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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 />

AlumniBulletin<br />

ALABAMA MEDICAL<br />

AlumniBulletin<br />

<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 />

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 />

Children’s Hospital; Coronado Springs Resort, Orlando, Florida;<br />

16 CME credits.<br />

Non-Pr<strong>of</strong>it Org.<br />

U.S. Postage<br />

PAID<br />

Permit No. 1256<br />

<strong>Birmingham</strong>, AL

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