />
in this issue (page 14).<br />
LR: I thought it was reasonable.<br />
TU: Overall, I was s<strong>at</strong>isfied with <strong>the</strong><br />
admissions process. <strong>The</strong> goals <strong>of</strong> <strong>the</strong><br />
Working with pregnant teenagers during a health department internship led<br />
Lisa Rivera to apply to medical school.<br />
21
From <strong>the</strong> Development Office<br />
A Warm Welcome<br />
We are pleased to welcome Jeannie Edwards Horton as<br />
director <strong>of</strong> development for <strong>the</strong> UASOM, departments <strong>of</strong><br />
surgery and ophthalmology.<br />
Horton comes to <strong>the</strong> school <strong>of</strong> medicine from UAB’s<br />
Faculty and Staff Benevolent Fund, where she was program<br />
coordin<strong>at</strong>or. Prior to th<strong>at</strong>, Jeannie spent 10 years<br />
with <strong>the</strong> United Way <strong>of</strong> Central <strong>Alabama</strong>, Inc., in resource<br />
development as a campaign associ<strong>at</strong>e and l<strong>at</strong>er as director<br />
<strong>of</strong> planned giving. In th<strong>at</strong> role, she was integral in building<br />
personal rel<strong>at</strong>ionships with donors, providing educ<strong>at</strong>ion<br />
on <strong>the</strong> personal tax benefits <strong>of</strong> planned and deferred<br />
gifts, and organizing and implementing pr<strong>of</strong>essional seminars<br />
and workshops about planned giving options.<br />
Horton says she looks forward to building rel<strong>at</strong>ionships<br />
with <strong>the</strong> alumni, faculty, research scientists, and friends <strong>of</strong> <strong>the</strong><br />
departments <strong>of</strong> surgery and ophthalmology. “I am continually<br />
amazed by <strong>the</strong> caliber <strong>of</strong> <strong>the</strong> resident training, research, and<br />
p<strong>at</strong>ient care found here. <strong>The</strong> UASOM is a definite asset to<br />
<strong>the</strong> <strong>Birmingham</strong> community and to <strong>the</strong> pr<strong>of</strong>essional sciences<br />
<strong>of</strong> surgery and ophthalmology, among o<strong>the</strong>rs,” she says.<br />
Horton will be working closely with former residents<br />
and gr<strong>at</strong>eful p<strong>at</strong>ients to help facilit<strong>at</strong>e <strong>the</strong> growth and<br />
expansion <strong>of</strong> both departments as <strong>the</strong>y continue to serve<br />
<strong>the</strong> health needs <strong>of</strong> <strong>the</strong> st<strong>at</strong>e <strong>of</strong> <strong>Alabama</strong>. She says she is<br />
excited to be working among such cutting-edge research<br />
and medicine. “I now have a new regard for <strong>the</strong> complexities<br />
<strong>of</strong> medical research and educ<strong>at</strong>ion and <strong>the</strong> lifesaving<br />
implic<strong>at</strong>ions <strong>the</strong>y have on <strong>the</strong> public,” she says.<br />
“I look forward to establishing strong philanthropic<br />
partnerships with those individuals who understand <strong>the</strong><br />
value <strong>of</strong> <strong>the</strong> UASOM to <strong>the</strong> st<strong>at</strong>e <strong>of</strong> <strong>Alabama</strong>.”<br />
DEVELOPMENT<br />
PROFILE:<br />
Mike Kilgore,<br />
<strong>Alabama</strong> Farmers<br />
Feder<strong>at</strong>ion<br />
By Dawn Mesa<br />
Mike Kilgore knows firsthand <strong>the</strong><br />
challenges faced by rural communities.<br />
A n<strong>at</strong>ive <strong>of</strong> Nauvoo, <strong>Alabama</strong>, a<br />
town on <strong>the</strong> Walker-Winston County<br />
line, Kilgore has always had a familyinstilled<br />
love <strong>of</strong> agriculture. Now, as<br />
executive director <strong>of</strong> <strong>the</strong> <strong>Alabama</strong><br />
Farmers Feder<strong>at</strong>ion (ALFA)—and a<br />
new member <strong>of</strong> <strong>the</strong> UASOM Dean’s<br />
Advisory Council—Kilgore is working<br />
to address <strong>the</strong> needs <strong>of</strong> citizens<br />
throughout <strong>the</strong> st<strong>at</strong>e.<br />
Kilgore earned a B.S. degree in agricultural<br />
economics and business from<br />
Auburn <strong>University</strong> and <strong>the</strong>n took a<br />
job with <strong>the</strong> <strong>Alabama</strong> Cooper<strong>at</strong>ive<br />
Extension System in 1970 as an agent<br />
in Bullock and Elmore counties. After<br />
serving for several years in this capacity,<br />
Kilgore <strong>the</strong>n went to work with<br />
ALFA in 1974 as an organiz<strong>at</strong>ional<br />
director. In th<strong>at</strong> capacity, he worked<br />
with rural farmers to meet wh<strong>at</strong>ever<br />
needs arose in <strong>the</strong> community.<br />
He soon made his way up <strong>the</strong> ranks<br />
within ALFA and headed up <strong>the</strong> Young<br />
Farmers Program in <strong>the</strong>ir st<strong>at</strong>e headquarters<br />
in Montgomery. He worked<br />
with th<strong>at</strong> program for eight years before<br />
moving into a supervisory position over<br />
<strong>the</strong> largest department in <strong>the</strong> organiz<strong>at</strong>ion—membership<br />
and field oper<strong>at</strong>ions,<br />
which included <strong>the</strong> Young<br />
Farmers and Women’s Division<br />
Programs. From <strong>the</strong>re he was promoted<br />
to <strong>the</strong> position <strong>of</strong> assistant executive<br />
director before being made executive<br />
director almost three years ago. He jokes<br />
with his colleagues th<strong>at</strong> he was someone<br />
“who couldn’t hold a job and kept moving<br />
around.” In reality, however, he<br />
moved around because “if someone had<br />
a need, I just tried to fill it.” Even today,<br />
it is this “unknown” factor—“waking<br />
up to something new every day”—th<strong>at</strong><br />
he loves most about his job.<br />
<strong>The</strong> field <strong>of</strong> agriculture has experienced<br />
many changes since ALFA’s<br />
inception. <strong>The</strong> organiz<strong>at</strong>ion was<br />
founded in 1921 with an original<br />
charter and purpose to help improve<br />
rural <strong>Alabama</strong> in every way possible,<br />
says Kilgore. “One <strong>of</strong> <strong>the</strong> concerns<br />
we’ve had for several years is <strong>the</strong> loss<br />
<strong>of</strong> qualified medical personnel in <strong>the</strong><br />
rural areas <strong>of</strong> <strong>Alabama</strong>.” <strong>The</strong>ir commitment<br />
to address this growing epidemic<br />
was so strong th<strong>at</strong> ALFA became a participant<br />
in <strong>the</strong> UASOM’s Rural<br />
Medical Scholars Program and cre<strong>at</strong>ed<br />
a scholarship to assist students<br />
from <strong>the</strong> st<strong>at</strong>e’s rural counties who are<br />
interested in pursuing careers in medicine.<br />
ALFA hopes to increase <strong>the</strong>ir<br />
particip<strong>at</strong>ion in this program.<br />
In addition to <strong>the</strong>ir work with <strong>the</strong><br />
Rural Medical Scholars Program,<br />
ALFA remains committed to improving<br />
<strong>the</strong> st<strong>at</strong>e <strong>of</strong> rural health care in<br />
<strong>Alabama</strong> and actively particip<strong>at</strong>es<br />
in—and contributes to—<strong>the</strong> <strong>Alabama</strong><br />
Child Caring Found<strong>at</strong>ion (ACCF),<br />
headed by Blue Cross Blue/Shield <strong>of</strong><br />
<strong>Alabama</strong>. ACCF was founded to<br />
ensure adequ<strong>at</strong>e health care for children<br />
who are not eligible for healthcare<br />
coverage through Medicaid and<br />
who have no o<strong>the</strong>r priv<strong>at</strong>e or public<br />
health insurance.<br />
Considering ALFA’s long-standing<br />
interest in improving rural health care<br />
in <strong>Alabama</strong>, it seems only fitting th<strong>at</strong><br />
Kilgore was asked to serve on <strong>the</strong><br />
Dean’s Advisory Council <strong>at</strong> <strong>the</strong><br />
UASOM and agreed to do so gladly.<br />
Now more than ever, rural health care<br />
is one <strong>of</strong> ALFA’s predominant concerns,<br />
along with rural economic<br />
development. Actually, says Kilgore,<br />
“as far as community development<br />
goes, we believe rural health care and<br />
community development are tightly<br />
interwoven.” He says he looks forward<br />
to working on <strong>the</strong> Dean’s<br />
Advisory Council to fur<strong>the</strong>r assist <strong>the</strong><br />
rural communities <strong>of</strong> <strong>Alabama</strong>, and<br />
he’s pleased to have an opportunity to<br />
learn more about wh<strong>at</strong>’s going on <strong>at</strong><br />
UAB and be a part <strong>of</strong> “one <strong>of</strong> <strong>the</strong> top<br />
research institutions in <strong>the</strong> n<strong>at</strong>ion, if<br />
not <strong>the</strong> world.”<br />
22
PROGRAMS WORTH SUPPORTING:<br />
Department <strong>of</strong> Microbiololgy<br />
By Dawn Mesa<br />
PROGRAMS WORTH SUPPORTING:<br />
Division <strong>of</strong> Clinical Immunology and Rheum<strong>at</strong>ology<br />
With 26 tenured and tenure-track faculty,<br />
<strong>the</strong> Department <strong>of</strong> Microbiology is<br />
<strong>the</strong> largest basic-science department <strong>at</strong><br />
UAB. Chaired by David D. Chaplin,<br />
M.D., Ph.D., it is currently ranked second<br />
n<strong>at</strong>ionally in N<strong>at</strong>ional Institutes <strong>of</strong><br />
Health (NIH) funding. <strong>The</strong> department<br />
is intern<strong>at</strong>ionally recognized for its outstanding<br />
faculty and research programs<br />
in microbial genetics and p<strong>at</strong>hogenesis,<br />
virology, and immunology. <strong>The</strong>se<br />
research programs use cutting-edge<br />
technology to gain insights into basic<br />
molecular mechanisms <strong>of</strong> microbial<br />
growth and evolution, mechanisms <strong>the</strong><br />
microbe uses to live on mammalian and<br />
insect hosts, and mechanisms <strong>the</strong> host<br />
uses to protect itself from damage by <strong>the</strong><br />
microbe. New inform<strong>at</strong>ion gained<br />
through this research has many applic<strong>at</strong>ions<br />
to development <strong>of</strong> antimicrobial<br />
drugs, vaccines, and str<strong>at</strong>egies for<br />
improved p<strong>at</strong>ient care.<br />
<strong>The</strong> microbiology department is<br />
launching a major initi<strong>at</strong>ive to streng<strong>the</strong>n<br />
<strong>the</strong> UAB Tuberculosis (TB) Research<br />
Program. Two new faculty members,<br />
assistant pr<strong>of</strong>essor Andries Steyn, Ph.D.,<br />
(recently recruited from <strong>the</strong> Harvard<br />
School <strong>of</strong> Public Health) and associ<strong>at</strong>e<br />
pr<strong>of</strong>essor Michael Niederweis, Ph.D.,<br />
(joining UAB in August 2004 from <strong>the</strong><br />
<strong>University</strong> <strong>of</strong> Erlangen in Germany) will<br />
take advantage <strong>of</strong> clinical TB specimens<br />
collected over <strong>the</strong> past decade by<br />
William Benjamin Jr., Ph.D., assistant<br />
pr<strong>of</strong>essor <strong>of</strong> p<strong>at</strong>hology, to understand<br />
how TB has evolved in <strong>Alabama</strong>.<br />
Niederweis’s research focuses on a<br />
special pore protein loc<strong>at</strong>ed in <strong>the</strong> TB<br />
bacillus’s cell wall. This pore protein is<br />
critical to <strong>the</strong> microbe because <strong>of</strong> its role<br />
in bringing nutrients into <strong>the</strong> bacterium<br />
and removal <strong>of</strong> biological waste products.<br />
It is also <strong>the</strong> p<strong>at</strong>hway by which<br />
anti-TB drugs enter <strong>the</strong> microbe.<br />
Consequently, understanding how this<br />
pore protein works will likely permit<br />
development <strong>of</strong> better antibiotics for<br />
tre<strong>at</strong>ment <strong>of</strong> this serious infection, particularly<br />
in p<strong>at</strong>ients with drug-resistant<br />
forms <strong>of</strong> <strong>the</strong> microbe.<br />
Steyn’s research focuses on molecular<br />
genetic analysis to determine how<br />
TB adapts to grow in <strong>the</strong> mammalian<br />
hosts th<strong>at</strong> it infects. He first analyzes<br />
<strong>the</strong> microbe in tissue culture to define<br />
its virulence genes and <strong>the</strong>n studies <strong>the</strong><br />
role <strong>of</strong> <strong>the</strong>se genes in experimental<br />
infections using mice as a surrog<strong>at</strong>e for<br />
<strong>the</strong> human host.<br />
Safe research on TB—especially using<br />
antibiotic-resistant forms <strong>of</strong> <strong>the</strong><br />
microbe—requires th<strong>at</strong> all experiments<br />
be performed in a biocontainment labor<strong>at</strong>ory.<br />
Key to UAB’s ability to <strong>at</strong>tract<br />
<strong>the</strong>se top scientists to develop <strong>the</strong> TB<br />
program was <strong>the</strong> existence <strong>of</strong> a biosafety<br />
level 3 (BSL3) labor<strong>at</strong>ory in <strong>the</strong> Bevill<br />
Biomedical Research Building, where<br />
<strong>the</strong> department is based. This labor<strong>at</strong>ory<br />
will permit close interactions between<br />
<strong>the</strong> research teams <strong>of</strong> Steyn and<br />
Neiderweis, and will provide an outstanding<br />
environment for <strong>the</strong> initial<br />
phases <strong>of</strong> <strong>the</strong> TB program. Chaplin,<br />
however, expects <strong>the</strong> TB program to rapidly<br />
exceed <strong>the</strong> capacity <strong>of</strong> <strong>the</strong> existing<br />
BSL3 space. Future growth <strong>of</strong> <strong>the</strong> TB<br />
program requires construction <strong>of</strong> additional<br />
biocontainment labor<strong>at</strong>ory space.<br />
“Right now,” Chaplin asserts, “TB’s<br />
biggest clinical impact is in <strong>the</strong> developing<br />
world where popul<strong>at</strong>ions are overcrowded<br />
and nutrition is poor.<br />
However, because TB is particularly virulent<br />
in immunocompromised p<strong>at</strong>ients,<br />
<strong>the</strong> fact th<strong>at</strong> <strong>the</strong> numbers <strong>of</strong> HIVinfected<br />
Americans continues to grow<br />
and th<strong>at</strong> <strong>the</strong>re are increasing numbers <strong>of</strong><br />
p<strong>at</strong>ients who are immunocompromised<br />
because <strong>of</strong> drugs used for cancer<br />
chemo<strong>the</strong>rapy or for bone marrow and<br />
organ transplant<strong>at</strong>ion, we expect th<strong>at</strong><br />
<strong>the</strong> clinical importance <strong>of</strong> TB within<br />
<strong>the</strong> United St<strong>at</strong>es will m<strong>at</strong>ch its importance<br />
intern<strong>at</strong>ionally very soon.”<br />
Underscoring its importance, TB has<br />
been identified as a major research focus<br />
by <strong>the</strong> World Health Organiz<strong>at</strong>ion, <strong>the</strong><br />
N<strong>at</strong>ional Institutes <strong>of</strong> Allergy and<br />
Infectious Diseases <strong>at</strong> <strong>the</strong> NIH, and <strong>the</strong><br />
G<strong>at</strong>es Found<strong>at</strong>ion. Because UAB has<br />
one <strong>of</strong> <strong>the</strong> top NIH-funded Centers for<br />
AIDS Research in <strong>the</strong> world, as well as<br />
outstanding rel<strong>at</strong>ed programs studying<br />
o<strong>the</strong>r key respir<strong>at</strong>ory p<strong>at</strong>hogens,<br />
Chaplin expects <strong>the</strong> expanding TB program<br />
to quickly assume a leadership<br />
position in TB research n<strong>at</strong>ionally.<br />
23<br />
By Dawn Mesa<br />
One <strong>of</strong> 16 divisions in <strong>the</strong> Department <strong>of</strong> Medicine, <strong>the</strong> Division <strong>of</strong> Clinical<br />
Immunology and Rheum<strong>at</strong>ology evalu<strong>at</strong>es and tre<strong>at</strong>s p<strong>at</strong>ients with various forms<br />
<strong>of</strong> connective-tissue disease, including rheum<strong>at</strong>oid arthritis, systemic lupus, scleroderma,<br />
fibromyalgia, osteoporosis, and many o<strong>the</strong>rs. With 33 faculty members,<br />
<strong>the</strong> program has consistently been recognized as one <strong>of</strong> <strong>the</strong> n<strong>at</strong>ion’s best,<br />
and <strong>the</strong> 2003 U.S. News & World Report ranked <strong>the</strong> program sixth in <strong>the</strong> n<strong>at</strong>ion,<br />
which makes it UAB’s most highly ranked clinical program.<br />
Directed by Robert P. Kimberly, M.D., <strong>the</strong> division has an outstanding intern<strong>at</strong>ional<br />
reput<strong>at</strong>ion in basic immunology and in testing novel, transl<strong>at</strong>ional <strong>the</strong>rapies<br />
for a variety <strong>of</strong> autoimmune diseases. In addition to <strong>the</strong> top-notch p<strong>at</strong>ient<br />
care to be found in <strong>the</strong> division, <strong>the</strong>re is also groundbreaking work being done on<br />
<strong>the</strong> research side. According to Kimberly, “We have research programs from very<br />
basic, fundamental biology in immunology processes through transl<strong>at</strong>ional and<br />
clinical research—outcomes research, health services research. We have unique<br />
collabor<strong>at</strong>ions, not only within rheum<strong>at</strong>ology per se, but also throughout <strong>the</strong> university<br />
and in tandem with o<strong>the</strong>r universities and consultants around <strong>the</strong> world.”<br />
Ano<strong>the</strong>r integral part <strong>of</strong> <strong>the</strong> division is <strong>the</strong> Arthritis and Musculoskeletal Center<br />
(AMC), which was established in 1977 as one <strong>of</strong> <strong>the</strong> n<strong>at</strong>ion’s first comprehensive<br />
arthritis-research centers supported by <strong>the</strong> N<strong>at</strong>ional Institutes <strong>of</strong> Health. In addition to<br />
its research, teaching, and continuing educ<strong>at</strong>ion programs, <strong>the</strong> AMC also provides<br />
diagnostic and <strong>the</strong>rapeutic services for people with all types <strong>of</strong> arthritis and rel<strong>at</strong>ed<br />
musculoskeletal disorders.<br />
“<strong>The</strong> l<strong>at</strong>est science says th<strong>at</strong> if we have access to <strong>the</strong>se p<strong>at</strong>ients early on in <strong>the</strong> course<br />
<strong>of</strong> <strong>the</strong> disease, we can really do dram<strong>at</strong>ic things to change its course,” says Kimberly.<br />
“In recent years, we’ve introduced breakthrough <strong>the</strong>rapies th<strong>at</strong> previously weren’t part<br />
<strong>of</strong> our arsenal. In p<strong>at</strong>ients with rheum<strong>at</strong>oid arthritis, for example, if we have access to<br />
<strong>the</strong>m early on, we can <strong>of</strong>fer very dram<strong>at</strong>ic changes in <strong>the</strong> course <strong>of</strong> <strong>the</strong> disease and<br />
help <strong>the</strong>ir referring physician manage <strong>the</strong>ir care in an optimal way.”<br />
He believes th<strong>at</strong> “<strong>the</strong> found<strong>at</strong>ion <strong>of</strong> our reput<strong>at</strong>ion is our educ<strong>at</strong>ion and<br />
research programs and out <strong>of</strong> th<strong>at</strong>, because we do those well, we’re able to provide<br />
good care to <strong>the</strong> p<strong>at</strong>ients. Th<strong>at</strong> empowers us to provide <strong>the</strong> care. We are<br />
extremely proud <strong>of</strong> <strong>the</strong> fact th<strong>at</strong> UAB is on <strong>the</strong> very short list <strong>of</strong> institutions with<br />
a comprehensive breadth and depth <strong>of</strong> knowledge in <strong>the</strong> areas <strong>of</strong> arthritis and<br />
musculoskeletal diseases.” Testament to th<strong>at</strong> can be found in surveys <strong>of</strong> physicians<br />
and <strong>the</strong> p<strong>at</strong>ient waiting list—which is longer than <strong>the</strong> division would like,<br />
but inevitable because <strong>the</strong> division’s reput<strong>at</strong>ion precedes it. “In <strong>the</strong> past, we could<br />
provide palli<strong>at</strong>ive care and help manage a p<strong>at</strong>ient’s pain, but <strong>the</strong> course <strong>of</strong> <strong>the</strong> disease<br />
couldn’t really be changed. Now, as our understanding has advanced so far,<br />
we’ve got dram<strong>at</strong>ic opportunities to alter <strong>the</strong> course <strong>of</strong> disease,” says Kimberly.<br />
For more inform<strong>at</strong>ion about how you can help contribute to <strong>the</strong> many vital<br />
programs taking place in <strong>the</strong> Division <strong>of</strong> Clinical Immunology and<br />
Rheum<strong>at</strong>ology, please contact Rebecca Lark in <strong>the</strong> Development Office <strong>at</strong> (205)<br />
975-6149, or see <strong>the</strong> envelope enclosed in this issue. In addition, to learn more<br />
about <strong>the</strong> work being done in <strong>the</strong> division, please visit <strong>the</strong>ir Web site <strong>at</strong><br />
[http://info.dom.uab. edu/rheum/index.htm].<br />
If you are interested in helping support<br />
<strong>the</strong> TB program or o<strong>the</strong>r important programs<br />
within <strong>the</strong> Department <strong>of</strong><br />
Microbiology, please contact Brett<br />
Scullen in <strong>the</strong> Development Office <strong>at</strong><br />
(205) 975-7240 or see <strong>the</strong> pledge envelope<br />
enclosed in this issue. In addition, to<br />
learn more about ongoing research in <strong>the</strong><br />
department, please contact Chaplin in<br />
<strong>the</strong> chairman’s <strong>of</strong>fice (205-934-9339) or<br />
visit [www.microbio.uab.edu].
From <strong>the</strong> Development Office<br />
Annual Reception<br />
UAB President Carol Z. Garrison, Ph.D., William B. Deal,<br />
M.D., vice president and dean <strong>of</strong> <strong>the</strong> School <strong>of</strong> Medicine, and<br />
<strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> School <strong>of</strong> Medicine Dean’s<br />
Advisory Council hosted an annual reception on Friday,<br />
October 10, 2003, <strong>at</strong> <strong>the</strong> Woodward House in <strong>Birmingham</strong>.<br />
<strong>The</strong> event recognized major contributors to <strong>the</strong> UASOM as<br />
well as <strong>the</strong> Dean’s Partners, and it also celebr<strong>at</strong>ed reaching<br />
<strong>the</strong> school’s goal for <strong>the</strong> Campaign for UAB.<br />
Sergio Stagno,<br />
Claude Bennett,<br />
and Peter Wor<strong>the</strong>n<br />
Winyss and<br />
Richard Shepard<br />
with Clarence<br />
and Sheila Blair<br />
Baldwin Gift Founds Betty He<strong>at</strong>h Baldwin<br />
Lectureship on Myas<strong>the</strong>nia Gravis<br />
By Dawn Mesa<br />
A recent gift by Robert L. Baldwin,<br />
M.D., M.A., has established an endowed<br />
lectureship to support educ<strong>at</strong>ion in myas<strong>the</strong>nia<br />
gravis (MG) <strong>at</strong> UAB. Founded in<br />
memory <strong>of</strong> his mo<strong>the</strong>r, Mrs. Betty He<strong>at</strong>h<br />
Baldwin, and in honor <strong>of</strong> Shin J. Oh,<br />
M.D., pr<strong>of</strong>essor <strong>of</strong> neurology, it is hoped<br />
th<strong>at</strong> this endowed educ<strong>at</strong>ional lectureship<br />
will fur<strong>the</strong>r <strong>the</strong> field <strong>of</strong> MG educ<strong>at</strong>ion <strong>at</strong><br />
<strong>the</strong> UASOM.<br />
Betty He<strong>at</strong>h Baldwin died from renal<br />
cancer th<strong>at</strong> had metastasized to her cervical<br />
spine when Robert was only 14 years<br />
old. “I’d always wanted to do something<br />
in remembrance <strong>of</strong> her,” Robert Baldwin<br />
says. “I had different ideas, but I’d always<br />
sort <strong>of</strong> envisioned doing something in<br />
her memory th<strong>at</strong> would serve <strong>the</strong> community,<br />
as she served hers.”<br />
Since being diagnosed with MG in<br />
1997, Baldwin has been under <strong>the</strong> care<br />
<strong>of</strong> Oh and credits him with nursing him<br />
through both good times and bad during<br />
<strong>the</strong> course <strong>of</strong> his illness. Baldwin was<br />
hospitalized in February 2003—and is<br />
extremely gr<strong>at</strong>eful to Oh, along with his<br />
staff and <strong>the</strong> staff <strong>at</strong> <strong>the</strong> hospital, for <strong>the</strong><br />
tre<strong>at</strong>ment he received during th<strong>at</strong> medical<br />
crisis. “I’m just really gr<strong>at</strong>eful—and<br />
indebted—to him and <strong>the</strong> staff who<br />
helped me during <strong>the</strong> course <strong>of</strong> my time<br />
<strong>the</strong>re. I feel such a close rel<strong>at</strong>ionship with<br />
him and <strong>the</strong> staff who helped with my<br />
health, and I believe this endowed lectureship<br />
would be a gre<strong>at</strong> way to honor<br />
his commitment to me and to <strong>the</strong> field<br />
<strong>of</strong> MG,” Baldwin says.<br />
Establishing <strong>the</strong> Betty He<strong>at</strong>h Baldwin<br />
Lectureship on Myas<strong>the</strong>nia Gravis is one<br />
way for Baldwin to give back to both <strong>the</strong><br />
medical and MG communities. “It’s not<br />
a disease you hear much about,” he says.<br />
“Even among physicians—primary-care<br />
physicians, internists, ophthalmologists—<strong>the</strong>re's<br />
not as much awareness as<br />
<strong>the</strong>re could be.”<br />
Baldwin, former president <strong>of</strong> <strong>the</strong><br />
<strong>Alabama</strong> Chapter-Myas<strong>the</strong>nia Gravis<br />
Found<strong>at</strong>ion <strong>of</strong> America, hopes th<strong>at</strong> <strong>the</strong><br />
lectureship will be used to bring noted<br />
physicians and/or researchers to<br />
<strong>Alabama</strong>. “It will be a nice way to augment<br />
a meeting and for p<strong>at</strong>ients and<br />
physicians to hear an outstanding lecture<br />
on issues relevant to <strong>the</strong> diagnosis,<br />
management, and tre<strong>at</strong>ment <strong>of</strong> MG.”<br />
Will Deal with Emmie and Herman Bolden and Rita and Solomon Kimerling<br />
S. Richardson Hill Society<br />
Established to Continue<br />
Hill’s Mission<br />
Donald and<br />
Shirley Salloway<br />
Kahn with<br />
Eleanor Kidd<br />
and President<br />
Carol Garrison<br />
Sally Wor<strong>the</strong>n<br />
and Jim Pittman<br />
along with Kirby<br />
and Lynn Bland<br />
S. Richardson Hill Jr., M.D., passed away on July<br />
4, 2003, but his inspiring legacy will help ensure<br />
UAB fulfills its potential. “Dr. Hill built <strong>the</strong> found<strong>at</strong>ion for <strong>the</strong> world-class university we<br />
have now,” says President Carol Z. Garrison, Ph.D. “It is in large measure due to his<br />
vision and leadership th<strong>at</strong> we continue to succeed today.”<br />
Hill, former dean <strong>of</strong> <strong>the</strong> School <strong>of</strong> Medicine, vice president for health affairs, and second<br />
UAB president, embarked on a mission to cre<strong>at</strong>e an intern<strong>at</strong>ionally renowned<br />
medical center in <strong>Alabama</strong>. With help from <strong>the</strong> community, Dr. Hill’s vision for UAB<br />
and <strong>the</strong> School <strong>of</strong> Medicine has been achieved. Now, by working toge<strong>the</strong>r, we can continue<br />
his legacy.<br />
To honor <strong>the</strong> memory and inspiring legacy <strong>of</strong> Hill, UAB and <strong>the</strong> UASOM have<br />
established <strong>the</strong> S. Richardson Hill Society. Hill believed th<strong>at</strong> gre<strong>at</strong>ness comes from<br />
<strong>the</strong> efforts <strong>of</strong> faculty and staff, alumni, and community leaders who recognize <strong>the</strong><br />
tremendous impact <strong>the</strong>ir combined strength can have in fur<strong>the</strong>ring research, educ<strong>at</strong>ion,<br />
and p<strong>at</strong>ient care. For more inform<strong>at</strong>ion about how you can become a Member,<br />
Dean’s Partner, President’s Partner, or Chancellor’s Partner <strong>of</strong> <strong>the</strong> S. Richardson Hill<br />
Society, please contact Meredith Murdock in <strong>the</strong> Development Office <strong>at</strong> (205) 934-<br />
4469 or visit <strong>the</strong> society’s Web site <strong>at</strong> [www.uab.edu/uasom/srhill].<br />
24
Volker Hall News<br />
By Dawn Mesa<br />
After a thorough and lengthy process, <strong>the</strong><br />
renov<strong>at</strong>ion <strong>of</strong> Volker Hall, <strong>the</strong> primary teaching<br />
site for <strong>the</strong> UASOM, was completed in<br />
July 2003. <strong>The</strong> $40-million project cre<strong>at</strong>ed<br />
learning and teaching facilities th<strong>at</strong> reflect <strong>the</strong><br />
current philosophy <strong>of</strong> teaching students in<br />
small groups, <strong>the</strong> use <strong>of</strong> interactive computer<br />
models, incorpor<strong>at</strong>ing simul<strong>at</strong>ed p<strong>at</strong>ients for<br />
teaching, and appropri<strong>at</strong>e study areas.<br />
It may have been hard to imagine wh<strong>at</strong><br />
<strong>the</strong> finished renov<strong>at</strong>ions ultim<strong>at</strong>ely would<br />
look like when construction began more<br />
than two years ago. One <strong>of</strong> <strong>the</strong> first things<br />
th<strong>at</strong> is apparent is <strong>the</strong> fact th<strong>at</strong> Volker Hall<br />
now has a front door and <strong>at</strong>rium area, something<br />
th<strong>at</strong> it previously never had. In addition,<br />
<strong>the</strong>re are now two floors, <strong>the</strong> fourth<br />
and fifth, th<strong>at</strong> were designed and renov<strong>at</strong>ed<br />
specifically with students in mind.<br />
Gone are <strong>the</strong> large lecture halls, and in<br />
<strong>the</strong>ir place are small group rooms on <strong>the</strong><br />
fourth and fifth floors. Lockers are provided<br />
for every student, and general spaces and<br />
lounge areas were cre<strong>at</strong>ed with student comfort<br />
in mind. <strong>The</strong> facilities are left open for<br />
students to study <strong>at</strong> <strong>the</strong>ir convenience day or<br />
night, says Dennis W. Boulware, M.D., associ<strong>at</strong>e<br />
dean <strong>of</strong> medical educ<strong>at</strong>ion. “This is<br />
<strong>the</strong>ir home field, and we bring <strong>the</strong> learning<br />
to <strong>the</strong>m.” In any one <strong>of</strong> <strong>the</strong> numerous small<br />
group rooms, students can work on various<br />
subjects being studied. <strong>The</strong>re are also larger<br />
rooms for groups to join toge<strong>the</strong>r and discuss<br />
<strong>the</strong>ir findings or study. <strong>The</strong>re are six<br />
large rooms and two more th<strong>at</strong> can be split<br />
and divided <strong>of</strong>f into separ<strong>at</strong>e spaces in each<br />
<strong>of</strong> <strong>the</strong> two student floors.<br />
<strong>The</strong> third floor houses <strong>the</strong> skilled-facility<br />
area—incidentally, where <strong>the</strong> Objective<br />
Structured Clinical Exam (OSCE) is held—as<br />
well as faculty space, and a group hall where<br />
lectures and simul<strong>at</strong>ions are held regularly.<br />
<strong>The</strong> skilled-facility area consists <strong>of</strong> a clinical<br />
area with 20 exam rooms, each containing all<br />
<strong>of</strong> <strong>the</strong> equipment and accoutrements <strong>of</strong> a typical<br />
exam room but with cameras and microphones<br />
to assist in observing <strong>the</strong> p<strong>at</strong>ient interactions<br />
<strong>of</strong> <strong>the</strong> OCSE and Introduction to<br />
Clinical Medicine Program.<br />
<strong>The</strong> first floor, also known as <strong>the</strong> plaza<br />
level, houses <strong>the</strong> medical-student services<br />
<strong>of</strong>fices, including admissions, financial aid,<br />
<strong>the</strong> registrar, minority programs, and career<br />
support. In addition, some administr<strong>at</strong>ive<br />
<strong>of</strong>fices are housed on this floor. <strong>The</strong> space on<br />
each floor is used to its best capacity and<br />
reflects <strong>the</strong> very l<strong>at</strong>est in learning and technological<br />
innov<strong>at</strong>ion. Always looking to <strong>the</strong><br />
future, <strong>the</strong> UASOM made sure to leave<br />
space in <strong>the</strong> building for future developments<br />
and additions.<br />
With marble hallways and art-decor<strong>at</strong>ed<br />
walls on <strong>the</strong> first floor, as well as st<strong>at</strong>e-<strong>of</strong>-<strong>the</strong>art<br />
facilities—including high-performance<br />
Internet access—for students and faculty on<br />
<strong>the</strong> floors above, <strong>the</strong>re is no doubt th<strong>at</strong><br />
Volker Hall will continue to improve <strong>the</strong><br />
quality <strong>of</strong> medicine in <strong>Alabama</strong> and around<br />
<strong>the</strong> n<strong>at</strong>ion and world. Says Boulware, “This<br />
space was designed for <strong>the</strong> students; we hope<br />
th<strong>at</strong> <strong>the</strong>y will feel like part <strong>of</strong> <strong>the</strong> student<br />
‘community’ and enjoy <strong>the</strong>ir educ<strong>at</strong>ional<br />
experience here <strong>at</strong> <strong>the</strong> UASOM.”<br />
<strong>The</strong> newly renov<strong>at</strong>ed Volker Hall reflects <strong>the</strong> UASOM’s commitment to providing <strong>the</strong> best medical educ<strong>at</strong>ion.<br />
Above (L), a student takes a break in <strong>the</strong> main hallway; (R) a close-up view <strong>of</strong> <strong>the</strong> UASOM seal in <strong>the</strong> hallway.<br />
Funding from Ernest G. DeBakey<br />
Charitable Found<strong>at</strong>ion Helps Rural Medical Scholars<br />
By Dawn Mesa<br />
Given his lengthy medical career, Ernest G.<br />
DeBakey, M.D., has served in many roles: practitioner,<br />
scholar, and mentor, to name just a few. In 1977, as<br />
part <strong>of</strong> his long-standing commitment to helping o<strong>the</strong>rs,<br />
DeBakey founded <strong>the</strong> Ernest G. DeBakey<br />
Charitable Found<strong>at</strong>ion to benefit medical educ<strong>at</strong>ion<br />
and research.<br />
As part <strong>of</strong> <strong>the</strong> found<strong>at</strong>ion’s commitment to rural<br />
health care in <strong>Alabama</strong>, it generously funds students<br />
from several rural sou<strong>the</strong>rn <strong>Alabama</strong> counties as part<br />
<strong>of</strong> <strong>the</strong> DeBakey Found<strong>at</strong>ion Rural Medical Scholars<br />
award. In addition to <strong>the</strong> honor th<strong>at</strong> accompanies this<br />
award, <strong>the</strong>re is also a financial benefit to students<br />
selected. DeBakey Found<strong>at</strong>ion Rural Medical Scholars<br />
receive $9,000 for <strong>the</strong>ir senior (prem<strong>at</strong>ricul<strong>at</strong>ion) year<br />
<strong>of</strong> undergradu<strong>at</strong>e school <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Alabama</strong>,<br />
followed by $27,000 per year for <strong>the</strong> four years <strong>of</strong><br />
medical school <strong>at</strong> <strong>the</strong> UASOM. <strong>The</strong>se funds cover<br />
tuition and fees, room and board, and books and supplies,<br />
as well as o<strong>the</strong>r school-rel<strong>at</strong>ed expenses.<br />
Recently, Kenneth “Brad” Guy was named <strong>the</strong> 2003<br />
DeBakey Found<strong>at</strong>ion Rural Medical Scholar. He is <strong>the</strong><br />
third recipient <strong>of</strong> <strong>the</strong> award to d<strong>at</strong>e. <strong>The</strong> first recipient,<br />
in 1999, was Emily Dolbare, UASOM class <strong>of</strong> 2003,<br />
who is currently completing her residency in internal<br />
medicine <strong>at</strong> Wake Forest <strong>University</strong>.<br />
<strong>The</strong> second recipient <strong>of</strong> <strong>the</strong> award, Emily S. Barnes,<br />
<strong>the</strong> 2001 DeBakey Found<strong>at</strong>ion Rural Medical Scholar,<br />
hails from Monroe County, <strong>Alabama</strong>, and is currently in<br />
her third year <strong>at</strong> <strong>the</strong> UASOM. She has known from a<br />
young age th<strong>at</strong> she wanted to be a physician and plans<br />
to return to Monroeville and practice family medicine<br />
upon completion <strong>of</strong> her medical educ<strong>at</strong>ion. “As <strong>the</strong><br />
child <strong>of</strong> a single-parent household, I’ve been blessed in<br />
so many ways in terms <strong>of</strong> <strong>the</strong> many doors th<strong>at</strong> have<br />
opened for me and receiving <strong>the</strong> DeBakey scholarship. I<br />
feel like I’ve truly been called to medicine, and everything<br />
else has happened to reinforce th<strong>at</strong>. I look forward<br />
to returning to my hometown and taking care <strong>of</strong> <strong>the</strong><br />
people who took care <strong>of</strong> me; it’ll be an honor,” she says.<br />
To qualify as a DeBakey Found<strong>at</strong>ion Rural Medical<br />
Scholar, students must hail from Clark, Monroe,<br />
Washington, or Wilcox Counties in <strong>Alabama</strong>, maintain<br />
a 3.2 grade-point average (GPA) during <strong>the</strong>ir prem<strong>at</strong>ricul<strong>at</strong>ion<br />
year and a 3.0 GPA while in medical<br />
school, and agree to practice medicine for <strong>at</strong> least five<br />
years in a rural community after completion <strong>of</strong> <strong>the</strong>ir<br />
medical educ<strong>at</strong>ion. This last point is not legally binding,<br />
nor enforced, but it is hoped th<strong>at</strong> DeBakey<br />
Found<strong>at</strong>ion Rural Medical Scholars will return to a<br />
rural <strong>Alabama</strong> community to practice medicine.<br />
25
medical alumni bulletin<br />
CLASS NOTES<br />
1949<br />
GEORGE CAPERS DOUGLAS retired from his family practice on December<br />
31, 2002. He is a member <strong>of</strong> <strong>the</strong> Medical Society, still has a current license, occasionally<br />
makes house calls, sees p<strong>at</strong>ients <strong>at</strong> his home <strong>of</strong>fice, and renews prescriptions.<br />
He lives in Jackson, <strong>Alabama</strong>.<br />
1972<br />
R. WINN HENDERSON has published his 13th book, <strong>The</strong> Deposition (1st<br />
Books, November 2003). In this book, a real deposition is presented to go inside<br />
oneself to find <strong>the</strong> ultim<strong>at</strong>e secret to happiness. He lives in Sylva, North Carolina,<br />
and specializes in addiction medicine.<br />
1974<br />
ROBERT LYNN HOLLEY has been appointed assistant pr<strong>of</strong>essor by John C.<br />
Hauth, M.D., pr<strong>of</strong>essor and chairman <strong>of</strong> UAB’s Department <strong>of</strong> OB/GYN, and<br />
R. Edward Varner Jr., M.D., pr<strong>of</strong>essor and division director <strong>of</strong> UAB<br />
Medical/Surgical Gynecology. He currently serves as a reviewer for Obstetrics and<br />
Gynecology, <strong>the</strong> journal <strong>of</strong> <strong>the</strong> American College <strong>of</strong> Obstetricians and<br />
Gynecologists, and <strong>the</strong> American Journal <strong>of</strong> Obstetrics and Gynecology. He specializes<br />
in gynecologic surgery.<br />
1980<br />
LEIGH FINCHER gradu<strong>at</strong>ed from <strong>the</strong> <strong>University</strong> <strong>of</strong> Arkansas School <strong>of</strong> Law,<br />
Magna Cum Laude, J.D., in June 2003, and was awarded a health law scholarship.<br />
His interest is in health-care policy as it affects <strong>the</strong> doctor-p<strong>at</strong>ient rel<strong>at</strong>ionship. He<br />
lives in Fayetteville, Arkansas, and specializes in emergency medicine.<br />
1981 (Resident)<br />
SAMUEL C. DURSO was appointed deputy director <strong>of</strong> educ<strong>at</strong>ion and codirector<br />
<strong>of</strong> <strong>the</strong> Fellowship Training Program, Division <strong>of</strong> Geri<strong>at</strong>ric Medicine<br />
and Gerontology <strong>at</strong> <strong>the</strong> Johns Hopkins <strong>University</strong> School <strong>of</strong> Medicine. He lives<br />
in Baltimore, Maryland, and specializes in internal medicine.<br />
1982<br />
SUSAN RAY FREDERICK received <strong>the</strong> Dane Prugh Award for outstanding<br />
teacher in child psychi<strong>at</strong>ry <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> Colorado Health Sciences<br />
Center in Denver, Colorado, in June 2002. She specializes in psychi<strong>at</strong>ry.<br />
1984<br />
REGINA MARCIA BENJAMIN was fe<strong>at</strong>ured in <strong>the</strong> September 2003 issue <strong>of</strong><br />
Good Housekeeping magazine along with five o<strong>the</strong>r inspiring women in an article<br />
called “She Could Have Done Anything.” Benjamin has a family practice <strong>at</strong><br />
<strong>the</strong> Bayou La B<strong>at</strong>re Rural Health Clinic, which she opened in 1990, in Bayou<br />
La B<strong>at</strong>re, <strong>Alabama</strong>. She is past president <strong>of</strong> <strong>the</strong> Medical Associ<strong>at</strong>ion <strong>of</strong> <strong>the</strong> St<strong>at</strong>e<br />
<strong>of</strong> <strong>Alabama</strong> (MASA).<br />
1984<br />
AMIE BROWN JACKSON, chair <strong>of</strong> UAB’s Department <strong>of</strong> Physical Medicine<br />
and Rehabilit<strong>at</strong>ion, recently received $100,000 to establish two one-year accredited<br />
fellowships in spinal cord injury (SCI) medicine. Fellowships such as <strong>the</strong>se are<br />
crucial in developing future leaders <strong>of</strong> spinal cord medicine practice, research, and<br />
teaching. Jackson lives in <strong>Birmingham</strong>, <strong>Alabama</strong>.<br />
1985<br />
DONALD BRUCE STEWART has returned to <strong>the</strong> UASOM after 18 years to hang<br />
his unique artwork in <strong>the</strong> hall <strong>of</strong> his alma m<strong>at</strong>er. Eight <strong>of</strong> his composite renderings<br />
have been selected for permanent display in <strong>the</strong> new UAB Medical Student Services<br />
<strong>of</strong>fice. One is St. Mary’s Hospital drawn during his residency, and ano<strong>the</strong>r, titled<br />
Handle with Care, is an an<strong>at</strong>omical spine made with a group <strong>of</strong> hands th<strong>at</strong> spell <strong>the</strong><br />
title in sign language. Stewart lives in Homewood, <strong>Alabama</strong>, where he has opened<br />
an art studio called DS Art Studio Gallery. His artwork can be viewed <strong>at</strong><br />
[www.dsart.com]. He specialized in general surgery.<br />
1985 (Resident)<br />
SUSAN MARIE HARDING, medical director, UAB’s Sleep Wake Disorders<br />
Center and associ<strong>at</strong>e pr<strong>of</strong>essor <strong>of</strong> medicine in <strong>the</strong> Division <strong>of</strong> Pulmonary, Allergy,<br />
and Critical Care Medicine, has been elected to serve a three-year term on <strong>the</strong><br />
American Board <strong>of</strong> Sleep Medicine. Harding also did a fellowship <strong>at</strong> UAB in 1986.<br />
She lives in <strong>Birmingham</strong>, <strong>Alabama</strong>, and specializes in internal medicine.<br />
1987<br />
CLAUDE DARNELL BRUNSON was appointed chairman <strong>of</strong> <strong>the</strong><br />
Department <strong>of</strong> Anes<strong>the</strong>siology <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> Mississippi, in Jackson, on<br />
May 12, 2003. Brunson had been interim chair <strong>of</strong> <strong>the</strong> department since<br />
August 2002. He is a four-time member <strong>of</strong> Best Doctors in America (1998-<br />
2001) and has twice received <strong>the</strong> UMC Department <strong>of</strong> Anes<strong>the</strong>siology<br />
Teacher <strong>of</strong> <strong>the</strong> Year Award. He is a member <strong>of</strong> <strong>the</strong> Intern<strong>at</strong>ional Anes<strong>the</strong>sia<br />
Research Society, <strong>the</strong> American Society <strong>of</strong> Anes<strong>the</strong>siologists, <strong>the</strong> American<br />
Medical Associ<strong>at</strong>ion, <strong>the</strong> Mississippi St<strong>at</strong>e Medical Associ<strong>at</strong>ion, <strong>the</strong><br />
Mississippi Society <strong>of</strong> Anes<strong>the</strong>siologists, and <strong>the</strong> American College <strong>of</strong><br />
Physician Executives, and he is currently serving on <strong>the</strong> board <strong>of</strong> directors for<br />
<strong>the</strong> American Society <strong>of</strong> Anes<strong>the</strong>siologists and as vice president <strong>of</strong> <strong>the</strong> Hinds<br />
County chapter <strong>of</strong> <strong>the</strong> Central Medical Society. A n<strong>at</strong>ive <strong>of</strong> Auburn, <strong>Alabama</strong>,<br />
he resides in Ridgeland, Mississippi.<br />
1987<br />
BART RICHARDSON COMBS was appointed by Kirby I. Bland, M.D.,<br />
chairman <strong>of</strong> <strong>the</strong> Department <strong>of</strong> Surgery, and William J. Koopman, M.D., chairman<br />
<strong>of</strong> <strong>the</strong> Department <strong>of</strong> Medicine, as assistant pr<strong>of</strong>essor in <strong>the</strong> Departments<br />
<strong>of</strong> Medicine and Surgery and a specialist in vascular medicine; he is <strong>the</strong> first<br />
UAB physician to ever hold this position. Combs’s primary appointment is in<br />
<strong>the</strong> Division <strong>of</strong> General Medicine under <strong>the</strong> leadership <strong>of</strong> Robert M. Centor,<br />
M.D. Combs is certified by <strong>the</strong> American Board <strong>of</strong> Internal Medicine, and his<br />
major research interests include medical tre<strong>at</strong>ment <strong>of</strong> hypertension, dyslipidemia,<br />
diabetes, and o<strong>the</strong>r emerging factors rel<strong>at</strong>ed to vascular disease. He lives<br />
in <strong>Birmingham</strong>, <strong>Alabama</strong>.<br />
1987<br />
ROBERT CHARLES RICHARD was appointed chairman <strong>of</strong> <strong>the</strong> N<strong>at</strong>ional Associ<strong>at</strong>ion<br />
<strong>of</strong> Community Health Centers <strong>of</strong> Be<strong>the</strong>sda, Maryland, on September 9,<br />
2002. He lives in Grand Rapids, Michigan, and specializes in family medicine.<br />
1990<br />
JOSEPH MICHAEL MOATES was appointed assistant pr<strong>of</strong>essor <strong>of</strong> medicine<br />
and staff physician <strong>at</strong> <strong>the</strong> <strong>Birmingham</strong> Veterans Affairs Medical Center, by<br />
Jeffrey E. Kudlow, M.D., pr<strong>of</strong>essor and director <strong>of</strong> UAB’s Division <strong>of</strong><br />
26
ALUM BABES<br />
Endocrinology and Metabolism. He currently sees adult p<strong>at</strong>ients with types<br />
1 and 2 diabetes, as well as general endocrine problems <strong>at</strong> <strong>the</strong> VA<br />
Endocrinology and Metabolism Clinic. Mo<strong>at</strong>es has coauthored manuscripts<br />
for peer-reviewed public<strong>at</strong>ions including <strong>the</strong> Journal <strong>of</strong> Biological<br />
Chemistry, Molecular Endocrinology, Genomics, Proceedings <strong>of</strong> <strong>the</strong> N<strong>at</strong>ional<br />
Academy <strong>of</strong> Sciences, Molecular Pharmacology, and Diabetes. He lives in<br />
Indian Springs, <strong>Alabama</strong>.<br />
1991<br />
MATTHEW TIERNAN SPEYER has been elected chairman <strong>of</strong> <strong>the</strong><br />
Department <strong>of</strong> Surgery <strong>at</strong> Skyline Medical Center for 2003-05. He also<br />
was appointed clinical pr<strong>of</strong>essor <strong>of</strong> otolaryngology <strong>at</strong> Vanderbilt<br />
<strong>University</strong>. He lives in Nashville, Tennessee.<br />
1996<br />
ZIPPORAH KRISHNASAMI was appointed assistant pr<strong>of</strong>essor <strong>of</strong> <strong>the</strong><br />
Department <strong>of</strong> Nephrology by David G. Warnock, M.D., pr<strong>of</strong>essor and<br />
director <strong>of</strong> <strong>the</strong> UAB Division <strong>of</strong> Nephrology. She previously completed a<br />
nephrology fellowship rot<strong>at</strong>ion <strong>at</strong> Lilongwe Central Hospital in Malawi,<br />
Africa, and was in priv<strong>at</strong>e practice in Baltimore, Maryland, <strong>at</strong> <strong>the</strong> largest priv<strong>at</strong>e<br />
nephrology practice in <strong>the</strong> mid-Atlantic area. Krishnasami lives in<br />
Hoover, <strong>Alabama</strong>, and is board-certified in internal medicine and nephrology.<br />
1997<br />
JON D. HOLMES was recently inducted into <strong>the</strong> American College <strong>of</strong><br />
Surgeons and has joined in practice with Dennis “Mark” Clark (class <strong>of</strong><br />
1980) in <strong>Birmingham</strong>, <strong>Alabama</strong>. He lives in <strong>the</strong> <strong>Birmingham</strong> area and<br />
specializes in maxill<strong>of</strong>acial radiology.<br />
1998<br />
MARLA BLACK MORGAN was appointed assistant pr<strong>of</strong>essor by Ray L.<br />
W<strong>at</strong>ts, M.D., pr<strong>of</strong>essor and chair <strong>of</strong> <strong>the</strong> Department <strong>of</strong> Neurology. Morgan<br />
completed a neurology residency <strong>at</strong> UAB, serving as chief resident, and a clinical<br />
neurophysiology residency. Her clinical interest and current research focus<br />
is on neuromuscular disorders, such as myas<strong>the</strong>nia gravis, diabetic polyneurop<strong>at</strong>hy,<br />
and demyelin<strong>at</strong>ing neurop<strong>at</strong>hy. She received <strong>the</strong> Samuel Clements<br />
Little Award in neurology, <strong>the</strong> UASOM Dean’s Scholarship (4 years), and <strong>the</strong><br />
Alpha Kappa Mu N<strong>at</strong>ional Honor Society George W. Gore Merit Scholarship.<br />
She lives in Alabaster, <strong>Alabama</strong>.<br />
2000<br />
CATHY AVERY SKINNER has moved to Austin, Texas, to complete a<br />
one-year fellowship in obstetrics, after completing her residency <strong>at</strong><br />
Tuscaloosa Family Practice.<br />
2001 (Resident)<br />
CATHERINE L. DANIEL was appointed assistant pr<strong>of</strong>essor <strong>of</strong> <strong>the</strong><br />
Department <strong>of</strong> Clinical Immunology and Rheum<strong>at</strong>ology by Robert P.<br />
Kimberly, M.D., pr<strong>of</strong>essor and director. Daniel did her residency in internal<br />
medicine <strong>at</strong> UAB from 1999-2001 and a fellowship from 2001-03 in<br />
rheum<strong>at</strong>ology. She lives in Homewood, <strong>Alabama</strong>, and specializes in<br />
rheum<strong>at</strong>oid arthritis and systemic lupus ery<strong>the</strong>m<strong>at</strong>osus.<br />
CHRISTINE LONG CHOAT AND DENNIS EDWARD CHOAT, class<br />
<strong>of</strong> 1992, announce <strong>the</strong> birth <strong>of</strong> <strong>the</strong>ir second son, Aiden Rye, born on September<br />
12, 2003. He joins his bro<strong>the</strong>r, Jack Morgan, who turned two on September 6,<br />
2003. Christine specializes in internal medicine, and Dennis specializes in colon<br />
and rectal surgery. <strong>The</strong>y live in Peachtree City, Georgia.<br />
TOLLY WILLIAMS GARRETT, class <strong>of</strong> 1994, and her husband, Jim,<br />
are delighted to announce <strong>the</strong> birth <strong>of</strong> <strong>the</strong>ir daughter, Aberly Ann Garrett,<br />
born June 2, 2003. Tolly’s specialty is pedi<strong>at</strong>rics, and she works with Coastal<br />
Children’s Clinic in Maysville, North Carolina. Her husband, Jim, is a marine<br />
pilot st<strong>at</strong>ioned in Jacksonville, North Carolina.<br />
CATHY AVERY SKINNER, class <strong>of</strong> 2000, and her husband, Shannon,<br />
announce <strong>the</strong> birth <strong>of</strong> <strong>the</strong>ir son, Tyler, born April 12, 2003. C<strong>at</strong>hy lives in<br />
Austin, Texas, and specializes in family medicine.<br />
BELATED BIRTH ANNOUNCEMENTS<br />
SALLY A. WRIGHT AND DAVID WRIGHT, class <strong>of</strong> 1993,<br />
announce <strong>the</strong> birth <strong>of</strong> <strong>the</strong>ir daughter, Madelyn Marie, born on December<br />
30, 2002. Sally is currently not working due to <strong>the</strong> high cost <strong>of</strong> medical<br />
malpractice insurance in her field <strong>of</strong> pedi<strong>at</strong>ric emergency medicine. She<br />
also is busy raising three children. David continues to work <strong>at</strong> Emory and<br />
Grady Hospitals in emergency medicine and does brain injury research.<br />
<strong>The</strong>y live in Atlanta, Georgia.<br />
RHEA HSU AND DAVE JENKINS, class <strong>of</strong> 1994, announce <strong>the</strong> birth <strong>of</strong><br />
<strong>the</strong>ir son, Aidan, born on October 10, 2002. Rhea and Dave both are in priv<strong>at</strong>e<br />
practice in internal medicine <strong>at</strong> Carolina Medical Consultants in Rock Hill,<br />
South Carolina.<br />
WILLIAM CHARLES “CHARLIE” BRASWELL III, class <strong>of</strong> 1996,<br />
and his wife, Mary Lee, announce <strong>the</strong> birth <strong>of</strong> <strong>the</strong>ir son, Blake Braswell, on<br />
December 19, 2002. Charlie reloc<strong>at</strong>ed his practice to UAB Medical West<br />
on April 21, 2003. He lives in Hoover, <strong>Alabama</strong>, and specializes in general<br />
surgery.<br />
RAJ VARMA, class <strong>of</strong> 2001, and his wife, Michele, announce <strong>the</strong> birth <strong>of</strong><br />
<strong>the</strong>ir daughter, N<strong>at</strong>alie Marie Varma, born on November 1, 2002. Raj is a<br />
Navy flight surgeon <strong>at</strong> Naval Air St<strong>at</strong>ion Oceana in Virginia Beach, Virginia.<br />
He lives in Chesapeake, Virginia, and specializes in general surgery.<br />
<strong>The</strong> Medical Alumni<br />
Associ<strong>at</strong>ion and <strong>the</strong><br />
Department <strong>of</strong> Surgery<br />
recently co-hosted <strong>the</strong><br />
annual reception <strong>at</strong> <strong>the</strong><br />
American College <strong>of</strong><br />
Surgeons Clinical Congress,<br />
Monday, October 20, <strong>at</strong> <strong>the</strong><br />
Fairmont Hotel in Chicago.<br />
Here <strong>the</strong> crowd can be seen<br />
enjoying <strong>the</strong> evening’s<br />
festivities.<br />
27
Alumni Associ<strong>at</strong>ion News<br />
IN MEMORIAM<br />
ROBERT POWERS MCBURNEY, 1942 alumnus <strong>of</strong> <strong>the</strong> two-year<br />
school, died October 13, 2003. He gradu<strong>at</strong>ed from Harvard Medical<br />
School and served in <strong>the</strong> Army Medical Corp as chief <strong>of</strong> anes<strong>the</strong>sia <strong>at</strong><br />
<strong>the</strong> 279th St<strong>at</strong>ion Hospital in Berlin, Germany. McBurney did his surgical<br />
training <strong>at</strong> Mayo Clinic and practiced general and thoracic surgery<br />
in Memphis for 42 years. He was a past chief <strong>of</strong> staff and past president<br />
<strong>of</strong> <strong>the</strong> general staff <strong>at</strong> Baptist Memorial Hospital, a member <strong>of</strong> <strong>the</strong><br />
surgical staff <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> Tennessee, and retired as assistant<br />
clinical pr<strong>of</strong>essor <strong>of</strong> surgery. He also was past president <strong>of</strong> <strong>the</strong> Memphis<br />
Surgical Society and a member <strong>of</strong> <strong>the</strong> Sou<strong>the</strong>rn Surgical Associ<strong>at</strong>ion<br />
and <strong>the</strong> American Associ<strong>at</strong>ion for Thoracic Surgery. He was a resident<br />
<strong>of</strong> Memphis, Tennessee, and specialized in general surgery.<br />
DON EDGAR KING, 1943 gradu<strong>at</strong>e <strong>of</strong> <strong>the</strong> two-year school, died<br />
October 28, 2003. He <strong>at</strong>tended medical school <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong><br />
Pennsylvania where he was elected to <strong>the</strong> Gorgas Medical Society,<br />
completed an internship and residency in internal medicine <strong>at</strong> Robert<br />
Packer Hospital in Sayre, Pennsylvania, and a p<strong>at</strong>hology residency <strong>at</strong><br />
UAB. King was a Fellow <strong>of</strong> <strong>the</strong> American College <strong>of</strong> Surgeons, past<br />
president and founder <strong>of</strong> <strong>the</strong> Rupert Turnbull Surgical Society, and<br />
was a member <strong>of</strong> <strong>the</strong> <strong>Birmingham</strong> Surgical Society. He lived in<br />
<strong>Birmingham</strong>, <strong>Alabama</strong>.<br />
WILLIAM LEONARD DRAPER, 1949 resident <strong>at</strong> <strong>the</strong> UASOM, born<br />
in Atlanta, Georgia, and raised in <strong>Birmingham</strong>, <strong>Alabama</strong>, died July<br />
10, 2003. He was a clinical associ<strong>at</strong>e pr<strong>of</strong>essor <strong>of</strong> otolaryngology <strong>at</strong><br />
Baylor College <strong>of</strong> Medicine and <strong>the</strong> UT Medical School <strong>of</strong> Houston,<br />
and a member <strong>of</strong> many medical societies, including <strong>the</strong> Triological<br />
Society. He lived in Houston, Texas, where he practiced otolaryngology<br />
for 52 years until his retirement in 2000.<br />
WILLIAM HOWARD ROBERTSON, gradu<strong>at</strong>e <strong>of</strong> <strong>the</strong> class <strong>of</strong> 1951<br />
and a 1957 resident, died September 1, 2003. Robertson practiced<br />
OB/GYN <strong>at</strong> St.Vincent’s for 37 years until his retirement in 1990. He<br />
was a member <strong>of</strong> <strong>the</strong> American Fertility Society, <strong>the</strong> American Board<br />
<strong>of</strong> OB/GYN, <strong>the</strong> American College <strong>of</strong> OB/GYN, <strong>the</strong> New York<br />
Academy <strong>of</strong> Sciences, and <strong>the</strong> American College <strong>of</strong> Surgeons. He<br />
was <strong>the</strong> author <strong>of</strong> many scholarly articles, monographs, and books,<br />
including An Illustr<strong>at</strong>ed History <strong>of</strong> Contraception. He was a resident <strong>of</strong><br />
<strong>Birmingham</strong>, <strong>Alabama</strong>.<br />
ALLAN H. JEFFERIES, 1952 resident <strong>of</strong> <strong>the</strong> UASOM, died August 2,<br />
2003. He lived in Norfolk, Virginia, and specialized in pedi<strong>at</strong>ric medicine.<br />
complete a residency in psychi<strong>at</strong>ry. She practiced psychi<strong>at</strong>ry in<br />
Gadsden until 1992 and <strong>the</strong>n retired to Childersburg. She was a member<br />
<strong>of</strong> <strong>the</strong> American Medical Associ<strong>at</strong>ion, <strong>the</strong> American Psychi<strong>at</strong>ry<br />
Society, and <strong>the</strong> Medical Associ<strong>at</strong>ion <strong>of</strong> <strong>the</strong> St<strong>at</strong>e <strong>of</strong> <strong>Alabama</strong>. Her<br />
husband is David A. Azar, M.D., class <strong>of</strong> 1954 and a 1969 resident.<br />
CHARLES BAXTER “PISTOL” HOWELL, gradu<strong>at</strong>e <strong>of</strong> <strong>the</strong> class <strong>of</strong><br />
1956 and a 1957 resident, died October 6, 2003. He was a past president<br />
<strong>of</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> Medical Alumni Associ<strong>at</strong>ion and a<br />
recipient <strong>of</strong> <strong>the</strong> John A. Caddell Service Award <strong>at</strong> <strong>the</strong> Dec<strong>at</strong>ur General<br />
Found<strong>at</strong>ion’s 1999 Gala. He retired from priv<strong>at</strong>e practice in 1995 after<br />
delivering more than 6,000 babies. He lived in Dec<strong>at</strong>ur, <strong>Alabama</strong>.<br />
ROBERT EDWARD WILTSIE, gradu<strong>at</strong>e <strong>of</strong> <strong>the</strong> class <strong>of</strong> 1957, died<br />
September 13, 2003. He was a resident <strong>of</strong> <strong>Birmingham</strong>, <strong>Alabama</strong>,<br />
and had retired from his family practice.<br />
FLEMON CARDEN JOHNSTON SR., fa<strong>the</strong>r <strong>of</strong> Flemon Carden<br />
Johnston Jr., M.D., gradu<strong>at</strong>e <strong>of</strong> <strong>the</strong> class <strong>of</strong> 1961 and 1964 resident,<br />
died October 8, 2003.<br />
JERRY KENNETH LEWIS, gradu<strong>at</strong>e <strong>of</strong> <strong>the</strong> class <strong>of</strong> 1973, died<br />
September 23, 2003. He was a member <strong>of</strong> <strong>the</strong> American Medical<br />
Associ<strong>at</strong>ion, a fellow <strong>of</strong> <strong>the</strong> American Academy <strong>of</strong> Family Practice, and<br />
a member <strong>of</strong> <strong>the</strong> Jefferson County Medical Associ<strong>at</strong>ion. He was a resident<br />
<strong>of</strong> <strong>Birmingham</strong>, <strong>Alabama</strong>, and specialized in family practice.<br />
MICHAEL GERALD POIST, class <strong>of</strong> 1987 and resident 1991, died<br />
November 5, 2003, in Albany, Georgia. Born in Williamsburg,<br />
Virginia, Poist lived in Tuscaloosa where he was in practice with his<br />
bro<strong>the</strong>r James “Jim” Edward Poist (class <strong>of</strong> 1990) <strong>at</strong> Partlow, Harbin<br />
& Poist OB/GYN. He served on <strong>the</strong> Parish Council <strong>at</strong> St. Francis<br />
C<strong>at</strong>holic Church, was president <strong>of</strong> <strong>the</strong> medical staff executive committee<br />
<strong>at</strong> DCH Regional, and was instrumental in <strong>the</strong> renov<strong>at</strong>ion <strong>of</strong> <strong>the</strong><br />
Women’s Center, which he served as chief medical consultant. He<br />
also served on <strong>the</strong> Hospice Executive Board <strong>of</strong> Directors, <strong>the</strong><br />
<strong>University</strong> <strong>of</strong> <strong>Alabama</strong> School <strong>of</strong> Nursing DCH Found<strong>at</strong>ion board,<br />
and on <strong>the</strong> Board <strong>of</strong> Directors <strong>of</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> Medical<br />
Alumni Associ<strong>at</strong>ion. He was founder <strong>of</strong> <strong>the</strong> community inform<strong>at</strong>ion<br />
program “Can We Talk?” for adolescents and was listed in <strong>the</strong><br />
<strong>Birmingham</strong> Magazine “Best Docs” article.<br />
KATHRYNE K. AZAR, gradu<strong>at</strong>e <strong>of</strong> <strong>the</strong> class <strong>of</strong> 1954 and a 1969 resident,<br />
died September 8, 2003. She practiced pedi<strong>at</strong>ric medicine in<br />
Childersburg, <strong>Alabama</strong>, until she returned to <strong>the</strong> university in 1969 to<br />
28
Alumni Associ<strong>at</strong>ion News<br />
ALUMNI FORM<br />
Alumni, Let Us Hear from You<br />
Please take a few minutes to share with us any personal or pr<strong>of</strong>essional news for public<strong>at</strong>ion in a future issue <strong>of</strong> <strong>the</strong><br />
<strong>Alabama</strong> Medical Alumni Bulletin.<br />
Name __________________________________________________________________<br />
Today’s d<strong>at</strong>e ________________ Year gradu<strong>at</strong>ed ________ Specialty _______________<br />
Home address _____________________________________________________________________________<br />
Business address ___________________________________________________________________________<br />
Phone (H) ____________________________________ (W) _______________________________________<br />
E-mail _______________________________________ Fax _______________________________________<br />
Spouse’s name ___________________________________________________________<br />
Children (if recent, include d<strong>at</strong>e <strong>of</strong> birth) ______________________________________<br />
Personal/pr<strong>of</strong>essional upd<strong>at</strong>e (List names/d<strong>at</strong>es <strong>of</strong> recent public<strong>at</strong>ions, awards, honors.)<br />
_________________________________________________________________________________________<br />
_________________________________________________________________________________________<br />
_________________________________________________________________________________________<br />
_________________________________________________________________________________________<br />
Please return this form to:<br />
Elaine Chambless<br />
Director <strong>of</strong> Alumni Affairs<br />
<strong>The</strong> <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> Medical Alumni Associ<strong>at</strong>ion<br />
MAB • 811 20th Street South<br />
1530 3RD AVE S<br />
BIRMINGHAM AL 35294-2140<br />
29
With Appreci<strong>at</strong>ion . . .<br />
To <strong>the</strong> following alumni and friends <strong>of</strong> <strong>the</strong> UASOM for <strong>the</strong>ir support <strong>of</strong> <strong>the</strong><br />
School <strong>of</strong> Medicine through contributions to <strong>the</strong> Medical Alumni Associ<strong>at</strong>ion,<br />
<strong>the</strong> Building Fund, and <strong>the</strong> Cauduceus Club, from October 1, 2002, to<br />
September 30, 2003. <strong>The</strong> funds raised through <strong>the</strong>se contributions are used to<br />
support school, student, and alumni programs.<br />
One <strong>of</strong> <strong>the</strong> major sponsorships <strong>of</strong> <strong>the</strong> Medical Alumni Associ<strong>at</strong>ion is <strong>the</strong><br />
annual Alumni Weekend, which brings alumni and o<strong>the</strong>r physicians toge<strong>the</strong>r<br />
for continuing educ<strong>at</strong>ion seminars and class reunions. Receptions for alumni,<br />
school faculty, and friends are sponsored by <strong>the</strong> associ<strong>at</strong>ion during n<strong>at</strong>ional,<br />
regional, and st<strong>at</strong>e pr<strong>of</strong>essional meetings throughout <strong>the</strong> year. <strong>The</strong> associ<strong>at</strong>ion<br />
also sponsors student organiz<strong>at</strong>ions, scholarships, student funds, senior class<br />
night, yearbook advertising, and white co<strong>at</strong>s for first-year students, as well as<br />
<strong>the</strong> MedCareers program, <strong>the</strong> Medical Student Enrichment program, and <strong>the</strong><br />
Argus Society annual awards program.<br />
<strong>The</strong> Caduceus Club provides travel fellowships for students to travel for<br />
o<strong>the</strong>r medical experiences. It also gives awards to outstanding faculty members<br />
and supports MIST and o<strong>the</strong>r programs.<br />
<strong>The</strong> <strong>of</strong>ficers <strong>of</strong> <strong>the</strong> Medical Alumni Associ<strong>at</strong>ion along with <strong>the</strong> administr<strong>at</strong>ion<br />
<strong>of</strong> <strong>the</strong> UASOM wish to thank those listed for <strong>the</strong>ir generous contributions.*<br />
*If you generously contributed to <strong>the</strong> UASOM but your name was not included in this list, please accept our<br />
apologies for <strong>the</strong> oversight. In addition, please contact Elaine Chambless, Director <strong>of</strong> Alumni Affairs, so we can<br />
see to it th<strong>at</strong> your name is included and proper recognition given to you.<br />
JAMES MARTIN ABROMS, BIRMINGHAM, AL<br />
STEPHANIE PATRICE ACIERNO, SEATTLE, WA<br />
CHRISTOPHER DENMAN ADAMS, LITTLE ROCK, AR<br />
ERIC ARTHUR ADAMS, CHESAPEAKE, VA<br />
FREDERICK F. ADAMS III, SPARTANBURG, SC<br />
GEORGE WILBURN ADAMS JR., BIRMINGHAM, AL<br />
JEFFREY DEAN ADAMS, BIRMINGHAM, AL<br />
JENNIFER KASH ADAMS, CHESAPEAKE, VA<br />
ROBERT BARRY ADAMS, MONTGOMERY, AL<br />
WILLIAM EARL ADAMS, COLUMBUS, GA<br />
DALE ALLEN ADISHIAN, PALO CEDRO, CA<br />
SUBODH K. AGRAWAL, ATHENS, GA<br />
ROBERT BEAUMONT AKENHEAD, HUNTSVILLE, AL<br />
RUSH E. AKIN, PANAMA CITY, FL<br />
KENNETH WILLIAM ALDRIDGE, TUSCALOOSA, AL<br />
CATHERINE H ALEXANDER, NEWNAN, GA<br />
BENNETT ALLAE ALFORD, CHARLOTTESVILLE, VA<br />
CHARLES AARON ALFORD JR., BIRMINGHAM, AL<br />
JAMES HUSTON ALFORD JR., MONTGOMERY, AL<br />
GARY GLEN ALLEN, NEW BROCKTON, AL<br />
THOMAS MCWANE ALLISON, PELHAM, AL<br />
RICHARD M. ALLMAN, BIRMINGHAM, AL<br />
JORGE E. ALONSO, BIRMINGHAM, AL<br />
M. WADE ALVERSON JR., OPELIKA, AL<br />
J. NOBLE ANDERSON JR, MONTGOMERY, AL<br />
MARK MONROE ANDERSON, MONTGOMERY, AL<br />
PAUL JACKSON ANDERSON JR., ENTERPRISE, AL<br />
JOHN DANIEL ANDRESS, MOKENA, IL<br />
WILLIAM WALTON ANDREWS, BIRMINGHAM, AL<br />
JAMES PETER ARGIRES, LANCASTER, PA<br />
PERRY JAMES ARGIRES, LANCASTER, PA<br />
WILLIAM MARK ARMSTRONG, DALLAS, TX<br />
JOHN MALONE ASHURST JR., MONTGOMERY, AL<br />
CARL C. ASKREN, FRESNO, CA<br />
AGATHA TAMUMOIYOWU ASURU, PELHAM, AL<br />
ROBERT GEORGE ATNIP, HERSHEY, PA<br />
CHARLES WADSWORTH ATWOOD JR, PITTSBURGH, PA<br />
PHILIP AUGUST JR., GARDENDALE, AL<br />
JAMES MAXWELL AUSTIN JR., MOUNTAIN BROOK, AL<br />
DONALD WEBSTER AUTRY, BESSEMER, AL<br />
DANIEL MASON AVERY, WINFIELD, AL<br />
ROBERT NEAL AXON, DURHAM, NC<br />
VIRGIL THOMAS BACCUS, CULLMAN, AL<br />
JIMMIE DALE BAILEY II, CRESTVIEW, FL<br />
JOHN DOYLE BAILEY, MOSS POINT, MS<br />
JULIE ANNA BAIRD, DALLAS, TX<br />
LAWRENCE VERNON BAKER, JASPER, AL<br />
NORTON MASON BAKER JR., ORLANDO, FL<br />
OLIVER CHARLES BAKER, BIRMINGHAM, AL<br />
ROY POWELL BAKER, SAVANNAH, GA<br />
DAVID CHARLES BALDONE, MANDEVILLE, LA<br />
BRYAN LEE BALENTINE, BIRMINGHAM, AL<br />
JAMES WAYLAND BALLARD, BIRMINGHAM, AL<br />
TIMOTHY S. BALTZ, TUSCALOOSA, AL<br />
LEE ANNE BANKAITIS, CHAPEL HILL, NC<br />
JAMES HAROLD BANKSTON JR, BIRMINGHAM, AL<br />
AMOL SHRIKRISHNA BAPAT, HOUSTON, TX<br />
JUDSON WILLIAM BARBER, HOOVER, AL<br />
THOMAS MACDONOUGH BARBOUR III, MOBILE, AL<br />
HARRY MCGWINN BARNES III, MONTGOMERY, AL<br />
ROY M. BARNES, PORT GIBSON, MS<br />
WILLIAM LAWRENCE BARNWELL, DALTON, GA<br />
ROBERT EDWARD BARR, BIRMINGHAM, AL<br />
MELISSA LEWIS BARTON, MAPLEWOOD, MN<br />
AUBREY THOMAS BAUGH JR., BIRMINGHAM, AL<br />
JEFFREY WILLIAM BAUMBACH, DOTHAN, AL<br />
DONALD EUGENE BEACH, MOULTON, AL<br />
JOSEPH BENJAMIN BEAIRD JR., BIRMINGHAM, AL<br />
JEFF HIXON BEARD, DAPHNE, AL<br />
HOWARD HAROLD BEARMAN, BIRMINGHAM, AL<br />
WILLIAM EDWARD BEASLEY JR., ATHENS, AL<br />
RONALD VANCE BECK, PHENIX CITY, AL<br />
MARIE ELAINE BECKNER, BLAWNOX, PA<br />
DALTON ANTHONY BEDSOLE, BIRMINGHAM, AL<br />
SAMUEL WARNER BEENKEN, BIRMINGHAM, AL<br />
BRENDA BERMAN BELL, INDIAN SPRINGS, AL<br />
JOHN LAWRENCE BELL, KNOXVILLE, TN<br />
WILLIE WOODROW BELL JR., JACKSONVILLE, FL<br />
EDWARD JAMES BENAK JR, DOTHAN, AL<br />
ROBERT JOSEPH BENAK, DOTHAN, AL<br />
FRANK CHARLES BENESH, BIRMINGHAM, AL<br />
SANDERS MARTIN BENKWITH, MONTGOMERY, AL<br />
ANN BENNETT, FLORENCE, AL<br />
AUSTEN LEGRANDE BENNETT III, BIRMINGHAM, AL<br />
J. CLAUDE BENNETT, BIRMINGHAM, AL<br />
ROBERT JULIAN BENTLEY, NORTHPORT, AL<br />
JOHN WILLIAM BENTON JR., BIRMINGHAM, AL<br />
LUIGI FERRUCCIO BERTOLI, BIRMINGHAM, AL<br />
PALMER QUINTARD BESSEY, NEW YORK, NY<br />
JOE JACKSON BETHANY JR., EUTAW, AL<br />
WILLIAM M. BETHEA JR., VIRGINIA BEACH, VA<br />
TARIKA BHUTA, MORGANTOWN, WV<br />
DUDLEY WAYNE BICKHAM, COLUMBIA, SC<br />
GEORGE MARVIN BILBREY JR., ASHEVILLE, NC<br />
THOMAS KEENER BILLUPS, TUPELO, MS<br />
CLYDE EDWARD BLACK, ANNISTON, AL<br />
JOHN KENDALL BLACK JR., HUNTSVILLE, AL<br />
JUDSON GREGORY BLACK, ATLANTA, GA<br />
SUMPTER DUDLEY BLACKMON, CAMDEN, AL<br />
JACK BLACKWELL, CENTRE, AL<br />
LAUREL CLAIRE BLAKEMORE, ANN ARBOR, MI<br />
KIRBY ISAAC BLAND, BIRMINGHAM, AL<br />
30<br />
JANE MCCLURE BLAUM, FAIRHOPE, AL<br />
LEWIS STUART BLEVINS JR., NASHVILLE, TN<br />
RICHARD FREDERIC BLISS, TALLADEGA, AL<br />
PATRICIA ANN BLOCK, TROY, AL<br />
MARC EVAN BLOOMSTON, BIRMINGHAM, AL<br />
JOHN COLEY BLYTHE, ALEXANDER CITY, AL<br />
SUSAN ANGELLE BOACKLE, DENVER, CO<br />
LYNN AMY BOARDMAN, GREENVILLE, SC<br />
BELIN FREDERICK BODIE, MOBILE, AL<br />
GERHARD A. W. BOEHM, MOBILE, AL<br />
JOHN WILSON BOGGESS IV, GUNTERSVILLE, AL<br />
ROBERT PEARCE BOLLING, MOBILE, AL<br />
THERESA JOSEPH BOLUS, BIRMINGHAM, AL<br />
WILLIAM RICHARD BONNER, ATLANTA, GA<br />
EMILY BOOHAKER, BIRMINGHAM, AL<br />
MARSHALL NOLAN BOONE JR., BIRMINGHAM, AL<br />
JULIA LETT BOOTHE, NORTHPORT, AL<br />
THOMAS STEWART BOOZER, MONTGOMERY, AL<br />
DAVID CHARLES BOSSHARDT, FT. OGLETHORPE, GA<br />
H. CHESTER BOSTON JR., TUSCALOOSA, AL<br />
STEPHEN ROBERT BOWEN, SYLACAUGA, AL<br />
JAMES SHELBY BOWRON JR., ATLANTA, GA<br />
GWENDOLYN LOUISE BOYD, BIRMINGHAM, AL<br />
JAMES EDWARD BOYLE, DECATUR, AL<br />
BRICE HERALD BRACKIN, ALABASTER, AL<br />
EUGENE HEADLEY BRADLEY, CENTRE, AL<br />
JOHN DURWOOD BRADLEY JR., BIRMINGHAM, AL<br />
ROBERT HUGH BRADLEY JR., MONTGOMERY, AL<br />
WILLIAM HOWARD BRAKEFIELD, TALLADEGA, AL<br />
KENNETH WAYNE BRAMLETT, BIRMINGHAM, AL<br />
JACK W. BRAND JR, BIRMINGHAM, AL<br />
OLIVER BRIAN BRAND, BIRMINGHAM, AL<br />
JOSEPH KIRVEN BRANTLEY JR., MONTGOMERY, AL<br />
DAVID WATTERSON BRANYON, HICKORY, NC<br />
WILLIAM CHARLES BRASWELL III, BESSEMER, AL<br />
ERIC JAY BRAY, CHARLESTON, SC<br />
MAURY BERT BRAY III, BOAZ, AL<br />
CHARLES WARREN BREAUX, BIRMINGHAM, AL<br />
CHARLES WARREN BREAUX JR., GRAND JUNCTION, CO<br />
DONNA LEE BREEN, MARKSVILLE, LA<br />
GAYNE M. BRENNEMAN, PALOS VERDES ESTATES, CA<br />
CHARLES BOYRE BRENTNALL JR., SYLACAUGA, AL<br />
MICHAEL ERIC BREWER, BIRMINGHAM, AL<br />
DAVID MICHAEL BRICKMAN, JANESVILLE, WI<br />
R. RUSSELL BRIDGES III, WASHINGTON, DC<br />
EDWARD N. BRIN, NASHVILLE, TN<br />
ARTHUR MEAD BRITTON, MONTGOMERY, AL<br />
JAMES CHRISTOPHER BRITTON, GALAX, VA<br />
WILLIAM EDWARD BROACH III, DANVILLE, VA<br />
ERNEST COLE BROCK JR., TUSCALOOSA, AL<br />
RUSSELL CLAY BROCKWELL, BIRMINGHAM, AL
C. PAUL BROOKE, IDAHO FALLS, ID<br />
H. BELK BROOKS, COLUMBUS, GA<br />
JAMES GORDON BROOKS JR., DALLAS, TX<br />
ANDREW MARION BROWN, GADSDEN, AL<br />
JAMES BROOKS BROWN, JACKSONVILLE, FL<br />
JAMES EDWARD BROWN IV, SPARTANBURG, SC<br />
KIMBERLY SUE BROWN, ALBANY, GA<br />
RICHARD EVANS BROWN, MONTGOMERY, AL<br />
EMMETT HERSCHEL BROXSON JR., DAYTON, OH<br />
KRISTA LYNN BRUNNER, CINCINNATI, OH<br />
CLAUDE DARNELL BRUNSON, RIDGELAND, MS<br />
R. DON BRYAN, ALABASTER, AL<br />
ROBERT MAURICE BRYAN, BIRMINGHAM, AL<br />
JAMES EDWARD BRYANT, BIRMINGHAM, AL<br />
PATY BARGERON BRYANT, BIRMINGHAM, AL<br />
PEYTON RANDOLPH BRYARS III, SAN RAMON, CA<br />
LOUIS EDWARD BUETTNER, TUSCALOOSA, AL<br />
THEODIS BUGGS JR., BIRMINGHAM, AL<br />
CECIL H. BULLARD, FRESNO, CA<br />
DOUGLAS GEORGE BURNETTE JR., LAKE CHARLES, LA<br />
DAVID EUGENE BURNHAM, SAINT PAUL, MN<br />
JOHN FRANCIS BURNUM, TUSCALOOSA, AL<br />
MAIDA LOUISE BURROW, GRAND JUNCTION, CO<br />
CHARLES THOMAS BURTON, WILSALL, MT<br />
MARK WESLEY BURTON, MARION, NC<br />
JEFFREY WAYNE BUSH, EUFAULA, AL<br />
SUZANNE YANCEY BUSH, PENSACOLA, FL<br />
CHARLES FRANCIS BUTLER, KALAMAZOO, MI<br />
MELVIN LYNN BUTLER, KNOXVILLE, TN<br />
MAX MURPHREE BYNUM, SONORA, CA<br />
BEN RALPH BYRD, DOTHAN, AL<br />
DAVID EVAN BYRD, NEW BERN, NC<br />
THOMAS KING BYRNE JR., MONTGOMERY, AL<br />
DEBORAH HAYES BYRON, OPELIKA, AL<br />
MICHAEL EDWARD CADRA, OAKDALE, CA<br />
ALBERT STEVEN CAIN, OGDEN, UT<br />
EDWARD LYLE CAIN JR., BIRMINGHAM, AL<br />
RICHARD KERMIT CALDWELL, GADSDEN, AL<br />
TOM OLIVER CALDWELL, BIRMINGHAM, AL<br />
JOHN JOSEPH CALLAHAN, HUNTSVILLE, AL<br />
MICHAEL ALSTON CALLAHAN, BIRMINGHAM, AL<br />
JOHN MINGE CAMERON, MONTGOMERY, AL<br />
PAUL LOUIS CAMMACK, MONTGOMERY, AL<br />
DAVID AUSTIN CAMPBELL, OKLAHOMA CITY, OK<br />
JOHN EMORY CAMPBELL, CAMP HILL, AL<br />
JOHN HUGH CAMPBELL, GADSDEN, AL<br />
VIRGINIA ANN CAMPBELL, PELHAM, AL<br />
GRANT B. CANNON, SALT LAKE CITY, UT<br />
DONALD ANTHONY CANTLEY JR., HENDERSON, KY<br />
MICHAEL A. CAPLAN, DANVILLE, VA<br />
ELI RALPH CAPOUYA, SAN MARINO, CA<br />
JOHN TERRY CARLSON, TUSCALOOSA, AL<br />
LAWRENCE EARL CARLTON, HOUSTON, TX<br />
LAURENCE COTHRAN CARMICHAEL, MUSCLE SHOALS, AL<br />
DALTON REMELL CARPENTER, WARNER ROBINS, GA<br />
JAMES ROBERT CARPENTER, PRATTVILLE, AL<br />
ROBERT HENLEY CARPENTER, COLUMBUS, GA<br />
JOHN CARSON CARTER, MOUNTAIN BROOK, AL<br />
JOHN JEFFERSON CARTER, FLORENCE, AL<br />
LEE CARSON CARTER, BIRMINGHAM, AL<br />
O. B. CARTER JR., ALBANY, GA<br />
RONDA FOWLER CARTER, MONTGOMERY, AL<br />
P. MICHAEL CARUSO, HUNTSVILLE, AL<br />
CARLTON EDWARD CASH, LOUISVILLE, KY<br />
JANET JOHNSON CASH, BIRMINGHAM, AL<br />
THOMAS GENE CASH, BIRMINGHAM, AL<br />
LAURA LAYDEN CASSIDY, BATON ROUGE, LA<br />
FRANK MERRIMAN CAUTHEN, ATHENS, AL<br />
RESIT CEM CEZAYIRLI, BIRMINGHAM, AL<br />
JAMES GEORGE CHAMBERS III, HUNTSVILLE, AL<br />
MELISSA RENE’ CHAMBERS, BIRMINGHAM, AL<br />
JAMES KENNETH CHAMPION, MARIETTA, GA<br />
MARY FINNORN CHAN, MENLO PARK, CA<br />
ADRIAN AHAS CHANDLER, RAINBOW CITY, AL<br />
CONNIE ANN CHANDLER, OZARK, AL<br />
JERRY WAYNE CHANDLER, BIRMINGHAM, AL<br />
MICHAEL ALAN CHANDLER, BIRMINGHAM, AL<br />
STEVEN CECIL CHANDLER, DECATUR, AL<br />
SHENG H. CHANG, ARCADIA, CA<br />
GREGORY DOUGLAS CHAPMAN, BIRMINGHAM, AL<br />
ROBERT WILLIS CHAPPELL JR., BROWNSBORO, AL<br />
SEABORN M. CHAPPELL, FLORENCE, AL<br />
EDGAR DAVIDSON CHARLES III, NEW YORK, NY<br />
THOMAS HARRIS CHASE, OPELIKA, AL<br />
DOYLE E. CHASTAIN, TITUSVILLE, FL<br />
DAVID HILL CHESTNUT, BIRMINGHAM, AL<br />
HOYT ABNER CHILDS JR., HAMPTON COVE, AL<br />
ORVIS HUGH CHITWOOD III, DOTHAN, AL<br />
TASNEE CHONMAITREE, GALVESTON, TX<br />
ROBERT HAROLD CHRISTENBERRY, NASHVILLE, TN<br />
NIKKI PRICE CHRISTENSEN, NORTHPORT, AL<br />
MARTHA JO CHRISTIAN, FAYETTE, AL<br />
CRAIG HURON CHRISTOPHER, BIRMINGHAM, AL<br />
NEIL EDWARD CHRISTOPHER, GUNTERSVILLE, AL<br />
NEIL EDWARD CHRISTOPHER JR., TULLAHOMA, TN<br />
REID STUART CHRISTOPHER, BESSEMER, AL<br />
CHARLES HOBART CLARK III, BIRMINGHAM, AL<br />
DENNIS MARK CLARK, BIRMINGHAM, AL<br />
EUGENE CLIFF CLARK, ALBANY, AL<br />
GLENN LUTHER CLARK, MARIANNA, FL<br />
JAMES ALLEN CLARK III, MONTGOMERY, AL<br />
JOSEPH WILLIAM CLARK, HUNTSVILLE, AL<br />
KAREN HARRELL CLARK, CHAPEL HILL, NC<br />
ERIC GRAY CLARY, BIRMINGHAM, AL<br />
KERRY MCCARTHY CLEARY, BIRMINGHAM, AL<br />
JAMES ALLEN CLEMMONS, CHIPLEY, FL<br />
BENNY RAY CLEVELAND, BOERNE, TX<br />
ROBERT SMITH CLEVELAND, DOTHAN, AL<br />
PIERRE LAURENT CLOTHIAUX, SPRINGFIELD, MO<br />
CHARLES GLENN COBBS, BIRMINGHAM, AL<br />
CHARLES STRINGFELLOW COBBS, BIRMINGHAM, AL<br />
BRADLEY M. COCHRAN, FORT PAYNE, AL<br />
JOHN GUS COCORIS, BIRMINGHAM, AL<br />
CRAIG LOUIS COE, DOTHAN, AL<br />
MARTIN STEVEN COGEN, BIRMINGHAM, AL<br />
ARMAND BENNET COGNETTA JR., TALLAHASSEE, FL<br />
JEROME BARRY COHEN, PORT CHARLOTTE, FL<br />
MARK PHILIP COHEN, BIRMINGHAM, AL<br />
STANLEY BRUCE COHEN, DALLAS, TX<br />
SAMUEL KLINE COHN, BIRMINGHAM, AL<br />
ALBERT STEINHART COKER JR., MOBILE, AL<br />
SPENCER JAMES COLEMAN, WETUMPKA, AL<br />
STEPHEN LANIER COLEMAN, BIRMINGHAM, AL<br />
MARK GREEN COLEY, MOBILE, AL<br />
MAUDE DISEKER COLLIER, BIRMINGHAM, AL<br />
HARRY GOODGAME COLLINS, JEMISON, AL<br />
MITCHELL LYNN COLLINS, CONWAY, AR<br />
DAVID RICHARD COLVARD, FLORENCE, AL<br />
EDWARD VESTON COLVIN, BIRMINGHAM, AL<br />
N. CASSANDRA COMER, BIRMINGHAM, AL<br />
31<br />
CHARLES FRED CONNER, DOTHAN, AL<br />
C. DOBBIN CONNOR, ST. LOUIS, MO<br />
VINCENT ROY CONTI, GALVESTON, TX<br />
TIMOTHY ALDEN COOL, BIRMINGHAM, AL<br />
GEORGE NELSON COOPER JR., ALEXANDER CITY, AL<br />
KATHARINE ROBINSON COOPER, ALEXANDER CITY, AL<br />
MAX DALE COOPER, BIRMINGHAM, AL<br />
MICHAEL GLENN COPE, LITTLE ROCK, AR<br />
KENNETH RODNEY COPELAND SR., SHEFFIELD, AL<br />
ROBERT BODINE COPELAND, LA GRANGE, GA<br />
SAGE KINNEY COPELAND, DECATUR, AL<br />
GEORGE ANDREW CORBETT, CINCINNATI, OH<br />
JAMES ROBERT CORCORAN, METAIRIE, LA<br />
RICHARD HARVEY CORD, CHELSEA, AL<br />
DAVID HENRY CORNELL, ATLANTA, GA<br />
DONALD RAY CORNUTT JR., MARIETTA, GA<br />
TIMOTHY ALEXANDER CORRELL, MADISON, WI<br />
HUGH CORT III, BIRMINGHAM, AL<br />
HOWARD BROOKS COTTEN, BIRMINGHAM, AL<br />
CLEMENT PATRICK COTTER JR., ALABASTER, AL<br />
KENNETH REESE COURINGTON, NAPLES, FL<br />
NORTON ETHELBERT COWART, HUNTSVILLE, AL<br />
ARTEMUS JENNINGS COX III, BIRMINGHAM, AL<br />
RABON B. COX JR., FLORENCE, AL<br />
DANIEL JOSEPH COYLE JR., BIRMINGHAM, AL<br />
ROBERT QUENTON CRADDOCK, BIRMINGHAM, AL<br />
CHARLES ARTHUR CRAGO, FARGO, ND<br />
J. BENJAMIN CRAVEN JR., DOTHAN, AL<br />
CARROLL SANDERS CRAWFORD, FOLEY, AL<br />
WYNNE CRAWFORD, MONTGOMERY, AL<br />
HILDA BERNICE CRAZE, GRANT, AL<br />
WILLIAM DODSON CREIGHTON, BRAWLEY, CA<br />
MARTA ANN CRISPENS, NASHVILLE, TN<br />
PERCY VANDORN CROCKER, MOBILE, AL<br />
HENRY CROMMELIN JR., BIRMINGHAM, AL<br />
DEWITTE TALMADGE CROSS III, CLAYTON, MO<br />
R. CLARK CROSS, MERIDIAN, MS<br />
WILLIAM ARCHIE CROTWELL III, MOBILE, AL<br />
CHARLES BRANDON CROW III, BIRMINGHAM, AL<br />
WILLIAM GARY CUMBIE JR., MONTGOMERY, AL<br />
KATHRYN NORTHCUTT CUNNINGHAM, MOBILE, AL<br />
DENISE TROY CURRY, ST. LOUIS, MO<br />
JOSEPH FRANKLIN CURTIS JR., MONTGOMERY, AL<br />
LAWRENCE ANGELO CUZALINA, TULSA, OK<br />
RICHARD JOHN CYRUS, MONTGOMERY, AL<br />
DONALD HENRY DAHLENE II, MONTGOMERY, AL<br />
GEORGE EUGENE DAILEY III, SOLANA BEACH, CA<br />
JAMES OWEN DAILEY JR., DECATUR, AL<br />
PAUL S. DALE, MACON, GA<br />
RICHARD CHARLES DALE, BIRMINGHAM, AL<br />
RORY RALPH DALTON, AUGUSTA, GA<br />
CARLTON RALPH DANIEL III, JACKSON, MS<br />
JAMES SLOAN DANIEL, MARIETTA, GA<br />
LILIA STARR DANIEL, MONTGOMERY, AL<br />
ROBERT R DANIEL, MONTGOMERY, AL<br />
LARKIN JEFFREY DANIELS, MOBILE, AL<br />
LINDA MARIE DANSBY, AUBURN, AL<br />
DAVID D. DARDEN, OCOEE, TN<br />
JAMES BARRETT DARDEN, TUSCALOOSA, AL<br />
MANUEL PRESTON DAUGHERTY JR., MOBILE, AL<br />
JULIUS DAVID DAVIDSON, SHOAL CREEK, AL<br />
STEPHEN LEE DAVIDSON, MONTGOMERY, AL<br />
THOMAS JOHN DAVIDSON III, GULF SHORES, AL<br />
DAVID ALAN DAVIS, DOTHAN, AL<br />
JAMES AUSTIN DAVIS III, BIRMINGHAM, AL
JAMES GRADY DAVIS, BIRMINGHAM, AL<br />
JIMMY WAYNE DAVIS, TALLADEGA, AL<br />
JORDAN KENT DAVIS, BOCA RATON, FL<br />
LARRY JAN DAVIS, HUNTSVILLE, AL<br />
MAXIE LEROY DAVIS, INDIAN SPRINGS, AL<br />
PAUL MICHAEL DAVIS JR., BATON ROUGE, LA<br />
BRUCE EDWARD DAY, HENDERSONVILLE, TN<br />
WILLIAM DUGGAN DE BUYS, CINCINNATI, OH<br />
MANUEL TREVINO DE LOS SANTOS, SAN ANTONIO, TX<br />
WILLIAM BROWN DEAL, BIRMINGHAM, AL<br />
ALPHEUS MONROE DEASON JR., BIRMINGHAM, AL<br />
PAUL RUMBLE DEATON, MEMPHIS, TN<br />
WILLIAM CHESTER DEAVOR, SELMA, AL<br />
GARY ALFRED DECKER, JACKSONVILLE, FL<br />
DONALD ANTHONY DEINLEIN, BIRMINGHAM, AL<br />
CAROL MCLAUGHLIN DELL, PENSACOLA, FL<br />
OSCAR DAVID DELLINGER III, ATLANTA, GA<br />
MICHAEL SEAN DEMPSEY, AIERA, HI<br />
BRADLEY YOUNG DENNIS, BIRMINGHAM, AL<br />
MAURICE ERNEST DENNIS JR., GADSDEN, AL<br />
ROBERT CAMPBELL DENNY JR., GUNTERSVILLE, AL<br />
JOHN ROE DENTON JR., JAMAICA, NY<br />
HUGH DANIEL DEPAOLO, CASPER, WY<br />
PAMELA HUGHES DESCHNER, TUSCALOOSA, AL<br />
RICHARD DENSON DESHAZO, BRANDON, MS<br />
FRED FERRIS DIEGMANN, FAIRHOPE, AL<br />
ARNOLD GILLESPIE DIETHELM, BIRMINGHAM, AL<br />
STEPHENIE CYD DILLARD, TUSCALOOSA, AL<br />
ALAN ROBERT DIMICK, BIRMINGHAM, AL<br />
ROBERT MARSHALL DIMICK, HERMITAGE, TN<br />
WILLIAM ERNEST DISMUKES, BIRMINGHAM, AL<br />
RICKI D. DOBBS, MONTGOMERY, AL<br />
WILLIAM HERBERT DODSON, BIRMINGHAM, AL<br />
JENNIFER RAE DOLLAR, BIRMINGHAM, AL<br />
W. DANIEL DOTY, PENSACOLA, FL<br />
THOMAS FRANK DOWLING IV, GADSDEN, AL<br />
DAVETA BEST DOZIER, THOMASVILLE, AL<br />
FRANK LEONARD DOZIER, THOMASVILLE, AL<br />
PHILIP MATHEW DOZIER, DOTHAN, AL<br />
ROY MORRIS DRIGGERS, DOTHAN, AL<br />
GREGORY PAUL DRISKILL, GUNTERSVILLE, AL<br />
LISA GREGORY DRISKILL, GUNTERSVILLE, AL<br />
FRANK DAVID DRUHAN, OPELIKA, AL<br />
JOHN ANDREW DRUMMOND, ATLANTA, GA<br />
LEE BURNETTE DUBOIS, BIRMINGHAM, AL<br />
CHRISTOPHER ROGER DUGGAR, MONTGOMERY, AL<br />
ROGER SHERMAN DUGGAR, MONTGOMERY, AL<br />
ASHLEY JEAN DUKE, CHICAGO, IL<br />
ELBERT ALAN DUNCAN, TUPELO, MS<br />
JULIUS ETHELBERT DUNN JR., WETUMPKA, AL<br />
TERESA V. K. DURBIN, LAYTON, UT<br />
CHARLES LOUIS DYAS JR., MOBILE, AL<br />
J. WADE DYE, BLACKSHEAR, GA<br />
JOHN THOMAS EAGAN JR., BIRMINGHAM, AL<br />
GEORGE WILLIAM EASON, WILMINGTON, NC<br />
THOMAS L. EBY, BIRMINGHAM, AL<br />
PAUL BATES ECKMAN, BEND, OR<br />
DAVID B. EDMONDS, YUMA, AZ<br />
WINLOVE PABELLAN EDUARTE, KINGWOOD, TX<br />
JOHN LEE EDWARDS, BIRMINGHAM, AL<br />
RUSSELL PHILIP EDWARDS, SAN DIEGO, CA<br />
WINSTON TACKER EDWARDS, MONTGOMERY, AL<br />
KARL EMERSON EGERMAN, HOLLYWOOD, FL<br />
BIRGIT ALEXANDRA EHLERS-RENZI, POTOMAC, MD<br />
MARK SAMUEL EICH, ORANGE PARK, FL<br />
SUSAN HORTON EILAND, BIRMINGHAM, AL<br />
JAMES AUBREY ELLIS JR., ALPINE, CA<br />
JOHN DURR ELMORE, BIRMINGHAM, AL<br />
ORIZABA EMFINGER, UNION SPRINGS, AL<br />
ALLEN ARK-POY ENG, POCATELLO, ID<br />
JACK MANUEL ENGLERT, HUNTSVILLE, AL<br />
ARTHUR LEE ENNIS, GADSDEN, AL<br />
HERMAN CALVIN ENSOR, CULLMAN, AL<br />
PAUL CAMPBELL ERWIN, TOWNSEND, TN<br />
RICHARD HENRY ESHAM, MOBILE, AL<br />
MICHAEL ANTONIO ESLAVA, APO, AE<br />
VILMA CARIDAD FABRE’, LOUISVILLE, KY<br />
MARI MCGOFF FAHRNER, WEBSTER GROVES, MO<br />
N. FRANK FAIN JR., INDIALANTIC, FL<br />
GERALD PATRICK FALLETTA, BIRMINGHAM, AL<br />
WILLIAM EDWIN FANN, HOUSTON, TX<br />
ROSEMARY HAYNES FAUST, HOMEWOOD, AL<br />
JOHN P.K. FEATHERINGILL, BIRMINGHAM, AL<br />
RICHARD MINTON FEIST, BIRMINGHAM, AL<br />
EMMET F. FERGUSON JR., JACKSONVILLE, FL<br />
SCOTT SUTHERLAND FIELD, HUNTSVILLE, AL<br />
JOHN ALBERT FINCHER JR., BRISTOL, TN<br />
JOHN LEE FINKLEA, MONTGOMERY, AL<br />
SARA CREWS FINLEY, BIRMINGHAM, AL<br />
WAYNE HOUSE FINLEY, BIRMINGHAM, AL<br />
SUSAN NEWSOM FINNEY, WYOMING, OH<br />
SAMUEL FISCHER III, BIRMINGHAM, AL<br />
JAMES BRENT FISHER, LEWISTON, ID<br />
WINFIELD S. FISHER III, BIRMINGHAM, AL<br />
ROBERT THEODORE FITZGERALD, HONDO, TX<br />
WILLIAM OLIVER FITZPATRICK III, BIRMINGHAM, AL<br />
CHARLES TENNANT FLETCHER JR., MONTGOMERY, AL<br />
ROBERT ELLIOTT FLOWERS, DOTHAN, AL<br />
PAIGE BILL FOLLO, GREENSBORO, NC<br />
PINK LOWE FOLMAR JR., BIRMINGHAM, AL<br />
WILLIAM STUART FOSHEE, MARTINEZ, GA<br />
GLENN LYON FOSTER, LOMA LINDA, CA<br />
GARY MATTHEW FOWLER, WINFIELD, AL<br />
LEWIS JEFFERS FOWLKES, BIRMINGHAM, AL<br />
MILTON FRANK III, ATLANTA, GA<br />
SUSAN RAY FREDERICK, DENVER, CO<br />
PAUL GEORGE FREDETTE, DECATUR, AL<br />
PAUL ELLIOT FREE, ANNISTON, AL<br />
JAMES HENDRICK FRENCH, TITUS, AL<br />
EDGAR SHIELDS FREY, BIRMINGHAM, AL<br />
HERMAN JOSEPH FRITZ, TUSCALOOSA, AL<br />
ANDRA RIXSE FROST, BIRMINGHAM, AL<br />
LINDA TRIBBLE FRYE, MCLEAN, VA<br />
LONNIE WILLIAM FUNDERBURG, BIRMINGHAM, AL<br />
CHARLES KEITH FUNDERBURK, CLANTON, AL<br />
WILLIAM BRADLEY FUQUA, BREWSTER, MA<br />
J. ALLYSON DRIGGERS GALLAGHER, GUILFORD, CT<br />
STANLEY JOSEPH GALLE JR., DENVER, CO<br />
JEFFREY MARK GALLUPS, ALPHARETTA, GA<br />
HERBERT HUEY GANNON JR., DOTHAN, AL<br />
SHARON FOSTER GARDEPE, HUNTSVILLE, AL<br />
STEINER DARBY GARRETT JR., MOBILE, AL<br />
THOMAS ALLEN GASKIN III, BIRMINGHAM, AL<br />
GEORGE FRANCIS GATES III, ANCHORAGE, AK<br />
WILLIAM CAREY GATES JR., COLUMBUS, MS<br />
MADISON WALLER GAY, WINTER PARK, FL<br />
DAVID DUNN GAYLE, DOTHAN, AL<br />
LOUISE ROACH GEARY-BILLINGSLEY, ECLECTIC, AL<br />
MELINDA ANNE GEHRS, BOULDER, CO<br />
GEORGE FREDERICK GEILS SR., CHARLESTON, SC<br />
JEFFREY R. GEORGE, BIRMINGHAM, AL<br />
JENNIFER MARY GEORGE, BRISTOL, RI<br />
LESLIE STUART GEWIN, BALTIMORE, MD<br />
LARRY MACK GIBBS, BIRMINGHAM, AL<br />
CARL ANTHONY GIBSON, UNIVERSITY PLACE, WA<br />
TIMOTHY BLAISE GIBSON, ATHENS, GA<br />
GARNETT J. GIESLER JR., LAGRANGE, GA<br />
FREDERICK EMERSON GILBERT JR, NEWNAN, GA<br />
JILL GILBERT, NEW ORLEANS, LA<br />
ROBERT R. GILLESPY JR., JACKSONVILLE, FL<br />
REGINA PHILLIPS GILLILAND, BIRMINGHAM, AL<br />
RICHARD SPENCER GIST, BATON ROUGE, LA<br />
JOSEPH WILLIAM GLAISTER, FLORENCE, AL<br />
WOLFRAM GLASER, BIRMINGHAM, AL<br />
RICHARD DAVID GLASGOW, BIRMINGHAM, AL<br />
LESLIE EARL GLENN, NORTHPORT, AL<br />
JOHN JACOB GLEYSTEEN, BIRMINGHAM, AL<br />
MARTIN COCHRAN GLOVER, MONTGOMERY, AL<br />
JOHN RICKEY GOBER, CULLMAN<br />
RONALD LEE GODBOLD JR., ASHEVILLE, NC<br />
WILLIAM NEWTON GODFREE JR., GADSDEN, AL<br />
JOHN EDWARD GODWIN, BARTLETT, IL<br />
JON RAMON GOGOLA, HOUSTON, TX<br />
RONALD I. GOLDBERG, BIRMINGHAM, AL<br />
EDWARD LAWRENCE GOLDBLATT, ALABASTER, AL<br />
MORTON GOLDFARB, BIRMINGHAM, AL<br />
WARREN DALE GOLDSTEIN, COLORADO SPRINGS, CO<br />
HARRISON MALONE GOODALL, TUSCALOOSA, AL<br />
DAVID LAMAR GOODMAN, LITTLETON, CO<br />
MAX ALAN GOODSON, BIRMINGHAM, AL<br />
JEFFREY LYNN GOULD, ATLANTA, GA<br />
JAMES HERBERT GRAHAM, WINSTON-SALEM, NC<br />
JEFFREY SCOTT GRAHAM, DOTHAN, AL<br />
DARYL KEITH GRANGER, DOTHAN, AL<br />
CHARLES P. GRANT, BIRMINGHAM, AL<br />
EDWIN HARRIS GRANT, CARROLLTON, GA<br />
LARRY WELLS GRANT, MACON, GA<br />
WILLIAM HOWARD GRANT JR., WHITEVILLE, NC<br />
JOSEPH FRANK GRAVLEE JR., FAIRHOPE, AL<br />
EDWIN RONALD GRAY, MORRISVILLE, NC<br />
ROBERT MORRIS GRAY, SYLACAUGA, AL<br />
CYNTHIA JOYCE GREATHOUSE, DOTHAN, AL<br />
EDWARD JACKSON GREEN, MOBILE, AL<br />
WILLIAM RODGERS GREEN, MOBILE, AL<br />
MARK GREENBERG, TYLER, TX<br />
THOMAS EDWARD GREENE, LANSDALE, PA<br />
CATHY LYNN GRESHAM, TUSCALOOSA, AL<br />
RAYMOND ALAN GRIER, VESTAVIA HILLS, AL<br />
CAROL ANN GRIFFIN, BIRMINGHAM, AL<br />
WARREN LEIGHTON GRIFFIN JR., MACON, GA<br />
ROBERT DAVID GRIFFITH, NORTHPORT, AL<br />
WILLIAM PHILLIPS GRIGGS, BELLINGHAM, WA<br />
BENNIE MATTHEW GRIMES, MONTGOMERY, AL<br />
LARRY DEWEY GRIMES, GADSDEN, AL<br />
ALLEN BERNARD GROVES, BIRMINGHAM, AL<br />
SCOTT ALAN GRUMLEY, BIRMINGHAM, AL<br />
GILBERT TRUETT GUFFIN, GARDENDALE, AL<br />
JERRY NOLAN GURLEY, TALLADEGA, AL<br />
GONZALO G. GURMENDI, BIRMINGHAM, AL<br />
ALLEN N. J. GUSTIN JR., BIRMINGHAM, AL<br />
ROBERT DAVID GUYTON, NEW ORLEANS, LA<br />
CHARLES ALLEN HAGEN, FLORENCE, AL<br />
ROY THOMAS HAGER, MONTGOMERY, AL<br />
GERARD DONALD HAGGSTROM, FLORENCE, AL<br />
JOHN PERCY HAGLER JR., MONTGOMERY, AL<br />
ROBERT MARTIN HAGLER, DOTHAN, AL<br />
E. DAVID HAIGLER JR., BIRMINGHAM, AL<br />
CARLA ZOE HALACKER, SAN DIEGO, CA<br />
RHONDA TELETTE HALCOMB, NASHVILLE, TN<br />
BERNARD T. HALE, MONTGOMERY, AL<br />
MAX HOWARD HALE, BIRMINGHAM, AL<br />
32
JOHN HENDON HALEY JR., DOTHAN, AL<br />
JEFFREY STUART HALL, CHARLESTON, SC<br />
R. BRUCE HALL, DOTHAN, AL<br />
ROBIN TATE HALL, CULLMAN, AL<br />
W. MICHAEL HALL, CULLMAN, AL<br />
MELANIE HAMNER HALVORSON, MONTGOMERY, AL<br />
LON POWELL HAMBY, LEXINGTON, SC<br />
JOHN SEWELL HAMILTON SR., DECATUR, AL<br />
JOSEPH LYNDON HAMM, BIRMINGHAM, AL<br />
D. ALAN HAMMOND, MEMPHIS, TN<br />
LEWIS HERSCHEL HAMNER III, ATLANTA, GA<br />
JACQUELINE PATRICE HANCOCK, CALERA, AL<br />
JEFFERSON DANIEL HANKS JR., ROME, GA<br />
KAREN ZBOYOVSKY HANNA, SAVANNAH, GA<br />
HAMNER HANNAH III, KANSAS CITY, MO<br />
KENNETH MOORE HANNON, MOBILE, AL<br />
KIMBERLEY J. HANSEN, WINSTON-SALEM, NC<br />
SAI KUMAR HANUMANTHU, CINCINNATI, OH<br />
JOSEPH GIBSON HARDIN JR., MOBILE, AL<br />
JOANIE HARE-MORRIS, HOUSTON, TX<br />
JOHN LYTLE HARLAN, BIRMINGHAM, AL<br />
JASON MICHAEL HARMON, ORMOND BEACH, FL<br />
RODNEY WAYNE HARNEY, DECATUR, AL<br />
HOWARD CLAYTON HARPER JR., MOBILE, AL<br />
ANDREW GAINES HARRELL, HOUSTON, TX<br />
FRANK W. HARRIS, ALEXANDER CITY, AL<br />
HUGH GEISTER HARRIS, SPRINGFIELD, MO<br />
JAMES BURDICK HARRIS, BOSSIER CITY, LA<br />
LESLIE HARRIS JR., MONTGOMERY, AL<br />
ROBERT OTIS HARRIS III, MOBILE, AL<br />
DONALD CAREY HARRISON, CINCINNATI, OH<br />
J.R. HUTCHINSON HARRISON, CARROLLTON, GA<br />
JAMES MAX HARRISON JR., MOBILE, AL<br />
WILLIAM RANDALL HARRISON, BIRMINGHAM, AL<br />
JOHN HARSANY JR., HEMET, CA<br />
CHRISTOPHER JOHN HART, ALPHARETTA, GA<br />
MICHAEL THAYER HARTSFIELD, PACE, FL<br />
CHARLES WAYNE HARTZOG JR., MONTGOMERY, AL<br />
WILLIAM RUFUS HARVEY III, BIRMINGHAM, AL<br />
JAMES EDWIN HASSELL, MOBILE, AL<br />
JACK HAROLD HASSON, BIRMINGHAM, AL<br />
CLIFFORD JACKSON HATAWAY, MONTGOMERY, AL<br />
KENNETH DEROY HATCH, TUCSON, AZ<br />
DONALD GARY HAWKINS, ECLECTIC, AL<br />
WILLIAM KIRKLAND HAWLEY, BIRMINGHAM, AL<br />
VAN BUREN HAYNE JR., BIRMINGHAM, AL<br />
RUSSELL NESBIT HAYNES, BIRMINGHAM, AL<br />
SHARON MARLOW HAYNES, TEMPLE, GA<br />
MELVIN L. HAYSMAN, SAVANNAH, GA<br />
COOPER GREEN HAZELRIG, BIRMINGHAM, AL<br />
DAVID GRANT HEALD, OAK RIDGE, TN<br />
C. DAVID HEARN, FRIENDSWOOD, TX<br />
SANDERS F. HEARNE, SHREVEPORT, LA<br />
PHILLIP MARTIN HEIDEPRIEM, MONTGOMERY, AL<br />
ROBERT HENRY HEILPERN JR., BIRMINGHAM, AL<br />
SHERRON RUTH HELMS, RICHARDSON, TX<br />
GEORGE PHILAMON HEMSTREET IV, MISSOURI CITY, TX<br />
GARY LYNN HENDERSON, TUCSON, AZ<br />
R. WINN HENDERSON, SYLVA, NC<br />
ROBERT LEE HENDERSON, WOODBINE, MD<br />
RONALD EARL HENDERSON, BIRMINGHAM, AL<br />
BARNEY JERRY HENSON, WINFIELD, AL<br />
JOHN MURDOCK HERION, WILMINGTON, NC<br />
ROBIN WYNNE HERION, WILMINGTON, NC<br />
VERNON L. HERMECZ, FAIRHOPE, AL<br />
DAVID PHILLIP HERRICK, MONTGOMERY, AL<br />
FOREST STEPHEN HERRINGTON, HUNTSVILLE, AL<br />
GARY LEE HESTER, FLORENCE, AL<br />
CHESTER CLEVELAND HICKS JR., GADSDEN, AL<br />
JULIUS NORTON HICKS, BIRMINGHAM, AL<br />
PHILLIP ALAN HICKS, SELMA, AL<br />
JOHN ALLAN HIGGINBOTHAM, HUNTSVILLE, AL<br />
BRUCE SHAWN HILL, CHARLOTTE, NC<br />
WILLIAM ANDERSON HILL JR., TUSCALOOSA, AL<br />
EDWARD DOWLING HILLARD, TUSCALOOSA, AL<br />
RONALD WAYNE HILLYER, OPELIKA, AL<br />
BENJAMIN FRANKLIN HINTON, HUNTSVILLE, AL<br />
MARTIN BRUCE HIRSCH, NASHVILLE, TN<br />
WILLIAM CARROLL HIXSON, MAGNOLIA SPRINGS, AL<br />
FRANK SPAIN HODGES, BIRMINGHAM, AL<br />
JAMES MICHAEL HODGES, HATTIESBURG, MS<br />
CARY GENE HODNETT, CHATTANOOGA, TN<br />
JOHN BALDWIN HODO, BIRMINGHAM, AL<br />
FREDERIC LARRY HOLCOMB, SHEFFIELD, AL<br />
WILLIAM EDGAR HOLCOMB III, CULLMAN, AL<br />
DEREK KEITH HOLCOMBE, ALEXANDER CITY, AL<br />
BRUCE FOWLER HOLDING JR., PIKE ROAD, AL<br />
REESE MAXWELL HOLIFIELD, DEMOPOLIS, AL<br />
HOWARD CHAMBLISS HOLLEY, TUSCALOOSA, AL<br />
WARREN HOLCOMB HOLLEY, TUSCALOOSA, AL<br />
JON DAVID HOLMES, BIRMINGHAM, AL<br />
PHILIP J. HOLT, TUCKER, GA<br />
JEREMY K. HON, HUNTSVILLE, AL<br />
LYNDA BURKE HON, HUNTSVILLE, AL<br />
MICHAEL BENJAMIN HONAN, BIRMINGHAM, AL<br />
BOYD KNETSAR HONEYCUTT, HIGH POINT, NC<br />
NEDRA YVONNE HOOD, ATLANTA, GA<br />
GLENN SCOBLE HOOPER, TAMPA, FL<br />
JERRY WAYNE HOPE, ENTERPRISE, AL<br />
JAY STONESS HORTENSTINE, MURRAYVILLE, GA<br />
GARY LEE HOWARD, BIRMINGHAM, AL<br />
MICHAEL WILLIAM HOWARD, LOUISVILLE, KY<br />
PAUL SANFORD HOWARD, BIRMINGHAM, AL<br />
THOMAS EDWARD HOWARD JR., FT. WORTH, TX<br />
MILDRED ENNIS HOWELL, PENSACOLA, FL<br />
WILLIAM HARPER HOWELL, VESTAVIA, AL<br />
WILLIAM JERRY HOWELL, BIRMINGHAM, AL<br />
ROBERT LOUIS HOWLAND JR., COLUMBUS, MS<br />
LESLIE HOWELL HUBBARD, MONTEVALLO, AL<br />
KATHRYN WELCH HUDDLESTON, JACKSONVILLE, FL<br />
PEGGY HOFFMAN HUDDLESTON, BROWNSBORO, AL<br />
KYLE RANDALL HUDGENS, BIRMINGHAM, AL<br />
ROGER JAMES HUDGINS, ATLANTA, GA<br />
HENRY COLLIER HUDSON, BIRMINGHAM, AL<br />
WILLIAM FORSE HUGGINS II, BIRMINGHAM, AL<br />
A. J. HUGHES, AUBURN, AL<br />
REGINALD DOUGLAS HUGHES, JAMAICA, NY<br />
FREDERICA WILHELMINA HUGHEY, SUMMERVILLE, SC<br />
BILLY KEON HUH, CHAPEL HILL, NC<br />
JOSEPH MONROE HUMPHRIES, BIRMINGHAM, AL<br />
FRED DOMINIC HUNKER, MONTGOMERY, AL<br />
ALBERT COLLIER HUNT, DECATUR, AL<br />
CHARLES E. HUNTER JR., WILMINGTON, NC<br />
ERIC HUNTER, BIRMINGHAM, AL<br />
JAMES BERNHART HUNTER, NICHOLASVILLE, KY<br />
SAUNDERS LEE HUPP, MOBILE, AL<br />
WILLIAM WARD HURD, DAYTON, OH<br />
J. MILTON HUTSON, NEW YORK, NY<br />
SUSAN CECELIA HUTTO, BIRMINGHAM, AL<br />
RICHARD FANGYUAN HWANG, CLOVIS, CA<br />
RENEE JOY HYATT, TOWNSEND, TN<br />
PATRICK ANTHONY HYLAND, JASPER, AL<br />
CHARLES EDGAR INGALLS III, MONTGOMERY, AL<br />
GEORGE BULLOCK INGE II, MOBILE, AL<br />
DANNY PATRICK INGRAM, PRATTVILLE, AL<br />
JAMES THOMAS INGRAM, CARROLLTON, GA<br />
MICHAEL ALLEN INGRAM, PANAMA CITY, FL<br />
RUSSELL LEON INGRAM, JACKSONVILLE, FL<br />
JEROME GAETON IPPOLITO, BIRMINGHAM, AL<br />
GEORGE VERNON IRONS JR., MOORESVILLE, NC<br />
STEVEN PHILLIPS IRVING, HIGH POINT, NC<br />
DONALD BRUCE IRWIN, HOOVER, AL<br />
JOHN B. ISBELL III, FORT PAYNE, AL<br />
STEVEN ALAN ISBELL, FORT PAYNE, AL<br />
JAMES H. ISOBE, BIRMINGHAM, AL<br />
PAUL G. ISRAEL, HUNTSVILLE, AL<br />
ROBERT WILLIS ISRAEL, MOBILE, AL<br />
WILLIS DWIGHT ISRAEL, WEDOWEE, AL<br />
JOHN ODEH ISSIS, BESSEMER, AL<br />
DANIEL F. JACKSON III, DOTHAN, AL<br />
DAVID HUNTSMAN JACKSON, BIRMINGHAM, AL<br />
JERRY WALTER JACKSON, BIRMINGHAM, AL<br />
JOHN MUNFORD JACKSON, EUFALA, AL<br />
EUGENE ELIAS JACOB, PROSPECT, KY<br />
PATRICIA CAROL JAGGERS, RICHMOND, VA<br />
ADRIENNE NICOLE JAMES, BIRMINGHAM, AL<br />
JAMES QUINTUS JARDINE, MOBILE, AL<br />
JOHN BERGER JEANS III, BIRMINGHAM, AL<br />
SHERI MCCLELLAN JENKINS, CHARLOTTE, NC<br />
TODD RALPH JENKINS, CHARLOTTE, NC<br />
LYNN ANDERSON JETTON, HOLLY POND, AL<br />
NANCY DUNLAP JOHNS, BIRMINGHAM, AL<br />
BRUCE KING JOHNSON, BIRMINGHAM, AL<br />
EDWIN HILL JOHNSON, TEMPLE, TX<br />
JAMES CURTIS JOHNSON, BIRMINGHAM, AL<br />
LLOYD JOHNSON JR., FLORENCE, AL<br />
RICHARD HARDIN JOHNSON, ATLANTA, GA<br />
THOMAS L. P. JOHNSON, BIRMINGHAM, AL<br />
WILLIAM EARLE JOHNSON III, MOBILE, AL<br />
WILLIAM MONROE JOHNSON III, BIRMINGHAM, AL<br />
INGEBORG MARIA JOHNSON-MORRIS, BIRMINGHAM, AL<br />
MICHAEL NOLEN JOHNSTON, NEW ORLEANS, LA<br />
WILLIAM HENRY JOHNSTON JR., BIRMINGHAM, AL<br />
WILLIAM JOSEPH JOHNSTON JR., METAIRIE, LA<br />
C. MICHAEL JONES, GERMANTOWN, TN<br />
CHERYL SANDOSKI JONES, PENSACOLA, FL<br />
DEREK ANTHONY JONES, PENSACOLA, FL<br />
DEWEY HOBSON JONES III, BIRMINGHAM, AL<br />
DEWEY HOBSON JONES IV, BIRMINGHAM, AL<br />
GORMAN ROBINSON JONES III, BIRMINGHAM, AL<br />
J. MICHAEL JONES, HUNTSVILLE, AL<br />
JAMES DAVID JONES II, MELBOURNE, FL<br />
JOSEPH GREGORY JONES, MACON, GA<br />
STEVEN ERNEST JONES, BIRMINGHAM, AL<br />
THOMAS RODENBOUGH JONES, CONCORD, NC<br />
WILLIAM PAUL JONES, PENSACOLA, FL<br />
BEVERLY FLOWERS JORDAN, TUSCALOOSA, AL<br />
CHARLES DARWIN JORDAN, RAINBOW CITY, AL<br />
ROBERT SYDNEY JULIAN, FRESNO, CA<br />
WILEY HUGH JUSTICE, MOBILE, AL<br />
STEPHEN ANTHONY KAHALLEY, MOBILE, AL<br />
DONALD ROY KAHN, BIRMINGHAM, AL<br />
STANLEY SAMUEL KAHN, BERKELEY, CA<br />
LEROY ANTHONY KAMELCHUK, HUNTSVILLE, AL<br />
JOSEPH JAY KAPLAN, COLUMBUS, GA<br />
SAUL J. KAPLAN, FAIRFAX, VA<br />
ROBIN RIGELL KARPF, PRINCETON, NJ<br />
BRUCE WAKEFIELD KARRH SR., SAVANNAH, GA<br />
STEPHEN DANIEL KEITH JR., FLORENCE, AL<br />
WARD ANDREW KEITH, GRAYSVILLE, AL<br />
CHRISTOPHER GORDON KELLEY, GADSDEN, AL<br />
33
DAVID REID KELLY, BIRMINGHAM, AL<br />
R. MARK KENDRICK, TUSCALOOSA, AL<br />
SAMUEL REXFORD KENNAMER, BEVERLY HILLS, CA<br />
KATHLEEN DONOVAN KENNELLY, ATLANTIC BEACH, FL<br />
SONIA MIKHAIL KHEIR, VIENNA, VA<br />
THOMAS LAFAYETTE KILGORE JR., RIDGELAND, MS<br />
CENGIZ MEHMET KILIC, ATLANTA, GA<br />
TIMUR AHMET KILIC, MARIETTA, GA<br />
JOHN THOMAS KILLIAN, BIRMINGHAM, AL<br />
SALLY JAGGARD KILLIAN, NASHVILLE, TN<br />
THOMAS JOSEPH KILLIAN, NASHVILLE, TN<br />
WAYNE WORDEN KILLION JR., BIRMINGHAM, AL<br />
JOSEPH MYOUNG HO KIM, SHEFFIELD, AL<br />
ROBERT YOON KIM, BIRMINGHAM, AL<br />
BENJAMIN ROGERS KING, HUNTSVILLE, AL<br />
THOMAS IVAN KING, PENSACOLA, FL<br />
WILLIAM DANIEL KING, EUFALA, AL<br />
CLINT DANIEL KINGSLEY, MONTGOMERY, AL<br />
FRANCIS CLEVELAND KINNEY, BIRMINGHAM, AL<br />
JOHN DONALD KIRBY, MOBILE, AL<br />
KAY WILLIAMS KIRCHLER, FLORENCE, AL<br />
JAMES K. KIRKLIN, BIRMINGHAM, AL<br />
PAUL M. KIRSCHENFELD, COLUMBIA, SC<br />
MARGARET STRANGE KLAPPER, LITTLE ROCK, AR<br />
STEPHEN JAMES KLEMAWESCH, ST. PETERSBURG, FL<br />
PATRICE L. KNIGHT, HUNTSVILLE, AL<br />
PATRICK REVERE KNIGHT, CAPE GIRARDEAU, MO<br />
HURLEY WALDEN KNOTT, BIRMINGHAM, AL<br />
ROBERT JOHN KNOWLING, HUNTSVILLE, AL<br />
ALEXANDER JOSEPH KNURR, THEODORE, AL<br />
HENRY JACOB KOCH, MOBILE, AL<br />
WARREN ELLIOTT KOFFLER, MOBILE, AL<br />
ROBERT LEONARD KOMINEK, MOBILE, AL<br />
JOHN GEORGE KONTOS JR., MEMPHIS, TN<br />
STEPHEN HENRY KOOPMEINERS, CEDAR FALLS, IA<br />
DANIEL LEONCE KOPPERSMITH, TIKI ISLAND, TX<br />
JOSEPH D. KOVACS JR., GAINESVILLE, FL<br />
ALEXANDER VAUGHN KREHER, MONTGOMERY, AL<br />
KARI MARIE KUBIK, LOUISVILLE, KY<br />
CRAIG CHARLES KUGLEN, AUSTIN, TX<br />
TERRY ALAN KURTTS, ELBERTA, AL<br />
GEORGE MICHAEL KUSHNER, LOUISVILLE, KY<br />
T. KEVIN LACKEY, GADSDEN, AL<br />
ANDREW STEPHEN LAMB, BURLINGTON, NC<br />
DAVID HINKLE LAMB, LEXINGTON, SC<br />
CHARLES RICHARD LAMBERT, TALLADEGA, AL<br />
WADE CAMDON LAMBERTH JR., BIRMINGHAM, AL<br />
BEATRICE CAMPBELL LAMPKIN, CINCINNATI, OH<br />
J. ROBERT LANCASTER, HUNTSVILLE, AL<br />
R. DOUGLAS LAND, BUTLER, AL<br />
KIRK MARTIN LANDAU, JACKSONVILLE, FL<br />
KAREN DESTIN MAY LANDERS, TUSCUMBIA, AL<br />
PHILLIP LEONARD LANEY, HAMPTON COVE, AL<br />
WILLIAM IVAN LAPIDUS, BIRMINGHAM, AL<br />
LISA LYNN LARGE, PALO ALTO, CA<br />
BRIAN JAY LARSON, BIRMINGHAM, AL<br />
CHARLES ADRIAN LARSON, GUNTERSVILLE, AL<br />
JOSEPH BRUNO LARUSSA, BIRMINGHAM, AL<br />
ROBERT OTTIS LAUDERDALE JR., LEEDS, AL<br />
ELMAR M. J. LAWACZECK, BIRMINGHAM, AL<br />
W. DWAYNE LAWRENCE, PROVIDENCE, RI<br />
THOMAS CLIFFORD LAWSON JR., BIRMINGHAM, AL<br />
TROY ALAN LAYTON, HUNTSVILLE, AL<br />
DANNY KIM LEE, LOUISVILLE, KY<br />
JAMES MONROE LEE, BESSEMER, AL<br />
M. ANDREW LEE, BRENTWOOD, TN<br />
WILLIAM AULL LEITNER, BIRMINGHAM, AL<br />
LAWRENCE JOHN LEMAK, BIRMINGHAM, AL<br />
WILLIAM ANDREW LEMONS JR., BIRMINGHAM, AL<br />
MILTON ALEXIS LENNICX, DOTHAN, AL<br />
EVELYN ANN LEONARD, CULLMAN, AL<br />
NICHOLAS MARKHAM LEONARD, PORTLAND, OR<br />
MARK HAYDEN LEQUIRE, MONTGOMERY, AL<br />
FRANK MARTIN LESTER, MOBILE, AL<br />
SHIRLEY SANDERS LETCHMAN, SPRINGVILLE, AL<br />
STUART JEFFREY LEVIN, RALEIGH, NC<br />
JONATHAN LYONE LEVINE, BIRMINGHAM, AL<br />
CLIFTON THOMAS P. LEWIS, SARASOTA, FL<br />
THOMAS NECY LEWIS, MARIETTA, GA<br />
ROBERT SHELTON LIEBESKIND, FT. LAUDERDALE, FL<br />
WILLIAM MALCOLM LIGHTFOOT, MOBILE, AL<br />
JAMES DOUGLAS LINDSEY, BIRMINGHAM, AL<br />
DICE KYLE LINEBERRY, TRUSSVILLE, AL<br />
JOHN EDWARD LINN, GERMANTOWN, TN<br />
JULIUS EARL LINN JR., BIRMINGHAM, AL<br />
JAMES MITCHELL LIPSTATE, LAFAYETTE, LA<br />
RICHARD ERWIN LITT, CORAL GABLES, FL<br />
HARRY JOSEPH LITTLETON, BIRMINGHAM, AL<br />
MICHAEL BYRNE LITTLETON, BIRMINGHAM, AL<br />
STANLEY KEITH LOCHRIDGE, BIRMINGHAM, AL<br />
JAMES STEPHEN LOCK, AUBURN, AL<br />
JAMES ALANSON LOCKWOOD, EUFALA, AL<br />
ROBERT HENRY LOKEY, ANNISTON, AL<br />
GEORGANNE WELLS LONG, RICHMOND, VA<br />
JAMES HOWARD LOTT III, BIRMINGHAM, AL<br />
PATRICK JAMES LOUIS, BIRMINGHAM, AL<br />
JAMES RADCLIFF LOWREY, CRYSTAL RIVER, FL<br />
THOMAS RILEY LUMPKIN, TUSCALOOSA, AL<br />
GEORGE DAVID LUNDBERG JR., LOS GATOS, CA<br />
VICTOR ENTEBANG LUNYONG, METAIRIE, LA<br />
JOHN ALEXANDER LUSK III, GREENSBORO, NC<br />
RICHARD HOWARD LYERLY, BIRMINGHAM, AL<br />
RICHARD ALLEN LYTLE, BIRMINGHAM, AL<br />
RICHARD ALLEN LYTLE JR., ST. LOUIS, MO<br />
CHARLES E. MACKEY III, CHEYENNE, WY<br />
PHILIP ARTHUR MADDOX, HUNTSVILLE, AL<br />
EUGENE ANTHONY MANGIERI, NORTHPORT, AL<br />
G. WILLIAM MANIFOLD, DECATUR, AL<br />
ANUJ PAUL MANOCHA, MABLETON, GA<br />
BELINDA ANNE MANTLE, BIRMINGHAM, AL<br />
JOHN ANDREW MANTLE, TUSCALOOSA, AL<br />
E. RUSSELL MARCH JR., MOBILE, AL<br />
ROBERT BURTON MARDRE JR., OPELIKA, AL<br />
EDWARD JOHN MARKUSHEWSKI JR, HUNTSVILLE, AL<br />
ELLEN LUCILLE MARMER, VERNON, CT<br />
JAMES HERBERT MARSHALL, BIRMINGHAM, AL<br />
CARL WALTER MARTENS, MONROEVILLE, AL<br />
BEN ROBERTSON MARTIN III, DOTHAN, AL<br />
DANNY JOE MARTIN, FLORENCE, AL<br />
DAVID OWEN MARTIN, MAYFIELD HEIGHTS, OH<br />
FREDERICK WATSON MARTIN, CARROLLTON, GA<br />
KEITH CHRISTOPHER MARTIN, MONTGOMERY, AL<br />
ROBERT MICHAEL MARTIN, BIRMINGHAM, AL<br />
VICKI RUTLAND MARTIN, BIRMINGHAM, AL<br />
JOHN OGDEN MASON III, BIRMINGHAM, AL<br />
JOHN LOUIS MATHEWS, BIRMINGHAM, AL<br />
JAMES CLAUDE MATTHEWS JR., MERIDIAN, MS<br />
RICHARD MICHAEL MAZEY, MOBILE, AL<br />
BILLY DEARL MCANNALLY, LINEVILLE, AL<br />
FRANK GRAHAM MCARTHUR, BIRMINGHAM, AL<br />
MICHAEL LEIGH MCBREARTY, FAIRHOPE, AL<br />
CHARLES LEE MCCAIN, DECATUR, AL<br />
CHARLES ALEXANDER MCCALLUM JR., BIRMINGHAM, AL<br />
JOHN TERRELL MCCARLEY JR., BIRMINGHAM, AL<br />
MARK DANIEL MCCASLIN, MOBILE, AL<br />
E. GAYLON MCCOLLOUGH, GULF SHORES, AL<br />
MICHAEL ELLIS MCCONNELL, ATLANTA, GA<br />
BRIAN JOSEPH MCCOOL, MORGANTOWN, WV<br />
LOREN EDWARD MCCOY, MUSCLE SHOALS, AL<br />
PATRICIA MASSENGILL MCCOY, HUNTSVILLE, AL<br />
RONALD CHESTER MCCOY, BIRMINGHAM, AL<br />
EDWARD FISHBURNE MCCRAW, GREENVILLE, AL<br />
ELLANN MCCRORY, FORT PAYNE, AL<br />
CAROL HOPE MCCULLOUGH, OLD HICKORY, TN<br />
CLARENCE EUGENE MCDANAL JR., BIRMINGHAM, AL<br />
MILLIE MARTHA MCDANIEL, BIRMINGHAM, AL<br />
WILLIAM YOUNG MCDANIEL, THEODORE, AL<br />
PAUL DOUGLAS MCDOWELL, HUNTSVILLE, AL<br />
TRACY LYNN MCFALL, CHARLESTON, SC<br />
WILLIAM PARK MCGEHEE, OPELIKA, AL<br />
EOLINE IRENE MCGOWAN, BIRMINGHAM, AL<br />
NORMAN FLOYD MCGOWIN III, GREENVILLE, AL<br />
GEORGE HARRIS MCGRADY, BIRMINGHAM, AL<br />
LYNN BERNARD MCGRATH, BROWNS MILLS, NJ<br />
ROBERT ALTON MCGUIRE JR., JACKSON, MS<br />
C. RUSH MCINNIS JR., BIRMINGHAM, AL<br />
DAVID RUSSELL MCKENZIE, AUBURN, AL<br />
J. BARRY MCKERNAN, WOODSTOCK, GA<br />
WILLIAM KEITH MCKIBBIN, ASHEVILLE, NC<br />
DAVID PARKS MCKINLEY, SHEFFIELD, AL<br />
JAMES DAVIS MCKINNEY, COOKEVILLE, TN<br />
RANDALL LOUIS MCKISSACK, FAIRHOPE, AL<br />
JERRY THOMAS MCLANE, BESSEMER, AL<br />
LEON DURWARD MCLAUGHLIN, OZARK, AL<br />
MAX VICTOR MCLAUGHLIN, MOBILE, AL<br />
WILLIAM DAVIS MCLAUGHLIN, DOTHAN, AL<br />
BARRY KINCAID MCLEAN, BIRMINGHAM, AL<br />
FRED ANTHONY MCLEOD, ALEXANDER CITY, AL<br />
JOHN MARTIN MCMAHON JR., DAPHNE, AL<br />
FREDDY GLEN MCMURRY, HUNTSVILLE, AL<br />
RYAN SCOTT MCNAMARA, KNOXVILLE, TN<br />
SARAH DAWN MCNUTT, BIRMINGHAM, AL<br />
FRANK LEATHERBURY MCPHILLIPS, MOBILE, AL<br />
JAMES MICHAEL MCQUEEN, ENTERPRISE, AL<br />
NORMAN ELLSWORTH MCSWAIN JR., NEW ORLEANS, LA<br />
LEON VICTOR MCVAY III, MOBILE, AL<br />
JOHN LEE MEADE, GULF BREEZE, FL<br />
JAMES ALLEN MEADOWS III, SAVANNAH, GA<br />
KLAUS F. MEDENBACH, HUNTSVILLE, AL<br />
JOSHUA DANIEL MEEZAN, SAN FRANCISCO, CA<br />
JOHN SANSBURY MEIGS JR., BRENT, AL<br />
EDWARD INNIS MELTON JR., FT. WALTON BEACH, FL<br />
MICHAEL FELIX MARTY MENA, SEATTLE, WA<br />
DANIEL MICHAEL MERCK, OLATHE, KS<br />
RONALD CLIFTON MERRELL, RICHMOND, VA<br />
MICHAEL WALLACE MESHAD, MOBILE, AL<br />
RODNEY BRANDON MEWBOURNE, DALLAS, TX<br />
MAX MICHAEL III, BIRMINGHAM, AL<br />
JULIUS MICHAELSON JR., PUYALLUP, WA<br />
MARC ALAN MICHELSON, BIRMINGHAM, AL<br />
MARK MIDDLEBROOKS, BIRMINGHAM, AL<br />
FABIAN MATTHEW MIHELIC, KNOXVILLE, TN<br />
EDWARD ADAMS MILLAR, CHICAGO, IL<br />
A. LAMAR MILLER JR., DOTHAN, AL<br />
GEORGE DOUGLAS MILLER, GADSDEN, AL<br />
JENNIFER DELANE MILLER, HOOVER, AL<br />
JOHN PITTS MILLER, HAMMOND, LA<br />
P. CAUDILL MILLER, MONTGOMERY, AL<br />
S. JONES MILLER III, LA GRANGE, GA<br />
SAMUEL CARTER MILLER SR., MOBILE, AL<br />
HOWARD H. MILLIKEN, VERO BEACH, FL<br />
34
PATRICK LEONARD MILLS SR., ALABASTER, AL<br />
DANNY ARNOLD MILNER JR., CAMBRIDGE, MA<br />
ANGELA PRATER MINTZ, PENSACOLA, FL<br />
SIMON MIRELMAN, BIRMINGHAM, AL<br />
ROBERT BYRD MITCHELL, HUNTSVILLE, AL<br />
T. CHAD MITCHELL, PANAMA CITY, FL<br />
TOM LYLE MITCHELL JR., MONTGOMERY, AL<br />
OTIS DALE MITCHUM, GENEVA, AL<br />
DONALD RICHARD MOELLER, COLUMBUS, GA<br />
KATHY WINGO MONROE, BIRMINGHAM, AL<br />
DAVID CHARLES MONTIEL, MONTGOMERY, AL<br />
JON RICE MOODY, HUNTSVILLE, AL<br />
THOMAS EDWIN MOODY, BIRMINGHAM, AL<br />
JAMES OWEN MOON, BIRMINGHAM, AL<br />
ALAN LEE MOORE, AUBURN, AL<br />
CAROL STURGEON MOORE, HOLLISTON, MA<br />
DANIEL LLOYD MOORE, MONTGOMERY, AL<br />
ERNEST G. MOORE, BIRMINGHAM, AL<br />
ERNEST GRIFFIN MOORE JR., BIRMINGHAM, AL<br />
JASPER DUNCAN MOORE, UNION, MS<br />
MARILYNN WILMETTE MOORE, PASADENA, CA<br />
PAUL BEVERIDGE MOORE, MONTGOMERY, AL<br />
SANDRA VELIA MOORE, GARLAND, TX<br />
STEPHAN GUISLAIN MORAN, BIRMINGHAM, AL<br />
TERESA MORAN, BIRMINGHAM, AL<br />
RICHARD BACON MORAWETZ, BIRMINGHAM, AL<br />
JOHN FINCH MOREHOUS, GUNTERSVILLE, AL<br />
C. ELLIOTT MORGAN, BIRMINGHAM, AL<br />
CLAUD EDWARD MORGAN JR., DULUTH, GA<br />
MARLA BLACK MORGAN, ALABASTER, AL<br />
MONICA L. MORMAN, GILLETTE, WY<br />
FELIX ARTHUR MORRIS, FLORENCE, AL<br />
PETER WILLIAM MORRIS, BIRMINGHAM, AL<br />
ROBERT EDWARD MORRIS, BIRMINGHAM, AL<br />
JOHN DANIEL MORRISON, CRESCENT SPRINGS, KY<br />
CONSTANTINE DEMETRIOS MORROS, BIRMINGHAM, AL<br />
JOHN ANDREW MORROW JR., MOBILE, AL<br />
WILLIAM GORDON MOSELEY JR., SAN DIEGO, CA<br />
CHARLES STEBNER MOSTELLER, DAPHNE, AL<br />
JAMES MERRILL MOTES JR., CORPUS CHRISTI, TX<br />
ELIZABETH ANN MOUNTCASTLE, MONTGOMERY, AL<br />
KNUT ERICH MUELLER, MOBILE, AL<br />
KRISTI MORGAN MULCHAHEY, MARIETTA, GA<br />
ROSS BOB MULLINS JR., VALLEY, AL<br />
DOROTHY SNODDY MURPHY, MURFREESBORO, TN<br />
JOHN LARKIN MUSGROVE, FLORENCE, AL<br />
FREDERICK AUGUST MUTHS, CLEVELAND, TN<br />
IRA LEE MYERS, MONTGOMERY, AL<br />
ALEXANDER M. NADING JR., BIRMINGHAM, AL<br />
ALBERT JACKSON NAFTEL JR., CHAPEL HILL, NC<br />
PAUL MICHAEL NAGRODZKI, BIRMINGHAM, AL<br />
DENISE JOSEPH NAKOS, SMYRNA, GA<br />
AHMAD NASSERIAN, PALOS VERDES ESTATES, CA<br />
BYRON L. NELSON, CENTRE, AL<br />
MARY JANE S. NELSON, BIRMINGHAM, AL<br />
DAVID ALLEN NESSER, DALLAS, TX<br />
ALFRED MILES NEUMANN JR., POINT CLEAR, AL<br />
T. GERALD NEW, DECATUR, AL<br />
LEON BRYANT NEWMAN, SALISBURY, NC<br />
LUCIAN NEWMAN III, GADSDEN, AL<br />
LUCIAN NEWMAN JR., GADSDEN, AL<br />
J. CHRISTOPHER NICHOLS, BIRMINGHAM, AL<br />
MICHELE HOLLOWAY NICHOLS, BIRMINGHAM, AL<br />
RANDALL WAYNE NICHOLS, DOTHAN, AL<br />
ROBERT KENNETH NICHOLS, PRATTVILLE, AL<br />
STEVEN R. NICHOLS, BIRMINGHAM, AL<br />
KURT M. WALTER NIEMANN, COLUMBIANA, AL<br />
WILLIAM ALEXANDER NIXON, GUNTERSVILLE, AL<br />
LAURA LUCILLE NORRELL, SAN FRANCISCO, CA<br />
SAMUEL S. NORVELL JR., ROCKVILLE, MD<br />
WILLIAM RAYMOND NUESSLE, HUNTSVILLE, AL<br />
GEORGE WOODWARD NUNN, TUSCALOOSA, AL<br />
LLOYD MILTON NYHUS, NORTHFIELD, IL<br />
ISABEL BARKER OLDSHUE, TUSCALOOSA, AL<br />
RONALD TERRY OLIVET, TUSCALOOSA, AL<br />
GARY WAYNE OLSON, DALTON, GA<br />
SUSAN EMILY OMURA, PORTLAND, OR<br />
JOE WILLARD O’NEAL, TUSCALOOSA, AL<br />
RONALD WAYNE ORSO, BIRMINGHAM, AL<br />
ROBERT CARL OSBURNE, ATLANTA, GA<br />
GUY COLEMAN OSWALT JR., MOBILE, AL<br />
CHARLES REYNOLD OVERSTREET, DECATUR, AL<br />
DONALD CLYDE OVERSTREET, SELMA, AL<br />
DENNIS PRAYTOR OWENS, BIRMINGHAM, AL<br />
LOREN COOK OWENSBY, VICTORIA, TX<br />
J. HAROLD OWSLEY, HICKORY, NC<br />
EDDIE NATHANIEL PACE JR., MOBILE, AL<br />
ALBERT DOMINICK PACIFICO, BIRMINGHAM, AL<br />
JOHN MALLORY PACKARD, BIRMINGHAM, AL<br />
JOHN MALLORY PACKARD JR., GUNTERSVILLE, AL<br />
DONALD ROBERT PAEK, FORT WORTH, TX<br />
BERNARD LEE PARHAM, CHATTANOOGA, TN<br />
TIMOTHY D. PARISH, BIRMINGHAM, AL<br />
KIM MICHELLE PARKER, BIRMINGHAM, AL<br />
STEVEN WALLACE PARKER, RENO, NV<br />
GRANT VAN SICLEN PARR, MORRISTOWN, NJ<br />
KATHLEEN GAGE PARR, BALTIMORE, MD<br />
DAVID O’NEIL PARRISH, TIERRA VERDE, FL<br />
SHEELA KRISHNASAMI PARRISH, HUNTSVILLE, AL<br />
HITESH RAMAN PATEL, DALLAS, TX<br />
WILLIAM MORROW PATTERSON, BIRMINGHAM, AL<br />
DAVID WILEY PATTON, BIRMINGHAM, AL<br />
FRANCIS MOORE PATTON, VESTAVIA HILLS, AL<br />
ROBERT CECIL PATTON, OPELIKA, AL<br />
WILLIAM CURTIS PATTON, FORREST CITY, AR<br />
CHARLES TED PAULK, DOTHAN, AL<br />
JAMES FLOOD PAULK, ENTERPRISE, AL<br />
GILLIS LAVELLE PAYNE JR., MONTGOMERY, AL<br />
KATHY WELLS PAYNE, ANDALUSIA, AL<br />
R. REX PAYNE, BIRMINGHAM, AL<br />
WILLIAM RICHARD PAYNE, CARTERSVILLE, GA<br />
JANE PEARSON, BIRMINGHAM, AL<br />
JANE BARCLAY PEEK, BATON ROUGE, LA<br />
G. VERNON PEGRAM III, FORT PAYNE, AL<br />
THOMAS CARL PENDLETON, BIRMINGHAM, AL<br />
ROBERT ALAN PENDLEY, HUNTSVILLE, AL<br />
MIRIAM Y. PERI, CINCINNATI, OH<br />
STEWART NEAL PERLMAN, NASHVILLE, TN<br />
C. PAUL PERRY JR., BIRMINGHAM, AL<br />
TAREK OMAR PERSAUD, BIRMINGHAM, AL<br />
GLENN EIDSON PETERS, BIRMINGHAM, AL<br />
JOSEPH ALAN PETERS, COUNCE, TN<br />
CARY GLENN PETRY, HOMEWOOD, AL<br />
TERI L. PETTERSEN, PORTLAND, OR<br />
GERRY MADISON PHILLIPS, MOBILE, AL<br />
JAMES ROBERT PHILLIPS, GADSDEN, AL<br />
REGINA NEPOMUCENO PHILLIPS, MORRISTOWN, TN<br />
ROBERT MACON PHILLIPS JR., HUNTSVILLE, AL<br />
BRADLEY CLAIR PHOENIX, MORGANTOWN, WV<br />
JAMES CONLEE PICKENS, CANTONMENT, FL<br />
JERRY DWAIN PIERCE, SCOTTSBORO, AL<br />
LOYD CAMERON PIMPERL, FLORESVILLE, TX<br />
JAMES LOWELL PINCOCK, CARSON CITY, NV<br />
LEONARD FAHERTY PINKLEY JR., AMORY, MS<br />
WALTER PIERCE PINSON III, SYLACAUGA, AL<br />
ROGER MCCOY PITT, ATLANTA, GA<br />
JAMES ALLEN PITTMAN JR., BIRMINGHAM, AL<br />
WALTER GAY PITTMAN, HOMEWOOD, AL<br />
J. RANDALL PITTS, BIRMINGHAM, AL<br />
EDWARD JOHN PLANZ JR., DOTHAN, AL<br />
PETER PLUSCHT III, MOBILE, AL<br />
JAMES EDWARD POIST, TUSCALOOSA, AL<br />
MICHAEL GERARD POIST, TUSCALOOSA, AL<br />
JAMES E. POLLOCK, ROCKVILLE, MD<br />
SAMUEL BAKER POLLOCK JR., LOUISVILLE, KY<br />
SARAH STEPHENS POLT, BIRMINGHAM, AL<br />
CAROL RAY PORCH, ARAB, AL<br />
ELLIS FAY PORCH JR., ARAB, AL<br />
CHARLES EDWARD PORTER JR., MONTGOMERY, AL<br />
ROBERT ALLEN POSEY, TUSCALOOSA, AL<br />
ANGELA ADAMS POWELL, MONROEVILLE, AL<br />
JAMES BLACKMON POWELL II, ASHEVILLE, NC<br />
JAMES ORLIS POWELL, BIRMINGHAM, AL<br />
RHONDA HENDERSON POWELL, BIRMINGHAM, AL<br />
THOMAS EDWARD POWELL, BIRMINGHAM, AL<br />
CHARLES KENT POWERS JR., KISSIMMEE, FL<br />
JOHN WORRELL POYNOR, BIRMINGHAM, AL<br />
HARRY WILLIAMS PRATER JR., CRANE HILL, AL<br />
STEVEN DEWAYNE PRESLEY, ENTERPRISE, AL<br />
MILTON DWIGHT PRESTRIDGE JR., GULF SHORES, AL<br />
JEFFREY FRANK PRICE, CLANTON, AL<br />
ROBERT MONROE PRITCHETT, BIRMINGHAM, AL<br />
MICHAEL WAYNE PROCTOR, ANNISTON, AL<br />
WALLACE DALE PROPHET, DOTHAN, AL<br />
DONNA J. PRUETT, PENSACOLA, FL<br />
BRYAN LEE PRUITT, BIRMINGHAM, AL<br />
RONALD E. PRUITT, NASHVILLE, TN<br />
JOHN BARR PUGH, ATLANTA, GA<br />
MARTHA ELANOR PUGH, HOUSTON, TX<br />
MICHAEL LEE PUTMAN, DECATUR, AL<br />
WILLIAM WALTER PYRON, DECATUR, AL<br />
LAWRENCE QUAN, TRINITY, TX<br />
NORMAN HILL RAHN III, GADSDEN, AL<br />
EDWARD CARR RAINEY JR., BALDWIN PARK, CA<br />
HECTOR RAMIREZ JR., HUNTSVILLE, AL<br />
MICHAEL JEFFREY RAMSEY, DOTHAN, AL<br />
RICHARD ROSA RANDALL, HUNTSVILLE, AL<br />
KATHLEEN ANNE RANNEY, THURMONT, MD<br />
UBOL KULPRAPHA RATANAUBOL, BIRMINGHAM, AL<br />
MARY JANE RAVEL, PALM HARBOR, FL<br />
CLINTON MICHAEL RAY, ANNISTON, AL<br />
GARY MICHAEL RAY, ANNISTON, AL<br />
JOSEPH BYRON RAY, MOBILE, AL<br />
BRUCE COPELAND RAYMON, PENSACOLA, FL<br />
HARRY EDWARD REAGOR JR., LODI, CA<br />
JACK DUANE REAL, DOTHAN, AL<br />
DAVID MICHAEL REARDON, FT. MYERS, FL<br />
SRIKAR SUNKI REDDY, COLUMBIA, TN<br />
V. SREENATH REDDY, DECATUR, GA<br />
ANGELA HELMS REDMOND, CULLMAN, AL<br />
JAMES LENDON REEDER, DECATUR, AL<br />
LINDA PARKER REEVES, BIRMINGHAM, AL<br />
MARY ELIZABETH REID, BOISE, ID<br />
JOSEPH GERALD REVES, CHARLESTON, SC<br />
EUGENE SCOTT REYNOLDS, LARGO, FL<br />
FRANK HALL REYNOLDS II, CHATTANOOGA, TN<br />
RICHARD REGINALD REYNOLDS, RICHMOND, VA<br />
JENNIFER MORRIS RHODE, DEXTER, MI<br />
MARSHA JERNIGAN RHODES, CHARLOTTE, NC<br />
DAVID NELSON RHYNE, ENTERPRISE, AL<br />
ROBERT HENRY RHYNE JR., MOULTON, AL<br />
35
SHERRIE ANDERSON RICHARDS, NASHVILLE, TN<br />
LONARD CLARENCE RIGSBY III, MONTGOMERY, AL<br />
STANCEL MARTIN RILEY JR., HUNTSVILLE, AL<br />
WILLIAM EARLE RILEY, GARDENDALE, AL<br />
GERALD JOSEPH RIZZO, ST. PETERSBURG, FL<br />
DAVID HALL ROBERTS, TALLADEGA, AL<br />
FLOYD JOSEPH ROBERTS JR., BATON ROUGE, LA<br />
JOHN DOUGLAS ROBERTSON, BIRMINGHAM, AL<br />
JOHN MOTT ROBERTSON JR., LYNCHBURG, VA<br />
PATRICIA A. KENDRICK ROBINSON, SELMA, AL<br />
JOHN CRAWFORD ROCHESTER, KNOXVILLE, TN<br />
BRIAN EDWARD ROGERS, AUBURN, AL<br />
CHARLES M. A. ROGERS IV, MOBILE, AL<br />
DOUGLAS LEE ROLLINS JR., BIRMINGHAM, AL<br />
VIRGIL WARREN ROLLINS, DOTHAN, AL<br />
EVELYN SPIRA ROSEMORE, PLANO, TX<br />
SAMUEL HOWARD ROSEN, CHARLESTON, SC<br />
SANFORD I. ROSENTHAL, SAVANNAH, GA<br />
ROBERT GEORGE ROSSER, COLUMBIANA, AL<br />
PHILIP ANTHONY ROTH JR., HUNTSVILLE, AL<br />
JAMES MICHAEL ROW, SAN ANTONIO, TX<br />
MELINDA GRACE ROWE, SAVANNAH, GA<br />
STEPHEN WILLIAM ROWE, GADSDEN, AL<br />
DONALD H. ROWELL, SANTA ROSA, CA<br />
WILLIAM GARDNER ROWELL, TUSCALOOSA, AL<br />
STUART ALAN ROYAL, BIRMINGHAM, AL<br />
STEVEN MICHAEL RUDD, BIRMINGHAM, AL<br />
LORING W. RUE III, BIRMINGHAM, AL<br />
CLAUDE CAYCE RUMSEY III, PONTE VEDRA BEACH, FL<br />
CHARLES WALTON RUSH, SARASOTA, FL<br />
FRANCIS EDWARDS RUSHTON JR., BEAUFORT, SC<br />
BRUCE WAYNE RUSSELL, SUMITON, AL<br />
WILLIAM STEPHEN RUSSELL, OPELIKA, AL<br />
CHARLES LANGDON RUTHERFORD JR., MOBILE, AL<br />
JILL ARNITA RUTHERFORD, BIRMINGHAM, AL<br />
MARY RUTHERFORD, GADSDEN, AL<br />
RICHARD OLIVER RUTLAND III, GADSDEN, AL<br />
GUY LESLIE RUTLEDGE III, MOBILE, AL<br />
JARVIS DEVAUGHN RYALS, PUEBLO, CO<br />
SALEM GEORGE SALOOM, BREWTON, AL<br />
MERLE MEYERS SALTER, MONTEVALLO, AL<br />
PAUL PULLEN SALTER JR., MONTEVALLO, AL<br />
SUSAN PAULA SALTER, BIRMINGHAM, AL<br />
STEPHEN WILLIAM SAMELSON, MONTGOMERY, AL<br />
F. CALAME SAMMONS, HUNTSVILLE, AL<br />
HUBERT DOUGLAS SAMMONS, COLUMBIA, SC<br />
ROBERT VESTER SANDERS III, FT. SMITH, AR<br />
JON EMORY SANFORD, FAYETTE, AL<br />
SHELBY PRICE SANFORD, ELROD, AL<br />
MORGAN SCOTT SARRELS, DECATUR, AL<br />
LOWELL FRANKLIN SATLER, BETHESDA, MD<br />
HARRY L. SAUERS III, CLEARWATER, FL<br />
JAMES ADOLPH SAWYER III, DOTHAN, AL<br />
JAMES WATSON SAWYER, LONGVIEW, TX<br />
JAMES PORTER SCARBOROUGH, VANCOUVER, WA<br />
FRANK SCHEFANO III, PARAGOULD, AR<br />
PAUL MICHAEL SCHELKUN, WARMINSTER, PA<br />
MICHAEL JAMES SCHLITT, RENTON, WA<br />
SUZANNE W. SCHUESSLER, LAGRANGE, GA<br />
KATHARINE N. SCHULL, NASHVILLE, TN<br />
GEORGE FARNED SCOFIELD, BIRMINGHAM, AL<br />
PAUL WILLIAM SCOKEL III, BIRMINGHAM, AL<br />
AUBREY DENNIS SCOTT, BIRMINGHAM, AL<br />
CHARLIE WILLIAM SCOTT JR., INDIAN SPRINGS, AL<br />
JOHN RUSSELL SCOTT, SPARTANBURG, SC<br />
WARREN A. SCOTT, SOQUEL, CA<br />
NATHAN SEGALL, ATLANTA, GA<br />
JOHN EMANUEL SEMON, MOBILE, AL<br />
SHELDON JOEL SEVINOR, LYNN, MA<br />
AUBREY LUCIEN SEWELL, WINFIELD, AL<br />
DAVID ALLEN SHACHAT, BLUFFTON, SC<br />
CLAUDE EDWARD SHACKELFORD, NORTHPORT, AL<br />
WILLIAM BURTON SHADBURN, PIKE ROAD, AL<br />
HAROLD ORAN SHAPIRO, VERNON ROCKVILLE, CT<br />
JAMES LYNFORD SHARPLESS JR., BATON ROUGE, LA<br />
JOHN CARL SHEARER, BIRMINGHAM, AL<br />
L. THOMAS SHEFFIELD JR., BIRMINGHAM, AL<br />
R. WAID SHELTON JR., BIRMINGHAM, AL<br />
DEBRA GOODRIDGE SHEPARD, NAPLES, FL<br />
EUGENE CHAPMAN SHERLOCK, BIRMINGHAM, AL<br />
FRED OSCAR SHERRILL JR., HARTSELLE, AL<br />
JOHN DOKE SHERRILL JR., BIRMINGHAM, AL<br />
JOSEPH MADDEN SHERRILL, BIRMINGHAM, AL<br />
ROBERT GRADY SHERRILL JR., INDIAN SPRINGS, AL<br />
J. CLINTON SHOPE, BOCA RATON, FL<br />
MARK SHOPTAUGH, BATON ROUGE, LA<br />
CATHY DARLENE SHRADER, ALEXANDRIA, VA<br />
MICHAEL B. SHROCK, PHILADELPHIA, MS<br />
ALAN MYRON SIEGAL, BIRMINGHAM, AL<br />
STUART LOUIS SIEGAL, BIRMINGHAM, AL<br />
GARRY EARL SIEGEL, MARIETTA, GA<br />
MARTIN TRISTRAM SIGLER, DALLAS, TX<br />
MARLA C. SILVERBERG, BATON ROUGE, LA<br />
HOWARD PHILIP SILVERBOARD, ATLANTA, GA<br />
EARL MALCOLM SIMMONS III, BIRMINGHAM, AL<br />
EARL MALCOLM SIMMONS JR., MONTGOMERY, AL<br />
GEORGE TRUE SIMPSON II, ORCHARD PARK, NY<br />
L. CLARK SIMPSON, BIRMINGHAM, AL<br />
W. FORD SIMPSON JR., TUSCALOOSA, AL<br />
WILLIAM HAYDEN SIMPSON, GADSDEN, AL<br />
MARION HENRY SIMS JR., BIRMINGHAM, AL<br />
MARK EDWARD SKILLAN, ATLANTA, GA<br />
GREGORY E. SKIPPER, MONTGOMERY, AL<br />
DAVID BRYANT SMALLEY, AUBURN, AL<br />
KATHERINE LAVAN SMALLWOOD, RICHMOND, VA<br />
DAWN DIESE SMILEY, CINCINNATI, OH<br />
ANDREA BRADFORD SMITH, MOUNT VERNON, WA<br />
BRAXTON FRANKLIN SMITH, ARAB, AL<br />
BRYAN LEONARD SMITH, VENICE, FL<br />
CHARLES HAROLD SMITH, MONTGOMERY, AL<br />
DONNIE RAY SMITH, TUSCALOOSA, AL<br />
ELIZABETH RANDALL SMITH, LOUISVILLE, KY<br />
G. HAMPTON SMITH JR., BIRMINGHAM, AL<br />
GEORGE CICERO SMITH, LINEVILLE, AL<br />
JAMES ARTHUR SMITH III, SOUTHPORT, NC<br />
NATHAN BERT SMITH II, BIRMINGHAM, AL<br />
ROBERT RUSSELL SMITH, BREWTON, AL<br />
WILLIAM EARLE SMITH JR., CULLMAN, AL<br />
WILSON PEDRICK SMITH JR., SPARTANBURG, SC<br />
HENRY ELTON SMOAK III, INDIAN ROCKS BEACH, FL<br />
JOHN WARNER SNEAD, FT. MYERS, FL<br />
HOWARD CAREY SNIDER JR., MONTGOMERY, AL<br />
RICHARD MAXWELL SNOW, TUSCALOOSA, AL<br />
ARTHUR FARRISH SNYDER, TUSCALOOSA, AL<br />
EDMUNDO A. SOMOZA, NAPOLEON, OH<br />
WEILY SOONG, HAMDEN, CT<br />
JIMMY MITCHELL SPARKS, BIRMINGHAM, AL<br />
CAROL DENISE SPEARS, LEXINGTON, KY<br />
SABINE ELLEN SPEER, TACOMA, WA<br />
BETTY RUTH SPEIR, POINT CLEAR, AL<br />
GILBERT ORION SPENCER JR., COLUMBUS, MS<br />
HOMER ANDREW SPENCER, GADSDEN, AL<br />
SHARON ANN SPENCER, BIRMINGHAM, AL<br />
JOHN CHARLES SPIVAK, BIRMINGHAM, AL<br />
RICHARD J. SPURLIN, OPP, AL<br />
GERALD E. STACK, BATON ROUGE, LA<br />
ANNE GOLDEN STAFFORD, BIRMINGHAM, AL<br />
G. TIMOTHY STAFFORD III, ALAMOSA, CO<br />
RUCKER LEWIS STAGGERS, ELBERTA, AL<br />
WILLIAM RUCKER STAGGERS, FAIRHOPE, AL<br />
SERGIO BRUNO STAGNO, BIRMINGHAM, AL<br />
MARTIN WADE STALLINGS, KINGS MOUNTAIN, NC<br />
DAVID KERN STALLWORTH, MONROEVILLE, AL<br />
DEBORAH ANN STANFORD, BIRMINGHAM, AL<br />
MICHAEL JAMES STANFORD, SAINT PETERSBURG, FL<br />
EARL AUSTIN STANLEY, SAN ANTONIO, TX<br />
ROY FRANCIS STANTON III, GARDENDALE, AL<br />
STEPHEN RICHARD STEINMETZ, BIRMINGHAM, AL<br />
JAMES GILBERT STENSBY, WINCHESTER, TN<br />
SELDEN HARBOUR STEPHENS JR., MOBILE, AL<br />
JOHNNIE WAYNE STEVENS, BIRMINGHAM, AL<br />
J. GRIER STEWART JR., TUSCALOOSA, AL<br />
JOEL MELFORD STEWART JR., WEDOWEE, AL<br />
MARK LINDSEY STEWART, MISSOULA, MT<br />
ROBYN SUE STINNETT, LOUISVILLE, KY<br />
WADE W. STINSON, FLORENCE, AL<br />
JOHN EVERETT STONE JR., MOBILE, AL<br />
KAREN ELIZABETH STONE, WEDOWEE, AL<br />
WILLIAM BRATTON STONECYPHER, BIRMINGHAM, AL<br />
ROBERT HOWARD STORY, TUSKEGEE, AL<br />
CARY LEE STOWE, WINTER PARK, FL<br />
CECILIA MCGILVRAY STRADTMAN, BIRMINGHAM, AL<br />
MARTHA JANE STRANGE, BIRMINGHAM, AL<br />
J. MICHAEL STRAUGHN, BIRMINGHAM, AL<br />
W. HOWARD STRIPLIN JR., HUNTSVILLE, AL<br />
JAMES LARKIN STRONG, BIRMINGHAM, AL<br />
KENNETH DILLARD STROTHER, DADEVILLE, AL<br />
TERRENCE LEE STULL, OKLAHOMA CITY, OK<br />
WILLIAM DOUGLAS SUDDUTH, TUSCALOOSA, AL<br />
STEPHEN PATRICK SUGGS, DECATUR, AL<br />
WILLIAM JAY SUGGS, PENSACOLA, FL<br />
EDWARD ALLEN SULLIVAN III, BIRMINGHAM, AL<br />
JAMES SOLOMON SULLIVAN, DOTHAN, AL<br />
PERCY GUIN SULLIVAN, BESSEMER, AL<br />
WILLIAM BRUNS SULLIVAN, HATTIESBURG, MS<br />
WILLIAM LARRY SULLIVAN, DECATUR, AL<br />
JOHN PHILIP SUMMERFORD, TUSCALOOSA, AL<br />
SWAID NOFAL SWAID, BIRMINGHAM, AL<br />
JOHN LUTHER SWAN II, MONTGOMERY, AL<br />
FREDERICK D. SWARTZENDRUBER, ROANOKE, VA<br />
ROBERT LELDON SWEET, BEAUMONT, TX<br />
CONNIE MATTHEWS SWILLIE, BIRMINGHAM, AL<br />
RODNEY KENT SWILLIE, BIRMINGHAM, AL<br />
FELIX MARCUS TANKERSLEY JR., MONTGOMERY, AL<br />
STEWART HILL TANKERSLEY, MONTGOMERY, AL<br />
ROBERT FERRIS TARPY, LAFAYETTE, LA<br />
E. LEE TAYLOR JR., MOBILE, AL<br />
NORMAN LINDSAY TAYLOR, MONTGOMERY, AL<br />
PEYTON TROY TAYLOR JR., IVY, VA<br />
ROBERT ELMORE TAYLOR, DURHAM, NC<br />
SUMMERS WILSON TAYLOR III, BOAZ, AL<br />
DUDLEY JOSEPH TERRELL, OZARK, AL<br />
AUBREY EUGENE TERRY, RUSSELLVILLE, AL<br />
NINA L. J. TERRY, SYLACAUGA, AL<br />
WILLIAM JEFFERSON TERRY, MOBILE, AL<br />
BRADLEY PHILLIP THOMAS, BIRMINGHAM, AL<br />
EDWARD LAMAR THOMAS, BIRMINGHAM, AL<br />
FRANK PHILIP THOMAS, DECATUR, AL<br />
JOSEPH PAUL THOMAS, MOBILE, AL<br />
JULIAN MURPHREE THOMAS, BIRMINGHAM, AL<br />
LEE THOMAS, TUSCALOOSA, AL<br />
36
RENA MELTON THOMISON, NASHVILLE, TN<br />
MARTIN LEE THOMLEY, BIRMINGHAM, AL<br />
JAMES CLAUDE THOMPSON, TUSCALOOSA, AL<br />
JOHN LONG THOMPSON JR., SYLACAUGA, AL<br />
WILLIAM ALEXANDER THOMPSON III, BIRMINGHAM, AL<br />
DONALD DAVIS THORNBURY JR., MONTGOMERY, AL<br />
HELEN RAYE THRASHER, BIRMINGHAM, AL<br />
CHAUNCEY BENEDICT THUSS, BIRMINGHAM, AL<br />
CRAIG MICHAEL TILGHMAN, PANAMA CITY, FL<br />
GLENN WARNA TILLERY, HAMPTON COVE, AL<br />
ROLLINS LYNNE TINDELL JR., MOBILE, AL<br />
STEVEN DAVID TISHLER, NASHVILLE, TN<br />
AARON MCLAIN TOLER, SPARTANBURG, SC<br />
KIMBERLY FRAZIER TOLER, SPARTANBURG, SC<br />
JOHN CAREY TOMBERLIN, ENTERPRISE, AL<br />
CHARLES SAMUEL TOMPKINS, LUVERNE, AL<br />
ARTHUR FULKERSON TOOLE III, ANNISTON, AL<br />
TERRY JAY TORANTO, WALNUT CREEK, CA<br />
MICHAEL JOSEPH TORMA, SHREVEPORT, LA<br />
CLAUDIO ERASMO TORO, BIRMINGHAM, AL<br />
F. DARLENE HARRISON TRAFFANSTEDT, BIRMINGHAM, AL<br />
DALE EDWARD TRAMMELL SR., DECATUR, AL<br />
JUDY COOKE TRAVIS, DEMOPOLIS, AL<br />
JACK WALDEN TRIGG JR., BIRMINGHAM, AL<br />
ROBERT W. TROTTER, ATHENS, TN<br />
ALLEN GORDON TUCKER, HUNTSVILLE, AL<br />
JAMES CURTIS TUCKER, TUSCALOOSA, AL<br />
NIMROD HOLT TUCKER III, JACKSONVILLE, FL<br />
RODNEY OLAN TUCKER, BIRMINGHAM, AL<br />
ALBERT JULIAN TULLY JR., BIRMINGHAM, AL<br />
RAMACHANDRA PRASAD TUNMALA, MINNEAPOLIS, MN<br />
ROBERT PETER TURK, DAYTON, OH<br />
MARY ANN TURNER, RICHMOND, VA<br />
HOMER LEE TWIGG III, INDIANAPOLIS, IN<br />
LINDA KATHERINE TYER, BELFAST, ME<br />
CHARLES MATHISON TYNDAL, BIRMINGHAM, AL<br />
EDWARD CARRAWAY TYNDAL, COLUMBIANA, AL<br />
MARSHALL MCLEAN URIST, BIRMINGHAM, AL<br />
PETER W. VAN HOY, BIRMINGHAM, AL<br />
KENNETH LUCKIE VANDERVOORT, ANNISTON, AL<br />
GARRETT RICHARD VANGELISTI, MURPHY, OR<br />
JOHN SCOTT VANLOOCK, MOBILE, AL<br />
PAMELA DUNCAN VARNER, BIRMINGHAM, AL<br />
ROBERT EDWARD VARNER JR., BIRMINGHAM, AL<br />
LUIS O. VASCONEZ, BIRMINGHAM, AL<br />
BETTY WALTHALL VAUGHAN, DECATUR, AL<br />
SUZANNE DUDLEY VAUGHAN, BIRMINGHAM, AL<br />
TOM BROOKS VAUGHAN III, SAINT PAUL, MN<br />
CHARLES FREDERICK VEAZEY, GUNTERSVILLE, AL<br />
DEAN A. VEREN, BIRMINGHAM, AL<br />
KATJA MARIA VON TIESENHAUSEN, BOSTON, MA<br />
FREDERIC QUINBY VROOM, TALLAHASSEE, FL<br />
STEWART DOUGLAS WADDELL, BIRMINGHAM, AL<br />
BARBARA HEETER WADE, PENSACOLA, FL<br />
JOHN SHERER WADE, FRESNO, CA<br />
JOSEPH FREDRICK WADE, COLUMBIA, TN<br />
MERLE LINDY WADE JR., TAMPA, FL<br />
PETER DANIEL WAITE, BIRMINGHAM, AL<br />
KEN BAKER WAITES, BIRMINGHAM, AL<br />
JOHN BRYAN WAITS, TULSA, OK<br />
MARSHA LOUISE WAKEFIELD, BIRMINGHAM, AL<br />
MATTHEW CHARLES WAKEFIELD, GAITHERSBURG, MD<br />
FRANK BELL WALDO, BIRMINGHAM, AL<br />
EDITH Z. WALDROP, BIRMINGHAM, AL<br />
BENJAMIN HARRIS WALKER II, HUNTSVILLE, AL<br />
HARRISON CARROLL WALKER III, BIRMINGHAM, AL<br />
JAMES ALEX WALKER, FORT PAYNE, AL<br />
JAMES CLINTON WALKER JR., BIRMINGHAM, AL<br />
JOHN HOLLIS WALKER, HUNTSVILLE, AL<br />
L. G. WALKER JR., CHARLOTTE, NC<br />
ROBERT CHARLES WALKER, DECATUR, AL<br />
TOM MORROW WALKER, MOBILE, AL<br />
WILLIAM ADDISON WALKER, DECATUR, AL<br />
JOHN KENNETH WALLACE, DOTHAN, AL<br />
MILTON ANDREW WALLACE JR., MOBILE, AL<br />
WILLIAM CARL WALLEY, HUNTSVILLE, AL<br />
DAVID GUY WALSH, MOBILE, AL<br />
Z. JOSEPH WANSKI, LOS ANGELES, CA<br />
GLENN PORTER WARD, DECATUR, AL<br />
WILLIAM SPURGEON WARR, PHENIX CITY, AL<br />
CLAUDE MORRIS WARREN III, MOBILE, AL<br />
EDDIE BERNARD WARREN, TROY, AL<br />
THOMAS LARRY WARREN, HICKORY, NC<br />
WENDY DEIRDRE WASDEN, MONTGOMERY, AL<br />
ISRAEL WASHINGTON, CINCINNATI, OH<br />
D. SHANNON WATERS-HWANG, CLOVIS, CA<br />
JAMES MORGAN WATKINS, CAMPBELLSVILLE, KY<br />
DORIS S. PHILLIPS WAYMAN, BIRMINGHAM, AL<br />
GEORGE HIRAM WEAVER, CORDOVA, AL<br />
ELLEN STAMMER WEBER, BIRMINGHAM, AL<br />
MAURICE O. WEILBAECHER JR., COVINGTON, LA<br />
PETER FRANCIS WEINHEIMER, TUSCALOOSA, AL<br />
PAUL CARLSON WEIR, BIRMINGHAM, AL<br />
D. CHRISTOPHER WELLS, ROANOKE, VA<br />
HAROLD RUDOLPH WELLS, BIRMINGHAM, AL<br />
MICHAEL AUBREY WELLS, ANDALUSIA, AL<br />
THOMAS GEORGE WELLS, MONTGOMERY, AL<br />
ROBERT CRAIG WESSON, REDLANDS, CA<br />
DOUGLAS JOHN WESTER JR., HUNTSVILLE, AL<br />
TERRY ALAN WESTMORELAND, COLUMBUS, MS<br />
JAMES RODMAN WHATLEY, OPELIKA, AL<br />
JOHN ROSS WHEAT, NORTHPORT, AL<br />
JOE ANN LUKER WHEELER, TUSCALOOSA, AL<br />
JOHN DAVID WHEELER II, HUNTSVILLE, AL<br />
JACK MEADOW WHETSTONE, MONROEVILLE, AL<br />
DEWEY ANDERSON WHITE JR., BIRMINGHAM, AL<br />
MARJORIE LEE WHITE, BIRMINGHAM, AL<br />
MILTON FALKNER WHITE JR., BIRMINGHAM, AL<br />
ROY SIDNEY WHITE, BRENT, AL<br />
THOMAS EUGENE WHITE, OAKLAND, CA<br />
JOHN GRANT WIDEMAN, VINEMONT, AL<br />
DONNA ANN WIGGINS, SAN FRANCISCO, CA<br />
WILLIAM BROOKS WILKINSON JR., BIRMINGHAM, AL<br />
C. DENT WILLIAMS JR., MONTGOMERY, AL<br />
JANE NEWMAN WILLIAMS, BIRMINGHAM, AL<br />
JOHN A. WILLIAMS, MONTGOMERY, AL<br />
JULI DENISE WILLIAMS, CHARLOTTE, NC<br />
ROBERT HUNTLEY WILLIAMS, HUNTSVILLE, AL<br />
WILLIAM JACKSON WILLIAMS, BETHANY, OK<br />
NATHAN ARTHUR WILLIAMSON, NORTHPORT, AL<br />
BARRY LEWIS WILSON, MONTGOMERY, AL<br />
H. ANDREW WILSON JR., BIRMINGHAM, AL<br />
JAMES ARTHUR WILSON JR., TAMPA, FL<br />
RICHARD HARDING WILSON, COLUMBUS, GA<br />
ROBERT GODFREY WILSON, SHAWNEE, OK<br />
ROBERT KEMP WILSON JR., PENSACOLA, FL<br />
GREGORY SCOTT WINDHAM, CULLMAN, AL<br />
JAMES LOWERY WINDSOR, PLEASANT GROVE, AL<br />
CHARLES SHELL WINGARD, BIRMINGHAM, AL<br />
DANIELLE DANEEN WINKLER, COLUMBIA, SC<br />
STANLEY BLAKELEY WINSLOW, MONTGOMERY, AL<br />
JAMES EDWIN WISE, MOODY, AL<br />
STEVEN DWAYNE WISE, DOTHAN, AL<br />
JOEL ALLEN WISSING, CHARLOTTE, NC<br />
C. DOUGLAS WITHERSPOON, BIRMINGHAM, AL<br />
PATRICK JAN WITHROW, PADUCAH, KY<br />
JOHN L. WOLFORD, LEXINGTON, KY<br />
CATHERINE LENEAVE WOOD, MONTGOMERY, AL<br />
ROBERT ALEXANDER WOOD, MOBILE, AL<br />
JAMES SPIVEY WOODARD, COLUMBUS, MS<br />
CHIVERS R. WOODRUFF JR., BIRMINGHAM, AL<br />
JOHN BENJAMIN WOODS, DOTHAN, AL<br />
JACK WOOL, MONTGOMERY, AL<br />
JASON NEWELL WORKMAN, BIRMINGHAM, AL<br />
DAVID WILLIAM WRIGHT, ATLANTA, GA<br />
DONALD A. WRIGHT, GALLATIN, TN<br />
JAMES GAGE WRIGHT JR., SYLACAUGA, AL<br />
JAMES ORRALL WRIGHT III, MASON CITY, IA<br />
ERICH TYRONE WYCKOFF, BEAVERCREEK, OH<br />
INAS ZAKI YACOUB, COLUMBIA, SC<br />
THOMAS HUBBARD YANCEY, DAPHNE, AL<br />
DONALD EUGENE YARBROUGH, ROCHESTER, MN<br />
RALPH HOUSTON YARBROUGH, BIRMINGHAM, AL<br />
RANDY JAMES YARBROUGH, VESTAVIA, AL<br />
MICHAEL DOUGLAS YATES, HUNTSVILLE, AL<br />
MUNFORD RADFORD YATES III, CHATTANOOGA, TN<br />
CHARLES FRANKLIN YEAGER, MOBILE, AL<br />
EARL STEPHEN YEAGER, SAVANNAH, GA<br />
WILFRED WARD YEARGAN JR., TUSCALOOSA, AL<br />
ALLEN LYNWOOD YEILDING, BIRMINGHAM, AL<br />
NEWMAN MANLY YEILDING III, ARDMORE, PA<br />
ROBERT LEE YODER JR., FLORENCE, AL<br />
PATTY MOORE YOFFE, BOSTON, MA<br />
KENNETH CRAWFORD YOHN, MONTGOMERY, AL<br />
STEVEN EUGENE ZACHOW, JACKSON, MS<br />
EDWARD JOSEPH ZAMPELLA, SHORT HILLS, NJ<br />
ROBERT H. ZAX, LOUISVILLE, KY<br />
HERBERT EVAN ZEIGER JR., BIRMINGHAM, AL<br />
SOLOMON GLENN ZERDEN, SAVANNAH, GA<br />
GEORGE LUEY ZORN JR., BIRMINGHAM, AL<br />
MARTHA MYERS MEMORIAL DONORS<br />
ROBERT LEWIS BEAIRD JR., AUBURN, AL<br />
MICHAEL ALSTON CALLAHAN, BIRMINGHAM, AL<br />
JAMES OSCAR COLLEY III, TROY, AL<br />
ROBERT MILTON COSBY, BIRMINGHAM, AL<br />
GEORGE EUGENE DAILEY III, SOLANA BEACH, CA<br />
RICHARD DENSON DESHAZO, BRANDON, MS<br />
WILLIAM EDWARD DOGGETT III, BIRMINGHAM, AL<br />
CONRAD M. FOWLER, TUSCALOOSA, AL<br />
WOLFRAM GLASER, BIRMINGHAM, AL<br />
GREGORY CHARLES GRAY, IOWA CITY, IA<br />
PAUL WESLEY GRAY JR., HUNTSVILLE, AL<br />
JOHN BONDURANT HARRISON, HUNTSVILLE, AL<br />
GEORGE DOUGLAS MILLER, GADSDEN, AL<br />
THOMAS EDWIN MOODY, BIRMINGHAM, AL<br />
LEONARD FAHERTY PINKLEY JR., ARMORY, MS<br />
ROBERT MONROE PRITCHETT, BIRMINGHAM, AL<br />
FAYE D. ROBERTS, MOBILE, AL<br />
RICHARD FELIX SMITH, BIRMINGHAM, AL<br />
JOHN BRANTLEY SMITHSON, FT. WORTH, TX<br />
ROGER DEAN TIMS, ROANOKE, VA<br />
MARY ANN TURNER, RICHMOND, VA<br />
JAMES HENSON WHEELER, ATLANTA, GA<br />
C. DENT WILLIAMS JR., MONTGOMERY, AL<br />
STANLEY BLAKELEY WINSLOW, MONTGOMERY, AL<br />
37
Alumni Pr<strong>of</strong>ile<br />
Alumni Pr<strong>of</strong>ile: Stephen Brossette, M.D., Ph.D.<br />
By Sandra Bearden<br />
Stephen Brossette, M.D., Ph.D., is less than five years out <strong>of</strong> <strong>the</strong><br />
<strong>University</strong> <strong>of</strong> <strong>Alabama</strong> School <strong>of</strong> Medicine. Yet he may already have saved<br />
hundreds <strong>of</strong> lives through his work—and this work has just begun.<br />
<strong>The</strong> 32-year-old New Orleans n<strong>at</strong>ive<br />
(UASOM ’99) is founder and chief executive<br />
<strong>of</strong>ficer <strong>of</strong> MedMined, Inc., a <strong>Birmingham</strong>based<br />
business on <strong>the</strong> fast track among <strong>the</strong><br />
n<strong>at</strong>ion’s health-care IT companies. Employing<br />
artificial intelligence in tandem with labor<strong>at</strong>ory<br />
and hospital d<strong>at</strong>abases, MedMined unveils<br />
p<strong>at</strong>terns in health-care d<strong>at</strong>a. Linked, <strong>the</strong> p<strong>at</strong>terns<br />
can provide clues to <strong>the</strong> origins <strong>of</strong> hospital-acquired<br />
infections. In 2002, this pioneering<br />
technology landed Brossette a spot on <strong>the</strong><br />
MIT Technology Review’s list <strong>of</strong> <strong>the</strong> world’s top<br />
100 young innov<strong>at</strong>ors. In addition,<br />
MedMined was named 2002 Technology<br />
Company <strong>of</strong> <strong>the</strong> Year by <strong>the</strong> N<strong>at</strong>ional Business<br />
Incub<strong>at</strong>ion Associ<strong>at</strong>ion.<br />
<strong>The</strong> honors and media coverage <strong>the</strong> company<br />
has received underscore <strong>the</strong> seriousness <strong>of</strong><br />
<strong>the</strong> problem MedMined is comb<strong>at</strong>ing. In 1995,<br />
hospital infections caused 88,000 de<strong>at</strong>hs in <strong>the</strong><br />
United St<strong>at</strong>es, <strong>the</strong> fourth leading cause <strong>of</strong> de<strong>at</strong>h<br />
behind heart disease, cancer, and strokes.<br />
“<strong>The</strong>se infections are a big, expensive problem,”<br />
Brossette says. “<strong>The</strong>y make a lot <strong>of</strong> people<br />
sick and kill some <strong>of</strong> <strong>the</strong>m. P<strong>at</strong>ients lose.<br />
Hospitals lose. Insurers lose.”<br />
MedMined applies sophistic<strong>at</strong>ed computer<br />
algorithms and techniques to sift through vast<br />
amounts <strong>of</strong> d<strong>at</strong>a. Medical personnel use<br />
results from this “d<strong>at</strong>a mining” to detect early<br />
warning signs <strong>of</strong> infection and to prevent or<br />
control outbreaks.<br />
Brossette first learned about d<strong>at</strong>a mining<br />
when he was a student in UASOM’s Medical<br />
Scientist Training Program (MSTP), working<br />
concurrently on an M.D. and a Ph.D. in computer<br />
science. A physics major whose undergradu<strong>at</strong>e<br />
work was in comput<strong>at</strong>ional analysis,<br />
Brossette had become interested in medicine<br />
during his junior year <strong>at</strong> Georgia Tech.<br />
“After learning <strong>of</strong> <strong>the</strong> MSTP, I decided it<br />
would be a rewarding experience to take scientific<br />
research and apply it to health care,”<br />
Brossette says.<br />
After completing rot<strong>at</strong>ions in o<strong>the</strong>r fields,<br />
Brossette became <strong>the</strong> first MSTP student <strong>at</strong><br />
UAB to work on a doctor<strong>at</strong>e in a non-biological<br />
science. Encouraging him were several<br />
UASOM faculty members, including Stephen<br />
A. Moser, Ph.D., John A. Smith, M.D., Jay M.<br />
McDonald, M.D., and Frank Griffin, M.D.,<br />
(<strong>the</strong> l<strong>at</strong>ter now retired, but <strong>the</strong>n director <strong>of</strong> <strong>the</strong><br />
MSTP program). Warren Jones, Ph.D., pr<strong>of</strong>essor<br />
emeritus in computer sciences, spurred<br />
Brossette’s interest in applying d<strong>at</strong>a-mining<br />
techniques to research on hospital infections.<br />
A cross-campus collabor<strong>at</strong>ion between p<strong>at</strong>hology<br />
and computer sciences resulted.<br />
Brossette had earned his Ph.D. and M.D. and<br />
was working on a residency in p<strong>at</strong>hology when<br />
his phone rang one day in 2000. It was a represent<strong>at</strong>ive<br />
from a firm in <strong>the</strong> Boston area. <strong>The</strong><br />
firm’s scientists had read Brossette’s reports and<br />
were interested in commercializing his work.<br />
“<strong>The</strong>se infections are<br />
a big, expensive<br />
problem. <strong>The</strong>y make<br />
a lot <strong>of</strong> people sick<br />
and kill some <strong>of</strong><br />
<strong>the</strong>m. P<strong>at</strong>ients lose.<br />
Hospitals lose.<br />
Insurers lose.”<br />
— Stephen Brossette, M.D., Ph.D.<br />
His response was quick: “No thanks. I’d like<br />
to do th<strong>at</strong> myself,” Brossette recalls saying. He<br />
put down <strong>the</strong> phone and picked it up again, calling<br />
P<strong>at</strong>rick Hymel, M.D., and G. T. LaBorde, an<br />
<strong>at</strong>torney, both friends since childhood. All three<br />
had harbored dreams <strong>of</strong> being entrepreneurs.<br />
LaBorde drew up a business plan, and in a<br />
month <strong>the</strong> three had set up shop in a one-room<br />
<strong>of</strong>fice <strong>at</strong> UAB’s Office for <strong>the</strong> Advancement <strong>of</strong><br />
Developing Industries (OADI).<br />
Backed by $2.25 million in venture-capital<br />
funding, MedMined now has 60 hospital<br />
clients under contract and 16 staff members.<br />
Among <strong>the</strong>se are Brossette, Hymel (who serves<br />
as chief medical <strong>of</strong>ficer), and LaBorde, chief<br />
oper<strong>at</strong>ing <strong>of</strong>ficer. This past August, MedMined<br />
and Blue Cross and Blue Shield <strong>of</strong> <strong>Alabama</strong><br />
joined forces to track hospital-acquired infections<br />
<strong>at</strong> 40 <strong>of</strong> <strong>the</strong> st<strong>at</strong>e’s largest hospitals.<br />
“We believe this will be a landmark study in<br />
its field,” Brossette says. “It will set <strong>the</strong> stage<br />
for <strong>the</strong> future.”<br />
<strong>The</strong>se days, Brossette has little time to<br />
indulge his hobbies <strong>of</strong> photography and cooking.<br />
“My wife, Lynda, son, N<strong>at</strong>han, who’s two,<br />
and Audrey, four months, deserve my time<br />
when I’m <strong>at</strong> home,” he says.<br />
Time is <strong>at</strong> a premium on <strong>the</strong> job, too.<br />
“<strong>The</strong>re are 2,500 hospitals th<strong>at</strong> can use our<br />
services, and we’re developing rel<strong>at</strong>ionships<br />
with corpor<strong>at</strong>e partners to roll out services<br />
faster,” Brossette says. “We believe we can<br />
affect more p<strong>at</strong>ients by taking this technology<br />
to <strong>the</strong> world than by tre<strong>at</strong>ing <strong>the</strong>m individually.<br />
It’s an opportunity we’re excited about.”<br />
38
Alumni Pr<strong>of</strong>ile<br />
Alumni Pr<strong>of</strong>ile: Leigh Jefferies, M.D.<br />
By Ella Robinson<br />
It’s a long walk from <strong>the</strong> research lab to <strong>the</strong> boardroom. Science terminology<br />
can sometimes be like a foreign language when it enters <strong>the</strong> corpor<strong>at</strong>e world. This<br />
is where Leigh Jefferies, M.D., steps in. As director <strong>of</strong> medical-inform<strong>at</strong>ion str<strong>at</strong>egies<br />
<strong>at</strong> Synchrogenix, a marketing and corpor<strong>at</strong>e communic<strong>at</strong>ions group, Jefferies<br />
works as a liaison between <strong>the</strong> researcher and <strong>the</strong> business world. Her understanding<br />
<strong>of</strong> both fields bridges <strong>the</strong> gap and makes th<strong>at</strong> long walk a little shorter.<br />
A 1979 gradu<strong>at</strong>e <strong>of</strong> <strong>the</strong> UASOM, Jefferies<br />
served as an associ<strong>at</strong>e pr<strong>of</strong>essor and assistant<br />
director <strong>of</strong> transfusion medicine <strong>at</strong> <strong>the</strong> <strong>University</strong><br />
<strong>of</strong> Pennsylvania School <strong>of</strong> Medicine before joining<br />
Synchrogenix. While <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong><br />
Pennsylvania, she had numerous research papers<br />
published in major medical journals, including<br />
<strong>the</strong> New England Journal <strong>of</strong> Medicine. She also<br />
edited medical textbooks, directed clinical and<br />
research training programs for physician residents<br />
and fellows, developed continuing educ<strong>at</strong>ion<br />
courses for <strong>at</strong>tending staff physicians and<br />
technologists, and was principal investig<strong>at</strong>or on<br />
several federal grants.<br />
At Synchrogenix, Jefferies is involved with<br />
<strong>the</strong> company’s pharmaceutical marketing,<br />
training, and document<strong>at</strong>ion services. Whe<strong>the</strong>r<br />
it is preparing submissions for FDA review,<br />
meeting with a group <strong>of</strong> physicians to discuss a<br />
new medic<strong>at</strong>ion, or introducing a new drug to<br />
consumers, she helps pharmaceutical manufacturers<br />
find <strong>the</strong> correct approach for providing<br />
necessary d<strong>at</strong>a. “We provide communic<strong>at</strong>ion<br />
pieces th<strong>at</strong> <strong>of</strong>fer clear, concise, and relevant<br />
inform<strong>at</strong>ion,” she explains.<br />
Now th<strong>at</strong> consumers are becoming more<br />
involved in <strong>the</strong>ir own health-care decisions,<br />
marketing and regul<strong>at</strong>ory processes concerning<br />
<strong>the</strong> introduction <strong>of</strong> new tre<strong>at</strong>ments are becoming<br />
even more complic<strong>at</strong>ed. For th<strong>at</strong> reason,<br />
Jefferies is ready to help bridge <strong>the</strong> gap between<br />
<strong>the</strong> labor<strong>at</strong>ory and boardroom.<br />
Moving from <strong>the</strong> labor<strong>at</strong>ory to commercial<br />
industry can be difficult. Pharmaceutical companies<br />
typically follow <strong>the</strong>ir own self-regul<strong>at</strong>ory<br />
codes th<strong>at</strong> sometimes conflict with commercial<br />
objectives. Jefferies and her staff work to keep<br />
ethical and scientific goals strong while conforming<br />
to corpor<strong>at</strong>e expect<strong>at</strong>ions.<br />
She says th<strong>at</strong> she draws on her previous experience<br />
writing scientific reports, journal papers, and<br />
educ<strong>at</strong>ional m<strong>at</strong>erials to help her clients. “I focus<br />
on <strong>the</strong> needs <strong>of</strong> <strong>the</strong> pharmaceutical companies to<br />
provide document prepar<strong>at</strong>ion and present<strong>at</strong>ion.<br />
I usually work with a team <strong>of</strong> physicians and<br />
researchers, guiding <strong>the</strong>m through <strong>the</strong> necessary<br />
procedures with regul<strong>at</strong>ory goals in mind.”<br />
Ano<strong>the</strong>r way Jefferies bridges <strong>the</strong> gap is by<br />
helping pharmaceutical companies see how<br />
<strong>the</strong>ir own high standards for promotional<br />
activities coordin<strong>at</strong>e with <strong>the</strong> regul<strong>at</strong>ory<br />
processes governing pharmaceutical advertising.<br />
She is able to advise manufacturers <strong>of</strong> upto-d<strong>at</strong>e<br />
government policies and rules th<strong>at</strong><br />
will allow <strong>the</strong>m to develop effective marketing<br />
and promotion plans.<br />
Her involvement goes even fur<strong>the</strong>r for some<br />
companies th<strong>at</strong> are submitting new medic<strong>at</strong>ions<br />
for approval. Government agencies such as <strong>the</strong><br />
“I focus on <strong>the</strong> needs <strong>of</strong> <strong>the</strong> pharmaceutical companies to provide<br />
document prepar<strong>at</strong>ion and present<strong>at</strong>ion. I usually work with a team<br />
<strong>of</strong> physicians and researchers, guiding <strong>the</strong>m through <strong>the</strong> necessary<br />
procedures with regul<strong>at</strong>ory goals in mind.” — Leigh Jefferies, M.D.<br />
EPA and FDA require regul<strong>at</strong>ory compliance on<br />
many levels. “I help pharmaceutical companies<br />
who are submitting applic<strong>at</strong>ions for approval <strong>of</strong><br />
medic<strong>at</strong>ions under development and in clinical<br />
trials,” she explains. “It is important to emphasize<br />
<strong>the</strong> steps taken for safety monitoring and<br />
drug efficiency when applying for approval <strong>of</strong><br />
new drugs.” Synchrogenix has handled applic<strong>at</strong>ions<br />
for a variety <strong>of</strong> drugs including pain medic<strong>at</strong>ions,<br />
antibiotics, and drugs rel<strong>at</strong>ed to infectious<br />
diseases, <strong>the</strong> autoimmune system, and cardiac<br />
disorders, says Jefferies.<br />
During her career, Jefferies has earned numerous<br />
awards, including a N<strong>at</strong>ional Institutes <strong>of</strong><br />
Health grant to develop and manage a multidisciplinary<br />
educ<strong>at</strong>ion and research program on<br />
transfusion medicine <strong>at</strong> <strong>the</strong> <strong>University</strong> <strong>of</strong><br />
Pennsylvania. She also holds a master’s <strong>of</strong> government<br />
administr<strong>at</strong>ion from <strong>the</strong> <strong>University</strong> <strong>of</strong><br />
Pennsylvania. She is board-certified in an<strong>at</strong>omic<br />
and clinical p<strong>at</strong>hology and has completed a fellowship<br />
in transfusion medicine. Her next project<br />
is to facilit<strong>at</strong>e <strong>the</strong> launch <strong>of</strong> a new product<br />
th<strong>at</strong> will help CEOs in a variety <strong>of</strong> industries<br />
articul<strong>at</strong>e a commitment to ethical decisionmaking<br />
and alignment <strong>of</strong> core values within an<br />
organiz<strong>at</strong>ion. She hopes to promote <strong>the</strong> program’s<br />
emphasis on personal responsibility to<br />
health-care delivery systems.<br />
39
From <strong>the</strong> Archives: A Look Back <strong>at</strong> Volker Hall By Tim L. Pennycuff<br />
With <strong>the</strong> expansion and renov<strong>at</strong>ion <strong>of</strong> Volker Hall recently complete, <strong>the</strong> current “From <strong>the</strong> Archives”<br />
column reminds us <strong>of</strong> <strong>the</strong> beginnings <strong>of</strong> one <strong>of</strong> <strong>the</strong> UASOM’s major facilities.<br />
On July 30, 1968, <strong>Alabama</strong> governor Albert<br />
Brewer joined <strong>University</strong> <strong>of</strong> <strong>Alabama</strong><br />
President Frank Rose and Executive Vice<br />
President Joseph F. Volker in tossing <strong>the</strong> symbolic<br />
first shovel <strong>of</strong> dirt to launch a massive construction<br />
project <strong>at</strong> <strong>the</strong> <strong>Birmingham</strong> Medical Center. Three<br />
buildings were being celebr<strong>at</strong>ed <strong>at</strong> <strong>the</strong> groundbreaking<br />
th<strong>at</strong> day: a health-sciences library, a nursing-school<br />
building, and a basic-sciences building<br />
to be used for <strong>the</strong> joint health-science departments<br />
<strong>of</strong> <strong>the</strong> medical and dental schools. At <strong>the</strong> ceremony,<br />
Governor Brewer noted th<strong>at</strong> <strong>the</strong> Medical Center<br />
“played a vital role in providing skilled personnel to<br />
minister to <strong>the</strong> health needs <strong>of</strong> all Alabamians” and<br />
<strong>the</strong> planned science building would be a sign th<strong>at</strong><br />
<strong>the</strong> st<strong>at</strong>e <strong>of</strong> <strong>Alabama</strong> was “bridging <strong>the</strong> gap between<br />
labor<strong>at</strong>ory and doctor’s <strong>of</strong>fice.”<br />
Designed by Charles H. McCauley and Associ<strong>at</strong>es,<br />
<strong>the</strong> structure was planned to “provide modern<br />
teaching facilities” by incorpor<strong>at</strong>ing “<strong>the</strong> l<strong>at</strong>est concepts<br />
<strong>of</strong> health educ<strong>at</strong>ion.” <strong>The</strong> new science building<br />
alone had a price tag <strong>of</strong> $15 million, which—according<br />
to contemporary news reports—was <strong>the</strong> largest<br />
outlay <strong>of</strong> funds for any single public structure and<br />
was <strong>the</strong> largest public construction project in <strong>the</strong><br />
st<strong>at</strong>e’s history. A grant <strong>of</strong> $8.9 million from <strong>the</strong> U.S.<br />
Public Health Service, under <strong>the</strong> provision <strong>of</strong> <strong>the</strong><br />
Health Pr<strong>of</strong>essions Educ<strong>at</strong>ion Act, and a bond issue<br />
<strong>of</strong> <strong>the</strong> <strong>Alabama</strong> legisl<strong>at</strong>ure provided <strong>the</strong> funding for<br />
<strong>the</strong> massive facility.<br />
<strong>The</strong> Basic Health Sciences Building occupied an<br />
entire city block along Eighth Avenue South<br />
(<strong>University</strong> Boulevard) between 16th and 17th<br />
Streets. <strong>The</strong> 400,000-square-foot building contained<br />
lecture halls, departmental <strong>of</strong>fices, and labor<strong>at</strong>ory<br />
research space, as well as room for auxiliary<br />
services and animal facilities. Completion <strong>of</strong> <strong>the</strong><br />
building had been delayed due to labor strikes in<br />
<strong>the</strong> local construction industry, and general contractor<br />
Pearce, DeMoss & King, Inc., was only able<br />
to give UAB control <strong>of</strong> a portion <strong>of</strong> <strong>the</strong> building on<br />
November 1, 1971. <strong>The</strong> university accepted <strong>the</strong><br />
completed area because <strong>the</strong> building was needed for<br />
incoming first-year medical and dental students.<br />
<strong>The</strong> start <strong>of</strong> school for <strong>the</strong> freshman classes had<br />
been delayed from September until <strong>the</strong> first <strong>of</strong><br />
December because <strong>of</strong> <strong>the</strong> construction delays. <strong>The</strong><br />
remainder <strong>of</strong> <strong>the</strong> building was completed and<br />
opened during 1972.<br />
<strong>The</strong> name Basic Health Sciences Building was not<br />
retained for long. In October 1977 <strong>the</strong> five-year old<br />
building was renamed Volker Hall in honor <strong>of</strong> Joseph<br />
F. Volker, D.D.S., Ph.D. (1913-1989), <strong>the</strong> founding<br />
dean <strong>of</strong> <strong>the</strong> School <strong>of</strong> Dentistry, former vice president<br />
for health affairs and director <strong>of</strong> <strong>the</strong> Medical Center,<br />
first president <strong>of</strong> UAB, and <strong>the</strong> first chancellor <strong>of</strong> <strong>the</strong><br />
three-campus <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> System.<br />
(Clockwise from top L) President S. Richardson Hill Jr., M.D. (right), greets <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> Chancellor<br />
Joseph F. Volker, D.D.S., Ph.D. (left), <strong>at</strong> <strong>the</strong> Basic Health Sciences Building, October 1977 (<strong>the</strong> Basic Health<br />
Sciences building was renamed Volker Hall l<strong>at</strong>er th<strong>at</strong> month); <strong>the</strong> Basic Health Sciences, School <strong>of</strong> Nursing,<br />
and medical library buildings are nearing completion in this photograph from 1970; Volker Hall and <strong>the</strong> Lister<br />
Hill Library <strong>of</strong> <strong>the</strong> Health Sciences, circa 1979; <strong>Alabama</strong> Governor Albert P. Brewer (center) tosses <strong>the</strong> first<br />
shovel <strong>of</strong> dirt <strong>at</strong> <strong>the</strong> groundbreaking ceremony for <strong>the</strong> basic sciences, nursing, and medical library buildings<br />
on July 30, 1968—observing <strong>the</strong> occasion are President Frank A. Rose (right) and Executive Vice President<br />
Joseph F. Volker (left); President Rose speaks <strong>at</strong> <strong>the</strong> July 30, 1968 groundbreaking—also in <strong>at</strong>tendance are<br />
Hill (left), Charles A. McCallum Jr., M.D. (second from left), and Volker (far right).<br />
40
In Appreci<strong>at</strong>ion<br />
UASOM Annual Fund’s<br />
“<strong>The</strong> Importance <strong>of</strong> You” Campaign<br />
Wh<strong>at</strong> does <strong>the</strong><br />
Annual Fund do for <strong>the</strong> School?<br />
• provides financial support (academic and<br />
need-based)<br />
• provides funding for classroom and labor<strong>at</strong>ory<br />
technology<br />
• allows us to recruit <strong>the</strong> best and brightest students<br />
• allows us to recruit and retain highly skilled faculty<br />
You are <strong>the</strong> key<br />
to <strong>the</strong> Annual Fund.<br />
Before you add this magazine to your<br />
<strong>of</strong>fice collection, take two minutes and<br />
write a check payable to <strong>the</strong> School <strong>of</strong><br />
Medicine Annual Fund and return it<br />
in <strong>the</strong> <strong>at</strong>tached envelope. Your gift,<br />
“<strong>The</strong> UASOM owes our success to alumni<br />
like you who dedic<strong>at</strong>e <strong>the</strong>mselves to<br />
<strong>at</strong>taining excellence in <strong>the</strong> pr<strong>of</strong>ession and<br />
practice <strong>of</strong> medicine.”<br />
regardless <strong>of</strong> <strong>the</strong> amount, will make a<br />
difference. All gifts are tax-deductible.<br />
William B. Deal, M.D.<br />
Vice President and Dean<br />
For online gifts, go to [www.uab.edu/supportmedicine].<br />
For more inform<strong>at</strong>ion, contact Meredith Murdock <strong>at</strong> (205) 934-4469.<br />
<strong>The</strong><br />
IMPORTANCE OF<br />
YOU
CONTINUING MEDICAL EDUCATION SCHEDULE<br />
February 2-April 2, 2004<br />
“<strong>The</strong> Gorgas Course in Clinical Tropical Medicine”; sponsored by<br />
<strong>the</strong> UAB Division <strong>of</strong> Geographic Medicine and Infectious<br />
Diseases, <strong>the</strong> Instituto de Medicina Tropical A. Von Humboldt,<br />
Universidad Peruana Cayetano Heredia (IMT), and <strong>the</strong> IAMAT<br />
Found<strong>at</strong>ion; Lima, Peru; 125 CME credits.<br />
February 21-22, 2004<br />
“32nd Annual Anes<strong>the</strong>siology Review Course”; sponsored by <strong>the</strong><br />
UABDepartment <strong>of</strong> Anes<strong>the</strong>siology; Wynfrey Hotel, <strong>Birmingham</strong>,<br />
<strong>Alabama</strong>; 10 CME credits.<br />
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March 5, 2004<br />
“UAB Comprehensive Cancer Center Women’s Cancer<br />
Symposium”; sponsored by <strong>the</strong> UAB Comprehensive Cancer<br />
Center; Sandestin Golf & Beach Resort, Destin, Florida; 6 CME<br />
credits.<br />
June 24-26, 2004<br />
“3rd Intern<strong>at</strong>ional Conference on Pedi<strong>at</strong>ric Renal Replacement<br />
<strong>The</strong>rapy”; sponsored by <strong>the</strong> UAB Department <strong>of</strong> Pedi<strong>at</strong>rics, <strong>the</strong><br />
Pedi<strong>at</strong>ric Continuous Renal Replacement Found<strong>at</strong>ion, and DeVos<br />
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