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Spring/Summer 2005 - University of Rochester Medical Center

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ROCHESTERMEDICINE<br />

UNIVERSITY OF ROCHESTER MEDICAL CENTER • SCHOOL OF MEDICINE AND DENTISTRY SPRING/ SUMMER <strong>2005</strong><br />

REACHING OUT TO THE COMMUNITY IN MANY WAYS<br />

PROGRAMS AND IDEAS THAT ARE CREATING HEALTHIER COMMUNITIES


As an academic health center, the<br />

<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong> is in<br />

the unique position to help its community<br />

and to educate future leaders in the kind <strong>of</strong><br />

care and research that will ultimately benefit<br />

numerous other communities. We have an<br />

obligation to do so.<br />

In this issue <strong>of</strong> <strong>Rochester</strong> Medicine,<br />

you’ll read about programs that are changing<br />

the lives <strong>of</strong> people in need today in the city<br />

<strong>of</strong> <strong>Rochester</strong>, and people who are learning<br />

how to make not just individuals but whole<br />

communities healthier.<br />

You’ll read about an area in <strong>Rochester</strong><br />

known as the Jay-Orchard Street neighborhood,<br />

one <strong>of</strong> the poorest areas in the country but also<br />

one with extremely dedicated and visionary<br />

citizens working to turn it around. When the<br />

<strong>Medical</strong> <strong>Center</strong> partnered with the neighborhood,<br />

good things began to happen. People<br />

who had no access to dental or health care<br />

suddenly found themselves with a way to receive<br />

treatment, and with a renewed sense <strong>of</strong> hope.<br />

You’ll also read about the efforts <strong>of</strong> the<br />

Pediatrics Department to establish one <strong>of</strong> the<br />

nation’s first neighborhood health centers,<br />

back in the 1960s, and how that work extended<br />

to treating under-served populations such as<br />

migrant workers. At one point, faculty members<br />

set up makeshift clinics in a barn – whatever<br />

it took to help get health needs met.<br />

As an academic health center, though,<br />

the benefits need to go both ways. So you’ll<br />

also learn how experiences in the community<br />

are helping our students and residents learn<br />

to understand the health needs <strong>of</strong> whole<br />

populations, not just individuals. One<br />

partnership, with the Monroe County Office<br />

<strong>of</strong> Public Health, has established the <strong>Center</strong><br />

for <strong>Rochester</strong>’s Health, an unusual level <strong>of</strong><br />

commitment that has led to numerous<br />

successful programs and major grants that —<br />

without the partnership — would not have<br />

been won. That partnership, and a similar one<br />

with the <strong>Rochester</strong> City School District, allows<br />

the county to take advantage <strong>of</strong> our many<br />

resources, while the <strong>Medical</strong> <strong>Center</strong> gains<br />

access to the kinds <strong>of</strong> populations it most<br />

wants to help.<br />

We’re <strong>of</strong> course proud to have received<br />

the latest Outstanding Community Service<br />

Award from the Association <strong>of</strong> American<br />

<strong>Medical</strong> Colleges. But we’re most proud <strong>of</strong><br />

the difference we’re making in our community,<br />

and the individuals we’re teaching to be good<br />

citizens in the fight to make all communities<br />

healthier.<br />

C. McCollister Evarts, M.D.<br />

Senior Vice President and<br />

Vice Provost for Health Affairs,<br />

CEO, <strong>Medical</strong> <strong>Center</strong> and Strong Health<br />

SPRING / SUMMER <strong>2005</strong> 1


When the Association <strong>of</strong> American<br />

<strong>Medical</strong> Colleges (AAMC) presented<br />

the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong> with<br />

its 2004 Outstanding Community Service Award<br />

last November, it was a high point for our<br />

institution. But it also was recognition <strong>of</strong> the<br />

hard work and creative energy <strong>of</strong> numerous<br />

individuals — students, residents, faculty,<br />

senior leadership, and community partners.<br />

The award recognized the remarkable<br />

breadth <strong>of</strong> the people dedicated to community<br />

service work here, both to help local citizens<br />

and to give our students and residents the<br />

kind <strong>of</strong> real-life experience that will help them<br />

become effective practitioners.<br />

We’re understandably proud <strong>of</strong> what<br />

the award represents. And we’re grateful for<br />

the kind words <strong>of</strong> the president <strong>of</strong> AAMC,<br />

Jordan J. Cohen, M.D., who said in a press<br />

release announcing the award that “URMC<br />

is to be commended for its commitment to<br />

produce culturally competent, compassionate<br />

physicians. The entire institution’s community<br />

involvement has had a pr<strong>of</strong>ound impact on the<br />

medically underserved residents <strong>of</strong> <strong>Rochester</strong>.”<br />

We’re also aware that, in many respects,<br />

this is simply “business as usual” here. The<br />

School <strong>of</strong> Medicine and Dentistry was founded<br />

with the hope <strong>of</strong> creating in <strong>Rochester</strong> “one<br />

<strong>of</strong> the healthiest communities in the world,”<br />

as designated by its largest benefactor, George<br />

Eastman. The URMC philosophy — that a<br />

healthy community is more than just the<br />

absence <strong>of</strong> disease — is shared by the <strong>Medical</strong><br />

<strong>Center</strong>’s 400 medical students and 400 graduate,<br />

public health and doctoral students.<br />

The institution makes it a point to<br />

recognize people who are aware <strong>of</strong> their role<br />

in creating a healthy community. For example,<br />

students who complete an additional 40 hours<br />

<strong>of</strong> community service each year, beyond the<br />

requirements <strong>of</strong> the fourth-year clerkship<br />

focused on community service, receive a<br />

“distinction in community service” honor on<br />

their medical diploma.<br />

As you read this special issue on some<br />

<strong>of</strong> the community service initiatives that earned<br />

us the AAMC award, remember that there are<br />

far more programs here than we’re able to<br />

highlight. Likewise, we know that our school<br />

has produced scientists and physicians who are<br />

doing equally important work in their own<br />

communities. I’m proud to be a part <strong>of</strong> an institution<br />

that encourages such work and training.<br />

David S. Guzick, M.D., Ph.D.<br />

Dean <strong>of</strong> the School <strong>of</strong> Medicine and Dentistry<br />

2<br />

ROCHESTER MEDICINE


CONTENTS<br />

ROCHESTER MEDICINE<br />

FEATURES<br />

4 ONE AWARD, NUMEROUS REASONS: Features introduction<br />

6 A Real Education: Students and residents, out in the real world,<br />

learn how to change it<br />

11 In the Neighborhood: A sustained commitment helps<br />

a struggling area help itself<br />

15 A Department for All: Pediatrics sought out every area pediatrician<br />

to help all children<br />

21 Playing a Part Through Partnership<br />

26 <strong>Medical</strong> Rounds<br />

31 Alumni News<br />

40 Class Notes<br />

46 In Memoriam<br />

DEPARTMENTS<br />

<strong>Rochester</strong> Medicine is published by: The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>,<br />

Department <strong>of</strong> Public Relations and Communications, in conjunction with<br />

the Department <strong>of</strong> <strong>Medical</strong> Alumni Relations and Development<br />

Director <strong>of</strong> Public Relations<br />

and Communications<br />

Editor<br />

Contributing Writers<br />

Art Director<br />

Photographers<br />

Editorial Assistant<br />

Director <strong>of</strong> Academic Development<br />

Associate Director <strong>of</strong><br />

<strong>Medical</strong> Alumni Relations<br />

Teri D’Agostino<br />

Mark Liu<br />

Travis Anderson, Lori Barrette, Christopher DiFrancesco,<br />

Karin Gaffney, Leslie Orr, Germaine Reinhardt,<br />

Tom Rickey, and Leslie White<br />

Mitchell Christensen<br />

Ken Huth and Vince Sullivan<br />

Janet Mangano<br />

Christopher Raimy<br />

Christina Mancini<br />

For questions or comments, contact:<br />

Department <strong>of</strong> Alumni Relations and Academic Development<br />

300 East River Road, <strong>Rochester</strong>, NY 14627<br />

800–333–4428 585–273–5954 Fax 585–461–2081<br />

E-mail address: <strong>Rochester</strong>MedicineMagazine@urmc.rochester.edu<br />

SPRING / SUMMER <strong>2005</strong> 3


One Award, Many<br />

AAMC recognizes <strong>Rochester</strong>’s breadth <strong>of</strong><br />

community service efforts<br />

Today’s health checkup for <strong>Rochester</strong>: Thousands <strong>of</strong> under-served<br />

citizens are now receiving medical attention, immunization<br />

rates are up, children who never before had oral care are<br />

getting it, a growing Latino community has better access to<br />

mental health services, medical students and residents are<br />

taking on community health projects and learning about health<br />

problems they never dreamed existed before.


Reasons<br />

Those efforts, and about 65 other community service programs and<br />

150 community-based research projects, are the reason the <strong>University</strong> <strong>of</strong><br />

<strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong> won the 2004 Outstanding Community Service<br />

Award from the Association <strong>of</strong> American <strong>Medical</strong> Colleges (AAMC).<br />

In describing the award, AAMC President Jordan J. Cohen, M.D.,<br />

made clear that the point is not to honor any one service program or<br />

individual, but rather to recognize an institution that develops a variety<br />

<strong>of</strong> programs and initiatives responsive to community and social needs.<br />

An institution doesn’t dazzle its way to the award with one stellar<br />

program; it proves its commitment with the breadth <strong>of</strong> its community<br />

involvement and the longevity <strong>of</strong> its work. At <strong>Rochester</strong>, faculty members<br />

from 20 medical center departments help manage community service<br />

programs and interventions. The <strong>Medical</strong> <strong>Center</strong> even has a formal<br />

partnership with the county department <strong>of</strong> public health that, according<br />

to its deputy director, is one <strong>of</strong> the few like it in the country.<br />

The <strong>Medical</strong> <strong>Center</strong> relies on numerous sources to ensure<br />

its programs are relevant. A National Advisory Board comprised <strong>of</strong> prominent<br />

community health experts meets regularly by conference<br />

call to provide URMC with information and expertise on national model<br />

programs and best practices in community health. For strategic guidance,<br />

the <strong>Medical</strong> <strong>Center</strong> looks to David Satcher, M.D., Ph.D. (R ’72),<br />

16th Surgeon General <strong>of</strong> the Public Health Serivces, who serves as our<br />

senior advisor for community health. Satcher himself was extremely<br />

ambitious in community service work while an intern at <strong>Rochester</strong>.<br />

Now, through consultation and site visits, he helps the <strong>Medical</strong> <strong>Center</strong><br />

continue to find ways to respond to the needs <strong>of</strong> the community.<br />

On the following pages you’ll read about some <strong>of</strong> the programs and<br />

ideas that are helping to create a healthier community, showing that an<br />

academic medical center can reach outside its walls effectively if it takes<br />

the time — and knows how — to listen to what the community truly<br />

needs.<br />

In Academic Medicine, AAMC president Jordan J. Cohen, M.D.,<br />

wrote, “I hope that many academic medical centers will take notice and<br />

consider emulating <strong>Rochester</strong>’s campaign. What better way not only to<br />

articulate but to actualize our real commitment to improving the health <strong>of</strong><br />

the public”<br />

Throughout our series <strong>of</strong> articles on the School <strong>of</strong> Medicine and<br />

Dentistry’s community outreach efforts are display photos from<br />

Children’s Vision & Voices, a book exposing problems in the<br />

Jay-Orchard Street neighborhood, and “Take Pride in Our Neighborhood<br />

Day,” an activity designed to address issues in that book.<br />

SPRING / SUMMER <strong>2005</strong> 5


a real education<br />

Students and residents, out in the<br />

real world, learn how to change it<br />

It’s one thing for an academic medical center to incorporate community<br />

service into its curriculum; it’s another when students and residents —<br />

working around long shifts and all-night study sessions — set out to<br />

volunteer and start their own programs.<br />

<strong>Rochester</strong> has a long tradition <strong>of</strong> both. Students learn through<br />

initiatives developed by the School <strong>of</strong> Medicine and Dentistry, such as<br />

a fourth-year clerkship that focuses on community health improvement.<br />

And they’re exposed to real-world community health, such as work they do<br />

on health issues identified by the Monroe County Health Department.<br />

Residents, too, have the opportunity to learn from community work,<br />

including an award-winning program in Pediatrics that was conceived<br />

by residents, for residents, and has now become an international model.<br />

That’s on top <strong>of</strong> purely volunteer work by students. <strong>Rochester</strong> is one<br />

Residents and kids interact, benefiting both, at the Saturday School program.<br />

<strong>of</strong> the few medical schools in the nation with an <strong>of</strong>ficial infrastructure<br />

to coordinate, support and monitor the volunteer work <strong>of</strong> students. And even<br />

though students are busy as ever, the Students for <strong>Rochester</strong> Outreach (SRO)<br />

program successfully recruits about a third <strong>of</strong> students to participate in the<br />

more than 30 volunteer programs the School <strong>of</strong> Medicine and Dentistry runs<br />

annually.<br />

Residents reach out<br />

One <strong>of</strong> the most successful community outreach programs at <strong>Rochester</strong> was<br />

conceived by people still in training.<br />

It was in 1993, as their shift was ending, that three pediatrics residents<br />

got to talking and came to a life-changing realization. They were seeing the<br />

same children, over and over, coming in for the same reasons each time.<br />

The residents felt they were getting great training in how to treat patients,<br />

but they hadn’t learned how to attack the underlying problem repeatedly<br />

bringing those patients into the hospital.<br />

“We realized we didn’t know the community,” says Laura Jean<br />

Shipley, M.D. (M ’90, R ’94). “We wondered, how do you break that cycle <strong>of</strong><br />

illness and promote health for these children and adolescents”<br />

The answer, it turns out, was to start a new program with no model<br />

and no money, but one that would end up linking pediatric and medicinepediatric<br />

residents with numerous community agencies to help improve the<br />

health <strong>of</strong> children in need. Pediatric Links with the Community (PLC),<br />

which Shipley, Jeff Kaczorowski, M.D. (M ’91, R ’95), and Michelle Jones, M.D.<br />

(R ’95) began as a humble, voluntary rotation, soon grew into<br />

a required element <strong>of</strong> pediatric residency training at <strong>Rochester</strong>, and years<br />

6<br />

ROCHESTER MEDICINE


efore community experience became required nationally. It has won<br />

national awards and, just four years after becoming an <strong>of</strong>ficial part <strong>of</strong><br />

the residency program, was one <strong>of</strong> six such programs nationwide to receive<br />

a $2.5 million grant from the Dyson Foundation.<br />

That grant in 2000 also enabled the creation <strong>of</strong> the Child Advocacy<br />

Resident Education (CARE) track, a voluntary, two-year community-project<br />

and leadership development program that has quickly gained remarkable<br />

traction. This past year, a full two-thirds <strong>of</strong> pediatrics residents chose<br />

to participate in the CARE track, and nearly half <strong>of</strong> residents who have participated<br />

have received Institutional Review Board status to conduct research<br />

as part <strong>of</strong> their projects.<br />

These programs are helping to train pediatricians to care and<br />

advocate for under-served and high-risk youth and their families as well<br />

as children with chronic illness or special health needs, and they’re also<br />

helping to bring community-minded residents to <strong>Rochester</strong>. Seventy-one<br />

percent <strong>of</strong> entering residents in 2002 and 2003 stated that PLC/CARE was either<br />

“ important” or “very important” in their decision to train in <strong>Rochester</strong>;<br />

21 percent named it the most important reason.<br />

It’s no wonder that the program grew so quickly. Once residents got<br />

a taste <strong>of</strong> working in the community, they were sold on its importance.<br />

In fact, it was residents who formed the Child Advocacy Interest Group to<br />

discuss their PLC/CARE projects and lend each other support. Volunteerism<br />

went way up, and so too did requests for even more time working in<br />

the community. Shipley, Kaczorowski and Andy Aligne, M.D., M.P.H.,<br />

co-directors <strong>of</strong> PLC/CARE, hear all the time from residents that the experience<br />

puts them back in touch with why they went into medicine in the first place.<br />

“Almost every site attempted to empower women and children …<br />

PLC has been an enlightening experience,” wrote resident Joanne Pauliny in<br />

Reflections, a collection <strong>of</strong> residents’ thoughts on the program. “I have been<br />

in parts <strong>of</strong> town that I did not even know existed and I have been in homes<br />

where I have been afraid to sit down … But most <strong>of</strong> all, through the knowledge<br />

I have gained and the experiences I have had, I too have become<br />

empowered to affect our community.”<br />

The intense PLC block involves residents in health education at<br />

community agencies, delivery <strong>of</strong> direct medical care at community health<br />

centers and “safety net” providers, and work with multidisciplinary teams<br />

on home visits as part <strong>of</strong> county health programs.<br />

The success <strong>of</strong> this approach, both in helping community efforts<br />

and in educating residents, convinced the Department <strong>of</strong> Pediatrics that<br />

the novel idea also was a workable one. (Perhaps it was clear this was a<br />

labor <strong>of</strong> love on several levels: Shipley and Kaczorowski, who worked closely<br />

together to create PLC, also are married.) When PLC was made an <strong>of</strong>ficial<br />

part <strong>of</strong> the curriculum in 1996, it became the first <strong>of</strong> its kind in the nation<br />

to be a required element <strong>of</strong> a pediatric residency program.<br />

“At that time, people in other parts <strong>of</strong> the country were still arguing<br />

about whether residents should even leave the hospital during their<br />

training,” says Kaczorowski, now assistant pr<strong>of</strong>essor in General Pediatrics.<br />

While the national debate continued, PLC steadily expanded its reach<br />

into the community (today, partners number more than 50) and began<br />

gathering up honors: the Ambulatory Pediatric Association’s National<br />

Outstanding Teaching Award; the American Academy <strong>of</strong> Pediatrics’ Resident<br />

Section Child Advocacy Award to then resident Jamie Perry, M.D.;<br />

the American Academy <strong>of</strong> Pediatrics’ National Pr<strong>of</strong>essional Education<br />

Award; finalist for the Robert Wood Johnson Community Health Leadership<br />

Award; and, last year, the American Association <strong>of</strong> <strong>Medical</strong> Colleges’<br />

Community Service Recognition Award to CARE resident Bridgette<br />

Wiefling, M.D. (the only recipient nationally).<br />

Recently the PLC/CARE program has served as a model for programs<br />

at Stanford <strong>University</strong>, the Children’s Hospital <strong>of</strong> Philadelphia and other<br />

institutions. Earlier this year, four Canadian hospitals asked the directors to<br />

visit and explain the program so they could replicate it.<br />

Still, it was the $2.5 million Dyson grant that helped the program<br />

reach new heights, with the CARE track funded by the grant serving as<br />

the ideal complement to PLC. By making CARE a full two-year commitment,<br />

and by making it voluntary, the department was working to instill<br />

a commitment to community service that would last through a career, not<br />

just a residency. As Aligne puts it, “You can’t make people volunteer.” Future<br />

leaders in community service will be those who choose to make a sustained,<br />

self-motivated commitment, so the CARE track operates that way.<br />

Residents have come to CARE with some truly ambitious ideas for<br />

projects, including attempts to lower the number <strong>of</strong> teens who get into car<br />

accidents, reduce delinquency and violence from a prevention angle, and<br />

create health-education TV commercials that kids actually will like and<br />

want to watch. The residents are encouraged to pursue whatever interests<br />

them, based on the idea that a sustained commitment is best made to some-<br />

SPRING / SUMMER <strong>2005</strong> 7


8<br />

ROCHESTER MEDICINE


PLC/CARE students at work in the community.<br />

thing one feels passionate about.<br />

“It starts with something in their minds and hearts,” says Aligne,<br />

who notes that many <strong>of</strong> the relationships with community organizations<br />

were started by residents themselves.<br />

The track begins with what Aligne calls “a dis-orientation, to get<br />

attitudes out <strong>of</strong> the hospital and back to looking at people out in the<br />

community.” Rather than looking at how to treat asthma, for example,<br />

residents might research why some neighborhoods or even countries have<br />

much higher rates <strong>of</strong> asthma than do others.<br />

Residents then dedicate time each week to their project, with frequent<br />

workshops helping to guide them. And they’re required to study their own<br />

projects to see if there’s evidence that their work actually helped. The point<br />

is not to define a project as a success or failure, though; it’s to teach future<br />

physicians how to assess their work and understand what makes a successful<br />

program. Again, the emphasis is on training future leaders to have the kind<br />

<strong>of</strong> skills needed to make changes — to help a neighborhood association<br />

design projects that will work, or serve on a board and select programs that<br />

are most likely to succeed.<br />

All CARE residents to date have presented their projects in conjunction<br />

with an annual grand rounds devoted to community health, and a third<br />

have presented at peer-reviewed national meetings. The ability to make such<br />

presentations is a skill in itself — one that physicians can apply throughout<br />

their lives.<br />

“We’re starting to see our residents come out and have actual, practical<br />

skills in how to deal with community health problems,” says Dr. Aligne.<br />

And that, it turns out, is a big reason the community organizations see<br />

PLC/CARE as so valuable.<br />

“We’re fortunate to have many dedicated community organizations<br />

in <strong>Rochester</strong> working on behalf <strong>of</strong> children and families,” says Dr. Shipley.<br />

“ Our community partners say it means so much to them to help show physicians,<br />

early in the formative years <strong>of</strong> their career, the needs <strong>of</strong> patients in the<br />

community,”<br />

The hope, <strong>of</strong> course, is that the experience will help the community<br />

now while informing the careers <strong>of</strong> physicians for years to come.<br />

Community in the curriculum<br />

At <strong>Rochester</strong>, involvement in the community actually starts at the undergraduate<br />

medical education level.<br />

“Community health is introduced from the start,” explains David S.<br />

Guzick, M.D., Ph.D., dean <strong>of</strong> the School <strong>of</strong> Medicine and Dentistry. “While<br />

most medical schools stick with anatomy as their introduction to the fundamentals<br />

<strong>of</strong> medicine, <strong>Rochester</strong>’s curriculum begins with the idea that<br />

the even more fundamental skill is how to access, assess and interpret<br />

the medical literature. Before they’re presented with medical information,<br />

students should know how to master it.”<br />

They do so with case studies in epidemiology and problem-based<br />

learning sessions using actual cases and local data. In fact, this course,<br />

titled “Mastering <strong>Medical</strong> Information,” is taught by the chair <strong>of</strong><br />

Community and Preventive Medicine and the chief <strong>of</strong> the Division <strong>of</strong><br />

Epidemiology, so students get immediate exposure to real-life, communitybased<br />

medicine.<br />

In the second half <strong>of</strong> their first year and throughout their<br />

second year, students receive instruction in ambulatory care medicine.<br />

SPRING / SUMMER <strong>2005</strong> 9


efore reached by the clerkship, including migrant workers, the homeless,<br />

and <strong>Rochester</strong>’s growing refugee population.<br />

To McIntosh, the clerkship’s value reaches beyond immediate help to<br />

the community. The experience teaches students other valuable skills that<br />

they can use throughout their careers, from practice at communicating with<br />

the public at large to how to summarize complex medical issues in the form<br />

<strong>of</strong> sound bites for a TV camera.<br />

McIntosh likes to tell students in the fourth-year clerkship that the<br />

community is like a patient. He repeats the adage, “Listen to your<br />

patients — they’re telling you what’s wrong with them,” then revises it to:<br />

“ Listen to your community — it’s trying to tell you what’s wrong with it.<br />

“They will be in a special position as doctors to be advocates for<br />

health care,” he notes.<br />

They produce a report on putting preventive medicine into practice, based<br />

on observations in the <strong>of</strong>fices <strong>of</strong> their community-based primary care<br />

preceptor. And they take part in the Community Prevention Workshop, based<br />

on local priorities established by the County Health Department. Students<br />

work in groups to develop goals for local health improvement — again,<br />

students are exposed to real-life community health issues, and they learn<br />

how to approach real problems and work toward viable solutions.<br />

It’s a firm foundation for the fourth-year Community Health<br />

Improvement Clerkship, which began in 2002 as an elective but —<br />

in recognition <strong>of</strong> the difference an academic medical center can make in<br />

the community and also the educational value <strong>of</strong> community work —<br />

became mandatory in 2004. The clerkship is supported, in part, by a grant to<br />

the Office <strong>of</strong> <strong>Medical</strong> Education from the New York State Department <strong>of</strong> Health.<br />

“We think we’re the only required fourth-year clerkship in the<br />

country focusing on community health improvement,” says Scott<br />

McIntosh, Ph.D., clerkship director and assistant pr<strong>of</strong>essor in Community<br />

and Preventive Medicine.<br />

Initially, the steering committee developing the clerkship was<br />

concerned there wouldn’t be enough projects. As it turns out, there are more<br />

than enough. <strong>Medical</strong> students are working with the American Heart<br />

Association, the American Cancer Society, the <strong>Rochester</strong> Police Department,<br />

and many other groups. And they’re developing their own projects to<br />

complement their work. One student developed a prostate cancer screening<br />

survey for African-American men that’s now in use in the community.<br />

Several students have presented posters on their work at conferences.<br />

About a third <strong>of</strong> the projects are at School 17, in <strong>Rochester</strong>’s poorest<br />

neighborhood. And in 2004, students made inroads with populations never<br />

On their own time<br />

Students looking for still more ways to help the community are finding<br />

them through volunteer work. Students work in already established<br />

community programs or ones they create from models based elsewhere in<br />

the country. A mainstay <strong>of</strong> the Students for <strong>Rochester</strong> Outreach program is<br />

The Mentoring Initiative, which addresses the needs <strong>of</strong> at-risk and underserved<br />

children and teens. <strong>Medical</strong>, graduate biomedical science students,<br />

and graduate nursing students are matched one to one with <strong>Rochester</strong> City<br />

School District students to help them develop skills and knowledge in core<br />

academic subjects such as math, science and English. While the children<br />

and teens gain academically, the interaction with positive role models is just<br />

as important.<br />

A similar outreach, the Saturday School program, was created by<br />

medical students and is funded through an AAMC grant. The program helps<br />

more than 100 students at an inner-city elementary school who are at risk <strong>of</strong><br />

failing. School <strong>of</strong> Medicine and Dentistry students provide two hours <strong>of</strong> oneon-one<br />

tutoring on Saturday mornings. The hope is that these intense<br />

educational sessions will provide the at-risk children the boost they need to<br />

succeed in their education. Once a month, health risk screenings and<br />

education also are <strong>of</strong>fered to parents <strong>of</strong> Saturday School students.<br />

Graduate biomedical science students have a Saturday School<br />

program <strong>of</strong> their own, working with middle and high school students rather<br />

than elementary school students. As many as 20 graduate students are<br />

involved.<br />

And last year, a group <strong>of</strong> medical students started volunteering their<br />

services at a neighborhood health center. Again, patients gain from<br />

expanded hours and more care, and students get to know their community<br />

— and some <strong>of</strong> the people in it who need them most.<br />

10<br />

ROCHESTER MEDICINE


in the neighborhood<br />

A sustained commitment<br />

helps a struggling area help itself<br />

SMILEmobile services give kids a healthy grin.<br />

From the top floors <strong>of</strong> <strong>Rochester</strong>’s most prominent symbol <strong>of</strong> prosperity,<br />

Kodak Tower, you can look out and see one <strong>of</strong> the poorest areas in the<br />

country. The Jay/Orchard Street neighborhood has the highest rate <strong>of</strong> unemployment,<br />

public assistance, teen-age births, crime and infant mortality in<br />

the city, and in the most recent census was found to be among the dozen<br />

poorest neighborhoods in the country. It is a community <strong>of</strong> boarded-up<br />

windows and one-parent families, where the neighborhood school was once<br />

overrun with graffiti and crime. The swings on the school playground used<br />

to have bite marks in them, from drug dealers who would make their pit<br />

bulls clench onto the seats and then swing as they held on, to strengthen<br />

their bite.<br />

At the same time, there were people in the neighborhood determined<br />

to make things better, including a school principal who handed out his<br />

pager number to everyone in the neighborhood so citizens could report<br />

vandalism at the school even in the middle <strong>of</strong> the night.<br />

That principal, Ralph Spezio, started turning things around at<br />

School 17 in the 1990s, and he caught the eye <strong>of</strong> Robert Berg, M.D., former<br />

head <strong>of</strong> the Department <strong>of</strong> Community and Preventive Medicine and now<br />

emeritus pr<strong>of</strong>essor. Berg knew all about the needs <strong>of</strong> underserved<br />

citizens, dating back to the ’50s and ’60s and the Combined Staff Clinic,<br />

where patients who couldn’t afford private doctors would get care —<br />

and fourth-year students would get real-world outpatient experience. Berg<br />

introduced Spezio to Thomas A. Pearson, M.D., M.P.H., current chair <strong>of</strong><br />

Community and Preventive Medicine, to see if the department could help<br />

improve the neighborhood.<br />

“The need was obvious,” says Pearson. Just as important, he says,<br />

SPRING / SUMMER <strong>2005</strong> 11


was “the passion and commitment” from people like Spezio and the leaders<br />

<strong>of</strong> the neighborhood association. “You could see some opportunities there,<br />

rather than just chaos.”<br />

Community and Preventive Medicine decided to make a departmentwide<br />

commitment to the neighborhood. Today, no fewer than eight <strong>Medical</strong><br />

<strong>Center</strong> departments and dozens <strong>of</strong> faculty and staff are actively involved in<br />

community outreach efforts in the neighborhood. The Department <strong>of</strong><br />

Community and Preventive Medicine and the Local Government and<br />

Community Relations <strong>of</strong>fice coordinate each initiative, to make sure the<br />

work isn’t redundant. There are efforts that are bolstering the grassroots<br />

neighborhood organization, some aimed directly at improving the health <strong>of</strong><br />

residents, and others designed to help revitalize the neighborhood and<br />

change people’s attitudes.<br />

Yet this wasn’t the first time the <strong>Medical</strong> <strong>Center</strong> worked to improve<br />

health in that neighborhood. Another effort at School 17 actually began<br />

30 years before, when a dental clinic on wheels hit the streets with a cute<br />

name (SMILEmobile) but a serious mission: to tend to the dental needs <strong>of</strong><br />

underserved populations before those needs turned into emergencies.<br />

That program expanded steadily and culminated, in 2001, in the opening <strong>of</strong><br />

an entire, community dental clinic on the grounds <strong>of</strong> School 17.<br />

For people with plenty <strong>of</strong> health and dental insurance, it can be hard<br />

to fathom just how significant this kind <strong>of</strong> outreach can be. But in this<br />

neighborhood, the main priority is simply getting food on the table,<br />

not finding a way to seek out medical and dental care. By bringing the care<br />

to them, these programs are truly transforming lives.<br />

Pain means no gain<br />

Before the new dental clinic opened, some students at School 17 were in so<br />

much pain from toothaches, they couldn’t listen to what the teacher was<br />

saying. These weren’t small annoyances; they were major dental problems<br />

from years <strong>of</strong> neglect.<br />

“Very few poor or working poor have dental insurance for themselves<br />

or their children, and we all know that good general health begins with<br />

good oral health,” says Ralph Spezio, the former school principal.<br />

“ The obvious consequence <strong>of</strong> this is that children rarely get to see the dentist<br />

at all until there is a major problem.”<br />

Even then, some still don’t get treated. Community Dentistry and<br />

Oral Disease Prevention, the division within the Eastman Dental <strong>Center</strong> that<br />

runs dental outreach clinics, sees cases where dental problems have gotten<br />

so bad, they’ve affected the personalities <strong>of</strong> children in school. At one<br />

outreach clinic at an area school, dental faculty met a boy who barely spoke<br />

because his teeth had deteriorated so badly. He would spend the entire day<br />

covering his mouth and looking down, never answering questions in class<br />

because that would mean opening his mouth. But he wasn’t covered by<br />

insurance, so he wasn’t receiving any treatment. When clinic dentists <strong>of</strong>fered<br />

to treat him for free, they found he had decay on every single tooth, leaving<br />

all his teeth blackened along the gum line. After getting treatment from the<br />

clinic, everything changed for him.<br />

“His self-confidence was boosted, he felt better, and his schoolwork<br />

improved,” says Holly Barone, senior operations administrator in<br />

Community Dentistry and Oral Disease Prevention.<br />

These outreach visits began in the 1970s, with one SMILEmobile unit,<br />

then expanded with an additional unit in 1990 and a third in 2000,<br />

purchased with a $250,000 grant from the Daisy Marquis Jones Foundation.<br />

The SMILEmobiles travel to five schools each, parking for up to two months<br />

at a time to handle all the extractions, fillings, cleanings and x-rays the<br />

children need. Each unit has a dentist, dental assistant, hygienist, and clinical<br />

coordinator on board, plus residents doing rotations. The department<br />

also runs six outreach centers, both mobile and stationary (one, in rural<br />

Livingston County, is in place because parts <strong>of</strong> that county have nonfluoridated<br />

water).<br />

Thousands <strong>of</strong> children are treated every year in these clinics, learning<br />

the importance <strong>of</strong> good dental health in the process. It’s also a chance for<br />

residents at Eastman Dental to learn. All residents in the Advanced<br />

Education in General Dentistry, General Practice Residency, and Pediatric<br />

programs carry out rotations in community settings, so they can gain an<br />

appreciation for patients living in poverty and the challenges they face.<br />

SPRING / SUMMER <strong>2005</strong> 13


So as practicing pr<strong>of</strong>essionals, they’ll already have extensive clinical<br />

training in outreach programs for the underserved.<br />

The SMILEmobile had made stops at School 17 for many years, and<br />

Spezio saw the difference it made. He realized, in fact, that the whole neighborhood<br />

could benefit from such services. He had already successfully<br />

advocated for a community health clinic, run by St. Mary’s Hospital and<br />

supported by numerous groups and businesses. So he started talking to<br />

Eastman Dental about a clinic that could serve the community and be open<br />

beyond school hours. In 2002, supported in part by a grant from the Daisy<br />

Marquis Jones Foundation, the Eastman Dental <strong>Center</strong> opened a nearly<br />

2,500-square-foot facility on school grounds, with five dental chairs,<br />

an x-ray machine and a full lab. The clinic, named the Daisy Marquis Jones<br />

Foundation Outreach Dental <strong>Center</strong>, turns no one away.<br />

“In the first two years, we provided services to almost 5,500 patients<br />

who wouldn’t otherwise have received care,” says Barone. “Providing<br />

services in the community, where it’s more conveniently located, makes<br />

a difference.”<br />

The center is also designed to get people in the habit <strong>of</strong> seeking care<br />

and receiving regular treatment. The center is hoping to add a sixth chair,<br />

now that appointments are booked out months in advance.<br />

Spezio was told story after story about how much the centers have<br />

meant. As one mother <strong>of</strong> a student who received treatment told him, “This<br />

place fell right from heaven into our neighborhood.”<br />

Children’s voices heard<br />

The neighborhood needs such miracles, because it has more than its share<br />

<strong>of</strong> tragedies. In the same year the dental clinic opened, a 10-year-old boy,<br />

straddling his bicycle outside his home, was killed by a stray bullet from<br />

a nearby drug dispute. The horrific tragedy shocked people into action.<br />

Vigils and marches followed, and activists starting making plans for<br />

a memorial park. David Satcher, M.D., Ph.D. (R ’72), the former surgeon<br />

general <strong>of</strong> the Public Health Service who is now senior advisor for community<br />

health for the <strong>Medical</strong> <strong>Center</strong>, realized the importance <strong>of</strong> helping, as<br />

well. But he wanted to get children, not just adults, involved in trying to revitalize<br />

their neighborhood.<br />

Satcher led a town meeting, where sixth-graders were asked to<br />

discuss their community and what needed fixing. Then the students were<br />

given disposable cameras to take pictures <strong>of</strong> things they saw that were<br />

unhealthy in their streets and playgrounds.<br />

The <strong>Medical</strong> <strong>Center</strong> compiled the photos, and essays students wrote to<br />

accompany them, and produced a book titled Children’s Vision and Voices.<br />

It is a sobering chronicle <strong>of</strong> littered streets, buildings crumbling as if in<br />

a war zone, drug paraphernalia tossed on lawns, and makeshift memorials<br />

to the dead along sidewalks the students walk on the way to school. The<br />

photo book is all the more heart-rending because the scenes, and the words<br />

lamenting them, are the views <strong>of</strong> children from their everyday lives.<br />

Proceeds from selling the book went directly for school programs, but more<br />

important was the awareness it raised — the bleak images were far more<br />

effective than facts and statistics in raising awareness from local leaders.<br />

The project also made national headlines in several newspapers, and the<br />

<strong>Medical</strong> <strong>Center</strong> got calls from numerous groups wishing to replicate it.<br />

In the last phase <strong>of</strong> the program, students were asked to brainstorm<br />

continued on page 49<br />

14<br />

ROCHESTER MEDICINE


a department for all<br />

Pediatrics sought out every area pediatrician to help<br />

all children<br />

Three weeks after Robert Haggerty, M.D. (Intern ’51), returned to <strong>Rochester</strong> to<br />

begin as chair <strong>of</strong> the Pediatrics Department, race riots broke out in the inner<br />

city and continued for three fiery days. It was 1964, and the National Guard<br />

had to be called in — the first time it was dispatched to a northern city to<br />

quell a race riot. When the upheaval was over, five people had died,<br />

350 were injured, more than 900 had been arrested, and <strong>Rochester</strong> was left<br />

shocked and on edge.<br />

Typically, such developments wouldn’t unduly affect a chair <strong>of</strong><br />

Pediatrics. But Dr. Haggerty had no plans to be typical. He chose <strong>Rochester</strong><br />

in part because it was the only Pediatrics chair he was <strong>of</strong>fered that had<br />

a legacy <strong>of</strong> community service. Haggerty’s vision was to build on that<br />

foundation, starting with the ambitious notion that his department was<br />

responsible for the health <strong>of</strong> every child in the community.<br />

After the riots, that community was in turmoil. Establishing community<br />

service programs would have been challenge enough, but now there<br />

were more complications.<br />

“Certainly there was a sense that the community was divided,” says<br />

Haggerty. “People in the inner city looked at the <strong>University</strong> as part <strong>of</strong> the<br />

elite and the establishment. There was a lot <strong>of</strong> bottled-up hostility.”<br />

At the same time, Haggerty had the conviction that people living in<br />

the inner city had a right to the same level <strong>of</strong> health care that others<br />

received, and he wasn’t easily dissuaded. As colleagues describe him,<br />

he happens to be a gentle man with a very thick skin.<br />

Haggerty set out to establish a unified, community-wide pediatric<br />

service — something virtually unheard <strong>of</strong> in this country. So his first act as<br />

the new guy in town would be an extremely tricky one: trying to convince<br />

competing hospitals to shut down their pediatric services, since supply was<br />

outpacing demand and duplication <strong>of</strong> services was wasting resources.<br />

How Haggerty helped develop pediatric services in <strong>Rochester</strong> into a<br />

community-oriented enterprise is testament to his skill and also the<br />

commitment that existed here. Likewise, his efforts helped attract community-minded<br />

talent to <strong>Rochester</strong>, which set the stage for even more<br />

innovative programs later. Today, those people and programs have gained<br />

national prominence, and the department continues its unique role as a<br />

leader in cooperation and community commitment.<br />

Wide reach, big faculty<br />

While still an intern, Dr. Haggerty was sent out to help with a poliomyelitis<br />

epidemic in a small community, where he saw outright hostility among<br />

SPRING / SUMMER <strong>2005</strong> 15


“<br />

16<br />

ROCHESTER MEDICINE


hospitals and between medical centers and community pediatricians.<br />

“ It was one reason I didn’t go into private practice,” he says.<br />

Haggerty felt that such cutthroat competition wasn’t good for<br />

patients. He also knew that, while most community pediatricians competed<br />

with medical centers and hospitals for patients, <strong>Rochester</strong> had the potential<br />

for something different. In fact, one thing that had attracted him to<br />

<strong>Rochester</strong> was a $20,000 grant awaiting the new<br />

chair to be used to survey the need for pediatrics<br />

in the community. The grant was <strong>of</strong>fered by the<br />

Patient Care Planning Council, a community<br />

group headed by the formidable Marion Folsom.<br />

The one-time treasurer <strong>of</strong> Kodak, Folsom served<br />

as secretary <strong>of</strong> health, education and welfare<br />

under President Eisenhower before returning to<br />

<strong>Rochester</strong>.<br />

Wisely, Haggerty hired a respected<br />

consultant from outside the state to help develop<br />

a community plan based on the survey results,<br />

and also to take part in discussions with hospitals.<br />

After many months, the community<br />

reached an unprecedented agreement: Two<br />

hospitals would close their pediatric services and<br />

gain adult beds while three others would<br />

combine their services under separate chiefs<br />

selected by Haggerty. Pediatric residents would<br />

begin rotating through all three — a welcome<br />

change for hospitals that used to compete with<br />

the <strong>University</strong> for residents. And, in the boldest step <strong>of</strong> all, the <strong>Medical</strong> <strong>Center</strong><br />

<strong>of</strong>fered clinical appointments to every pediatrician in the community.<br />

“It was very unusual,” says Haggerty. “Most university hospitals do<br />

not put all pediatricians on staff.”<br />

While no one could argue it was a step toward more cooperation,<br />

some people were concerned that everyone would be on faculty, regardless <strong>of</strong><br />

skill level or experience. Dr. Haggerty’s response showed that he meant it<br />

when he said the health <strong>of</strong> all children in the community should be the<br />

priority. As he puts it, “If a physician is not up to standard, I’d rather have<br />

that physician here, under our watch.”<br />

The unified plan paved the way for new clinical research, and it<br />

changed the way pediatric services are delivered in <strong>Rochester</strong>.<br />

“It doesn’t matter where the child enters the health care system in the<br />

community,” explains Elizabeth McAnarney, M.D., the current chair <strong>of</strong><br />

Pediatrics. “The care is coordinated.” Rather than have hospitals compete<br />

by trying to match each other with redundant technology, for example, the<br />

new model looked at pediatric services as one large system. So if a very sick<br />

child comes to a community hospital needing intensive care, the patient can<br />

immediately be transported to Golisano Children’s Hospital at Strong, which<br />

houses the community’s Neonatal Intensive Care Unit and Pediatric<br />

Intensive Care Unit. And if pediatricians want to stay with their cases, they’re<br />

If a very sick child comes to<br />

a community hospital needing<br />

intensive care, the patient can<br />

immediately be transported to<br />

Golisano Children’s Hospital<br />

at Strong … and if pediatricians<br />

want to stay with their<br />

cases, they’re free to do so<br />

because practically all are on<br />

faculty at Strong.<br />

free to do so because practically all are on faculty at Strong (a handful<br />

declined clinical appointments).<br />

“The relationship between the Department <strong>of</strong> Pediatrics and community<br />

pediatricians in <strong>Rochester</strong> is unparalleled in the world,”<br />

says longtime <strong>Rochester</strong> pediatrician Larry Nazarian, M.D. (M ’64, R ’66). The<br />

practice where he worked for 35 years, Panorama Pediatrics, has had<br />

“ a constant stream <strong>of</strong> residents and medical<br />

students,” which he calls “an incredible benefit.”<br />

With the new pediatric model in place,<br />

the department began looking for ways to bring<br />

care out into the community. Again, the<br />

approach was based on solid research:<br />

Community surveys showed that the majority <strong>of</strong><br />

problems that children — and thereby pediatricians<br />

— faced were no longer disease-oriented<br />

but behavioral. Aggression and depression were<br />

replacing diphtheria and whooping cough as<br />

childhood problems. Dr. Haggerty coined the<br />

term “the new morbidity” and argued that the<br />

field <strong>of</strong> pediatrics needed to shift its thinking<br />

and help people deal with these new problems<br />

that hadn’t, traditionally, brought patients in<br />

to see doctors.<br />

Part <strong>of</strong> that meant trying to get out into<br />

the community to reach people who were slipping<br />

through the cracks. The department would<br />

get its chance quickly. In 1966, Haggerty essentially<br />

stumbled upon a call for federal grant proposals for establishing<br />

community health centers, just weeks before the deadline. The department<br />

scrambled to get an application together, aided by Haggerty’s previous work<br />

while on faculty at Harvard. At Children’s Hospital, Boston, he had launched<br />

the Family Health Care program, which in many ways was a model for what<br />

Pediatrics would propose for <strong>Rochester</strong>: a multi-specialty group <strong>of</strong> physicians<br />

who could provide care, including dental and mental health services,<br />

for the entire family.<br />

Haggerty and his colleagues managed to apply in time and to win the<br />

$3 million grant.<br />

That turned out to be the easy part.<br />

25,000 house calls<br />

The idea <strong>of</strong> a community-based health center was, in a sense, a neighborhood-scale<br />

version <strong>of</strong> the traditional general practitioner model. Haggerty’s<br />

grandfather had been a GP in a small town outside Cooperstown, N.Y.,<br />

and as a teenager Haggerty would go on house calls with him. He still<br />

remembers the admiration patients had for his grandfather, and how they<br />

would give him gifts to show their gratitude. Later, <strong>Rochester</strong>’s Mixed<br />

<strong>Medical</strong> internship — the first <strong>of</strong> its kind in the country — reinforced<br />

SPRING / SUMMER <strong>2005</strong> 17


Physicians and residents bring care into the community at Anthony Jordan Health <strong>Center</strong>.<br />

Haggerty’s interest in being a generalist, with time spent in internal medicine,<br />

pediatrics, psychiatry, OB, and emergency surgery. Being a generalist<br />

was good preparation for planning the community health center,<br />

with its comprehensive array <strong>of</strong> services.<br />

But progress was slowed by the <strong>University</strong> itself, when leadership grew<br />

concerned that federal funding would dry up some day and leave the<br />

<strong>University</strong> in the lurch. After months <strong>of</strong> deliberation, the go-ahead finally<br />

came and the Baden Street <strong>Center</strong> — one <strong>of</strong> the first <strong>of</strong> its kind in the<br />

country — was established at the site <strong>of</strong> a well-child clinic. The center’s<br />

mission was to serve a population <strong>of</strong> 25,000 in one inner-city ward. Later,<br />

a new building — the Anthony Jordan Health <strong>Center</strong> — was built and the<br />

services were transferred there. Other centers followed.<br />

Naturally, there was initial skepticism from citizens in the area.<br />

Doubts came even from a few members <strong>of</strong> the community advisory board<br />

who felt the project amounted to exploitation. To help overcome such resistance,<br />

community health workers were hired directly from the<br />

neighborhood. Their job, essentially, was to track down potential patients<br />

among a population that had little concept <strong>of</strong> doctor visits and scheduled<br />

appointments.<br />

“They’d look for women in the community with bulging bellies and<br />

ask if they had prenatal care,” says Haggerty. “They made home visits to<br />

make sure people were taking their medications, and they reported environmental<br />

problems, such as an apartment with no heat.”<br />

These workers, <strong>of</strong> and for the community, helped build trust. So did<br />

the public health nurses, who had a good understanding <strong>of</strong> the community.<br />

And Ken Woodward, M.D., a black pediatrician who gave up his private practice<br />

to become the medical director <strong>of</strong> the center, was instrumental.<br />

“It was in large part due to his calm presence that most <strong>of</strong> the<br />

tensions in the community over the <strong>University</strong> running the center were<br />

abated,” Haggerty says.<br />

Still, the work itself posed new challenges. According to Nazarian,<br />

who worked part time at the Jordan Health <strong>Center</strong> for 15 years, “the needs<br />

were many and great” in those neighborhoods. Nazarian, now clinical<br />

pr<strong>of</strong>essor <strong>of</strong> pediatrics and newly named editor-in-chief <strong>of</strong> Pediatrics in<br />

Review, says the centers had to provide the kind <strong>of</strong> basic support the families<br />

didn’t have inherently. Even the simple request that patients call the<br />

next day to report on their progress wasn’t so simple: Most <strong>of</strong> them, he says,<br />

didn’t have phones. Through its workers, the centers would provide translator<br />

services, reminders about appointments, and medication and even<br />

transportation to the health center if needed.<br />

Within a few years, the centers had overcome initial doubts from the<br />

community. A full 80 percent <strong>of</strong> the targeted population was treated in those<br />

few years, and people changed their health care habits in the process.<br />

Evan Charney, M.D., the principal investigator on the grant that enabled the<br />

centers, led a study <strong>of</strong> hospitalization rates compared with similar neighborhoods<br />

that didn’t have health centers. After two years, the hospitalization<br />

rate among people in the ward had been cut almost in half, and their use <strong>of</strong><br />

the Emergency Department was reduced by 40 percent. In the neighborhoods<br />

without community health centers, both rates stayed the same.<br />

Papers about progress at the centers dominated national meetings <strong>of</strong><br />

the Ambulatory Pediatric Association for years. Meanwhile, at about the<br />

same time, another community effort was making headlines <strong>of</strong> its own,<br />

in true ’60s fashion.<br />

18<br />

ROCHESTER MEDICINE


Barnyard medicine<br />

In the mid 1960s, the Department <strong>of</strong> Community and Preventive Medicine<br />

launched a health service for migrant workers, who were brought to<br />

the farms along Lake Ontario every year during harvest season. These<br />

workers received virtually no money and the same amount <strong>of</strong> medical care,<br />

so the service was much needed. Eventually, the service was run by<br />

John Radebaugh, M.D., <strong>of</strong> the Department <strong>of</strong> Pediatrics and the Department<br />

<strong>of</strong> Community and Preventive Medicine. Haggerty remembers that staffing<br />

it wasn’t always easy for Dr. Radebaugh.<br />

“At 6 p.m., I’d be ready to go home and he’d grab me and say ‘I don’t<br />

have any doctors today. Won’t you come down’ ” says Haggerty.<br />

They’d drive out to the countryside and run a makeshift clinic in<br />

someone’s stable, well into the night. Later, one <strong>of</strong> the farmers built a small<br />

clinic for the service to operate in, and Radebaugh started bringing books to<br />

the migrant workers’ children, since some had never attended school and<br />

didn’t know how to read. Eventually he went even further, attempting to<br />

help the workers unionize and fighting for better living conditions, enlisting<br />

the help <strong>of</strong> then New York state senator Robert Kennedy, who caused a stir<br />

when he visited to see for himself. The farmers, in turn, barred Radebaugh<br />

from the clinic and threatened to shut it down.<br />

Eventually, Radebaugh moved to California to work with Cesar<br />

Chavez, founder <strong>of</strong> the United Farm Workers, for a salary <strong>of</strong> $15 a week,<br />

treating migrant workers and fighting for better conditions for them. After<br />

he left, James Perrin, M.D. (R ’69), took charge <strong>of</strong> the migrant service here<br />

and got funding to make it a year-round clinic. Its successor, the Oak<br />

Orchard Health <strong>Center</strong> in Brockport, N.Y., has expanded that original<br />

outreach and is still in operation as a rural health center, open to anyone.<br />

Awards and rewards<br />

Beyond bringing care to people who needed it badly, the emphasis in<br />

Pediatrics on working within the community changed the face <strong>of</strong> pediatric<br />

clinical research. With community pediatricians serving as advisors and<br />

partners, the department embarked on health services research and studies<br />

<strong>of</strong> more common diseases — the kind <strong>of</strong> work that wasn’t getting as much<br />

attention amid the trend <strong>of</strong> pediatricians to become subspecialists.<br />

Nonetheless, it was the kind <strong>of</strong> research that was especially useful to<br />

community pediatricians, and those pediatricians had a valuable pool <strong>of</strong><br />

subjects for studies.<br />

This kind <strong>of</strong> research became a hallmark <strong>of</strong> general academic pediatrics,<br />

and Haggerty became known as the father <strong>of</strong> the field, which led to<br />

discoveries that had international implications. Studies on everything from<br />

appointment systems that cut waiting times to whether strep throat patients<br />

were completing their full prescriptions <strong>of</strong> penicillin (doctors were shocked<br />

to learn that their patients weren’t) led to important changes among practicing<br />

pediatricians.<br />

In 1998, Haggerty’s work landed him the John Howland Award from<br />

the American Pediatric Society, considered the most prestigious award in the<br />

field. And within one action-packed week in October 2004, Haggerty received<br />

Anthony Jordan Health <strong>Center</strong><br />

multiple honors: the dedication <strong>of</strong> the Robert J. Haggerty Child Health<br />

Services Research Laboratories at the <strong>Medical</strong> <strong>Center</strong>, where pediatricians<br />

will study topics such as school-based asthma management and the use <strong>of</strong><br />

telemedicine in day-care settings; the International Pediatric Association’s<br />

inaugural Dogramaci Award for contributions to International Child<br />

Health; and the 2004 Alfred I. duPont Award for Excellence in Children’s<br />

Health Care in recognition <strong>of</strong> lifetime contributions to excellence in children’s<br />

health care.<br />

Even more important, Haggarty’s legacy in the department lives on.<br />

Others after him have furthered the department’s commitment to the<br />

community, with nationally recognized programs such as Pediatric Links to<br />

the Community (see story on page 6).<br />

That’s not to say he could have predicted where his vision would take<br />

the department. As he tells people now in his Pediatric Interest Group,<br />

which helps guide first-year medical students at <strong>Rochester</strong> with an interest<br />

in pediatrics, “I didn’t plan this. I was given opportunities and I seized<br />

them.”<br />

SPRING / SUMMER <strong>2005</strong> 19


20<br />

ROCHESTER MEDICINE


playing a part through<br />

partnership<br />

<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong> faculty members are working with<br />

the <strong>Rochester</strong> City School District on everything from improving students’<br />

mental health to making their lunches more nutritious – and they’re doing<br />

so as fully engaged partners, not ivory-tower academics.<br />

“They are there – in the trenches – walking the talk, getting their<br />

hands dirty,” says Marjorie Lefler, coordinator <strong>of</strong> human services systems at<br />

the <strong>Rochester</strong> City School District. “It is a very long, deep history and track<br />

record. They’re a constant partner and resource for the school district,<br />

students and families.”<br />

Likewise, when the School <strong>of</strong> Medicine and Dentistry and the School<br />

<strong>of</strong> Nursing partnered with the Monroe County Department <strong>of</strong> Public Health<br />

to form the <strong>Center</strong> for <strong>Rochester</strong>’s Health, it represented a level <strong>of</strong> commitment<br />

rarely seen.<br />

“This collaboration is very uncommon,”<br />

says Nancy M. Bennett, M.D., deputy director <strong>of</strong><br />

the Monroe County Department <strong>of</strong> Public Health<br />

(pictured at right). “When I talk with people<br />

around the country, there are very few models<br />

like us. There are health departments that work<br />

with medical centers on specific projects, but<br />

very few have a memorandum <strong>of</strong> understanding<br />

— a formal agreement — between them.”<br />

That agreement, created in 1997, began<br />

with one or two projects and grants and has<br />

grown to about twenty. The projects are funded<br />

mostly through the <strong>Center</strong>s for Disease Control<br />

(CDC), New York State and foundations, and all<br />

involve community health.<br />

By building these partnerships for the long haul, the <strong>Medical</strong> <strong>Center</strong><br />

has been able to contribute to lasting improvements while making inroads<br />

into places and populations in the community that can benefit from its<br />

resources. And students involved in these projects learn a lesson in how two<br />

very different cultures can work together to get the job done.<br />

Sharing space and grants<br />

Dr. Bennett believes that working with the <strong>Medical</strong> <strong>Center</strong> has been a boon<br />

for the Department <strong>of</strong> Public Health, opening up new avenues for funding.<br />

“I would never have been able to do the kind <strong>of</strong> work we’re doing<br />

at the <strong>Center</strong> without the collaboration with the <strong>University</strong>,” she says.<br />

“The Health Department doesn’t have the<br />

breadth and depth <strong>of</strong> knowledge and expertise<br />

that exists there. For the <strong>University</strong>, the benefit is<br />

bringing the community perspective to the<br />

<strong>University</strong>.”<br />

A project she’s especially proud <strong>of</strong> is<br />

helping to increase the immunization rate among<br />

adults in <strong>Rochester</strong>. The project was modeled after<br />

a pediatric study at the <strong>Medical</strong> <strong>Center</strong> that looked<br />

at the problems <strong>of</strong> the health care delivery system<br />

and came up with ingeniously simple solutions.<br />

That pediatric study was led by Peter<br />

Szilagyi, M.D. (M ’81, R ’84, MS ’89), pr<strong>of</strong>essor <strong>of</strong><br />

general pediatrics, and Lance E. Rodewald, M.D.,<br />

SPRING / SUMMER <strong>2005</strong> 21


who received a CDC grant to find a way to raise the immunization rates <strong>of</strong><br />

children. At the time, urban poor children in <strong>Rochester</strong> had a 20 percent<br />

lower immunization rate than children living in the suburbs, so Szilagyi<br />

and Rodewald wanted to design a program to reach the urban poor.<br />

In analyzing the problem, they realized it wasn’t a question <strong>of</strong><br />

apathy. Instead, parents simply weren’t aware <strong>of</strong> the vaccination schedule,<br />

didn’t have transportation to the doctor’s <strong>of</strong>fice, or in some cases had<br />

immediate problems more serious than lack <strong>of</strong> vaccinations. And doctors<br />

themselves, Szilagyi found, <strong>of</strong>ten didn’t know which children had<br />

all their shots and which were behind. Even many practices that tracked<br />

their patients closely had no system for reaching the children and bringing<br />

them in, especially given that full immunization requires six visits before<br />

the age <strong>of</strong> two.<br />

Working with the county, Szilagyi and Rodewald used a database<br />

to track more than 2,700 children in nine primary care practices throughout<br />

<strong>Rochester</strong>. Half the preschoolers in a control group were tracked but received<br />

no outreach. The other half also were tracked, and if the child fell behind in<br />

receiving immunizations, the family got a phone call. In the 10 percent <strong>of</strong><br />

cases where the child fell too far behind, an outreach volunteer made<br />

a house call to find out why. Outreach workers were mostly recruited from<br />

within the targeted neighborhoods to make the visits more comfortable<br />

for the families. The outreach workers also were trained to assess what<br />

kept families from bringing the child to the doctor and how to break down<br />

those barriers.<br />

After 18 months, immunization rates in the outreach group had risen<br />

20 percent. In a follow-up study, inner-city children who received tracking<br />

New research studies start with community service in mind<br />

Two multimillion-dollar grants secured last year<br />

by <strong>Rochester</strong> researchers have major community<br />

service components, and people both in<br />

<strong>Rochester</strong> and far from it could ultimately<br />

benefit.<br />

A $3 million grant is allowing researchers<br />

to study ways to prevent obesity by influencing<br />

people’s eating and activity habits in an actual<br />

workplace. And a $3.5 million grant is leading to<br />

the creation <strong>of</strong> the Deaf Health Research <strong>Center</strong><br />

– the nation’s first ever research center for<br />

conducting health studies <strong>of</strong> individuals who<br />

are deaf or hard <strong>of</strong> hearing.<br />

Eastman Kodak Company, with 20,000<br />

employees in <strong>Rochester</strong>, will serve as the<br />

research site for the four-year obesity prevention<br />

study. The proposal was one <strong>of</strong> 65 submitted<br />

nationally to the National Heart, Lung, and<br />

Blood Institute (NHLBI), a division <strong>of</strong> the<br />

National Institutes <strong>of</strong> Health, and one <strong>of</strong> only<br />

seven to be funded. According to Diana<br />

Fernandez, M.D., M.P.H., Ph.D., principal investigator<br />

for the obesity prevention study and an<br />

assistant pr<strong>of</strong>essor in the Department <strong>of</strong><br />

Community and Preventive Medicine, the<br />

project will include some very common-sense<br />

ideas for making food less calorically dense and<br />

people less sedentary.<br />

What makes the project unique is the aim<br />

<strong>of</strong> addressing obesity in the workplace.<br />

According to Fernandez, the NHLBI was interested<br />

specifically in an intervention that<br />

included an environmental modification —<br />

some change to the workplace that would help<br />

prevent obesity.<br />

“Employees spend many hours at work,<br />

where their behavior is influenced by well-established<br />

communication systems, cafeterias and<br />

opportunities for physical activity,” she explains.<br />

The research team believed that input<br />

from employees was crucial to the success <strong>of</strong> the<br />

intervention, so the entire first year <strong>of</strong> the study<br />

will be devoted to talking and listening to<br />

employees to learn the barriers to staying in<br />

shape and eating well and what they think<br />

might help.<br />

Ultimately, the study is designed to create<br />

a model that other work sites can adopt to help<br />

their own workers. An important feature <strong>of</strong> the<br />

project is to make modifications that are easy<br />

to implement and can lead to lasting improvements.<br />

In other words, Fernandez says she’s not<br />

about to lead any aerobics classes. Instead, the<br />

project will incorporate healthy changes into the<br />

workplace that researchers hope will remain in<br />

place long after the study is complete.<br />

To her, it’s a classic example <strong>of</strong> community<br />

medicine.<br />

“It’s the real world, where people work,”<br />

she says. “That’s what, in Community and<br />

22<br />

ROCHESTER MEDICINE


and outreach had immunization rates nearly as<br />

high as those <strong>of</strong> suburban children.<br />

“We almost leveled the playing field<br />

between the inner city and the suburbs,” says<br />

Szilagyi. “That’s something almost unheard <strong>of</strong><br />

in the health field.”<br />

Beyond immunizations, the study helped<br />

find people who had been falling between the<br />

cracks and get them into the health care system.<br />

Tracking and outreach increased preventive care<br />

visits by inner-city families and even raised the<br />

proportion <strong>of</strong> children receiving needed lead<br />

and anemia screenings.<br />

This success led the County Department<br />

<strong>of</strong> Public Health to adopt and expand the program in an effort to fully<br />

immunize 90 percent <strong>of</strong> the community’s children. And in 2002, the <strong>Center</strong><br />

for <strong>Rochester</strong>’s Health was one <strong>of</strong> five sites in the nation to receive a CDC<br />

grant to develop a model program aimed at eliminating disparity in olderadult<br />

immunizations. The program, part <strong>of</strong> the CDC’s Racial and Ethnic<br />

Adult Disparities in Immunization Initiative, is meant to develop models<br />

School <strong>of</strong> Medicine students collaborate with staff at St. Joseph’s Neighborhood <strong>Center</strong> on the new<br />

student-run clinic there providing free health care services to the uninsured or underinsured.<br />

that can guide efforts across the country, with the ultimate goal <strong>of</strong> eliminating<br />

older-adult vaccination disparities nationwide.<br />

According to Bennett, <strong>Rochester</strong> received the grant because <strong>of</strong> those<br />

past successes in boosting immunization rates. A community advisory board<br />

comprised <strong>of</strong> 33 organizations — representing public health pr<strong>of</strong>essionals,<br />

physician practices and neighborhood health clinics, health systems,<br />

Preventive Medicine, we want to do. We’re not<br />

asking people to come here — we’re going there.”<br />

Likewise, the Deaf Health Research<br />

<strong>Center</strong> project was designed to reach out to a<br />

population and comprehend it much better<br />

than in the past. The work began last year with<br />

community focus groups, to better understand<br />

deaf and hard-<strong>of</strong>-hearing people. This in itself is<br />

an important step: <strong>Medical</strong> literature shows that<br />

aside from hearing loss itself, little is known<br />

about the health status <strong>of</strong> the deaf and hard-<strong>of</strong>hearing<br />

population. Even rudimentary data on<br />

health behaviors, risk factors and diseases is<br />

unavailable, according to health experts.<br />

Communication barriers may contribute<br />

to the problem. Many deaf people use American<br />

Sign Language (ASL), which has different<br />

grammar and syntax from English. Others<br />

communicate through speech-reading, writing,<br />

speaking and other English-based methods.<br />

But few health care providers are pr<strong>of</strong>icient in<br />

ASL or understand how to communicate effectively<br />

with deaf patients.<br />

Deaf and hard-<strong>of</strong>-hearing people also<br />

have less access to information from the<br />

ambient environment — information that<br />

hearing people <strong>of</strong>ten take for granted. So, for<br />

example, deaf youngsters don’t benefit from<br />

overhearing the advice pediatricians give to<br />

their hearing parents, and they don’t get health<br />

information through radio or TV broadcasts.<br />

“Finally, we have a research center that<br />

focuses on the overall health and wellness <strong>of</strong><br />

people who are deaf or hard <strong>of</strong> hearing, and not<br />

just on their hearing loss,” says Matthew Starr,<br />

M.P.H., who is deaf himself and serves as the<br />

director <strong>of</strong> The Health Association’s Deaf & Hard<br />

<strong>of</strong> Hearing Program. “Now, our voices can be<br />

heard.”<br />

T. Alan Hurwitz, Ed.D., vice president <strong>of</strong><br />

<strong>Rochester</strong> Institute <strong>of</strong> Technology (RIT) and<br />

dean <strong>of</strong> the National Technical Institute for the<br />

Deaf (a college <strong>of</strong> RIT), predicts the project will<br />

have a lasting impact.<br />

“The results will dramatically improve<br />

the quality <strong>of</strong> life for deaf and hard-<strong>of</strong>-hearing<br />

people today and for future generations,” he says.<br />

<strong>Rochester</strong> researchers will be at the forefront<br />

<strong>of</strong> promoting health issues, investigating<br />

special health needs, and solving health<br />

problems — all within a community medicine<br />

framework.<br />

SPRING / SUMMER <strong>2005</strong><br />

23


24<br />

ROCHESTER MEDICINE


insurers, and social service agencies — was formed to help implement the<br />

program, which combines community outreach and education with<br />

comprehensive intervention at medical clinics and physicians’ <strong>of</strong>fices.<br />

One reason the <strong>Center</strong> for <strong>Rochester</strong>’s Health has grown so quickly and been<br />

able to attract major funding such as the CDC grant is its fully integrated<br />

structure. This is a true partnership: The <strong>Medical</strong> <strong>Center</strong> provides the<br />

administrative home, with central <strong>of</strong>fices based in the School <strong>of</strong> Nursing’s<br />

building. The county provides <strong>of</strong>fice space for <strong>University</strong> faculty working on<br />

projects. The steering committee represents a <strong>University</strong> commitment on the<br />

highest levels: the dean <strong>of</strong> the School <strong>of</strong> Nursing, Patricia Chiverton, Ed.D.,<br />

R.N., F.N.A.P.; the dean <strong>of</strong> the School <strong>of</strong> Medicine and Dentistry, David Guzick,<br />

M.D., Ph.D.; and the dean <strong>of</strong> clinical research and chair <strong>of</strong> the Department <strong>of</strong><br />

Community and Preventive Medicine, Tom Pearson, M.D., Ph.D. The director<br />

<strong>of</strong> the Monroe County Department <strong>of</strong> Public Health, Andrew Doniger, M.D.,<br />

also serves on the committee. In addition, 15 School <strong>of</strong> Medicine and<br />

Dentistry and School <strong>of</strong> Nursing faculty members now are involved in work<br />

at the center.<br />

Working so closely with the county has enabled the <strong>Medical</strong> <strong>Center</strong><br />

to bring its resources to the community. The Healthy Living program,<br />

an ongoing effort to increase physical activity, improve nutrition and<br />

promote health in the inner city, recognized that the target audience wasn’t<br />

about to make its way to the <strong>Medical</strong> <strong>Center</strong> to learn how to stay fit.<br />

“This was a real community need,” Bennett says, “but there was no<br />

place people felt comfortable to go to learn about these things.”<br />

So the program reached out to city neighborhood centers and<br />

churches to spread the word. Program organizers brought a 24-session<br />

curriculum <strong>of</strong> physical activity and health education right to the heart <strong>of</strong><br />

inner-city <strong>Rochester</strong>, to neighborhoods where only 10 percent <strong>of</strong> people met<br />

the surgeon general’s guidelines for aerobic activity. To encourage lasting<br />

benefits, the program directs participants to existing resources in the<br />

community, such as exercise programs at the YMCA. Participants learn how<br />

to live a more healthy life and where they can get support to do it.<br />

Numerous other projects, from sessions on how to prevent bullying to<br />

research on youth health for the Adolescent Health Report Card, which the<br />

city and county use to assess needs, speak to the spectrum <strong>of</strong> faculty<br />

members who partner with the school district.<br />

Some projects even get parents involved. Pieter LeRoux and Susan<br />

Horwitz <strong>of</strong> the Department <strong>of</strong> Psychiatry run training programs in schools<br />

so staff can better differentiate between mental health and disciplinary<br />

programs in students. And they work with parents to identify the things that<br />

trigger their children’s behavior problems. This way, children’s needs are<br />

addressed both at school and at home.<br />

One faculty member, Peter Wyman, is working with two elementary<br />

schools on an intervention program for at-risk students. The Resiliency<br />

Project, which includes materials tailored for the Hispanic students at<br />

School 9, teaches resilience competencies to students. Wyman also is<br />

working on a mentoring intervention as part <strong>of</strong> the project.<br />

“It’s teaching community adults how to help children develop skills<br />

for self-discipline, coping, and managing their feelings — things that are<br />

predictive <strong>of</strong> lower rates <strong>of</strong> substance abuse and other problems and better<br />

functioning in general,” Wyman says.<br />

Some people might be surprised at the breadth <strong>of</strong> projects the <strong>Medical</strong><br />

<strong>Center</strong> is running in partnership with the community. But Lefler sees such<br />

partnerships as part <strong>of</strong> a continuum dating back to the very founding <strong>of</strong> the<br />

School <strong>of</strong> Medicine and Dentistry. In the 1920s, George Eastman became the<br />

largest benefactor <strong>of</strong> the School only after being promised that the talents<br />

and resources within the institution would be used to try to create the world’s<br />

healthiest community. “The <strong>Medical</strong> <strong>Center</strong> has made good on that promise<br />

to George Eastman,” Lefler says.<br />

Going to school<br />

Good community service, <strong>of</strong> course, requires finding the right communities<br />

for your service. The <strong>Rochester</strong> City School District has proven to be an ideal<br />

partner for projects and study.<br />

“The <strong>Medical</strong> <strong>Center</strong> has been a leader in using schools as points <strong>of</strong><br />

access for urban youth needing various health and social services,” Marjorie<br />

Lefler says.<br />

The work dates back many decades. In 1957, the <strong>Medical</strong> <strong>Center</strong> and<br />

the <strong>Rochester</strong> City School District formed an early intervention program<br />

called the Primary Mental Health Project (PMHP). That project, which<br />

recently has been expanded and fully incorporated into the early childhood<br />

system in <strong>Rochester</strong> to promote school adjustment at the primary grades,<br />

has been nationally recognized for preventing mental health problems early<br />

in a child’s school career.<br />

SPRING / SUMMER <strong>2005</strong> 25


medical rounds<br />

<strong>Rochester</strong> chosen to help coordinate<br />

national Parkinson’s effort<br />

by Tom Rickey<br />

The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />

has been chosen as home to a new<br />

Parkinson’s Disease data and organizing<br />

center, an administrative entity created<br />

by the NIH to help coordinate information<br />

from the growing number <strong>of</strong> Parkinson’s<br />

studies being conducted around the nation.<br />

Doctors estimate that there are anywhere<br />

from 1,500 to 3,500 patients taking part in<br />

more than 25 clinical studies <strong>of</strong> Parkinson’s<br />

disease annually.<br />

The new center will pool and manage<br />

the data from 15 existing Parkinson’s disease<br />

centers funded by NIH and aims to eventually<br />

include information from all the clinical<br />

studies <strong>of</strong> Parkinson’s that the agency funds.<br />

In effect, data about all Parkinson’s patients<br />

around the country who are taking part in<br />

studies will pass through <strong>Rochester</strong>.<br />

The new center, funded by NIH with<br />

$5.7 million for the next five years, will help<br />

doctors around the country work together<br />

in seeking new ways to diagnose, treat and<br />

prevent Parkinson’s disease. The team plans<br />

to create a shared database that will make<br />

it easier for researchers to combine and<br />

compare results and spot trends.<br />

“Pooling the data will add to the<br />

power <strong>of</strong> our numbers, hopefully allowing<br />

us to answer additional questions about<br />

the disease that might otherwise go<br />

unanswered,” says neurologist Roger Kurlan,<br />

M.D. (M ’83), a Parkinson’s expert who leads<br />

the new center.<br />

Such a large body <strong>of</strong> data will be<br />

useful in the search for a blood test or some<br />

type <strong>of</strong> “bio-marker” to help doctors track the<br />

progression <strong>of</strong> the disease. Doctors also hope<br />

to narrow down exactly how various genetic<br />

mutations contribute to the disease. Funding<br />

will help doctors select standard rating scales<br />

and help computer programmers develop<br />

databases to encompass data from studies.<br />

Pfizer signs license<br />

deal with UR to<br />

develop drug for<br />

‘hot flashes’<br />

by Chris DiFrancesco<br />

The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> has signed<br />

a license agreement with Pfizer that will<br />

allow Pfizer to market a specific class <strong>of</strong><br />

non-hormonal drugs for the treatment <strong>of</strong><br />

hot flashes associated with menopause.<br />

For tens <strong>of</strong> millions <strong>of</strong> women who<br />

suffer from hot flashes, such a drug would<br />

be a welcome alternative to hormone replacement<br />

therapy, which has been linked to an<br />

increased risk <strong>of</strong> heart disease and breast<br />

cancer in some patients.<br />

The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> was<br />

granted a “method <strong>of</strong> treatment” patent in<br />

2001 that covers the use <strong>of</strong> drugs that treat<br />

hot flashes by targeting a specific group <strong>of</strong><br />

cells in the hypothalamus. The proposed link<br />

between those cells and hot flashes was<br />

suggested by Thomas Guttuso, Jr., M.D. (R ’00),<br />

who had been conducting research in the<br />

<strong>University</strong> <strong>of</strong> <strong>Rochester</strong>’s School <strong>of</strong> Medicine<br />

and Dentistry as part <strong>of</strong> a fellowship program<br />

in neurology.<br />

Pfizer is developing a drug that quells<br />

hot flashes by targeting the mechanism<br />

covered by <strong>Rochester</strong>’s patent. Under the<br />

terms <strong>of</strong> the nonexclusive license, Pfizer will<br />

pay the <strong>University</strong> an initial fee, and two<br />

clinical milestone payments to be made<br />

when its drug clears important hurdles in<br />

the development process. If the drug is<br />

brought to market, Pfizer will pay royalties<br />

to the <strong>University</strong> based on sales <strong>of</strong> the drug.<br />

26<br />

ROCHESTER MEDICINE


Some physicians avoid life-saving procedure<br />

due to health ‘report cards’<br />

by Karin Gaffney<br />

Nearly 80 percent <strong>of</strong> interventional cardiologists<br />

in New York State admit they have<br />

avoided performing a risky but potentially<br />

life-saving angioplasty on a patient, out <strong>of</strong><br />

fear that if the patient dies it skews the<br />

doctor’s personal mortality “report card,”<br />

according to a <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> survey.<br />

The anonymous poll was designed to<br />

measure whether the state Department <strong>of</strong><br />

Health’s system <strong>of</strong> tracking doctors’ cardiac<br />

death rates has an impact on how doctors<br />

make treatment decisions — and what types<br />

<strong>of</strong> patients they choose to accept. Results <strong>of</strong><br />

the groundbreaking study were published in<br />

the Jan. 10 issue <strong>of</strong> Archives <strong>of</strong> Internal<br />

Medicine.<br />

New York is one <strong>of</strong> only a handful <strong>of</strong><br />

states to publish mortality data for consumers<br />

in an effort to raise awareness about physicians’<br />

and hospitals’ records, and more states<br />

are considering adopting the practice. Many<br />

medical pr<strong>of</strong>essionals, though, have long<br />

suspected that these report cards may<br />

influence some physicians to avoid taking<br />

critically ill patients to the catheterization lab,<br />

even though the patient might benefit from<br />

angioplasty, because <strong>of</strong> the possibility <strong>of</strong><br />

adding a potential death to their files, says<br />

principal investigator Craig Narins, M.D.,<br />

an interventional cardiologist and assistant<br />

pr<strong>of</strong>essor in the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />

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

The survey received an extraordinary<br />

65 percent response rate. Among the respondents,<br />

83 percent agreed or strongly agreed<br />

that patients who might benefit from angioplasty<br />

might not receive the procedure as a<br />

result <strong>of</strong> public reporting <strong>of</strong> physician-specific<br />

mortality rates. The scoring system attempts<br />

to avoid penalizing physicians as much when<br />

a more severely ill patient dies following a<br />

procedure, yet 85 percent <strong>of</strong> those surveyed<br />

believed that the risk adjustment model used<br />

in New York is not sufficient to avoid<br />

punishing physicians who perform higher risk<br />

interventions.<br />

The state reporting system may, as<br />

intended, lead some interventional cardiologists<br />

with low volumes or poor outcomes to<br />

improve their performance or stop performing<br />

the procedure. However, the unintended<br />

effects <strong>of</strong> the scorecard system on patient<br />

care decisions, as described in the paper, may<br />

adversely affect outcomes for patients who<br />

might benefit from angioplasty but are denied<br />

the procedure.<br />

“There is a fear among health care<br />

pr<strong>of</strong>essionals that as more states adopt<br />

mortality data reports, insurers may direct<br />

patients to hospitals with better scores,<br />

even though better scores probably do not<br />

correlate with better patient care,” Narins<br />

says.<br />

At the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong><br />

<strong>Center</strong>, protocol dictates that all patients,<br />

regardless <strong>of</strong> their expected outcome, be<br />

treated in the cardiac catheterization lab<br />

if there is a chance they may benefit from<br />

angioplasty.<br />

“Our numbers, although at times<br />

above the state average, reflect the deaths<br />

<strong>of</strong> patients who came to us critically ill,”<br />

says Fred Ling, M.D., director <strong>of</strong> the cardiac<br />

catheterization lab. “We’re aware <strong>of</strong> the<br />

potential outcome, but it is our duty as<br />

physicians to treat patients to the best <strong>of</strong><br />

our ability.”<br />

SPRING / SUMMER <strong>2005</strong> 27


FDA buys UR technology that identifies drug toxicity to heart<br />

by Leslie Orr<br />

The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />

has a new tool to assess whether a medication<br />

might be harmful to the heart. The technology<br />

addresses a major health issue — drug<br />

toxicity — illustrated most recently by<br />

Merck’s voluntary withdrawal <strong>of</strong> Vioxx from<br />

the market after concerns that it may cause<br />

heart attacks and strokes.<br />

Jean-Philippe Couderc, Ph.D., a UR<br />

biomedical engineer, and assistant director<br />

<strong>of</strong> the Heart Research Follow-up Program,<br />

developed a s<strong>of</strong>tware program that provides<br />

a simpler, more accurate way to analyze the<br />

EKGs <strong>of</strong> people who volunteer for clinical<br />

trials to test new drugs. The FDA purchased<br />

a copy <strong>of</strong> the technology, called COMPAS,<br />

which stands for Comprehensive Analysis<br />

<strong>of</strong> Repolarization Signal. The <strong>University</strong> hopes<br />

to license the copyrighted s<strong>of</strong>tware to drug<br />

companies and other institutions involved in<br />

pre-market drug testing.<br />

“Our program provides a more reliable<br />

method to identify cardiovascular toxicity<br />

at a time when the scientific community is<br />

diligently seeking ways to address this<br />

problem,” said Couderc.<br />

More comprehensive testing <strong>of</strong> the<br />

heart’s reaction to medications is not only<br />

important for the success <strong>of</strong> any new drug, but<br />

it became an FDA requirement two years ago.<br />

Now, clinical trials require volunteer subjects<br />

to undergo an extensive physical examination,<br />

including a review <strong>of</strong> a patient’s 24-hour EKG.<br />

The patient’s EKG data is loaded onto<br />

a computer. Doctors look for abnormalities<br />

related to the QT interval— the split-second<br />

period that occurs from the time a heart beats<br />

or contracts, through its recovery phase.<br />

COMPAS was designed to accurately identify<br />

EKG abnormalities, while taking into consideration<br />

other factors that may influence a person’s<br />

heart activity, such as eating, exercise or stress.<br />

Many drugs have been pulled from the<br />

market — or the FDA has limited their use —<br />

due to the tendency to prolong the QT interval.<br />

Usually this occurs, however, after millions <strong>of</strong><br />

patients have already suffered serious side<br />

effects. Therefore, the goal among those who<br />

are developing and testing new treatments is<br />

to identify the cardiovascular risks to patients<br />

at the earliest possible stage.<br />

Daniel Ryan named new Pathology chair<br />

by Germaine Reinhardt<br />

Daniel H. Ryan, M.D. (R ’81) was named chair<br />

<strong>of</strong> the Department <strong>of</strong> Pathology and<br />

Laboratory Medicine. A long-time <strong>University</strong><br />

<strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong> faculty member,<br />

Ryan has been pr<strong>of</strong>essor <strong>of</strong> Pathology and<br />

director <strong>of</strong> Strong Health Clinical Laboratories,<br />

which is responsible for processing over<br />

3.6 million specimens annually.<br />

Ryan led a major expansion <strong>of</strong> outreach<br />

laboratory services to the <strong>Rochester</strong> community,<br />

which increased clinical laboratory<br />

workload by 60 percent. Under his direction,<br />

key laboratory space has been renovated,<br />

including the $5.8 million expansion to the<br />

new surgical pathology suite on the ground<br />

floor <strong>of</strong> the <strong>Medical</strong><br />

<strong>Center</strong>.<br />

“Dr. Ryan<br />

was a natural<br />

candidate for this<br />

position. He has an<br />

in-depth familiarity<br />

with the inner<br />

workings <strong>of</strong> the<br />

pathology department,<br />

recognition<br />

Daniel Ryan, M.D. as an investigator,<br />

commitment to<br />

the academic mission, and a thorough understanding<br />

<strong>of</strong> how best to run clinical pathology<br />

throughout the Strong Health network,” said<br />

David S. Guzick, M.D., Ph.D., dean <strong>of</strong> the<br />

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

Ryan came to the <strong>Medical</strong> <strong>Center</strong> in<br />

1975 as a pediatric intern after receiving his<br />

medical degree from Johns Hopkins medical<br />

school. He completed his residency here in<br />

pathology, including a one-year stint as chief<br />

resident.<br />

A member <strong>of</strong> five national and international<br />

pathology and hematology associations,<br />

Ryan has chaired the Clinical Laboratory<br />

Hematology subcommittee <strong>of</strong> the American<br />

Society <strong>of</strong> Hematology. He has published<br />

more than 65 articles, and authored more<br />

than two dozen book chapters.<br />

28<br />

ROCHESTER MEDICINE


<strong>Rochester</strong> in one <strong>of</strong> the largest Alzheimer’s studies ever<br />

The <strong>Medical</strong> <strong>Center</strong> is taking part in one <strong>of</strong><br />

the largest Alzheimer’s studies to date,<br />

a $60 million effort led by the National<br />

Institute on Aging (NIA) to test whether new<br />

imaging techniques and other technology can<br />

be better used to assess and treat patients<br />

with memory loss and dementia.<br />

Pierre Tariot, M.D. (M ‘78), a psychiatrist<br />

at the <strong>University</strong>, helped design the five-year<br />

Alzheimer’s Disease Neuroimaging Initiative,<br />

which was scheduled to begin in April <strong>2005</strong><br />

and will include 800 participants at 50 sites<br />

around the nation and Canada, including the<br />

<strong>Rochester</strong> area.<br />

The <strong>Medical</strong> <strong>Center</strong>’s participation<br />

should come as no surprise: <strong>Rochester</strong> was<br />

recently recognized by the NIA as the lead site<br />

for the nationwide Alzheimer’s Disease<br />

Cooperative Study, enrolling more patients<br />

than any other place in the country. Through<br />

Dr. Tariot’s research efforts, more than 1,200<br />

patients from the <strong>Rochester</strong> area have taken<br />

part in Alzheimer’s studies since 1998;<br />

<strong>Rochester</strong> is the only upstate New York<br />

community taking part in the new initiative.<br />

“<strong>Rochester</strong> has achieved nationwide<br />

attention as a community <strong>of</strong> citizens<br />

concerned about Alzheimer’s, dedicated to<br />

helping to find answers,” says Tariot.<br />

“ All <strong>of</strong> us, patients and possible future<br />

patients alike, are grateful for this support.”<br />

The new study will fill a gap in our<br />

knowledge about how Alzheimer’s disease<br />

progresses, giving researchers a clearer<br />

picture, literally, <strong>of</strong> memory loss at its earliest<br />

stages. Doctors and nurses will use sophisticated<br />

imaging technology and other tests to<br />

watch what happens in the brain when an<br />

older person who has normal memory gaps<br />

develops more serious cognitive problems or<br />

even Alzheimer’s disease.<br />

Physicians hope to develop a map<br />

<strong>of</strong> sorts so doctors know what to expect at<br />

various stages <strong>of</strong> the disease, helping them<br />

evaluate disease-altering effects a new<br />

medication might have. Scientists also will<br />

take repeated positron emission tomography<br />

(PET) scans to track the activity in the brains<br />

<strong>of</strong> some <strong>of</strong> the participants, watching closely<br />

how the activity changes or lessens.<br />

“The initiative should become a<br />

landmark study in the development <strong>of</strong><br />

neuroimaging and other biomarkers, helping<br />

us to find biological changes early so that we<br />

can identify the people at highest risk <strong>of</strong> the<br />

disease and test the effectiveness <strong>of</strong> new<br />

therapies more quickly and efficiently,” says<br />

Richard J. Hodes, M.D., director <strong>of</strong> the NIA.<br />

SPRING / SUMMER <strong>2005</strong> 29


Alzheimer’s stroke researcher receives 10-year MERIT award<br />

by Tom Rickey<br />

A researcher exploring ways to keep brains<br />

healthy against the ravages <strong>of</strong> stroke and<br />

Alzheimer’s disease has been awarded a<br />

rare 10-year MERIT award from the National<br />

Institute on Aging.<br />

Berislav Zlokovic, M.D., Ph.D., received<br />

the award, worth approximately $5 million<br />

in funding during the next 10 years, to further<br />

his research. Zlokovic didn’t apply for the<br />

award; rather, his peers at NIH selected him<br />

based on the consistent high quality <strong>of</strong> his<br />

work over several years.<br />

Zlokovic specializes in studying the<br />

crucial role <strong>of</strong> blood vessels in diseases like<br />

Alzheimer’s, an approach that goes back to<br />

the days when German physician Alois<br />

Alzheimer first diagnosed the disease nearly<br />

100 years ago. Zlokovic has brought the blood<br />

vessel component <strong>of</strong> Alzheimer’s disease back<br />

into prominence. He has shown that blood<br />

circulation plays a key role in ridding the<br />

brain <strong>of</strong> toxic amyloid beta, which speckles<br />

the brains <strong>of</strong> Alzheimer’s patients.<br />

Many <strong>of</strong> the ideas pioneered by<br />

Zlokovic are being explored further<br />

at Socratech Laboratories, a company he<br />

founded in 2000. While healthy people continually<br />

grow new blood vessels to meet the<br />

brain’s need for oxygen and nutrients, the<br />

system slows or stops in patients with the<br />

disease. Socratech scientists are tracking<br />

the genes that direct the formation and<br />

growth <strong>of</strong> new blood vessels in the brain<br />

in a bid to possibly boost blood flow in<br />

patients with the disease.<br />

In addition to Alzheimer’s disease,<br />

Zlokovic’s research also has implications for<br />

the health <strong>of</strong> the brain after a stroke. In the<br />

last decade he has published a series <strong>of</strong><br />

papers showing that a compound now used<br />

to treat sepsis, Activated Protein C or APC,<br />

holds great promise in protecting brain cells<br />

from the damage caused by stroke.<br />

Zlokovic, who joined the <strong>University</strong><br />

in 2000, is a pr<strong>of</strong>essor in the Department <strong>of</strong><br />

Neurosurgery and director <strong>of</strong> the Frank P. Smith<br />

Laboratories for Neurosurgical Research.<br />

Researcher receives AACR award<br />

Aimee M. Johnson, B.S., <strong>University</strong> <strong>of</strong><br />

<strong>Rochester</strong>, a graduate student in the<br />

Department <strong>of</strong> Pathology and Laboratory<br />

Medicine, has received a Minority Scholar<br />

Award in Cancer Research from the American<br />

Association for Cancer Research (AACR).<br />

Each year, the AACR presents awards to<br />

minority scholars who have made an impact<br />

in cancer research and who show potential<br />

to continue to do so in the future.<br />

Winners <strong>of</strong> Minority Scholar Awards<br />

for participation in the Fall 2004 AACR Special<br />

Conferences received a total <strong>of</strong> $80,000.<br />

Johnson, who works in the lab <strong>of</strong> Jay<br />

E. Reeder, Ph.D. (M.S. ’92, Ph.D. ’97), received<br />

the award for work on early detection and<br />

measurement <strong>of</strong> urothelial tumors in mice.<br />

Grants for the awards are provided<br />

by the Comprehensive Minority Biomedical<br />

Branch <strong>of</strong> the National Cancer Institute.<br />

Scientists are nominated and receive the<br />

awards based on their qualifications,<br />

references from mentors, and potential<br />

pr<strong>of</strong>essional benefit. Awardees are chosen<br />

by an Advisory Committee <strong>of</strong> the AACR.<br />

AACR Minority Scholar Awards in<br />

Cancer Research go to full-time graduate<br />

or medical students, residents, clinical<br />

or postdoctoral fellows, or junior faculty<br />

members. Recipients <strong>of</strong> the awards are<br />

chosen on the stipulation that applicants<br />

fit the National Cancer Institute definition<br />

<strong>of</strong> groups traditionally underrepresented<br />

in cancer and biomedical research. These<br />

groups include African Americans, Alaskan<br />

Natives, Hispanics, Native Americans, and<br />

Native Pacific Islanders.<br />

Zaffaroni<br />

receives Bower<br />

Award<br />

Alejandro Zaffaroni (Ph.D. ’49 Biochemistry,<br />

F ’51, H ’72), founder and director emeritus<br />

<strong>of</strong> the ALZA Corporation, received the Bower<br />

Award for Business Leadership from The<br />

Franklin Institute Committee on Science and<br />

Arts in April <strong>2005</strong>. The committee awards<br />

honor “scientists, innovators and entrepreneurs<br />

who have made extraordinary scientific<br />

achievements and benefited humanity.”<br />

Past recipients include Albert Einstein,<br />

Thomas Edison, Stephen Hawking and Jane<br />

Goodall. Zaffaroni played a significant<br />

role in the development <strong>of</strong> the birth-control<br />

pill and transdermal patches.<br />

30<br />

ROCHESTER MEDICINE


alumni news<br />

Alumni make<br />

the health-care<br />

power list again<br />

Dennis O’Leary, M.D. (R ’68), and David<br />

Nash, M.D., M.B.A. (M ’81), were voted<br />

the 13th and 72nd most powerful people,<br />

respectively, in health care in Modern<br />

Healthcare’s third annual ranking <strong>of</strong> the<br />

100 most powerful people in the industry.<br />

A <strong>University</strong> <strong>of</strong><br />

<strong>Rochester</strong> School<br />

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

graduate, Pamela<br />

Thompson, R.N.,<br />

F.A.A.N.was voted<br />

the 37th most<br />

powerful. The three<br />

made the list last<br />

year, as well.<br />

Dennis O’Leary, M.D.<br />

The list was<br />

based on rankings<br />

by readers <strong>of</strong><br />

Modern Healthcare,<br />

the weekly publication<br />

covering health care business news.<br />

Both O’Leary and Nash were part <strong>of</strong> the<br />

accompanying article, which focused<br />

on the industry’s complex conversion to<br />

information technology.<br />

O’Leary, president <strong>of</strong> the Joint<br />

Commission on<br />

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

Healthcare<br />

Organizations<br />

(JCAHO), was<br />

quoted as saying,<br />

“ There’s a lot <strong>of</strong><br />

excitement<br />

because information<br />

technology can David Nash, M.D.,<br />

not only help<br />

MBA<br />

generate efficiencies,<br />

but it also<br />

makes possible the<br />

achievement <strong>of</strong> some <strong>of</strong> our basic goals in<br />

quality measurement and patient safety. It’s<br />

critical.”<br />

Nash, chairman <strong>of</strong> the Department <strong>of</strong><br />

Health Policy at Jefferson <strong>Medical</strong> College<br />

<strong>of</strong> Thomas Jefferson <strong>University</strong> in Philadelphia,<br />

was described in the article as “a leading<br />

expert on quality initiatives.” Last year, Nash<br />

became editor-in-chief <strong>of</strong> American Journal<br />

<strong>of</strong> <strong>Medical</strong> Quality, the <strong>of</strong>ficial journal <strong>of</strong><br />

the American College <strong>of</strong> <strong>Medical</strong> Quality.<br />

Nash’s quality-improvement work includes<br />

appointment to<br />

JCAHO’s National<br />

Performance<br />

Council and to the<br />

board <strong>of</strong> trustees<br />

<strong>of</strong> the Foundation<br />

for Accountability.<br />

Pamela<br />

Thompson is CEO<br />

Pamela Thompson, <strong>of</strong> the American<br />

R.N., F.A.A.N.<br />

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

Nurse Executives<br />

(AONE), a subsidiary<br />

<strong>of</strong> the American<br />

Hospital<br />

Association. Founded in 1967, AONE is a<br />

national organization <strong>of</strong> nearly 4,000 nurses<br />

who design, facilitate and manage care. Its<br />

mission is to represent nurse leaders who<br />

improve health care.<br />

Samet receives Prince<br />

Mahidol Award<br />

Here’s an award fit for a king. Jonathan M.<br />

Samet, M.D. (M ’70), was one <strong>of</strong> two physicians<br />

to receive the 2004 Prince Mahidol Award,<br />

bestowed in January by the King <strong>of</strong> Thailand<br />

at the Grand Palace. The international<br />

awards, with a cash prize <strong>of</strong> $50,000, are<br />

presented to two individuals annually:<br />

for outstanding performance and/or research<br />

in medicine for the benefit <strong>of</strong> mankind and<br />

for outstanding contributions in public health<br />

for the sake <strong>of</strong> the well-being <strong>of</strong> the general<br />

public.<br />

The international award committee<br />

called Samet, who is chairman <strong>of</strong> the<br />

Epidemiology Department at Johns Hopkins<br />

Bloomberg School <strong>of</strong> Public Health, the<br />

“ world’s leading environmental epidemiologist,<br />

especially on the health effects <strong>of</strong> air<br />

quality.” According to the awards announcement,<br />

Samet, “has carried out policy-relevant<br />

research on critical air pollution and, importantly,<br />

stepped<br />

forward to assure<br />

that the findings<br />

from his work,<br />

and that <strong>of</strong> others,<br />

has benefited the<br />

public’s health.<br />

He demonstrated<br />

the devastating<br />

Johnathan M.<br />

Samet, M.D.<br />

impacts <strong>of</strong> ambient<br />

air pollution and<br />

smoking on health.<br />

Pr<strong>of</strong>essor Samet<br />

and colleagues<br />

developed the<br />

research techniques to monitor time trends<br />

and risks <strong>of</strong> ambient air pollution that have<br />

been widely used around the world. He<br />

played an especially important role in translating<br />

sophisticated scientific data into<br />

information readily understood by the media,<br />

laypersons, regulators and policymakers.<br />

Pr<strong>of</strong>essor Samet’s work has sparked a global<br />

movement for improving the air quality.”<br />

Samet is credited with coining the<br />

phrase “second-hand smoke.” His work in<br />

a Minnesota court case, in which 39 million<br />

tobacco documents were made public, helped<br />

lead to the 1998 settlement in which the<br />

tobacco industry paid more than $250 billion<br />

to plaintiff states.<br />

Samet joined fellow honoree Norman<br />

Sartorius, M.D., a psychiatry pr<strong>of</strong>essor at the<br />

<strong>University</strong> <strong>of</strong> Geneva in Switzerland, who<br />

established a classification <strong>of</strong> mental<br />

SPRING / SUMMER <strong>2005</strong> 31


disorders that has led to advances in<br />

diagnosis, treatment and mental health<br />

research worldwide. The two were chosen<br />

from 60 medical practitioners and researchers<br />

nominated from all over the world. The selection<br />

process is held annually by the Prince<br />

Mahidol Foundation, chaired by HRH Princess<br />

Maha Chakri Sirindhorn.<br />

John C. Morris<br />

receives MetLife<br />

Foundation Award<br />

John C. Morris, M.D. (M ’74), was one <strong>of</strong> four<br />

recipients <strong>of</strong> a <strong>2005</strong> MetLife Foundation<br />

Award for <strong>Medical</strong> Research in Alzheimer’s<br />

Disease. The award recognizes scientists<br />

for their clinical research on early detection<br />

and diagnosis <strong>of</strong> Alzheimer’s disease (AD).<br />

A total <strong>of</strong> $700,000 was shared by the winners<br />

to further work in AD research.<br />

Morris was recognized for his work in<br />

developing clinical methods to identify the<br />

earliest symptomatic stages <strong>of</strong> AD, evaluating<br />

new drug therapies in the treatment <strong>of</strong><br />

dementia, and establishing phenotypes for<br />

inherited forms <strong>of</strong> AD and other dementia.<br />

Morris is the Harvey A. and Dorismae Hacker<br />

Friedman Distinguished Pr<strong>of</strong>essor <strong>of</strong><br />

Neurology — with adjunct appointments as<br />

pr<strong>of</strong>essor in the Department <strong>of</strong> Pathology and<br />

Immunology and in the program <strong>of</strong> physical<br />

therapy — at Washington <strong>University</strong> School<br />

<strong>of</strong> Medicine in St. Louis, where he also<br />

directs the Alzheimer’s Disease Research<br />

<strong>Center</strong>, the Memory and Aging Project, and<br />

the <strong>Center</strong> for Aging. He is a member <strong>of</strong> the<br />

Board <strong>of</strong> Directors <strong>of</strong> the National Alzheimer’s<br />

Association and serves on numerous advisory<br />

and scientific boards for other organizations.<br />

Established in 1986, the MetLife<br />

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

in Alzheimer’s Disease recognize scientists<br />

who have made significant contributions<br />

to the understanding and treatment <strong>of</strong><br />

Alzheimer’s disease. At the heart <strong>of</strong> the<br />

program is a belief in the importance <strong>of</strong> basic<br />

research, with an emphasis on providing<br />

scientists with an opportunity to pursue ideas<br />

freely.<br />

Richard Paris, M.D.<br />

Richard Paris named<br />

Family Physician <strong>of</strong><br />

the Year<br />

The American Academy <strong>of</strong> Family Physicians<br />

(AAFP) named Richard Paris, M.D. (M ’76),<br />

the <strong>2005</strong> AAFP Family Physician <strong>of</strong> the Year.<br />

Paris is a practicing family physician and<br />

chief <strong>of</strong> the medical staff for Blaine County<br />

Hospital in Hailey, Idaho.<br />

Paris has been caring for patients<br />

in his community for almost 25 years. In addition<br />

to his patients in Hailey, Paris serves as<br />

medical director <strong>of</strong> a rural health clinic<br />

in Challis, a mountain outpost 130 miles from<br />

Hailey. To reach some <strong>of</strong> his more remotempatients,<br />

Paris hops in his small plane and<br />

flies to them.<br />

Back in town, Paris is known for his<br />

work in merging two smaller, regional hospitals<br />

into one facility with more advanced<br />

services. He also teaches at the <strong>University</strong><br />

<strong>of</strong> Washington School <strong>of</strong> Medicine, including<br />

a program for medical students advancing<br />

into their second year <strong>of</strong> training and a rural<br />

program for third-year students.<br />

After receiving his medical degree from<br />

<strong>Rochester</strong>, Paris completed a family practice<br />

residency at the <strong>University</strong> <strong>of</strong> Arizona in Tucson.<br />

Jack Caton receives<br />

national periodontal<br />

award<br />

Jack G. Caton, D.D.S. (MS ’73), has won the<br />

American Academy <strong>of</strong> Periodontology (AAP)<br />

Gold Medal Award in recognition <strong>of</strong> his<br />

outstanding contributions in periodontal<br />

research, education and service. Caton<br />

received the award, the AAP’s top honor, at<br />

the 90th annual academy meeting held in<br />

November in Florida.<br />

Caton, clinical pr<strong>of</strong>essor in the<br />

Eastman Department <strong>of</strong> Dentistry and<br />

program director and chair <strong>of</strong> the Division<br />

<strong>of</strong> Periodontology, also received the<br />

Academy’s Special<br />

Citation for<br />

co-chairing the 2003<br />

Evidence-Based<br />

Workshop on<br />

Contemporary<br />

Science in Clinical<br />

Periodontics. He<br />

has been on the<br />

Jack G. Caton, D.D.S. Eastman faculty<br />

since 1973. He<br />

serves as director<br />

<strong>of</strong> the AAP<br />

Foundation Board.<br />

Upon hearing<br />

<strong>of</strong> the award, Cyril Meyerowitz, pr<strong>of</strong>essor<br />

and chair <strong>of</strong> the Department <strong>of</strong> Dentistry and<br />

director <strong>of</strong> Eastman Dental <strong>Center</strong>, said,<br />

“ I am extremely pleased that the Academy has<br />

bestowed its highest honor on Jack Caton. He<br />

has given 100 percent to his role<br />

32<br />

ROCHESTER MEDICINE


as educator and researcher over the past<br />

31 years at Eastman. He is respected by<br />

residents and faculty and maintains a consistently<br />

high level <strong>of</strong> pr<strong>of</strong>essionalism within our<br />

Periodontics program as well as in the AAP<br />

and all his national affiliations.”<br />

Caton is a past president <strong>of</strong> the<br />

AAP and past chair <strong>of</strong> the American Board <strong>of</strong><br />

Periodontology. He received his dental degree<br />

from the <strong>University</strong> <strong>of</strong> California Dental<br />

School and his periodontal specialty<br />

certificate from Eastman Dental <strong>Center</strong> in<br />

1973. He also earned his M.S. degree from<br />

the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> in 1973. Canton<br />

has been on the Eastman faculty since 1973<br />

and has served as division chair and program<br />

director since 1990. He and his graduate<br />

students have conducted research in<br />

periodontal wound healing, animal models,<br />

diagnosis, and human clinical trials. He has<br />

authored more than 80 publications.<br />

Caton serves as associate editor <strong>of</strong><br />

the Journal <strong>of</strong> Periodontology; a commissioner<br />

on the Commission on Dental<br />

Paul Levy, M.D. (R ’86), at left, was honored at Convocation as the inaugural recipient <strong>of</strong> the Ralph<br />

Prince Endowed Pr<strong>of</strong>essorship in Medicine. He is with the award’s namesake, Ralph Prince, M.D.<br />

(M ’43), and Bradford Berk, M.D., Ph.D. (M ’81, PHD ’81), pr<strong>of</strong>essor <strong>of</strong> medicine and director <strong>of</strong><br />

the <strong>Center</strong> for Cardiovascular Research. The pr<strong>of</strong>essorship, made possible by a gift from the Mary<br />

Whipple Clark estate, was established to promote the practice and teaching <strong>of</strong> exemplary medical<br />

care by supporting the efforts <strong>of</strong> an outstanding physician-education in primary care medicine.<br />

The pr<strong>of</strong>essorship honors Prince, a prominent physician in <strong>Rochester</strong> for many years, who had a clinical<br />

faculty appointment in the Department <strong>of</strong> Medicine until his retirement in 1987. Levy, who joined<br />

the faculty in 1989, is an associate pr<strong>of</strong>essor and vice chair in the Department <strong>of</strong> Medicine. He<br />

oversees clinical program development and the department's quality assurance activities. Levy<br />

obtained his medical degree from Ohio State <strong>University</strong> and completed an internal medicine<br />

residency at Strong Memorial Hospital, where he also served as chief resident in internal medicine.<br />

Accreditation (CODA), chair <strong>of</strong> the Periodontics<br />

Advisory Committee <strong>of</strong> CODA, and director <strong>of</strong><br />

the American Academy <strong>of</strong> Periodontology<br />

Foundation Board.<br />

Ezra Amsterdam<br />

receives national<br />

Gifted Teacher Award<br />

The American College <strong>of</strong> Cardiology<br />

presented Ezra Amsterdam, M.D., F.A.C.C.<br />

(M ’62), with a Gifted Teacher Award at its<br />

54th Annual Scientific Session in Orlando,<br />

Fla., on March 7.<br />

Dr. Amsterdam was honored for his<br />

31 years <strong>of</strong> inspiration and mentoring to<br />

thousands <strong>of</strong> students, fellows, residents<br />

and practicing physicians as a pr<strong>of</strong>essor in<br />

the School <strong>of</strong> Medicine at UC Davis. He has<br />

gained national recognition for the role he<br />

played in developing the Chest Pain <strong>Center</strong><br />

concept, innovative medical school courses,<br />

and research on such groundbreaking<br />

subjects as acute coronary syndromes,<br />

preventive cardiology, and heart failure<br />

and exercise.<br />

Over the years, Amsterdam has<br />

received 15 teaching awards and citations<br />

from his students at UC Davis and the<br />

community. He has been named among<br />

the “best doctors in America” five years<br />

in a row and a “top doctor” in 2003 by The<br />

Best Doctors in America, National Reference<br />

Dictionary.<br />

He also has promoted cardiology<br />

education with more than 500 articles, book<br />

chapters and editorials on cardiology, more<br />

than 600 abstracts, and scores <strong>of</strong> educational<br />

videotapes, books and monographs. He is<br />

founder and editor-in-chief <strong>of</strong> Preventive<br />

Cardiology and has served on the editorial<br />

boards, or as an editor, for over 20 journals.<br />

SPRING / SUMMER <strong>2005</strong> 33


medical center rounds<br />

Regional poison center<br />

renamed in honor <strong>of</strong><br />

Ruth Lawrence<br />

The Finger Lakes Regional Poison and<br />

Drug Information <strong>Center</strong> celebrated its 50th<br />

anniversary last November by renaming itself<br />

after longtime director Ruth A. Lawrence, M.D.<br />

(M ’49, R ’58).<br />

Lawrence, the program’s medical<br />

director since 1958, said the name change<br />

is “an incredible honor. It is a humbling<br />

experience to ponder that this remarkable<br />

program would be renamed,” she said.<br />

“ I’m very grateful to my colleagues.”<br />

No one is more deserving, says<br />

C. McCollister “Mac” Evarts, M.D., CEO, <strong>Medical</strong><br />

<strong>Center</strong> and Strong<br />

Health:<br />

“ Dr. Lawrence has<br />

been a national<br />

leader in the<br />

toxicology field<br />

for nearly 50 years.<br />

During hard times,<br />

she always has<br />

done what is<br />

Ruth Lawrence, M.D.<br />

necessary and<br />

right to keep this<br />

tremendous public<br />

service afloat. There<br />

is no doubt that<br />

renaming the poison center in her honor is<br />

the right decision.”<br />

Lawrence’s involvement with the poison<br />

center dates back nearly five decades, almost<br />

to its infancy. In 1954, local physicians with a<br />

fascination for poison prevention were<br />

preparing to do the outrageous … answer<br />

emergency phone calls from the public.<br />

Such a service was unheard <strong>of</strong> 50 years ago,<br />

but thanks to visionary physicians in <strong>Rochester</strong>,<br />

a call-center revolution was afoot. Upon its<br />

inception, it was only the second poison center<br />

in the nation; the original in Chicago accepted<br />

inquiries only from the medical community.<br />

During the next decade, hundreds <strong>of</strong> poison<br />

centers — all answering calls from the<br />

public — sprang up across the country.<br />

Today, the Ruth A. Lawrence Finger<br />

Lakes Regional Poison and Drug Information<br />

<strong>Center</strong> — forerunner to the 64 other poison<br />

centers throughout the nation — is celebrating<br />

50 years <strong>of</strong> free community service.<br />

During its first year, it received little more<br />

than 100 calls. These days, a typical year<br />

involves more than 25,000 public queries.<br />

<strong>Rochester</strong> started its poison center at<br />

the urging <strong>of</strong> state and federal governments,<br />

which recognized the work being done at<br />

the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong>.<br />

Doctors there were positioning themselves as<br />

international pioneers in terms <strong>of</strong> collecting,<br />

organizing, and quickly dispensing lifesaving<br />

information about potential poisonings.<br />

In addition to her work in the field <strong>of</strong><br />

poisons and toxicology, Lawrence is a worldrenowned<br />

expert on breastfeeding and<br />

neonatology. In 1949, she became the first<br />

female resident in the history <strong>of</strong> the Yale<br />

<strong>University</strong> School <strong>of</strong> Medicine. In the late 1960s,<br />

she helped colleagues place the first baby in<br />

the world on a ventilator here in <strong>Rochester</strong>.<br />

In 1995, Lawrence joined other health care<br />

pr<strong>of</strong>essionals on a trip to the Vatican to meet<br />

with Pope John Paul II. Their mission was to<br />

convince the Catholic Church to endorse<br />

breastfeeding, which it did soon afterward.<br />

Lawrence also founded the<br />

Breastfeeding and Human Lactation Study<br />

<strong>Center</strong>, based at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />

<strong>Medical</strong> <strong>Center</strong>. She is the author <strong>of</strong> what<br />

many consider the Bible <strong>of</strong> breastfeeding,<br />

Breastfeeding: A Guide for the <strong>Medical</strong><br />

Pr<strong>of</strong>ession, which has been printed in English,<br />

Japanese and Spanish.<br />

Orthopaedics<br />

Department celebrates<br />

30 years <strong>of</strong> growth<br />

It grew from five full-time faculty members<br />

to 49; from 5,000 patient visits a year to<br />

120,000; from 700 operations a year to 9,000;<br />

from virtually no research funding to $2.4<br />

million. With statistics like that, it was high<br />

time for a party.<br />

The Orthopaedics Department at the<br />

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

its 30th anniversary during last fall’s Reunion<br />

Weekend with a reception, dinner, scientific<br />

sessions, and an announcement <strong>of</strong> a generous<br />

gift from the family <strong>of</strong> former faculty member<br />

John D. States, M.D. States’ daughter,<br />

Katherine Burke, and her husband, T. Robert<br />

Burke, established two endowments in his<br />

honor: the $300,000 John D. States M.D.<br />

Orthopaedic Trauma Research Fund and<br />

Iain Currie, B ’82, Mary<br />

Ann Kiely, Dean David<br />

Guzick, Dr. Nathan<br />

Cohen, ’57, Rebecca<br />

Cohen, Dr. Todd<br />

Wasserman, ’72, R ’73,<br />

and Patty Wasserman<br />

at the third annual<br />

URMC Alumni<br />

Reception in Boca<br />

Raton.<br />

34<br />

ROCHESTER MEDICINE


$50,000 for the John D. States M.D.<br />

Lectureship in Orthopaedic Trauma Studies.<br />

The heart and soul <strong>of</strong> the celebration<br />

was a reunion, with alumni from all eras<br />

converging on <strong>Rochester</strong> — even some dating<br />

back to the 1960s, when Orthopaedics was<br />

still a division, not a separate department.<br />

Alumni got to take a tour <strong>of</strong> the new<br />

Orthopaedics facilities at Clinton Crossings,<br />

<strong>of</strong>f the main campus <strong>of</strong> the <strong>Medical</strong> <strong>Center</strong>.<br />

That, along with the event itself, was a<br />

reminder <strong>of</strong> how far the department has come.<br />

“It was a celebration <strong>of</strong> the growth<br />

<strong>of</strong> a department from very modest beginnings<br />

to now being one <strong>of</strong> the premier research,<br />

educational, and patient care orthopaedic<br />

departments in the country,” said Richard<br />

Burton, M.D. (R ’64), pr<strong>of</strong>essor <strong>of</strong> orthopaedics<br />

and past chair <strong>of</strong> the department.<br />

Dr. Burton points out that the department’s<br />

full-time faculty and past faculty<br />

include the president <strong>of</strong> the American<br />

Academy <strong>of</strong> Orthopaedic Surgeons, the<br />

American Orthopaedic Association, the<br />

Orthopaedic Research Society, the American<br />

Board <strong>of</strong> Orthopaedic Surgery, the American<br />

Society for Surgery <strong>of</strong> the Hand, the American<br />

Orthoscopy Association <strong>of</strong> North America,<br />

the International Knee Society, and two<br />

presidents <strong>of</strong> the Scoliosis Research Society.<br />

And <strong>Rochester</strong> faculty boast 30 straight years<br />

<strong>of</strong> having a director on the American Board<br />

<strong>of</strong> Othopaedic Surgery and chairing the<br />

Orthopaedic Residency Review Committee.<br />

“I would submit that that is probably<br />

unsurpassed,” said Dr. Burton. “I think it’s<br />

unique in the United States.”<br />

Office <strong>of</strong> Corporate<br />

Alliances launched<br />

at the <strong>Medical</strong> <strong>Center</strong><br />

The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />

has announced the formation <strong>of</strong> the Office <strong>of</strong><br />

Corporate Alliances (OCA). Its mission is to<br />

partner <strong>Medical</strong> <strong>Center</strong> biomedical research<br />

strengths with corporate interests, helping<br />

to facilitate the dynamic transfer <strong>of</strong> science<br />

and technology from the academic laboratory<br />

to the realm <strong>of</strong> medical advancement. OCA is<br />

headed by Andrew Deubler, senior associate<br />

vice president.<br />

“OCA is solely focused on providing<br />

an initial point <strong>of</strong> contact between <strong>Medical</strong><br />

<strong>Center</strong> scientists and corporations with wellvetted<br />

matching interests and core values,”<br />

said Deubler. “It represents a marketing<br />

approach to achieving incremental funding<br />

for the biomedical research enterprise.”<br />

Today, even the National Institutes<br />

<strong>of</strong> Health is encouraging “public-private<br />

partnerships.” New mandates and shifting<br />

paradigms in research are giving rise to a<br />

new level <strong>of</strong> industry relations at leading<br />

academic health centers across the nation.<br />

“Though traditionally viewed as lowyield<br />

ventures, partnerships between<br />

academia and private industry are increasingly<br />

attractive,” said C. McCollister Evarts,<br />

senior vice president and vice provost for<br />

health affairs, CEO <strong>Medical</strong> <strong>Center</strong> and Strong<br />

Health. “Industry is drawn to academia’s<br />

ability to manage upstream, broadly cast<br />

research and development. And as science<br />

advances at unprecedented rates, scientists<br />

and universities are in need <strong>of</strong> non-traditional<br />

revenue streams to support the exploration<br />

and development <strong>of</strong> novel approaches to<br />

disease.”<br />

Forward-thinking universities and<br />

corporations are leveraging each other’s<br />

strengths and complementary interests. OCA<br />

lends added marketing support to the highly<br />

successful <strong>Medical</strong> <strong>Center</strong> Office <strong>of</strong><br />

Technology Transfer and the <strong>University</strong>’s<br />

Office <strong>of</strong> Research Project Administration.<br />

Numerous startup companies and licensing<br />

agreements have been forged in recent years<br />

with biotech, pharmaceutical, and consumer<br />

products companies.<br />

OCA’s immediate objectives are to<br />

increase extramurally funded projects by<br />

expanding the number <strong>of</strong> industry-sponsored<br />

research projects; expand the utilization <strong>of</strong><br />

core resources; provide new streams <strong>of</strong> incremental<br />

revenue; and increase the level <strong>of</strong><br />

venture funding in <strong>Medical</strong> <strong>Center</strong> technologies<br />

and startup companies.<br />

One critical resource for OCA is the<br />

School <strong>of</strong> Medicine and Dentistry’s<br />

“ Commercial Link.” An initiative <strong>of</strong> the Alumni<br />

Council, Commercial Link matches experienced<br />

alumni with faculty expertise, on an<br />

as-needed voluntary basis. Alumni <strong>of</strong>fer<br />

counsel to faculty to advance the process <strong>of</strong><br />

creating viable private ventures, licensure<br />

agreements, and opportunities for sponsored<br />

research. Their role might be to advise on<br />

research plans in relation to the needs <strong>of</strong> the<br />

market or specific diseases, <strong>of</strong>fer an assessment<br />

<strong>of</strong> business plans, or make connections<br />

with potential investors.<br />

“Commercial Link taps the knowledge<br />

and experience <strong>of</strong> scientists and physicians,<br />

and we invite all <strong>of</strong> our fellow alumni<br />

with particular areas <strong>of</strong> biomedical research<br />

expertise to participate as registered<br />

advisors,” said Robert Sutherland (Ph.D.’66),<br />

Alumni Council Executive Committee member,<br />

president <strong>of</strong> Varian Biosynergy, Inc., and vice<br />

president <strong>of</strong> Varian <strong>Medical</strong> Systems.<br />

To participate in Commercial Link,<br />

complete the online survey at<br />

www.urmc.rochester.edu/smd/alumni/<br />

CommercialLink.htm or, contact the Office<br />

<strong>of</strong> Alumni Relations at 800–333–4428 or<br />

alumni@urmc.rochester.edu.<br />

SPRING / SUMMER <strong>2005</strong> 35


Alumni Generations<br />

Reflections on <strong>Rochester</strong> as a family tradition<br />

by James A. Gregg, M.D., Class <strong>of</strong> ’54<br />

(son <strong>of</strong> Donald E. Gregg, Ph.D. ’29, M.D., ’45)<br />

The <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> medical school,<br />

along with its philosophy and sense <strong>of</strong><br />

community, has been woven deep into my<br />

practice and that <strong>of</strong> my father.<br />

I graduated from <strong>Rochester</strong> in the<br />

Class <strong>of</strong> 1954. Proudly, we have just recently<br />

returned from our 50th medical school reunion<br />

with my dear wife, Veronica, and daughter,<br />

Lauren. While there for this event, I was able<br />

to reflect on what <strong>Rochester</strong> has meant to me<br />

and to my family.<br />

My father, Donald E. Gregg, M.D., Ph.D.,<br />

entered the first-ever medical school class<br />

at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong><br />

School. Finding his passion in physiology,<br />

he decided first to complete his Ph.D.<br />

at <strong>Rochester</strong>, transferring into the program<br />

after his second year at the medical school.<br />

From there, he went on to serve as<br />

pr<strong>of</strong>essor <strong>of</strong> physiology at Case Western<br />

reserve in Cleveland, Ohio. He returned to<br />

the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong> medical school<br />

to complete his M.D., from 1944 to 1945.<br />

His life work was coronary artery research.<br />

He was named the director <strong>of</strong> the<br />

Cardiovascular Research Laboratory at Walter<br />

Reed Army Hospital, in Washington, D.C.,<br />

where he carried on a very active and internationally<br />

acclaimed program. I enjoyed working<br />

one summer in his lab. My father was a<br />

Nobel Prize nominee, and in 1962 President<br />

Kennedy awarded him the Presidential Award<br />

for Distinguished Federal Civilian Service for<br />

his work in cardiovascular research.<br />

For as long as I can remember,<br />

I wanted to be a physician. My father thought<br />

so highly <strong>of</strong> the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />

School <strong>of</strong> Medicine and Dentistry that it was<br />

my first choice. I feel fortunate to have also<br />

had the opportunity to attend this school.<br />

The faculty was remarkable first as individuals,<br />

and also as excellent teachers who<br />

truly, and deeply, loved their work.<br />

In particular, I recall teaching sessions<br />

with Dr. George Whipple. Dr. Whipple was<br />

an incredible teacher in the truest sense <strong>of</strong><br />

the word and a kind and gentle man. He even<br />

made my interview a positive experience.<br />

I remember clearly being in the class where<br />

he showed his slides and taught us pathology.<br />

I feel very humbled to have known and<br />

James A. Gregg, M.D. and his father,<br />

Donald E. Gregg, M.D.<br />

worked with him. I carry his sense <strong>of</strong> service,<br />

inquiry and passion with me to this day.<br />

Amazingly, both my father and I worked<br />

with Dr. Whipple through our education.<br />

Veronica and I had our first child,<br />

Kathy Gregg, while I was at <strong>Rochester</strong>.<br />

Veronica was remarkable in all she did to<br />

make it possible for me to pursue medicine<br />

and to raise our five children. It was wonderful<br />

to go back to 80 Cook Street on our recent<br />

50th reunion to see our first residence as<br />

a family. I was filled with such wonderful<br />

memories <strong>of</strong> our time together at <strong>Rochester</strong>,<br />

where our unique Class <strong>of</strong> ’54 became like<br />

a second family to us.<br />

That is one quality I really admired<br />

about <strong>Rochester</strong> — the ability to foster this<br />

sense <strong>of</strong> community and shared responsibility<br />

toward our pr<strong>of</strong>ession, research and each<br />

other. You do not have to look further than our<br />

class to see all <strong>of</strong> the qualities that <strong>Rochester</strong><br />

instills and <strong>of</strong>fers its students.<br />

My career after <strong>Rochester</strong> brought me<br />

to Philadelphia General Hospital, where our<br />

son John was born during my internship and<br />

brief residency in pulmonary disease prior to<br />

being called into the Air Force for two years.<br />

From there, I went to the Mayo Clinic for<br />

more than 10 years, where my other three<br />

children were born (James, M.D., Lauren and<br />

David).<br />

My life’s work has been in gastroenterology,<br />

focusing on pancreatic and biliary<br />

tract disease and research. Following my<br />

work at the Mayo Clinic in <strong>Rochester</strong>, Minn.,<br />

I went to the Lahey Clinic, in Boston. I feel<br />

fortunate to have been involved in the early<br />

development <strong>of</strong> gastrointestinal endoscopy,<br />

particularly with endoscopic diagnosis and<br />

treatment <strong>of</strong> benign and malignant disorders<br />

<strong>of</strong> the biliary tract and pancreas, the study<br />

<strong>of</strong> pure pancreatic juice and the development<br />

<strong>of</strong> endoscopic sphincter <strong>of</strong> oddi manometry.<br />

My passion for my life’s work was<br />

always there, but the seeds <strong>of</strong> truly being<br />

a researcher and a physician were gently<br />

fostered at <strong>Rochester</strong>. We were challenged<br />

to be our best, to serve others and to not only<br />

ask questions, but to also take a role in<br />

finding the answers. Although it wasn’t easy<br />

at times, I believe I opened new doors to<br />

pancreatic and biliary treatment and research.<br />

Specifically, I was the first physician in<br />

the United States to do endoscopic pancreatic<br />

36<br />

ROCHESTER MEDICINE


sphincterotomy, which now has become<br />

a more mainstream treatment. I was also<br />

one <strong>of</strong> the first to describe and define the<br />

congenital anomaly pancreas divisum as an<br />

obstructive disorder <strong>of</strong> the dorsal pancreatic<br />

sphincter, commonly associated with indeterminate<br />

pancreatic pain, with or without acute<br />

or chronic pancreatitis and its relief by<br />

endoscopic/or surgical sphincteroplasty <strong>of</strong><br />

the dorsal pancreatic sphincter.<br />

My work extended into biliary sphincterotomies<br />

in treating patients with biliary<br />

sphincter disorders and/or common duct<br />

stones, and the use <strong>of</strong> pancreatic and biliary<br />

stents. The confidence to embark on these<br />

uncharted waters rests largely with the<br />

experiences and expectations that <strong>Rochester</strong><br />

afforded us as young physicians. I continue<br />

to practice privately and enjoy the chance to<br />

give back what I have been given and play<br />

a role in the lives <strong>of</strong> those I serve.<br />

After the Lahey Clinic, I spent most<br />

<strong>of</strong> my career at the New England Baptist<br />

and the New England Deaconess hospitals,<br />

in Boston. It was here that my daughter<br />

Lauren nurtured her own career in medicine.<br />

She spent countless hours observing and<br />

helping with research papers, past and<br />

present, including a special paper we<br />

co-authored. Lauren is currently an applicant<br />

for admission at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong><br />

School <strong>of</strong> Medicine and Dentistry, having<br />

recently had her interview there. She is a<br />

bright, caring and talented individual (Olympic<br />

Gold medalist in women’s soccer, with a<br />

master’s in chemistry!) who embodies so<br />

much <strong>of</strong> what <strong>Rochester</strong> is founded on.<br />

If accepted, Lauren will be a third generation<br />

<strong>of</strong> Greggs at the School <strong>of</strong> Medicine —<br />

a tradition I know she is excited to share.<br />

I am thankful for all that the <strong>University</strong><br />

<strong>of</strong> <strong>Rochester</strong> medical school has given me<br />

and my family.<br />

A gift <strong>of</strong> retirement fund<br />

assets makes good tax<br />

sense, says alumnus<br />

Daniel J. Fink, M.D. (M ’74), enjoyed his years studying medicine at <strong>Rochester</strong>. He then completed<br />

an internal medicine residency at the <strong>University</strong> <strong>of</strong> Cincinnati <strong>Medical</strong> <strong>Center</strong>, served as a Robert<br />

Wood Johnson Foundation Clinical Scholar at the <strong>University</strong> <strong>of</strong> Pennsylvania and received an M.B.A.<br />

in health care administration from the Wharton School. He has been medical director for case<br />

management at Cedars-Sinai <strong>Medical</strong> <strong>Center</strong> in Los Angeles for the last ten years.<br />

“Despite my M.B.A., I’m not an investment guru, but a health care manager. A few years ago,<br />

though, I read an article that said the IRS takes as much as 90% <strong>of</strong> tax-deferred retirement fund assets<br />

in taxes upon the death <strong>of</strong> the owner,” says Dr. Fink. “I’d rather give 100% <strong>of</strong> that money<br />

to <strong>Rochester</strong> than 90% to the government and only 10% to my children. I think that the UR School<br />

<strong>of</strong> Medicine and Dentistry is a well-run institution, and that’s why I have chosen to designate it<br />

as a major beneficiary <strong>of</strong> my retirement assets. It was easy to do, and I have described how the funds<br />

should be used.”<br />

Benefits <strong>of</strong> Making a Gift <strong>of</strong> Retirement Fund Assets at Death<br />

• A substantial gift can be accomplished without forfeiting the income from your IRA or<br />

other retirement assets during your lifetime.<br />

• Assets that may otherwise be fully income taxable to your heirs in the year <strong>of</strong> receipt pass<br />

to the <strong>University</strong> tax-free.<br />

• Estate tax is avoided.<br />

• You can designate how you want the School <strong>of</strong> Medicine and Dentistry to use your gift.<br />

• All <strong>of</strong> this can be simply accomplished through a beneficiary designation form available through<br />

your employer or retirement plan administrator.<br />

Philanthropy Simplified<br />

To learn more, please contact the Office <strong>of</strong> Trusts and Estates, 590 Mt. Hope Avenue, <strong>Rochester</strong>,<br />

New York 14620; 585–273–5904, 800–635–4672, or kreckel@alumni.rochester.edu.<br />

We also invite you to visit our Website at rochester.plannedgifts.org.<br />

Yes, please send more information on<br />

❑ Charitable Gift Annuities<br />

❑ Establishing a Scholarship Fund at the School <strong>of</strong> Medicine and Dentistry<br />

❑ Information about wills and other planned gifts<br />

Name<br />

Class Year<br />

Address<br />

City State Zip Phone<br />

❑ I’ve already included the School in my estate plans.<br />

SPRING / SUMMER <strong>2005</strong> 37


Match day<br />

The smiles from<br />

Match Day<br />

<strong>2005</strong><br />

38<br />

ROCHESTER MEDICINE


SPRING / SUMMER <strong>2005</strong> 39


class notes<br />

If you want to contact alumni,<br />

use the Online Directory at<br />

www.alumniconnections.com/URMC<br />

to find address information.<br />

Submit your class notes to your class agent or<br />

<strong>Rochester</strong>MedicineMagazine@<br />

urmc.rochester.edu.<br />

Note: MD alumni are listed alphabetically by<br />

class, graduate alumni are listed separately<br />

in alphabetical order, and resident and fellow<br />

alumni follow in alphabetical order.<br />

MD ALUMNI<br />

Class <strong>of</strong> 1949<br />

Ruth Lawrence is likely the longest running<br />

poison center director in America. She<br />

became director <strong>of</strong> the center— only the<br />

second such center to be founded in the<br />

United States — in 1958. On November 18,<br />

2004, the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong>-based Finger<br />

Lakes Regional Poison and Drug Information<br />

<strong>Center</strong> was named after her (see story in<br />

“Alumni News” section).<br />

“Dr. Lawrence is considered one <strong>of</strong> the<br />

pillars <strong>of</strong> the poison center movement,” said<br />

Dr. Michael McGuigan, director <strong>of</strong> the Long<br />

Island Poison and Drug Information <strong>Center</strong>.<br />

In <strong>2005</strong>, Lawrence was nominated for<br />

the prestigious Athena Award, which recognizes<br />

exemplary leadership and service in the<br />

<strong>Rochester</strong> area.<br />

Class <strong>of</strong> 1954<br />

Class agent Chloe Alexson reports:<br />

Jim Cotanche is very busy, not only working<br />

at a local food pantry providing for about<br />

120 families, but also caring for his orchid<br />

collection. He has about 100 orchid plants<br />

in his “small” greenhouse (how small can<br />

it be with that many orchids) and also helps<br />

care for the orchid collection at the Durfee<br />

Conservatory <strong>of</strong> the <strong>University</strong> <strong>of</strong><br />

Massachusetts.<br />

The Durfee is the home <strong>of</strong> the oldest<br />

glass greenhouses in the country and has a<br />

history going back to 1867. Jim, as a member<br />

<strong>of</strong> the Amherst Orchid Society, has joined with<br />

other volunteers to work with the collection <strong>of</strong><br />

five greenhouses, which includes a tropical<br />

rain forest, a house with hundred-year-old<br />

camellia trees, and about one hundred species<br />

<strong>of</strong> orchids. He describes it as “a great place<br />

for students to learn about all sorts <strong>of</strong> plants.”<br />

Clif and Gladys Peterson have spent more<br />

than forty years gathering a collection <strong>of</strong><br />

Oriental ivory sculpture. That collection is<br />

now on loan to the Villa Terrace Museum <strong>of</strong><br />

Decorative Arts in Milwaukee until early 2006.<br />

The catalog the Petersons published<br />

for the exhibit is filled not only with fascinating<br />

pictures <strong>of</strong> the sculptured pieces, but<br />

also a scholarly, in-depth discussion and<br />

interpretation <strong>of</strong> the stories behind the pieces,<br />

the meaning <strong>of</strong> the symbols and figures on the<br />

sculptures, and comments on the history <strong>of</strong><br />

this kind <strong>of</strong> Oriental art.<br />

Bob Willkens, who spent almost his entire<br />

pr<strong>of</strong>essional career in Seattle, celebrated his<br />

50th anniversary at the Harbor View Hospital,<br />

where he is the division head <strong>of</strong> arthritis and<br />

rheumatology and where he recently retired<br />

from his position as clinical pr<strong>of</strong>essor <strong>of</strong><br />

medicine emeritus and action section head <strong>of</strong><br />

rheumatology at Harborview <strong>Medical</strong> <strong>Center</strong>.<br />

Willkens, who has been widely recognized<br />

for his contributions to rheumatology,<br />

has received such honors as recognition by<br />

the American College <strong>of</strong> Rheumatology as<br />

a Master in 1995, and that organization’s<br />

Distinguished Rheumatologist Award in 1999.<br />

In recognition <strong>of</strong> his contributions, the<br />

<strong>University</strong> <strong>of</strong> Washington is establishing the<br />

Robert Willkens Endowed Pr<strong>of</strong>essorship in<br />

Rheumatology.<br />

Willkens has written an evocative reminiscence<br />

about his days as an intern at King<br />

County Hospital in 1954–1955. Any physician<br />

Dr. David Kluge ’54,<br />

Dr. Joseph Flatley<br />

’54, William Ford,<br />

Dr. Harold Brodell<br />

’54, Dr. Brewster<br />

Doust ’52 at a<br />

URMC Alumni Event<br />

on January 14.<br />

40<br />

ROCHESTER MEDICINE


Pauline Selbach,<br />

Betty Schlemitz,<br />

Adi Wester, and<br />

Gustav Selbach ’58<br />

at the third annual<br />

UR Florida <strong>Medical</strong><br />

Dental Nursing<br />

Alumni Meeting.<br />

reading it is immediately transported back<br />

to the days <strong>of</strong> endless shifts, personally done<br />

lab work, venipunctures without end, and no<br />

beepers or cell phones.<br />

On Sunday, February 6, <strong>2005</strong>, The Democrat<br />

and Chronicle, <strong>Rochester</strong>’s daily newspaper,<br />

published an editorial about Nat Hurst, our<br />

classmate, who died in 2000. Written by<br />

Dr. Donald Goldman, president <strong>of</strong> the Monroe<br />

County <strong>Medical</strong> Society, it gave a full, warm,<br />

and very complimentary summary <strong>of</strong> Nat’s life<br />

and included a wonderful picture <strong>of</strong> Nat that<br />

brought back many memories. In summary,<br />

Goldman called Hurst “truly a 20th-century<br />

American physician.”<br />

Class <strong>of</strong> 1955<br />

John P. Kelly <strong>of</strong> <strong>Rochester</strong>, N.Y., has been<br />

elected vice president <strong>of</strong> the American<br />

Society <strong>of</strong> Bariatric Physicians (ASBP).<br />

The ASBP, headquartered in Aurora, Colo.,<br />

is a national medical society <strong>of</strong> physicians<br />

and allied health personnel who <strong>of</strong>fer comprehensive<br />

medical weight-loss programs in<br />

the treatment <strong>of</strong> overweight and obesity as<br />

well as their associated conditions. During<br />

his term, Dr. Kelly will campaign for the<br />

acceptance <strong>of</strong> obesity as a disease as well<br />

as more recognition for the medical treatment<br />

<strong>of</strong> overweight and obesity.<br />

Class <strong>of</strong> 1956<br />

Richard H. Pollen (M ’56, R ’60) writes,<br />

“I am a senior partner in Potomac Physician<br />

Associates (Kensington, Md., and suburban<br />

D.C.), still working full time in internal medicine<br />

and endocrinology, with no plans to<br />

retire. I have five wonderful grandchildren!”<br />

Class <strong>of</strong> 1960<br />

William A. Peck (H.N.R. ’01) stepped down in<br />

2003 after 14 years as dean <strong>of</strong> the Washington<br />

<strong>University</strong> School <strong>of</strong> Medicine and executive<br />

vice chancellor for academic affairs. But he<br />

certainly did not retire. Last year he founded<br />

the <strong>University</strong>’s <strong>Center</strong> for Health Policy.<br />

As director, Dr. Peck leads the center’s study<br />

and analysis <strong>of</strong> social disparities in access<br />

to health care, the rising cost <strong>of</strong> health care<br />

for businesses, and the impact <strong>of</strong> new health<br />

product discoveries in and on the marketplace.<br />

Class <strong>of</strong> 1963<br />

Joseph L. Andrews writes, “In June I started<br />

the half-time practice <strong>of</strong> internal medicine<br />

and pulmonary medicine with a group<br />

practice. I am now working two 10-hour days<br />

with New England Allergy, Asthma and<br />

Immunology Associates in North Andover,<br />

Mass., about 30 miles north <strong>of</strong> where I live in<br />

Concord. I am enjoying both the ambulatory<br />

primary care and the specialist hospital<br />

aspects <strong>of</strong> my new medical work. This new<br />

arrangement gives me enough time to pursue<br />

my vocational interests as well. I still direct<br />

and guide for Concord Guides Walking Tours,<br />

“Revolution, Renaissance and Renewal in<br />

Concord” (www.concordguides.com). I am<br />

writing a book about early Jewish American<br />

history and doing public speaking about the<br />

subject, to help commemorate the 350th<br />

anniversary <strong>of</strong> Jewish settlement in America.<br />

“My son, Joe, and his wife, Lesley, live<br />

in San Francisco. Both work for Intuit, the<br />

business s<strong>of</strong>tware company in Mountain<br />

View. My daughter Jennifer will start her<br />

second year in the M.B.A. program at MIT’s<br />

Sloan School <strong>of</strong> Management, where she is<br />

part <strong>of</strong> the team that was runner-up in MIT’s<br />

2004 $50 K Entrepreneurship Competition.<br />

She is engaged to Adam Burke; they plan to<br />

marry next summer. Her twin sister, Sara, just<br />

graduated from Northwestern <strong>University</strong> Law<br />

School and is about to start her legal career<br />

working with Grey, Cary in San Francisco.”<br />

Class <strong>of</strong> 1964<br />

Robert Tatelbaum (M ’64, R ’69) was recently<br />

appointed chief <strong>of</strong> obstetrics and gynecology<br />

at <strong>Rochester</strong> General Hospital. Prior to that<br />

appointment, he served as associate<br />

pr<strong>of</strong>essor for OB/GYN at URMC and for the<br />

SPRING / SUMMER <strong>2005</strong> 41


Starting at the head <strong>of</strong> the table: Dr. Harold Brodell ’54, Jean Brodell ’54,<br />

Dr. David Kluge ’54, Beverly Kluge, Dr. Joseph Flatley ’54, Mary Flately,<br />

Dr. Lee Ford, H ’00, William Ford, Dr. Brewster Doust ’52 at a URMC<br />

alumni gathering.<br />

last four years as associate and acting<br />

chief <strong>of</strong> the OB/GYN department at <strong>Rochester</strong><br />

General Hospital.<br />

Class <strong>of</strong> 1966<br />

Frank W. LoGerfo <strong>of</strong> Cambridge, Mass.,<br />

chief <strong>of</strong> vascular surgery at Beth Israel<br />

Deaconess <strong>Medical</strong> <strong>Center</strong>, has been elected<br />

to the <strong>Medical</strong> <strong>Center</strong>’s Board <strong>of</strong> Trustees.<br />

Dr. LoGerfo is the William V. McDermott<br />

Pr<strong>of</strong>essor <strong>of</strong> Surgery at Harvard <strong>Medical</strong><br />

School. He is also an active member <strong>of</strong> the<br />

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

and Dentistry Alumni Council.<br />

Class <strong>of</strong> 1970<br />

California State Controller Steve Westly<br />

named Philip A. Pizzo to the Independent<br />

Citizen’s Oversight Committee, which will<br />

govern the California Institute for<br />

Regenerative Medicine established by<br />

Proposition 71, where he will help oversee<br />

stem-cell research in California. Dr. Pizzo has<br />

been dean <strong>of</strong> the Stanford School <strong>of</strong> Medicine<br />

since April 2001. Before joining Stanford, he<br />

was physician-in-chief <strong>of</strong> Children’s Hospital<br />

in Boston and chair <strong>of</strong> the Department <strong>of</strong><br />

Pediatrics at Harvard <strong>Medical</strong> School. He<br />

also held several leadership positions at the<br />

National Cancer Institute’s infectious disease,<br />

pediatric, and clinical sciences divisions.<br />

Jonathan M. Samet has been awarded<br />

the Prince Mahidol Award in the field <strong>of</strong><br />

public health (see story in “Alumni News”<br />

section).<br />

Class <strong>of</strong> 1974<br />

Gerald L. Strope has joined the Brody School<br />

<strong>of</strong> Medicine at East Carolina <strong>University</strong> as<br />

a clinical pr<strong>of</strong>essor in the Department <strong>of</strong><br />

Pediatrics. Dr. Strope specializes in the care<br />

<strong>of</strong> infants and children with lung diseases and<br />

breathing disorders. His areas <strong>of</strong> expertise<br />

include asthma, chronic lung disease, cystic<br />

fibrosis, technology dependence, pulmonary<br />

problems associated with disabilities, and<br />

the treatment <strong>of</strong> apnea and sleep disorders<br />

in infants and children.<br />

John A. Vanek is a writer and poet with works<br />

published in Heartlands, Natural Bridge,<br />

Pebble Lake Review, Common Threads,<br />

The Vincent Brothers Review, Tattoo Highway,<br />

The Litchfield Review, Biker Ally, The Journal<br />

<strong>of</strong> the American <strong>Medical</strong> Association,<br />

<strong>Medical</strong> Economics, and Red, White, and<br />

Blues— Poets on the Promise <strong>of</strong> America.<br />

His poem, “The People’s Republic,” is part <strong>of</strong><br />

the permanent collection <strong>of</strong> the George Bush<br />

Presidential Library and Museum.<br />

Class <strong>of</strong> 1981<br />

David B. Nash has accepted the position<br />

<strong>of</strong> editor for American Journal <strong>of</strong> <strong>Medical</strong><br />

Quality, the <strong>of</strong>ficial journal <strong>of</strong> the American<br />

College <strong>of</strong> <strong>Medical</strong> Quality. He was also<br />

named one <strong>of</strong> the top 100 influential people<br />

in health care for 2004 by Modern Healthcare<br />

magazine (see story in “Alumni News”<br />

section).<br />

42<br />

ROCHESTER MEDICINE


Class <strong>of</strong> 1994<br />

Steven Pflanz was elected vice president<br />

<strong>of</strong> the Academy <strong>of</strong> Organizational and<br />

Occupational Psychiatry and was appointed<br />

chair <strong>of</strong> the American Psychiatric<br />

Association’s Committee on Psychiatry in<br />

the Workplace. He remains in the USAF,<br />

assigned to McGuire AFB in New Jersey.<br />

Class <strong>of</strong> 1995<br />

Lisa Plotnik writes, “In September I moved<br />

to New Hampshire and have started with<br />

Dartmouth Hitchcock Manchester in the<br />

Departments <strong>of</strong> Internal Medicine and<br />

Pediatrics.”<br />

Class <strong>of</strong> 1996<br />

Timothy M. Beittel writes, “Daughter Andrea<br />

Alexis was born on October 3. She joins<br />

daughter Elaina and wife, Rebecca, to make<br />

my family <strong>of</strong> four. I continue as a family<br />

physician with Chair City Family Practice<br />

in Thomasville, N.C. I am on the Board <strong>of</strong><br />

Directors <strong>of</strong> the local hospital and my medical<br />

group, president <strong>of</strong> the County <strong>Medical</strong><br />

Society, and chair <strong>of</strong> the Young Physicians’<br />

Section <strong>of</strong> the State Society. I will take <strong>of</strong>fice<br />

as chief <strong>of</strong> staff <strong>of</strong> Thomasville <strong>Medical</strong><br />

<strong>Center</strong> in <strong>2005</strong>. I remain active in our church<br />

as well.”<br />

Benjamin A. Zerngast announces the birth <strong>of</strong><br />

his son, Zachary, on June 15, 2004.<br />

Class <strong>of</strong> 2004<br />

Jacqueline Guerrero recently established<br />

a scholarship at her high school for graduates<br />

who have decided to pursue a career in<br />

medicine. She is doing an OB/GYN residency<br />

at Kaiser Hospital in Los Angeles.<br />

GRADUATE ALUMNI<br />

Laurie (Griesinger) Ewing (M.P.H. ’04) married<br />

Jon Ewing on October 2 in Binghamton, N.Y.<br />

Laurie and Jon live in Chicago.<br />

Robert A. Scala (M.S. ’56, Ph.D. ’58) chaired<br />

an international panel for the federal<br />

Interagency Coordinating Committee on the<br />

Validation <strong>of</strong> Alternative Methods. The expert<br />

panel was charged with the evaluation <strong>of</strong> the<br />

current validation status <strong>of</strong> in vitro test<br />

methods for identifying ocular corrosives and<br />

severe irritants. The panel met at the National<br />

Institutes <strong>of</strong> Health January 10–13. The final<br />

report will be the basis for regulatory agency<br />

consideration and possible acceptance <strong>of</strong> one<br />

or more <strong>of</strong> the in vitro methods to replace<br />

intact animal testing.<br />

New York State governor George Pataki<br />

recently appointed Buddhi Man Shrestha<br />

(M.S. ’70, P.D.C. ’68, ’69) to the Rural Health<br />

Council, an advisory committee <strong>of</strong> 26 health<br />

pr<strong>of</strong>essionals from communities across the<br />

state that works to improve access to health<br />

care for the state’s rural residents. Shrestha<br />

holds several key positions in dentistry,<br />

including director <strong>of</strong> the state’s first Oral<br />

Health Technical Assistance <strong>Center</strong>, housed<br />

at <strong>Rochester</strong> Primary Care Network.<br />

Joseph M. Vitolo (Ph.D. ’00) was recently<br />

appointed director <strong>of</strong> the Advanced Care<br />

Clinic and director <strong>of</strong> the Advanced Training<br />

in General Dentistry program at Marquette<br />

<strong>University</strong> School <strong>of</strong> Dentistry in Milwaukee.<br />

RESIDENT/FELLOW ALUMNI<br />

Dahari Brooks (R ’01) has joined UMass<br />

Memorial <strong>Medical</strong> <strong>Center</strong> as a spine surgeon<br />

in the Department <strong>of</strong> Orthopaedics. He has<br />

also been appointed assistant pr<strong>of</strong>essor <strong>of</strong><br />

orthopaedics and rehabilitation at the<br />

<strong>University</strong> <strong>of</strong> Massachusetts medical school.<br />

A diplomate <strong>of</strong> the American Board <strong>of</strong><br />

Orthopaedic Surgery, Dr. Brooks earned his<br />

medical degree at Cornell <strong>University</strong> <strong>Medical</strong><br />

College, completed his orthopaedic surgery<br />

residency at the <strong>University</strong> <strong>of</strong> <strong>Rochester</strong>, and<br />

held an orthopaedic spine fellowship at the<br />

Syracuse <strong>University</strong> Health Science <strong>Center</strong>.<br />

Samuel A. Frank (R ’01) has joined Boston<br />

<strong>Medical</strong> <strong>Center</strong> as a neurologist and has been<br />

appointed assistant pr<strong>of</strong>essor <strong>of</strong> neurology at<br />

Boston <strong>University</strong> School <strong>of</strong> Medicine. He was<br />

an instructor <strong>of</strong> neurology at the <strong>University</strong> <strong>of</strong><br />

<strong>Rochester</strong> School <strong>of</strong> Medicine and Dentistry.<br />

John J. Fung (R ’84) has joined The Cleveland<br />

Clinic as chairman <strong>of</strong> the Department <strong>of</strong><br />

General Surgery and director <strong>of</strong> the<br />

Transplant <strong>Center</strong>. Dr. Fung, considered one <strong>of</strong><br />

the nation’s leading liver transplant surgeons,<br />

comes to The Cleveland Clinic after 18 years<br />

at the <strong>University</strong> <strong>of</strong> Pittsburgh <strong>Medical</strong> <strong>Center</strong>.<br />

John Goldberg (R ’02) is a fellow in pediatric<br />

oncology at the Dana Farber Cancer Institute<br />

and Children’s Hospital Boston. He is to marry<br />

Hillary Anne Michel Strong in October.<br />

Berkshire <strong>Medical</strong> <strong>Center</strong> announces the<br />

appointment <strong>of</strong> Andrew B. Lederman (R ’02)<br />

as a specialist in minimally invasive surgery,<br />

gastrointestinal surgery, flexible GI<br />

endoscopy, and weight-loss surgery for the<br />

treatment <strong>of</strong> severe obesity. Lederman is in<br />

practice at Surgical Specialists <strong>of</strong> Western<br />

New England, P.C.<br />

Robert P. Margolis (R ’80), who teaches<br />

clinical neurology at Washington <strong>University</strong><br />

School <strong>of</strong> Medicine, has joined Barnes-<br />

Jewish St. Peters Hospital. After spending<br />

25 years <strong>of</strong> practice in north St. Louis County,<br />

he recently expanded his practice to<br />

St. Peters.<br />

C. Gregory Martin (R ’79) was appointed<br />

interim president and chief executive <strong>of</strong>ficer<br />

<strong>of</strong> Emerson Hospital, a full-service, nonpr<strong>of</strong>it<br />

community hospital serving a population <strong>of</strong><br />

more than 220,000 people in a 25-town region.<br />

Dr. Martin has served on the Emerson<br />

Hospital Board since 2003 and as a member <strong>of</strong><br />

the active medical staff for the past five years.<br />

Jerry J. Marty (R ’79 ’82), a pathologist, has<br />

joined Quest Diagnostics, Inc. <strong>of</strong> Las Vegas as<br />

director <strong>of</strong> cytopathology and the fine needle<br />

aspiration service, and as medical director<br />

<strong>of</strong> the accredited School <strong>of</strong> Cytotechnology.<br />

The Florida Panthers announced the appointment<br />

<strong>of</strong> David A. Robbins (R ’93) to their<br />

club’s All-Star <strong>Medical</strong> Team, a group <strong>of</strong> elite<br />

members from the South Florida medical<br />

community who will provide world-class<br />

health care and services to the team.<br />

Dr. Robbins will be the Panthers’ team<br />

neurologist.<br />

SPRING / SUMMER <strong>2005</strong> 43


Kendrick Sears reports: The Class <strong>of</strong> ’59 held a mini 45th reunion<br />

on Sanibel Island in Florida on March 8th. Clearly this could become<br />

an annual affair. Should there be classmates who find themselves<br />

in Southwestern Florida regularly for February or March, getting<br />

in touch with the Cegelskis or Sommers’ could make it happen.<br />

Right to left: Elise de Papp, Jack Sadd, Bob Sommer, Rick Sears,<br />

Frank Cegelski, Val Sadd, Gracia Sears and Ann Cegelski.<br />

CLASS AGENTS<br />

1939<br />

Dr. John Frazer<br />

329 Orchard Park Blvd.<br />

<strong>Rochester</strong>, NY 14609<br />

585-288-4002<br />

1942<br />

Dr. Arthur Redmond<br />

210 Hollywood Ave.<br />

<strong>Rochester</strong>, NY 14618<br />

585-271-2339<br />

1943<br />

Dr. Ralph Prince<br />

17 Tobey Woods<br />

Pittsford, NY 14534<br />

585-586-9117<br />

1944<br />

Dr. Stuart Finch<br />

20 Avondale Ave.<br />

Haddonfield, NJ 08033<br />

856-427-0772<br />

spfinch@aol.com<br />

1949<br />

Drs. Ruth & Bob Lawrence<br />

1836 Clover St.<br />

<strong>Rochester</strong>, NY 14618<br />

585-461-0018<br />

ruth_lawrence@urmc.rochester.edu<br />

1950<br />

Dr. Theodore Vanzandt<br />

79 Stuyvesant Rd.<br />

Pittsford, NY 14534<br />

585-385-1183<br />

tedvz@aol.com<br />

1951<br />

Dr. George D’Angelo<br />

3232 Westwood Estates Dr.<br />

Erie, PA 16506<br />

814-833-9065<br />

gjdmd@adelphia.net<br />

1952<br />

Dr. Charles Lobeck, Jr.<br />

4697 South Golden Arrow Drive<br />

Green Valley, AZ 85614<br />

520-399-9218<br />

cclobeck@cox.net<br />

1954<br />

Dr. Chloe Alexson<br />

57 Inglewood Dr.<br />

<strong>Rochester</strong>, NY 14619<br />

585-328-4193<br />

drcgamd@aol.com<br />

1955<br />

Dr. Saul Milles<br />

304 Hotchkiss Rd.<br />

Orange, CT 06477<br />

203-795-4019<br />

docsaul@aol.com<br />

1956<br />

Dr. William Kern<br />

109 Breeze Haven Ter.<br />

Huddleston, VA 24104<br />

540-297-2312<br />

William.kern@prodigy.net<br />

1957<br />

Dr. C. McCollister Evarts<br />

Univ. <strong>of</strong> <strong>Rochester</strong> <strong>Medical</strong> <strong>Center</strong><br />

601 Elmwood Ave, Box 706<br />

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

Dr. Jules Cohen<br />

152 Burkedale Cres<br />

<strong>Rochester</strong>, NY 14625<br />

jules_cohen@urmc.rochester.edu<br />

1960<br />

Dr. I. Donald Stuard<br />

1507 Greenhill Rd.<br />

West Chester, PA 19380<br />

610-429-4362<br />

idstuard@alum.urmc.rochester.edu<br />

1961<br />

Dr. Hechmat Tabechian<br />

3901 East Ave.<br />

<strong>Rochester</strong>, NY 14618<br />

585-385-2413<br />

htab@rochester.rr.com<br />

1962<br />

Dr. Frederick Parker<br />

310 Dewittshire Rd. S.<br />

De Witt, NY 13214<br />

315-446-8495<br />

parkerf@upstate.edu<br />

1964<br />

Dr. Philip P. Bonanni<br />

9 Prospect Hill Rd.<br />

Pittsford, NY 14534<br />

585-271-2632<br />

philip_bonanni@urmc.rochester.edu<br />

1966<br />

Dr. Donald A. Grover<br />

21 Countryside Rd.<br />

Fairport, NY 14450<br />

585-385-3639<br />

dkgrover@frontiernet.net<br />

1970<br />

Dr. Philip A. Pizzo<br />

Stanford <strong>University</strong> School <strong>of</strong> Medicine<br />

300 Pasteur Dr., Suite M-121<br />

Stanford, CA 94305<br />

650-724-5688<br />

philip.pizzo@stanford.edu<br />

44<br />

ROCHESTER MEDICINE


1971<br />

Dr. Thomas McMeekin<br />

300 White Spruce Blvd.<br />

<strong>Rochester</strong>, NY 14623<br />

585-385-1500<br />

041745@msn.com<br />

1977<br />

Dr. Kathleen Gensheimer<br />

130 <strong>Center</strong> St.<br />

Bath, Maine 04530<br />

207-846-1053<br />

kathleen.f.gensheimer@state.me.us<br />

Dr. James Powers<br />

714 Darrow Dr.<br />

Pleasant View, TN 37146<br />

615-746-8917<br />

James.Powers@Vanderbilt.edu<br />

1980<br />

Dr. G. Allen Power<br />

150 Highland Ave.<br />

<strong>Rochester</strong>, NY 14620<br />

585-271-1680<br />

apower@stjohnshome.com<br />

1985<br />

Dr. Jessica Justman<br />

196 Villard Ave.<br />

Hastings on Hudson, NY 10706<br />

914-478-4631<br />

justman@aecom.yu.edu<br />

Dr. James Haley<br />

9 Bordeaux Way<br />

Fairport, NY 14450<br />

585-425-8520<br />

1990<br />

Dr. Peter S. Reichard<br />

25 Melrose Rd.<br />

Mountain Lakes, NJ 07046<br />

973-394-7995<br />

lpreichard@msn.com<br />

1999<br />

Dr. Hans Stohrer<br />

530 East 90th St., #2L<br />

New York, NY 10128<br />

718-458-1111<br />

haifanhans@msn.com<br />

2000<br />

Dr. Ivette Motola<br />

13 Linden Street, #3<br />

Brookline, MA 02445<br />

imotola@partners.org<br />

2002<br />

Dr. Pam Polashenski<br />

1190 Canandaigua Rd.<br />

Macedon, NY 14502<br />

315-986-4380<br />

ppolashe@mc.rochester.edu<br />

Dr. David Maine<br />

3900 N. Charles Street, #917<br />

Baltimore, MD 21218<br />

dmaine2@jhmi.edu<br />

2003<br />

Dr. Shana Katzel<br />

60 Hollywood Avenue<br />

<strong>Rochester</strong>, NY 14618<br />

shana_katzel@urmc.rochester.edu<br />

Members <strong>of</strong> the Alumni<br />

Council Executive<br />

Committee joined local<br />

San Diego Alumni for<br />

an event at the amazing<br />

San Diego Zoo on<br />

February 20.<br />

Meet the Alumni Council<br />

These dedicated alumni members meet twice<br />

a year to plan programs to benefit current<br />

<strong>Rochester</strong> students, coordinate volunteer<br />

efforts (such as alumni mentoring <strong>of</strong> students)<br />

and work on programs for the School and<br />

fellow alumni. They’re the <strong>University</strong> <strong>of</strong><br />

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

Alumni Council, with members representing<br />

all regions <strong>of</strong> the United States.<br />

Robert Caldwell, M.D. (M ’61, R ’69),<br />

serves as council president. Caldwell,<br />

who lives in <strong>Rochester</strong>, is clinical associate<br />

pr<strong>of</strong>essor <strong>of</strong> surgery. Robert Scala, (Ph.D. ’58),<br />

serves as vice president. Scala lives in<br />

Tucson, Arizona.<br />

The other members <strong>of</strong> the Council are:<br />

MEMBERS-AT-LARGE<br />

Dolores Bacon, M.D. Class <strong>of</strong> 1986<br />

Natalie Bello (Class <strong>of</strong> <strong>2005</strong>)<br />

Robert L. Brent, M.D., Ph.D. Class <strong>of</strong> 1953,<br />

Radiation Biology 1955<br />

Mary Anna Friederich, M.D. (M ’57, R ’62)<br />

Kathleen Gensheimer, M.D., M.P.H. (M ’77)<br />

Allan Inglis, M.D. Class <strong>of</strong> 1955<br />

Dennis Kraus, M.D. Class <strong>of</strong> 1985<br />

Frank LoGerfo, M.D. Class <strong>of</strong> 1966<br />

Luke Loveys, M.D. Class <strong>of</strong> 1990,<br />

Resident 1996<br />

Michael McKenna, Ph.D. Toxicology 1975<br />

Robert Murray, M.D. Class <strong>of</strong> 1958<br />

Carol Nadelson, M.D. (M ’61, R ’62)<br />

Robert Sutherland, Ph.D. Biophysics 1966<br />

Hechmat Tabechian, M.D., Ph.D. Class <strong>of</strong> 1961<br />

Chad Teeters, M.D. (Resident in Internal<br />

Medicine)<br />

Jill Weimer (M.S. ’04) Ph.D. candidate <strong>2005</strong><br />

Mark Weinstein, M.D. Class <strong>of</strong> 1969<br />

EX OFFICIO MEMBERS<br />

Chloe Alexson, M.D. Class <strong>of</strong> 1954,<br />

Resident 1957, Fellow 1959<br />

C. McCollister Evarts, M.D. Class <strong>of</strong> 1957,<br />

Resident 1964<br />

I. Donald Stuard, M.D. Class <strong>of</strong> 1960<br />

Congratulations to our Student Alumni Council<br />

representatives Natalie Bello & Jill Weimer as<br />

they graduate!<br />

SPRING / SUMMER <strong>2005</strong> 45


in memoriam<br />

Norman Ashenburg, M.D. (M ’53)<br />

Courtesy <strong>of</strong> the Democrat and Chronicle<br />

Lauren Stanforth, staff writer<br />

(February 8, <strong>2005</strong>) Hugh Irwin played golf with<br />

Dr. Norman Ashenburg at the Locust Hill<br />

Country Club for 20 years.<br />

But it wasn’t until he read his dear<br />

friend’s paid obituary Sunday that Irwin<br />

learned the extent <strong>of</strong> Dr. Ashenburg’s contributions<br />

to the <strong>Rochester</strong> community.<br />

“He never boasted, whether on, or <strong>of</strong>f,<br />

the course,” said Irwin, 82, <strong>of</strong> Pittsford.<br />

There was plenty Dr. Ashenburg could<br />

have regaled his friends about while teeing<br />

<strong>of</strong>f the greens. Dr. Ashenburg, who was<br />

sidelined from being a doctor until his late<br />

30s because <strong>of</strong> military service and illness,<br />

was Eastman Kodak Co.’s medical director<br />

in the 1970s and became a champion <strong>of</strong><br />

environmental cleanup before there were<br />

such champions.<br />

Dr. Ashenburg, most recently <strong>of</strong><br />

Brighton, died Friday, Feb. 4, after years <strong>of</strong><br />

battling heart disease. He was 87.<br />

Dr. Ashenburg grew up in East<br />

<strong>Rochester</strong> in the 1920s and 1930s, the son <strong>of</strong><br />

a Hickey-Freeman tailor.<br />

He was devoted to the <strong>University</strong> <strong>of</strong><br />

<strong>Rochester</strong> from the start. He started college<br />

there at age 16. But when he got his bachelor’s<br />

degree at age 20, the <strong>University</strong> said<br />

he was too young to attend medical school.<br />

So Dr. Ashenburg decided to get a<br />

doctorate in bacteriology at UR in the meantime.<br />

He was in the middle <strong>of</strong> his studies<br />

when he joined the U.S. Navy in 1942.<br />

Dr. Ashenburg, who became a lieutenant,<br />

learned after returning from World War II<br />

that he had become a different kind <strong>of</strong><br />

casualty — to the disease tuberculosis.<br />

He spent a year at a sanitarium on<br />

the Iola campus on East Henrietta Road.<br />

His eldest daughter, Katherine Ashenburg,<br />

who is an author and freelance writer from<br />

Toronto, said her first memories as a toddler<br />

were <strong>of</strong> visiting her father there. “The only<br />

treatment was to eat enormously and rest.<br />

He got very fat and did a lot <strong>of</strong> reading,” she<br />

said.<br />

Dr. Ashenburg was finally able to enroll<br />

in medical school at UR; he graduated in 1951.<br />

He worked in research at UR until 1956, when<br />

he became a physician at Kodak.<br />

In 1968, Dr. Ashenburg became assistant<br />

medical director for the entire company,<br />

and in 1972 he became director.<br />

He served in that role until he retired<br />

in 1982.<br />

Regarding that promotion, Dr. Ashenburg<br />

“got hundreds <strong>of</strong> letters from people at Kodak<br />

saying ‘You deserve this,’” said his eldest<br />

son, Pittsford resident Norman “Buzz”<br />

Ashenburg, Jr., who is also a Kodak retiree.<br />

“But there were so many other people who<br />

said ‘Oh no’ because from that point on he<br />

didn’t see any patients.”<br />

Dr. Ashenburg was valued because he<br />

had a knack for listening closely to everyone<br />

he met.<br />

“He was always willing to listen to<br />

different viewpoints — that can be important<br />

on issues where people can get emotionally<br />

charged,” said Dr. Frank Browning, a fellow<br />

physician at Kodak from 1965 to 1989. “He was<br />

a calming influence and really paid attention<br />

to everyone.”<br />

Dr. Ashenburg’s work as an occupational<br />

therapist also made him acutely aware<br />

<strong>of</strong> how the environment might affect people’s<br />

health.<br />

He was chairman <strong>of</strong> the Monroe<br />

County Water Resources Council in 1965,<br />

chairman <strong>of</strong> the state’s Action for Clean Air<br />

Committee in 1967, and member <strong>of</strong> the board<br />

<strong>of</strong> directors for the Health Council <strong>of</strong> Monroe<br />

County in 1969.<br />

He also served as president <strong>of</strong> the<br />

<strong>Rochester</strong> Academy <strong>of</strong> Medicine and on<br />

several boards that dealt with another <strong>of</strong> his<br />

interests — alcoholism and addiction.<br />

In Dr. Ashenburg’s retirement, he<br />

played golf at his beloved Locust Hill (he<br />

began caddying there at age 10), traveled and<br />

visited his five children and grandchildren.<br />

In the last six years, Dr. Ashenburg took it<br />

upon himself to care for his wife, Elsie,<br />

who suffers from Alzheimer’s disease.<br />

Dr. Ashenburg met his wife when she<br />

was a student and he was a teacher in a<br />

UR nursing class. They married in 1942.<br />

“He always said, ‘I waited until I gave her an<br />

“A” and then I began courting her,’” Katherine<br />

Ashenburg said.<br />

Other survivors include children Beth,<br />

Carole and Robert; 12 grandchildren; and<br />

three great-grandchildren.<br />

Donald G. Langsley, M.D. (M ’53)<br />

Courtesy <strong>of</strong> The APA<br />

Arlington, Va. — The American Psychiatric<br />

Association (APA) mourns the loss <strong>of</strong> Donald<br />

Gene Langsley, M.D., past APA president,<br />

who died peacefully on Jan. 13, at the age<br />

<strong>of</strong> 79, in Evanston, Ill. Dr. Langsley, a leading<br />

psychiatrist, educator, and nationally recognized<br />

expert on pr<strong>of</strong>essional accreditation<br />

and licensing, served as APA president from<br />

1980–1981.<br />

“Dr. Langsley was a great psychiatrist,<br />

teacher, mentor and friend. He believed in<br />

the importance <strong>of</strong> ethics and was a role<br />

model for medical students, residents, early<br />

career psychiatrists and colleagues,” said<br />

APA President Michelle B. Riba, M.D., M.S.<br />

“We will miss his wit, warmth, experience,<br />

intelligence and great sense <strong>of</strong> fairness and<br />

balance.”<br />

Born in Topeka, Kans., Dr. Langsley<br />

grew up in Monticello, N.Y., as the oldest<br />

<strong>of</strong> five children. He graduated from the State<br />

<strong>University</strong> <strong>of</strong> New York, Albany, in 1949, after<br />

serving in the U.S. Army from 1944 to 1946.<br />

He completed his medical degree at the<br />

46<br />

ROCHESTER MEDICINE


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

and Dentistry in 1953, and his internship with<br />

the U.S. Public Health Service VA hospitals in<br />

San Francisco. Dr. Langsley trained in psychiatry<br />

at the Langley Porter Neuropsychiatric<br />

Institute and Department <strong>of</strong> Psychiatry,<br />

<strong>University</strong> <strong>of</strong> California, San Francisco.<br />

Dr. Langsley became associate<br />

pr<strong>of</strong>essor <strong>of</strong> psychiatry at the <strong>University</strong> <strong>of</strong><br />

Colorado School <strong>of</strong> Medicine, and director <strong>of</strong><br />

the Colorado Psychopathic Hospital in Denver<br />

in 1961. There his interest evolved in treating<br />

patients with their families, instead <strong>of</strong><br />

removing them to institutions. His research<br />

was published in the volume The Treatment<br />

<strong>of</strong> Families in Crisis, for which he received<br />

APA’s H<strong>of</strong>fheimer Award. He completed his<br />

psychoanalysis training with the Institute for<br />

Psychoanalysis in Chicago in 1967.<br />

In 1968, Dr. Langsley joined the<br />

<strong>University</strong> <strong>of</strong> California at Davis School <strong>of</strong><br />

Medicine as the founding chair <strong>of</strong> the<br />

Department <strong>of</strong> Psychiatry. He is credited for<br />

building the psychiatry department from the<br />

ground up into one nationally respected for<br />

its excellence in teaching, research, and<br />

clinical service. At the same time he served<br />

Sacramento County as director <strong>of</strong> its mental<br />

health programs.<br />

Dr. Langsley was chair <strong>of</strong> the<br />

Department <strong>of</strong> Psychiatry at the <strong>University</strong><br />

<strong>of</strong> Cincinnati from 1976 to 1981. There he<br />

worked to bring a new vision <strong>of</strong> community<br />

psychiatry to the school <strong>of</strong> medicine, and he<br />

began to establish a setting for new research<br />

in biological-based psychiatry.<br />

As a recognized leader in training<br />

and certification <strong>of</strong> medical doctors, he then<br />

served as the head <strong>of</strong> the American Board <strong>of</strong><br />

<strong>Medical</strong> Specialties from 1981 until his retirement<br />

in 1991. Dr. Langsley continued to work<br />

for another 13 years after retirement, serving<br />

as chief <strong>of</strong> the VA Lakeside <strong>Medical</strong> <strong>Center</strong><br />

Psychiatry Service. He served as assistant to<br />

the president <strong>of</strong> the Northwestern Healthcare<br />

Network and the Disciplinary Committee <strong>of</strong><br />

the Illinois Department <strong>of</strong> Pr<strong>of</strong>essional<br />

Regulation.<br />

Dr. Langsley is survived by his wife,<br />

Pauline Royal Langsley, M.D.; their three<br />

daughters Karen Langsley, Dorrie Langsley<br />

Runman, and Susan Langsley; and grandchildren<br />

Zachary Norman, Kimberly Norman,<br />

and Jennifer Adams.<br />

Howard A. Spindler, M.D. (M ’38, R ‘43)<br />

Courtesy <strong>of</strong> the Democrat and Chronicle<br />

by James Goodman<br />

(December 29, 2004) — Although Dr. Howard<br />

A. Spindler delivered more than 8,000 babies<br />

during his medical career, each delivery<br />

seemed special to him.<br />

He became known locally for popularizing<br />

natural childbirth because he believed it<br />

maximized the joy <strong>of</strong> bringing someone into<br />

this world.<br />

And his concern about his patients<br />

carried over to everything he did as a doctor.<br />

Dr. Spindler, who died <strong>of</strong> cancer Dec.<br />

23 at the age <strong>of</strong> 91, is remembered by his<br />

family and friends as a compassionate doctor,<br />

skilled in his pr<strong>of</strong>ession and always kind<br />

toward his patients.<br />

“His whole life was dealing with<br />

patients and giving them extra care,” said<br />

Dr. Allan “Scott” Law, who had known<br />

Dr. Spindler for 50 years.<br />

Dr. Spindler became a pioneer in the<br />

use <strong>of</strong> natural childbirth here after reading<br />

medical literature and observing his own<br />

patients. Natural childbirth tries to minimize<br />

the need for medical intervention in the<br />

delivery, and he considered that best for<br />

the mother as well as the baby.<br />

That the Howard A. Spindler Birth<br />

<strong>Center</strong> at Strong Memorial Hospital bears<br />

his name is itself a measure <strong>of</strong> his influence.<br />

The center opened in 1987.<br />

Back then, he told the Democrat and<br />

Chronicle that when he began his medical<br />

career, the amount <strong>of</strong> medication typically<br />

used for childbirth was “ridiculous.”<br />

He went on to say, “Keeping the<br />

mother anesthetized overlooks the tremendous<br />

triumph a woman experiences when<br />

she delivers a baby.”<br />

Dr. Spindler, who specialized in obstetrics<br />

and gynecology, was known for his<br />

personal approach.<br />

“He would listen to people. He was<br />

very responsive to their needs,” said<br />

Dr. Richard Fullerton <strong>of</strong> Pittsford.<br />

Fullerton first met Dr. Spindler in 1952<br />

as a resident at Strong.<br />

In addition to having a private practice,<br />

Dr. Spindler was a clinical pr<strong>of</strong>essor at the<br />

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

Fullerton became a partner in<br />

Dr. Spindler’s <strong>Rochester</strong> medical practice<br />

in 1956 and in the late 1960s — with five other<br />

doctors — established the Westfall Park<br />

OB/GYN Group in Brighton. Dr. Spindler<br />

retired from practicing medicine in 1987,<br />

Fullerton noted.<br />

SPRING / SUMMER <strong>2005</strong><br />

47


Dr. Spindler was born in <strong>Rochester</strong>,<br />

graduated from West High School in 1931 and<br />

earned a degree from the <strong>University</strong> <strong>of</strong><br />

<strong>Rochester</strong> four years later. In 1938, he<br />

received his medical degree at UR.<br />

He met his wife-to-be, Barbara, while<br />

she was a nursing student. She died in 2000.<br />

After a year’s residency at Vanderbilt<br />

<strong>University</strong>, Dr. Spindler returned to complete<br />

his residency at Strong.<br />

In 1942, after the Japanese attack<br />

on Pearl Harbor, Dr. Spindler enlisted in the<br />

Navy. He spent much <strong>of</strong> the next four years<br />

on the USS Cotten, said his son, Howard.<br />

After the war, Dr. Spindler returned to<br />

<strong>Rochester</strong>, where he and his wife raised three<br />

children.<br />

He also became active in the <strong>Rochester</strong><br />

and Brighton Rotary clubs.<br />

“He was always service oriented,”<br />

said his son.<br />

In addition to his son, who lives in<br />

<strong>Rochester</strong>, Dr. Spindler is survived by two<br />

daughters, Kathryn Spindler-Virgin <strong>of</strong> New<br />

London, Conn., and Jacqueline Spindler <strong>of</strong><br />

Washington, D.C.; eight grandchildren and<br />

six great-grandchildren.<br />

In Memoriam<br />

Norman Ashenburg (BS ’38, MS ’40, MD ’51)<br />

John P. Bader (BS ’55, PhD ’60)<br />

Stanley Bolanowski (F ’82)<br />

Willard B. Christiansen (MD ’62)<br />

Patricia M. Clark (MD ’44)<br />

Harold M. Clarke (MD ’39)<br />

William C. Combs (MD ’49)<br />

Benedict J. Duffy, Jr. (MD ’44)<br />

James B. Dukes (MD ’46)<br />

Tamara L. Fisk (R ’94)<br />

H. Braden Fitz-Gerald (MD ’38)<br />

John D. George, Jr. (MD ’35)<br />

Richard S. Gilbert (MD ’52)<br />

John R. Holmes (MD ’45)<br />

Rollin M. Johnson (MD ’65)<br />

Donald G. Langsley (MD ’53)<br />

Edward J. Manwell (MD ’30)<br />

Dorothy McLean (MS ’34)<br />

Andrew McKane (MS ’57)<br />

Robert E. Milani (MS ’54)<br />

John H. Morton (R ’54)<br />

George A. Platt (R ’54)<br />

Warren E. Porter (MD ’47)<br />

Richard P. Sexton (R ’50)<br />

Howard A. Spindler (BS ’35, MD ’38, R ’43)<br />

Donald E. Terwilliger (MD ’58, R ’62)<br />

Robert L. Tuttle (MD ’47)<br />

Ralph G. Victor (MD ’43)<br />

Jaroslav J. Vostal (F ’68)<br />

Thomas B. Watt, Jr. (Phd ’61)<br />

Charles E. Weber (MD ’43)<br />

Richard H. Williamson (MD ’41)<br />

48<br />

ROCHESTER MEDICINE


In the neighborhood<br />

continued from page 14<br />

on a project to address the issues depicted in the book. Rather than choose<br />

a physical object such as a memorial statue, the students chose to organize<br />

a “Take Pride in Our Neighborhood Day.” The students worked with area<br />

organizations to pick up truckloads <strong>of</strong> trash, pull weeds, plant flowers and<br />

install smoke alarms in people’s houses. Their goal was to change the way<br />

people think about the neighborhood.<br />

It’s impossible to measure if the students changed people’s minds.<br />

But simply by taking part in these projects, they did their part in making<br />

their neighborhood a better place to live.<br />

Helping the helpers<br />

Dr. Pearson believes the key to community outreach is maintaining<br />

a healthy amount <strong>of</strong> humility.<br />

“There’s always a trust-building,” he explains. “I think we had to<br />

earn our stripes. You have to help the community help itself, not come in<br />

and impose and say, ‘We know what’s good for you.’”<br />

That’s one reason the <strong>Medical</strong> <strong>Center</strong>, and particularly Community<br />

and Preventive Medicine, began working closely with the Jay/Orchard Street<br />

Area Neighborhood Association (JOSANA) to support its work. When JOSANA<br />

has needed something, faculty have listened and done what they could to<br />

help — starting with <strong>of</strong>fice space in the dental clinic to give the association<br />

a home base from which to operate.<br />

Later, JOSANA convinced a neighborhood landlord to evict a troubled<br />

bar to make room for a drop-in center where students can go after school.<br />

The <strong>Medical</strong> <strong>Center</strong> helped manage the transition and provided furniture<br />

and computers for the students to use. More than 20 laptops were donated<br />

as well, so neighborhood “street captains” will soon be able to communicate<br />

with each other over the Internet. Most recently, Dr. Pearson and his<br />

department are helping JOSANA work toward achieving non-pr<strong>of</strong>it status –<br />

a step that will allow the association to attract funding to support its work.<br />

That’s on top <strong>of</strong> health research projects that M.P.H. students are<br />

conducting in the neighborhood and the community practicums that give<br />

students experience in helping the community.<br />

Ultimately, the benefits have worked both ways. Students receive lessons<br />

in real-world problem-solving, and the neighborhood has an advocate in<br />

improving the health <strong>of</strong> its citizens — an advocate determined to act as a<br />

partner. As Dr. Pearson puts it, “When you do things together, that’s the way.”<br />

Become a “Commercial Link”<br />

for Faculty<br />

The Alumni Council invites alumni with biomedical research expertise<br />

to register as Commercial Link advisors to SMD faculty.<br />

As a voluntary Commercial Link advisor you may be asked to:<br />

• Offer counsel on creating viable private ventures, licensure<br />

agreements, and sponsored research partnerships<br />

• Advise on the relevance <strong>of</strong> research plans to market needs or<br />

specific diseases<br />

• Assess business plans<br />

• Make connections with potential investors<br />

To register, complete the online survey at<br />

www.urmc.rochester.edu/smd/alumni/CommercialLink.htm.<br />

Or contact the Office <strong>of</strong> Alumni Relations at 800–333–4428 or<br />

alumni@urmc.rochester.edu.<br />

SPRING / SUMMER <strong>2005</strong> 49


Alumni Weekend <strong>2005</strong><br />

Join Us!<br />

September 22-24<br />

<strong>University</strong> <strong>of</strong> <strong>Rochester</strong> School <strong>of</strong> Medicine and Dentistry<br />

Alumi Weekend <strong>2005</strong>, September 22 – 24<br />

Weekend Highlights<br />

• 34th Annual George Hoyt Whipple Society<br />

Dinner.<br />

• Alumni Association Luncheon with 54th<br />

Annual Gold Medal Award and 4th Annual<br />

Alumni Service Award presentations.<br />

• 4th Annual George L. Engel memorial lecture.<br />

• 3rd Annual Distinguished Alumnus Lecture<br />

and Award presentation to Seymour I.<br />

Schwartz, M.D. R ’57.<br />

• Festschrift in honor <strong>of</strong> Jules Cohen, M.D. ’57.<br />

• An Erie Canal boat tour<br />

• Reunion class dinners<br />

and much, much more!<br />

For more information visit<br />

www. rochester.edu/smd/alumni<br />

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

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

601 Elmwood Avenue, Box 643<br />

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

NONPROFIT ORG<br />

US POSTAGE<br />

PAID<br />

UNIVERSITY OF<br />

ROCHESTER<br />

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