Annual Report - Uniformed Services University of the Health Sciences

UNIFORMED SERVICES UNIVERSITYof the Health Sciences2007 REPORT

President’s LetterThis has been an extraordinary and challenging year as the nation struggles tocome to terms with the costs of war, and we strive to care for the wounded and theirfamilies. USU faculty, staff and students are deeply engaged in developing the skills,technologies and knowledge necessary to provide the best possible care for thosein harm’s way. It is our job to educate those who protect the health of our soldiers,sailors, airmen and Marines; to further military medical research; and to ensure thathealth care practitioners are equipped to deal with the unique challenges of militarymedicine and public health.USU continues to distinguish itself as a center of excellence in both education and research. Our faculty perform not only asleaders in the military health system, but also in academic medicine. In 2007, the Certified Nurse Anesthetist program in ourGraduate School of Nursing was ranked sixth in the nation out of 106 programs by U.S. News and World Report. Dr. GerryQuinnan and Dr. Christopher Broder published an important piece on HIV/AIDS in the Proceedings of the National Academyof Sciences. Dr. D. Scott Merrell presented groundbreaking work on Helicobacter pylori. The Center for Traumatic Stress, led byDr. Robert Ursano, had several projects that set the standard of care for those affected by Post Traumatic Stress Disorder (PTSD).We are particularly proud of Alison O’Brien, Ph.D., Chair of the Department of Microbiology, who was elected by her peers tobe President of the American Society for Microbiology, the world’s largest scientific society. Additionally, research undertakenby our faculty continues to produce important breakthroughs in areas including emerging infectious diseases, epilepsy researchand neuroscience.Our world-class education and training programs have continued to grow in response to the needs of our deployed troopsand their families. The university launched an ambitious new program designed to address mental health care needs. In its firstyear of operation, the Center for Deployment Psychology trained more than 500 psychologists and social workers to providesuperior mental health care to military personnel and their families.USU continues to play a significant role in shaping our nation’s health care. Our alumni hold key positions in the militaryand public health systems, from commands at major military medical centers to leadership positions at the Food and DrugAdministration. Many are directing medical teams and providing critical care and rehabilitation services for our nation’s soldiers,sailors, airmen and Marines deployed to Iraq and Afghanistan at Landstuhl Regional Medical Center, Walter Reed ArmyMedical Center, the National Naval Medical Center and other locations central to medical care in the current conflict.In this report, we have focused on some of the many USU students, faculty and staff who share a distinctive commitment toservice. Whether they come from a military career, from the service academies or from other parts of government, academic orprivate sectors, USU personnel embody the ideals of service to others and to the nation.Charles L. Rice, M.D.

A HISTORY OF SUCCESSThe American military medical community has produced significant research and clinical advancesthrough the years. The First World War saw the massive application of modern medicine includingimmunization, advanced surgery, use of motor ambulances, management of shock and treatmentof psychiatric disorders. World War II brought widespread use of penicillin, mobile hospitals andextensive use of military medics on the front lines.Today, military medicine continues to lead the way in research and clinical care. The UniformedServices University of the Health Sciences (USU) plays a pivotal role in conducting military medicalresearch, and providing consultation and education programs that help the country face the manychallenges of a nation at war.The university is engaged in a wide array of research and training in areas such as traumatic brain injury(TBI), Post Traumatic Stress Disorder (PTSD), emerging infectious diseases and supporting the continuumof care from battlefield through rehabilitation to return to the workforce.“WEST POINT” OF MILITARY MEDICINEAt the end of World War II, the United Statesmilitary discharged more than 10 million menand women. Among those who left service werethousands of physicians who returned to civilianpractice. Years later, recognizing the urgent needfor career military physicians, Congressman F.Edward Hébert (D-LA) introduced legislation toestablish a “West Point for doctors”— a universityoperated by the Department of Defense (DoD) tofoster a strong military medical system.USU was established by Congress in 1972.The university’s curriculum is similar to that of itscivilian counterparts, but it also provides additionalspecialized educational elements geared towardsproducing career uniformed officers.PREPARING FOR THE FUTUREThe university educates and trains essential healthcare providers to face today’s challenges, and it isdeeply committed to the future of military medicine.Congress’ approval of the 2005 recommendationsToday, one in four active-duty physicians are USUalumni. University graduates serve in key capacities,including significant leadership positions,critical to the successful operation of the militarymedical and public health systems. Among theroles in which alumni have distinguished themselvesare as members of the White House Presidentialmedical detail, heading terrorism and disasteremergency preparedness and response teamsand providing care and medical leadership duringoverseas military operations. USU’s relevance isconsiderable, more so today than at any point inits history. In a rapidly changing world, universitygraduates are shaping the future of military andpublic health.of the Base Realignment and Closure committeepaves the way for the university’s future as astate-of-the-art academic health center. CombiningWalter Reed Army Medical Center and theNational Naval Medical Center —with USU at itsacademic core—the Walter Reed National MilitaryMedical Center will create a world-class academichealth system that offers the highest quality care,distinguished health education and exemplarybasic and applied research.“While approximately one quarter of all new physiciansentering the military today are USU alumni, they have adisproportionate impact on military leadership by dintof their specialized training and preparation as leaders.”S. Ward Casscells, III, M.D.,Assistant Secretary of Defense for Health Affairs (pictured center)2

1777The ContinentalArmy is immunizedagainst smallpoxper General GeorgeWashington’sorders.War of 1812 (1812-1815)Dr. James Tilton, PhysicianGeneral, advocates small,dispersed hospitals withgood ventilation, whichimproves the health ofsoldiers.1833William Beaumontpublishes his classic workon the physiology ofdigestion, which eventuallybecomes the cornerstone ofmodern gastroenterology.Civil War (1861-1865)Jonathan Letterman, MedicalDirector, Army of the Potomac,creates the echeloned system ofpatient evacuation and care,which remains the basis of civilianand military casualty careworldwide.1899The New Worldhookworm, a significantcause of anemia in PuertoRico, is discovered,leading to a significantreduction in hookwormdisease.1900The mosquito isidentified as the yellowfever vector.1904-1914Yellow fever iscontrolled in thePanama Canal Zone,making construction ofthe canal possible.1909An effectivetyphoidimmunization isdeveloped.1910An anhydrouschlorine methodto purify drinkingwater isintroduced andthe technology isused worldwide.World War I (1914-1918)A variety of medicaltechniques to improve soldiers’survival rates are developed,including wound treatment,blood transfusions, reconstructivesurgery and physicaltherapy.World War II (1939-1945)Major medical developments include theprevalent use of penicillin, widespread useof mobile hospitals to support troops closeto the front lines, aero-medical evacuationto ensure speedier medical care andextensive use of military medics on thefront lines.1944Hepatitis A and Bare differentiatedand gammaglobulin treatmentsare established.1947Scrub typhus transmissionproblems areresolved and chloraphenicoltreatmentintroduced.Korean War (1950-1953)The Mobile Army Surgical Hospital(MASH) is introduced. Hospital shipsequipped with helicopter landing pads areintroduced as a method for quick-responsemedical attention, changing the ships’ rolesfrom medical transports to floatinghospitals.1957The vaccine strain forinfluenza A virus isisolated.1958The cholera oralrehydration regimen isimplemented,dramatically reducingmortality.1960An attenuated vaccineagainst VenezuelanEquine Encephalitis isdeveloped.1961The Tri-Service ArmedForces RadiobiologyResearch Laboratory isestablished.1962Rubella virus is isolatedat the Walter ReedArmy Institute ofResearch.1965Antibacterial cream totreat patients withextensive burns isdeveloped.1967An oral adenovirusvaccine, which safelyprovides immunity inone dose, is developed.1970A polysaccharidevaccine against groupC meningococci isdeveloped.1972The Uniformed ServicesUniversity of the HealthSciences (USU) isestablished inBethesda, Maryland.

SCHOOL OF MEDICINEUSU’s F. Edward Hébert School of Medicine (SOM) is a traditional medical school with a curriculumenhanced by specialized education, training and research that prepares graduates to provide leadingedgemedical care in even the most challenging environments. A primary mission of military medicineis keeping troops healthy, so a core educational focus is on health promotion and disease prevention.USU attracts a diverse array of students from all over the country, each of whom has something special incommon—they are among the leaders of their generation, dedicated to serving the nation through careersin the DoD or Public Health Service.Unique EDUCATIONThe SOM’s curriculum is designed to educatestudents to provide outstanding care in even the mostextreme settings—to practice good medicine in challengingenvironments. The unique four-year programis year-round and is roughly 700 hours longerthan that of other medical schools. This additionaleducation largely focuses on epidemiology, healthpromotion, leadership and field exercises, diseaseprevention and tropical medicine.The uniformed services offer the same specialtyoptions enjoyed by students at civilian schools,as well as unique opportunities in areas includingpreventive and public health medicine. Additionally,concentrations are available in service-uniquepractice areas, such as aerospace medicine,undersea medicine, global infectious diseases anddisaster medicine.A military-trained cadre of physicians is crucial to ourcountry’s security and well being. SOM graduatessupport national health and preparedness in manyways, from providing expert medical attentionon the front lines to caring for service membersand their families at medical centers at home andabroad. Others are called upon to act as “medicalambassadors,” sharing knowledge to help othercountries enhance their health care infrastructuresand services. The U.S. Public Health Service alsovalues this training because it enables graduatesto manage medical operations in both military andcivilian settings.Sunny Ramchandani, M.D., is an internistand an Assistant Professor in the Departmentof Internal Medicine. Academically first inhis class at the U.S. Naval Academy anda graduate of both the Harvard UniversitySchool of Public Health and Yale UniversitySchool of Medicine, Ramchandani is quicklydistinguishing himself as a researcher, clinicianand teacher.Dr. Ramchandani recently published apaper with colleagues at Johns HopkinsUniversity that was subsequently used by thegovernment of India to enhance anti-retroviraltherapy delivery. In 2007, he also traveledto Afghanistan with USU’s Center for Disaster and HumanitarianAssistance Medicine as part of their initiative to help strengthen itshealth care infrastructure.“USU is the central resourcefor academic military medicine.If we’re out in the fieldconducting research, if wewant to pursue new areas ofinvestigation, if we want toenhance training or changecurricula based on real-worldexperience…no matter whatwe need, the university isthe first place we connectwith… The synergy that USUshares with the U.S. militaryallows the university to offeropportunities that aren’tavailable at any other academicmedical center in the country.”4

DISTINGUISHED FACULTYThe School of Medicine faculty is comprised ofuniformed personnel and civilians with a wealth ofexperience. Among the faculty are internationallyrenowned leaders in their fields, all with a singularcommitment to protecting our nation’s health.Additionally, USU faculty offer unique perspectivesUNIQUE CLINICAL TRAININGIn the third year of their SOM educations,students take part in six-week clerkships at toplevelmilitary treatment facilities or civilian hospitalsin the Washington, D.C., area or other locationsthroughout the United States. In 2011, the WalterReed National Military Medical Center, anew state-of-the-art academic health center, willbecome the university’s primary teaching hospital.M.D./PH.D. PROGRAMUSU’s M.D./Ph.D. program is designed toprepare students for careers as physicianscientistsin academic medicine, biomedicaland clinical research and clinical practice.The program combines a rigorous basicscience graduate curriculum, includingoriginal research, with superior clinicaltraining and integrated activities.Second-year School of Medicinestudent Second LieutenantChristian Labra, a West Pointgraduate, was an artillery officerdeployed to Iraq when he brokeboth of his legs and his pelvisin a combat-related incident.While recuperating at LandstuhlRegional Medical Center inGermany, Labra became increasinglyinterested in the medicalcare he and his fellow servicemembers received. His doctorwas a USU graduate.“This school instills in its doctorsan ideal of service, to the nationand to our fellow man.”as many of them have experienced the kinds ofdeployment situations they are preparing theirstudents to face. Recently deployed faculty providetheir students with immediate access to the latestdevelopments in military and emergency medicine.In their fourth years, SOM students take theunique military contingency medicine course,which culminates in the training exerciseOperation Bushmaster. Students spend theremainder of the year undertaking clinicalrotations among the specialty areas they areconsidering for residency training.“When I decided to goto medical school I knewUSU would be my topchoice. My dad graduatedin 1992 and has served15 years as a militarydoc. Coming back intothe USU community hasbeen great...the warmthand support are the same.I feel confident that Iwill receive a top-notchmedical education, and, as amother, that my family willtake away good memoriesas well.”Second Lieutenant MeghanOzcan, class of 2011“I was impressed withthe different programsthe university has to offer.How many other schoolshave courses in tropicalmedicine?”Lieutenant Obinna Ugochukwu,class of 20075

GRADUATE PROGRAMSGraduate education is an important and integralcomponent of the academic mission and scholarly environmentat the university. Students who receive graduatedegrees from USU have the opportunity to makesignificant contributions to the advancement of healthand science in both public and private institutions.The university offers graduate degrees in the biomedicalsciences and public health. Doctor ofPhilosophy degrees are offered in nine areas rangingfrom emerging infectious diseases to clinical psychology.The university offers both a Masters and Doctorof Public Health degree and has a physician-scientist(M.D./Ph.D.) program.The Graduate Program in the Biomedical Sciencesat USU currently has 169 full-time students. Most ofthe graduate programs are open to civilians, who areeligible for stipends and have no service obligations.USU’s nationally recognized civilian and militaryfaculty is comprised of leading educators andworld-renowned scientists. The proximity ofthe campus to the metropolitan Washington,D.C., area attracts quality faculty membersand students, many of whom collaborate withscientists at nearby research institutes such as theNational Institutes of Health, Walter Reed ArmyInstitute of Research and the Naval MedicalResearch Center.USU students benefit from the military’s overseasnetwork of research laboratories. Many of thefaculty members have conducted research atthese field sites, and they bring these real-worldexperiences to the classroom. In addition,graduate students have opportunities to studyat overseas laboratories, which are located inAfrica, Asia and South America.Overseas research opportunitiesand experiences add depth andvariety to the curriculum.“USU put me into a graduatestudent situation where I wasencouraged to pursue myown research interests. I wasnot a ‘worker’ in my advisor’slaboratory, but an actualcontributor to the research. Thisallowed me to step into a facultyposition right after graduation.”Ali Weinstein, Ph.D., Deputy Director,Center for the Study of Chronic Illnessand Disability, George Mason University,class of 2007“I liked the idea of an interdisciplinaryprogram where my professorsand mentors came from diverse scientificbackgrounds. I was also drawnto the smaller size of the graduateschool where I would receive moreindividualattention andinstruction…”Julie Wu,Molecular and CellBiology program6

The university offers the following graduate programs:Interdisciplinary Ph.D. Programs• Emerging Infectious Diseases• Molecular and Cell Biology• NeuroscienceDepartmentally-based Ph.D. Programs• Clinical Psychology• Environmental Health Sciences• Medical Psychology• Medical Zoology• PathologyDoctor of Public Health (Dr.P.H.)Physician-Scientist (M.D./Ph.D.) ProgramMaster of Science• Public Health• Molecular and Cell BiologyMaster of Public HealthMaster of Tropical Medicine and HygieneMaster of Military Medical HistoryCentral Location for CollaborationThe university’s close proximity to the National Walter Reed Army Medical Center, Walter ReedNaval Medical Center, the National Institutes Army Institute of Research and the Naval Medicalof Health and the National Library of Medicine Research Center, which enables frequent interactionswith some of the world’s premier researchersprovides a rich and unparalleled environmentfor education and research. Additionally, USU is at seminars and conferences, as well as guestsituated close to the I-270 Biotechnology Corridor, lectures at the university.KnowledgeKatharine Bossart, Ph.D., USU class of 2003, conductedher dissertation research in the laboratory ofinternationally renowned microbiologist ChristopherBroder, Ph.D., Director of USU’s Emerging InfectiousDiseases graduate program. Her work focused ontwo novel emerging paramyxoviruses—the Hendraand Nipah viruses. After graduation, Dr. Bossartstarted a new post-doctoral position at the AustralianAnimal Health Laboratory in Geelong. Since movingto Australia, she has worked on many differentviruses, from vector-borne pathogens such as WestNile virus to those that require the highest levelof biological containment, including Hendra andNipah. As part of this work, she has traveled andcollaborated with scientists throughout Australia andinternationally in India and Borneo.7“The personal interaction withthe faculty not only increasedthe depth of knowledge, but alsoenabled critical thinking applicableto complex problem solving. Asgraduate education at USU is closelyaffiliated with the military and theNIH, international experience andknowledge relating to infectiousdisease overseas was incorporatedinto the curriculum in a personal,hands-on way. For all of thesereasons, I believe USU provided aunique education and environment,which helped me gain the skills andknowledge that I use every day.”

Graduate School of NursingThe USU Graduate School of Nursing (GSN)provides the nation with highly skilled advancedpractice nursing professionals pursuing careers in thefederal and military health care systems.Signature CurriculumThe GSN’s curriculum is designed to provide acomprehensive education that prepares studentsto deliver the highest quality care and services in abroad range of settings, from the clinic to the battlefield.The areas of focus encompass OperationalReadiness in Changing Environments; PopulationHealth and Outcomes; and Clinical Decision-MakingGSN faculty members are dedicated to educatingand mentoring the next generation of clinicalexperts, leaders, scholars and researchers in nursing.in the Federal Healthcare System which are woventhroughout all programs within the school.In this way, graduates of the GSN are uniquelyequipped to become not only outstanding nurses, butalso leaders in their fields, ready to take on a diverserange of challenges and succeed in any environment.Master of Science in Nursing (MSN) ProgramMasters students take part in a program thatprovides education and training to equip them foradvanced roles in both acute and primary care settings.The program emphasizes health promotion,disease prevention, case management, emergencypreparedness, patient safety, administration andperioperative and anesthesia services.Ph.D. ProgramUSU’s Ph.D. program in nursing emphasizes theconduct of nursing research significant to thefederal sector. The distinctive curriculum encompassesareas of basic, applied and translationalnursing sciences that form the scientific underpinningsof military operational readiness and forceprotection. It also addresses issues surroundingthe sequelae of military service and populationhealth issues within the federal and militaryhealth sectors. The program prepares students asresearch scientists, scholars, leaders and educators.Practicum opportunities include research atthe university and federal or military agencies.Ph.D. areas of concentration are nursing science;research; statistics and designs; and federal andmilitary health care policy and issues.8Program options include Perioperative ClinicalNurse Specialist (CNS), Family Nurse Practitionerand Nurse Anesthetist.The GSN has a wealth of military and civilianaccredited clinical practice sites for each of itsmasters program options.

“I did an MPH here in 1987 because I was ready to ‘stretch’ out of my role as an ICU nurse.That degree gave me the opportunity to work in HIV clinical research at NIH during thechallenging early years of the epidemic. Now I work in an equally challenging arena—publichealth policy and program development for the Department of Veterans Affairs. It becametime to stretch again, and now I’m back, working on my Ph.D!”Victoria Davey, R.N., M.P.H., classes of 1987 and 2009, Deputy Chief Officer,Public Health and Environmental Hazards, Department of Veterans AffairsNurse Anesthesia Program Sixth in the NationIn 2007, U.S. News and World Report ranked the USU GraduateSchool of Nursing Certified Registered Nurse Anesthesia (CRNA)program sixth out of 106 national programs. USU’s CRNA graduatespractice anesthesia at state-of-the-art medical centers, in thefield with Special Operations teams and ground forces, on boardships, in the air and at remote locations around the world.“Although I had the opportunityto attend a civilian university,USU was my first choice. I’mcertain the camaraderie andfaculty support I’ve encounteredin the GSN is unmatched by anyother university.”Lieutenant Lina Badura,class of 2007MEDMARXUSU’s Graduate School of Nursing wasapproached by the U.S. Pharmacopeia—the officialpublic standards-setting authority for all prescriptionand over-the-counter medicines, dietary supplementsand other health care products manufacturedand sold in the United States—to collaborate on amedication error reporting system. Students fromthree consecutive years of USU’s PerioperativeCNS classes were asked to utilize their clinicalexpertise and critical thinking skills to analyze asix-year data set from MEDMARX—the world’slargest error reporting program. The studentsprovided analysis and interpretation, and alsomade recommendations to improve the quality andsafety of perioperative patient care.The students’ findings and recommendationswere published nationally as a white paper, andhave garnered significant attention. This work hasimpacted perioperative standards and medicationsafety guidelines, and has shaped material in aperioperative drug reference manual.Colonel Linda Wanzer (right), Assistant Professorand Program Director of the Perioperative ClinicalNurse Specialist Masters program, and PerioperativeNursing Consultant to the Army Surgeon General,provided primary oversight for the students duringtheir work on the MEDMARX project.“USU’s GSN exposes students to once-ina-lifetimecollaboration opportunities andexceptional learning experiences.”9

Field ExercisesAs part of their education, USU students take part in a number of field exercises that prepare them to practicemedicine in challenging environments and exercise the leadership skills they will need as uniformed officers.Antietam Road MarchFirst-year medical and nursing students participatein a memorable educational experience designedto teach them the tenets of battlefield health care.The students travel to Antietam National Battlefieldnear Sharpsburg, Maryland, the infamous site ofthe bloodiest one-day battle in American history.They take part in a six-mile road march, stopping atdesignated stations where local Civil War re-enactorsOperation KerkesnerOperation Kerkesner is designed to teach criticalmilitary skills in a simulated battlefield environment.The four-day exercise provides training in areas includingland navigation, hand-to-hand combat, firearmstraining and use of military vehicles and radios. Italso gives students a chance to experience some ofthe challenges of providing medical care in harshenvironments, including starting an IV in a field settingdiscuss conditions and battlefield strategies, andwhere USU faculty members discuss medical aspectsof the battle. The exercise underscores the school’sdistinctive curriculum, and for students with no priormilitary experience, is their first experience walkingcross-country in controlled movements by platoons,and wearing load-bearing gear.and triaging and treating fellow service memberswhile “under fire.”Approximately half of USU students have no prioruniformed services experience. Operation Kerkesnerprovides essential military skills training and servesas an introduction to the challenges of practicingbattlefield medicine.Commander John Love, M.D.,graduated from the USU Schoolof Medicine in 1994 and hasexperienced two deploymentsto Iraq. He was invited to returnto the university to assist withOperation Bushmaster.“It’s not just an exam.Everything you learn isdefinitely applicable towhat you do out there.”- as quoted in the Chronicle ofHigher Education10

Operation BushmasterMany USU graduates credit Operation Bushmasterwith providing some of the most helpful and memorabletraining they received while at the university.The exercise is the culmination of and practicalexam for the rigorous Military and ContingencyMedicine (MCM) course, taken by all fourth-yearSchool of Medicine students, as well as somestudents in the Graduate School of Nursing.The MCM course augments students’ clinicalknowledge with specialized medical educationcovering a broad range of military-relevant topics,including advanced trauma life support, preventivemedicine, patient care in flight, military medicalethics and combat stress control. Students then areput to the test during a four-day simulation exerciseat Fort Indiantown Gap, Pennsylvania.Throughout Operation Bushmaster, students live infield conditions, working in groups of roughly 15to run medical units under continually changingconditions. The students set up sites where theyreceive “casualties” (played by first-year students),suffering both routine illnesses and battlefieldinjuries. Students are evaluated by USU faculty ontheir medical knowledge and leadership abilitiesas they rotate through positions as commander,executive officer, medical officer and ambulanceteam leader. When not under evaluation, studentsfill in as medics, radio operators or security personnel,and spend time working in a deployablemedical facility. They also take part in a combatstress rotation designed to familiarize them with andgive them an opportunity to “treat” combat-relatedmental health issues.The event culminates in a dramatic nighttime masscasualty exercise in which students are placedin the scenario of responding to a platoon thathas sustained significant casualties. Under stressful,changing conditions, the students must findthe “wounded” and triage them, treat them andarrange for their evacuation.In total darkness, with only the voices ofthe “wounded” to guide them, the studentsmust locate and retrieve casualties.“No other medical school expectstheir students and graduates tobe able to perform individual andmass casualty care under fire.The skills learned throughout thismonth-long experience have beenapplied directly on the battlefield.”Critical TrainingCaptain Glenn Burns, M.D., is anAssistant Professor in the Departmentof Military and EmergencyMedicine. A USU graduate, Dr.Burns participated in the Militaryand Contingency Medicine courseand Operation Bushmaster as astudent and saw its lessons at workduring his emergency medicineresidency and a tour in Iraq with theU.S. Special Operations Command.Now he is an instructor in thedepartment that runs the course.11

leadershipUSU creates scientists and health care practitioners who are prepared for a range of exciting careers in serviceto the nation. From clinics and field hospitals to laboratories and classrooms, the university’s many exceptionalgraduates routinely distinguish themselves as leaders in their respective fields.Military LeadershipMajor General Thomas Travis, M.D.,a USU alumnus, was selected recentlyto command Wilford Hall MedicalCenter. Previously, he was CommandSurgeon, Headquarters Air CombatCommand at Langley Air Force Base.Dr. Travis is one of the Air Force’s fewpilot-physicians, and his distinguishedcareer has included command of theU.S. Air Force School of AerospaceMedicine, Malcolm Grow MedicalCenter and the 79th Medical Wing,Andrews Air Force Base.Medical PreparednessCaptain (ret.) Kevin Yeskey, M.D., a graduateof the USU class of 1983, was selected tobecome Deputy Assistant Secretary and Directorof Preparedness and Emergency Operationswithin the Department of Health and HumanServices. Prior to this appointment, Dr. Yeskeyheld a principal advisory role on matters relatedto public health and medical preparedness as amember of the Office of Public Health EmergencyPreparedness at DHHS. He also has held anumber of key disaster-related positions, includingDirector of USU’s Center for Disaster andHumanitarian Assistance Medicine.12“I am very proud tobe a USU graduate!Medical personnelhave never beenmore clearly a partof this nation’scombat power,and USU and itsgraduates havecontributed greatlyto that capability.”Public HealthUSU alumna Captain Kimberly Mohs, M.D., is a member of the U.S. Public HealthService, working at the Northern Navajo Medical Center in Shiprock, NewMexico. Dr. Mohs is the Medical Director of the Center’s Diabetes Education andCounseling Center; Chair of the Internal Medicine Department; and ExecutiveDirector of the Radiation Exposure Screening and Education Program.“For me, the Indian Health Service has provided both an excellentdiversity in patient care and a wonderfully rewarding patient population.The staff of the Indian Health Service are extremely dedicated toimproving patient care and making strides forward in public health,despite many fiscal and logistical challenges. My education at USU wasdefinitely a good preparation for this exceptional experience.”

Medical DiplomacyUSU alumnus Colonel Donald Thompson, M.D., CommandSurgeon for the Combined Security Transition Command,was awarded the Ghazi Mir Bacha Khan High Medal byAfghan President Hamid Karzai. Dr. Thompson was giventhe award in recognition of his contributions to efforts toimprove the health care delivery system for both servicemembers and civilian in Afghanistan.Medical CareMajor Tony Leonard (top) is a 2003 graduate of USU’sFamily Nurse Practitioner program. He is stationed inIraq along with Major Joseph Candelario (bottom), alsoa GSN alumnus. They work to ensure the health of theirbattalion, and also provide care for members of the IraqiArmy, interpreters, contractors and Iraqi civilians.“I have had the opportunity to instruct Iraqi medics,as well as Iraqi nurses and medical providers. Theyare so eager to learn… There is a big knowledge gapin medical care there, which we are trying to close…I am thankful for the education I received at USU…The skills taught and the ability to think criticallyprepared me well to provide excellent nursing care.”Major Tony LeonardInternational WorkMajor Aaron Holley, M.D., a graduate of USU,is a Pulmonary and Critical Care Fellow atWalter Reed Army Medical Center.“I was able to spend a month in Kenya as part of apulmonary and critical care fellowship working at atuberculosis clinic in a rural district hospital. The U.S. doesn’thave many active TB cases, so this was a great opportunityto enhance my training. I toured several different hospitals inthe area, gave lectures and helped teach local students andphysicians-in-training. I felt uniquely prepared to handle someof the unusual cases I saw because USU has an entire coursededicated to the study of parasitology.”13

FACULTYUSU’s distinguished faculty includes world-renowned researchers and internationally accomplished clinicians,each of whom is dedicated to furthering medical research and practice, as well as sharing their knowledge,skills and experience for the benefit of USU students. The faculty is comprised of an outstanding group ofmilitary service members and civilians.The faculty is dedicated to the shared mission of ensuring our nation’s health and well being by helping tocreate tomorrow’s leaders in federal and military health care. This significant goal fosters a highly collaborativeatmosphere in which faculty often work on a multi-disciplinary level to advance both education and research.Neil GrunbergNeil Grunberg, Ph.D., is a Professor in the Department of Medical and ClinicalPsychology. His specialty areas include tobacco and nicotine use, drug abuse andstress. He has published more than 140 scientific papers on these topics, with anemphasis on the effects of nicotine on body weight, food consumption, attention andstress. In addition to his research and teaching responsibilities, Dr. Grunberg mentorsgraduate students in medical and clinical psychology, as well as neuroscience.Dr. Grunberg has received multiple awards for his researchand teaching, including the prestigious Society of BehavioralMedicine Distinguished Scientist award. Most recently, hereceived the 2006 Building Partnerships for Better Health Awardfrom the USU Center for Health Disparities and the 2007 CarolJ. Johns Medal for outstanding contributions to the faculty andeducational programs at USU. Dr. Grunberg also received theU.S. Surgeon General’s Medal for his work as scientific editorfor the well-known Surgeon General’s report that showed thatnicotine is addictive, and the Surgeon General’s report on thehealth benefits of smoking cessation.Preparing Students for SuccessDeborah Bowen, Ph.D., Chair of the Department of Socialand Behavioral Sciences at Boston University, is a 1986graduate of USU and former student of Dr. Grunberg. Shehas been recognized for her work in cancer and healthbehavior change, and served as principal investigator onseveral NIH-funded grants on health behavior topics includingbreast cancer risk communications and dietary change.Among her many professional honors, Dr. Bowen has beennamed Outstanding Health Psychologist by the AmericanPsychological Association.“My experiences at USU prepared me both intellectuallyand practically for an academic career in public health.Intellectually, I had the privilege of receiving training thatwas both challenging and rigorous. Practically, having theopportunity to apply health and medical psychology tothe settings of military medicine and health promotionled me to see how my field could be relevant in manycontexts, including urban and international settings.”USU fosters ahighly collaborativeatmosphere in whichfaculty often work ona multi-disciplinarylevel to advanceboth research andeducation.14

Bruce SchoneboomColonel Bruce Schoneboom, Ph.D.,a graduate of the USU School ofMedicine’s neuroscience programand an Associate Professor in theGraduate School of Nursing’sDepartment of Health Systems, Riskand Contingency Management,recently returned to USU from aone-year voluntary deployment toAfghanistan. As senior ranking officer, Dr. Schoneboom wasselected to serve as the commander of the 14th CombatSupport Hospital detachment at Forward Operating BaseSalerno. There, he put his military training and medicalexpertise to use leading a team of 38 surgeons, registerednurses and a variety of allied health technicians whoprovided care for U.S. military service members and othercoalition forces, and for Afghan civilians.“Throughout the military medicalsystem, in the clinical environment,the senior people are usually from orhave graduated from USU. Whetherexplicit or implicit, leadership is woventhroughout everything we do here. Weare educating the future leaders withinthe military health care system.”ExperienceAnthony BeutlerThe U.S. military is developing practices and trainingto help prevent orthopedic injuries. USU clinician/researcher Major Anthony Beutler, M.D., a facultymember in the Department of Family Medicine andhead of the new USU Injury Prevention Lab, is theprincipal military investigator on a National Institutesof Health-funded study on knee injury prevention.Knee injuries are some of the most common injuriesamong special operations personnel and recruitsundergoing basic training.“Through this collaboration with UNC, weare using their expertise in epidemiologyand biomechanics and are applying it to amilitary population. Not only do we hope tomaximize readiness and minimize time lostdue to injury within the military system, butwe believe our results can be broadly appliedin civilian settings.”Dr. Beutler is conducting the study in conjunction withthe University of North Carolina, Chapel Hill InjuryPrevention Research Center. In the initial phase of thestudy, he and his colleagues are assessing incomingstudents at the U.S. Military Academies. They willfollow these students throughout their tenures at theacademies and will analyze the data to establishprospective markers for injury risk. The goal is toeventually use this information to develop an injuryprevention program that will address the most commoninjuries in the U.S. military.15

university LifeCAMPUS LIFEIn many ways, USU is very much a traditional university, with student clubs and organizations, athletic teamsand social activities. However, there is also a very special atmosphere at the university. At USU, there is aninimitable and pervasive spirit of teamwork not only among students, but also among faculty and staff. It isthis sense of a shared purpose, camaraderie and commitment to service that distinguishes the university fromother institutions.USU students can take part in a number of athletic activities,including soccer, rugby and hockey. Students actively participatein a variety of interest groups, many affiliated with nationalsponsoring organizations, which provide opportunities to learnabout careers and foster interest in medical specialties suchas aerospace medicine, emergency medicine, surgery, familymedicine and undersea medicine.Student members of the Gamma Chapter of Alpha Omega Alpha—the nationalhonor medical society, and one of the many student groups at USU—tutor and assistother students as they adjust to the rigors of medical school. The Student SpousesClub promotes a sense of community and support. The club holds many eventsthroughout the year and activities for each class. Dining In and Dining Out areannual traditional military social events for USU students, families and associates.DEBT-FREE EDUCATIONMany attending other medical and graduateprograms incur significant debt due to student loans.USU is unique in that students pay no tuition or fees.In fact, most students receive salaries or stipends.Medical students enter the university as commissionedofficers in one of the four uniformed services: Army,Navy, Air Force or Public Health Service. No priorservice is required. Students receive the full salaryand benefits of a uniformed officer throughout theirfour years at the university in exchange for aseven-year active duty service commitment.Students in the Graduate School of Nursing areall active-duty uniformed nurses or nurses in federalcivilian service. They continue to receive their regularsalaries while at USU.Those in the Graduate School are a mix of civiliansand uniformed officers. Civilian students may receivestipends, and uniformed graduate students continueto receive their regular active-duty pay and benefitswhile attending the university.USU StaffUSU’s faculty and staff are comprised ofofficers and enlisted personnel, as well ascivilians. This dedicated cadre of individualsis united by their commitment to service.16

Supportive EnvironmentStudents, faculty and staff at USU are dedicated to servingtheir nation. This commitment creates a distinctive sense ofcamaraderie and attitude of teamwork evident throughoutthe university. Students, faculty and administrators worktogether to achieve the goal of maintaining a cadre ofuniquely trained physicians, nurses and scientists.USU is committed to fostering diversity and maintaining aninclusive environment in which all students receive the toolsand resources necessary to succeed. Many USU studentsare married, and the university provides a welcomingatmosphere and support system for both students andtheir families.Central LOCATIONThe USU campus is surrounded by park-like woodlandsadjacent to the National Naval Medical Center (NNMC)and across the street from the National Institutes of Health.The new Walter Reed National Military Medical Center isscheduled to open on the NNMC campus in 2011.Most students live close to the university and have accessto mass transit facilities, making it easy to take advantageof the many cultural, educational and social activities in theWashington, D.C., metropolitan area.The University Family Health Center isdedicated to providing comprehensivepersonal and family-centered care toactive-duty students and other DoDbeneficiaries assigned to USU andtheir families.Uniformed students,faculty and staff arerepresentative of allservices—the Army,Navy, Air Force andPublic Health Service.The U.S. military is the most racially andethnically representative organization inthe United States. USU seeks to have thisdiversity reflected in the military’s cadre of health carepractitioners and are working closely with undergraduateinstitutions, various interest groups and the Association ofAmerican Medical Colleges to attract more under-representedminorities to careers in medicine, and specificallyto USU and a career in military or public health medicine.17“We at USU strive to haveour student body reflectthe diversity in the military.”Commander Margaret Calloway, M.D.,Associate Dean for Admissions andRecruitment

Year In ReviewRESEARCH WEEKThroughout the year, USU hosts a variety of educational, military and social events. These include lectures fromdistinguished scientists, service-oriented special occasions and campus-wide observances.USU’s annual Research Week is designed to promote researchby faculty and students at the university and its affiliate institutionsand to provide increased opportunities for interdisciplinarycollaboration. The event informs the local scientific community,partnering institutions and other federal agencies aboutresearch projects being conducted at, and in conjunction with,USU. The poster presentations, invited speakers and panelsexemplify the university’s unique role in public health andmilitary research.In 2007, USU was honored to welcome Anthony Fauci, M.D.,Director of the National Institute of Allergy and InfectiousDiseases, as the plenary speaker.WU AND LEONARD AWARDSMEDICAL MASTERPIECES: ART OF A SURGEONIn 2007, USU had the distinction of hostinga collection of original paintings andsketches by renowned medical illustratorFrank Netter, M.D.. Dr. Netter, a surgeonby training, was a U.S. Army officer duringWorld War II and was placed in charge ofcreating graphic training aids, largely usedto teach combat first aid and survival skills,and to train x-ray technicians. He went onto become the world’s foremost medicalillustrator, with his artwork serving as thestandard by which all others are measured.Netter once was hailed by The New YorkTimes as, “the medical Michaelangelo.”As part of the university’s Research Week, two USUfaculty members were recognized for their uniqueand fundamental contributions to advancing researchin their fields. Chou-Zen Giam, Ph.D. (left), receivedthe Henry Wu Award for Excellence in BasicResearch for his work on the human retrovirus HTLV-1,which causes adult T cell leukemia. Shiv Srivastava,Ph.D. (right), received the James Leonard Award forExcellence in Clinical Research in recognition of hisdiscoveries regarding the over-expression of the ETSrelatedgene-1 in prostate cancer. The researchersreported their findings in the prestigious publicationsThe EMBO Journal and Oncogene, respectively.18Dr. Alan Seyfer, USU Distinguished Professor of Anatomy,Physiology and Genetics and Air Force 2nd Lt JoshuaGustafson were instrumental in arranging the exhibit.

War Hero addresses StudentsCongressional Medal of Honor Recipient Lieutenant Colonel Alfred Rasconaddressed USU medical students. Rascon received the award for his actions asa medic in Vietnam, which included shielding wounded soldiers’ bodies with hisown. He was so heavily injured in battle that he was not expected to survive.USU Celebrates 28th CommencementIn 2007, USU celebrated its 28 th commencement, with Vice Admiral Donald C. Arthur, M.D.,Navy Surgeon General and Chief of the Navy’s Bureau of Medicine and Surgery, providingthe commencement address. The School of Medicine and Graduate School of Nursingawarded more than 200 doctor of medicine and other scientific graduate degrees.Brigade Command ChangeColonel John Wempe, M.D., assumed command from LieutenantColonel John Maurer of the USU Brigade—the military leadershipcomponent within the university and USU’s link to the broadermilitary community. The Brigade is comprised of roughly 250faculty and staff members from all branches of the Armed Services.Brigade personnel play a key role in helping USU studentsbecome leaders in a military environment.Expanding University FacilitiesUSU broke ground for its new academic center, Building E. Amongthose participating in the ceremony were Hawaii Senator Daniel K.Inouye; Maryland Senators Paul Sarbanes and Barbara Mikulski;Maryland 8th-District Congressman Chris Van Hollen; AssistantSecretary of Defense for Health Affairs William Winkenwerder, Jr. M.D.;Acting Surgeon General of the United States Rear Admiral KennethMoritsugu, M.D.; National Naval Medical Center Commander RearAdmiral Adam Robinson, M.D.; John Lowe, President-CEO of the HenryM. Jackson Foundation for the Advancement of Military Medicine;members of the USU Board of Regents, administration, faculty andsenior representatives from Grimberg Construction.19

Year In ReviewFIGHTING FOR LIFEUSU has been referred to as “military medicine’sbest kept secret.” However, with a new film focusedon the university, the school will not remain a secretmuch longer.“Fighting for Life,” a documentary by two-timeAcademy Award-winning filmmaker Terry Sanders, isa portrait of American military medicine. The film tellsthe story of USU and shows students at the universitywho are on their journeys towards becoming militaryphysicians and nurses.The gripping documentary uses compelling footage,including images from the current conflicts in Iraqand Afghanistan, to illustrate the ways in which U.S.military medical personnel around the world worktirelessly to care for those in harm’s way, and inparticular the key role USU plays in educating thesedoctors. It premiered at a private screening at theSmithsonian Air and Space Museum in May, andenters broad release in the fall of 2007.The film was initiated by the Friends of USU—anall-volunteer membership group incorporated inMaryland as a 501(c)3 organization. Led by a© 2007 American Film Foundationvolunteer board of directors and working in closecollaboration with the Henry M. Jackson Foundationfor the Advancement of Military Medicine, Friends ofUSU seeks to support and promote public awarenessof the university. Friends President Thomasine I.Alvarez was the driving force behind the productionof the film and is the Executive Producer. Her sonattended USU and was deployed to Iraq. Herhusband, Everett Alvarez, Jr., is the chair of theuniversity’s Board of Regents.Many members of the USU community—students,faculty, alumni and staff—are featured in this full-lengthdocu-drama including Drs. Paul Pasquina, Gina andWarren Dorlac and Stephen Davies.“When I first visited USU, I was immediatelystruck by the quality, maturity and idealismof the students; the energy, excellence andclarity of faculty lectures; the high ethicalcomponent running throughout the school;and the dedication and generosity of facultyand staff toward the students.”Terry Sanders, Producer and DirectorLieutenant Colonel Paul Pasquina, M.D.A graduate of West Point and USU, in 2003 Dr.Pasquina was selected to be the Chairman of thePhysical Medicine and Rehabilitation Service andshortly thereafter was instrumental in helping to formthe U.S. military’s AmputeeProgram at Walter ReedArmy Medical Center.class of 1991“The thing that keepsme going is the attitudesof our patients. To seethese soldiers push thelimits of medicine and ofrehabilitation has beenincredible to watch and tobe a part of.”20

Colonel Warren Dorlac, M.D. and Lieutenant Colonel Gina Dorlac, M.D.Both graduates of USU, theDorlacs serve at LandstuhlRegional Medical Centerin Germany, where patientsare sent directly from Iraqand Afghanistan. She isthe Medical Director of theCombined Intensive CareUnit and he is the TraumaMedical Director.class of 1989class of 1989“The devotion for me is…these soldiers and Marinesand seeing what they’vesacrificed. If they can dothat for our country, thenwe all should do as muchas we can, because they’vegiven so much more.”Lieutenant Colonel GinaDorlac, M.D.Stephen Davies, Ph.D.Dr. Davies is an Assistant Professor in theDepartment of Microbiology and Immunology atUSU. His interest is in understanding human diseases,particularly traditionally overlooked tropicaldiseases that afflict billions of people worldwide,such as schistosomiasis. Dr. Davies’ laboratory isfunded by the National Institutes of Health and theDepartment of Defense.“Schistosomiasis affects around 200 millionpeople. We’re hoping that our work will leadto the design of new drugs or vaccines.”“The film shows how much weneed [USU], with its focusedmission to teach medical studentsand graduate nurses to practicegood medicine in bad places.”Bernadine Healy, M.D., former directorof the National Institutes of Health andpresident and CEO of the American RedCross, writing in her U.S. News & WorldReport health columnNOBEL LAUREATE Presents Packard Lecture2002 Nobel Prize in Physiology of Medicinerecipient Sydney Brenner, Ph.D., visited theuniversity to present the annual David PackardLecture. A pioneer in genetics and molecularbiology, among his many groundbreakingaccomplishments, Brenner established the existenceof messenger RNA and demonstratedhow the order of amino acids in proteins isdetermined. The Packard Lecture is USU’spremier invited lecture.21First-year students receive their medical coats ina ceremony marking “White Coat Day.”

ReadinessMilitary readiness requires physicians and other personnel with specialized training in military medicine, disastermedicine, combat casualty care, tropical medicine and related disciplines. USU contributes to medical readinessand disaster response by training thousands of health care professionals annually through its continuing medicaland nursing education programs. USU also serves as a central resource for DoD and the nation by providingconsultative services and expertise on a wide array of military-related topics.CONTINUING HEALTH EDUCATIONUSU’s Office of Continuing Education for Health Professionals offersthe only program of its kind in the military health system, with sixaccreditations—for physicians, nurses, psychologists, social workers,pharmacists and health care executives. The office offers state-of-theart training opportunities, organizes and executes DoD medicaltreatment facility-based activities, organizes courses, workshops andInternet continuing education and runs regular conferences.The Military Training Network conducts advanced cardiac lifesupport, pediatric advanced life support and advanced trauma lifesupport classes. It also manages training programs embedded withinmilitary units around the world.“Continuing education directly supports the readinessof our military members. Because of increasedavailability of quality continuing education, healthcareproviders are more prepared to take care of troopswho are in harm’s way.”Captain Jaime Luke, R.N.Senior Executive Director for Continuing Health EducationUSU is world-renowned for its leadership and scholarship indisaster planning, preparedness, response and recovery.COUNTERING THE EFFECTS OF EMOTIONAL TRAUMAUSU’s Center for the Study of Traumatic Stress (CSTS), whichoperates in conjunction with the Department of Psychiatry, conductsresearch, education, consultation and training on preparing for andresponding to the psychological and health effects of traumaticevents. The Center’s multi-disciplinary approach integrates science,clinical care and community needs, preparedness and publiceducation. Center Director Robert Ursano, M.D., Professor andChair of the Department of Psychiatry, is world-renowned for hisleadership and scholarship in disaster planning, preparedness,response and recovery. Staff members have expertise indisaster psychiatry, military medicine and psychiatry, socialand organizational psychology, neuroscience, family violence,workplace preparedness and public education.22

New Center Focuses on Deployment-Related Mental Health CarePhysical wounds are sometimes notthe only injuries sustained by militarypersonnel. Combat trauma, PostTraumatic Stress Disorder (PTSD) andchallenges related to reintegrationafter deployment can be seriousissues that require specializedcare. Deployment also can be asignificant stress on family members.The new USU Center for DeploymentPsychology (CDP) plays a key role inthe Military Health System’s approachto dealing with mental health effects ofdeployment on service members and their families.The American Psychological Association workedclosely with Congress to establish the programat the university. The Congressionally fundedprogram will educate military and civilianhealth care professionals about how to provideappropriate and effective care for deploymentrelatedmental health issues. The Center’smission is to develop a well-trained cadre ofpsychologists, psychiatrists and social workers totreat members of the military community.CSTS Associate Director Stephen Cozza, M.D.,contributed to the development, by SesameWorkshop, of a new outreachkit designed to help youngchildren of service members dealeffectively with the stresses of(left to right) Dr. Charles L. Rice, President, USU; Dr. Cynthia Belar,American Psychological Association; Congressman C.W. BillYoung; Dr. David Riggs, Director, CDP; Dr. David Krantz, Chair,USU Department of Medical and Clinical Psychology.Helping Families During Military Deployment23CDP staff are developing and conductingbehavioral health courses, instituting research,making recommendations and drafting proposalsthat to support deployment-related policies andprogram development. They are also working toincrease awareness regarding deployment-relatedbehavioral health needs among service membersand their families. CDP is working closely withother USU programs including the esteemedCenter for the Study of Traumatic Stress, as wellas well-known researcher David Krantz, Ph.D.,Professor and Chair of the Department of Medicaland Clinical Psychology.military deployments. Titled “Talk, Listen, Connect:Helping Families During Military Deployment,”the kit addresses the challenges and concernschildren experience during various stages ofdeployment, and includes a DVD featuring theSesame Street Muppets.Courage to Care for MeIn 2007, CSTS launched the Courage to Care for Me campaign as part of their broadlysuccessful Courage to Care initiative—a health communication campaign designed toeducate professionals and laypersons in a timely manner about topics related to militaryuniquehealth care, homeland security and national health issues. Courage to Care for Meis designed to raise awareness of the strength and courage required in parenting duringstressful times. The goal is to help clinicians and family advocacy professionals reinforcethe values of positive parenting, especially to new mothers in military settings.A Courage to Care For Me “onesie” is imprinted with the campaign logo andaccompanied by a tag that asks “Why Courage?” The tag explains that parentingduring times of war involves courage at home, just as on the battlefield.

ResearchIn addition to providing world-class educational opportunities, USU is dedicated to visionary military and publichealth-relevant research and has a reputation as a worldwide center of excellence in areas such as disastermedicine, infectious diseases, preventive medicine, tropical medicine and adaptation to extreme environments.University researchers conduct investigations to ensure military health and readiness, and for the broad benefitof humankind. Collaboration is key, with USU scientists conducting clinical and laboratory investigations sideby-sidewith leading researchers at federal and private institutions in the U.S. and around the world.IMPROVING BLAST INJURY OUTCOMESCurrently, improvised explosive devices are the mostcommon cause of combat injuries. Blasts frequentlyresult in traumatic brain injury, as well as chronicdisabilities that can affect everyday functions. The mostfrequently occurring symptom of blast traumatic braininjury (BTBI) is memoryimpairment.An interdisciplinaryteam of USU researchersled by Christine E.Kasper, Ph.D., R.N., aProfessor in the GraduateSchool of Nursing andfaculty with the Office ofNursing Services at theDepartment of VeteransAffairs Central Office,received a three-yeargrant from the VA tocharacterize the cellular, molecular and behavioralconsequences of moderate and severe BTBI. Theresearchers also will test their theory that treatment withan anti-inflammatory medication, along with behavioralstimulation, will produce neuro-regeneration leadingto better patient outcomes. This is a departure from thetraditional approach of severely limiting the amount ofstimuli to which a patient with TBI is exposed.The cross-disciplinary research team includes DenesAgoston, M.D., Ph.D., an Associate Professor in theDepartment of Anatomy, Physiology and Genetics, andNeil Grunberg, Ph.D., a Professor in the Department ofMedical and Clinical Psychology. Colonel GeoffreyLing, M.D., Ph.D., Director of the Division of CriticalCare Medicine, Vice Chair of the Department ofNeurology and a Professor in the Departments ofAnesthesiology, Neurology and Surgery and JosephLong, Ph.D., at the Walter Reed Army Institute ofResearch, are also collaborators.Collaborating for SuccessIts close proximity to prestigious research institutions, including theNational Institutes of Health, affords USU faculty and studentssingular opportunities to interact. They have a deep sense ofshared mission among themselves and others within the militaryhealth system, lending itself to an extraordinary team spirit rarelyfound at other educational institutions.“The wealth of research opportunities here is mindblowing…You have to cross cut if you want your research tohave clinical relevance. Everyone here is so welcoming aboutcollaborations and talking about research. It’s a joy.”Students at USU benefit from this atmosphere and location,as well. “One of my doctoral students is back and forth atNIH all the time… Some of my students are also workingon a study we’re doing with the Armed Forces RadiobiologyResearch Institute...”Christine E. Kasper, Ph.D., R.N.24

ADVANCING THE SCIENCE OF NEUROLOGICAL DISORDERSAs reported widely in the media, on January29, 2006, while reporting in Iraq, ABC newsanchor Bob Woodruff was severely injuredwhen his vehicle hit a roadside bomb near Taji.After receiving a life-saving craniectomy in Baladperformed by far-forward neurosurgeons, hewas airlifted to the Army hospital in Landstuhl,Germany, and then on to the National NavalMedical Center (NNMC) in Bethesda,Maryland, all within 72 hours of the blast.Department of Surgery. The reporter emergedfrom a five-week medically induced coma, and10 days later, was able to return home for furtherrehabilitation. Armonda traveled to New Yorkto assist with Woodruff’s cranioplasty using amilitary computer-manufactured acrylic plate andinjectable bone “paste.” Woodruff returned toNNMC one year later while filming an ABCNews special report chronicling his injury andsubsequent recovery.Upon arrival at NNMC, a team includingclinician/researcher Lieutenant Colonel RoccoArmonda, M.D., USU Class of 1990, performeda cerebral angiogram on Woodruff to ensurehe had no evidence of neurovascular injury. Dr.Armonda is an interventionalvascularneurosurgeon/intensivist with USU’sComprehensiveNeuroscienceProgram (CNP)and is a memberDr. Armonda (right) and a patientof the faculty of theThe CNP is a multi-site, collaborative clinicalresearch program working to improve the prevention,diagnosis and treatment of neurologicaldisorders, with a focus on acute care. Programresearchers examine neurological issues from abroad perspective that encompasses not onlybasic research, but also real-world applications.The initiative is a collaborative effort amongWalter Reed Army Medical Center (WRAMC),NNMC, Conemaugh Health System, USUand the Henry M. Jackson Foundation for theAdvancement of Military Medicine, under thedirection of Colonel William Campbell, M.D.,Chair of Neurology at USU.Extending Research CollaborationsUSU is working to increase research collaborations with the National Institutesof Health. University faculty not only seek out new research relationships, butthere is also a growing exchange between NIH personnel and USU faculty.These collaborations have attracted scientists from many of the institutes, amongthem the National Institute of Allergy and Infectious Diseases (NIAID).Johnan A. R. Kaleeba, Ph.D., is a virologist and Assistant Professor in the USUDepartment of Microbiology and Immunology. He came to the university fromNIAID to continue his scientific studies on mechanisms by which DNA tumorviruses infect and alter the growth of host cells leading to cancer. Dr. Kaleeba’swork at NIH culminated with the discovery that a protein normally involved inprotecting cells against inflammation is also co-opted as an entry receptor fora new herpesvirus that is associated with Kaposi’s sarcoma, the most commoncancer among people with weak immune systems. His work was published inthe prestigious journal Science.Now at USU, Dr. Kaleeba is developing novel approaches to harness thebody’s own anti-inflammatory defenses as a mechanism to attenuate theemergence of virus-associated syndromes, with the ultimate goal of developingtreatments for such illnesses.25

EXPLORING RADIATION RESISTANCERadiation resistance is an important area of studyin many respects, from devising mechanisms ofradioprotection to cleaning up nuclear waste.USU researchers, lead by Department ofPathology Associate Professor Michael Daly,Ph.D., have made significant strides in researchrelated to the radiation-resilient bacteriumDeinococcus radiodurans.D. radiodurans has long been known to becapable of withstanding extremely high doses ofionizing radiation. In a groundbreaking studyreleased in 2007, Daly and collaborators frominstitutions including the National Institutes ofHealth uncovered evidence pointing to a potentform of protein protection as the mechanismthrough which the bacterium protects itself.These results likely will cause a shift in D. radioduransresearch, changing the focus frompreviously held theories regarding DNA damageand repair.In prior work on the organism, Daly and colleaguescollaborated with the Pacific NorthwestNational Laboratory to develop improved methodsof studying the bacterium. The organism had beenengineered previously by another scientific teamto attack pollutants often found at radioactive sites.The technologies created by Daly’s team allowedscientists to obtain extensive protein identificationinformation that could lead to methods of using theD. radiodurans as a tool for bioremediation. Theresults of the study were published in the leadingjournal PLoS Biology.DedicationUsing Genomics to Understand Disease ProcessesCystic fibrosis (CF) is the most commonlife-limiting genetic disease in the U.S.The disease manifests when a childreceives one mutant CF gene from eachparent. Roughly five percent of the U.S.population carries a copy of the mutantCF gene, making the disease relativelycommon in the military dependentcommunity, and therefore relevant tomilitary medical research. Harvey Pollard,M.D., Ph.D., Professor and Chair of theUSU Department of Anatomy, Physiologyand Genetics, and his team receiveda $14 million award from NIH to useproteomics to advance CF research.Pollard’s lab is making significant progresson several fronts, including developingnew technologies to study proteins.Current methods focus primarily on massspectrometry, which identifies proteins that26occur in abundance. Many investigatorsbelieve that the crucial disease-specificproteins are those that occur in low levels.Pollard and his team have thereforedeveloped a new antibody microarraytechnology that is highly sensitive and candetect these less abundant proteins. ThePollard lab now uses both technologiesin parallel to get a complete view of asmany of the proteins as possible.The group is applying its new proteinanalysis technology to the study ofseveral other important diseases,including prostate cancer, breastcancer and heart disease. They areconducting this research in collaborationwith partners including Johns HopkinsUniversity, NIH and the LombardiComprehensive Cancer Center atGeorgetown University.

USU RESEARCHERS FIND BROAD-SPECTRUM DEFENSE AGAINST HIV-1Research conducted at USU suggests that it maybe possible to develop a vaccine that protectsagainst the myriad strains of the HIV virus. Thisgroundbreaking study titled: “Extensively Cross-Reactive Anti-HIV-1 Neutralizing AntibodiesInduced by gp140 Immunization” appeared aspring 2007 online edition of Proceedings of theNational Academy of Sciences.To be effective, an HIV vaccine must induce thebody to produce cross-reactive antibodies that canneutralize multiple strains. USU Professors CaptainGerald Quinnan, Jr., M.D., and Christopher Broder,Ph.D., and their colleagues at USU attempted toelicit these broad-range antibodies by immunizingwith a particular HIV-1 surface protein, designatedR2 gp140, and an immune response-boostingcomponent. The researchers tested antibodiesgenerated by the immunizations to determinetheir effectiveness in neutralizing the infectivity ofa variety of HIV-1 strains. Antibodies produced asa result of immunization neutralized all 48 strainsof HIV-1 tested. The results are encouraging forvaccine development, because they showed thatit is possible to elicit a broad-spectrum antibodyresponse. This research was supported by a grantfrom a number of collaborators including theNational Institutes of Health/NIAID and the HenryM. Jackson Foundation for the Advancement ofMilitary Medicine.Drs. Gerald Quinnan (left) and ChristopherBroder (center) talk with Dr. Anthony Fauci,Director of the National Institute of Allergyand Infectious Diseases.LINKING DIET TO GASTRIC DISEASEMany people have never heard of Helicobacterpylori, yet more than half of the world’s populationis infected with the bacteria. H. pylori is the maincause of peptic ulcer disease and a major causeof gastric cancer, although most people with H.pylori don’t have obvious symptoms. Roughly 20percent of people younger than 40 and 60 percentof people older than 60 are infected with thebacteria. A team of researchers including D. ScottMerrell, Ph.D., Assistant Professor of Microbiologyand Immunology, showed that high concentrationsof salt in the stomach seem to stimulate increasedactivity in the bacteria, raising the risk of seriousgastric disease.bacteria’s response to specific components of aperson’s diet. As part of an NIH-supported project,Merrell’s team examined the effect of a high-saltdiet on H. pylori’s growth and gene expression.The researchers deduced that high levels of saltin vitro cause a defect in cell division. Further, theyfound increased transcription by two genes thatinduce virulence in H. pylori. This could help toexplain the increased risk of disease previouslyshown to be associated with a high-salt diet amongH. pylori-infected individuals.The team presentedthe study results at the May 2007 general meetingof the American Society for Microbiology.Epidemiological evidence haslong implied that there is aconnection between H. pyloriactivity and diet, but until now,the majority of research hasfocused on the effects of diet onthe stomach rather than on the27

AFRRIArmed Forces Radiobiology Research InstituteIt is imperative that the military and the larger medical community, indeed, the nation, be prepared for the threatof nuclear or radiological attack. A component of USU, the Armed Forces Radiobiology Research Institute(AFRRI) provides unique expertise and capabilities in the field of radiation biology. Researchers there are workingon novel assessment and treatment technologies to protect both military and civilian populations.EXPOSURE LEVELS AND HEALTH RISKSA nuclear or radiological attack could result inmass casualties and would likely cause a range ofacute and long-term health consequences. Researchconducted at AFRRI is improving the ability to rapidlyassess an individual’s exposure to radiation.Scientists at AFRRI are creating new approaches toclassical biodosimetry, which is based on cytogeneticdamage, for casualty triagesoon after exposure. One areaof study focuses on developingdose-assessment assays that usetransportable equipment to testeasily obtained samples, such ashair, fingernails, urine or a dropof blood. Utilizing innovativeapproaches, they are also improvingthe accuracy, dose range, ease ofuse and speed of biodosimetry.To ensure the health of our service members, AFRRIscientists established a new approach to assessingthe potential health effects of militarily relevantmetals that may become embedded as shrapnel.Researchers evaluate the acute and long-term healthrisks of metals, such as depleted uranium and tungstenalloys, and explore potential treatments for anyadverse effects.ExpertiseMEASURES TO COMBAT RADIATION EXPOSUREAFRRI scientists provide research resultsand expertise to the U.S. Government andthe DoD in the field of radiation biologyand help inform and develop policies andnational response plans. For example, incollaborations with the international scientificcommunity, AFRRI acts as a catalyst topublish medical and technical informationbased on data from nuclear accidents andincidents in other countries. Such informationcan be used to direct rescue operations,including those resulting from terrorist actionsor industrial nuclear accidents.28Researchers are also investigating treatmentoptions to protect both service members andcivilians in a variety of radiation exposurescenarios. Using their understanding of themechanisms of radiation damage, AFRRIscientists are pursuing new and improvedpharmacological approaches to preventthe health-degrading and potentiallylife-threatening effects of ionizing radiation.Making use of novel cellular and molecularapproaches and complex physiologicalsystems, the researchers are working tomove these potentially life-saving drugs fromdiscovery through the FDA approval process.

PROVIDING EDUCATION ON MEDICAL EFFECTS OF IONIZING RADIATIONAFRRI’s Military Medical Operations departmentsupports the U.S. Armed Services by providingmedical and operational personnel with up-to-dateinformation concerning the biomedical consequencesof radiation exposure, how the effectscan be reduced and how to manage casualties.At the Medical Effects of Ionizing Radiationcourse, students receive a unique education on thehazards of ionizing radiation, radiation pathology,human exposure resulting from radiation accidents,consequences of nuclear weapons detonation andnuclear accident response by government organizations.They also hold an annual scientific updatesmeeting to share the most recent findings in the fieldwith military and civilian personnel, health careproviders and operational planners.The Medical Effects of Ionizing Radiation courseis the most comprehensive training available onthis topic, and is the only graduate-level coursein the DoD for training health care professionalsin the management of uncontrolled ionizingradiation exposure.UNIQUE RESEARCH FACILITIESAFRRI’s specialized researchfacilities and resources—designedspecifically for small-scale researchpurposes—provide scientists with avariety of radiations, energies anddose rates. This enables researchersto conduct targeted research onthe effects of ionizing radiation,and allows them to simulate fieldconditions and determine the effectsof combined injuries. Its mediumsizedresearch reactor, high-energyirradiation facility and low-level irradiationfacility are licensed by theNuclear Regulatory Commission.AFRRI has a teamof scientists ready todeploy in case of anuclear event. They aresubject matter expertson how to managecasualties in suchsituations.29

CourageCenter for Disaster and Humanitarian ResponseThe U.S. military is increasingly called on to supportdomestic and international disaster response andother humanitarian assistance efforts, which ofteninvolves providing medical care in austere environmentsand in developing countries. The Center forDisaster and Humanitarian Assistance Medicine(CDHAM), which operates within USU’s Departmentof Military and Emergency Medicine, serves as acentral resource for the DoD, other government agenciesand international partners.Headed by Robert Darling, M.D., a graduate of theUSU class of 1985, CDHAM’s staff has expertisein a broad range of areas, and its academic settingenables a multidisciplinary approach to disastermitigation. The program is engaged in a full rangeof initiatives aimed at improving preparedness andresponse. Many of these efforts are undertaken withforeign military and civilian agencies, as well as otherleading U.S. academic medical centers.The center supports the U.S. military with a widerange of health-related activities around the world.CDHAM works with the Global Emerging InfectionsSurveillance and Response System (DoD-GEIS)on a pandemic influenza program, serving as aresource for commanders in the field. The center iscollaborating with the U.S. Southern Command tocreate a sustainable HIV/AIDS prevention programfor Caribbean defense forces in seven countries.Staff members also are working with the governmentof Chad on a landmine assistance program to helpgovernment and military forces provide care to victimsof landmines.In May of 2007, two researchers with CDHAMpublished a study showing that many residents ofFEMA-created trailer parks housing persons displacedby Hurricane Katrina are facing serious and persistentmental health issues. According to the study, whichappeared in the Annals of Emergency Medicine,major depression is a pervasive problem, with suicideattempts among trailer park residents at a rate 78times higher than the national average. The researchers,Lynn Lawry, M.D. and Michael P. Anastario, Ph.D.,used a global humanitarian aid perspective to assessa number of factors, including mental health, for thepurpose of informing recovery efforts.In 2007, a CDHAM team traveled to Afghanistan tohelp coordinate efforts to devise strategies to createa long-term health care infrastructure by helping torebuild the civilian medical system and expandinghealth care expertise within the country. Efforts includeworking with Afghan National Security Forces tohelp them develop their health care infrastructure andconduct health care training programs.The Center’s staff has expertise in abroad range of areas, and its academicsetting enables a multidisciplinaryapproach to disaster mitigation.Jim Holliman, M.D., was part of a CDHAMteam that travelled to Afghanistan.30

National Capital Area Medical Simulation CenterThe National Capital Area Medical SimulationCenter houses some of the most advancedmedical simulation technologies in the world. Atthe Simulation Center, students undertake criticalclinical and surgical skills training, including takingpart in exercises involving live simulated patients,high-fidelity patient mannequins and virtual realitycomputer-enhanced task trainers. The center conductsroughly 8,000 simulations each academicyear, and its resources are available to all universitymedical and nursing students, interns, residents andothers in the USU community.Immersive Virtual EnviaronmentThe center is home to a cutting-edge Wide AreaVirtual Environment (WAVE). Most computer-basedmedical simulators focus on individual training,but in reality, most medical care is administered inteams. The WAVE creates a realistic environmentin which groups of students can train together tocare for the injured during combat situations. Theinitial prototype system creates a 3-D environment,complete with an advanced sound system, thatimmerses participants in a battlefield setting. TheWAVE also can be used to simulate disaster,biological attack and other mass casualtyscenarios. It is one of the only facilities of itskind in the world.Surgical SimulationThe center’s Surgical Simulation Laboratoryincludes a full-scale operating room, as well as avirtual reality room, which provide realistic scenariosfor trauma and surgical training. The operatingroom is equipped with computerized, high-fidelityhuman patient mannequins, and the virtual realityroom houses computer-enhanced task trainers thatenable students to practice surgical procedures,endoscopic skills and laparoscopic techniques.Clinical SkillsThe Simulation Center’s Clinical Skills TeachingLaboratory includes 12 patient examination roomswhere standardized patients, played by actors,help students hone their communication, interpersonal,professional, physical exam and diagnosticreasoning skills. Faculty monitor the encounters andprovide students with critical feedback.The Simulation Centeruses state-of-the-arttechnologies to conductspecialized clinical andsurgical skills training. Bygraduation, USU studentswill have taken part inroughly 40 differentsimulations.31

Looking AheadU.S. academic medicine is facing a myriad ofchallenges—a predicted 30 percent shortfall in thenumber of physicians within the next 20 years; fewercompetitive undergraduates applying to medicalschool; concern about student debt and its limitationof choice of practice; continued lack of diversityamong student bodies; curricula taxed by theever-growing complexity and scientific challenges ofmedical practice; and the challenge and practicalityfor faculty of balancing the enormous demands ofacting as physician, teacher and scientist. At the sametime, health care and biomedical research have neverbeen more exciting and fulfilling.USU faces many of the same issues as civilianacademic health centers, with the critical differencethat USU students face neither debt nor limits onpractice and career. The university’s curriculumis, and has always been, focused on keepingtroops healthy. This gives a special niche thatthe university will continue to emphasize in botheducation and research programs. The university isat an extraordinary moment in history. Due to therecommendations of the 2005 Base Realignmentand Closure committee, the DoD will create on thiscampus, and with USU as its educational core, the“academic health center of the 21 st Century.” Leadersin the National Capital Area are hard at workdeveloping the new Walter Reed National MilitaryMedical Center (WRNMMC), scheduled to openon the National Naval Medical Center campus—thehome of USU—in 2011.USU’s role in this new medical center presents atremendous opportunity not only for the MilitaryHealth System, but also for the nation’s academichealth system. The joining of four uniformed services,co-located with a health sciences university, on acampus adjacent to the National Institutes of Health,with its unparalled research and clinical services, willallow U.S. medicine to create a new model of anacademic health center. WRNMMC will be a focalpoint of federal investment in the health sciences at asingle site and will allow USU to provide an educationfor future uniformed services practitioners andresearchers that is informed by the very latest researchon emerging health problems.The DoD will create on thiscampus, and with USU asits educational core, the“academic health center ofthe 21 st Century.”Success will depend largely on flexibility andinnovation. The university must learn to cross withgrace and ease the boundaries of service—Army,Navy, Air Force or Public Health Service, within andbeyond the Department of Defense and Departmentof Health and Human Services. It must engagecivilian academic health centers in meaningfulpartnerships and connect with NIH researchers, grantthem access to the military’s extraordinary clinicalresearch population and databases, and in turn gainexpanded access for the military system to state-ofthe-arttreatment and protocols.The nation has invested billions of dollars in publichealth. The creation of WRNMMC is a first step inpooling resources and developing shared visions toserve a single mission—ensuring military and publichealth worldwide.Members of the original2006 – 2007 flag council forNational Capital Area integrationefforts included: (left toright) Major General KennethFarmer, Jr., M.D., CommandingGeneral, North Atlantic RegionalMedical Command; CharlesRice, M.D., USU President; RearAdmiral Adam Robinson, M.D.,Commander, National NavalMedical Center; BrigadierGeneral Thomas Travis, M.D.,Commander, 79th Medical Wing.32

®USU LeadershipPresidentCharles L. Rice, M.D.Chief of StaffStephen Henske, M.H.A., CAPT, MSC, USN (Ret)Special Assistant, Bldg. EMary A. Dix, B.S., M.S.Special Assistant, BRAC IntegrationVernon D. Schinski, Ph.D.CAPT, MSC, USN (Ret)Dean, F. Edward Hébert School of MedicineLarry W. Laughlin, M.D., Ph.D.CAPT, MC, USN (Ret)Vice DeanCol John McManigle,USAF, MCAssociate Dean for Graduate EducationEleanor S. Metcalf, Ph.D.Associate Dean for Graduate Medical EducationHoward E. Fauver, Jr., M.D., COL, MC, USA (Ret)Associate Dean for Student AffairsRichard MacDonald, M.D., COL, MC, USA (Ret)Commandant, School of MedicineCol. Ken Tashiro, USAF, MC(Acting) Dean Graduate School of NursingWilliam Bester, R.N., MSN, C.N.A.A., BCBG, AN, USA (Ret)Associate Dean for Faculty AffairsKaren L. Elberson, Ph.D., R.N.Vacant (October 1, 2007 – present)Assistant Dean for Student Affairs/CommandantLTC Wanda D. Jenkins, AN, USADirector, Armed Forces Radiobiology Research InstituteCOL Patricia K. Lillis-Hearne, MC, USADirector, U.S. Military Cancer InstituteJohn Potter, M.D.(Acting) Senior Vice PresidentDale C. Smith, Ph.D.Vice President for Recruitment and DiversityCAPT Cynthia Macri, MC, USNVice President, Affiliations and International AffairsEmmanuel G. Cassimatis, M.D.COL, MC, USA (Ret)Senior Executive Director, Continuing Education forHealth Professionals DirectorateCAPT Jaime Luke, NC, USNVice President for External AffairsCarol R. Scheman, M.S.S.A.Vice President for Finance and AdministrationStephen C. Rice, M.S., F.A.C.H.E.CAPT, MSC, USN (Ret)Vice President for ResearchSteven G. Kaminsky, Ph.D.Brigade CommanderLTC John Maurer, MS, USACOL John Wempe, MC, USA (August 2007 – present)General CounselJohn E. Baker, J.D., LL.M., COL, JA, USA (Ret)Faculty Senate PresidentBob Williams, Ph.D.F. Edward Hébert School of MedicineAcademic Department Chairs/Program DirectorsDepartment of Anatomy, Physiology and GeneticsChair: Harvey B. Pollard, M.D., Ph.D., CAPT, USPHS (Ret)Department of Anesthesiology(Acting) Chair: LTC(P) Cynthia H. Shields, MC, USADepartment of Biochemistry and Molecular BiologyChair: Teresa Dunn, Ph.D.Department of Biomedical InformaticsChair: A. Leon Moore, Ph.D.Department of DermatologyChair and Professor: Leonard B. Sperling, M.D.COL, MC, USA (Ret)Department of Family MedicineChair: Col Brian V. Reamy, USAF, MCDepartment of Medical and Clinical PsychologyChair: David S. Krantz, Ph.D.Department of Medical HistoryChair: Dale C. Smith, Ph.D.Department of MedicineChair: Robert Goldstein, M.D.(Acting) Chair: Brian Monahan, M.D.(September 2007 – present)Department of Microbiology and ImmunologyChair: Alison D. O’Brien, Ph.D.Department of Military and Emergency MedicineChair: CAPT Trueman W. Sharp, MC, USNDepartment of NeurologyChair: COL William W. Campbell, Jr., MC, USADepartment of Obstetrics and GynecologyChair: Andrew Satin, M.D., Col, USAF, MC (Ret)(Acting) Chair: Col Christopher Zahn, USAF, MC(September 2007 – present)Department of PathologyChair: Robert M. Friedman, M.D., CAPT, USPHS (Ret)Department of PediatricsChair: Ildy M. Katona, M.D., CAPT, MC, USN (Ret)Department of PharmacologyChair: Brian M. Cox, Ph.D.Department of Preventive Medicine and BiometricsChair: CAPT Gerald V. Quinnan, USPHSDepartment of PsychiatryChair: Robert J. Ursano, M.D., Col, USAF, MC (Ret)Department of Radiation BiologyChair: Terry C. Pellmar, Ph.D.Department of Radiology and Nuclear MedicineChair: James G. Smirniotopoulos, M.D.Department of SurgeryChair: COL David G. Burris, MC, USAEmerging Infectious Diseases ProgramDirector: Christopher C. Broder, Ph.D.Molecular and Cell Biology ProgramDirector: Jeffrey M. Harmon, Ph.D.Neuroscience ProgramDirector: Regina Armstrong, Ph.D.Section of Medical JurisprudenceBradley S. Beall, J.D., CDR, JAGC, USN (Ret)Graduate School of NursingAcademic Department Chairs/Program DirectorsDepartment of Health Systems, Risk and ContingencyManagementChair: Sandra C. Bibb, D.N.Sc., R.N.Department of Health, Injury and Disease ManagementChair: Diane Padden, Ph.D., C.R.N.P.Family Nurse Practitioner ProgramDirector: Diane Seibert, Ph.D., C.R.N.P.Perioperative Clinical Nurse Specialist ProgramDirector: COL Linda J. Wanzer, AN, USANurse Anesthesia ProgramDirector: Lt Col Adrienne Hartgerink, USAF, NCNursing Science ProgramKaren L. Elberson, Ph.D., R.N.(Acting) Director: Christine Kasper, Ph.D., R.N. (August2007 – present)Psychiatric Mental Health ProgramMAJ Robert Arnold, AN, USABoard of RegentsChairThe Honorable Everett Alvarez, Jr.Vice ChairThe Honorable Linda J. StierleMembersThe Honorable Otis W. BrawleyThe Honorable Colleen Conway-WelchThe Honorable William DeLaPeñaThe Honorable Sharon A. Falkenheimer(Resigned July 31, 2007)The Honorable Vinicio E. MadrigalThe Honorable Lawrence C. Mohr, Jr.The Honorable C. Thomas Yarington, Jr.(Deceased May 30, 2007)Ex-Officio MembersThe Honorable S. Ward CasscellsAssistant Secretary of Defense for Health AffairsCharles L. Rice, M.D.President, USUVADM Donald C. Arthur (July 2004 - August 27, 2007)Surgeon General, United States NavyVADM Adam M. Robinson (August 27, 2007 – present)Surgeon General, United States NavyLt Gen James G. Roudebush, USAF, MCSurgeon General, United States Air ForceRADM Kenneth P. Moritsugu, USPHS(Acting) Surgeon General of the United StatesMG Gale S. Pollock, AN, USA(Acting) Surgeon General, United States ArmyProduced by

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