Spring/Summer 2005 - University of Rochester Medical Center
Spring/Summer 2005 - University of Rochester Medical Center
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 />
Change Service Requested