34 100 60586 https://digital.lib.buffalo.edu/files/original/87e9a7871a43b3cbfce26714a13ec39e.jpg fc1fb84caa9957609f19d6657ed39c5f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A small ensemble of musicians performs for a seated audience in a room with orange curtains. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Brad Lubman, conductor leads Ensemble Signal members Olivia De Prato, violin, Victor Lowrie, viola, Alex Ishov, flute, unidentified, oboe, Laruen Radnofsky, violoncello, Adrián Sandí, clarinet, and Tristan Kasten-Krause, double bass in a performance of Matt Simon's "Found Objects" at June in Buffalo 2017 Subject The topic of the resource Conductors Musicians Musical groups De Prato, Olivia - Violin Lowrie, Victor - Viola Lubman, Brad - Conductor Ishov, Alexander, 1994- - Flute Radnofsky, Kenneth - Violoncello Sandí, Adrián 1983- - Clarinet Kasten-Krause, Tristan - Double bass Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_074 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A conductor leads a small musical ensemble consisting of string and wind players. A seated audience faces the performers from rows of chairs in the foreground. The room features light-colored walls and a backdrop of tall orange curtains. https://digital.lib.buffalo.edu/files/original/c1780fe496152a545e87ed85bf2756c3.jpg 6c4ac2ee0150b691a55992182e1a4ae7 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A conductor directs a small musical ensemble featuring a flute, clarinet, and double bass for a seated audience. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Brad Lubman, conductor leads Ensemble Signal members Alex Ishov, flute, Adrián Sandí, clarinets, Steven Parker, trombone, and Tristan Kasten-Krause, double bass in a performance of Lily Chen's "Rambling" at June in Buffalo 2017 Subject The topic of the resource Conductors Musicians Musical groups Ishov, Alexander, 1994- - Flute Sandí, Adrián 1983- - Clarinet Parker, Steven - Trombone Kasten-Krause, Tristan - Double bass Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_073 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A conductor in black stands with one arm extended toward a small musical ensemble in front of a yellow curtain. The ensemble includes musicians playing a flute, a clarinet, and a double bass. An audience is seated in the foreground looking toward the stage where additional musical equipment like a piano and timpani are visible. https://digital.lib.buffalo.edu/files/original/de25da75f48745cbd430c5980e024af5.jpg 00dbff4fa0c461049d8b3942d7713f1e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Musicians perform on a stage for a seated audience in a room with gold curtains. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Brad Lubman, conductor leads Tiffany DuMouchelle, soprano and Ensemble Signal members Michael Gurfield, trumpet, Steven Parker, trombone, and Adrián Sandí, bass clarinet in a performance of Yu-Chun Chien's "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Conductors Musicians Musical groups Gurfield, Michael - Trumpet DuMouchelle, Tiffany - Voice Parker, Steven - Trombone Lubman, Brad - Conductor Sandí, Adrián 1983- - Bass clarinet Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_072 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Several people perform on a stage with instruments including a trumpet, a trombone, and kettledrums. An audience sits in chairs facing the performers, who stand in front of a large orange curtain. The room features light-colored acoustic paneling on the left wall and various pieces of musical equipment. https://digital.lib.buffalo.edu/files/original/4dc952ee3edff1ce89ec89e4b1a6b7cd.jpg 205b6256ebdacd8529b830761ed4d18c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource People sit in chairs facing musicians playing instruments on a stage in front of orange curtains. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Brad Lubman, conductor leads Tiffany DuMouchelle, soprano and Ensemble Signal members Michael Gurfield, trumpet, Adrián Sandí, bass clarinet, and Steven Parker, trombone in a performance of Yu-Chun Chien's "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Conductors Musicians Musical groups Gurfield, Michael - Trumpet Sandí, Adrián 1983- - Bass clarinet DuMouchelle, Tiffany - Voice Parker, Steven - Trombone Lubman, Brad - Conductor Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_071 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource An audience sits in rows of chairs facing a performance area where several musicians play wind instruments. A person stands with arms outstretched near a piano and percussion equipment. The background features light-colored walls and large orange curtains. https://digital.lib.buffalo.edu/files/original/aa8e00bb56075ab431b19a7de1c88cfc.jpg 739800e2931e6b0850b60a8557719236 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Musicians perform for a seated audience in a room with orange curtains. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Brad Lubman, conductor leads Tiffany DuMouchelle, soprano and Ensemble Signal members Steven Parker, trombone, Adrián Sandí, bass clarinet, and Michael Gurfield, trumpet in a performance of Yu-Chun Chien's "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Conductors Musicians Musical groups Parker, Steven - Trombone DuMouchelle, Tiffany - Voice Sandí, Adrián 1983- - Bass clarinet Gurfield, Michael - Trumpet Lubman, Brad - Conductor Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_070 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A group of people sit in red-backed chairs, facing a performance area with orange curtains and acoustic panels. On stage, individuals play a trombone and a saxophone near music stands and a piano. A person stands facing the musicians while another person stands to the right with raised hands. https://digital.lib.buffalo.edu/files/original/4c8f7b81ec14ef7f68a44e548562448e.jpg c55667d1770e46d35d494bbd45d87476 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A group of people sits in chairs facing two individuals standing on a stage area with musical instruments. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Brad Lubman, conductor, Tiffany DuMouchelle, soprano, and Ensemble Signal members Steven Parker, trombone, Adrián Sandí, bass clarinet, and Michael Gurfield, trumpet before a performance of Yu-Chun Chien's "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Conductors Musicians Musical groups Parker, Steven - Trombone Lubman, Brad - Conductor DuMouchelle, Tiffany - Voice Sandí, Adrián 1983- - Bass clarinet Gurfield, Michael - Trumpet Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_069 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Several rows of people are seated in a room, many looking toward the front where two individuals are standing. Behind them, musical equipment including a piano and timpani is visible against an orange curtain. Some of the seated individuals hold papers while others observe the front of the room. https://digital.lib.buffalo.edu/files/original/476764076a0f6816d4d679bba4ec07b6.jpg f22640d6c3a99b9b265f263c86793347 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A large group of people sitting in rows of chairs in an indoor space. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composers, musicians, and audience members, including Brad Lubman, before a performance at June in Buffalo 2017 Subject The topic of the resource Composers Musicians Lubman, Brad - Conductor Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_068 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource People are seated in multiple rows of chairs, with some holding notebooks, programs, or mobile devices. In the background, a person stands holding a trumpet near a door labeled "Orchestra Library." The room contains neutral-toned walls and grey storage lockers along the right side. https://digital.lib.buffalo.edu/files/original/b0661f5dedf56526c18d855ecb652ddc.jpg d4b2adeb5c4d8175c255dfa99ea33ece Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A group of people sit and stand in a room containing musical instrument cases and a door labeled "Orchestra Library." Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composers, musicians, and audience members, including David Felder, Brad Lubman, and Jeffrey Mumford, before a performance at June in Buffalo 2017 Subject The topic of the resource Composers Musicians Felder, David, 1953- - Composer Lubman, Brad - Conductor Mumford, Jeffrey, 1955- - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_067 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Several people are gathered in an indoor space, with some seated on red chairs and others standing. A blue cello case and other musical equipment are positioned near a door marked "Orchestra Library." One person holds a camera and another holds a woodwind instrument. https://digital.lib.buffalo.edu/files/original/f8a9197a04132fe33c6cefa86ea3afac.jpg e40ba18ef58bb5ae3b2c330e1222a8ea Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three people stand in a music room, with one holding a flute and another holding a cello. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Leslie Lang coaches Ensemble Signal members Alex Ishov, flute and Mariel Roberts, violoncello on her piece "Strange Lengths, Odd Ends" at June in Buffalo 2017 Subject The topic of the resource Composers Flutists Violoncellists Ishov, Alexander, 1994- - Flute Lang, Leslie - Composer Roberts, Mariel - Violoncello Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_066 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Three individuals are positioned in a room featuring music equipment and orange curtains. The person on the left holds a flute while wearing a blue button-down shirt. The person on the right holds a cello and bow while wearing a yellow cardigan. A third person stands in the center wearing a black hoodie. https://digital.lib.buffalo.edu/files/original/81028ad231fbaf2a03a8f6e34cc9df9a.jpg abc6cad16fb4f7fc29af13f110796a14 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Two people sitting and playing the flute and cello in a practice room. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Ensemble Signal members Alex Ishov, flute and Mariel Roberts, violoncello rehearse Leslie Lang's "Strange Lengths, Odd ends" at June in Buffalo 2017 Subject The topic of the resource Flutists Violoncellists Ishov, Alexander, 1994- - Flute Roberts, Mariel - Violoncello Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_065 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person on the left sits while playing a silver flute behind a black music stand. To the right, another person sits playing a cello in front of a different music stand. The background includes several red chairs and an orange curtain. https://digital.lib.buffalo.edu/files/original/765cec903066944693509501828ea80c.jpg 397112fbfc1e2d83aaa609703a0791d7 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Musicians perform on a stage with a violin, cello, harp, percussion, and clarinet as an audience member watches from the front row. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Odd Hannisdal watches as Ensemble Bifrost members Gina Bordini, violin, Johannes Borchgrevink, violoncello, Sara Esturillo, harp, Kjell Tore Innervik percussion, and Ingeborg Elisabeth Moe, clarinet rehearse at June in Buffalo 2017 Subject The topic of the resource Violinists Musicians Musical groups Bordini, Gina - Violin Hannisdal, Odd - Violin Borchgrevink, Johannes - Violoncello Esturillo, Sara - Harp Innervik, Kjell Tore, 1974- - Percussion Moe, Ingeborg Elisabeth - Clarinet Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_064 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Five people play musical instruments on a stage in a concert hall with wood-paneled walls and organ pipes. From left to right, the musicians use a violin, cello, harp, percussion instruments, and a clarinet. In the foreground, a person sits with their back to the camera and arms draped over the back of empty seats. https://digital.lib.buffalo.edu/files/original/043710ce62615966d692a717efb62fb8.jpg 8e00779916ddce6027f370b2e51b0552 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Five musicians perform on a stage with instruments including a harp, cello, and marimba. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Odd Hannisdal watches as Ensemble Bifrost members Gina Bordini, violin, Johannes Borchgrevink, violoncello, Sara Esturillo, harp, Kjell Tore Innervik percussion, and Ingeborg Elisabeth Moe, clarinet rehearse at June in Buffalo 2017 Subject The topic of the resource Violinists Musicians Composers Bordini, Gina - Violin Hannisdal, Odd - Violin Borchgrevink, Johannes - Violoncello Esturillo, Sara - Harp Innervik, Kjell Tore, 1974- - Percussion Moe, Ingeborg Elisabeth - Clarinet Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_063 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A musical ensemble plays a violin, cello, harp, marimba, and clarinet on a light wood stage. In the background, a large pipe organ is integrated into the wood-paneled walls. In the foreground, a person sits in a theater seat with their arms draped over the back of the chairs. https://digital.lib.buffalo.edu/files/original/6e0e31aef11cc2f9e1705aa5088f0e17.jpg 9425257a6e0a7acb9dd04166e1756505 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Musicians perform on a stage with a harp, percussion equipment, and woodwind instruments. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Johannes Borchgrevink, violoncello, Gina Bordini, violin, Sara Esturillo, harp, Kjell Tore Innervik, percussion, and Ingeborg Elisabeth Moe, clarinet rehearse at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Borchgrevink, Johannes - Violoncello Bordini, Gina - Violin Esturillo, Sara - Harp Innervik, Kjell Tore, 1974- - Percussion Moe, Ingeborg Elisabeth - Clarinet Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_062 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Several people play musical instruments in a hall with vertical wood paneling. A person in the foreground plays a string instrument next to an individual seated at a large ornate harp. In the background, a percussionist stands behind various instruments while another person sits on the right playing a woodwind instrument. https://digital.lib.buffalo.edu/files/original/712f8e49952ef424cc78e196609618ec.jpg 1b9a54f3745e9ee03d28334c70d542fd Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Five musicians play instruments including a harp, cello, violin, and clarinet in a wood-paneled room. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Sara Esturillo, harp, Johannes Borchgrevink, violoncello, Kjell Tore Innervik, percussion, Gina Bordini, violin, and Ingeborg Elisabeth Moe, clarinet rehearse at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Esturillo, Sara - Harp Borchgrevink, Johannes - Violoncello Innervik, Kjell Tore, 1974- - Percussion Bordini, Gina - Violin Moe, Ingeborg Elisabeth - Clarinet Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_061 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Five people perform on various musical instruments in a room with vertical wood-paneled walls. In the foreground, musicians play a cello and a violin while looking at music stands. An ornate harp is positioned on the left, and other individuals play a mallet percussion instrument and a clarinet in the background. https://digital.lib.buffalo.edu/files/original/c530d07fa3b18bd45601648b33ab66ec.jpg 0f8fa58cc62e63d9b9ccf986d209b500 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person in a brown sweater gestures with their hands in a theater with empty red seats and cymbals. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Odd Hannisdal coaches the Bifrost Ensemble during rehearsal at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Hannisdal, Odd - Violin Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_060 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person stands in an auditorium with their hands raised in a gesture, wearing a textured brown sweater. Behind them are rows of empty red seats and a microphone stand. In the lower left corner, several small cymbals are mounted on stands. https://digital.lib.buffalo.edu/files/original/630288e4e5ea00ed1a430ba99d4f4bcd.jpg 0d2bab3a402e3be67c6a2cab97586251 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person in a brown sweater gestures behind a set of small cymbals in an auditorium with empty seats. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Odd Hannisdal coaches the Bifrost Ensemble during rehearsal at June in Buffalo 2017 Subject The topic of the resource Violinists Musicians Hannisdal, Odd - Violin Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_059 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person with short brown hair wearing a brown textured sweater stands in an auditorium with rows of empty dark red seats in the background. Their arms are raised and hands are in motion behind a series of small circular brass cymbals mounted on a rack. A watermark reading "Copyright by Irene Haupt" is layered across the center of the frame. https://digital.lib.buffalo.edu/files/original/323f1c4f542ca1cc4feec7b5bc901772.jpg 5c6ec55b9e5537797355d9dfb7d78f5c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Musicians rehearse in a studio with a person directing from a stool while others play flute, cello, violin, and piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Jeffrey Mumford watches as Michael Lewanski, conductor and Ensemble Dal Niente members Mabel Kwan, piano, Emma Hospelhorn, flute, Mira Luxion, violoncello, and Hanna Hurwitz, violin rehearse his piece "a garden of flourishing paths" at June in Buffalo 2018 Subject The topic of the resource Composers Conductors Musical groups Mumford, Jeffrey, 1955- - Composer Lewanski, Michael - Conductor Kwan, Mabel - Piano Hospelhorn, Emma - Flute Luxion, Mira - Violoncello Hurwitz, Hanna, 1986- - Violin Ensemble Dal Niente - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_058 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A group of musicians sits in a rehearsal space with music stands, playing instruments such as the flute, cello, violin, and piano. One person sits on a tall stool gesturing toward the ensemble while another person sits nearby looking at sheet music. The room has a speckled floor, gray walls, and blue curtains behind a piano in the background. https://digital.lib.buffalo.edu/files/original/0cb8be5ed04d1ad54759b122d7d83bf8.jpg 7a48b374753269bf6e28e3dcb50805ce Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person wearing a checkered shirt and black cardigan looks down while holding a pen and papers. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Yu-Chun Chien listens in rehearsal of her piece "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Composers Chien, Yu-Chun - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_057 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person with dark hair tied back looks down at a stack of papers held in their hand. They wear a blue and white checkered shirt under a black cardigan and hold a white pen. Red and brown chairs are visible in the background against a light-colored wall. https://digital.lib.buffalo.edu/files/original/9afd33cde8f1586e5fcb841270078ce6.jpg 21fd08007ffb8b602fe088f5770165ce Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three people stand in a room with acoustic panels, two holding brass instruments and one standing behind a music stand. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Tiffany DuMouchelle, soprano and Ensemble Signal members Michael Gurfield, trumpet and Steven Parker, trombone rehearse Yu-Chun Chien's piece "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Gurfield, Michael - Trumpet Parker, Steven - Trombone DuMouchelle, Tiffany - Voice Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_056 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person in the foreground holds a trumpet with a mute, while another person in the background plays a trombone. A third person stands behind a music stand with several sheets of musical notation. The room features a wall of light-colored acoustic panels and a black speaker on a wheeled stand. https://digital.lib.buffalo.edu/files/original/5f47ded73529b249b5e75317b1973215.jpg 9ce68adaf260b0a72dbc861adbd28f77 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Two people look at sheets of paper and a notebook in an indoor setting. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Yu-Chun Chien coaches Tiffany DuMouchelle, soprano on her piece "I mitten jag sr dig" at June in Buffalo 2017 Subject The topic of the resource Composers Vocalists DuMouchelle, Tiffany - Voice Chien, Yu-Chun - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_055 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource One individual with dark hair in a ponytail wears a checkered shirt and a black cardigan while holding a printed document. Another person with reddish hair and a multi-colored top holds a notebook and a yellow pencil. They both stand in a room with white walls, and a watermark spans the middle of the frame. https://digital.lib.buffalo.edu/files/original/44003b62cabe7f43a8e4eb04e2d04e62.jpg b0d359690fe2915ba06a9284d7385e6b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person sits holding sheet music while two people stand on either side, one holding a trombone. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Yu-Chun Chien coaches Tiffany DuMouchelle, soprano, and Ensemble Signal members Adrián Sandí, bass clarinet and Steven Parker, trombone on her piece "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Composers Musicians Musical groups Chien, Yu-Chun - Composer DuMouchelle, Tiffany - Voice Sandí, Adrián 1983- - Bass clarinet Parker, Steven - Trombone Signal (Musical group : 2008- ) - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-06 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_054 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Three people are positioned in a room with several rows of empty red and brown chairs. A seated person with red hair looks at sheet music, while a standing person on the right holds a brass trombone. A fourth person is visible in the background holding a saxophone near a table with a teal cloth. https://digital.lib.buffalo.edu/files/original/d9cb248c730ca120d60f562012527d71.jpg a321e01cbef8d6bd36112d21a27bc5ae Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three people stand on a wooden stage with a cello, a violin, and a grand piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Cikada Trio members Torun Stavseng, violoncello, Odd Hannisdal, violin, and Kenneth Karlsson acknowledge applause after a performance at June in Buffalo 2017 Subject The topic of the resource Violoncellists Violinists Pianists Stavseng, Torun - Violoncello Hannisdal, Odd - Violin Karlsson, Kenneth - Piano Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_053 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Three people are positioned on a stage with wood-paneled walls and a light-colored wooden floor. One person holds a cello, the person in the center holds a violin, and the third person stands next to a black grand piano. A music stand and a piano bench are visible on the stage behind them. https://digital.lib.buffalo.edu/files/original/f60d95bd532215c7a3bd880eacd91324.jpg 1a7a0c3f6ce27daa8817564652320413 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three people stand on a wooden stage with a cello, a violin, and a grand piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Cikada Trio members Torun Stavseng, violoncello, Odd Hannisdal, violin, and Kenneth Karlsson acknowledge applause after a performance at June in Buffalo 2017 Subject The topic of the resource Violoncellists Violinists Pianists Stavseng, Torun - Violoncello Hannisdal, Odd - Violin Karlsson, Kenneth - Piano Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_052 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Three people stand in a line on a wooden stage in front of a black grand piano. The person on the left holds a cello, the person in the center holds a violin, and the person on the right stands beside a piano bench. The background consists of a wood-paneled concert hall wall. https://digital.lib.buffalo.edu/files/original/f1b58d6c1b027cda728b2c74d90eab21.jpg 402a4812aa6f7495f48d035a65ba2a45 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Four people stand on a stage with a piano, music stands, and string instruments. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Eivind Buene acknowledges Cikada Trio members Kenneth Karlsson, piano, Odd Hannisdal, violin, and Torun Stavseng, violoncello after a performance of his piece "Landscape with Ruins" at June in Buffalo 2017 Subject The topic of the resource Composers Musicians Musical groups Buene, Eivind, 1973- - Composer Karlsson, Kenneth - Piano Hannisdal, Odd - Violin Stavseng, Torun - Violoncello Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_051 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Four individuals are positioned on a wooden stage in front of a grand piano and several music stands. One person on the far left has an arm extended toward the others, while a person on the far right holds a cello and raises an arm. In the center, two people stand near a microphone stand, and one of them holds a violin. https://digital.lib.buffalo.edu/files/original/444504709c764a66f783de0e393a408a.jpg 6c2d81f094d758b948da60720f361c63 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Four people on a wood-paneled stage with a violin, cello, and grand piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Eivind Buene greets Cikada Trio members Kenneth Karlsson, piano, Odd Hannisdal, violin, and Torun Stavseng, violoncello after a performance of his piece "Landscape with Ruins" at June in Buffalo 2017 Subject The topic of the resource Composers Musicians Musical groups Buene, Eivind, 1973- - Composer Karlsson, Kenneth - Piano Hannisdal, Odd - Violin Stavseng, Torun - Violoncello Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_050 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Four individuals are positioned on a stage with light wood floors and vertical-paneled walls. One person walks from the left with an outstretched hand toward two others in the center, one of whom holds a violin. A fourth person stands on the right with a cello near a grand piano and music stands. https://digital.lib.buffalo.edu/files/original/d43b619b7dcd1485b9c58a64adb4909c.jpg 93decd2ab7c9c761081eb8521af8df96 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three musicians perform with a violin, cello, and grand piano on a wooden stage. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Cikada Trio members Odd Hannisdal, violin, Kenneth Karlsson, piano, and Torun Stavseng, violoncello perform at June in Buffalo 2017 Subject The topic of the resource Violinists Pianists Violoncellists Hannisdal, Odd - Violin Karlsson, Kenneth - Piano Stavseng, Torun - Violoncello Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_049 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Three musicians sit on a wooden stage in front of wood-paneled walls. One person plays a violin on the left, another plays a cello on the right, and a third person sits at a black grand piano in the background. Music stands with sheet music are positioned in front of the performers. https://digital.lib.buffalo.edu/files/original/d8bf0cad055f80b36fd533ec2167f3e1.jpg ea6b7e58a6b6361dc60425575957c9c3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three musicians perform on a wooden stage with a violin, cello, and grand piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Cikada Trio members Odd Hannisdal, violin, Kenneth Karlsson, piano, and Torun Stavseng, violoncello perform at June in Buffalo 2017 Subject The topic of the resource Violinists Pianists Violoncellists Hannisdal, Odd - Violin Karlsson, Kenneth - Piano Stavseng, Torun - Violoncello Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_048 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Three people sit on a wooden stage in front of a wood-paneled wall performing music. One person plays a violin, another plays a cello, and a third sits at a black grand piano in the background. Music stands with sheet music are positioned in front of the performers. https://digital.lib.buffalo.edu/files/original/150d3d6ae367c6bc8ea518f7448813f9.jpg 06e583da5197d7be2aec32c1f88fb450 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person plays a black grand piano with sheet music resting on the music stand. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Kenneth Karlsson, piano rehearsing Eivind Buene's piece "Study No. 3" at June in Buffalo 2017 Subject The topic of the resource Pianists Karlsson, Kenneth - Piano Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_047 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person sits at a black Steinway grand piano in a room with wood flooring and paneled walls. Their hands are positioned on the keyboard, and several pages of sheet music are displayed on the music stand. A notebook rests on the right side of the piano's open case. https://digital.lib.buffalo.edu/files/original/9a2db3523e90aba7f137524a4d95232b.jpg 7abb75a16fc475432155557c41af224f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person sits at a black grand piano with sheet music, their hands resting on the keys. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Kenneth Karlsson, piano rehearsing Eivind Buene's piece "Study No. 3" at June in Buffalo 2017 Subject The topic of the resource Pianists Karlsson, Kenneth - Piano Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_046 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person with thinning hair is seated at a Steinway grand piano in a room with wooden floors and walls. Their hands are positioned on the keyboard, and sheet music is propped up on the music stand. The piano's lid is open, exposing the internal strings and golden-colored frame. https://digital.lib.buffalo.edu/files/original/a3d794ecc41f15d3a700865e58e9eaf4.jpg 271cf98687d295ace33ec29693db7228 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person with short brown hair sits at a black grand piano with the lid propped open. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Eric Huebner, piano rehearses Kolten Heeren's piece "Piano Bagatelles" at June in Buffalo 2017 Subject The topic of the resource Pianists Huebner, Eric - Piano Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_045 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a black shirt sits at a black grand piano with their hands on the keys. A digital tablet displaying sheet music sits on the music stand. The piano lid is propped open, and the background features a plain wall with dark horizontal trim. https://digital.lib.buffalo.edu/files/original/baf404f18e2442a89b68a6b4f35b067d.jpg c65c9c7b22b2edca09a2ce2be72f7fa5 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Two people at a grand piano, with one person seated and the other standing nearby. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Kolten Heeren watches as Eric Huebner, piano rehearses his piece "Piano Bagatelles" at June in Buffalo 2017 Subject The topic of the resource Composers Pianists Huebner, Eric - Piano Heeren, Kolten - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_044 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a black shirt is seated at a grand piano with their hands on the keys. Beside them, another person wearing glasses and a light-colored shirt stands and looks toward the piano. The piano lid is raised, revealing the internal strings and structure of the instrument. https://digital.lib.buffalo.edu/files/original/b2dd191a2fd24086d3e4ed468d2ac3d5.jpg 006c47f08a19b6b558a77a1a336f678a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A hand reaches toward the top frame of a wooden harp with colorful strings, with sheet music and another person visible in the background. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Sara Esturillo, harp and Ingeborg Elisabeth Moe, clarinet rehearse at June in Buffalo 2017 Subject The topic of the resource Harpists Clarinetists Musical groups Esturillo, Sara - Harp Moe, Ingeborg Elisabeth - Clarinet Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_043 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person’s hand is positioned near the neck of a large wooden harp that features vertical strings in various colors. Behind the strings, sheet music sits on a black stand above a wooden floor. In the background, another person sits in a chair and looks down at a piece of paper. https://digital.lib.buffalo.edu/files/original/11652b4ec237560ac089aaac3d272c36.jpg c8078e19835bd24a54bee30671f9ebf1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Several people gather around a large, ornate wooden harp in a wood-paneled room. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Colin Tucker watches as Bifrost Ensemble members Sara Esturillo, harp, Johannes Borchgrevink, violoncello, and Kjell Tore Innervik, percussion rehearse his piece "a rift, like the breath drawn in, immaculate" at June in Buffalo 2017 Subject The topic of the resource Composers Musicians Musical groups Esturillo, Sara - Harp Tucker, Colin - Composer Borchgrevink, Johannes - Violoncello Innervik, Kjell Tore, 1974- - Percussion Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_042 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person in a patterned shirt reaches toward the top of a large harp while another person in a checkered shirt leans forward behind the strings. In the foreground, a person in a grey shirt sits with their back to the viewer. The room features vertical wood-paneled walls. https://digital.lib.buffalo.edu/files/original/5bad3dadd98491fb0f0cc79229f747a5.jpg afe72c1ed324d492f929cbab6d192d3d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Four individuals rehearse with musical instruments, including a large harp and a cello, in a wood-paneled room. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Colin Tucker watches as Bifrost Ensemble members Johannes Borchgrevink, violoncello, Sara Esturillo, harp, and Kjell Tore Innervik, percussion rehearse his piece "a rift, like the breath drawn in, immaculate" at June in Buffalo 2017 Subject The topic of the resource Composers Musicians Musical groups Borchgrevink, Johannes - Violoncello Esturillo, Sara - Harp Tucker, Colin - Composer Innervik, Kjell Tore, 1974- - Percussion Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_041 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person in a patterned shirt interacts with the strings of a large wooden harp while another individual sits with a cello in the foreground. Two other people are positioned behind music stands on a wooden stage with wood-paneled walls. https://digital.lib.buffalo.edu/files/original/04855cc8966eb5585094147e4dc6f9e6.jpg 865f52930de569e055d7e67980b31fa4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource People review documents in a room featuring a large whiteboard and a piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Henrik Hellstenius in a talk with student composers at June in Buffalo 2017 Subject The topic of the resource Composers - Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_040 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Several people are gathered in a room with a large whiteboard, a black piano, and various tables. One person in a black shirt and glasses reads a document while others sit nearby or stand while holding a device. https://digital.lib.buffalo.edu/files/original/3f57cfb334efba5b85acbd92c9cda5b8.jpg 8c2a28d35284f0e653547f7b494fe465 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Four people sit around a table looking at a book of sheet music in a room with a piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composers Jung Yoon Wie, Zhuosheng Jin, Jakub Polaczyk, and Jacob Walls at June in Buffalo 2017 Subject The topic of the resource Composers Wie, Jung Yoon - Composer Jin, Zhuosheng - Composer Polaczyk, Jakub - Composer Walls, Jacob, 1989- - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_039 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Four people are gathered at a table, with one person pointing at a spiral-bound notebook of musical notation. A black piano and sound-absorbing panels are visible in the background. The participants are wearing casual clothing and sitting in chairs. https://digital.lib.buffalo.edu/files/original/00ba2ff50b6cc8f90f8cf2077b7f19a5.jpg 8b84411084180f6816304426742afb3e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Four people sit in a circle looking at a musical score. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composers Jung Yoon Wie, Zhuosheng Jin, Jakub Polaczyk, and Jacob Walls at June in Buffalo 2017 Subject The topic of the resource Composers Wie, Jung Yoon - Composer Jin, Zhuosheng - Composer Polaczyk, Jakub - Composer Walls, Jacob, 1989- - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_038 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Four people are gathered in a room with a black upright piano in the background. One person holds a spiral-bound musical score and gestures with an open hand toward the others. The group members are dressed in casual attire and are seated in chairs with small desk arms. https://digital.lib.buffalo.edu/files/original/516c8565b6a00298229f6382c5135557.jpg 7402b1780188fbc3ab3a1431f97df744 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Several people in a classroom setting facing a person at a desk. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Jeffrey Mumford in a talk with student composers Jakub Polaczyk, Zhuosheng Jin, Jung Yoon Wie, and Jacob Walls at June in Buffalo 2017 Subject The topic of the resource Composers Polaczyk, Jakub - Composer Jin, Zhuosheng - Composer Wie, Jung Yoon - Composer Walls, Jacob, 1989- - Composer Mumford, Jeffrey, 1955- - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_037 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person with a gray beard sits at a desk in front of a whiteboard with musical staff lines. Other people sit in chairs nearby, with one person in the foreground holding an open notebook of sheet music. A wooden podium and a black bag on the desk are also visible. https://digital.lib.buffalo.edu/files/original/d04f06566a25dcdeb48cacf37609ca6e.jpg 8026976856dad6ae53e303131375442e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A group of people sits in a room with a piano, holding papers while seated in tablet-arm chairs and at a desk. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Jeffrey Mumford in a talk with student composers Jung Yoon Wie, Jacob Walls, Zhuosheng Jin, and Jakub Polaczyk at June in Buffalo 2017 Subject The topic of the resource Composers Wie, Jung Yoon - Composer Walls, Jacob, 1989- - Composer Jin, Zhuosheng - Composer Polaczyk, Jakub - Composer Mumford, Jeffrey, 1955- - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_036 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Five individuals are positioned in a room with acoustic wall panels and a black upright piano. Several people sit in grey chairs with attached writing surfaces, while another sits at a desk containing musical scores, a purple book, and a bottle of sanitizer. Sheets of paper are being held or passed among the group. https://digital.lib.buffalo.edu/files/original/ffe5bf529608ee6497489d16e3af8fca.jpg c6cdd6fb7c71f7b758d6cbb00a6693cc Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person plays a mallet percussion instrument using four red-tipped mallets while music stands with sheet music sit behind the bars. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Thomas Kolor, percussion rehearsing Adrien Trybucki's "Amadinda" at June in Buffalo 2017 Subject The topic of the resource Percussionists Kolor, Thomas - Percussion Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_035 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a reddish shirt holds two mallets in each hand over the metal bars of a vibraphone. Several colorful plastic clips are attached to the ends of the bars, and a beaded chain hangs from the front edge. Two music stands displaying multiple pages of sheet music are positioned behind the instrument. https://digital.lib.buffalo.edu/files/original/c54eaccbed2d93e9fe08d61a4fce5caa.jpg ea09dc7e954be483edb5988a469230fb Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person plays a percussion instrument with four mallets in front of a music stand with sheet music. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Thomas Kolor, percussion rehearsing Adrien Trybucki's "Amadinda" at June in Buffalo 2017 Subject The topic of the resource Percussionists Kolor, Thomas - Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_034 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a pink shirt stands behind a percussion instrument with metal bars, holding four mallets with pink tips. The instrument is positioned in front of several pages of sheet music on a stage, with empty rows of auditorium seating in the background. https://digital.lib.buffalo.edu/files/original/209be7f493b4bff7be0669ba4fd49b04.jpg 4bef05e4cbece609cdc819376a3ef123 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person wearing a red shirt plays a vibraphone with three red-tipped mallets. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Thomas Kolor, percussion rehearsing Adrien Trybucki's "Amadinda" at June in Buffalo 2017 Subject The topic of the resource Percussionists Kolor, Thomas - Percussion Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_033 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person in a red button-down shirt and glasses holds multiple mallets over a vibraphone. Several pages of sheet music are clipped to a stand in front of them on a wooden stage. They hold two mallets in one hand and one in the other while positioned over the metal keys. https://digital.lib.buffalo.edu/files/original/765706ce2992d3f4d2f489f4bc3a6fbf.jpg 83656e0d3eda79afcb9cecddf5473505 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person in a pink shirt plays a vibraphone with mallets while following sheet music. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Thomas Kolor, percussion rehearsing Adrien Trybucki's "Amadinda" at June in Buffalo 2017 Subject The topic of the resource Percussionists Kolor, Thomas - Percussion Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_032 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a pink shirt and glasses stands at a vibraphone, holding mallets over the metal bars. Several pages of sheet music are clipped to a stand in front of the instrument. The background contains rows of tiered seating in an auditorium. https://digital.lib.buffalo.edu/files/original/ae00166eb9e0a6e2f130a64080bf40a6.jpg d46f24036cc7f00cf0d7d2f0eb0900a0 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person wearing glasses and a pink shirt plays a vibraphone with mallets. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Thomas Kolor, percussion rehearsing Adrien Trybucki's "Amadinda" at June in Buffalo 2017 Subject The topic of the resource Percussionists Kolor, Thomas - Percussion Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_031 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person stands at a vibraphone, holding mallets that are blurred from movement over the instrument's bars. They wear a pink button-up shirt and glasses in a room with wooden floors and acoustic wall treatments. A music stand is positioned to the right of the instrument. https://digital.lib.buffalo.edu/files/original/9fe612d6d24e740cdae71f4ada06cd47.jpg 12a22d4902851606c05f67f29df2117c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person in a pink shirt plays a vibraphone with multiple mallets while another person stands behind them holding a notebook. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Adrien Trybucki coaches Thomas Kolor, percussion on his piece "Amadinda" at June in Buffalo 2017 Subject The topic of the resource Composers Percussionists Kolor, Thomas - Percussion Trybucki, Adrien - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_030 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a pink button-down shirt and glasses stands at a vibraphone, striking the keys with several mallets. Another person in a gray hoodie stands in the background holding a notebook. The room features wood flooring, sound-dampening wall panels, and a black piano to the left. https://digital.lib.buffalo.edu/files/original/13f1c5ee457369f5bcfce734c00e5769.jpg 5bf45da06dc2fb393ce4cbf733610577 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Two people stand over a vibraphone, placing mallets and small objects on its metal keys. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Adrien Trybucki coaches Thomas Kolor, percussion on his piece "Amadinda" at June in Buffalo 2017 Subject The topic of the resource Composers Percussionists Kolor, Thomas - Percussion Trybucki, Adrien - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_029 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Two individuals stand at a Yamaha vibraphone in a room with wood flooring and paneled walls. One person in a pink shirt leans forward to arrange clips and mallets on the metal bars of the instrument. The other person, wearing a grey hooded sweatshirt, stands on the opposite side looking down at the instrument. https://digital.lib.buffalo.edu/files/original/33ad7ec28a8bdbf581f20c0d1deea0fe.jpg 9344568ed2bb7402a45518166f7bc8f2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person reaches into the open casing of a grand piano to touch the internal strings. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Eric Huebner, piano, rehearses Jacob Walls' piece "Piano Stretch" at June in Buffalo 2017 Subject The topic of the resource Pianists Huebner, Eric - Piano Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_028 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a black shirt leans over a black grand piano with its lid held open by a prop stick. Their hand is positioned inside the instrument, touching the metallic strings near the internal frame. The background consists of a plain, neutral-toned wall. https://digital.lib.buffalo.edu/files/original/8ec99e6f32a9b2254811d5073a6d1cb5.jpg a77bd268c2af22cf44ad76095938eb10 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Two people lean over an open grand piano, looking inside at its strings and mechanisms. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Jacob Walls coaches Eric Huebner, piano on his piece "Piano Stretch" at June in Buffalo 2017 Subject The topic of the resource Composers Pianists Walls, Jacob, 1989- - Composer Huebner, Eric - Piano Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_027 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Two people lean over the open lid of a black grand piano in a room with wood-paneled walls. One person wears glasses and a light-colored shirt, while the other wears a dark shirt and reaches a hand into the piano's interior. The instrument's internal strings and frame are visible beneath the raised lid. https://digital.lib.buffalo.edu/files/original/8c89dce3912f11c2b914587383914162.jpg 743ed93cd4720cb2b231a689e541534c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Two people looking at the internal strings and hammers of an open grand piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Jacob Walls coaches Eric Huebner, piano on his piece "Piano Stretch" at June in Buffalo 2017 Subject The topic of the resource Composers Pianists Walls, Jacob, 1989- - Composer Huebner, Eric - Piano Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_026 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource One person in a gray shirt stands next to a grand piano while another person in a black shirt reaches into the exposed interior. The piano lid is propped open to reveal the metal strings, wooden hammers, and internal frame. Both individuals look toward the instrument's mechanism. https://digital.lib.buffalo.edu/files/original/91ee60b12acef331741574f65b9a260e.jpg a1a25698767cc2a9d06391b75ffff4be Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Several people gather near a staircase in an indoor area, some holding papers and others eating. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composers, composers, and performers eat lunch outside of rehearsal a June in Buffalo 2017 Subject The topic of the resource Composers Musicians - Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_025 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource One person stands holding a stack of papers while talking to another person in a patterned jacket near the base of a staircase. A third person sits on the steps with a plate of food and a green can, while a sign provides directions in the background. To the right, another person sits on a wooden bench, and a black waste bin stands on the left. https://digital.lib.buffalo.edu/files/original/d582c80210608691395168f1197e3ac6.jpg d8660b9c64a489061aaf04a64a7f77f7 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Six people sit on a wooden bench against a white wall and eat from plates. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Kjell Tore Innervik, percussion, Simen Kiil Halvorsen, trumpet, Johannes Borchgrevink, violoncello, Gina Bordini, violin, Ingeborg Elisabeth Moe, clarinet, and Sara Esturillo, harp eat lunch outside of rehearsal at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Innervik, Kjell Tore, 1974- - Percussion Halvorsen, Simen Kiil - Trumpet Borchgrevink, Johannes - Violoncello Bordini, Gina - Violin Moe, Ingeborg Elisabeth - Clarinet Esturillo, Sara - Harp Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_024 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Six people in casual clothing are seated together on a wooden bench, holding plates and eating. A large white instrument case rests on the dark tiled floor near the group. A faint watermark is superimposed across the middle of the frame. https://digital.lib.buffalo.edu/files/original/7e7f073fe39f982a0ab75e7135fbb445.jpg f29ac88664467d5758b4477d8ece0a21 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Six people sit on a long wooden bench against a wall while eating from white plates. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Kjell Tore Innervik, percussion, Simen Kiil Halvorsen, trumpet, Johannes Borchgrevink, violoncello, Gina Bordini, violin, Ingeborg Elisabeth Moe, clarinet, and Sara Esturillo, harp eat lunch outside of rehearsal at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Innervik, Kjell Tore, 1974- - Percussion Halvorsen, Simen Kiil - Trumpet Borchgrevink, Johannes - Violoncello Bordini, Gina - Violin Moe, Ingeborg Elisabeth - Clarinet Esturillo, Sara - Harp Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_023 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A group of six people is seated in a row on a wooden bench, eating food from white plates. They are dressed in casual clothing, and some use forks while others eat with their hands. Several bags and a white instrument case are placed on the dark tiled floor at the end of the bench. https://digital.lib.buffalo.edu/files/original/982ce4f543d014ab3839bca0cd7022c1.jpg e02d0ba0bf9ff1ae32ab9a7fdb514494 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three musicians rehearse with a violin, piano, and cello in a room with wood-paneled walls. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Cikada Trio members Odd Hannisdal, violin, Kenneth Karlsson, piano, and Torun Stavseng, violoncello rehearse at June in Buffalo 2017 Subject The topic of the resource Violinists Pianists Violoncellists Hannisdal, Odd - Violin Karlsson, Kenneth - Piano Stavseng, Torun - Violoncello Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_022 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource On the left, a person stands holding a violin and bow. A second person sits at a grand piano behind music stands, and a third person on the right sits and plays a cello. The setting features wood-paneled walls and a light-colored floor. https://digital.lib.buffalo.edu/files/original/e99b1b04bb1088fd7a9b853709e704f1.jpg 1164e11a4dcc946dbb239f5aadeafc0a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three musicians perform with a violin, a grand piano, and a cello on a stage. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Cikada Trio members Odd Hannisdal, violin, Kenneth Karlsson, piano, and Torun Stavseng, violoncello rehearse at June in Buffalo 2017 Subject The topic of the resource Violinists Pianists Violoncellists Hannisdal, Odd - Violin Karlsson, Kenneth - Piano Stavseng, Torun - Violoncello Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_021 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Three people are seated on a stage playing a violin, a grand piano, and a cello. Music stands with sheet music are positioned in front of the performers. A watermark reading "Copyright by Irene Haupt" is visible across the center of the scene. https://digital.lib.buffalo.edu/files/original/93a4409205e60a7aa086dc6777b13ccd.jpg 33927f4c6928147e259510db08e0d9cb Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three people perform on a stage with a violin, a cello, and a grand piano. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Cikada Trio members Odd Hannisdal, violin, Kenneth Karlsson, piano, and Torun Stavseng, violoncello rehearse at June in Buffalo 2017 Subject The topic of the resource Violinists Pianists Violoncellists Hannisdal, Odd - Violin Karlsson, Kenneth - Piano Stavseng, Torun - Violoncello Cikada Trio - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_020 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Three people are seated on a wooden stage with musical instruments and music stands. One person on the left plays a violin while another person on the right plays a cello. A third person sits in the center behind a grand piano. https://digital.lib.buffalo.edu/files/original/8707ed8aaf44eda15e772a40206d8b46.jpg 40a4016bc4932f5df3fd0cd4fa215347 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person wearing a grey hoodie and glasses holds a small wooden stick and a brass percussion instrument. Other brass cowbells are arranged on a table in front of them. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Kjell Tore Innervik, percussion of the Bifrost Ensemble rehearses Derick Evans' "Isaidseparation" at June in Buffalo 2017 Subject The topic of the resource Percussionists Innervik, Kjell Tore, 1974- - Percussion Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_019 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a grey hooded sweatshirt and glasses holds a rounded brass percussion instrument and a thin wooden stick. Three larger brass cowbells sit on a black cloth-covered surface in the foreground. The background features a set of tubular bells, a drum, and double doors marked with an exit sign. https://digital.lib.buffalo.edu/files/original/c39221bffb4cf0e86ed86a8b777b020e.jpg 3953287151a111f30c1c34f66cd64249 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Four people wearing headphones play a violin, cello, harp, and vibraphone in a music studio. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Gina Bordini, violin, Johannes Borchgrevink, violoncello, Sara Esturillo, harp, and Kjell Tore Innervik, percussion rehearse Derick Evans' "Isaidseparation" at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Bordini, Gina - Violin Borchgrevink, Johannes - Violoncello Esturillo, Sara - Harp Innervik, Kjell Tore, 1974- - Percussion Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_018 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Four people wearing headphones play musical instruments in a rehearsal room with gray walls and double doors. In the foreground, one person plays a violin and another plays a cello, while a third person sits behind a large golden harp. A fourth person stands on the right behind a vibraphone near music stands with sheet music. https://digital.lib.buffalo.edu/files/original/fa1992129b545cac7db377864ccf580a.jpg c5fa38d3816d4758855eaae996ce2d9f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A group of musicians wearing headphones rehearses in a studio with a wide array of instruments including a harp, violin, and percussion. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Gina Bordini, violin, Johannes Borchgrevink, violoncello, Sara Esturillo, harp, Kjell Tore Innervik, percussion, Simen Kiil Halvorsen, trumpet, and Ingeborg Elisabeth Moe, clarinet rehearse Derick Evans' "Isaidseparation" at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Bordini, Gina - Violin Borchgrevink, Johannes - Violoncello Esturillo, Sara - Harp Innervik, Kjell Tore, 1974- - Percussion Halvorsen, Simen Kiil - Trumpet Moe, Ingeborg Elisabeth - Clarinet Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_017 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Several individuals are positioned throughout a large room with music stands and instruments such as a cello, vibraphone, and trumpet. One person plays a violin in the foreground while another sits behind a tall golden harp near a large gong. The performers look at sheet music or their instruments while practicing in front of a grey wall with a door and window. https://digital.lib.buffalo.edu/files/original/630dac153b7aa5ab21ecd662aa6a2f80.jpg 3e5642a707b9a563cc778f55ada779f2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Five people sit in a music rehearsal room with a trumpet, clarinet, and stringed instruments. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Derick Evans watches as Bifrost Ensemble members Ingeborg Elisabeth Moe, clarinet, Johannes Borchgrevink, violoncello, Simen Kiil Halvorsen, trumpet, and Gina Bordini, violin rehearse his piece "Isaidseparation" at June in Buffalo 2018 Subject The topic of the resource Composers Musicians Musical groups Moe, Ingeborg Elisabeth - Clarinet Borchgrevink, Johannes - Violoncello Halvorsen, Simen Kiil - Trumpet Evans, Derick - Composer Bordini, Gina - Violin Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_016 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A group of people are seated in a rehearsal room with music stands and various instruments including a trumpet and stringed instruments. In the background, multiple rows of empty chairs are arranged on tiered platforms behind the musicians. The room also features a blue curtain and several posters on the wall. https://digital.lib.buffalo.edu/files/original/74efcbbb7ade9f0a95eaa6b8babb9734.jpg 71654b7ada9285cb65e6b788edda7a6a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A group of people practice with musical instruments including a cello, a harp, and percussion in a studio. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Student composer Derick Evans speaks with members of the Bifrost Ensemble (Gina Bordini, violin, Johannes Borchgrevink, violoncello, Sara Esturillo, harp, and Kjell Tore Innervik, percussion) during rehearsal of his piece "Isaidseparation" at June in Buffalo 2017 Subject The topic of the resource Composers Musicians Musical groups Bordini, Gina - Violin Borchgrevink, Johannes - Violoncello Esturillo, Sara - Harp Innervik, Kjell Tore, 1974- - Percussion Evans, Derick - Composer Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_015 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person plays a cello while seated next to another person positioned behind a large, ornate harp. A third person stands on the right holding sheet music and gesturing toward the group, while percussion instruments like gongs and tubular bells are positioned in the background. https://digital.lib.buffalo.edu/files/original/1994ee4d19d8ced28b682ebbb1580b39.jpg 9b067c35d2c7ebcd88bf2f50c5a9a218 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A group of musicians plays various instruments including a harp, cello, and trumpet in a rehearsal space. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Gina Bordini, violin, Johannes Borchgrevink, violoncello, Sara Esturillo, harp, Simen Kiil Halvorsen, trumpet, Kjell Tore Innervik, percussion, and Ingeborg Elisabeth Moe, clarinet rehearse Derick Evans' "Isaidseparation" at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Bordini, Gina - Violin Borchgrevink, Johannes - Violoncello Esturillo, Sara - Harp Halvorsen, Simen Kiil - Trumpet Innervik, Kjell Tore, 1974- - Percussion Moe, Ingeborg Elisabeth - Clarinet Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_014 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Six people are positioned in a rehearsal room with gray walls and red chairs while playing musical instruments. The ensemble includes players of the violin, cello, harp, vibraphone, trumpet, and clarinet. In the background, percussion instruments such as gongs and tubular bells are set up behind music stands. https://digital.lib.buffalo.edu/files/original/a9e7e43f712352660cf44e19152e85cf.jpg d59a9caafcae09e715548ad900afb40b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Musicians with various instruments including a violin, cello, harp, and trumpet sit in a rehearsal room. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Bifrost Ensemble members Gina Bordini, violin, Johannes Borchgrevink, violoncello, Sara Esturillo, harp, Simen Kiil Halvorsen, trumpet, Kjell Tore Innervik, percussion, and Ingeborg Elisabeth Moe, clarinet rehearse Derick Evans' "Isaidseparation" at June in Buffalo 2017 Subject The topic of the resource Musicians Musical groups Bordini, Gina - Violin Borchgrevink, Johannes - Violoncello Esturillo, Sara - Harp Halvorsen, Simen Kiil - Trumpet Innervik, Kjell Tore, 1974- - Percussion Moe, Ingeborg Elisabeth - Clarinet Bifrost Ensemble - Ensemble Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_013 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Six people sit in a large room surrounded by music stands and instruments. On the left, individuals hold a violin and a cello, while a large golden harp stands in the center of the space. To the right, people sit with a trumpet and a clarinet near gongs and a xylophone. https://digital.lib.buffalo.edu/files/original/e2721673ae0aba04e950eb52ff981c84.jpg 5a1b9ba21d3864bcf0556a5a353502ad Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Four people stand in a room near a music stand, with one person holding papers and another looking at a handheld device. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Brad Lubman, conductor and Tiffany DuMouchelle, soprano, Michael Gurfield, trumpet, and Adrián Sandí, clarinet rehearsing Yu-Chun Chieng's "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Conductors Musicians Lubman, Brad - Conductor DuMouchelle, Tiffany - Voice Sandí, Adrián 1983- - Bass clarinet Gurfield, Michael - Trumpet Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_012 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A group of four people stands in a room containing a music stand and a door labeled "Orchestra Library." The person on the left holds white papers while facing the group, and the person in the blue shirt looks at a handheld device. The remaining two people look toward the person on the left. https://digital.lib.buffalo.edu/files/original/27f92da4a39b025fc9c0ef823b12d3d9.jpg 92836370e4af5b5d25d607a5e60793ee Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Three people stand together while one points and holds papers as the others look at a smartphone. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Brad Lubman, conductor and Adrián Sandí, clarinet and Tiffany DuMouchelle, soprano rehearsing Yu-Chun Chieng's "I mitten jag ser dig" at June in Buffalo 2017 Subject The topic of the resource Conductors Clarinetists Vocalists Lubman, Brad - Conductor Sandí, Adrián 1983- - Bass clarinet DuMouchelle, Tiffany - Voice Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_011 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frederick C. and Alice Slee Chamber Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a black shirt holds papers and points an arm outward. Next to them, another person in a blue shirt looks at a mobile phone, and a third person with long red hair and a gray shawl stands beside them. The setting features light-colored paneled walls in the background. https://digital.lib.buffalo.edu/files/original/527bbf291fc198c859df98fdfadec9e4.jpg f18936287b3538b337392e46bdf39536 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person plays a Steinway grand piano with sheet music displayed on the stand. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Kenneth Karlsson, piano rehearsing Maja Ratkje's "Two small pieces for Arnold S." at June in Buffalo 2017 Subject The topic of the resource Pianists Karlsson, Kenneth - Piano Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_010 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a grey shirt sits at a black Steinway grand piano with their hands on the keys. Several sheets of music are spread across the music rest and the piano's body. The instrument's lid is open, and the scene is set in a room with wood flooring and paneled walls. https://digital.lib.buffalo.edu/files/original/58e8a333c046b98ec1a70079440e95ec.jpg 1370138365d724ae00bcb90fe5389558 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person plays a black Steinway grand piano with several pages of sheet music displayed on the music stand. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Kenneth Karlsson, piano rehearsing Maja Ratkje's "Two small pieces for Arnold S." at June in Buffalo 2017 Subject The topic of the resource Pianists Karlsson, Kenneth - Piano Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_009 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person with short hair and glasses sits at a black Steinway grand piano, with their hands positioned on the keys. Multiple sheets of musical notation are spread across the music stand, while a spiral-bound notebook with more music rests nearby. The piano lid is propped open, revealing internal mechanisms, in a room with light wood floors and dark paneled walls. https://digital.lib.buffalo.edu/files/original/bb8a6597c22cb8f12a9d17e9d85865f1.jpg 3fd68fdb08399974889fbdcfbe3f2e7e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person with short hair and glasses wearing a black t-shirt stands behind a wooden podium. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Henrik Hellstenius addresses student composers at June in Buffalo 2017 Subject The topic of the resource Composers Hellstenius, Henrik - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_008 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person with short, light-colored hair and black-framed glasses wears a black t-shirt while standing behind a wooden podium. Their hands rest on the surface, and a watch is visible on one wrist. A semi-transparent watermark is positioned across the center. https://digital.lib.buffalo.edu/files/original/1fba5372b0808475ff5e52d227371171.jpg 06a18734eab2813a9ba4c35c56c8d91d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person sits at a table with a laptop in front of a large screen displaying the words "Signs, codes – composing music and more". Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Henrik Hellstenius addresses student composers at June in Buffalo 2017 Subject The topic of the resource Composers Hellstenius, Henrik - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_007 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing glasses and a black t-shirt sits at a desk with a laptop in a lecture room. Behind them, a presentation slide is projected onto a large screen with text that reads "Signs, codes – composing music and more". The room features neutral-colored walls and a wall-mounted speaker. https://digital.lib.buffalo.edu/files/original/01c61517538e923e1302d21d29ae708f.jpg 9e96f767773050d285e62f614db592d9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person wearing glasses sits at a desk with a laptop in front of a projection screen with academic logos. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Henrik Hellstenius addresses student composers at June in Buffalo 2017 Subject The topic of the resource Composers Hellstenius, Henrik - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_006 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person wearing a black t-shirt and khaki pants sits at a desk and gestures with their hand. A laptop, paper cup, and book are placed on the desk. Behind them, a large screen displays the logo for the Norwegian Academy of Music. https://digital.lib.buffalo.edu/files/original/be3a097a23137cf487a9a7919ea62a93.jpg d259dbe487034a331aad5305f4fadc50 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person gives a presentation on a stage titled "Signs, codes – composing music and more" for an audience. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Henrik Hellstenius addresses student composers at June in Buffalo 2017 Subject The topic of the resource Composers Hellstenius, Henrik - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_005 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person sits at a desk on a wooden stage with a laptop while gesturing toward a screen. Behind the person, a projection displays the title of the talk and logos from the Norwegian Academy of Music. An audience is visible in the foreground, seated in a tiered auditorium. https://digital.lib.buffalo.edu/files/original/584bd0a6f5da9973a983c7f835173089.jpg 7f205d3a2e3a56cd06a16746c836d8ab Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person stands on a stage beneath a microphone boom stand in a room with tiered auditorium seating. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer David Felder addressing student composers at June in Buffalo 2017 Subject The topic of the resource Composers Felder, David, 1953- - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_004 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person stands on a wooden stage under a tall stand equipped with several microphones, with a covered piano in the background. In the foreground, several individuals sit in red tiered seats, many of whom are holding papers. Two additional people stand near the edge of the stage with documents in their hands. https://digital.lib.buffalo.edu/files/original/8a934a2734dded7c100f89b9752f54e2.jpg 6b085bb03de96bb380ef2f16b09a0a1f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A group of ten people stand in a hallway, some holding drinks and papers. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composers Henrik Hellstenius and David Felder with student composers at June in Buffalo 2017 Subject The topic of the resource Composers Hellstenius, Henrik - Composer Felder, David, 1953- - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Group portraits -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_003 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource Ten people are gathered in a hallway with brick walls, with a "Dept. of Music" sign visible on a bulletin board behind them. Several individuals hold disposable cups and one person carries a brown messenger bag and a stack of blue folders. They are dressed in casual attire including jackets, sweaters, and a trench coat. https://digital.lib.buffalo.edu/files/original/0ab70128a8c5c38f32b49b63ff0c5dd1.jpg 38d3fb09b6ab9aec5fd13cf90500babd Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource A person with short graying hair wearing a dark jacket indoors. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer David Dzubay at June in Buffalo 2017 Subject The topic of the resource Composers Dzubay, David - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Portrait photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_002 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person with short, graying hair stands in a hallway and looks towards the camera. They wear a dark jacket over a blue collared shirt. The background includes a blurred red "EXIT" sign, a brick pillar, and a dropped ceiling with square light fixtures. https://digital.lib.buffalo.edu/files/original/e901f44684a49bc791079362e071a9eb.jpg e7bd32caddeb3e3f9870d4e2f0b218ae Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Black and white close-up of a person with dark skin and a full gray beard. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June in Buffalo Photograph Collection Subject The topic of the resource Music festivals Description An account of the resource The Irene Haupt Photographs of June in Buffalo document the annual contemporary music festival held at the University at Buffalo, The State University of New York. The festival was begun in 1975 by composer Morton Feldman who directed the festival 1975-78 and in 1980. The festival was dormant from 1981 through 1985. David Felder revived the festival in 1986 and has been its director since that time. June in Buffalo provides young composers the opportunity to work with senior composers from around the world. The invited faculty members not only have works performed at the festival, they also present lectures, seminars, and master classes. The student composers have the opportunity to hear their works in performance by professional musicians of the highest caliber. This online collection is a compilation of photographs by Irene Haupt beginning with the 2000 June in Buffalo. Haupt, a graduate of the State University of New York at Buffalo, has been documenting the Buffalo arts scene through her photography since 1976. During that time she has worked for, or with, some of the most notable institutions in Buffalo, including the Irish Classical Theatre, Studio Arena Theater, the Kavinoky Theatre, the Buffalo Philharmonic Orchestra, the Theatre of Youth, the Albright-Knox Art Gallery, and the State University of New York at Buffalo. In addition to her specialty of theater photography, Irene Haupt has also devoted much of her career to the photography of musicians and musical events, especially the contemporary music scene in Buffalo. A broader representation of Irene Haupt's photographs of musical activities in Buffalo are also available online in the Irene Haupt Photographs of Musicians in Buffalo . The musicians who have participated in the June in Buffalo festival include University at Buffalo faculty members David Felder, Cort Lippe, Jeffrey Stadelman, Cheryl Gobbetti-Hoffman, Jonathan Golove, Tony Conrad, Stephen Manes, Tony Arnold, Magnus Mårtensson, Jon Nelson, Movses Pogossian, and Jan Williams. Visiting artists have included Lukas Foss, Amy Williams, Helena Bugallo, Charles Wuorinen, Joji Yuasa, George Crumb, Augusta Read Thomas, Bernard Rands, Philip Glass, Steve Reich, Harvey Sollberger, Roger Reynolds, John Harbison, Dora Ohrenstein, Philippe Manoury, Jonathan Harvey, John Corigliano, and the New York New Music Ensemble. Complete details about the annual collections can be found in their respective finding aids. Identifier An unambiguous reference to the resource within a given context LIB-MUS009 Still Image A static visual representation. Examples of still images are: paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type "text" to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Composer Jeffrey Mumford at June in Buffalo 2017 Subject The topic of the resource Composers Mumford, Jeffrey, 1955- - Composer Creator An entity primarily responsible for making the resource Haupt, Irene Publisher An entity responsible for making the resource available State University of New York at Buffalo. Music Library Date A point or period of time associated with an event in the lifecycle of the resource 2017-06-05 Contributor An entity responsible for making contributions to the resource University at Buffalo. Music library Format The file format, physical medium, or dimensions of the resource image/jpeg Medium The material or physical carrier of the resource. Digital photographs -- 2011-2020 Portrait photographs -- 2011-2020 Type The nature or genre of the resource Image Still image Identifier An unambiguous reference to the resource within a given context Mus. Arc. 80 ubmu0080_001 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Frank B. and Cameron Baird Music Hall (State University of New York at Buffalo) Buffalo (N.Y.) New York United States Is Part Of A related resource in which the described resource is physically or logically included. June in Buffalo Photograph Collection LIB-MUS009 Rights Holder A person or organization owning or managing rights over the resource. Haupt, Irene Rights Information about rights held in and over the resource <a href="https://rightsstatements.org/vocab/InC/1.0/">IN COPYRIGHT</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). <a href="https://library.buffalo.edu/music/about/copyright.html">Copyright Statement for Digitized Materials from the Music Library</a> Description An account of the resource A person with dark skin, a full gray beard, and a mustache is positioned in the center of the frame. They wear a dark collared shirt against a blurred indoor background with bright light sources. A watermark is present across the middle of the person's face. https://digital.lib.buffalo.edu/files/original/88787c314a1b7e8a1e1197d4c1d9581c.pdf f308abb79a62ccf4a16d8e0514985a76 PDF Text Text - �ltlfah ••rsicu• ASSOCIATE VICE PRESIDENT FOR UNIVERSITY COMMUNICATIONS Dr. Carole Smith Petro DIRECTOR OF PERIODICALS Sue Wuetcher Dear Alumni and Friends, EDITOR Stephanie A. Unger ART DIRECTOR/DESIGNER Alan]. Kegler DESIGN ASSISTANT Karen Lie/mer CONTRIBUTING WRITER Lois Baker PRODU C TION COORDINATOR Cynthia Todd-Flick UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr. Michael Bernardino, Dean EDITORIAL BOARD Dr. john Bodkin Dr. Martin Brecher Dr. Harold Brody Dr. Linda]. Corder ]asott Hoffmarw, Class of 2004 Dr. ]ames Kanski Dr. Elizabeth Olmsted Dr. james R. Olson Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zeplowitz TEA C HIN C HOSPITALS Erie County Medical Center Roswell Park Cancer Institute Veterans Affairs Western New York Healtltcare Sy stem K~lffl)A Ht A I/fl,' The Buffalo Geueral Hospital Tlte Childreu 's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital C .1 111 0 l/ C Hf-\IJII St li ff\1: Mercy Health System Sisters of Charity Hospital WOt.:LD LIKE TO BEC.I · :-.n FIRST :-.IESSA(;Ic to readers of Buffalo Physician by asking you to join with me in welcoming the Class of 2005 to the University at Buffalo's School of Medicine and Biomedical Sciences. On August 13,2001, members of the medical class participated in the school's Fourth Annual White Coat Ceremony, a symbolic rite of passage whereby incoming students are formally initiated into their roles as physicians-in-training by being "cloaked" in a white coat. While each class entering our school is unique, the Class of2005 holds the distinction of being the first to enter the new organ- and system-based curriculum that is being introduced this fa ll (see cover story, "Medical Education, for Life"). The implementation of this new curriculum is an important milestone because it directly impacts on our school's primary mission, which is to educate physicians and biomedical scientists. Over the next year, there are a number of important goals related to medical education at UB that will require a vast amount of energy. First, we need to prepare for a visit in August 2002 from the Accreditation Council for Graduate Medical Education (ACGME), the entity that oversees and accredits residency programs across the country. Following that visit, our objective will be to work toward transferring sponsorship of UB's residency training programs from the Medical-Dental Consortium to the university, a move that will result in our Office of Graduate Medical Education assuming a much stronger administrative function, emphasizing quality training. Once we establish the university's sponsorship of our residency programs, I anticipate that we will be revisited by the ACGME within two years to be evaluated for accreditation as the new residency program sponsor. In addition to the visit from the ACGME in August 2002, we are scheduled to be visited in October 2002 by the Liaison Committee on Medical Education (LCME), the accrediting body for medical schools. I am currently working to organize a task force, subcommittees and other data-gathering groups in advance of this visit, as it is critically important that Ni11gara Falls Memorial Medical Ceuter @ UIVIISITY liiUFFILI. THE SlATE UIIYEISITY If NEW Till Letters to the Editor we be well prepared. Each of these groups will play a key role in compiling a written report that we are required to send to the LCME by spring of next year, along with a strategic plan for the school. Also within the next year, we will attempt to negotiate a new affiliation agreement with UB's major hospital affiliates. The agreements under which we currently operate are outdated, having been established, for the most part, back in the mid- 1980s. Needless to say, many economic and regulatory changes have occurred since then. Essentially, it will be important that we have a clear understanding of how the university relates to the ho pitals we are affi liated with, as well as how they relate to us. In negotiations to date, we have emphasized that we consider both undergraduate and graduate medical T~ ~ University at Buffalo 17te State University ofNew York �- - -- --- --- ~-~ ~ - ~ - -~ -~ education-as well as research conducted by UB faculty at these affiliated hospitals-to be the university's responsibility. In reviewing these and other complex issues related to UB's School of Medicine and Biomedical Sciences it is obvious that no one individual can manage such a large institution in today's turbulent economic, social and regulatory environments. Recognizing this, I have reorganized the school's administrative structure, placing responsibility for financial matters, external hospital relations and practice plan management within the Office of the Vice President for Health Affairs. I have also expanded the academic component within the Dean's Office by establishing three senior associate dean positions: one for admissions and curriculum, one for graduate medical education and one for research. Working in a complementary role with these deans is the associate dean for alumni affairs and development, whose goal it is to continue to increase private philanthropy, primarily to support the academic component of our school. I am pleased to announce that Margaret Paroski, MD '80, clinical professor of neurology and medical director for Erie County Medical Center, has agreed to serve as senior associate dean for admissions and curriculum. Roseanne Berger, MD, associate professor of clinical family medicine and pediatrics and associate dean for graduate medical education since 1993, has agreed to serve as senior associate dean for graduate medical education. Bruce Holm, PhD, who has served as senior associate dean for research since 1999, will continue in this role, which expanded to encompass all of UB's health-sciences research programs when he was named senior associate vice president for health affairs earlier this year. Lyn Corder, PhD, who has served as associate dean for development since October 1997, will continue to coordinate activities with various constituencies that support You will note that this issue of Buffalo Physician contains a the school, including alumni, parents, faculty and emeritus faculty and friends. I will rely on these three senior associate deans to manage and lead their designated areas, each of which is crucial to our school's future. Our alumni and friends will continue to work with the associate dean for alumni affairs and development to enhance the academic mission through volunteering their time and providing much-needed financial support to make the experience for those who teach and learn within our walls as rich and full as is possible. response envelope. We trust that you will use it. Most of our peer institutions include these envelopes in every publication to help to underwrite their cost. Here at UB, the School of Medi- Despite the recent changes and many challenges that lie ahead, I think it is imperative that we not lose sight of our school's many strengths. Certainly any institution that has graduated 155 classes of medical students, as UB has, is an institution that is capable of adapting to the vicissitudes of time. Indeed, change is upon us, but by working together I am certain we can honor and sustain UB's formidable reputation as a place where some of our nation's finest physicians and scientists have been educated and trained. cine and Biomedical Sciences has published this magazine as a service to its alumni, faculty, residents, students and staff, at no charge, for years. We hope that the inclusion of a gift envelope in each issue will be suffi- Finally, as this issue of Buffalo Physician was going to press we learned of the tragic events of September 11. Our school has over 1,550 alumni living and working in the ew York City area, and an additional 600 or more within a 45-minute drive of Washington, D.C. Together, these individuals comprise about 30 percent of our living alumni. Many more undoubtedly have personal ties, family members or friends directly affected by the attack. It is at times like this that we are reminded of our interconnectedness, as well as our collective obligation to do everything in our power to foster the healing that must now take place. }~f.,. ~ :~=..B ERNARDINO, cient reminder that this publication-like so many activities, lectures, special events and reunions-are only possible through the generosity of our alumni and friends. Also, please feel free to use the envelope for any feedback or comments you may have about your school. MD, MBA Dean, School of Medicine and Biomedical Sciences Vice President for Health Affairs L n /. ( t ,,1, r, asso, 11llc dean fJr alumni affairs and de• clopment �Dear Fellow Alumni, '> 1 " LW Sl HOO! \ t \R START'>, I would like to welcome the students of the graduating class of 2005. Having just celebrated my 25th class reunion at this year's Spring Clinical Day and Reunion Weekend, my hope is that our incoming students will be as proud of their school in the years ahead as my classmates and I are of ours. While our students may not be aware of the changes occurring at our school, we, as alumni, have a responsibility to be aware of these changes, to adapt to them and support our school and its leadership in every way we can. In the Dean's Message, Dr. Bernardino talks about plans to restructure the residency program, with the university emphasizing quality training. He also describes negotiations to restructure the relationship between the university and its affiliated hospitals. The university must assume that the medical education programs-both graduate and undergraduate-as well as research conducted by UB faculty in the affiliated hospitals, are the responsibility of the School of Medicine and Biomedical Sciences. These goals represent changes in the way that these programs have been administered in the past, but they will bring UB in line with most medical schools in orth America with regard to their residency programs and teaching hospital affiliates. The reorganization of administrative structure within the school is a positive change. I believe that Dr. Bernardino has assembled a strong group of administrators to work with him. They are people who Jove the school and will help to make his job manageable. At the same time, they will assist in preserving UB's traditions within an institution that has done an excellent job of educating physicians, participating in important and groundbreaking research and serving the region in a variety of ways for more than a century and a half. Dr. Bernardino faces many challenges regarding the above issues, and has several difficult decisions to make to ensure that the school will operate on a solid financial footing well into the future, especially given the "turbulent economic, social and regulatory environments" that he mentions. Now is the time to step up to the plate and support our school. Be as generous as you can be with your time, your positive suggestions and with your resources. I see the current changes as positive. (The glass is more tha11 half full!) Think about it, the school has a sound business plan, excellent faculty, terrific students and a reorganized infrastructure. The School of Medicine and Biomedical Sciences, our alma mater, will not only be able to maintain its position as one of the most important entities in Western New York, but it has the potential for greater national prominence and recognition. BODKIN II, MD President, Medical Alumni Association jOHN j . �VOLUME 36, p H y s c A N Features 6 14 Medical Education, for Life Organ-based curriculum introduced this fall de-emphasizes lecture format BY S.A. UNGER Sure Hands Teach Hands·On Medicine ew Bedside Procedures/Clinical Laboratory course proves popular BY NICOLE PERADOTTO First-year student Garrett Zoeller listens intently as speakers representing Muslim, Christian, Jewish and Sikh faiths came together in Butler Auditorium to talk about the events of September 11, 2001. On page 48, POLITY president Jason Hoffmann describes the students' inspiring response to this tragic day. Cov~.:R u ... LUSTRAT 0'..; BY STEPHANIE CARTER 18 White Coat Ceremony and Humanism Award 20 ewMPH Program 22 Telemedicine's exanding applications 25 Virtua l-reality palpation glove developed and tested at UB 21 Kishbaugh and Ball receive a ugh ton Award 32 Research news briefs 28 jack Konsek, _ .......... u""'·-'"u""""''--1-- Development 37 Message from 30 David Block, MD '64, chose a career in medicine over golf, much to the relief of jack icklaus Class of 2003 , looks at ways medical students can help to reform managed care the director"Gifts that Strengthen our School" 38 Endowments listing 41 ews from your UB classmates and other alumni 48 Our students' response to the events of September ll �------ - ------- - ALittle Fire in the Belly DEAR EDITOR: "The recent Buffalo Physician [Summer 2001] featuring Don Pinkel is excellent. It had great meaning to those of us who knew him as a house officer." Jacob Steinhart. MD DEAR S.A. --....[·--·· ...-·-..--·------·-· .-:-·..·-·-· , Professor Emeritus, Pediatrics news to patients. Anyone interested in UNGER, Thank you for the splendid article about obtaining this article may request a copy by my brother, Dr. Donald Pinkel, in the e-mailing me at drsta!l@buffalo.edu. summer 2001 issue of Buffalo Physician. Robert Stall. MD '83 It certainly brought back memories of his lntema/ Medicine '86 studying-in the attic of our Kenmore Geriatric Medicine '88 house, and Mom taking him big dishes of ice cream! Loretta Pinkel Kelsey Buffalo, ew York Drs. Beutner and Jordan DEAR EDITOR UNGER, DEAR S.A. UNGER, Your article on Thank you for your excellent job of editing Buffalo Physician. I was especially excited to Dr. [Donald] Pinkel is read the Pathways article in the summer fascinating. And, of 2001 edition regarding the dermatology course, I love all the award given to Drs. Beutner and Jordan. references in it to my Dr. Beutner was a great inspiration to me wonderful husband in beginning an academic research career in [the late Dr. Mitchell '64 and the enthusiasm of Dr. Jordan (then Rubin] and the photographs a medical student) for the pemphigus of him, too. Buffalo Physician is a most interesting magazine. Maizie L. Rubin Charleston, South Carolina project which was ongoing in the lab at the time was also memorable. I would like to extend my congratulations to both of these gentlemen for the belated recognition of their pioneering work and to add my personal thanks for the Good Ways to Deliver Bad News help and inspiration I received as a fortunate witness to this creative work. DEAR EDITOR, Jerry A. Bash, PhD '71 I read M. D. Kinnamon's article, "Good Ways to Deliver Bad News," with great interest [summer 2001 issue of Buffalo Physician]. It is critical that all health-care professionals learn how to communicate bad new in a forthright, yet sensitive way. I have prepared a handout in which I describe my approach to conveying bad 4 IUII I ID Phy sicin A II I [/Ill II 2 0 0 I Letters to the Editor are welcome and can be sent via e-mail to bp-notes@buffalo.edu; or by post to Buffalo Physician, 330 Crofts Hall, University at Buffalo, Buffalo, NY, 14260. Letters may be edited for length and clarity. �- Buffalo-Niagara Medical Campus DEAR EDITOR, The article entitled "Buffalo- iagara Medical Campus" [B MC) in the summer 2001 edition of Buffalo Physician states ~--~ -------- --------- --- -- - - --- result in tamponade. This is part of medicine at the State University of Advanced Trauma Life Support [ATLS), York at Buffalo. Thank you, especially to ew and at SU Y at Buffalo-and at a rapidly Drs. Richard Braen, Richard Krause, increasing number of emergency Dietrich Jehle, Tony Billittier, Dave Ellis, residencies-this assessment is a skill Ron Moscati, Stan Spurgeon, Jeanne Basior, Dave Janicke, Josette Teuscher, incorrectly that "UB doesn't own land or Rob McCormack and Rick Lafountain. structures on the medical campus." McKinley's The B MC encompasses approximately 100 acres bounded on the north by ....... ........., Best Street, on the east by Michigan Street, ~ on the south by Goodell Street and on the west by Main Street. UB owns the five- Christopher J. Jaksa, MD Emergency Resident Buffalo Medical-De11tal Consortium 1997-2000 ---------··----- story, 116,500-square-foot building at 1021 Main Street that houses the University's Research Institute on Addictions [RIA]. RIA research scientists hold faculty appointments in the departments of psychology, psychiatry, sociology, social and preventive medicine, among others, and in the School of Social Work. During fiscal year 200 I RIA received in excess of $7.7 million in external grant and contract awards, mostly from federal sources. Dale M. Landi Vice President for Special Projects and Programs, University at B11jfalo McKinley Assassination belonging to the emergency physicians. Indeed, the person initially assessing Buffalo Physician Receives AAMC's Award of Excellence the President would be the emergency physician, who would activate the trauma team. Moreover, the emergency physician I am proud to announce that Buffalo Physician would intubate the President, as needed, magazine has been chosen to receive an Award of and the emergency attending would direct Excellence-the highest level of recognition- the overall resuscitation until a trauma in the 31st Annual Association of American attending was available. Medical Colleges/Group for Institutional Advance- My points are these: (1) the role of the ment Awards of Excellence competition. emergency physician is often crucial in Buffalo Physician won the award in the external trauma, and (2) one of the early propo- audience publications category. In his letter notifying nents of bedside ultrasound in trauma our school of the award, L. G. Blanchard, vice chair was Dietrich Jehle. Dr. Jehle just happens of public relations for the AAMC Group on to direct the Emergency Department at Institutional Advancement (GIAI, wrote "This is the Erie County Medical Center and, highest level of recognition among winners. You and DEAR EDITOR, ironically, is cited in the same spring your staff are to be highly commended for your out- I enjoyed Dr. Fisher's recent article on 2001 issue of Buffalo Physician for his McKinley's assassination [Buffalo Physician, spring 2001 issue). I also read Dr. Seibel's accompanying standing work. Over 130 entries were reviewed this year, and the level of competition was especially teaching and work on bedside ultrasound . rigorous .... Your fine work advances all of us in One more observation: Buffalo has an the GIA, our member institutions, and the practice impressive history, but has certainly article on the modern care the President struggled since at least the 1960s to would receive. He points out that maintain some vestige of the glory that was of medicine." Please join us in congratulating Stephanie A. Unger, editor of Buffalo Physician, and Alan J. penetrating abdominal trauma requires hers at the time McKinley was assassinated. Kegler, the magazine's art director and designer, exploration and that neither CT nor MRI There is a palpable yearning to compete for this very prestigious award. imaging studies is indicated, which is quite and excel-even as the city continues to right I think. What is not noted, however, lose population-and an unwillingness to in Washington, D.C., on November 3, 2001, at the is that bedside ultrasound would be used in concede the lessening of its once mighty annual AAMC meeting. The award was presented at a ceremony the first few minutes of the President's stature. I completed my residency just over arrival to see if there is free fluid (blood) in a year ago, and I can assure my Buffalo Michael E. Bernardino, MD, MBA the abdomen, and to see if there is any friends that there is one place that does evidence of pericardia! blood, which could excel; namely, the residency in emergency Dean, School of Medici11e m1d Biomedical Sciences \'ice President for Health Affairs A II t II Ill 11 2 0 0 I lu llal1 Ph ysiciu 5 �• n, �Illustrations by Stephanie Carter In particular, the new curriculum de-emphasizes the traditional lecture format in which students are taught the basic sciences within a department-based context (anatomy, pharmacology, biochemistry, etc.), and instead introduces a variety of teaching formats that complement lectures. These varied formats-such as small-group discussions and other activities intended to foster self-directed learning-are in turn being used as methods to introduce students to a new organbased approach to learning that not only integrates basicscience knowledge across disciplines, but gives this knowledge additional relevancy by placing it within a clinical context. In the new curriculum, therefore, the teaching of basic science is no longer departmentally based, but instead is organized around a series of nine organ-based (or system-based) modules that are preceded by a four-part series of"foundation" modules that all students are required to take their first semester to ground them in basic-science fundamentals. (See page 11 for a listing of the modules and module leaders.) "In each organ-based module, all the basic-science elements (physiology, pathology, biochemistry, anatomy, etc.) are integrated into the study of one organ, which also includes clinical elements with case presentations," says Heffner. "The goal of this new approach," he adds, "is to better equip third- and fourth -year students to integrate their knowledge in a similar way once they begin to work more intensively in a clinical setting." Autumn 2 001 lallala Pbysiciaa 7 �here are a number of reasons why the school's administration and faculty felt a change in curriculum was needed, according to Heffner. "One of the foremost reasons is that educators, in general, have come to understand that many people learn in a way different from the way we thought they did," he says. "We thought people listened to lectures, read books and memorized facts. But now we know that this isn't the only way to learn; in fact, the best way for many people to learn is for them to engage in what we call 'active learning,' where they make their own goals and learn at a pace and in an order that is appropriate for them." Heffner says he and others on the faculty have discovered firsthand about the viability of this mode of learning through their experience with the Scientific Basis of Medicine (SBMI course that was introduced into the school's curriculum in 1996. This course-many facets of which have been interwoven into the new curriculumwas the school's first attempt to teach basic science to students in small-group sessions that emphasized problem-based (or "case-based") learning, which puts the onus on students to learn in a self-directed, active way. "Active learning is the whole idea behind problem-based learning [PBL]," says Heffner, who notes that some medical schools around the country have gone exclusively to this format in recent years. "At UB, we have seen that students can become remarkably resourceful learners using PBL; however, one problem with using this approach exclusively, we felt, is that it's not very efficient, so what we' ve put in place at UB is a hybrid curriculum, where you have some PBL-some small-group, casebased learning-and some lectures, which give you a very quick overview of the subject in a concise, time-conserving way," he continues. Another reason why the curriculum has been changed is the fact that the amount of biomedical knowledge has grown exponentially in the past few decades, making it impossible for even the best and brightest of students to understand and retain it all. To accommodate this increase in knowledge, many, if not all, medical schools began to compact more and more information into lectures. As a result, the density of lecture material tended to overwhelm students and frustrate their attempts to prioritize information in terms of importance and relevancy. It also left them little free time to pursue independent learning in the library or in discussions with classmates and faculty. "Part of what all medical schools have tried to do in response to the information explosion is to jam more and more information into the curriculum, and at some point the 8 lu lfal1 Physiciu A [/ t II lit II 2 0 0 I shoehorn was not able to get the foot into the shoe," says Spurgeon. "This wellintended, but somewhat misguided, approach led to our throwing out a lot of isola ted facts to the students, rather than making sure they understood what the basic concepts were and learned how to build on them." The first-semester "foundation modules" in the curriculum-which include anatomy and embryology; fundamentals in molecules, cells and molecular genetics; an introduction to disease principles; and an overview of medicine and society-are key to addressing this problem, according to Spurgeon. "In these modules we have stripped basic science down to the very bare essentials because it wouldn't be sound education theory to take 135 students who have come out of college with very different backgrounds and not give them some similar basic science to begin with," he says. "Essentially, what we want to do is to make sure that the students entering the organ-based modules are well grounded in basic concepts and terminology." "Once the students report into the organ-based modules, we begin to bring together and integrate the biochemistry and anatomy and all the other basic sciences in a context that they will need to learn and use in medical practice," he continues. "So, now what they were once learning as isolated �facts they are learning in context, and we know students retain knowledge better when it is learned this way." A primary objective of the new curriculum, therefore, is to emphasize concepts rather than requiring students to memorize a myriad of facts, many of which are soon outdated, according to Heffner, who stresses that "the ever-increasing body of medical knowledge makes it imperative that we prepare students in this way for life-long learning." nother driving force behind the planning and implementation of the new curriculum is the goal of reinvigorating medicine-and its practitionerswith an appreciation for the art of medicine, as well as the science. "In the new curriculum, we want to start early [in the medical-education process] to reverse a trend that has occurred in American medicine since about the end of World War II, and that is the notion that the best way to as well as introduces students to preventive medicine, population-based medicine, epidemiology and biostatistics. Yet another reason for the new curriculum was the perception among clinical faculty that third- and fourth-year students who had been schooled in a lecture-dense, departmentally based curriculum knew a lot of facts, but were having difficulty pulling these facts together when confronted with a single-patient situation, according to Heffner. "One of the main things that we think is most valuable with the new curriculum," he says, "is that the students are exposed to patient situations where they can use all the pharmacology, pathology and physiology they would have learned in separate courses [in the past], and they can pull all this together in a more realistic clinical situation." Agreeing to aPlan of Action In the late 1990s, these and other reasons for instituting a new curriculum became more pressing and galvanized the faculty to A primary objective of the new curriculum. therefore. is to emphasize concepts rather than requiring students to memorize a myriad of facts, many of which are soon outdated, according to Heffner, who stresses that "the ever-increasing body of medical knowledge makes it imperative that we prepare students in this way for life-long learning." serve patients is to do a lot of tests and be extraordinarily scientific," Heffner says. "What has happened-and this is not news to anyone-is that physicians aren't doing as much of the things they used to, like sitting down with patients for a few minutes and explaining to them what they're being treated for and why. We've sometimes forgotten to do that, and we need to remind students from the very beginning that this is extremely important. "It's not that we haven't taught this before, but it was something that came more in the third year," he notes. "The feeling, though, is that if you don't introduce this to the students right away, but instead primarily emphasize molecules and cells, by the time they reach their third and fourth years and somebody tells them they need to listen to the patient, they may not be as receptive to this message." The concept of "humanism in medicine" is therefore strongly emphasized throughout the new curriculum, beginning with the first-semester Medicine and Society foundation module, which addresses "the role of the physician in society," work with former Dean John R. Wright to plan and implement change. Wright's predecessor, Dean John aughton, had earlier identified a need to "modernize" the medical-education curriculum, stressing that the lecture-based format as an exclusive means of teaching was rapidly becoming passe. His efforts, while not culminating in a complete reform of the curriculum, did result in the implementation of the Scientific Basis of Medicine course and its clinical counterpart, the Clinical Practice of Medicine (CPM) course. (The goal of CPM at that time was to introduce first- and second-year students to the clinical setting by teaching them such basic skills as taking a history, performing a physical examination and preparing a differential diagnosis. In the Autum11 2001 l1ffal• Physician 9 �new curriculum, CPM has been retained by closely integrating it into the systems based modules.) "What happened, at Dean aughton's insistence, is that SBM and CPM came into being," recalls Heffner. "However, these courses just got grafted onto an already dense lecturebased curriculum, so the hours and days became longer for the students." hen Wright became dean, Heffner further explains, "he decided to take a whole different approach and created his own task force in 1998 to look at the curriculum." Wright placed the responsibility for reforming the curriculum squarely in the lap of the Task Force, which was originally made up of a group of about 50 faculty members and students; however, he also took approach would be adopted, an eightperson subcommittee was charged with developing a recommended plan of action. Murray Ettinger, PhD, SUNY Distinguished Professor in the Department of Biochemistry, was a member of this subcommittee. "There was surprising agreement about several things everybody wanted in the new curriculum," says Ettinger, who, along with Alan Saltzman, MD, MBA, clinical professor of medicine, had been instrumental in establishing the SBM course five years ago. "First of all, there was rapid agreement that the curriculum should begin with foundation modules that provide students with the requisite "In the past this information mentally based c would have been presented in depart- , where it had no practical application to the students so they would ask, 'Why do we have to memorize all these enzymes?', whereas now we think they will say, 'Wow, we have to know all this because it applies to the clinical situation with an actual patient."' a strong stance on what the "ground rules" would be. "Dean Wright made a number of things very clear to the Task Force," Heffner explains. "We couldn't add anything to the curriculum, we had to shorten the hours students were in class, we had to move away from having lectures all day and figure out some other way to teach the students, and, finally, we needed to figure out what was important for the students to learn. We couldn't just take new material in our fields and integrate it into the curriculum by talking faster about it in a lecture." Once established, the Task Force and its Steering Committee spent the next year and a half studying various options. After it was decided that the organ-based 10 I U f f I II Ph y s i c i I n Autumn 2001 basic science they would need once they entered the modules integrated by physiologic systems. "It also was clear to everybody-even if they weren't thrilled with it themselves-that there was going to be small-group learning in each of the [organ-based] modules; we were not going to have three or four lectures in a row; all lectures were going to be in the morning, so the material we were teaching had to be broken up into different teaching formats; and many or most of the modules were going to include the basic structure we developed [in SBM], which incorporated problem-based learning." Once the subcommittee's plan was approved by the Steering Committee of the Task Force, the next step was to form the various module teams, which then set to work developing the curriculum. "By far the strongest component in the whole process has been the module teams. They are the ones who put the meat of this together and have been at the center of the work I CO NTIN U ED 0~ PA G E 1 2 �- I -- -------- --- --- New Organ-Based Modules and Leaders ach module is organized and directed by a module leader(s) responsible for such things as arranging and coordinating lectures, lining up laboratory instructors, and making sure faculty are available on a given day and handouts and objectives for each session have been submitted. Many faculty are involved in each module, some of which are as long as 13 weeks. Foundation Modules *ANATOMY AND EMBRYOLOGY Team Leader: Robert Hard, PhD *MEDICINE AND SoCIETY (epidemiology, biostatistics, population-based medicine, prevention, evidencebased medicine) Team Leaders: Carl K. Li, MD Maurizio Trevisan, MD * FuNDAMENTALS I: MoLECULES, CELLS AND MoLECULAR GENETICS Team Leaders: Murray Ettinger, PhD Donald Campbell, PhD John Cotter, PhD Mark O'Brian, PhD *FUNDAMENTALS II: PRINCIPLES OF DISEASE AND THERAPY Team Leader: Alan Reynard, PhD *MusCULOSKELETAL AND INTEGUMENT Team Leaders: John Cotter, PhD Reid Heffner, MD *NEUROSCIENCE/BEHAVIOR Team Leaders: Christopher S. Cohan, PhD Margaret W. Paroski, MD Linda F. Pessar-Cowan, MD *CLINICAL PRACTICE OF MEDICINE Team Leaders: Andrea T. Manyon, MD David Milling, MD *CARDIOVASCULAR AND CIRCULATION Team Leaders: Avery K. Ellis, MD Perry M. Hogan, PhD *LUNG AND RESPIRATION Team Leaders: Leon E. Farhi, MD Alan A. Saltzman, MD *GASTROINTESTINAL, METABOLISM AND Team Leaders: Michael Duffey, PhD Mulchand Patel, PhD Robert Scheig, MD UTRITION *ENDOCRINE/REPRODUCTION, BIOLOGY/LIFE CYCLE Team Leaders: Suzanne G. Laychock, PhD John A. Ryan Jr, MD *HEMATOLOGY Team Leaders: Amy M. Sands, MD Gerald Logue, MD *RENAL Team Leader: James M. Goldinger Jr., PhD Other Topics The subjects of microbiology, social and preventive medicine, genetics and pharmacology do not fit into any one organ-based module. Therefore, module leaders are working with leaders in these areas to ensure that the subjects are appropriately incorporated into the modules. A II t II "' " 2 0 0 I laffale Pbysiciaa 11 �MEDI C AL ED UC ATI O N . C ONTINUED FROM PACE 10 in developing the curriculum," says Ettinger, who notes that the Steering Committee was eventually enlarged to include all the module leaders, a move he credits with helping to keep the work on track and well coordinated. A ew Way oSpend aDay Out of this three-year process has evolved a curriculum that builds on the many strengths inherent in the way UB has traditionally trained medical students while at the same time integrating more modern educational methods. As the 2001 school year opened, second-year students continued with the old curriculum to maintain continuity the big difference comes in is in the manner in which the material is being presented," he says. To describe more concretely how the organ-based modules will work, Heffner also uses the example of the heart. "We might begin with a common clinical problem; let's say a patient has a heart attack. Well, that might involve the physiology of the heart: How does the heart pump? What is blood pressure? "This could lead to a discussion of the cellular abnormalities of the heart," he continues. "What happens to the heart in a heart attack? This would get into pathology and also metabolism: Why do we need oxygen in the first place, which would take us into biochemistry and would also bring in pharmacology and how you treat a heart attack. "It may sound confusing in the beginning because the students won't have some of the material ed to come to grips with this clinical problem. But we've learned from PBL that they can do it. The students become very resourceful; they learn how to look things up, they learn how to ask questions and what questions will yield the information they need. It may take awhile, but they do it." with their first-year studies, and the first-year students began their studies in the foundation modules. In keeping with the objective of encouraging the students to learn more independently, the class time in the new curriculum is mainly restricted to the morning, leaving afternoons and evenings for self-directed learning, according to Heffner. Students immersed in the organbased curriculum are not being taught material that is new in comparison to what students have learned in years past, so much as they are being taught the material in a new format, Spurgeon emphasizes. "We're not talking about different material because, largely, it's the same. Medical students still need to learn where the heart is located and what the four chambers of the hearts are. Where 12 I u I I a I o Pb y s i c i a 1 Autumu 2 001 "And then you could move into discussing things like the cause of a heart attack such as atherosclerosis, elevated blood lipids, which would turn you back toward biochemistry again. "All these put together would give you an understanding of what the patient's problem is with a heart attack," Heffner concludes. "In the past, this information would have been presented in departmentally based courses, where it had no practical application to the students so they would ask, 'Why do we have to memorize all these enzymes?', whereas now we think they will say, 'Wow, we have to know all this because it applies to a clinical situation with an actual patient."' student's day, therefore, may begin with a lecture on myocardial infarction in the morning, followed by a case presentation of heart attack in a small -group discussion, where the lecture material is further explored. "It may sound confusing in the beginning because the students won't have some of the material they need to come to grips with this clinical problem," says Heffner. "But we've �learned from PBL that they can do it. The students become very resourceful; they learn how to look things up, they learn how to ask questions and what questions will yield the information they need. "It may take a while, but they learn how to do it. And this certainly more accurately reflects the way they will need to learn new information as practicing physicians." Gentzke & Associates~ Inc. Registered Investment Advisor ALifelong Mission for Lifelong Learners In the years ahead, as the new curriculum becomes increasingly integrated into the fabric of the School of Medicine and Biomedical Sciences, faculty are convinced that it will continue to evolve based on ongoing evaluation of its effectiveness. In addition to ironing out logistical challenges, Ettinger feels that it will also be important at some point in the near future for the members of the Task Force to step back and assess the success of the new curriculum in relation to the mission statement they composed at the outset of the process. "In the very beginning, we spent quite a bit of time coming up with a mission/vision statement in which we said we should try to develop a curriculum that would cultivate in our graduates an approach to medicine that would represent a continuous, lifelong way for them to think about learning, even 15 or 20 years down the line," he reflects. "I think we should rekindle this mission statement and begin to ask ourselves whether we are in fact doing this, whether our students will someday tell us that a lot of their approach to medicine is based on what they learned here-that UB is a place they feel helped shape them, in a recognizable way, as physicians." If this can be accomplished, then the new curriculum will indeed be just a new way of perpetuating what has traditionCD ally been a hallmark of medical education at UB. Pri,·ate Pm1folio .\I anagcment Ta.~ Con!:'lulting E::,tate Plamring President and CEO Glenn Gentzke and Chief Investment Strategist Chris King F ee-Ba::,ed .\ ssct .\lanagcment L UB Commons TL\"\ -CREF .\ cki::,or _\ etwork 520 Lee Entrance Suite 205 Amherst. NY 14228 Certified QuickBooks Profc::,sional .\ chi::,or::, Tel: (716) 639-0475 www.gentzke.com A II t II Ill II 2 0 0 1 l ufllll Pbysicin 13 �l1flal1 Physic i ae AU/1111!11 200/ �• Staaley Spurgeon, MD, demnstrates pracdare to Maria I. Podebryi, Class If 2113. Standing behind Podebryi is Charles SeYeril, PhD, MD, assistant dean f1r first and second·year students. wko created tke uw course and team teachs it. BY . I !COLE PERADOTTO Autumn 2001 15 �HIS ELECTIVE GIVES STUDENTS AN OPPORTU ITY TO LEARN HOW TO PERFORM INVASIVE PROCEDURES ON A CADAVER RATHER THAN ON A PATIE T," EXPLAI MD, PHD, A LONGTIME COURSE AFTER RETUR UB A ATO MY PROFESSOR WHO WAS I SPIRED TO DEVELOP THE ING TO SCHOOL IN MID-CAREER TO EARN A MEDICAL DEGREE . "WHETHER OR NOT THEY USE THESE SKILLS I MEDICAL SCHOOL, THEY'LL DEFI "WHE S CHARLES SEVERIN, THEIR THIRD OR FOURTH YEAR OF ITELY HAVE TO USE THEM AS RESIDENTS," HE ADDS. THE TIME COMES, THEY MAY NOT REMEMBER EVERYTHING THEY LEARNED, BUT A LOT OF IT WILL COME BACK TO THEM AND THEY'LL BE THAT MUCH FURTHER AHEAD OF THE GAME . " The idea for the course took root in the spring of 1997, when Charles Severin was in his last semester of medical school at UB. During a neurology rotation at Buffalo Veterans Affairs Medical Center, he found himself battling a severe case of jitters while performing his first lumbar puncture. "I wanted to seem as calm as possible, even though my insides were churning," recalls Severin, now the assistant dean for first- and second-year students in UB's Office of Medical Education. "The attending was sitting beside me saying, 'Open the drape. Make sure you don't contaminate the field. Do this. Don't do that.' Now, if you were that patient, how comfortable would you feel about my inserting a needle in your back?" As is the case in many, if not all, medical schools around the country, Severin found that although he and his fellow students had been taught the "whys" of procedures, the "hows" were left to on-the-job training. "When I was attempting to perform that lumbar puncture for the first time, I didn't know what was in the kit; in fact, I didn't even know there was a kit. "! did know why the procedure was being performed and I knew what bac- 16 I u I I 1 I o Ph J sic i In A II t II Ill 11 2 0 0 I teria I might find because that was taught in medical school. But what wasn't taught was how to actually do the procedure." While experiences such as this in medical school may have inspired Severin to develop the new hands-on course, it was his expertise in anatomical sciences that gave him the necessary background to conceptualize the course and envision how it could be implemented in a practical way. Based on his teaching and research, he understood how conditions could be stimulated on a cadaver to mimic those of a living person; for example, pressurizing the vascular system with saline to reproduce normal blood pressure, or clouding the fluids with chalk dust to suggest an infection around the meninges. Fresh from his own experience in medical school, Severin says he also knows firsthand just how intensely students yearn for an opportunity to work in a hands-on way with patients. "Doing these procedures once won't make anyone an expert," he concedes, "but it will help students learn what to expect and it will familiarize them with the basic techniques and tools involved. My goal with this course has been to put students in a position where they're better prepared than I was." Giving Somet~ing Back to t~e Students When Severin decided to pursue a medical degree in his mid-40s, it wasn't with the intention of practicing; rather, he wanted to use the experience to better serve his students in his classroom. "I thought I could learn what it's like to be a medical student-the ups and downs, the highs and lows-and use that information in my teaching," he e>-'Plains. "At the time, I wasn't thinking of developing a course. I was just thinking that the experience would help my lectures in gross anatomy, or any other course I taught. But now that I have instituted the course, I feel I have fulfilled part of my goal in attending medical school by giving something back to the students." When the Bedside Procedures/Clinical Laboratory course was introduced in January 2001, 73 students expressed interest in enrolling. With only 32 openings, participants were chosen by a lottery. Among those selected was James Boyle, who gave the seven-week elective high marks. "Being prepared for what we're going to face in the hospital, where you're expected to know what to do and how to react, was what attracted me to this class," he says. "Even if we don't know all the answers, when we get there this gives us an edge." �"It's very practical," adds Betty Lim. "It teaches you how to wash your hands properly, how to handle the equipment, how specimens are labeled-all the protocol you won't find in a textbook." In fact, Severin has yet to find a text that covers all the topics discussed in the class. When he attended a meeting of the Association of American Medical Colleges last fall and presented a poster on the Bedside Procedures/Clinical Laboratory course, no one he spoke to about the course had heard of another quite like it. "To our knowledge this is something new and different. This is a unique opportunity for second-year students," says Stanley Spurgeon, MD, who team-teaches the class with Severin, Judith Tamburlin, PhD, assistant professor of biotechnical emphasize what Severin calls the "art of medicine," otherwise known as bedside manners. "You can turn out a lot of medical students who are very proficient in a technique. They'll hit the spot every time; they'll produce minimal pain. But as far as patient interaction is concerned, they're not good at all," he observes. "I saw that a lot during school. Students were ordering the right tests and giving the right medications, but there was really no interpersonal skill there. I want these students to know not just how to do the technique, but how to explain what they're doing to patients." Demystifying the laboratory Tamburlin and Gordon are responsible for a third component of the class, the the interpretation of laboratory results correlated with proper specimen collection and transport hasn't been taught." All the Ri~t Moves. without the Jiners During one Friday afternoon session of the class last spring, half of the course' s students peered through microscopes in the hematology lab . At the same time, the remainder of the class prepped for alumbar puncture on a cadaver. Severin and Spurgeon guided this group every step of the way, showing them just where to position the fenestrated drape, demonstrating how to apply betadine so it doesn't drip down a patient's back and stressing the precautions that need to be taken to keep the field sterile. As he helped one of the students angle the spinal Kit Ling Chang,/e/t, and Julie A. Gavin, right, Class of 2003, at work in the laboratory. and clinical laboratory sciences and pathology and anatomical sciences; and Mable Gordon, a clinical instructor in the UB School of Health Related Professions. "In the hospital, students frequently are given credit for knowing something they may not know, but there's a reluctance to say, 'What do you mm, doctor?'" adds Spurgeon, clinical assistant professor of emergency medicine and pediatrics. "That's part of what we're trying to address so they'll feel more comfortable doing the things they're called upon to do." Beyond exposing students to various clinical presentations and discussing accompanying case studies, the teachers laboratory. Guiding students through three makeshift labs-hematology, chemistry and microbiology-they describe what happens to a sample once a physician collects it. In addition to explaining how samples are transported, processed and analyzed, both teachers offer practical procedural-tips and discuss the necessary communication between physicians and laboratory specialists. "The students shouldn't be afraid to go to a lab. They should feel comfortable going there and discussing the results of a sample. It all plays into better patient care," Gordon says. "They learn a lot of things in their basic science courses," adds Tamburlin, "but needle correctly, Severin looked up at the class and admitted: "You know, the first time I did one of these I was scared. I was trembling. My hands were shaking." ot so for student Rob Bermel. Of course, the fact that he performed the procedure on a cadaver did wonders for his comfort level. And when it comes time for him to introduce that spinal needle into an actual patient? Bermel will be nervous, he says. But he'll be ready. "For two years we have been sitting in lecture halls and looking at books and projection screens. A lot of us came to medical school to perform hands-on medicine. Finally, we are having a chance." CD A11t11mn 2 001 l affale Physici11 11 �MEDICAL SCHOOL N E w S Donning the White Coat First-year students initiated into their new roles n August 13, 2001, the University at Buffalo School of Medicine and Biomedical Sciences welcomed its Class of 2005 at the fourth annual White Coat Ceremony held in Slee Hall on the orth Campus. The ceremony is a rite of passage for first-year medical students, who are reminded of their responsibility to "care" as well as "cure" patients by endorsing a psychological contract of professionalism and empathy at the start of their medical careers. To formalize this commitment, they are officially "cloaked" with their first white coats, after which they recite the Physician's Oath, a modern Neil Harris of Santa Barbara, California, being cloaked by lorie leonard, MD '87. version of the ancient Hippocratic Oath. Following Cappuccino's talk, Jack Opening remarks were delivered by insights into how they might strive to Coyne, MD '85, VB clinical associate Michael Bernardino, MD, MPH, dean of accomplish this balance despite the rigorous UB's School of Medicine and Biomedical demands that will be placed on them in the professor of pediatrics, was presented the Humanism in Medicine Award (see opposite Sciences and Vice President for Health years ahead. page) by Charles Severin, MD, PhD, Affairs at the university. assistant dean for students in the Office of After welcoming the students Medical Education. and their families, Bernardino Margaret Paroski, MD '80, senior assogave a brief history of the ciate dean for admissions and curriculum, ceremony and its underlying then introduced each of the students as philosophy. He then introthey were being cloaked. The ceremony duced the keynote speaker, concluded with Bernardino leading the Helen Cappuccino, MD '88, students as they recited the Physician's clinical assistant professor of Oath in unison. surgery at Roswell Park The White Coat Ceremony is sponsored Cancer Institute. Cappuccino by UB's Medical Alumni Association and talked to the students about The Medical School Parent's Council. ~ the importance of maintain S. A. UNGER ing a healthy balance in their lives as they begin their formal medical education Helen Cappuccino, MD '88, keynote speaker at the White Coat Ceremony. and shared many personal 18 I a I I 1 I o Ph J sic i I a Alllllmll 2001 �2001 Humanism Award Jack Coyne, MD '85, clinical associate professor of pediatrics, was presented the University at Buffalo School of Medicine and Biomedical Sciences' Humanism Award at this year's White Coat Ceremony (see article opposite). Nominations for the award are made by directors of the third- and fourth-year clerkships. Coyne was extolled by his nominators for "being a knowledgeable and enthusiastic teacher ••. who is a very kind and caring person, both with students and his patients." One student stated: "Dr. Coyne forms extraordinary bonds with patients, which I hope to imitate as a pediatrician." A"Class" Profile-2005 The students commended Coyne's many humanitarian projects, including his work as medical director for the Child Advocacy Center at Kalieda Health System's Children's Hospital of Buffalo. In this capacity, his nominators reported, "he works very hard to fight for the rights of children who have been abused, and he very often takes time out of Dr. Jack Coyne, right, receiving award. his busy schedule to testify in court for abuse cases that he sees." Coyne was also commended for his outreach efforts to students who are having difficulty coping with the stresses of medical school. In addition to making himself available by beeper 24 hours a day, he has opened an office in Michael Hall where students can drop by to talk with him. "Dr. Coyne truly cares for students in ways that many attendings don't because he always treats us as equals, as human beings," one nominator emphasized. "Even though I have said much more that I thought I would, I have not done justice to him. Words cannot describe just how extraordinary a physician, a mentor and-most of all-a friend he is." Support for the Humanism Award is provided by the Healthcare Foundation of New Jersey. S. A l "c CD R R A11t11mn 2001 lulfal1 Physician 19 �MEDICAL SCHOOL N E w s MPH Degree Offered at UB s \S l I health (MPH) aimed at training professionals to study and manage current and emerging community health issues has been approved at the University at Buffalo. The MPH program, which is offered through the Department of Social and Preventive Medicine in the School of Medicine and Biomedical Sciences, began enrolling students this fall. "We think this degree program fills a real need in this region," says Dennis Bertram, MD, clinical assistant professor of social and preventive medicine and program director. "People wh wanted an MPH in the past either had to leave the area or forgo the degree," he explains, adding that UB is now the only public university in the state west of Albany offering the degree. "The federal government is placing increasing demands on the states and counties to monitor and improve health, and the MPH is seen more and more as the basic training to fill the positions needed to do that work," Bertram continues. Enrollees in the program may choose between two concentrations-health services administration or epidemiology and biostatisticsin preparation to fulfill responsibilities in the following areas critical to a region's well-being: • Primary prevention of disease through identification of factors associated with the development of conditions that affect large segments of the population, such as heart disease, cancer or diabetes; • Monitoring and surveillance of infections, toxic agents, and environmental contaminants; • Targeting hard-to-reach populations for clinical services and developing outreach programs; • Collecting information on health outcomes to ensure quality health-care delivery; and • Educating the public about disease risks and preventive measures. Individuals interested in University at Buffalo's MPH program may call Marcia Wopperer at (716) 829-2975, ext. 625; or e-mail her at mwoppere@ acsu.buffalo.edu. 4D -LOIS BAKER 20 I af f If I Ph I I i Ci I D A11t11m11 2001 Assessment Tool Reshapes Rehab Care UB survey adopted by federal government, becomes new national standard I n early 2002, the federal agency , responsible for setting medical L )Is reimbursement policy for " Medicare and Medicaid programs will begin using an assessment survey developed at the University at Buffalo as the national standard for determining payment for inpatient medical rehabilitation. The federal Centers for Medicare and Medicaid Services (CMS), formerly called the Health Care Financing Administration, has elected to use UB's Functional Independence Measure, or FIMT" instrument, as the base for its new system of prospective payment for rehabilitation treatment provided in hospitals. In the past, rehabilitation hospitals have been reimbursed based on a facilityspecific rate per discharge, regardless of the number of days a patient remained in the hospital and the level of care the patient required. Under the new system, payment will be linked to the severity of each patient's disability when admitted. "This is a totally new approach, and it will change rehabilitation care as we all know it," says Carl Granger, MD, professor and chair of UB's Department of Rehabilitation Medicine and one of the developers of the FIMT" instrument. For rehabilitation hospitals, the new system means more equitable payment for facilities that take the most severe cases. �NAUGHTON AWARD '1111.....-lwri wlidlriCIIIi1a ..,...,, illalt llswlllllnl _.liCIIficallMbllillllsllllllsclllll. . . alllllillllll II • ., • ...... .._ If tiiiMaliiJ 11 ..... kllllllf •••••lcll Scillclltr.1171111• SICII• . .;It II. tlll .... llllll, Is • ......., II . . lilt Ill. illis • lllr 1W1- WIJ,IIIbs •ICIIIII. wiD hs lfllllllll llldiiiC--.IIb'llllll',llllhlilr . . . . . . fwtllllllllfalllan, Wllt,MIIIIcl....a,!llllilll ptilllCin ......." This year's winners of the Naughton Award are Donna Ball, assistant to the chair and senior staff assistant in the Department of Psychiatry, and Cheryl Kishbaugh, assistant dean for Graduate Medical Education. Donna Ball came to the Department ofPsychiatry in 1979 after nine years of service to the Research Institute on Addictions. She is responsible for all budgetary matters, personnel issues, purchasing and space coordination for the department. In addition, she supervises secretarial staff at three affiliated hospital sites and oversees all grants, contracts and report preparations. Those who nominated Ball for this award emphasized her "dedicated, conscientious and pleasant service to the department." They also highlighted the fact that she repeatedly demonstrates a willingness to "go the extra mile" to complete her myriad responsibilities and has an extraordinary ability to "trouble shoot difficult situations." For UB, the ruling brings additional international recognition for its work in rehabilitation science. "We are now seen as the experts. Our phone has been ringing off the hook since April, when it appeared the new system would be based on the FIMT" instrument," says Granger. "Everyone wants to talk to us. It's an affirmation of the work that has been accomplished at UB." he FIMT" instrument is an easy-touse assessment tool that allows trained personnel to assign a numerical value-the FIM rating-to a patient's ability to function, based on performance of 18 physical and mental tasks that represent a basic daily routine of personal care activities. 1 Cheryl Kishbaugh was the first employee in the Office of Graduate Medical Education (GME), which was created in 1982. Today, as assistant dean for GME, she is recognized for her direct and forthright style, her dependability and her dedication to the residents she serves. Skills that Kishbaugh's nominators cited her for having included: mastering complex Medicare regulations, serving as a primary resource for inquiries, and supervising residency program data entry for the National Resident Matching Program. She was also commended for her contributions as a member of committees charged with reviewing residency programs in Buffalo and, most notably, her championing of residents' causes. "If I had to characterize Cheryl in a single word or concept," a nominator wrote, "it would be 'resource.' She is someone you can depend on to always have, or know how to get, the answer to your question .... She is unfailingly cheerful, constructive, sensitive, 4D and ethical, yet objective and pragmatic." The FIMT" instrument was developed at UB 15 yea rs ago through a three-year grant to researchers in rehabilitation medicine from the ational Institute for Disability and Rehabilitation Research. Their mandate was to develop a standard for documenting the level of disability and outcomes of medical rehabilitation. The effort was spurred by Medicare's decision in 1983 to use diagnosis-related groups (DRGs) as the basis for reimbursement for care provided in acute-care hospitals. DRG reimbursement was not appropriate for payment for rehabilitation, however, because patients are treated based on level of disability, as well as on diagnosis. Lacking a federally accepted standard comparable to those used by acute-care hospitals, rehabilitation facilities have been reimbursed for care based on an allowance per case, regardless of the time and resources expended. Approximately 80 percent of the 1,100 acute care inpatient medical rehabilitation facilities in the U.S. currently use the FIMT" instrument to establish a baseline of functional limitations for each patient and to evaluate outcomes of care. These facilities also contract with UB's Uniform Data System for Medical Rehabilitation (UDSMR) unit to provide periodic performance reports and benchmarking studies. As a result, UDSMR now houses four million records, making it the largest database of medical rehabilitation treatment outcomes in the world. 4D Autum11 2001 laffal1 Physicia1 21 �he physician peered intently into his patient's eye, which had been B splashed with bleach while the man was doing laundry. Determining that the cornea had not suffered damage, he prescribed a two-hour saline irrigation. I p < 0 ' ) ( r o Conventional treatment, right? Not exactly. In this case, the physician was conducting his exam from 250 miles away, using a medical-grade television screen and a high-resolution camera to inspect the injured eye. What's more, a nurse administered the saline irrigation right where the patient lives. And home for this man-at least until he's released- is the Gouverneur Correctional Facility, a state prison near Ft. Drum and Watertown, New York. For many years, telemedicine has helped people living in rural areas by improving their access to health care. At Erie County Medical Center (ECMC), a teaching hospital affiliated with University at Buffalo's School of Medicine and Biomedical ciences, emergency room doctors are using the same technology to serve those who are serving time. The prison program bega n in 1994, linking ECMC with the Erie County Holding Center. Since then, it has grown to encompass 31 correctional facilities 22 l11fal1 Hysicill Autum11 2 001 through ew York State, from Watertown to Staten Island. "This is the largest [telemedicine] system designed specifically for emergency care," says David Ellis, MD, a clinical assistant professor at University at Buffalo's School of Medicine and Biomedical Sciences and director of telemedicine services at ECMC. "No other hospital in the world has these many facilities linked into the emergency room. It's unprecedented." Although the general aim of telemedicine is to offer help from afar, pris- oners make particularly good candidates for this genre of high-tech care for anumber of reasons. For one, receiving the necessary clearance to leave the prison takes time, a resource in short supply during medical emergencies. Treatment via telemedicine can be administered in a matter of minutes, and on-site. Secondly, because of the considerable security precautions and personnel required whenever a prisoner must be escorted off the grounds, transporting an inmate to the emergency room is expen- �sive, costing as much as $300 to $800 per trip. Telemedicine gives an emergency room physician the opportunity to evaluate the acuity of the situation and then decide if the patient needs to leave the prison, thereby reducing unwarranted trips. By how much? According to Ellis, the number of emergency room visits among prisoners at the participating correctional facilities has dropped by one-third. "We're able to get to problems earlier and intervene earlier. And if there is ever any doubt, we err on the side of transporting the patient to the emergency room." There's yet another benefit to reducing emergency room visits for prisonersone that has nothing to do with efficiency and everything to do with community relations. The sight of prisoners being escorted through a hospital in shackles and telltale orange work suits can be disconcerting for the public, Ellis observes. "You want to provide the care, but do it as much as possible at the facilities." Time and again, he has seen how feasible this is. Take the case of the prisoner at Riverview Correctional Facility who suffered an acute allergic reaction to something he had eaten. Examining his throat via a 27-inch Sony television, Dietrich Jehle, MD, clinical director of Emergency Services at ECMC and associate professor and vice chair of UB's Emergency Medicine Program, ascertained that the man's uvula had swollen. From 300 miles away, Jehle prescribed a regimen of epinephrine, antihistamines and steroids. The condition subsided and the inmate was treated without having to be transported. It's important to note that a telemedicine visit is often just a first step in the cycle of care. For example, if a patient is treated by a health-care provider at the prison in this manner rather than in an emergency room, an in-person follow-up exam with a specialist in the region is often scheduled. Conversely, if the inmate is first treated in an emergency room, the physician may conduct a follow-up assessment via telemedicine, with the inmate in the prison infirmary. Since ECMC's prison telemedicin e program began seven years ago, it has grown dramatically. In one month of this year, the medical center' s emergency room physicians fielded about 193 such cases. And the number of participating prisons is expected to double next year. Next-Generation Hardware What's more, the technology that makes telemedicine a reality is undergoing a major upgrade at UB. Currently, physicians are testing a portable, wireless system developed at the university that gives them an unprecedented degree of flexibility. "With the old system you have to bring the patient to the equipment. With this system we can bring the equipment to the patient," says its creator, James Mayrose, PhD, UB research assistant professor of emergency medicine. Because physicians must dial in to the older ISDN system over lines, it can't be moved around-at least not without a great deal of difficulty. But the new internet-based system is small and light and wireless, sitting on a portable cart that can be wheeled wherever it's needed at a moment's notice. Already, professors at UB's School of ursing use the new system to evaluate students during their emergency depart- A !It II Ill II 2 0 0 I l•lfall Physiciu 23 �ment rotations. "The roll-about device lets UB faculty see the student interacting with the patient, just as if they were on-site," Ellis says. "The faculty at UB can critique students and provide feedback. Rather than getting a report from the clinical faculty on site, they can see directly how their students are managing patients." The new system also connects hearingimpaired patients at ECMC with signlanguage interpreters at Strong Memorial Hospital in Rochester, ew York. "This program is designed to allow our staff to roll the telemedicine system to a patient's bedside and have a translator from Strong Memorial use sign language to communicate with the patient, and then relate that information back to our staff," Mayrose explains. The unit would also benefit rural hospitals, which often lack the space for traditional teleconferencing, he adds. "These facilities are usually small hospitals with very few patient beds. The mobility of the system would allow the staff to consult with medical experts at other fa cilities while at the patient's bedside, no matter what room the patient is in." Grand Rounds around the World Because medical education is an important aspect of practicing medicine at a distance, Ellis and Mayrose have been collaborating for several years with )ames Whitlock in UB's Division of Computing and Information Technology (CIT) to develop ways to make it feasible to teach between practice sites, despite distance being a factor. Their collaboration has led to a system of network multi-point conferencing units, video servers and gateway systems at CIT, as well as a portable video production unit within the Department of Emergency Medicine that can move to the sites of educational presentations throughout the UB School of Medicine 24 1 1flal1 Physician Autu11111 2001 and Biomedical Sciences and its affiliated teaching hospitals. Recently, they successfully broadcast grand rounds for the UB-Veridian Center for Traffic Injury Research through multipoint videoconferencing from ECMC to five participating sites, including Ohio State University, Syracuse University, University of Rochester, the ational Highway Traffic Safety Association in Washington, D.C., and SurfNet in the etherlands. The grand rounds were also simultaneously broadcast via video streaming to the internet through Cisco IP/TV and Windows Media Player. In addition, the digital recording of the presentation is available 24 hours a day from a server at UB. "This is something we dreamed about five years ago-being able to have many remote sites participate in our grand rounds through live video interaction, and then have that same grand rounds available at any time of the day to those who couldn't attend the program," says Ellis. "Five years ago, however, we didn't envision sites from around the world participating, but instead were thinking more about the medical community in Western New York. Having successfully completed this broadcast, we now see that these technologies are truly amazing and have tremendous potential to bridge distances for the purpose of teaching." "Screen-Side" Manners Ellis has also been encouraging physicians to refine their "screen-side" manner on the videoconferencing system. To date, he has supported clinics for psychiatry, infectious diseases, neurology and gastroenterology by giving the participating specialists an opportunity to teleconsult with prisoners throughout the state. "By the time physicians complete a clinic in that setting, they have an appre- ciation for what the technology can do, and their wheels start turning about how they can apply it in their own practices. Some of our physicians may be set in their own ways and are not comfortable in a new environment," Ellis says, "but overall it has been well received." Emergency medicine interns learn the system as part of their technology rotation with bedside ultrasound at ECMC. Because many new doctors were children of the Computer Age, they take to it with ease. "I was playing around with an Apple 2E at the age of seven. I grew up with computers, so I was pretty excited to use it," says Judith Toski, MD, an emergency medicine resident. "It appeals to me that we can manage patients well in such a cost-effective manner. And we know our limitations. We know what we can and can't do over the system." Like Toski, Richard Krause, MD, residency program director for the department of emergency medicine, is a telemedicine veteran. He observes that doctors who use the interactive video often spend more time with patients than they would in a traditional setting. "If you know you don't have all the diagnostic tools to go on, you pay that much more attention to the patient history. We take a very detailed history and have that much more of a face-to-face encounter with patients, who receive this in a positive way." Ellis couldn't agree more. Physicians don't need a lot of technological savvy to successfully navigate the system. They only have to tap into the qualities that physicians have relied on for centuries to care for the ailing. "Even if you're not at the patient's bedside, you can still pass on the same concern, the same sense of compassion," he says. "From miles away we still have the ability to show patients we are capable of helping them." 4D ' J �wo of the most important diagnostic tools that physicians have are their s y hands, which allow them to detect subtle signs of disease or injury just by touching a patient. Exercising that expertise has always required the B \ presence of two individuals in the same physical space at the same time: physician and patient. Until now. University at Buffalo researchers are developing a system that will allow physicians to use a new form of virtual reality, called physically based VR, to store information about what they are feeling during an exam and then go back and review it later after the patient has left, or share it with consulting physicians in a remote location. Autlllllll 2001 lallal1 Hysieiu 25 �Research Center (CUBRC). Kesavadas explains that, right now, there is no way for a physician who is not physically present to conduct a palpation exam on a patient. When a very serious case arises-particularly at a small, rural hospital, for example-often the patient must be airlifted to a more comprehensive medical facility where he or she can be examined in person by a specialist. The VR system under development at UB could make some of these costlynot to mention traumatic-airlifts unnecessary. "Using our customized data-collection glove and the detailed understanding we Using the "Virtual Human Model for Medical Applications," physicians wear a customized virtual-reality glove during the patient examination that collects data on what the physician is feeling through sensors located in the glove's fingertips. James Mayrose, PhD, UB research assistant professor of emergency medicine, is a senior designer of the glove and a coinvestigator on the project. Currently, he is conducting studies of the glove on human subjects at the Erie County Medical Center in collaboration with David Ellis, MD, a UB assistant professor of clinical emergency medicine, who has assisted in the development of the prototype device. In summer 2000, the research team reported on the progress of their work at the World Congress on Medical Physics and Biomedical Engineering in Chicago. "I think one of the great advantages of this technology is that it would allow us to accurately measure the bioelastic properties of the abdomen in its normal state and in its possibly diseased state," says Ellis. "Traditionally, we rely on the surgeon's touch during the abdominal exam. But the data from this electronic system will help give us a more objective way of interpreting information." are developing about the physics behind a physician's touch during an exam, we expect within two to three years to have a device in use that will allow a physician to use medical palpation virtually and in real-time," says Kesavadas. The UB work represents a departure from the usual route taken by researchers studying VR for use in medical situations, he adds. "Just about everyone who henkurussi Kesavadas, PhD, assistant professor of mechanical and aerospace engineering and director ofUB's VR Lab, is co-investigator on the project, which was supported in part by a 127,000 grant from the Center for Transportation Injury Research of the Calspan-UB 26 1111111 Physicial Au tumn 2 001 is looking at virtual medicine right now is interested in surgical applications." But those applications are many years away from being realized. For his part, Kesavadas sees no reason to wait to reap the benefits of VR for diagnostics. As is the case with many other virtualreality applications for medicine, UB's Virtual Human Model will be relevant for training physicians, as well. "Actually, the system started out as a teaching application, but we soon realized the implications it would have in telemedicine services and emergency diagnosis," Mayrose notes. The UB group currently is modeling on the computer the soft tissue and organs of the human abdomen, using atomic-unit type modeling that breaks up hwnan tissue into pieces that each measure no more than 8 mm. The system takes as its raw material the Visible Human Data Set developed by the ational Institutes of Health, which provide researchers with com plete digitized data sets of the human body. Using a very powerful graphics computer, the researchers "super-sample" smaller and smaller sections of the data set for a given body part or organ, which enables them to get more and more detailed pictures of each one and develop increasingly complex equations about how each tiny section will respond to applied forces. They then create layers of these sections, gradually building the �-- -- collection of samples up into the complete organ. "Our big contribution is that we are writing algorithms to model how soft tissue deforms as a real mass, rather than just as a surface, which is what many groups are currently doing. o one else is doing this in real time," says Kevin Chugh, PhD, research associate with the New York State Center for Engineering Design and Industrial Innovation at UB, and a coinvestigator on the project. "We will be able to touch the model with a haptic thimble (the physically based VR counterpart of a computer mouse) on the screen, apply the 'force,' using a 'haptics' feedback system and show how it deforms and then bounces back when the force is withdrawn." The work is based on a solid understanding of the physics behind what happens when pressure is applied to different parts of the human body. "While the physician is doing a palpation on a patient, the computer-through the VR glove-is picking up all the information about what anatomic-force characteristics the physician's finger is feeling," says Kesavadas. Only a handful of groups in the United States are doing atomic-unit modeling for an interactive VR environment, according to Kesavadas. "The advantage of our system," he says, "is that the physician can store data that describe and quantify the sensation he is feeling in his fingers while he is examining a patient. He can tell through touch if there are any diseased organs, if they are enlarged or hard or soft, and if there are tumors present." In addition to medical palpation exams, the system is expected to have applications in emergency services in the field, as well in the military. CD - - - - ---- - -- - TELEMEDICINE biblio aphy of books on telemedicine with direct links to A Comptled by Pamela M. Rose, MLS, Health Saen es L1bra Buffalo, 3435 Mam St., Buffalo, NY 14214. 16 829 E-mail: pmrose@acsu.buffalo.edu. Autumn 200/ lllfllt Hysicin 27 �Jo n Konsek, D'64, ch se medicine over golf, much to the relief of Jack icklau ACK 11'. THE LATE 19505 A~D EARLY '6os, an amateur golfer named John Konsek, a skinny kid from the streets of Buffalo, ew York, played so well that many thought he might become one of the game's superstars. But Konsek, who played tee to green with extraordinary consistency, had other plans: He chose to become a doctor instead of a touring pro, to make medicine his career and golf a beloved weekend diversion. Just how well could he play? A glimpse into that answer can be provided by Ward Wettlaufer, who recalls the start of one of Konsek's rounds from a qualifier for the 1960 Buffalo District Championship. "On the first hole, John hit a 3-wood to about eight feet and sank the putt for eagle. Then, on the second, he hit a 3-iron that bumped against the stick and ended about three inches away for a tap-in eagle." Konsek completed that round, played at the Park Country Club, site of the 1934 PGA Championship, with an eye-popping 28-33- 61. That opening side was nine under par and neatly contained in three pars, three birdies and three eagles. "I started playing when I was about seven," Konsek recalls. "My dad loved the game, so I decided to try it. My brother, Jim, and I would walk over to Grover Cleveland [Golf Course]. Sometimes we'd sneak on. It was so much fun hitting that ball around, playing that game, that we played just about every day." A few years later, Konsek's father opened a driving range, where John practiced and began to develop his game. But it wasn't until he was 14 that Konsek made a quantum leap in his skill. His father enlisted the Park Club professional Jack Pritchard, to work with his promising son. Pritchard was known as an unconPHoros BY ventional teacher. He taught that golf was K E\ I a right-handed or right-armed game, \f 1 Y ~ z ~ '- 1 �I - ------------- ----- snorting that Scottish pros who B' gave such importance to the left DA \f ~ T T I ~I did not know any better because they had never played baseball. "He kept telling me to swing down and through with the right arm, from the top of the backswing to the end of the swing," Konsek remembers. "There was to be no separate snapping or slashing with the wrists, either. And no conscious attempt to make the right arm cross over the left after the hit." For some 2 112 months, the disciplinarian kept Konsek for hours on the range. "He was tough!" Konsek says. "The worst part was that he wouldn't even let me play a round on a course." With a well-tutored knowledge of his own swing, Konsek began to win junior titles, among them the Buffalo District, ew York State and East Aurora Junior Masters. He went to the final of the 1957 National Jaycees, losing by one stroke to an up-and-coming Ohioan named Jack icklaus. Between 1958 and '60, Konsek was especially tough to beat. He won the New York State Amateur an unprecedented three consecutive years. During that time his Purdue University squad won the Big Ten team title and Konsek claimed the individual trophy. Back home, he won the Porter Cup and the Buffalo District Golf Association (following the previously discussed 61 in the qualifier). Some of Konsek's greatest drama, however, was in his meetings with icklaus. They clashed directly three times as collegians in 1960, when Konsek was a senior and Nicklaus a junior. In a meeting at Ohio State, icklaus beat Konsek by one stroke. In a match at Purdue, Konsek won by three. Then came the Big Ten Championship, back-toback 36-hole days at the new Michigan State course. The last day was damp and windy with temperatures in the low 50s and the spring ground still soft. Paired together, wearing knit caps and windbreakers, they were -- - even after 63 holes, but over the final nine Konsek shot 33 to 0 R E Nicklaus's 35 to win, 282-284. The third-place finisher was another 15 shots back. Speaking of Konsek's finish, icklaus called it "probably the best nine holes I had seen anybody shoot." Would Konsek have been a success on tour? "Are you kidding me?" asks Curt Siegel, now head pro at Laurel Valley Golf Club in Ligonier, PA, and the third member of the group to witness Konsek's 61. "Absolutely. John had fantastic focus before there were any sports psychologists around to use the word. His determination and intensity, not to mention his ball-striking skills, would have earned him a great career." But since early high school, Konsek wanted to become a doctor. "I pondered that choice facing me for two years," he says. "As I continually mulled things over in my mind, and that was no fun, I one day was hit with a flash of sudden understanding. I loved golf, but I loved it as an amateur loves it-as a game. When October came each year, I put the clubs away until next April. And I put them away gladly. Then I'd return refreshed to the game in April. I really didn't want golf to be a yearlong grind with me, a daily duty, a way to make a living. When the realization came, I found peace of mind. I made the decision for medicine freely and wholeheartedly." - -- ----- - they were answering questions after the round, someone called out, "Jack do you remember John Konsek?" "I sure do," he replied. There was a slight pause. "And by the way, if you had anything to do with talking John into becoming a doctor-and here icklaus broke into a wide grin"I want to thank you for that." 4D This article was reprinted with permission from Golf Journal, the official publication of the United States Golf Association. S o Konsek, golfer par excellence, enrolled in the Medical School of the University of Buffalo. He completed studies at the University of Chicago and moved his growing family to Wisconsin. He began practice in a four-person private clinic and saw it grow to be a 190person clinic serving three area hospitals. He played golf once every week or two. He was a cancer specialist, who treated individual patients. "I've had a very fulfilling life and a good career," he says with no regrets but plenty of memories. In 1966, icklaus and Arnold Palmer played an exhibition near Buffalo. When AlltUIIIII 200 1 laffalo Physician 29 �S T U D E N T COLUMN Managing Managed Care Bv D A B L 0 CLASS v I D c OF K Med i cal students have the power to influence reform 2004 rant that my patients have confidence in me and my art and follow my directions and my counsel. Remove from their midst all charlatans . . . who arrogantly frustrate the wisest purposes of our art and often lead Thy creatures to their death. -EX<.ERP During our conversation, he bluntly asked, "What are you doing here? You're in New York; you should be working on Wall Street." The message I inferred from his tone was "medicine isn't what it used to be," and I found myself unable to respond. 30 lulfale Pbysiciaa FRO\ THE PR\HR OF :-.l A MC' : >F' Between my junior and senior years of college, I participated in a summer medical work program at a community hospital in Long Island, ew York. Part of the experience included rotating through several hospital departments, including the operating room. One day during my OR rotation, I remember chatting with an anesthesiologist who was between surgeries. During our conversation, he bluntly asked, "What are you doing here? You' re in ew York; you should be working on Wall Street." The message I inferred from his tone was " medicine isn' t what it used to be," and I found myself unable to respond. Unfortunately, it was not the first time I have heard that message. Some other, mostly older, physicians whom I met during college had made similar comments. What had happened since these physicians began practicing medicine to leave them with such an attitude? After practicing medicine for many years, would I grow to adopt feelings similar to these doctors? The answer to my first question is "managed care," and to the second, "I hope not." This is both a thrilling and a daunting time to be involved in medicine. One need only glance at the cover stories in the science and medicine supplements of newspapers and magazines to see a wide array of articles on everything from the most recent revelation in gene therapy to the latest criticism of a health maintenance organization (HMO), blamed for denying or delaying needed care to a patient. As medical students, my classmates and I are poised to enter a medical system that- no matter how you look at it-is failing to do its job proficiently and justly. The United States spends more per capita on health care than any other country in the world, Au t um11 2001 yet leaves about one of every five citizens without health insurance. Millions more are underinsured. While advances to improve the quality and length of human lives occur weekly in biomedical science, the degree to which these improvements are made available to all patients needing and deserving them seems less sanguine. The challenge to current students and medical residents, therefore, lies in what we can and should do to fix a healthcare system in serious need of repair. I emphasize the role of the newest physicians and physicians-in-training in this task not to eliminate the role of other physicians in the process. On the contrary, one hallmark of medicine is its apprentice-like quality, where the more experienced help in the training of nascent physicians. Mature practitioners who have lived through fee-for-service and, more importantly, the transition to managed care, have been forced to adapt to a new form of medical reimbursement that may indeed be distasteful. Newly minted doctors, on the other hand, have never known fee-for-service nor a time when the autonomy of physicians went virtually unquestioned and unhindered (whether this is an asset or a disadvantage is arguable). aivete may, therefore, be what makes today's medical students and residents best suited to tackle the challenge of mending managed care. Before I look at what medical students can and should do to help reform managed care, it is essential to understand what managed care is doing right and what it is doing wrong. Managed care has been faulted for many shortcomings, including decreasing the amount of time physicians may spend with their patients, limiting treatment options, removing a significant level of professional autonomy formerly enjoyed by doctors, and compromising the quality of care patients receive. In light of these and other criticisms, one might liken managed care organizations to the "charlatans" chided and disdained above by Maimonides, the great Jewish theologian, philosopher and physician of the Middle Ages. Dealing with authorization and reimbursement rules certainly frustrates many doctors in their daily practices and some HMOs have been formally �- BEING A~ OPTI~1IST, I - ---- BELIEVE THAT ;\lY CLASS;\IATES A, 'D --- I ---- --- -- - ---- ~ ARE L. A CRUCIAL A, 'D 11'\FLUE. 'TJAL POSITIO.' WHEN CO"'SIDERING REFOR~1 OF MANAGED CARE. WHILE l\!EDICAL STCDE. 'TS ;\lAY BE Oi\1 THE LOWEST RUNG OF THE ;\lEDICAL HIERARCHY, THIS IS ·oTTO SAY WE HAVE , ·o VOICE OR POWER TO EFFECT CHA, 'GES. charged in lawsuits contending that denial or delay of care harmed or precipitated the death of a patient. Moreover, the strain on physicians is not limited to their clinical practices, as those involved in training students "find themselves under pressure to spend more time documenting how they spend their time" rather than teaching students or discussing cases.' Despite the criticisms made against managed-care organizations, there is good reason not to simply call for their immediate termination. By attempting to deliver quality medical care in a highly cost-effective manner, managed-care organizations can be seen as an essential, if inevitable, product of contemporary medical care. Over the last one hundred years, humankind has seen perhaps the greatest advances in science and medicine in its history. While the diagnostic and therapeutic tools available to today's clinicians are abundant, the associated costs with many interventions is equally great. Unfortunately, since healthcare resources are finite, sometimes a patient may be denied beneficial treatment because services are rationed. Whether this situation is "fair" or "right" is unresolved and regularly debated in the bioethical literature. What is clear, however, is that managed care is compelling physicians to reduce unwarranted tests and some treatments and-no matter how abhorrent the thought might be- to consider cost when making medical decisions. So, where does all of this leave medical students at the start of this new millennium? Being an optimist, I believe that my classmates and I are in a crucial and physician-assisted suicide, while the AMA was influential position when considering reform of man- staunchly opposed.~ This autonomy may be especially aged care. While medical students may important in managed-care reform, be on the lowest rung of the medical as the advocacy for the kind of hierarchy, this is not to say we have no Your Turn? broad, liberal changes needed to voice to effect change. Through organimend a limping United States healthJF YOU ARE A STUDENT OR RESIDENT INTERESTED zations such as the American Medical care system may not be immediately IN CONTRIBUTING TO Student Association (AMSA) and the forthcoming from the traditionally THIS COLUMN, E - MAIL AMA's Medical Student Section, docconservative medical establishment. BP - NOTES@BUFFALO. EDU TO SUGGEST A TOPIC. tors in training can become active in For what kinds of reforms should reform efforts. Furthermore, the opinmedical students be clamoring? In ions and mandate of the neA.'t generation of physi- my opinion, both the protection of patient welfare cians can be independent of the medical establish- and the right of all Americans to have a decent level ment, as occurred recently when AMSA filed an CO NTIN U ED ON PAGE 36 amicus brief to the Supreme Court in favor of David Block outside City Hall, Buffalo, New York. I Alll ll mTl 20 0/ l1ffal1 Hysicia1 31 �RESEAR C H Antibacterial Compound Developed E W S Institute, Trifluorosal also will undergo Phase I studies to examine the feasibility of developing it as a preventive agent for skin cancer. Therex is a graduate of the UB Technology Incubator and a subsidiary of OmniPharm, another graduate of the incubator. It previously was awarded grants totaling 650,000 from the ational Institute of Dental and Craniofacial Research to investigate the same compound's potential Potential for treati11g acne, gi11givitis and preventing skin cancer Scientists at the University at Buffalo and Therex Technologies, Inc. have developed a remarkably versatile, antibacterial compound with antiinflammatory "Trifluorosal is properties that they are inagent but since it is vestigating as a not an antibiotic, it potential topical has a very low treatment for potential for acne and gingiproducing bacterial vitis and as a preresistance. At the ventive agent for same time, it is an skin cancer. anti·inflammatory Trifluorosal, agent and has a which is derived molecular structure from the same similar to aspirin class of comand its toxicity is pounds as aspiextremely low." rin, will be evaluated in a clinical trial as an acne treatment beginning early next year under a 750,000 SBIR (Small Business Innovation Research ) grant Therex received from the ational Institute of Arthritis and Musculoskeletal and Skin Diseases. Under a $100,000 grant from the National Cancer an antibacterial 32 l11fal1 Phpicill for treating gingivitis. "If it turns out to be useful for several of these indications, the market potential for Trifluorosal is at the billion-dollar level, " says Joseph Dunn, PhD, president of Therex, and research associate professor in the Department of Oral Biology in the UB School of Dental Medicine. " If it turns out only to be useful in the application with the smallest market, then Au t um11 its potential is still in the hundreds of millions. " Despite this prospect, he cautions that there is a long way to go if the compound is deemed marketable, explaining that the road from a ew Drug Application to the marketplace takes three to five years per drug indication. It also takes anywhere from $25 million to 400 million in funding, a cost that makes partnering with a major company a necessity. Of note, therefore, is the fact that two major U.S. pharmaceutical companies have already expressed interest in Trifluorosal. Developed and patented by UB researchers in the university's School of Pharmacy and Pharmaceutical Sciences and School of Dental Medicine, Trifluorosal was licensed to Therex. In exchange for exclusive rights to the compound, UB has retained five per cent ownership of The rex, and will receive royalties from sales of any products that result. UB researchers identified the chemical precursor to Trifluorosal while conducting federally funded research in which they were searching for antibacterial compounds in products already on the market that adhered well to skin or mucous membranes. The idea was that if such compounds became the basis for new treatments, they would likely be safe since they already were on the market and since they were designed to be active only at the surface and not absorbed into the body," explains Robert ]. Genco, PhD, SUNY Distinguished Professor in the UB Department of Oral Biology and chair of the department. Genco and his colleagues found the precursor in shampoos and soaps, then modified it and developed Trifluorosal. Further work by UB and Therex researchers has resulted in a second generation of active compounds. "Trifluorosal is an antibacterial agent but since it is not an antibiotic, it has a very low potential for producing bacterial resistance," says Genco. "At the same time, it is an antiinflammatory agent and has a molecular structure similar to aspirin and its toxicity is very low. It is a member of the salicylanilide-type of agents, searc 200 1 �- which bind strongly to skin and mucous membranes." Genco and his UB co researchers, Robert Coburn, PhD, professor of chemistry and Richard Todd Evans, PhD, professor of oral biology, both principals with The rex, initially were interested in the compound as a dental plaque inhibitor. "Trifluorosal is as effective in inhibiting plaque and gingivitis as chlorhexidine, the most effective compound now on the market," says Genco. "However, it does not have the bad taste and tendency to stain teeth that characterizes chlorhexidine." Later, the researchers found that it also kills bacteria that cause acne. After Therex licensed the compound from UB, the company's researchers found it also absorbed ultraviolet light and enhanced the repair of skin damage caused by sunlight, and therefore may be an important ingredient in lotions that prevent sunburn and skin cancer. "The beauty of this agent is that it's very effective when applied topically, so we looked for diseases that could be treated or prevented this way," Dunn explains. "It is the inflammatory component that connects these diseases and what may turn sunburn into skin cancer. " The company is simultaneously investigating the applications for acne, skin cancer and gingivitis. "We're investigating several therapeutic tracks in parallel since there is a lot of overlap in this research, - ------- which makes it a very efficient research program," says Genco. "UB has been very supportive by working to patent these developments, by taking an equity position in Therex and by fostering development of this local company," he adds. Therex also has licensed two chemical libraries for drug screening from UB and to date has developed and filed patents for a drug candidate from one of them that shows significant promise for treating multidrug-resistant breast cancer. - EL LE N GO LDB AU M CD - - Stelios T. A~dreadis, PhD, left, director of University at Buffalo's Bioengineering Laboratory, has led a collaborative effort to develop skin with high mechanical stability and pliability. P D, ass1s ant pro sso eU Department of Chemical Engineering, director of the UB Bioengineering Laboratory and lead author on the paper, says the re- Genetically Engineered Skin Promotes Wound Healing Bioengineers at University at Buffalo and Shriners Burns HospitalBoston have created a genetically engineered skin that expresses a protein that promotes wound healing. It is believed to be the only artificial tissue designed to express keratinocyte growth factor, KGF. Their research, published in the FASEB Journal of the Federation of American Societies of Experimental Biology, suggests that a skin substitute could be developed that would accelerate the generation of new skin following severe injuries or burns. The research demonstrates for the first time that a growth factor can bring about significant changes in the three-dimensional organization and function of a skin equivalent in vitro. Stelios T. Andreadis, - searchers have submitted a grant proposal for animal studies aimed at confirming whether the artificial skin would have a therapeutic effect. "Our goal was to create genetically modified skin equivalents that secrete keratinocyte growth factor as a means to accelerate wound healing," explains Andreadis. "We also wanted to create a model system to study the effects of this protein on the development and morphogenesis of engineered skin tissues." The presence of KGF "appears to have profound effects on wound healing by spurring the proliferation of skin cells," Andrea dis says, adding that the genetically modified tissue substitute has a number of advantages that make it a good candidate for a skin substitute. "What's significant about our s e tains the natural composition and topography of skin," he adds. The genetically engineered skin also has high mechanical stability and is pliable, important advantages over skins made from collagen gels, which, he says, have a consistency similar to that of gelatin and therefore are much more difficult to use. Most important, Andreadis points out, the engineered tissue has good barrier function, preventing dehydration and protecting against pathogens. "This is very important for bum patients who have lost a substantial fractilln of their total body surface area and who suffer from excessive dehydration and bacterial infections," he says. "Because they are very much like real skin, these engineered skin equivalents can provide these functions." Co-authors of the study are Karen E. Hamoen, Martin L. Yarmush and Jeffrey Morgan, all of Massachusetts General Hospital, substitute is that it contains the Harvard Medical School and basement membrane-the matrix molecules that the cells of the Shriners Burns A11t11mll Oli -E L LEN GOLDB A UM 2 001 1-Boston. CD laffale Physician 33 �RE SEA R CH New Clues to the Cause of Tinnitus E W S "THIS ADDJTIO HAS 'T BEE Tinnitus, the disruptive ringing in AL LEVEL OF COMPLEXITY HELPS TO EXPLAI A SIMPLE SOLUTION TO THIS PROBLEM. THERE IS EFFECTIVE FOR THE RELIEF OF TI the ears that affects millions of THAT NO 0 people, originates not in the ear 0 DRUG THAT IS ITUS. MAYBE THE SYSTEM IS SO COMPLEX E DRUG CAN DO THE JOB ." -ALAN H. LO CKWOOD. MD but in the brain, and not even ex- Lateral gaze suppres· clusively in the brain's auditory ses auditory brain ac· centers, a new study has shown. tivity in normal sub· In research published in Neurol- jects, according to ogy, scientists at UB and the Buf- Lockwood. "This so- falo Veterans Affairs IVAI Medical called 'cross-modal Center show that some people inhibition' is a mecha- with tinnitus can change the ear· nism that enables the ringing by specific eye move· brain to suppress un- ments, evidence that one sensory wanted sensations. By system can affect another. suppressing hearing "These findings show us that in during lateral gaze, many cases, tinnitus is not caused the brain is telling us by a simple disturbance of brain to pay attention with function, but by a combination of our eyes. This cross- things, including an abnormal in· modal inhibition was teraction between the visual and absent in GET patients, auditory systems," says Alan H. indicating a disrup· Lockwood, MD, first author on the tion in normal brain study. Lockwood is professor of Study leader Alan H. Lockwood, MD, and his University at Buffalo colleagues were the first to show that tinnitus sounds originate in the brain, not in the chochlea, as scientists previously thought. neurology, nuclear medicine, and circuitry that may be at the core of the tin· one small group of these 'trick· communicative disorders and sci· unusual ability to control the loud- ences, and directs the Center for ness of the ringing by clenching sters.' If these findings gener· Lockwood's next step in his Positron Emission tomography their jaws. The researchers were alize to much larger groups, we continuing investigation of the (PET), a joint UBNA venture. mystery of tinnitus is to look at nitus phenomenon," he explains. able to track fluctuations in cere- will show that tinnitus is caused "This additional level of com- bral blood flow through PET scans by abnormalities in the major other "tricks" known to influence plexity helps to explain why there taken while these patients mani· brain systems.'' the condition and at how they hasn't been a simple solution to pulated their symptoms, creating The study-supported by this problem," he adds. "There is a map of the brain site responsible grants from the National Institute mechanism, called residual inhibi- no drug that is effective for the for tinnitus activity. of Deafness and Communicative tion, involves brief suppression of influence brain circuitry. One such relief of tinnitus. Maybe the sys· Their current research involved Disorders and the James H. tinnitus by overwhelming the audi- tern is so complex that no one drug a small group of people with tinni· Cummings Foundation in Buf- tory system with a very loud noise; can do the job." tus who can modulate their tinni- falo-focused on eight patients for example, a power saw, which tus by looking to the far right or left with GET, a condition that may one of Lockwood's patients finds Lockwood and colleagues were 34 WHY THERE the first to show that tinnitus of center, an unusual condition develop after surgical removal of effective in temporarily stopping sounds originate in the brain, not called gaze-evoked tinnitus !GET). tumors of the auditory nerve. As tinnitus sounds. the cochlea, as previously thought. "About 70 percent of tinnitus researchers mapped the brains of Study collaborators were Davis Lockwood and Richard Salvi, PhD, sufferers have some 'trick' they've these patients using PET, they S. Wack, Robert F. Burkard, Mary co-director of the Center for Hear· learned that changes the loudness found an unexpected imbalance Lou Coad, Samuel A. Reyes, Sally ing and Deafness, previously stud· of tinnitus," Lockwood says. "In between the auditory and visual ied tinnitus patients who have the this research we concentrated on parts of the brain. A. Arnold and Salvi, all with UB. - Lois Baker <Ii) luffale Physiciaa A II I II Ill II 2 0 0 I - u �------- Venom Shows Promise for Heart Attack - -~ - ------- -- - Center for Single Molecule Biophysics, along with colleagues at the University of Virginia, Michigan State and A specific protein isolated PS Pharmaceuticals, Inc., refrom the venom of a Chilean ported isolating the protein in tarantula by biophysicists in May 2000. At that time, they University at Buffalo's School suggested that it might have of Medicine and Biomedical many uses, based on its ability Sciences shows promise as the to block pores in cell membasis for new drugs for preventing atrial fibrillation, the branes called stretch-activated chaotic beating of the heart channels. These channels, that is a major cause of death which derive their name from following a heart attack. the fact that stretching the cell In a study published in membrane causes them to Nature, Frederick Sachs, PhD, open, are responsible for reguprofessor of physiology and lating the mechanical funcbiophysics, and researchers tioning of cells-a cellular from Georgetown University, sense of touch. Sachs and colreport they were able to preleagues discovered these chanvent atrial fibrillation in nels at UB in 1983 in skeletal muscle cells. rabbit hearts by an infusion of a peptide isolated Stretch -activated from tarantula ven channels have been om. This finding implicated in funcmarks the first time tions as diverse as the senses of touch and that the physiological hearing, blood presfunction of mechanosure and volume regusensitive ion channels lation, and coordinahas been demonstrattion of the voluntary ed in the heart. musculature, as well as The work-which the con traction of was funded by grants heart muscle. Comfrom the ational Inposed of 10 billion exstitutes of Health, U.S. citable muscle cells, the Army Research Office heart cells must conand NPS Pharmaceuticals, Inc.-is an extract in synchrony in ample of how basic re- Frederick Sachs. PhD, professor of physiology and biophysics. order to pump blood search can lead to clinical payoffs, according to Sachs. "No one in their right mind would have sought to block atrial fibrillation with spider spit," he comments. "We did it backwards. Since we had found venom worked on single molecules, we predicted it would also work on cells, tissues and organs. And it did. "This is a first step toward developing a new class of drugs that may be applied to cardiac pathology and to the pathology of other organs. Despite the fact that all cells have mechanical sensitivity, there are no other pharmacological agents specific to biological mechanical transducers," he adds. Sachs and postdoctoral researcher Tom Suchyna at UB's effectively. When heart tissue becomes stretched through disease, such as congestive heart failure, trouble ensues. The chambers of the heart expand, stretching cells. Furthermore, as a result of poor Allt llmn - blood perfusion, cells swell, stimulating stretch-activated channels to open and allowing an influx of positive ions. This influx is an excitatory stimulus to the heart that disrupts the electrical balance, causing the cells to fire erratically. The tarantula-derived peptide, known as GsMtx-4, blocks this process. The next phase of Sachs' research involves producing large 'This is a first amounts of the step toward peptide by re- developing a new combinant D A class of drugs that technology and may be applied to chemical synthe- cardiac pathology sis, studying the and to the mechanism of pathology of other action, identify- organs. Despite the ing other poten- fact that all cells tial biological have mechanical actions on stretch sensitivity, there are -activated chan- no pharmacological nels and collabo- agents specific to rating with a drug biological mechani· company to turn cal transducers." GsMtx-4 into a clinically useful drug. -L 0 I S B A K E R 4D Editor's Note: Dr. Sachs received the University at Buffalo School of Medicine and Biomedical Sciences ' Stockton Kimball A ward at this year's Faculty A wards ceremony, held in May. The award honors a faculty member for academic accomplishment and worldwide recognition as an investigator andresearcher. Stockton Kimball, MD '29, was dean ofUB's school of medicine from 1946 to 1958. 2 00 / l 1ffal1 Pbysici11 35 �R ES EAR C E H W S 12-Hour ADHD Drug Effective version of methylphenidate for tion, is the best way to treat ADHD, to use medication for their chil- ADHD. The double-blind design in· according to Pelham, whose on- dren with ADHD. A new 12-hour fonnulation of the volved three dosing regimens: im· going research in this area is "For those who do, however, most commonly prescribed drug for attention-deficit/hyperactivity mediate-release methylphenidate Concerta would appear to be a given three times a day; extended- supported by grants from the National Institute on Alcohol Abuse disorder, or ADHD, has proved to release methylphenidate given in and Alcoholism and the National be as effective as the standard the morning, and placebo. All chil- Institute of Mental Health. three-times-a-day dosing regimen, dren took each regimen for a week. Pelham also acknowledges a clinical trial conducted by Uni· v sity at Buffalo researchers has shown. Results showed that The extended· children performed release formula- Teachers and parents rated the children's behavior and ability to attain daily goals during the week. In addition, children spent that some ADHD children do not need medication in the evening, significantly better on both the three· times-a-day and the lion of methyphen- 12 hours on Saturdays in a class- date avoids the researchers to evaluate the effects need for children with ADHD to take medications in all medication during settings compared school or after- games and recess. to the placebo. Results showed that children school activities. The trial of Concerta was headed by William perfonned significantly better on E. Pelham, PhD, professor of psy- extended-release medications in both the three-times-a-day and the chology, pediatrics, and psy- all settings than when receiving the placebo. The extended-release for- chiatry at UB and one of the world's leading au- mulation maintained its effectiveness thorities on attention deficit disorder. Results appear in the elec- even after 12 hours tronic pages of the June in both the laboratory issue of Pediatrics. Sponsored by a ings indicated. Ratings were similar for both active grant from Alza fonnulations. Parents, teachers and was con- chil- dren in the study also took part in a ductedwith 68 children between the concurrent regimen of behavior modification, were taking a which, when combined with medica- 36 l 1ffal1 Physician ment package for ADHD," he says. 0 I s B A K E R CD - L and that some parents prefer not STUOE!IiT COLUMN. CONTI ~UEO FRO M PAGE 31 room laboratory setting to allow of each medication over time. Trained investigators monitored behavior during classroom work, extended-release good choice of stimulant medication as part of a total treat- Au t 1111111 2001 of medical care must be at the top of the list. However, we also must begin to turn keen attention to the idea that in a society where healthcare dollars are limited, patients cannot expect to receive-and physicians cannot expect to provide-every bit of beneficial care to every individual. This latter dilemma will require reform within the ranks of medicine, and medical students could take an active role in the ensuing debate by sharing with Congress, HMOs, and professional organizations some of the progressive ideals that many have brought to medical school. To accomplish these tasks, not only must medical students become involved and feel that they have a stake in the outcome, but medical schools must incorporate course work on the healthca re system (in such areas as medical sociology and biomedical ethics) into their curriculums so that students are informed participants in the debate and reform process. While it ma y be difficult to "squeeze" this kind of material into curriculums already bursting at the seams, the reward of such efforts will be a population of students and young physicians more prepa red and able to help reform and wo rk within managed care. By becoming more involved with our national and local student organizations and receiving adequate instruction about the healthcare system, my classmates and I stand in an excellent position to work towards bringing meanin gful chan ge to th e m a naged -care system and, ultimately, better care to our patients. CD Davuf Blotk 1s a .-econd-}·car student 'H • J1 ~• fed ·u n a t> 111 Unil•crsity at Buffalo's Hi • I< l'ca' 'lczc zce.-. Robert Kuttner, "Managed Care and Med ical Education," New England journal of Medicine 34 1 ( 1999): 1092- 1096. ' Salomeh Kejhani and julie I. Boyer, "Student Challenges to the Medical Establishment," jou mal of tire American Medical Association 278 ( 1997): 111 8. �- -------------------- - - - --- --~ - - - DEVELOPMENT --- E W - S Gifts that St en~hen Our School By Li nda J . Cor der , Ph0, CFRE of the University at Buffalo's School of Medicine and Biomedical Sciences. At the heart of philanthropic planning is our goal to increase the endowment. The Campaign for UB: Generation to Generation provides a fitting theme for these efforts. D. W. Harrington initiated the school's first endowment in 1896, on the 25th anniversary of his medical graduation. It was augmented in 1905 through a bequest. It then took about 60 years for the principal to double in size. The story changed drastically when this fund became part of the state-held endowment and was actively managed by professional investors. Today that lecture fund has a market value slightly over $645,000 and disburses much more annually than the amount of the original gift and bequest combined. It is one of 186 endowments established for the benefit of UB's School of Medicine and Biomedical Sciences. Collectively they provide for a variety of lectures, scholarships, research funding, student travel, activities outside of THE SCHOOL's ENDOWMENT traditional laboratories and classIS, IN A VERY REAL SENSE, ITS rooms, as well as some flexible SECURITY FOR THE FUTURE. funds to be designated annually by TODAY'S STUDENTS, FACULTY the dean. AND STAFF BENEFIT FROM ENIn response to UB's merger with the State University, Clifford DOWMENT GIFTS OF PREVIOUS Furnas, then president of the UniGENERATIOr<S. TOMORROw's versity at Buffalo, helped to create SCHOOL IS BEING CREATIVELY the UB Foundation (UBF). Most STRENGTHENED BY TODAY'S endowments established in the past forty years are held by UBF, CONTRIBUTIONS. which serves as the university'sand the school's-bank and investment manager. As of)une 30,2001, the school's combined endowments totaled over $138 million. This total is roughly 25 percent larger than it was four years ago, one year into the campaign, even with recent market volatility [prior to September 11]. During the past year, faculty colleagues of Dr. SukKi Hong worked with Dr. Harold Strauss, chair of the Department of Physiology and Biophysics, to build a departmental endowment in Dr. Hong's memory. For over 25 years, Dr. Hong was an outstanding teacher and role model for young scientists and aspiring physicians. Dr. Hong's enthusiastic and meticulously prepared lectures on renal function attracted many students to his laboratory. His intellectual standards-combined with honesty, a generous nature and personal warmth-made this experience a particularly rewarding one for students. Many former students were called by current faculty; several made gifts. The ultimate purpose of the fund will depend, in part, on the amount of contributions it receives. At present, it has over $43,000 and, as the following list shows, the Hong Memorial is one of many endowments that received new gifts during the year that ended June 30, 2001. Endowment gifts comprise a small-but significant and increasing-source of future income for the school. These annual disbursements provide a hedge against inflation, economic downturns, fluctuations in the state's political climate and variations in the numbers of alumni and friends who support the school's annual appeal. Some donors include a specific amount or percentage in their estate plan to "endow their annual gifts." Such bequests go into an unrestricted endowment to augment annual fund revenues in perpetuity. The school's endowment is, in a very real sense, its security for the future. Today's students, faculty and staff benefit from endowment gifts of previous generations. Tomorrow's school is being creatively strengthened by today's contributions. Those of us who learn, teach and conduct research in this unique institution extend our thanks to all alumni and friends who made endowment gifts during the past year. If you would like information about initiating a named fund or have questions about the school's combined endowment, please contact me. Linda (Lyn) f. Corder, is associate dean for alunmi affairs and development. She can be contacted at 1-877826-3246, or via e-mail at ljcorder@buffalo.edu. 4D A II t II Ill II 2 0 0 1 l1ffal• Pbysiciao 37 �D E V E L 0 P M E N T E W S (ndowments of t an edicine • ences ELOW WE LIST THE S cHOOL o Medicine and Biomedical Sciences' endowments held b 1 bv.h ..1t C.3 ;'ounc.atwn anc. lhe state. Endowments that received additional contribu- tions between 7/1/00 and 6/30/01 are in bold print. An asterisk ( *) indicates a new fund that was established during this time frame. A bold name combined with an asterisk represents a new endowment that also received initial gifts to fund the principal and/or assoCiated "spendable" account. If you would like more information about initiating a named endowed fund, or if you have any questions regarding the school's combined endowment, please contact Linda (Lyn) J. Corder, associate dean for alumni affairs and development, toll free at 1-877-826-3246, or via e-mail at ljcorder@buffalo.edu. 38 H.W. ABRAHAMMER MEMORIAL SCHOLARSHIP ERNST BEUTNER SKIN IMMUNOPATHOLOGY AWARD* SIDNEY ADDLEMAN MEMORIAL LOUIS). BEYER SCHOLARSHIP DR. GEORGE j, ALKER FUND FOR NEURORADIOLOGY PAULK. BIRTCH M.D. FUND THEODORE & BESSIE G. ALPERT SCHOOL OF MEDICINE ScHOLARSHIP MARVIN A. & LILLIAN BLOCK FUND ALPHA OMEGA ALPHA LIBRARY FUND DR. WILLARD AND )EAN BOARDMAN FuND ALPHA OMEGA ALPHA ENDOWMENT DR. SoLOMON G. BooKE AND RosE AMERICAN AcADEMY oF FAMILY PHYSICIANS PRESIDENT's AwARD )AMES ANESTHESIOLOGY DEPARTMENT E ANNE AND HAROLD BRODY LEC TURE FUND DOWME T H. YASGUR BooKE FuND BORRELL UROLOGY FUND BACCELLI MEDICAL CLUB AWARD CLAYTON MILO BROWN MEMORIAL L.B. BADGERO MEDICAL SCHOOL FUND GEORGE . BuRWELL FuND L. VIRGINIA BARNES ENDOWMENT DR. WINFIELD DR. \VALTER BARNES MEMORIAL S C HOLARSHIP EvAN CALKINS PRIMARY CARE AcHIEVEMENT FuND DR. ALLEN BARNETT FELLOWSHIP IN PHARMACOLOGY VINCENT CAPRARO LECTURESHIP FUND-CLASS OF 1945 DR. CHARLES A. BAUDA AWARD I DR. CHARLES CARY MEMORIAL FAMILY MEDICINE BUTSCH MEMORIAL LECTURE IN CLINICAL SURGERY A. CHAZAN MEDICAL ScHOLARSHIP THOMAS R. BEAM, )R. MEMORIAL DR. AND MRs. josEPH GILBERT M. BECK MEMORIAL FUND CLINICAL PREVENTATIVE MEDI C INE FELLOWSHIP DR. ROBERT BENNINGER FUND IN 0RTHOPOEDICS ALMON ROBERT BERKSON MEMORIAL AWARD IN THE ART OF MEDICINE PATRI C K BRYANT COSTELLO MEMORIAL l 11fal• Physicia1 A II t II 111 II 2 0 0 1 H. CoOKE SCHOLARSHIP �- - - - ~~--~~~ ----------~- -- -- - - - ----- THESE AN~'WAL DISBURSEMENTS PROVIDE A HEDGE AGAINST INFLATION, ECONOMIC DOWNTUR. S, FLUCTUATIONS IN THE STATE's POLITICAL CLIMATE AND VARIATIONS IN THE NUMBERS OF ALUM. I AND FRIENDS WHO SUPPORT THE SCHOOL's AN. UAL APPEAL. -LynCorder CTG ONCOLOGY FuND FLORENCE M. & SHERMAN R. HANSON FUND FOR MEDICAL EDUCATION )AMES H. CuMMINGS ScHOLARSHIP DEVILLO W. HARRINGTON LECTURESHIP EowARD L. CuRvtsH M.D. AwARD THE HEKtMtAN FuND ALFRED H. DoBRAK, M.D. FuND FOR LECTURESHIP IN NucLEAR MEDICINE HEWLETT FAMILY ENRICHMENT FuND FOR PsYCHIATRY MAx DouBRAVA, }R. ScHOLARSHIP FuNo CHARLES GORDON HEYD MEDICAL RESOURCES FUND THE ELIZABETH MEDICAL AWARD DR. FRANK WHITEHALL HINKEL SCHOLARSHIP FUND DR. RoBERT M. ELuoT ScHOLARSHIP RALPH HocHSTETTER MEDICAL RESEARCH FuND ENDOWMENT FUND FOR MEDICINE DR. SuK-KI HoNG MEMORIAL FuND ELEANOR FITZGERALD FAIRBAIRN SCHOLARSHIP ABRAHAM M. HoROWITZ FuND FAMILY MEDICINE ENDOWMENT HILLIARD )ASON AND )A FEYLER FuNo FOR RESEARCH tN HooGKtN ' s DISEASE E \VESTBERG FuND FOR EDUCATIONAL INNOVATION DR. GRA T T . FISHER F NO LUCIEN HowE PRIZE FUND L. R.R. HUMPHREY & STUART WALTER Ftx, M.D. '42, '43 ENDOWED ScHOLARSHIP FuND EDWARD FOGAN MEMORIAL PRIZE L. VAUGHAN Nu SIGMA ALUMNI SCHOLARSHIP FORD FOUNDATION FOR MEDICAL EDUCATION )AMES N. )OHNSTON SCHOLARSHIP THOMAS FRAWLEY, M.D. RESIDENCY RESEARCH FELLOWSHIP FUND C. FUND FOR CELEBRATING PHILAN T HROPY ' HARRY E. AND LORETTA A. )ORDON FUND MARCOS GALLEGO, M .D. CLINICAL EXCELLENCE FUND H. CALVIN KERCHEVAL MEMORIAL FUND SUMNER )ONES LIBRARY FUND RONALD GARVEY M.D. STUDENT LIFE ENRICHMENT FUND DEAN STOCKTON KIMBALL MEMORIAL AWARD )AMES GtBSON ANATOMICAL PRIZE DEAN STOCKTON KIMBALL MEMORIAL SCHOLARSHIP LAWRENCE AND DR. )AMES E. KtNG PosTGRADUATE FuNo ANCY GOLDEN LECTURESHIP IN MIND & BODY MEDICINE• WALTERS. GooDALE ScHOLARSHIP U MoRRIS LAMER AND DR. RoBERT BERNDT ScHOLARSHIP IRENE PtNNEY GooowtN ScHOLARSHIP DR. HEINRICH LEONHARDT PRIZE A. CoNGER GooDYEAR PROFESSORSHIP oF PEDIATRICs DR . CHARLES ALFRED LEE ScHOLARSHIP GEORGE GoRHAM FuND DR. GARRA K. LESTER STUDENT LOAN DR. BERNHARDT S. AND DR. SoPHIE B. GoTTLIEB AwARD LLOYD LEVE FUND ADELE M. GoTTSCHALK ScHOLARSHIP FuND THE LIEBERMAN AWARD CARL GRANGER, M.D. ENDOWMENT HANS LOWENSTEIN AWARD DR. PASQUALE A. GRECO LoAN FuND LUPUS SCHOLARSHIP FUND THE GLEN E. GRESHAM, M.D. VISITING PROFESSORSHIP WILLIAM E. MABIE D.D.S. AND GRACES. MABIE FUND DR. THOMAS). AND BARBARA L. GuTTuso ScHOLARSHIP & AwARD OR. WILLIAM H. MANSPERGER FUND GYNECOLOGY-OBSTETRICS DEPARTMENT ENDOWMENT MEDICAL ALUMNI ENDOWED SCHOLARSHIP )EAN SARAH HAHL MEMORIAL A EuGENE). HANAVAN ScHOLARSHIP MEDICAL SCHOOL CLASS OF I957 SCHOLARSHIP NUAL PARTICIPATING FUND FOR MEDICAL EDUCATION ENDOWMENT AutumTI 200/ luflale Pbysicia1 39 �MEDICAL ScHOOL CLASS oF 1958 ScHOLARSHIP EMILE DAvts RoDENBERG MEMORIAL AwARD MEDICAL ScHOOL CLASS OF 1963 ScHOLARSHIP THOMAS A. RODENBERG AND EMILE DAVIS RODENBERG SCHOLARSHIP FUND MEDICAL SCHOOL CLASS OF 1973 SCHOLARSHIP ELIZABETH ROSNER F MEDICAL ScHOOL LECTURESHIP FuND IRA MARIAN MELLEN FuND DR. SHELDON RoTH FLEISCH MEMORIAL FuND MICROBIOLOGY ENDOWMENT FUND HAROLD s. SANES AND THELMA SANES MEDICAL SCHOLARSHIP DR. DAVID KIMBALL MILLER AWARD MARIA APLES SARNO, M.D. SCHOLARSHIP EuGENE R. MINDELL, M.D. CHAIR IN 0RTHOPEAEDIC SuRGERY SCHAEFER FUND IN CARDIOVASCULAR DISEASES G. SCHOLARSHIP OF THE PROGRESSIVE MEDICAL CLUB OF BUFFALO ORRIS MINER, M.D. MEMORIAL AWARD PHILIP D. MOREY SCHOLARSHIP RICHARD APLES MEMORIAL SCHOLARSHIP s. ROBERT ARINS MEMORIAL AWARD ATIONAL MEDICAL AssociATION BuFFALO CHAPTER ScHOLARSHIP FuND AUGHTON AWARD ENDOW~1ENT )OHN P. Ross AND ELIZABETH P. Ross, M.D. CHAIR OF OPHTHALMOLOGY' SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES UNRESTRICTED AGEL, M.D. ANESTHESIOLOGY RESEARCH DR. AGNESs. THE DR. ENDOWMENT FUND LILLIE s. SEEL SCHOLARSHIP IRENE SHEEHAN FUND DEWITT HALSEY SHERMAN AND jESSICA ANTHONY SHERMAN FUND DR. Lots A. AND RUTH SIEGEL TEACHER's AWARD NEPHROLOGY RESEARCH ENDOWMENT S. DR. ERWIN NETER MEMORIAL S. MoUCHLY SMALL, M.D. EDUCATION CENTER FUND ANTOINETTE AND Louts H. NEUBECK FuND IRVINE AND RosEMARY SMITH CHAIR IN FUND FOR DR. IRVING M. SNOW FUND EUROANATOMY MUSEUM EUROLOGY DEPARTMENT ENDOWMENT FUND 1oucHLY SMALL, M.D. AwARD IN PsYCHIATRY EUROLOGY FuND MARY RosENBLUM SoMtT ScHOLARSHIP FuND DR. BENJAMIN E . & LtLA 0BLETZ PRIZE FuND IN ORTHOPAEDIC SuRGERY MORRIS AND SADIE STEIN NEUROANATOMY PRIZE DR. ELIZABETH P. OLMSTED FUND IN BIOCHEMISTRY DIANE AND MORTON STENCH EVER LECTURE FUND' OPHTHALMOLOGY FUND )OHN ). AND )ANETH. SUNG SCHOLARSHIP FUND• josEPHINE HoYER ORTON TRusT FuND jOHN H. TALBOTT VISITING SCHOLARSHIP FUND L. VICTOR A. PANARO MEDICAL SCHOOL FUND KORNELL F. CARTER PANNIL, )R., M.D. AWARD ENDOW~IENT TREVETT SCHOLARSHIp STEPHEN). PAOLINI, M.D. MEMORIAL FUND RICHARD E. WAHLE RESEARCH FUND PARKINSO MILDRED SLOSBERG \NEtNBERG ENDOWMENT RESEARCH FUND TERPLAN M.D. LECT REFUND )OHN PAROSKI MEMORIAL AwARD FuND E.). \VEtSENHEIMER OPHTHALMOLOGY AWARD ROBERT). PATTERSON RESIDENT AWARD DR. MARK WELCH AND BEULAH M. WELCH SCHOLARSHIP DtL MARK PETTRINO MEMORIAL )AMES PLATT WHITE SOCIETY ENDOWMENT PHt WILLIAMS / BLOOM MEDICAL RESEARCH FUND HI MEDICAL FRATERNITY ScHOLARSHIP FuND PROGRESSIVE MEDICAL CLUB OF BUFFALO FUND DR. MARVIN PSYCHIATRY DEPARTMENT ENDOWMENT FUND WtTEBSKY FUND FOR IMMUNOLOGY DR. HERMAN RAHN MEMORIAL LECTURE ENDOWMENT DR. ERNEST WtTEBSKY MEMORIAL FUND REHABILITATION MEDICINE ENDOWMENT' FARNEY R. WuRuTZER FuND ALBERT AND ELIZABETH REKATE CHAIR I ALBERT CARDIOVASCULAR DISEASE c. REKATE REHABILITATION MEDICINE LIBRARY FUND DoNALD RENNIE PRIZE tN PHYSIOLOGY DouGLAS RtGGs AwARD tN PHARMACOLOGY AND THERAPEUTICS THE RING MEMORIAL FUND MEYER H. RtWCHUN, M.D. PROFESSORSHIP IN OPHTHALMOLOGY. 40 G. ND lalfal1 Pbysicial Wi11t e r 2 000 . \YtNER FUND FOR DERMATOLOGICAL RESEARCH DR. MARK ZALESKI AWARD HERMAN AND RosE ZtNKE MEMORIAL ScHOLARSHIP �~ -~ -- ~--- C ----- -~--- L A s 0 T E ----·- --- --------- S Mary Botsford and Family I have had the privilege to follow-when and wherever possible-the many contributing efforts of our fine children and grandchildren .... Hang on to your hope, for tomorrow is another house at the Cape Coral Yacht Club. Am in a retirement community with a two-room, twobath. Barbara and I both enjoy excelle nt health." wellspring!" Pedro, CA, Internal Medicine, writes: "I will never forget my interview with Dr. 0 . P. jones, and after I was accepted into medical school (in the Elliott Lasser. MD •46, La Jolla, CA, Radiology, writes: "My favorite memory of medical school was graduation." E-mail address is elasser@ucsd.edu. 1950s 1940s George A. Gentner, MD "41 , Phoenix, AZ, Radiology, writes: "Enjoying retirement. Friends can reach me at my E-mail address: ggentnersr@hotmail.com." Charles Bauer, MD •46, Williamsville, NY, Internal Medicine, writes: "My wife and I are still very active with the medical school and of course with our family. We have five children." E-mail address is bauer_charles@msn.com. ----~------ fessor Humphries's ambidextrous neuro drawings; and receiving the sheepskin after years of stress." Robert A. Benninger, MD '50, writes: ''I'll be 80 next birthday. Gave up the big Jay Belsky, MD '51 , San old building on High Street), my wife and I walking downtown to tell my dad. I have fond memories of gross anatomy under Dr. jones. I loved it, and loved him, and, in general, had a blast." E-ma il address is tootsisdad@home.com. Robert E. Ploss, MD '51 , Vancouver, WA, Anesthesiology, writes: "My favorite memories always include Oliver Jones and his bones!" E-mail address is bobploss@home.com. William J. Sullivan, MD '55, writes, "I am continuing to work in forensic psychiatry, as the medical director of a group that specializes in defense medicallegal work. I take more time off work now, and my wife and I enjoy traveling the country in Maier Driver, MD '46, Lakewood, OH, General Surgery, writes: "Following retirement in 1983, after 30 years of solo general surgery practice, my beautiful wife, Marilyn, and I continued to enjoy many treasured moments until her untimely death in 1986. Since 1988, my wonderful wife, Jane, and Stanley J. Cyran, MD '46, Prospect, KY, writes: "I am retired. Three of my six children are physicians and the others are equally as successful. My favori te memories of medical school include: the thrill of going to medical school, attending O.P. jones's classes; Pro- Maier and jane Driver in Florida A11t11mn 2001 l 1 ffa l1 Pby si ci n 41 �C L A N 0 T E our large motorhome. We recently enjoyed a rafting trip down the Colorado River, in central Utah. We also traveled to the Canada's Northwest Territory this past winter to see the northern lights, which were most spectacular. '51,- Frederick Goldstein·Gretan, MD '56, MPH, is retired from Lorna Linda Unversity and lives in Simi Fred and Geri Goldstem- Valley,CA Gretan founded in 1959 to support the work of Catholic the first to recognize the tremendous gift that 1960s Dr. Rahner and his wife are to thei community Moira J. Burke, MD '69. and the wortd. Other awards Dr. Rahner has writes: "I have just been promoted to full professor on the clinical faculty in the Department of Ophthalmology in the School of Medicine at the University of South Florida. My elder son is a chief resident in general surgery; his wife is in her third year of the same program in Seattle. My younger son is studying computer science." E-mail address is mburke4908@aol.com. received include: The Bosnian Humanitarian Recognition Award; Doctor of the Year for the St. Vincent Health Center in Erie; and the John ~ Robision Humanitarian Award from the Boys and 1970s Elliot Gross, MD '70, writes: "I am one of the last few solo orthopaedic surgeons in Los Angeles. After raising two great kids, Lara, my wife, is about to resume her in- 42 l a llal 1 Pb ysici aa Autumn 2001 '71. writll:"'n'sa._.lftllwlfa .._dll.scllllllf....._CIIIIIf1171. ncati11i1( ..... wldi.flllilllil ......... '-t.llci.Ufr ,.,......,lnSiiCIIIIIIIU.ra" E.... IIMnssisnli*..._cea.. terest in physical therapy by volunteering to teach handicapped children to ski at Mammoth Mountain. Our daughter, Sheri, age 24-a UC Santa Barbara graduate and former captain of their tennis team-is a CPA and got married in August of this year. Our son, Adam, age 23, graduated from Haas Business School at UC Berkeley and played on their Division 1 tennis team. He is now working for Flipside.com." Bruce M. Prenner, MD '7D, writes, "My wife, Harriet, and I recently relocated to La Jolla, CA, from nearby San Diego. My practice of allergy includes a large research center devoted to conducting clinical trials for new therapies specific to asthma, allergic rhinitis and related disease . June 2, 2001. I live in Commack, Y, with my wife, Bonnie (UB Class of '70). We have two grown children who live and work in New York City. I served as director of a family practice residency program for 18 years. Currently, I am associate director at another program, focusing on resident supervision and training." David H. Breen. MD '73, writes: "My daughter, Patricia, was born on March 17, 1999, and my son, Jackson, was born on May 8, 2001! I have a pediatric practice in my home in Dansville, Y, where my father practiced. I was recently promoted to assistant professor of pediatrics at the University of Rochester School of Medicine, where I teach medical students. Life is good." Scott D. Kirsch. MD, '71 , writes: "! was installed as president of the New York State Academy of Family Physicians on Henry M. Bartkowski, MD '76, writes: "I recently moved to Akron, OH, to be chief of pediatric �-- ·- -------~ --- - - - - -- - - - -------- - - - -- - -- - - - - - -- ~-- --- -- writes: "My wife, Romana, and I have two children, Carrie and Christine. I work in a private practice in Buffalo . Some of my fondest memories are of the great parties at Bobbie, Beth and Diana's house. " assnotes neurosurgery at Akron Children's Hospital Medical Center. Ladonna and I have been married 23 years and have three children. Chris is a junior at New York University, in pre-law; Rebecca is a sophomore at the U of M and in pre-med; and Lindsey is in seventh grade." E-mail address is: hbartkowski@chmca.org. James J. Czyrny, MD '81, 1980s Elizabeth H. Donahue, MD Amherst, NY, Physical Medicine and Rehabilitation, writes: "I am in practice in Buffalo at University Physical Medicine and Rehabilitation Associates, Inc., as well as at ECMC and Kaleida Health. My wife and I have two children, Julie and Steven. I'll never forget those lobster dinners at Mulligan 's! " '81 , Rochester, Stanley L. Bukowski, MD '81 , Amherst, Y, Geriatrics/Internal Medicine, Y, Pediatrics, writes: " I worked in a private group practice. Currently, I'm out falty Award for UB's School Autumn 200/ I I II I II H I s i c i I I �C L N A 0 T E S Pano Yeracaris, MD '81, Brookline, MA, Family Practice, writes: "I completed my MPH at Harvard School of Public presented annually at the UniversitY at Biiffalo Health in 1998. Currently, I am the chief medical officer of the Health Services Partnership, a joint venture Robert F. Reed, MD '88, enjoy the great breadth of our practice, including write: "Robert continues obstetrics. I struggle to find time to ride my bike and maybe someday resume training in karate (currently stuck at the management services organization of two community health centers in Boston. We have a large blue belt). Mindy is prospering in her environmental law practice. jacob, age 12, and Rachel, age 16, continue to make tee made up of representatives from each of the immigrant population, and 40 percent of our us proud parents." E-mail is drben826@aol.com. served as assistant professor in obstetrics and patients are uninsured." ing in the clinical and preclinical years, as well as to encourage ongoing teaching excellence. Recipients nomination process, with final input from a commit· David Small, MD '81, on medical leave. My husband, Lawrence Donahue, MD, and I are very busy with our four children, ages ranging from 8 to 14 years old." E-mail address bhd59@aol.com. l tllllt Pbysicin Manlius, Y, General Internal Medicine, writes: "My wife and I have two children, Lee and Brett. I am on staff at Upstate Medical Center." A 11 1 u m 11 2 0 0 I and Karen S. Reed, MD '88, with the Guthrie Clinic in Corning, Y, and is starting an MPH program for occupational health. Karen is in private practice in anesthesiology in Elmira, Y. We have three children: Douglas, age 11, Laura, age 9, and Michael, 5. All keeping busy!" Freda Dreher, MD '89, writes: "As chief of Karin E. Choy, MD '86 Benson Logblin, MD '84 The e-mail address listed integrative medicine at Kaiser Permanente in I'm starting my fourteenth year in indepen- for Karin in the summer Santa Clara, CA, I am 2001 issue of Buffalo Phy- happily combining my dent family medicine sician is incorrect. The practice of physical practice in a suburb in correct address is KECMD 1@aol.com. wife, Ruth, endowed the Siegel Excellence in 44 Rochester, NY. We now have five full-time docs. I �I -- -- --~- - ~-~---~ medicine and rehabilitation with my new skills in medical acupuncture. I will be happy to hear from classmates and UB alumni. E-mail address is , freda.L.dreher@kp.org. ·-- - - 1990s Peter Bloom MD '9D and Gale Burstein MD '90. Gale writes: "Peter and I proudly announce the birth E-mai - -- - - - - - - - - - - of our son, joshua Samuel Bloom, born March II, 2001. josh joins his brother Zachy, who turned three years this past August. Peter is head of GI at the Atlanta VA Hospital and head of the GI fellowship program at Emory University. We both enjoy reading Buffalo Physicia11 classnotes." Pilomena Mufalli Behar, MD '92, writes: " jerry, julie and I are moving back to Buffalo! I will be joining - - - -~ ------- Pediatric Ear, ose and Throat Associates. We are excited to move back to Western ew York and be close to , family and friends. E-mail address is pmbehar@aol.com. Starleen Schaffer, MD '96 Hi everyone! How time flies. I hope you are all doing well. I have a new solo practice in internal medicine in Sebastian, FL, which is a small town on Florida's east coast, Best wishes to you all in medicine and life!" E-mail address is sflmia@aol.com. Thomas R. Cimato, MD/PhD '99, Philadelphia, PA, Internal Medicine, writes: ''I'm completing my internal medicine residency at the University of Pennsylvania, and I'll be starting a cardiology fellowship at johns Hopkins University in 2002." south of Cape Canaveral. "We practice law for your peace of mind." Estate Planning - Personal Injury Real Estate - Matrimonial Elder Law HoGAN & WILLIG, PLLC - - - - - - .\ttorn eyb nt L a w - - - - - - hoganandwillig.com One john james Audubon Parkway • Amherst, New York 14228 • 716.636.7600 A u t umtl 2 00/ l 1 ffa l1 Pbys ici aa 45 �AUTUMN .John D. O'Connor, MD '34 2001 from 1951 to 1968. He was upon to share his expertise, November 1999 in Anchor- a member of the Erie County Friedland was a frequent age, Alaska, where she had lived for 25 years. Medical Society, New York panelist on the television Orchard Park, NY, died on State Medical Society and program "UB Medical Round April23, 2001. He is the Buffalo 08/GYN Society, Table," and as a noted survived by his wife, Anna and was a founding fellow of diagnostician, his advice Crace L. Busch, MD'50 M. (Crostal O'Connor; sons the American College of was sought by patients as Gr ..e Lo , (Busch! Blech cousin of Stockton Kimball, Michael Patrick O'Connor of Obstetrics. Survivors include well as by other physicians. died at her home in Arizona dean of the then-University Silver Spring, MD, and John two sons, N. Joseph of He maintained a private on March 3, 2000. Born in of Buffalo's School of Medi- David O'Connor Jr; daughter, Pendleton, NY, and Daniel practice in Buffalo until he 1916 in Wingham, Ontario, cine from 1946 to 1958- Kathleen O'Connor-Mullen G. of Elma, NY; one daugh- retired in 1993. Friedland is Canada, Busch received her was born in Canton, OH, the (Mark Mullen!; and brother ter, Kathryn M. of Kenmore; survived by a sister, Edith bachelor of science degree son of the late C. Stockton James Kenneth O'Connor of five grandchildren; and one Ross, of Williamsville, NY. from Northwestern Univer- and Helen Harter. In 1949, Port Richie, FL. great-grandson. ohn u. 'Co " , MD, ot Alan C. Ha er, 76, of Lakeland, FL, died on April 19, 2001, at home following an extended illness. Harter-a sity in 1938, after which he received his bachelor's she earned certification as a degree in economics from registered medical technolo- Williams College, after gist in 1939 and worked for which he went on to attend Norman .J. Foit, MD'38 Elmer Friedland, MD'39 WinslowP. Stratemeyer, MD'42, Norman J. Fo1 , MD, who Elme Wins•u P. S atemeyer, several years in the field. medical school at UB, where delivered an estimated founder of Buffalo's first MD, died September 6, She then returned to school, he graduated at the top of 16,000 babies in a long and cancer detection center, 2000, in El Paso, Texas. receiving her master's de- his class. After completing varied medical career, died died on July 4, 2000, in his He was 83. gree from Northwestern Uni- his residency in internal June 8, 2001, in his Williamsville, NY, home Kenmore, NY, home after a after a long illness. He was short illness. He was 87. 90. In 1948, Friedland Born and raised in Buffalo, founded and then directed Richard E. McDowell, MD'43, cDowell, MD, versity in 1949 and her medicine at Dartmouth medical degree from the Medical School, he entered then-University of Buffalo private practice in Lenox, in 1950. She completed her MA, from 1959 to 1965. internship at Michael Reese In 1964, he received a Foit graduated from UB's the cancer detection center Richard E. school of medicine in 1938 that existed for 20 years as died January 17, 2000, after Hospital in Chicago in 1951 NASA-sponsored fellowship and served his internship part of the former E. J. a long illness. Following and her residency in internal at Harvard University, where and residency at Millard Meyer Memorial Hospital. graduation from the then- medicine at the Illinois he earned a master's degree Fillmore Hospital. Upon He also served as medical University of Buffalo, Masonic Hospital in Chicago in public Health. Harter then completing his training, he director of the central cytol- McDowell trained for four in 1952. That same year, joined NASA as chief of opened a private practice on ogy laboratory there in the years at the Mayo Clinic. Busch began her family Launch Site Medical Opera- Delaware Road in Kenmore, 1950s. Following graduation He then moved to Tulsa, medicine practice in Wilmette, tions at Cape Canaveral where he and his wife, Letha from UB's school of medi- Oklahoma, where he prac- IL, where she met and mar- Space Center, and in 1970 Buffum, who was a nurse, cine, Friedland, a Buffalo ticed general surgery at St. ried Dr. Joseph Blech. They was named the center's worked together until her native, entered the Anny John Medical Center for 40 raised their six children in chief of medical services. He death in 1996. Two years Medical Corps during World years. In 1977, he was ap- Wilmette until 1962, when left NASA in 1972 at the end later, he retired. In addition War II and served as chief pointed director of Medical the family moved to Chan- of the Apollo program. An to his private practice, Foit of medicine at a number of Affairs at the medical cen- dler, AI.. They opened up accomplished writer and was an associate attending military hospitals. After the ter, a position he held for their medical practice there, lecturer, Harter was the physician at Millard Fillmore war, in addition to directing 13 years until his retirement with Dr. Blech practicing author of Apollo-Saturn 240 Hospital from 1945 to 1970 the cancer detection center in 1990. McDowell is sur· until death in 1983 and Remembered, a personal vived by his wife, Agnes Busch continuing to practice account of the fire and ex- and an attending physician and the cytology laboratory, at Kenmore Mercy Hospital he was associate clinical Brungardt, and their chil- until 1988, when she retired. plosion of the first manned from 1951 to 1985. He professor of medicine at UB dren: Mrs. Kathryn Million, Busch is survived by her chil- Apollo Space Mission. From helped Dr. Daniel Stedem in and wrote a handbook on Dr. Richard M. McDowell, dren, Gerald Blech, Grace 1971 to 1972, he was pro- the planning for the building history-taking and physical Dr. Jack J McDowell, Marga- Schirard, Michael Blech, fessor of environmental toxi- of Kenmore Mercy Hospital diagnosis that was used for ret Quinlin, and Dr. Thomas Anne Blech and Nancy cology at the Institute of and served as its first chief many years at UB's school S. McDowell. His daughter, Purdy; her sister, Nancy Technology in Melbourne, of obstetrics and gynecology of medicine. Often called Mary Pat McDowell, died in Price; 18 grandchildren and FL, and senior aviation several great grandchildren. 46 Alan C. Harter, MD'55 1 1 11 111 Ph ysici11 A II t II Ill 11 2 0 0 / �I - - ------- -~- ----~~~- ----- -~ -- - - -- ~--- - - --- GET CoNNECTED • • • medical examiner with the son, attended Baldwin- FAA. Harter was then ap· Wallace College in Berea, pointed medical director of OH, where he earned a GE Corporation in Erie, PA, bachelor of science degree a position he held for ten in biology m 1973. He then years prior to his retire· attended the Medical Col- ment. Survivors include his lege of Virginia, where he wife of 20 years, Barbara E. completed a master of sci- Harter; two sons, Charles ence degree in microbiology Harter of Woodbridge, VA, prior to entering UB's doc- and Thomas Harter of toral program in 1978. Fol- 2625 Jamestown, NY; and a lowing graduation from UB, A DJACENT TO S r. J osEPH H osPITAL daughter, Elizabeth R. Smith Josephson went to Milwau· of Erie, PA. kee for a two-year clinical .Jonathan C. O'Brien, MD '90, Mt. Sinai Hospital. He then CARITAS MEDICAL ARTS B UILDING H ARLEM R OAD, C HEEKTOWAGA, NY post-doc in microbiology at served for almost three e years in the public health 25, 2000, at the St. Peter's department of Iowa at the Jon d1 • Hospice in Albany, NY. He University of Iowa Hospitals was 38. Originally from New and Clinics. For the past 13 York City, O'Brien practiced years, Josephson was direc- medicine in Schenectady, tor of microbiology at Rhode NY, at Ellis Hospital. He was Island Hospital and clinical a member of the congrega- assistant professor of tions Beth Abraham Jacob pathology and laboratory and Shomray Torah in AI· medicine at Brown Univer· bany and was very active sity School of Medicine. with Albany's Miamonides Most recently, he had left Hebrew Days School, where the hospital to become vice he chaired the Board of president of research at the Trustees. O'Brien is survived Milkhaus laboratory, Inc. by his wife, Vicky F. O'Brien; In his leisure, Josephson his parents, Joseph T. and enjoyed kayaking, bicycling Joan O'Brien of Albany, NY; and vacationing in Nan- and brothers, Jerald O'Brien tucket. Josephson is of Albany, NY, and James survived by his wife, Jean; O'Brien of Hartford, CT. MARIAN PROFESSIONAL CENTER 515 Asson R oAD, B u FFALO, NY A DJACENT ro M ERCY H osPITAL SETON PROFESSIONAL CENTER 2121 M AIN STREET, B u FFALO, NY A DJACENT TO S ISTERS H osPITAL his son, Christopher, who is a junior at Elmira College; StephenL. .Josephson, PhD'84, family requests that anyone Stepnen Jo epl son died wishing to make a donation 3 and a daughter, Kelly, a senior in high school. The PRIM E LOCATIONS (ALL CONNECTED TO AREA HOSPITALS VIA ENCLOSED WALKWAYS) 0 S uiTES N ow A vAILABLE 1000-5000 S QUARE FEET suddenly from in memory of Dr. Josephson a heart send their gift to the attack on July Barrington United Method- F oR M oRE INFORMATION 716.631.8000 24,2001. ist Church, 230 Washington Originally Road, Barrington, from Buffalo, 02806. 0 CIMINELLI NY, Joseph· Development Company, Inc. 8• s 1es A II I II Ill II 2 0 0 I lu ll a ll Pb ysi c iu 47 �Students' -Response t • nsm BY jASON HOFFMANN, POLITY PRESIDENT s members of the medical community, we are witnesses to disease, pain and death on a regular basis. However, nothing in our training could ever prepare us for the tragedy that occurred on Tuesday, September 11,2001. The student body of the School of Medicine and Biomedical Sciences has been deeply affected by these events. Many of us have close friends or family who have been lost in the tragedy. It is not possible to put into words exactly how we are feeling, but we all carry this pain and anger deep within our hearts and souls. This event has brought the school's student body closer together and has strengthened our desire to become physicians and to work to create a stronger, safer, more humane world. Although students were deeply hurt and angered by the terrorism, they immediately looked for ways to help. For example, an enormous number of medical students gave blood after the attacks. ln addition, Polity, the student government association of the medical school, created a fund-raising drive to help with the disaster relief efforts in New York City and Washington, D. C. More importantly, with the help of Polity, students began to plan events for our medical school community to mourn together and show our solidarity in response to this national tragedy. On Thursday, September 13, a candlelight vigil organized by James itzkorski, Kari Scantlebury, and jason Hoffmann (Class of 2004) was held outside the medical school. The vigil gave our medical students the opportunity to unite and reflect on the week's tragic events. Many people who attended were moved to tears as students, administrators, and local religious leaders spoke about the attack and how it has affected them. At the end of the vigil, as "America, the Beautiful" played in the background, the entire congregation raised their candles high in the air and joined in song. It was a moving conclusion to a beautiful service. A cultural awareness luncheon, lecture and panel discussion was also organized. On September 21, local religious leaders from Muslim, Catholic and Jewish faiths led a discussion about how our nation is responding to the terrorism. The Sikh religion was also represented at the event by two of our medical students, Nirmal Singh (Class of2004 ) and Kamaljot Dhingra (Class of 2003 ). Over ISO students, faculty and staff came together in Butler Auditorium to learn more about what this tragedy means for different religious groups in the United States and around the world. The students would like to thank Khalid Qazi, MD, who was the keynote speaker at the event, as well as Rabbi Gary Pokras and Father jack Led won, who also served on the panel. 4D Dr. Khalid Qazi, top, was keynote speaker at the Cultural Awareness program; seated to his right is Rabbi Cary Pokras. Bottom, left to ritflt, are Kamaljot Dhingra, Class of 2003, and Nirmal K. Singh, Class of 2004, who talked about the Sikh religion; center is Same era Fazili, contributing to the discussion; and right is Garrett Zoeller, both Class of 2005. 48 lulfal e H ysicin A II I II Ill II 2 0 0 I �Anesthesia inhaler, circa 1908, designed by Dr. Louis Dmbredanne, French surgeon 11871-19561. The instrument is one of two new additions to the Edgar R. McGuire Historical Medical Instrument Collection, housed in the Robert L. Brown History of Medicine Collection, Health Sciences library, Abbott Hall, on University at Buffalo's South Campus. The apparatus consists of a face mask with rings attached for the thumbs of the person administering the ether and a round chamber with a control knob on one side and a rebreathing bag on the other. Ether was poured into a sponge in the chamber through the opening in the top and was administered to the patient. �p H A R M A c 0 p 0 E I A UB's HISTORY 0 F ~f ED I C I ~ E COLLECTIO~ PRESE~TS PHARMACOPOEIA Digita l ly reproduced prints from a pharmacopoeia by Otto Karl Berg (r815 - 1866) were on display last fall in University at Buffa lo's Health Sciences Library (HSL), South Campus. The botanical show was developed by the HSL and the university's iMedia staff and is the first in a series of "Art in the Library" exhibits intended to promote the History of Medicine Collection through the display and sale of reproductions of selected works. Fred Kwiecien and Don Trainor of iMedia prepared the prints from the original art in the Berg volume, pub lished in Leipzig in I 863. P ictured is A!JmtKa Jragrarn ( utmeg). BP ()110 I 112. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Autumn 2001 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2001-Autumn Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v36n02-2001-Autumn Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo physician and biomedical scientist Buffalo medical review Table Of Contents A list of subunits of the resource. Medical Education for Life Medical School Sure Hands Teach Hands·On Medicine Research Alumni Student column Development Classnotes Date Created Date of creation of the resource. 2019-01-14 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v36n02 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Copyright 2001 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/2106dddf637bbc3a46317db8d70fc66d.pdf f3380649633eeabb909cc072d4e7ab38 PDF Text Text y I C I SchoI ofMedi cineandBiomedical Sciences , University at uflalo �luffala Physician \ ! CF. PR£ . 1 l>E I\ ~ R In T IOR \I)\ ~, er. ME T Je1111ifer,\lcl)o11011glr D I RF CTO R 0 1 ~ r w s.F R\ I E­ Ar//111r Page DI Rf CTO Dear Alun1ni nd Friend or R . Ill' l\ '111 •tc/1a EDI TO R P E RI OD I .\1epl11111it· A . Unga the past few years, we have seen many noted," i hanges at the mcdi al chool. A _aul AJinsky A Rr DIR ECT OR & D E I G . Alan J. Ke.,;:/er1111dD111·idJ. Riley hange m ans mO\·ement. Movement means friction." For tho e who cra\·e Mabil­ these have been painful times. "The patient is stable" can mean that we have triumphed D 10 Karen l ic/111a over illness; however, a dead patient i · also stable, and th,11' not where we want to be. The changes we have made arc not random. ~!any have targeted areas where year of student feedback have told us that our pcrforman c is not optimal. I am frequently asked how we C.o - rR G \\ RITERS I B UT I Lois B11ka <1111/ Ell,·11Goldbaum '- Coo RDl"ATOR Cyntlria Tod,I -Flick PR O D UC.TIO know that change will actually impro\·e our situation. How do we kn w that the friction of change is polishing a gem and not grinding years of tr,1dition into NI\ E R 1n a pile of rubble? In reality, we annot guarantee that every hangc will S C H OOL have a positive outcome. But we do know that if we are not willing to 8! 0 8 ~T O f l f ~LO \! E DI tF DICAL l '- E : c iE, C ES Dr. ,\ltlrF,t1rt·t P11rosk1, /11teri111De1111 change, we will never improve. In rea ing the quality of our school and the education we offer our students is the mission that guides us. Our accrediting bodies the Liaison lion (LC 1E) and the American (A GMF)-are tD ommittee for Medical Edu a­ ollege for raduatc Medi al Education not content with the statu quo. Both have visited our s hoof in the p,1,t year and they liked the changes they sJ\\". a re ult, we re eived one of the first eight-year accreditations from the I. ,\IE and a full five-year accreditation from the ACGi\tE. However, we cannot rest on our laureL . .\s Will Rogers pointed out, even "if you're on the right tra k, you'll get run over if mu iust ,it there." IT O RI L B O AR D Dr. }Q/rn Botlki11 Dr. Harold Brodr Dr. I i11d11/. Corda Dr: /<1111 ,es K1111ski _ , 006 Br11111 , e11b1111er,Clt1.,s "f Dr . Elizabeth Olm ud Ro;, Dr . /t1111esR. O/s011 Dr. 1t·p/1en pa11ldi11g Dr. Brn,tley T. Tr11a, Dr. Frt111kl111 L,·pfo.,·itz lthough our new curriculum is only two year old, w have already made nu­ TEAC merou. changes and have done a lot of fine-tuning. With change comes the responsibility of determining whether we have achieved the desired outcome. We all agree that we want an educational cxpcrien e that re ults 111"better do tors," but we need to agree on a definition of"bettcr." n e\'en more difficult task 1. try­ ing to find a way to measure "better.". ome outcomes, such a. s ores on the 'nited Medical Licensing Exam (U ILL), are casilv qu,mtified. late, \\ h1le u h a standardized mt·asurcment b tatisti ally pleasing, it may not be our best indi ator and it crtainly does not en ompa s man)· of the qualitie our patients While I do not \,ant to diminbh the import,rncc of ,1ch1e\'ement on tandardizcd te. ts, a multiple choice ex,1111probably won't be the best measure of a curriculum that seeks to ~timulatc ,1e1ivelearning, analrtical thinking ,rnd lifelong disco\'ery. How do we measure these cognitive skills in the long term? How do we mea ure noncognitive attributes such as ,kills and professionalism? I would ask cath of you to reflect on what you rnmider to be the attributes of a "g od do tor" and how these attnbut O Ho. PIT A!. C,.,.,,., \ ,.t.'terans Affuin l\"r .(trrr~ . ·di'1l Ne" ' rork H,•altl1wr< >· K HEID.4 I H EALTII: The Buffalo G,·11eml Hospira . 1 T/1< · Wo111,·11a11<iClri/,lre11's Ho;p,111 of Bufjalo . . 1 .\fil/ar,/ F,llmorr (,<11,· , Ho,p•ta . 1 11111Ho>/'''" .\Ii/lard F1ll111orr\11/111rl onsidcr important. How many of you knm \,hat your personal ph)·si i,rn g ton the board ? I. that how you cho. e vour donor? comp,w,ion, good communication II I Erie County ,\frrlmrl Roswell Park C,wc.-r /r1,till•I< ' scan be measured. Pica c hare vour thoughts \,ith me (paroski " buffalo.edu) ,md help u shape the medi al education that \\'ill produce the kind of physician you want to take care of you and vour family! C HHOIIC Nia .~arJJl-,1/h \ltmoriul .\letlirnl C,•111t·r © unm1nn 1111u1. 111nm IIIYIISltlII 11!Ill Leners totheEditor Hut alo 1'11) s,,mn , puhh h«.l 4uJn rl> b the l "" er 11\ JI Butfal<• \ ,houl of. lcJ1unc and l11om,J1,al St.i~nu•~ m lOOp\.'r.ltlllll \\Ith L ni\a , it, I cttl·" /\I RCARET PARO.Kl. \f D 80, \l\f\l Interim Dean, c/1001of 1edicrne anti Biomedical /111erim Vice Preside11t for Health Affairs J-iEHT/1 \ 1,TE •I: \ltr <)' flra/1/1 \ys1t111 S,slers of U111ril)lfo .,p11t1I cie11ces ( ommu011..3tHHh. lo the Editor.ire'"-'11i.ornt nd ,an he cnl c u Ruf/,1/,,Pin'' '"~ HO< mil llall. lJnl\er"t Jl l!ultJJ,,, lluttalo. !'J'I l 121>0; or n1 c marl 1'' bp-no1c, bull.1!0.cdu. I ckrh (716) M, 5000. <xi, J 1~7. 1• 11< f, 1 '::i. lh · tall rc,cnc, 1h,· ngh111 all uhnmS1011tor dJrityJn.l ""~ 8 .,ffalo University at of. ,.., fork TI1c tale l 11n-(1'SIO I �\' 0 LU \I E '-I U M B E R 38. 0 p y H s C N A Features I New Vision ofCollaboration Plan for the Buffalo iagara Medical ampu take hap , effecting chang in biom dical education at UB BY COTT THO IA InStep withMedical Milestones 1 Ralph Behling, MD '43, look back on a car er of medical "fir t " BY COTTTHOMA Take Note Per onal digital a i tant enter m dical chool , giving tudent a new tool with which to learn BY '!COLE PER. DOTTO JaniceSunrceleratesrraduatin uywithherfather. Jo nSung.FormreontheUISchol 26. ofMedicine ndIi edicalSciences· 157thco mencement t rntopace C0\£1 DEPICTS Tiff LIFE Sc.;U~Cf<,;, ,1ro1c.,L CA,,,u~ .Medical School 1 'ipnng Clinical Day and alumni achic,·cment awards 18Match Da) 2003 listing 24 appuccino and .-chmitt, a well-matched couple 26 ,raduation celebration! Reseatc 23 Record high in rc,earch funding at UB 28 Piero Bianco uses laser tweeters to film double helix a, it unwinds Pathw s Reunion Weeend 32 l:li,abcth 39 Reunion Olmsted Ross rc,eives honoral") doctorate 33 icgel awards 37 · owak direct, scientific planningat UB Center in Bioinformati , Weekend 2003 photo collage-a time for old friend, and classm,1te, to reunite and reminisce about their medical school years COMPLE\ TO IE h, ..cr ,ao\ioro Classnotes 4-4:-.ew. from rour B da,-mates and other alumni 48 In memoriam: Daniel Ko,era, \\'illard Fi,chcr, fJne Freiberg, Jeffrey Perchick BUii r 0~ ,, IHC Tl-If: n1G11 Tom hontcra, Cl,1" of 2003, honored a, this year\ Jame, Platt \\'hitc - cholar BtHf.\10 ...L. l.\GJ\IA BurrALo. '.\'ii �• • new of collaboration The Buffalo Niagara Medical Campus 2 1111111 nyslci11 \ ' , ,, 0 0 ! �O i a boxy, andmember represent it: founding in titution , each COTT colored kybridge that takes pede triam, from THOM of whi h pays due. to belong to the organization Ro well Park ancer Institute north to Buffalo and so ha ave ted intt:rest in ensuring the uccess­ ful out ome of the new pr ject. The \"i ion of the ~ uncl­ General Ho pita!. There is omethingabout thi bridge that is perhap emblemati of the Buffalo medical ing in titution is to improve the overall environment of community's long truggle to find ornmon ground: head­ the campus and its infrastru ture in order to make it an ing north, it go s uphill. appealing pla e for people to eek are, provide are, Indeed, in the past, it ha been an uphill battl to bring onduct ba i and clinical re ear h, and teach and train together the element of them dical mmunity: hospital health- are pr fc ional . administrator , health-care providrr , researchers and While the concept of the B '~l a· a cohcsi\·e, inte­ medi al educator . But not far from thi uperimp . ed grated entitv ma} be new, the itc itself ha long been a walkway, a ne\, vi ion of collaboration i · taking hape in hub i r health are and biomedical education and re­ the heart of the ity. sear h in Buffalo. In fact, it wa at the corner of, 1ain and In April 2001, leader of the ni\'er ity at Buffalo, Virginia-the \'Cry heart of the pre ent-day ,ampus-that Roswell Park ancer In titutc, Hauptman-Woodward the UB hool of medi ine was fir. t built in J849. Kaleida Medical Research Institute, Kalcida Health y tern and Health'· Buffalo General Hospital, as well as Ro well Park Buffalo Medical roup Foundation announced the laun h ,rncer Institute, al o ha\'e b en located on the site for the of the Buffalo I iagara ~ledical ampus (B M ). better part of a centul'). Hauptman-Woodward ~ledical Re ·earLh Institute was e tablished on High treet in 1956. The \'enture i being undertaken in partner hip with In 19 5, Herbert A. Hauptman, PhD, the current president the city and ounty, a well as with neighborhoods ur­ of the institute, received the 1 'obel Prize in Chemistry for rounding the campu ·, which, in previou · year , had been a mathematical te hnique he de\'eloped to determine the informally referred to a the High treet 11edi al orridor. stru ture of biological molecule . The B, M i admini tered by a board of director whose .'-iummt'r 20U~ l1ff1l1 Hysicill 3 �lso located on the present-day campus arc the Buffalo ~ledical Group (the city\ largest consortium of practitio ners) and the lJB Research Institute on Addi tion . I ate this summer or early fall, com tru tion will begin at the 8. 1~1 on a modernistiL three -buildmg complex (see cover). The new 400,000-square-foot complex, ched uled for completion in two to three ·ears, will comprise the followmg interconnected buildings: The new home for the B enter of Excellence in Bioinformati s, a four-story, 129,000-square -foot build­ ing to be lolated at the wrner of l:llicott ,lnd Virginia Streets (currently the center b operating in temp rarr headquarters nearby at 90 I Washington Street) Roswell Park ancer I nstitute's new Center for Genetics and Pharmacology The new headquarters for the I lauptman-\Vood, ard ~fcdical Rese,1rch Institute (connected br skybridge). The three buildings will have more than 22,000 qua re feet of common space, including conference rooms, meet­ ing area . , auditoriums, a court}ard and lobby space. Io cated throughout the complex will be kitchen preparation rooms for catering; there, ill also be a food kio k where people from ,1IIthree institutions can dine in onjunction with seminars and classes, or meet informally for coffee rlum.h. rhere will also be 27,000 square feet of shared labora ­ tory space, where facilities and sen ices will be avai lable for "ientifiL staff from the three inslltutions. This in­ dudes five shared laboratories in Ros, ell Park's build ­ ing, four in ' B's building, and four in the I lauptman ­ Wooth~ard building. But the BN 1 is not just about buildings. What is being em ·isioned for the medical Lampus is a total environ ­ ment, with features including green pace and "pocket parks," fountains, special lighting and signs. The intent, planner sar, i to ·reate "an integrated place for living, '"orking and learning"-.1 place where workers, patients and ordinary cit11ens will want to spend some time. An Assetto the Region and its chool of Medicine and Biomedical cienccs are kev player in the proje t, which univers1t} officials sa} will benefit mediLallbiomedi al cdurntion as well as Buffalo's economy. 4 1 1 111 11 P•rsici11 II ,u Ill t• r 2 0 0 1 "Our . ense is that we need a stronger con entration of clinical a ti\'ity and clini al facult} than ha been there, " . ays ·s pre . ident William R. Greiner. "\ e need central places where faculty an be together. We need to rebuild a facull) culture on the linical ide of the medical school." The medical campus, he says, will reate opportunities for medical school profes ·ors, clinicians, students and re­ earchers to collaborate, compare notes--cven JU t have a cup of coffee and to s around ideas. S,1ys reincr: "There's nothing like face-t face." The univer ity will have a trong pre~ence on the B, ' MC this summer and earl}' fall, a construction on the new home for the L:B enterofl:xcellence in Bioinformatics begim. At this state -of-the -art focilil)•, researchers will use the uni ­ versity's massive ·uper mputing power to ondult ana ­ l)'tiLal work on genes and their protein produi:ts in hope of developing more sophistilated di,1gno tit: device , as well ,ts targeted drugs. " B has to be a major plarer in anrthing inrnlved with health, mediline and science in Buffalo, " says l-linbcth D. apaldi, UB provost. • he s,1r the univer it) anti ipates making "an appreciable economic impact" on the Buffalo community as a result of work conducted at the Center of Excellence in Bioinformatics. �The life-:cience indw,try based on work of the center will include the development of soft\\·are, di,1gn , tic te t , medical devices, therapeutic., bioinformat1 s services and genomics - and proteomics-based busine . se . ' urrcntlv, the fore asted demand for . uch prodults 1 formidable: The market for information-technology products in the lifeiences e tor alone i e timated to be -B billion by 2004. The biopharma euu al and biode\ice industrie are expect ­ ed to ontinue to grow at approximately ix percent an­ nually and to have worldwide annual ale in exces of -100billion by 2004, a wdl. Thi demand, ac ording to apaldi, ha the potential to translate work at the Center of Excellence into thou­ . ands of well-paying Jobs 111 Buffa! , ranging from com­ puter -support and lab ratory technicians to medical informatiLs and re:earch s ientists. Impacton MedicalEducation may be just a dra ­ matic, ay Margaret Paroski, MD, interim dean of the VB School of ~ledi ine and Biomedical ciences and interim vice pre ident for health affairs: " ne of the main prob­ lems that we have is that, unlike a lot of other medical schools that own a univer ity hospital, our tudents are trained in nine different hospital . n e you ·tart frag ­ menting and di ·persing people, you don 't have the orri ­ dor conversation and the type of collegiality that rou have when people are all in one pla e. There' an inherent ineffi ien y to it." The B ' f\.l , she ar, mjtigates such problems by creating opportunities for that collegialit}. f\.lany variable remain a the project begins to de, elop, Paroski say . \\'hat shape UB\ medical education will take in the future " i going to depend on what the campus real!) e,•olve into," he obsen •es. "\ e have 280 student doing a clinical rotati n at any one time. The) need expo ure to a whole range of fields: urgery, medicine, obstetri , ped­ iatrics, p rchiatry and a variety of ubspe ialties. [The medical campus ] be omes a focus fi.u a . ubgroup of ser ­ vices. It offer ' great po tential for resear h, for pecialt} · servi es and as an academic think tank." One possibilitv the medical chool is considering, she explains, is an ambufatory ,are center on the medical campu ·. uch a facilit,, he ays, would sen ·e inner-CH} residents who don't have cars to drive to the suburb for medi al are , as well a other city residents who imply prefer t seek treatment closer to home. And a. the detaih of the medical campus e\'olve, he ay. , UB will c ntinue to pla} the role of the ,·isionary motivated by intere ·t. other than profit. "The unher ity has the advantage f . en ·ing as the noncompetitive um ­ brella, as the coordinator f service with a f, cu . on regional need . rather than just the bottom line," she add . "We don't pretend to be the people calling all the hots. We can step back and look at all the parties and try to help coordinate their intere t . " For example . CB is providing a lot of the faculty who are driving the a ademic research piece of the project. B ha . a e, s to information and input from man}· sour e , o the \ •alue added ' that we bring to the table as an en tit}' that has it foot in e\'ery camp 1sthat we are in a good po . ition to appreciate \\'here everyone 1s coming from. " s for the medical campus's e onomic a. pects-its hoped -fi r role as a ataly t for th economic resurgence of Buffalo-Paroski is pragmati . "The better hape the city is in, the easier it is for us to attra l quality student and qualit) faculty," she says. ''L'B i a major player in the Western e,,· \ ork area, so we're obviou . I · intere ted in the health of the city. " But I think the medi al school look at thi . project from an educational and regional health-care per pective 11mmrr 200J 1 111111 nrsici11 5 �rather than from strictly a business perspective. The idea of being able to pull together the infrastructure to let groups work together is trcmendou Iv helpful." Thomas R. Bee her Jr., ,1 Buffalo attorney and inn'.st­ ment advisor, erves ,is volunteer chair of the nonprofit organization that i overseeing the B r-.1.. He say that identifying ne ,v way of, orking together has been kc> to the planning pr e s. For example, Bee1..herpoints to the proximity of Ros­ well Park ancer In titute to Buffalo General I lospital, institutions that require mu h specialized equipment and s ould sal'e mone} b~ sharing . me of it. Likewise, he point out that patients with can er often have other gen­ eral medical problems, o it make sense to faciliate their a e s to Buffalo ener,11. Bee her .ind others have seen how this kind of integra­ tion an work at such facilities as Longw d ~ledical enter in Bo ton. For one thing, he say , "the interplay between the ientish and the lini ians is ,·el) powerful. Even something as simple as a ommon meeting spa e, where people an share idea , i, l'Cry important." Memberof the "FruitBelt'' Neighborhood working to ensure g d relations with the medical ampu 's ncighb rs in Buffalo's "huit Belt" ection, holding publi information e · ions and making u h goodwill gestures as sponsoring a pring clean-up project. Repre. cn­ tati,·e from the I ru11 Belt and llc11to1 n neighborhood ,uc included on the planning committee for the medical campus. "For the project to be ucce ··ful, it re­ .illy h uld not have border. at all," empha izes Beecher. " mong other thing·, we "ant the Buffalo 'iagara ~1cdical ampus to provide jobs and health care for the neighborhood' re ident ." Indeed, one key to the mcdi al campus's u ce · will be the degree to I hich it encourage· the people who vi it and work there to explore the surrounding cit} .1 oward that end, Ike her ays, planner hope to ha,·e the '1agara Frontier 6 l 1fl a l 1 Pl ysiciu ~14mmt•r 100l Tran portation Authority reconfigure the Allen-Ho pital tation of the Metro Rail so that lien treet-whi h n I\ dead-end at .\lain treet, in front of the tation--can continue east toward the medi al campll5. ( step in that direction was re ently taken , hen the authori agreed to change the station's name to "Allen-.\ledical C.impu .. ") At the ven least, the reconfiguration of the talion should en ourage people Lo make the short walk across ;,,\ain Street and p,llronize the businesses on Allen, in the city's arts) Allentown di. trict. "1 here ha. been inspiration and leadership for the project from the universit} and the med ital chool," Bee her say . "Bill Greiner has been ver) intere ted in ollaborating a ro s instituti n , and now Dr. Paroski, as well. They already had a very. ignificant inve tment in people there. The) could see the benefit, from the univer ity 's perspective, of ha,·ing a presence." Amy .\1. chmit, the medical ampus\ project man­ ager, notes the "tremendous philanthropic . upport" for the project, in addition to inve tment br the component institutions ,llld the ity, count and tate. That charitable support, she ay , ha in luded a ·4.- million grant from the Margaret L. Wendt Foundation and 10.5 million from the John R. ishei Foundation. "There's public and private support that\ really going to ha,e a trcmendom effect on the economy of the region," chmit says. "These institutions, through their operation at the B,' 1 , generate over 600 million in annual e:,.pend1tures. \\. hat we're seeing here I the confluen e of a lot of good things." nother good thing hmit ha en ountcred while working to educate people about the B, '.\I is how the proje t is resonating in a ery p itive wa · with alumni of B's school of medi ine. "\Ve had a di pla) booth for the B 't-.1 at pring linical D,iy," he recounts. "It \\JS amazing to me the number of alumni who came up to our table and stopped to look at the map and to tell me uch thing a 'fifty year ago when I wa a tudent thi. i where I lived, this is where my las e were,' or 'I'd go down thi street to the ho pita!.' "I wa tou,hed to see how many people in the pring linical Day audience had ven• di 1111 tive memorie · of this geography and were really. enjoying the notion of it being brought back to life." 4D �Spring Clinical Day 2003 ScientificProgram program began with a briefoven-iewofthe Buffalo iagara Medical Campus by Matthew K. Enstice, a ociate director for campus development ( ·ee related tory on page 2). Following this pre entation, Martin Brecher, MD '72, program chair, introduced the day'· ·cientific peaker , as follow· : Roh it " Rob" Bakshi, MD '91, asso­ C1,te professor ol neurologr in the L n1versity at Buffalo 1..hool of ,\kdu ..1nc and R1omedical '-1..1ences, founding director of the Buffalo euroim,1ging naly i. C.enter and a BAK,111 neuroimager in the Jacobs 'eurological Institute, Kalcida Health's Buffalo General I lo pita!. Bakshi ·poke on "Brain i\lRI in the Bioinformatics Era." Robert Genco, DD , PhD, ·c Y Distinguished Professor of Oral Biology and. licrobiolog~ in the University at Buffalo School of Dental :--.kdi­ unc and vice provost of the B Office of cicnce, Technology Transfer and Economi .. Outrc,1 h. C,enco spoke on the "Role of Infection and lntlamma tion in CardiO\·ascular Disease." Medical Alumni Achievement Awards Bruce Holm, Ph D, professor of pediat­ rics, gynecology and obstetrics ,rnd phar­ macolog~ and toxi­ cology in the UB HOLM -.:hool of ~kdicinc and Biomedical cienccs, and scnior \·ice prm·ost at LB. Ho lm spoke on "Discovery­ Based Medicine in Buffalo." sentations, the audience had an opportunity to ask questions of a panel made up of the spc,ikt:rs, after which Jcffre) ·1eoL~1cK kolnic k, PhD, director of the B Center of Excclkm:e in Bioinformatics, deli\'ered the 5tod,­ ton Kimball Lecture. Fol!owmg the lecture, titled "Predi tion of Pro tein • tructure and fundion of the Human Genome," PatnC1a Duffncr, .\11) ·~2, pre. ented 'ikolnick with the to~kton Kimb,i!I \ward on bchalt of the B .\lcdical lumni ,\ ,o.:iation. The program concluded 1\·ith th(' pre,cntation of the 2003 :-.tcdi­ cal Alun ni Achic\'ement ,\\,ard,. Following graduation from med, ..al s hool, Portin interned in Florida, re turning to Buffalo for a urg1 .11re,i ­ den.. at the E. J. 1e, er Ho pit al no" nter . fter Erie ounn • I dical ~ompl ting re id n , train mg in I 959, he spent a car in J olore t,11prel.cp­ t r hip, beLommg u:rtificd in general urger. in 1960and in col n and r eta I urg r. m I 961. t B Portin ro e to th rank of dim al pro~ or of in 1983, a rank he ull hold 19 4-94, h crved a diredor I I fa ult, urgcry . From of th 111111, nysici11 1 �re~1den pro r.1m m lolore(tal sur gery; and from 1996 01. he ,cned a J i tant dean at the medi al '"-hool. Portm wa an • ttending surgeon at I >ca unc , Buffalo (,cncr.1I ,md i tcr Ho pitab. \t ister,, he en­ d • , prc,1dent of the medical st,1ff and a a member of the board nl di re tor . ationall , he en ed a, pr idrnt of the \meri-.rn 1"- ictv of olon and Re tal urgeon and I>rl' 1dent of thr meri"-an Board of olon ,md Rectal urger , rcrn.1m ing on the b .ml , ., enior e am itH'r until 1995. He repre ented urgcon • t the \ G 1E, the I .ind the \merkan ( ollegc of urg on , \\ here he n ed on the (Jraduate F.duLation <.ommittee. ( urrentl , l'ortin is a medical LO ordinator in the t )ffi1..cof Prok sion,1I ~ledi al C ondull .rnd th 'c\, \ork late I cpartment ot H alth. Sin--c 1997, he ha n d on th board of dire tors of th atholi llc,1lth t m and i ,1m mherol thee crnti, e rnrmrnttee and Lhair ol the bo.1rd of dir tor of the atholi I lealth }stem ll ime I le,1hh are Board. I olll•\\ ing graduation, Ziui rr,l i, ni .in appointm nt .1 a full time ,11tcnd ing ph rc.i.rn in medi in (...udiol­ og, ,11f..J. 1e, r lcmonal Ho pita) led Kai (enter),. 8 \11mmrr JOO~ position hc wntinue, to hold. In ad­ dition, h , rvnL1, dir1..·tor of dini1..al ardiolog} at the mrd1rnl enter from 1969 76, and again from 1991 to the prl' ent. I'll h.1 also held ,ariou fa ult appointments at thc B d10ol of.\lt:diLinc,111d Biom ·dk,11 1..11..•n c, whl.:'rchi.:' ontinu ·, to t1..•.11.;h. I or Zizzi, a high point in hi a­ reer 1..,11111.:' in thl.:' mid 1961h, "hen Pre ident I }ndon Johnson dedared J "' r" on hrart d1 <.'ae, troke and 1..an1..er.\\ ith the ne\\l} av,1il,1bk fund , Zizzi c.h, ired a rnmmittec that e,t,1hli,hed a < oron.irr ( ar1..•s hool for the 1r.1ining of nurse and para1111..'di1.., in the,r ficld .. I ht' training and It', d1ing of nurses \, a sub e qu nth ab orbed b} the l; B Lhool ol 'ur ing, and lhl p.1ramcd1 pro gram "a, ahsorhcd b, Eric ( om. rnunit ( ollt•g . Ziui ,1lso ,cn ed a, a, i t,rnt medial dir tor of H I<. and upcni d the mm l' from th<.'old mori,11 I lo pit.ii to the nc\~ f 1978. I h1..•log1stkal t~ k wa, a ,orn pli,heJ \\ ithout inident in one da · \\hile m,1intaining a full taffed cm r­ gcn, room during the ntire mlne. Zizz1's profe sional a ,odation, indud1..· ,cni(l a l1zz1 pre id1..•nt to thl.:' \\' 'Y o,iet ' of Internal M didne, \\. 'Y He,1rt \ o iation,and ~lcd1 • J­ ret,1n of th \\ Y Sodet 'of Internal 1cd- 'tS tlLil'tY 1L1n and a dire torofthe, of Int rnal lcdicine, a ,,di a Indl.:'­ pcndent Health. Ztzzi b • me a L>ip­ lomate of the mcri1..an Dcleg.1tc for the Hou e of Delegate , ~lcdi .1I o i et} ol , Y , in addition to holtling numcrnu other member hip . In addition to re ei, ing a B MediLal \lumm .:hit.'\ement \\ard this year, 11kh, medical director for the< .enter for Ho,pi1..e and P.1lliatl\e <.m in Buffalo, \,a hon rl.:'d by th LB \lumni \ od.ition, \\ h1 h I re ented him "ith it < ,mmunit} I .idcr hip \\,,ud at it ,rnnual clebrati lll of I ullenl..C.'l>inna, h Id on April 4. The award i gi,en "in re ogni­ llon of ,ind appre iation for out­ tanding contribution, to tht uni\ er­ it, communit ,er an e tcnded period of time or for a ingle, trul) rem,ukablc 1..,ireer." fter gr, duating from medkal Lhool, . likh Lomplcted hi, int rn­ hip and rt,idtn yin general sur 'Cl) at the Buffalo (,enaal l lo pita!, thl.:'n n d for t\,o ,ear a a urg on (IC DR) at 1hc l'nitcd tatc • a,al H pita! in Quant, o, \ irginia. In 1975, Mikh began ,rnrking in the prhatc pr,1uiu• of general .md ,a 1..ular urg1..'f')at the Buffalo 1cdi.,I <,roup. In 197/l, heh 1..,1m1..• the ftr I medi'-al diredor of I lo pk1..• Buffalo, a , oluntccr po,itil n he held until 19 4. in e 19 0 he ha been the dire tor ol th P.11liati, .ire l nit of the Buffalo (,eneral Ho pita), and in 1997 bee.am the dire tor of thr Pal- �liati\l.: Care ( onsultation <.:r.iu? of th K.ilrida lkalth tem. In 1993 h<.:left prirnte pradile to bclomc the mcdi al dire tor for the ( enter for H pi and Palliathe .ire. likh has had a falUlt) appoint­ llll'llt at thl· UB ,hool of ~kJiline .ind Biomedi al 1en e inle 1975, and he lUrrently holds th<.:ranks of profc or of dini­ l al urger and adjunl"t a . Oli,lte linkal professor offamil) medi ine. He hold, nu merou tealhing , ,,.ud and other it,llion , 111 luding: The Lifetime chie\l'lllcnt ,\ward from ( hildren', Ho. pi e lntern,1tional (l 99~ ), fhe Chandra )ut tanding < lini.:al Te,1 ·her Award from the lJB l>epart­ m ntof urgery(in 19,9and 1991), and th Robert •. Berk on 1emorial ward for , oluntcer facult • l' lei len in tea hing. Fcllm, of the merilan oil ge of urgcon , tikh er. e on the Pal­ liati, e C.ue Consensu uidclines Pan I of the 'ational anlerCenter 'ct,,ork, the Ethi ( ommittce of the Kai ida I lcalth ) stem ,rnd the E:.ri Counl\ 1 d1 al olit't). He \\,1 a founding offi er of the , c,, \ ork tat Canler .111dAID Pain lnitiati,e ,rnd i o hair of the ational urg1cal Palliative ar \\ orkgroup of th Robert \\ ood John on lmpro"ing are at the End of-Life Initiati\e. RobertE.Kaplan , MD'81 HEROBERI .BI::.RK0 1·,110,~lemorialAward in the rt of 0tlcdicine i - presented annuallv to a member of the \ olunteer facultv to hon;r the Dr. Berk on, value and ideal epitomized who,, as an e teemed family phy ician in Buffalo. Patient care was his forte; competence, compas ion, patience and dedication to teaching were his virtues. Hi pecial e.·pcrti e in the "art of mediune" i pt:r petuated in this award. b;· This rear ' award \\as present d to Robert E. K. plan , MD ',' I , b · Patricia K. Duffnrr,, ID ' 72, pre idcnt of thc UB ~kdical Alumn i A so<"ia­ llon , on pril 26 at Spring lini al D,n·. followmg graduation from thr nivcrsi ty at Buffalo School of , kJ11.ine and Bio1mdic, l c1cnces, Kaplan trained m pediatric. ,ll the hildren ' Ho pita) ofRuffalo (CHOB ). He then entered a fcllow hip at CHOB in hild neurologv for thret· war, during whid1 time he wrote an important article :;n benign fa;nili, 1; neonata l/infantile eizure , accordmg to Duffncr . " Boh ,,a ,lll out landing hil<l ncurologv re idtnt," he e plamrd, "hut when he completed his fellowship, he decided that ht' ,rnnted to return to hi fir t low , primarr pl·Jiatric and , ince that tim , has bcen m ,1Ctne prhatc pral"tice a a mrmberofthe Buffalo Pediatric i\ssoc1,1tes." '[ hroughout thc yrar , Kaplan ha wntinucd hi interest in r<.:earch , and currentl y he is wnducting a tud on ,cnous throrn ­ boembolism prophyl axis using elcctrllal stimulation . He ha, ho ,, ritten a paper , publi hed in Prduitric:, on telephone tre,ltment for ret urrcnt nursemaid ' clbm ·, and ha ,, ritten a hook, titled Parent ' Emcrgencr .\fedzcnlG111d c. ".\lost important, howe, er, and th<.:re,1son he wa <..hosenfor this p C.E 17 11mmer ZOOJ 1111,11 Plpiclu 9 �Ralph Behling, MD '43, looks back at a career of "firsts" ----------- ,,,__ In Ste ________. If anyon had told him back th n that hi childhood and youn to be notabl dventure It ju t didn't em "fountaineer''-a adulthood wer , Ralph T. B hlin , MD '43, would hav II that unusu I, he demurred. y , to work 14 hours I kefront dance hall n sod j rk-at destined day in the umm r r Buff lo, th n spend th chool ye r in South Florida. Plowin through omethin Admini on chool in thr e ye rs in t medical did; there was tering th ju t war on, you know. fir t injection available, and syphilis was wid And introducing th d of four? That wa of nicillin pr ad. It didn't Pap t Th In Buffalo? m momentous dru wa newly at the time. t to th western Un"ted State ? W I , if h h patho ogists into o'ng to d getting th ju wh r uired. If ever a career intersected with medical milestones of the mid-20th century, it was Behling's, even if it didn't seem remarkable to him at the time. Today, however, when one asks Behling about his early years in medicine, a new perspective arises-one that recasts his then-mundane historic proportions that he only now finds worthy of recounting. experiences into But first, the soda-jerk years. Behling's H parents ran Hamburg-on-the-Lake, a dance hall on Lake Erie south of Buffalo. During the summers, he worked there from 1 O in the morning until 2 the next morning, concocting "milkshakes with eggs and malt and whatnot" for the city dwellers who came to the resort to kick up their heels. "We'd sit around and listen to the bands from Chicago on the radio-Jimmy Dorsey, Tommy Dorsey, Shep Fields. Next morning I'd get up and start washing dishes," he says. 10 1,11a1, nysiciae \ummt't 2001 ��He also cut the lawn nee a week-four acres' worth. And a the per n re pon ibl for taking out the trash, he learned to loathe watermelon (a trash an full of watermelon rinds is a heavy one). "I al o learned to hate hard­ boiled eggs," he ays. "If you'd picked up a· many egg.hell a I did, vou'd learn to feel the ·ame way." But health concern made the future do tor un­ able to endure\ e tern I ew York' tough winter . "My father and I were both ickly," Behling recalls. "He had a thma, and I wa · a puny kid." oat the end of each i.ummcr, the family pi ked up and moved to Lake \'l'orth, Florida. The seed of an interest in medi inc were planted when Behling\ parent· bought a Buffalo drug tore and he went to the niversity of Buffalo's pharmacy school-then an undergraduate pro­ gram- o he c uld \ ork in the tore. \ ith a ba helor' degree in pharmacy, he launched right into UB's medi al school in 1940. The government wa · in a hurry to get do tors trained for the war effort, so the four-year program wa. queezed into three. After graduating, Behling wa delared "e ential" on the home front, o he tayed in Buffalo for his intern ·hip and residen y training. It was during his intern hip at Buffalo General Hospital-where he worked "for ab1oolutelyno pay"-that he wa introduced to a new won­ der drug, penicillin. "It was a powder in those day ," he re all . "Y u had to mi · one dose at a time under terile onditions with rubber gloves and then give it to the patient." It al o had to be administered every four hour -. But it worked, and that was important, gi\·en that syphilis and other venereal diseases were rampant in rie ounty. Behling worked hard as an intern, but when he became a resident at E. J. Meyer Memorial Ho pital (now Erie ounty Medical enter), he had to put his life into over­ drive 16 hour a day. ', 11 111 m ,• r }. 0 ti J Be ides treating patients and teaching enior medical tudent in the ho pital's Varicose Vein Clini and yphilis linic, he treated patient· in the outpatient Dermatology linic, and onsulted ever other night on all dermatology patient forrhe 1,000-bed ho. pita I. "I had o much to do," he ays, "I would ·tart a spinal on one patient, let the nur e collect the fluid and tart an ther spinal at the next table. l was busy, man. I have no idea how many patient I aw in a da>•·" The pre iou penicillin had to be kept under lock and ke '· "I need d it," he ·ay . "Th arthritic guys and \ hat­ not all wanted it but, tough, I needed it for my yphili patients." It was at E. ). Meyer that Behling met his future wife Rita, who was head nurse on the hospital's psychiatric ward." he wa the econd-prettie t nur e in the ho pital," he re all . "A friend f mine was dating the prettie t." But the pa e of the residency finally got to him. He went to his bo ·- a powerful dermatology profe or­ and pleaded exlrnustion. He needed to be omewhere el e. The pr fes r called the ., . urgeon general, and the next tage ofBehling's areer began with the Publi Health ervice (PH,). He moved to Bethe da, aryland, rented a room,. nd began working to eliminate disea e outbreaks, meanwhile flying back to Buffalo nearly every weekend to ee Rita,\ ho was still w rking at E. J. !eyer. Publi -health work metimes means being a one-man medi al S\\! AT team. A fi w month after he joined the PH , Behling was ent to Elkhart, Indiana, to deal with an out­ break of ringworm of the ·calp. T\ o thou and children in the late were infe ted and the ·chool · were decimated. "Kid were paying another kid 50 cent to borrow hi cap o they could get it and stay out of chool," he ay . The infe tation al ·o wa being pread in the front-row seat of movie theaters, when young moviegoer put their head on the ba k of the eats to look up at the reen. It wa a me s. Behling et up a linic in ea h chool and howed th children's moth r how to pull out the infected hair that had been detected u ing ultraviolet light. He also in tructed mother that the children' head hould be washed every morning before they went to ·chool. "They were all ure their kids were going to catch pneu­ monia," he says, "but I had already received a tatement from the I cal pediatricians that this wouldn't happen." He spent six month in Indiana and pers nally aw at lea t 1,000 patients. But at la t the outbreak wa · con­ trolled. "l wa a real hero with the mother ," Behling . ay . "J didn't have t buy very many dinners, and I g t �"You had t n1i, one do e [of penicillin] at a time under terile c ndition with rubber glove and then gi it to the patient." It al o had to be ad111in­ istered every four hour . But it worked, and that wa in1portant, given that yphili · and other v nereal di a e were ran1pant in Erie County. to go to all the ba ketball and football gam for free. In Indiana, that'· a big deal." Back in Maryland, Behling took n hi next a ·sign­ ment: can er ontrol. ongress, in a remarkable plurge, had allocated 14 million for can er ontrol and educa­ tion. Behling was one of a dozen PH worker cho en for the grant . His hare wa · I million, although, he ay , "I don't think I pent more than 400,000." Hi· charge was to ·et up tumor clini that would t t different treatment proto ol , with the goal of standardiz­ ing ancer treatment nationwide. He went to alifornia, where, among other prnje ts, he managed a comprehen­ sive can er urvey of an Fran i c and Oakland and tarted tumor clini in ma.ior ho pitals that, ideally, were clo e to medical chool in the western nited tate ·. It wa in that ontext that he introduced the Pap smear-now the gold tandard for dete ting and preventing cenical and uterine can er. The test was ju t coming into wider u. e in the Ea t, Behling ay , but doctor in the\ e t re ·i ted it. "In those day , it wa s rt of provincial out here," he ay from hi , an \1ateo, alifornia, home. "If it didn't ome from the We t, it couldn't be much good." First he had to get pathologi t trained to read the lide that the test produced. He found two likely candidate , and ver a wine-and-dine meeting-mo·tlywine,hesays on piratoriaJly­ he per uaded them to train for the pro edure back East with eorge Papanicolaou, MD, inventor of the Pap te t. 1ext he had to per uade d tor to use the te t. "I wa · really pu hing the Pap mear," Behling ay . "Talk, talk, talk, talk. It wa easy, on e I got omebody trained to read the slide . I'm a pretty good talker. And I wa a big shot from out of town, had an atta he a e and I million for anccr control.'' The te t became a tandard procedure. Behling till ha· a pi ture of Dr. Papanicolaou-with whom he rre ponded but newr met-on hi office wall. When the government asked him to return to Bethe da, Behling decided that alifornia wa where he wanted to tay. In 1950, he resigned from the PH to begin a private practi e in dermatology and to teach at the lJniver ity of alifornia/ an Franci o ch ol of ~ledi ine. He aL o ran the an Mate County venereal disease clinic for many year . After retiring from medi ine in 1984, Behling be ame involved in the real e tate business, managing mo tly commer ial propertie. Hi wife, Rita, died in 1997, and he married Eileen in 1999. Between them, they ha\'e I 0 hildren, all over 40 . Hi civi contributions include the Kiwani lub ("32 year f perfect attendan e," he boa t ), the Ma ons and the Chamber of ommerce. He i n the board of the lo al alvation Army, ing · in a barbersh p quartet and i a tenor in hi hurch choir. 'Tm bus}'," he ay . But lightly le s bu y, perhap , than tho c overdri e year· 3,000 mile a\ ay and half a lifetime ago. Chofce EmployeeBenefitsGroup LLC Specialized Products & Services For Group Medical Practices Howard N. Silverstein, CIC (716) 6 1-5033 • v II Free: 77-552-150 e-mail: h @choice,lbenefits.c m web: www.choice-lb n fit .com 6633 ain tre t • William \'ille, "'""'~' ew York 1-1221 2001 l 1lf a l1 H pi c i �'.\1 ED I C C\L H O O L lake Note Personaldigital assistantsenter medicalschool I 0 1 ER DO acade ic year was the aim 515. which first·year st e ts were a le to purchase alt at incl ded t e Pal , a protectiv tal car· rylng case and a sec rity encry tloo ro· gra . Eachs ring, staff in th dical Co ffic ti g will valuate new Dis end whichmodelthe Incoming class sho Idpurchase. Withthe rapidrate at whrc th device a d ap lications ar c angl g, it is estimate t at st dent will wantt t4 1 ,11, 1, p radet ir P ls everytwoyears. n ,sicia ■ \11mm,~r lOOJ rr ove ov r, Stedman' s.Make way, etter's.At the niv r ity at Buffalo chool of Medicine and Biom dical cienc , incoming m dical tu­ d nt areadding omethingn w-andhigh-tech­ to th ir li t of mu t-hav chool suppli : a p r onal digital a si tant, more commonly known a a PD During the 2002-03 acadcmi year, the school began requiring all firs t-year stu ­ dent to report for class with one of the palm-s1zed,computer - ompatibleorganiz ­ ers . tarting in the fall of 2003, students in all four dasses will be expected to own one. The PDA mandate comes at a time when rapidly growing number of health-care profc. sionals are u ing the de\'i es to access patient data, lab re ults, medi al rcferen c re­ sources and drug guidelines, all ,11the point of c.are. tudents are f, llowing suit, purchas­ ing the sleek little de\'ices to replace hand­ written "cheat heets," dog-cared rcferen e guide and other con\'entional, and some ­ times cumbersome, learning materials. "Quite hone ti}, we probablv didn't have to require PDAs of students because �they were going to have them anyway," ay Ray Dannenhoffer, PhD, asso iate dean for support en-ices and dire tor of medical computing. "This tool is ju t too powerful not to be completely embedded in how medicine is practiced." UB' policy regarding PD stem from it mandate to train tudent to be­ come the mo t proficient and efficient practitioners of tomorrow. A the PDA become pervasive in hospital and clinic , Dannenhoffer and others ee it as their duty to teach tudents to u e the te hnol­ ogy effectively and wi ely. "In thi · age, having information, and the technology to obtain that informa­ tion, at your fingertip. is becoming tandard pra tice," ob erve largaret Paro ki, MD ' 0, interim dean of the chool of ~Iedicine and Biomedi al ci­ ences and vice pre ident for health ,1ffoir at UB. "Rapid access to information at the bed ide make a big difference in the quality of patient are. Clearly, PD ~ of­ fer significant advantages in medicine, and we wanted ur tudents to be at the forefront of thi · technology." \\ hile ·ome at the medical hool quickly recognized the PDA as a powerful learning and teaching tool, ir \\a n't im­ mediately clear how the handheld device could be incorporated into the curricu­ lum. That ta k fell to t,,fichael Blumen on, enior LAN analyst and the school' man­ ager of wireles · appli ation . To Blumen · n, supporting tudent use of the PDA entail much more than re ommending a parti ular model and letting new u er fumble through it ap­ plicati n on the fly. Instead, the school is doing evef)1hing from ho ting training . ion -joking( · referred to as the "PD ;..t· • •H unit"­ to creating de troni calendar· for cour e and ·ch ol e,·ent and oftware that con­ nects third-year tudent · with their clerk­ ship director· during rotation . "We're trying to make the tran ition to handheld computing vef)· imple for the student," Blumen on ay . "\\'e're not only helping them in tall application , but for the absolute neoph}1e who are cared of the thing, we're an wering ba ic question about how to use it. We have a respon ibilitv to help them be omfi rtable with thi tech­ nology before they leave here." This flexible and hand -on approach is ju t what's needed if the device are to be effi tivelyintegrated, according to fir I-year student Brian eubauer, who say that the re ponsc among his cla mates to the PD ~ ha been mi.xed. " ome people use them every day and take ad,·antage of all a peel of the Palm, like the univer ity- pon ored alendar, clinical program , and ·o on. Oth­ ers, I dare . a), an not navigate much past turning it on," he ·ay . "I do feel that they arc a good ide,1, and that they urelywill be an integral part of medicine now and in the future," 'eubauer add . "But there need· to be a tronger effort to mak ure that all v.; tudent · are adept at their u c. Given what I've _c n, I'm confi­ dent that, in time, thi will be achieved." doing in the future, ·o I ·hould get myself u ed to u ing it a oon a po 'ible." Hoffmann estimates that at lea ·t 75 per­ ent ofhi third-year la own a PD . "You u ed to ee students arrying around the . e huge reference books and p ket guide that didn't really fit in their p k t . Or they would have Lorun to the library and lo k everything up. But thi i o com pa t and ·o much ea ier than a book that it' unbelievable. I'm looking forward to u ing mine more and more." Throughout hi third-year rotation·, Hoffmann estimate. that he relied on hi PDA anywhere from five to 30 times a day, referring primarily to ePo rates Rx, the clinical drug referen e program that on­ lain medical information on more than here a Kouo, la· of 2003, and Ja on Hoffmann la · of 2004, both pur­ cha ed PDA before their third year of medi al school-and well before they were required. "I thought it\\" uld b mu h more con­ venient to have resource available on a Palm rather than ha\ ing to can,· several pocketbooks around when on the wards," a , · Kouo. "J also thought that u ing a PD would be omething that I would be 1,600 medication., including dosing, contraindications and drug interactions. During hi· pediatri · rotation, Hoffmann purchased the 5-Minute Pediatric on­ ult, a software ver ion of the fa I-access refercn e of ondition ecn in infant , children and adolescent . "You feel intimidated when you're third-year tudent," Hoffmann note . "You're in a different etting every even weeks, and once you feel omfortable and n t nly h lping th 1n m tall appli ati n , but b r the , ho ar b lut thing, , re an­ d ering ba ic que ti n ab ut . , ho, to u It. ummer 200J 1111111 nysici11 15 �E D I L C C H O O L l \I observing, assist mg r performing." Linda Pes ar, \1D, profes or of linical p. r hiatl"} and director of medical student cdu ation in psychiatry, i the first clerkship director to field-test the ·s~tobile~kd and the Patient Encounter. he de cribe · the software as "excellent." ing it, he\ able to keep in regular contact with student and immediately address con ems thev, or stabll', you'rl' put in a new dini . It\ nice to know that with the PDA you ha\'e all these resoun:es at your fingertips." In addition to software they bur or download for free, students are also ben­ efiting from pedagogi al program that UB has tailor-made for their need . The team­ work of Blumenson and medical mput­ ing programmer .\1ark S hneggenburger u 'r n t training m dical pra tic today 1n dicin ' re training 1nedi tud nt t b abl t pra ti th 1n dicin f fi e nd IOy ar fr 111n ' Senior UNanalyst Michael llumenson . /eft, isrespon· sibleforteachinf students howtousethePOAs . Heis pictured herewiththird-year student JasonHoffmann . she, may have about their rotation. "One of the tasks of the course direc­ tor is to keep track of the tudent:,,' expo­ sure to different patient diagnoses and treatment modalities," says Pe sar. "But with the paper system we oftrn found ourselves behind the eight ball. We'd get the information fr m students in the middle of the rotation, and at the end. "\ ith the PDA Patient r.ncounter, I can know as frequently as I wi h what the students arc being exposed to, and I ha\'e the capacit} to interYene on their behalf to enrich their learning experience." Pessar add· that the Patient Encoun­ ter rncreases both the flm\ and the qu,1lity of communi ation between in­ tru tor and tudent. has re ulted in the B 1obileMed applica­ tion. One facet of this program helps stu­ dent during 1heirclinical rotations. Known as the Patient Encounter, it allows them to jot down patient information on their PD and send the electronic reports to their clerkship dircLlor, ia the Internet. "With the Patient Encounter, medical student quick)~-capture the c encc of the patient they're seeing," e. plain Blumcmon, who adds that ,,II the information revealed complies with the privacy rcquiremenh of the Health lmurance Portability and -\c­ countability Act. 'They can re ord ethni­ city, gender, what hospital they're working at and the attending they're working with; thev also capture what diagnoses they're exposed to and what procedures they're 16 1111111 nrs1c111 \umm, • r lO(J J "There is a note section on the Patient En ounter in which I have asked my stu­ dents to tell me interesting aspeLls of the ca e. What this means is that on a day-to­ day ba is I ha, e the ability to comment on Ill) tudent ' patient . "I can ay-as I have said-This is a very interesting point. I know there is a review article on the subject. If you're tn­ tere ted, why don't you look it up?' Or, 'Tell me something about the patient's history that leads you to this differential diagnosi .' r, 'This is reall} fa cinating. It' aca elikethisthatgotmeintopsychia­ try.' It allows me to have a mu,h more in­ timate encounter with the "tudcnt · than I would if I interacted with them in a group of 15 or 16." Beyond the Patient Encounter, both Blumen on and chneggenburger have completed or arc developing a number of PDA applications for use in ide of B 1obile~led and the medical school curriculum. They include: A calendar for school and cour e event as well as a student'· personal appoint­ ment . "If you really want nc integrated alcndar with rour whole life on it, you an use it that way," Blumenson say·. A task Ii t to help student organize and prioritize. Instructor , e retarie and administrator. an publish all sorts of information t the task list; for example, a reminder for fourth-year students to purchase their aps and gown , or for small group· creating custom a ign­ ments for one another. An de tronic . un·cr tool that would make obsolete the pencil-and-paper sun·eys students are frequentlv a ked to fill out during their medical school edu­ cation. Electr nil surwy would re ult in increased response rates, according to Blumenson, and a dramatic savings for the school. �• Additionally, the medicalcomputing taff has initiated a sy tern that allow tudents to tay in constant contact with the school when they're tationed at area hospital·. The traditional method of end ing and receiving information on a PDA requires a cradle attached to a personal computer. Using infrared technology, however, B tudents , resident and faculty can trans­ mit that information directly to the medi­ cal school without relying on either piece of hardware. "The impli ati n are ignificant," Blumen on ay . "We are giving rem te tudents the ' onduit' to ·end almost real­ time data to the chool. Likewise, the school can send imp rtant updates to the remote tudent and know th at enhancement and chedule change will be seen and read in a timely fa hion." Among everyone invo lved , there'· a en e of excitement about the PDA under ­ taking. fter all, B is blazing a trail to­ ward a ignificant and, ome would say, inevitable, development in medical hool educat ion. Dannenhoffer, who ha re­ ·earched the matter, estimate that only 15 to 20 percent of medical chool nation­ , ide have created an infrastructure to for­ mally upport student ' use of the P "We're not training medical tudent to practice today's medi ine; we're train ­ ing medical tud ent to be able to practice the medicine of five and 10 year from now, " he concludes. "If anyone thinks that in five or IO year ome kind of handheld reference devi ce is not going to be an ab olutely irreplaceable part of hO\ medicine is practiced, they're just mi ing something." C!i> For more i11for111atio11 011 tlie use of per­ sonal digital assistants at the University at Buffalo c/1001of Medicine and Bio111cdic11/ cie11ces,visit the Office of Medical Com­ puting's Web site at: www.s111bs.b11fjalo.ed11lpda/. "Come Discover What My Mom Has Found!" - t fi,,rcm.C7ti1/II • B autiful private 1 & 2 bedroom apartmen • 3 meal ' a day in elegant dining room • W kly housekeeping • • Activitie' program • Hair alon, on-si bank, library. billiard - Come Home to Amberleigh • A~~~~£J.!it 2330 Maple Road, William ville For a free bro ·hure or personal tour. call 689-4555 award, are hi c ntribution to medi ­ cal education," ·aid Duffn r. In addition to acting a pre eptor for enior pediatric re idents and a a mentor for first -year medical ·tu­ d nt , Kaplan ha volunteered at the Hodge Pediatric Clinic continuou ly ince 1996, teaching students and re ident the art of pediatric . "Re­ views of his tea hing have been uni­ formly out randing," Duffner noted. "It i lear that with the change in medicine today, e pecially the reduc- , ,4mm tion in the number of inpatients, we at the medi al chool mu t improve our ability to teach in the outpatient ar na. To do this, we must call upon our , oluntccr facultv to help teach our ·tudents and re ident , omc ­ thing Bob has been doing for the la t seven years. The Berk. on Award is for excellence in teaching the art of medicine by a member of the rnlun ­ teer faculty. urcly, we could not have cho en a more de erving indi,idual than Robert E. Kaplan." C!i> ,·r 20 0 1 I 11111, n ysic i 1, 17 �\f I ll I C \ L C H O O L E \\ S JillMarie Albrecht ·Pawlowski Regine lruny (NRMP) resultswereannounced onMarch 20byN ncyNielsen. PhD. MD '76,interim SL, \' AI Hi.;1 fALO (;RAlll n seniorassociate deanformedical education intheUniversity at Buffalo School of \I( lllf"AI 1)1 '-' I AL i:Jll'CA I Ill'-' ( ""'OR'I ll \I 'Bt:H.HO, 'Y Medicine andBiomedical Sciences. "Itwasa creatday!"saysNielsen . "Ourstudentsmatched wonderfully. andwe PierreSayed Aoukar areenormously proudofthem." According totheNRMP . therewere23.965 activeapplicants inthe2003match. Lh;i v I R, 1 1 ,. o I Ro, 1n, 1 L R/ Roc11r, JR,.·, over500morepanicipants thanlastyear. A.laker Dataprovided byeachyear's residency matchservesasasnapshot ofcareer April interestsamonc medical schoolcraduates . ThefollowinC arespecialty highlights CIRJH StlORI l,,J\IRSIT\ forthisyear: reponedbytheNRMP JiO,PiTAt/ •• , L 'iutn<ll (1 \lBERI .\lrrun /f\\ "H ,111,.,Co111t,1 I AT !oN<, \Ii !Ivor ·1" OF htA'-l> R/ 1:'<11 lll<'AL PARi-,.'Y lrandylethBryden L\J!), J-ROBIRI \\oon 1011;.so, \It ll JLAI St IICHll/ r,.;t\\' '""'<.:'-,.'I BRl C arltoaKuhn lyun ()I \11 experiencedfewer 115 matches thanlastyear. withafillrateof Family practice 76.3percent. U.S. seniorsfilled42percentofthefamily practice positions offered . down from47.2percentin2002. Theoverall fillrateforinternal medicine was95.1percent. upslightly fromlast year.U.S.seniorsfilled55.2percentoftheinternalmedicine positions offered in thematch . a decrease from58.7percentin2002. Pediatrics continued itsfive·year trendofplacing morepositions inthematch andexperienced anoverall 93.8percentfillratefor2003 . Surcery increased itsoverall fillratefrom9U percentlastyearto99percent in2003 . Thisyear,U.S .seniors filled82.7percentofPGY·1 surcery positions. upfrom 75.3percentin2002. Anesthesiology experienced a fillrateof96.3percentforits PGY-1 positions . with40morematches thanlastyear.Italsoexperienced a 95.6percentfillratefor PGH(second·year residency) positions. Diagnostic radiology PGY ·1positions filledatarateof97.8percent. compared to 94.7percentin2002.TherateforU.S.seniorsmatching intopathology positions increased from49.7percentin2002to59.8 percentin2003. lltCl'-1 \(,. H.\S,J I, ')' ,RAOl Joy 'EIlurnadett lallard ( s,. I Ho,r11 Rm ;'-.(() Guy JosephCappucc ino or Ron11,11RI R, \;)' 111,11 lrianlobenlennett ll ·1vF Ronlt Rst 1, "I 01 Roc111, r1 RI ,\I Bl Rl T111 BRo ·x. rw,· 1>,0II 11,·11A Ho,P1TAI n, You:,.') IRSHY IIRO\v hlltCAL-l>t IIAIO TAI ( o,soRtll•.,1/Ht•H '<C J , RI 1.,1/ T Dav idJonathan Brauer SL Y AT lit 11 RIA'­ I\ I RSI I y/ , l'RO\'llll 01 Co""1crtc ( ·y Karen Chi-Lynn Chan l'Rl SIIYTI RIA" I AL (COR'-111 'OR" l·ARMl'-GlON, 01 )/ (COR'-1!11 ·1\, YoRi.;,,'Y (A\lrl, LJ,t\ OL LH,> PFIORI , ·1 \\ YoRi.; l'Rlsu, Uizabetb Laetitia lourlce N, \\ I. (\I0'-1 Fnt'<nA­ JamesWillialoyle l c i 11 I l"STI \lfDIC:1;.i ·n ( 11,11 Ctl\'llA C\\tPt;, 11tta l 1 nys Anrelo Michael Caprarella ·y R, Roben A. lermel Ho,PI 18 ·y ) ORJ.; ;\J f llll AL COi LI t; H A I \\'1 STUii s rHR ;\Ji Ill< Al (' '-HRl\'AtllAILA, ,•y , 'bW SunilK marlansal L '-'l\'FR"1v . ATl­ .\TIU'< lh111.tnRI/ I 01 11.u 11\IORI, lll( 10,, GRAOl AlbenHeng-YaoChanr All· IIl flllJ<.:ATHl \lo,. Y Pierreloukar , /eh, cele rateswit An£elo Cararena. ritf,t.Aokaris eade•tot e Univrsityoflochesterand Caprarella, ta AlbenEinsteia Collere ofMedicine . ,111 ·1, F'-TFR/1 HosPtlAt L l ,111 '(,,, \Ii 'Y 1>JCAI �Rebecca Dwyer learns shewilltrainin family med icineatLoslngeles County­ Harbor-UCU Medical Cente r. CraigHorbinsk i isecstatic tolearnthataher year,bewilltrainin completinc atransitional ophthaloloCY attheMayo Clinic . ScottRobert Darling Hos Pl! Al BRoo"n $ KitlingCheng I 8t,FFAl.O BROO"I y OF P• , ,v1 Sl\'ERSl'I PA PHILADELPHIA, """Al c, '-'HR \''-,. FR/ Dionne Dillon ,'C 1n 1 r R or PA RGH, Lisa Ann Dos Santos YORK PRESD\'TI HosP!TAI ((OR'-iHI (A\lns)\N1-w Michelle Lynn Clark y _·i; • 10 Adam Jonathan Cohen AT TO"' , BRoo ·u, 'Y F1s,n1N AT BnH \ IEDl<.AI FGE Of hRAfL CE.'TFR, E\ , Yo11"-, Los 'Y A'<;F1 UCLA F' ou:- MLDIU,L TORRAli<.E, CA EoucATIO'­ l '1/BUHAL0, y Daniel Maurice Cotter Y Al Bu, ,Nl\'l'l<SITY HOSPITALS Of Cn,·H.A"DICAsF \\ 'os1 '"" RFs~Rv> "''ERs1n/ C11VFIA'll,OH ERL, Co-.;soRTIU\1/BunALO, Enu:.ATIO'­ '-JY l\Y AT Bt: FPAI o GRADUA rE ;\lF!>ICAt-D~"TAl fnt:cATION Co,-.s0RTltlM/Bu , HO, ·y Y Al RLII ! ALO GRAlll ATE ,\IEDl<.AL-DE ·1A1 Eotc ,t1os NY A 110, ..;y I ALO, ,_., t.Rsll'Y CATIO" n,. ·y OF :SORTH , ,.,CHAPH H1u, J'o:C Corey Adam Gilbert HO\\ARD ' '< l\'ERSJT\/ WASHl"GTO '- , DC Christina Therese Graczyk Andrew M.Freeman Sl, ·,oRnU'1/8uFFALO, Bn 'YArBtnA10GR,ot'.\1l C.,1<ou Peter Jonathan Frederick SUN) AT 8UFFAL0GRADl'A1E !'.IF Dlt:At-Dt "TAI EDlJCATIO Co,;soRTJt,M BUFFALO, '\ FAL0 GRADUATF ),.flDl<.AI-DE,-.TAL Co PRFSB\'l Ho,PITAL (CoR. ELL AM Pl s)\NE\\ YORK,,')' Lisa Estelle Esler -Brauer SU YORK " \ !FOICAL-Df' , TU fD o , ,oRTJl , 1/Bt rFAI BUc!ALOGll\l)l'\Tl· M1-01<.AL-Dt·TAt Co,soRTI SL Melissa Marie Franckowiak NEW GRADU.HI , T.u Lon ATIO E:-HR/ Samantha Elaine Easley NY AT BtlFAIO \1 1 0, '\Y Co,soRTILM1Bt:HA 1 Y-HARDOR­ SY AI0, Peterson Fortunato Giallanza .. Lo G11Anl'ATr E0t,< futcA-r10, tuMIBuH o , ,01<rn Cou Danielle Marcene Conley s AT Bun 1'lEDl('AL-DENlAL Rebecca Louise Dwyer ALBERT Mtoa·1,t l h,rAt ·,01t1 t:.) BaooK/ Y , ·y BtH,10(,RAIHAH .\IEDICAL-DE Dawid James Flint ),.I, 1)1(.Al HA\'>'-', T r1 RIA LisaAnn Gelman Bu, >ALO GR,nt:An MLDl<.AI -DE,TAL En <.A no. Co-.; s 0RTI L. \l , Bui I ALO, 'Y IIA\'E'- \ltw Co. SU Y" "lY Patricia Dramit inos CE,TtR, SU Y AT RIA, YORK, RY (COR.'!11 E\\ YoRt-., Julie Ann Ga.in SU 'Y AT llLFHlOGRADlAll ;\(FDl(.AJ-DE 'TAI [OllAllO o,;s0RTll ,1/Bl'f.FAL0, :\Y lairfishkin i\F\\ PR! YoRK \l rn1cA1- ,\!A ),.!A , HOSPITAi A\tPt:s Christopher first Michael Cf. ..,1, tR,1 rv HUAI lH P11not R<,HIP1nsRt )\[\\ :\'Y SeanGmin PA PHIA, Melanie RaeFiorella Laura Anne Cinsk i YALl. 0LU \ 1BIA '>:[ \\ YORK, EYE H os Pl I ALI PHILADII l,M\FRSlrl/Dt1RllA'1, Dtld BtTH 1'RA11. lhAco,ass ),.IEDICAL Cr• HR/Bos10S, tRIA" PRf\llYl ( U,;rnRSJT\ OF Roct1Fstr11/ Ro<H! 11R,,· , rl Y E R/Bo-ro,, YORK Ho S PITH CHI Pl' ·y KSOS Danielle Marie Dorsaneo Cnn ' 'E,, • ·1 \\ Da,id Robert Fintak \\'1u, Michae l Waliaula Chilungu ),.!1 Dll'AI • n, YoRK PRESB\TERIA HosP11 Al ( 01 l \IBIA CH1Pt:s)\, Y ORK,. lryanCarcano 1\'l RSI I\' OF />IIA\11-)M />h,\IORIAI ,\lHlllt:AI (tSl \IIA\11, HIAL TH SCH'<.l- GRADLATf 1At Fnl't:AT10, M Bt•1 1 ALO, NY ll Thomas Jungw anChi \T BROOKL\''- A Nathalie Dap in 0RlH HORfl"l\tRSITY Hos Pl I AL N Y ( HOOi or MHHt:l,r/\lA S HASSI r, 'lY SUN\ :,.:) ),.l101cA1-th, Co,,0R11t Esme Finlay SL' y , 'EWE. BRow, PRO\ IDE '(.[, RI Allred Thomas Frontera Jr. .H Bt'HALO \htHCAL-D£"TAl ,u,.,oRnt•M/RuH GIA D ),.1fo1cA1 F '<TER/Tl'FT. BoSTo,, \ 1A U,;1VERS1H/ l''1\'ERSl1 y/ David Michael Gray GRAl)lTAlE Ein•c,1 Ato, r10, OF\ "\'EIISIT\' 'Y Bt RI 1'G ro,. \ummrr 200~ ER\10 ,; T/ \'T l 1ffal1 Plys i c i u 19 �M E D C Maureen Anne Grossi ,\I Bl RI \I, l'F 1)1( THI H O ( 11-iTI R/C,IURGI L ' ( 01 l lld fp,;~'fll C L BRO ' Of (SAN o, R\trY ,)A1lln1A10(,RAOlAT1 to LAI II ORNIA l>nc;o)'SAN CA Drrt,o, s I\ DC 1,10N, ,\lro1cA1-D1,.iA1 l\'I t. \\"A,ui,,Gro, ·1nR,1n'\\'A,111. s Matthew Esreir Guest l, L Justin Chandler ltanaley 'Y '. O I 1n Aflt1" ,0RrllM/l\uHA10,,'Y Sara Ileneltaprove Kenneth G.Halliwell !\HIii hRAIL l>JAtll'-1" .\I 11111 Al Cr, l IR/Bo, SL~) Al B ltAIO GRADl/All ;\11 Ill( AL-Df. l Al f l>l C l JO. Co,,oRTIU\1/8 Daniel Kan NY 1 IAl(I, .\I.\ I ON, Kimberley llose Leonari Howard Hao \IRIRTEr, lll'COIIIGHOI .\111111'1'1~ Al )1w1,11 \1 l>l<AI \/1 W lh"IH l.O (I, y \l, Al Bl I JAi() Mr 1>1cA1-D1,1A1 Dorothy Helen Hedricks ( O'-'SORTI At ( 1 NTI II ') AT A1'D 'n, or. Yo11r../ Natasha Susan Manes C,RAJH!ATI fnt·t '1/B CottH,I HosPl1AI 't \\' YORK, RI Emily Li ANO 'Y PARK, \ho, U!Sl\'~RSIH/ l'ROVIDt. Frances Melinda llno1 I, I\I C.E TIR/ 1', S1. 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Sr \tNt.t \Ir 011 At • I\\ Craic Michael Horbinski 'All.OH , \1 \ \lflll<Al C"Oll[Gt, Marco K. McKenna r',ll<>PllAIANll Ca. 11 R 01 w , ·• YoRi-/ S A I ST ON\ , ') K ' l O, y Y 811ooi.;, YORK,.'\' 8 R 00 MaraKathleen Linscott Lawanda BaieLamar BR11;HAM /\NI> \\'0.11, R<,Y 'il,,'\'ArlkF1A10 llo,pn Al 01 11L·111a1/1'111so1 \J,.,o R<,11, <..11. Jl 'Roe Pr 11,- t\h.DICAI I',\ 111 ,11 ,R,.r> (;o,;,oR ,11 LIH't ' ATI01' 1)1 N1Al I [l .\J Bt 11 -\I 0, ')' Todd Anthony Janicki RL\I[ LI,'\' S,) Al STAI l·rn Bl'flAIO,, tAIO ,\1t nrl.At-DI 81,f!AJO(;RAllUAII \ I r 1>1cA1-D1 Co,,0111rt,f AT But ·y GRADllATI I Al [ Ill'< AT!O. Coi...,01111t tATro" 1 Rt ·y I fAIO,, (.1Hl.ORH,' 20 1,11111 Af[O,A[ nrs i c i 11 \!J lllCAJ \ II m '11 BUHAIO \It C,R 1>1<'Ar-lh tAI. l·ou1 I lt'M/But I HO,. Cos,nR 1• r 2 (} cJJ l'Rl\BYHR[A C Hll.AGO, Bos10,, .\If .\IA Oil.Al Sct!Otll \'!RGI :r. Lui-is/ IL [) ATE no ·y IA \JASON lfR'>IATTIJ,\\',\ D itryMalkin / Mattbew ThoasMcKenaa H\\ YORK. IL DH.Al 011 IGt T HI HR ,\1Hll<:AL C1,nRl\'ArH llA,!--:Y 0 • \\'1 Micheline l bin (t At H \R\'ARD RI Gregory David Myers Heatber Kristin Lehma Norah Ruth Janosy . y I\ FR\llY/ ·u, P11ov11H Darius Lopmanee I.· R,. BRO\\ 's \I\ HosPllAt/80,ro,, t\b ' INNATI \hn1c1NF./ Susannah Lauren Kum MJllll.AI-DINIAI Cu,soRrJU\I A ,;(l llo,PrrA1/IIAR\'ARll < HOOi 1 80\TO ['.OL'CATIO', EunTodd Hoover 'ilt\) Charles D.Marshall l1"1n11,tr1 Deborah lethKulick IIICAI-DINTAI B1,1 I AIU,•')' BRIIH,fPORT, James Matthew Lin ""' Donald Edward Hiers GkA[)lJAII .\h111cA1-lh,..rA1 l\'IR'-IJY "'" ·y fALO,. I\UHA!O 0'-SORTllJ\t ll,;I\JJl',JT\'01 1'1111 Alli I PHIA, All ·rAL P.nuA110 Cn,,0R·1 c1Nn R/1·•,H,,.G, • ·r 1 \'010;, YATBlllAlld,RAO \hn1cA1-D1 \h1>1tA1 .\11 OICAI Sl, \lull )' Al Bl I fAIO A[-0t'NIA[ ( O '\ORTIU\t/81. (,RADlJAH UoUCATIO, I fAI l>,. ") AT �Jeffrey M.Nonh Maria Podebryi-Tsur-Tsar 0 • 0RlllWE.T~RNLl fl At BERJ ,1£1" L "TERI PHIi Mn,1t \0fLPHIA, AL l'\fW Pc\ HOSPITAi A'IPUS \ORK l'RP,B\ I RI ( .0R."111 '1 \\ YORK, N l\"IRSIJY/ YAI ff\\ H/\\'f" .\lfl)ll CE TER (\\'ATI R!IUR\")/ IL (. HICAU>, HAVI lrentOD Pauliscili ·y OHIO--rATE Alison Erin Prestia·Cuptill "l\fR.IJY/ 1sv,, 011 Cm.u CT • YAI I FW HA\'! Cl. TFR HA\ I .• /\1 '1 \\' \\ All \!Elli ' AL RBUR\·)/, E\\ CT Joanna Ethel Shaw :'\hort:AI Joshua Daniel Non Ho. FRstn NI\ CtEVHA"I)' RESER\"l Ct I \"fl VJRGI PITA ts o, ASL \\'1 SlfR." IA .0.t\10'i\\ LI ·1\'FRSI rl" RICH ll, Hl. \'rRGI. 01 IA/ l-ALTH .L \ (CHIS 11 RI ILLD)/ \'A \!fill C.o . L, \ AT BUFHIO :-1u,1cA1-D1. Co U l\ 'E R JTVHfHtHCL·TEROF Prrr,eLRt,H 'Pn1,s1 RGH, PA Aaron Mauhew Dlde1 1v1RSITY Of Ro< Hl ROCHISTI R, Y OR11i;"/B 1-nUCATIO · ,·y HA10, Madbnilatba TERI II 'i All-. fl CFNTFR (\\'AJERBUR\ llA\F.,C.1 I.. Of flfl "'YL\ ' A."IA II Al)fLPHI/\, .\1 R· • I\\ DC C.o. S0Rl O GRAl>UA"l Ent• ll \I 8LHAI 0,. l\lEOIC,'.I Y. ·-QL:lE -~J\JA H;E CrNTrRIU 1/\1 A,, 'Y 1'-'CI \h Sasba Pavlov-Shapiro ' All Ho,Pn 1)1(1 0LIIGI I /CINCI Al :-1ro1CAI A Tl, Al IIUHALO ."l, y GR\O A"I Bt H/\L0 Melissa Marie Phillips "lA OH or RounsrrR/ E'l.·u1A Y Ar B HALO Al Bt•HAL0 J-NFw ·c11001J. hR,1 E\\ARI.:, "l\'FRslTY I /\lroH ') :At h ·, RSI y \!fDIC,U ,RAIHFATI f1n:c11noN ',;\ I\ I R\IT> Roe H~~TER/ nR,, ot Ho PtT11L/ Ror.11tsHR/ ·y Janice Sinae Sunc . lJ \ , I IIUFFAI 0 GRADl ATE \Ir l>ICAI-DlNT ,1 l'ot · c.Anor-. Daniel P. Scllneider sE11,,WoRctsHR, nr Gn,FRAt "\ LI"•'r Rsrrv ROCHE IW 1RAIHAT1 U RoCHFsllR Ro<Hl',IIR, Rachel Elizabetll Scb itt Carl Henry leyaolds Y ·t, , .Po11s,I ·y \lfOI< Al-lh. TAI EDl"CATIO. ·o,sORll -i/BLHAlll, ·y \lflll<'AL Y CHOO! OF :'\l.,ssAUll l\\A '• Co ·soR 11t \tlBl'HAt o, . ·y \I \ 'A. 'I. DnidEric C.Searls \htllCAL C1'1ER\MoRRm,, ._l\"I RSITY, GRAtiUATF l\llotcAt-l>INTAI ~DUIATI0 Co, 0RTI M/BUHAI0,, '\' AllA AH TH Fo CATION 1/Bt H LO, , ·y \llDIC.Al-lh. C.o ,oRTl A 0FM1111u 01 'Y Jennifer lnnSmoral (.·DIA U,\11) l\"~R,n\" Rn<HfSIIR, UNl\'l Rstn· EW YoRi.., Mro1cA1.-DE"r"1 Co oR11ts1'8tHAI0, I\ERs11\"01 Co11 • ,I !s111,o, KaaljotSintJ! David Sc lesinrer LaraJoycellendano SL 'Y M101cA1 ·rATL C1,nR/ ·y \ HILDRI (8ROOKI I w \oRK (RH.HMn,o ·y , FW YORK EW ·y Eric WeldnSchaefer 'IE\\" \ORI-. l,'"\"IRSITY ( t."HR Nn, \ORK, Elena latner OLU.IBIA YoRK,, n, 1 ATION LisaMarie leaves Al Co11 ( I Gerard Silva Yatin Patel l\11n1 YORI-. PRESBYTERIAN HoSPllAL CAMPts PA YAl 1C1.·11R I RAI Gt Nl\'I Hl'-'GTOS, ) /\T 8t 1 H/\I \!11>1cA1.-DE,T/\I Timothy Sebastian Pardee ' S~JT, Bosro,, \\ ASHl'-<,T0.. \\ 'il, y YoR ·y R/ lir i Sat~aoant a DI AL )/, 'rw PITAL AT BUFfALO ,RADIIAH Dll.A t-D, NT A Etll'CAT 10 C.o,,oRlllM/Bt · fFAlO, ·y Nfl, • ChristoperThomas Rossi GFORGf Brian Jo nPate :'\IA,SACHL llosPITAL \t Bt HALO, (,RADUAT[ TAI 'IT\" • ,oRTll, O GRADUAH fotCATIOS OH Michele lobinOdrobina SL \h H 8UHAI ' AL-DFNTAI MicelleCarol laczh l\"f"RSIIY/ AND, ,0LIFC.I I GA . ummer 2003 2 1 �Jennifer Louise Trask Chantale ¥ante '-1\ ' t.RsJT\' 01 Roc11r,, Roe H 1sn R, NY A I Bl FFAIO All .\111>1< AI­ ·1AI l·1nc ,110. l, , ' GRAil D1, Co,S<>R11c,1 Bl IHIO, Michael Joseph Viksjo / ,\181R 01 Ro, 111,, l RI Rou11 ,, 1 R <,,,111A1 Ho "1"1 / 'il ' Roe 111 U,1v1R Kristen Jennifer Thomas Stephen John Turkovich ',l, ·1\1Rs1n · 01 Rnc111,11R / ·y RocH!SllR, \l11>1CAI 8tll.\JO(,R11lllATI D1,1A1 lnt ( o ·,oit fll ,l / Bt 11 Alo, · cA110, , 01 ·y 01 COLJl(;f .\I, Ill ( ... I CI N I [ R ,1, ·111"TY I CA1110RN1A \oit>c L,1v,1ts,n " ·L\, Sol lo, TIii < 1n, \,c,111S,C 01 nH Co1, 1G• en \'1ac , 1,1A / Al , ,\llDH/11 • ' oRTII 'iHORI L,1\' F RSlll Hos1>11 Al 'sYl Sc HOOL T, \11 DIC ISi /, \IANII/\SSI 01 \/) Lh ,11 Al TI A1'! <H \ ' 11<<.;JSJII / ( lllLH,I Joyce Leanne Zmuda )cl11,, HoPi.;1,, u,1\ "LRSI n / :'\11) Jenniler Lynn Wiler UT .\ICP 11.. 11,1 SI\ ""'' P111IAIHLPHIA, I RSITY / PA We practice law for those who practice health care. Phillips, Lytle understands that health care providers face unique legal challenges. HIPAA, STARK , compl iance issues, DOH regulations, reimbursement, the OPMC, and let's not forget about MFCU audits. These are all hot topics that we are prepared to help you wit h . • Experience • Breadth Depth Have questions or concerns? Call or e-mail Lisa McDougall, Esq ., th e health care practice group coordinator , at (716) 847-5478 or lmcdougall @phi llipslytle.com. LYTLE . HI A T CHCOCK T T O . B BLAINE E Y S R est. 1834 3400 HSBC Cent r, Buffalo, NY 14203 (716) 847 -8400 website : www.ph1llipslytle .com BUIFALO 22 \ II mm 1:· r 2 0 0 t • V,\ \'111c;1,.i11 C0\1\10"' C ALI H U,J\' E RSIT\' Rl<.H\tONI> , \' .\ PH1LL1rs. 111 lobbiNicole Wu Shawn Roy Vainio R' · :'\ho, NY \ ' 1R<,1"'1A Co,1\Hl,\\lAtTH U ,I\FRSIH RIOl\10'-1> 81111 J\IORt, or YoRi.:, lossAlertYaple IV Tl R f ·, l\"IRSII\ R~IJY ·y Elizabeth An Yaple SanTuTran ,1v1 \/rw Ct,TER )/ NY I·'(, I..\' ll .\If llo,P1r111s /l \1Ts Bo,10, , \1 \ \h l>I< Al - 1>I '- I Al f lll ' C A I JO, CoN,oR111,,M Bt:11 ,10,. ·y ) Al . ll\' or Roc.:HE,1ER / Tina Wu 11 HORE ( ;\10'i ... I " .. ., BtllAJO(,JUDUAII Rouu,nR, L,s1v1a,1n Roc HISHR,. Julie Ann Yoeel :S:) ,1 fR, T l· "'Slfl'- :'\!Hl>I C I Nf I HI BRo,x, LJ,J\'FR,11\' Ro<.HI ra / '>;)' Deserie Silva Trojan PatrickSweeney Lyndsay Jean Willmott FREDO IA • )AM STOWN • EW YO RK • ROCH ESTlR HUBER LLr �hl' Bufl:110 Graduak' \ll'dical/lknt.11 l.duc.11ion Consortium, respon,ible tor .111the rnc:diLal spc:­ .:ialn training in \\'t•,tern 'c:w York, h,1s rc:cein:d a "fa\'or,1bll'" r,llini.: from thl' \ml'ri an Coun<.il for Gr,1duatc .\ll'di--al fduc.ttion (J\C(,MI ). Tht• rl',11 ..creditation i, for fivt yc,1r,, the ma. imum ll'ngth of time .11lowahlc between n:\'il'\\.,. ... hi, is n:rr good Oll\'S for Buffalo and our rl'sidcncr pro­ grams," say, Rosc:annl' lkrger, .\ID, st:nior ,1,soli.ttl' dl',m tor graduate nll'di1.al l'duc,1tion in the lJniver,it} ,It Buffalo chool of .\tedi-.inl' and Hiomedi<..,11 cil'nces." m, wl' c.111dt•\·ote our iull ,lltention to the businl'ss of l'du.:,11in!_.: residt•nh. Tht:r mu,t learn to use thl' best ,n ,1ilahle Lil'n<..c, nd rdine thl'ir kills to provide ,afr and '-ompa. sionatl' patient c,irl'. Our n:,id<nls .md facultv wekoml' thi, ..hallenge." Prcp,ir,1tion for thl' rl'view b<'g,111in _ooo.culminatin • in :i IL·ngth}' do<..ument submitted to the,\( G:-.11'in August 2002. A site re\ ie1H'r \ i,itl'd Bull,110 in Sq>tl'mher 2002 ,md met \\ ith m<'mhcrs of the Consortium Rl' itknh ' ( ommiltl't'. tht· dl'an of th<' B rnl'dic.11 chool, and the Graduate: • kdical Fdu ..ation (.ommittee, compri td ol n:,id n ) progr,1m dircdor , re,i­ Jents, dep, rtmc:nt ..hair , .md hospital offi i:il . Th,: nc1,· ti, e•} car re,i..crl'ditation will begin ffici,111},, h n from the the comortmm reLeiH·, the rm I announcement ,\ t;:,..t[, whi ..h is r pc .. ed thi summer. urrcntly, the um ort1um pon,or, 5 I ,1c rcdited re iden ..v ,rnd fdlow,hip training programs, ba,~d in nine mcmbl'r ho. pi­ t.1b, nd in ,ewr,11 Lommunit ·-b. ed location,. Becau c th<' LIB s..·hool of I kdi ..ine and Biomedical, ciences Jo<'s not oper,1k its m,n unhl'r,it}' ho pita!, n:,idenq· training 1. onducted in ih affiliatl'd hospital . Historically, the program have bel'n man aged bv the consortium, ,,hiLh " ..ompo ·ed ot repre L'ntati1 e, from the hospitals and the mcdiL.11,dmol. Thi, admini,trativl' structure will he pha,ed out in the wmmg month,, and re pon ihility fl r gradu:ik mc,lical tdu ...ition will be transfrrred to the U B mc:Jical sLhool. 1 ht' ho,p11,1b will re m,1in ,1, partnl'rs in tht program. Berger .1, · th, re, ie,, pro.. , ,, a conducted ,,ith th 1, tran fer in mmd. RECORD HIGH i Research Fund· ng BY ARTHUR C( CU LTY WHO AR E TH E P~GE )) BE T A D BRIGHTE T esearchfundingat the Universityat Buffalo increasedby more than 28 percentduringthe 2002 fiscalyear (FY 20021, increas­ ing to $239. 7 millionand representinga growthof $52.9 million overthe previousyear. Research in the life sciences accounted for $168.6 million in "We are vel)I pleased by the progress we've made in the past year funding, or 70.4 percent of the total FY 2002 research funding of in research funding-progress $239.7 million, with funding of medical research totaling $111 million, efforts and ability of our faculty to secure both research dollars and or 46.3 percent of the grand total. increased national recognition for the important work they do on a daily The record-high funding included a 33 percent increase in funds received from the federal govemment, which jumped by $32.2 million, from S96.6 million in FY 2001 to $128.8 million in FY 2002. The data, which was released in March 2003, covered the period that speaks directly to the outstanding basis," said UB President William R. Greiner at the time the data was reported. Greiner further noted that "while this increase in funding will only improve UB's standing as New York State's largest and most compre­ between July 1, 2001, and June 30, 2002, and was collected through the hensive research university, perhaps even more importantly, it demon• National Science foundation's (NSFJ Survey of Research and Develop· strates the depth of our commibnent to our research mission: We are ment Expenditures at Universities and Colleges. dedicated to continually expanding the boundaries of our knowledge The NSF survey data show that 88 percent of the total in research funding received by UB during FY 2002 was for basic research as oppos• ed to applied research. UB researchers whose funding is included in the report include those at the university, at affiliated teaching hospitals and at UB's Research and to sharing the benefits of our discoveries.. "Our faculty is comprised of the best and brightest ," he continued. "We count ourselves fortunate to have such gifted, dedicated research• ers working in our academic community, and we look forward to contin­ ued progress in the years ahead." Institute on Addictions. l 1llal1 rlpiclu 23 �■ GUY CAPPUCCI SCHMITT M O AND RACHEL BEAT THE ODDS Jtch Day is alw,1ysa sp.:-cialday for graduating medical tudents, but for ,uy appuc ino and his fiancee, Ra hcl fourth-year studcnh in the ni\'crsity at Buffalo ~chool ofl\lcdicine and Biomedical ciences-\1atch hmin-b th Day 2003 was magical. ,lppuccino had s.:-t his sights on entering a residency program in plastic and reconstrucuve ·urgery. Traditionally, student\ interested in pursuing a c.ireer in this field arc required to complete five years of training 1n general surgery, after which thl')' qualify to apply for fellowships in f lastk surgery. On'r the p,1st 15 years, how1.:vi:r,a new model for training in this field has ernlwd. residencies," thl'sl' programs ,ire open to student- upon completion of medical school. -ailed "integrated plastIC surgery ationwidc then~ arc onlv about 77 slots ,l\,1ilablc in the intl'gratcd programs each year, so competition is formidable, according to, 'ancy 1 iclsen, PhD, ID '76, inti:rim senior .1ssod,1te dean for m ... ·dical education. Amazer!r111rl ]1, "· · d ,\ native of 5tonr Point, Y, ,appuccino earned a bachelorof science degree in biochemistry through B\ Honors Progrnm, graduating summa cum laude in 1999. \\.'hile a second-year medical student, he met Shirley Anain, MD, a pediatric plastic and recon tructive surgeon at 'hildren 's Hospital of Bui alo, whom ht· .:redih with mentoring-and inspiring-him. "Dr. An,1inhas a stellar reputation in the communit}" for the work she does with children who ha,·c craniofacial deformities," says Cappuccino. "She has been very helpful to me and is current!)' mentoring other UB medical students." In addition to sh,1dowing nain, Cappuccino ,1ssi ted her in cases invoh ing children born with such defects ,1scleft lips and p,1late , and cranial synostoscs (where the skull bones fu e too earh ). 2, 1111111 nyslci11 ,'\ummer 200 ~ "When I saw the hildren born with thee deformitie coming out of surgery looking almost normal, there wa nothing else in the world I \\anted to do," sav Cappuccino. "l wa · amazed and in ·pired, and I knew as earl} as my second year in medical chool that I was meant to dedicate my life to this, ork." De pile his calling to enter the field, appuccino knew the odds were .:ig.iinsthis obtaining the goal he had et for himself: earning a coveted slot in one of the integrated plasti surgery re iden y pro­ gram , something no medical student at UB had ever done. 'everthele • he teadfostly pur ued hi g al through ut medical chool. During hi fourth year, in a final push to gain a competitive edge, he completed two intensive month-long vi iting extern hip in plastic and rcconstructive wrgery---one at Cornell l\ledicaJ College �"YO TF KF.TH T KI I CTE aid Cappuccino hen hefir.t ~ai,v the e candiclphoto­ graphs taken at Match [Jay while he and hi cla 111ate/ fiancee RachelSch1nitt,openedtheir envelope. ( lanhattan campu ) and the other at the Univer ity of tedicine and Denti try of ew Jer ey ( MD J). He then applied to the chool ' integrated re idency program , and both granted him an interview. Fa l ., • 'r. Rachel ' chmitt, appuccino' fiancee, had in turn decided to pursue a areer inane thesiology. A native of Clarence, Y, chmitt earned a bachelor of cience degree in biology at Le 1oyne College in yra­ cu e, Y, graduating umma cum laude. Ane the iology i al o a highly competitive pecialty, and it re• quire ompletion of a preliminary year prior to beginning training in the field. a re ult, the couple found them elve in the precariou po ition of needing to earn three re idency lot on Match Day, preferably in the ame location: a pla ti and recon tructive surgery . lot for appuccino, and preliminary training and ane the iology lots for ' hmitt. Both had ranked UMD J a their fir t choice. On March 20, member of the B medi al chool Cla of 2003 gathered with friends, family and faculty at the Pearl treet Brewery in Buffalo, where Match Day took place. The student were ummoned in random order to come fonvard to re eive an envelope that contained a letter announ ing the school and field of medicine in whi h they would be training. A it happened, appuccino's name wa called early. "When I received my envelope, I held it and we waited for about another 140 name to be called before Rachel received hers, then we opened them together." \ hen they did, Cappu cino and ' hmitt learned that they had indeed beat the odd : both were headed to UMD J. In addition, hmilt will be doing a preliminary year in general urgery, which mean the couple, who were married on Mar 30, 1 ill intern together in the Department of urgery as hu . band and wife­ a fir t for the department. Bybe oming the fir t B medi al tudentto pla e in an integrated pla tic urgery re idency program, appuccino has inspired and motivated other UB tudent to pur ·ue similar dream . "I 've been contacted by tudent asking me for advi e in plastics re idency; the · ay I've given them hope, " say appuccino, who relishe his trailblazing role. One of the rea on Cappuc ino mar feel so comfortable a a role model i becau c he i no tranger to folJowing in the footsteps of other he admire . His brother, Andrew , is a pine surgeon whose wife, Helen , i a general urgeon; both are 1988 graduate of UB' medical chool ( ·ee Reunion Weekend photograph on page -12). And appuccino's ister, Mary, is a pediatri infectiou di ease speciali t , ho e husband, Joe Bonafede, is an ear, no e and throat spcciali t; both arc I 991 graduates of the medical ·chool. ''I gue I'm carrying on a proud famil tradition, " ay appu cino. "But it end with me. I'm the younge t of even kids!" Sum mer 2003 llllale n1sltlai 25 �Rebecca Dwyer,leit, andChristinaGraczyk, right. dedicatingTheIris-. EvanHoover beinghooded by SeniorAssociate Dean Suzanne Laychock, PhD, left,and FrankSchimpfhauser, PhD.right. DavidBrauer, classspeaker; InterimDean andVicePresident for HealthAffairsMargaret Paroski, MD,andOBPresident WilliamGreinerpresentingKari Brossardwith her degree; AmyE.Kirby,thefirst biomedical sciences candidate to deliveranaddress ataOBSchool ofMedicine andBiomedical Sciences commencement; , Joyce Zmuda, left. andMargoMcllenna, right, Melanie Fiorella, /eh.andDavid Fintak, right,reciting theOath. 2& 1,11111 npicin \um mer JOO 1 �The 157th commencement for the University at Buffalo School of Medicine and Biomedical Sciences was held on May 23, 2003, at the Center for the Arts on the North Campus. This year, the school conferred 130 MD degrees, 3 MD/PhD degrees, 6 MD/MBAdegrees, 21 PhD degrees, 2 MOMS (doctor of medicine and oral maxillofacial surgery residency program} and 15 MA degrees. The honored speaker was CongresswomanLouise M. Slaughter, who is currently serving her ninth tenn in Congress as a representative of the 28th Congressional District of New York State. �R E E A R C E H I\' 'I DOUL3 erlw IS J II C 11 IQ U AL L OW C I E TIST , 0 FILM I 'GLF- IOLF< ! l BIOU -U . !ISi \\ HO PROD U· S 10\ IFS. I JI IS, HO\\ E\ l R, D ) 'OT t I !RO. ' !CLE 1 HL- HU,\IA . CO . Im 10 , \ I \ •s Tl BJE :::1 I H : HELi IA. BIOWC,\ ,ff l rs ~!OST BASJt- HOII YWOOD; ·r HE rRA ,' I Ot \110 .' .\ . ' I) DI G OID 1 A. Bian o, who is an a istant pr fessor of microbiology in the niver ity at Buffa) hool of Medi ine and Biomedical Sci­ ence , i the first to re ord on videotape in real time a molecule of a parti ular D A motor protein, or nanoma hinc, in the pro e s of"unzipping" a double strand of bacterial D A. To a ompli. h this feat, he u c a Le h­ niquc he developed ailed "la. er tweezer." U ing this tool, he can grasp and hold a D m le ulc long enough to aplure the action as the double helix unwinds. 'These la er tweezers allm\ u t look at nc molecule at a time and under tand how a pr tein really w rks," ay Bian o, who al o is a member of the enter for ingle M lecule Biophy i at B. "When you look at groups of proteins, all of the nu­ ance of individual pro­ teins are lo l. With this sy tem we can pull a D1 molecule out fa lution and a tually watch a single D heli ase mole ule (the m tor protein I take an individual D A molecule and pull it apart." If there were an Academy ward ~ r most imp rtanl ba ic cien c film, 28 1111111 n,sieiu S umrn l·r lOOJ Bianco's I ork urcly would be in the run­ ning. Knowing how D A unwind . , copic and repairs itself- what tarts it, what top it and why-will make possible ma­ jor advancement in c,mcer treatment and is vitally important to the progres · of gene therapy and re ombinanl D A re ear h. ince cancers arc caused by uncon ­ tr lied cell growth, and D A motor pro­ teins make this po sible by allowing D A to copy itself, the e proteins are natural drug target . Re earcher know that many ancer drugs stop cell growth, but they don 't know preci ely hm . Bianco i hop ­ ing to pr vidc ome detail . "We want to find out what happen when you put an amitumor drug in the\ ay of the motor protein, " ay Bian o. "If the drug tops cell growth, we want to find out exa tly how it doe - it. \Viii the protein start the unwinding with the drug present? If it tart , will it continue? Where will it stop, if at all?" The re­ ulting movie . will how how existing drugs work and will allow re earcher t test the efficacy of new drugs designed to inhibit D A repli­ cation and repair. Bianco developed his y tem while a po tdoctoral fellow at the niversity of alifornia at Davi , in collaboration with colleagues from Lawren e Livermore a­ tional Laboratory in Livermore, alifor ­ nia. reating it con urned everal years; the work culminated in publi at ion of the at11re in breakthrough in the journal January 2001. Learning hm a D motor protein function and capturing it on film po ed veral vexing technical problems at the time: how to natch a ingle D A molecule, stretch it out, and hold it table long enough to \ atch the motor protein (helica e) in action. Then there wa the problem of i1e: DNA motor protein are too mall to be observed under a micro cope. Bianco olved the c problem in a vari ­ ety of way . The laser tweezer form the crux of the y tem. By fi cu ing an infrared la er beam through a micro cope objective and aided by the law of phy i s, he can create an optical trap that tops a D A molecule in it tracks. The mole ule it elf i · t o clu ivc to be caught, however, Bianco tether the D A molecule to a microscopic poly ty ­ rene bead to give the tweezers omething to gra p. ext he atta hes a motor protein molecule to the oppo itc end of the D A mole ule, and tag both bead and D A with a fluore . cent dye. The dye creates an �-. • ... ..... • • Prr B co,P image suffi iently bright to be re orded b\ a microcamera de­ signed to perform under very low light onditiom. Technique to bind nuores ­ cent dye to the D A helicase have only recently been developed; 8ian o now has that capability at 8. S tretching out the mole ule and ini­ tiating the action c ur · in a now ell, a tinv, cu tom -made, Y-shaped appa­ ratus the size of a micros ope lide. 8ianc introduce the bead and it cargo f OJ and motor protein into one channel of the flow cell (one of the arm of the "Y"), in ert ATP-the molecular energy ource-int the other channel, and ~ u es an optical micro · ope and laer beam on the jun ture of the channel . The tretched -out molecule and its en­ ergy sour e flow in their . eparate hannel into the juncture, where the action begin . . The la er beam capture the poly tyrene bead in its tweezer -like grip. Manipulat ­ ing the la er beam, Bian o maneuver the D A into the path of the ATP, which jump -starts the heli a e. The breakthrough film described in at11re features a molecule of E · heri hia coli helica ·e called Re B D, which acts by unzipping the D mole ule from one end to the other. That movie how the tretched -out trand of glm ing D A becoming progres ivcly horter a the in­ vi ible motor protein unzip them, di placing the dye a it goe . Thi action i called pro e ive tran lo­ cation. n film, it look like a string of lights being witched off, one b}' one. Once D A trand are eparated, the elemental pr e · es of replication or re­ pair an begin. At U8, Bianco i nm working to adapt his ystem to inve ·tigate other, more com­ plex ba terial helicases. The pre ent target i Rm 8, a circular nan machine that drives a criti al late tep in geneti re om ­ bination called branch migration. ' nlike Re 8 D, thi · motor protein wraps it elf around D A like a doughnut on a tring , carrying out tran location in a different manner. The B et -up i · equipped with two optical trap · and i ignificantly more advanced than Bianco ' former r tern, allowing him to work with more compli ­ cated molecules such a RuvB. The overarching goal of Bianco ' reearch i to learn how cancer drug inter ­ fere with tran location. Thi information will, in turn, allow drug <level per to tar­ get chemotherapy drug to them t effe tive point in the pr ces . Bianco intend to define and film the action of everal m tor protein , then begin , orking with everal specific cancer drug provided by ollabo ­ rators at Ro well Park Cancer In titute . "There i potential here to an wer que . tions you could newr an wer an y other way," 8ian o note . <L> 1 111111 npici11 29 �p TIIW ,\YS WS A D I BOT BIO DI AL SUMMER IILI nu RI ( El I I) El RD I R Fl 1994, .lO 11 11 I (I 30 I I Fl). \umm, 2003 T FF 2003 Da, id Milling, i\lD '93, has been named assist.mt dean for multi ultur,11 affairs in the OffiLeof ~tcdical I.ducation at the niversity at Buffalo s hOl)Iof r-.tedicineand Biomedical Sl.iences. In this role he is resp nsiblc for de,·cloping a program to recruit and retain undergraduate ,rnd graduate medical students and trainees whosl' backgrounds reflect the diversit} of underrepresented populations in 'cw York ",tale. I le also works with fawlty and staff to implemenl these goals and objectives, ,is well as to procure funding to support the efforh of minority applicants. In addition, r,.,tilling continues to serve the school as assistant professor of dinic.al medilinc (a position he has held since 1996) and as ·r A D IT cour c director for the Clinical Practi c of :\lcdicine for ccond -vear student . i\lilling completed residency training in internal medicine at B, and from 1995 to 1996 served as hief resident at f-ric <..ounty Medical Center. 1--rom1997 to 1998 he completed a primary are faculty development fcllow,h1p at :\ltch1gan talc niversity in f-ast I ansing. :-.lilting received the iegcl \ward for Teaching Excel­ lence at B in 1994, and again in 2000 ( for full-time faculty clinical staff}. I o in 2000, he received the 1-.Carter Pannill Award for uhtanding Tea bing, which i. presented to a junior acult · member in the B Department of Medicine. - .. A. '1CtR niversity at Buffalo Pres­ R. ,reiner ident Willi,1111 announced in January 2003 that he is stepping down as the 13th president of 8. following this announce­ ment, a Presidential earch Ad, isor. Committee was establi hcd b) the 8 ouncil to solicit and c, ,1luate nominations and applica tiom for the president's position according to the guidelines established by the SU1 Y Board of Trustees. In Mar h, Jeremy .t\l. /a ob , chair of the 8 Coun ii and chair of the Pre idential earch Advisory .ommittec, named the 17 members of the committee, three of whom arc facult'r members in the B hool o 1cdicine and assi tant professor in �the departments of urgery and orthopaedic , who i nc of four member· of the ·B oun ii serving on the ommittee; Michael . ohen, 1D, chair of the acuity, cnate and profe sor of neurology and pediatric ; and Frederick . Morin Ill, MD, profe · ·or and chair of the Department of Pediatrics. For more information on the presidential earch, vi ·it http://www.buffalo.edu, presidentiabearch/. -ARTHUR Buc,;1 P GE Richard J. Bu kley, MD '74, a pra ticing surgeon with Amht:r. t urgi al As iates in Am her t,, Y, ,, as installed as the npre ·ident of the Medical ·otiety of the ountr of Erie on ;\lav 6, 2003. A natin~ of Buffalo, Bu klcv ompleted his undergraduate training at olorado ollege, 0, his master' degree at ,rnisius .ollege and mcdi al degree at the UB chool of l\ledicine and Biomedical cience . He is a diplomate of the Amerian Board of urgen·, a Fellow of the Ameri an ollege of urgeons and a delegate from Eric County to the House of Delegate of the l\ledical ocietv of the tate of I ew York. Buckle) is a clinical assistant professor at 8 and i. on raff at Kaleida Health and Kenmore ~1erq Hospit.il, now a part of the atholic Health Sy tem. . A. L nurses, te hnicians and support . taff who prO\·ide quality health care to the people of Western I ew York." A EO, Kaiser ,aid he \\;11focus on "high-qualit} medic,11care, u tomer satisfaction, employee growth and development and enhancing our information technology.'' GER Roger E. Kai er Jr. ~ID '79, ha been appointed chief execu­ tive officer of the Erie Healthcare Network. Kai er, who is a ociatc professor of linical anesthesiology at the UB chool of Medicine and Biomedical ciences, had been erving as the interim CEO ince October 2002 and medical dire tor ince 200 I. In addition, he erwd as clinical director of the E l\1 Department of ne~thesiol­ Og) from 1989-2003. "It will be a privilege and an honor to sen·e as EO," aid Kai, er at the time of his appointment in ~la}'. "A a practi ing physician at L MC for nearly 20 years, I am familiar with the personaliry of this organization and the talented team of phy icians, brain into various region . The resear h can potential!~ hed light on whether ognitive impairment in l\l is related to global or focal disease and whether this is located in gray or white brain matter. The AO is the onlr national medical honor o iety in the world; it is dedic,lled to upporting academic excellence and perpetuating ex ellence in the medical professi n. Third-year medical student -S. \ '\CFR Mi hael , anfilipo has been awarded a prestigious Alpha Omega Alpha (AOt\) tudent Research Fellow·hip. ebastian ( ian io, DDS, A n,lli\·e of Buffalo, U1 Y Di tingui hed en·ice , anfilip is a member of the Professor and chair of the Buffalo I euroimag111g Department of Periodontic naly is enter, where, under in the L niver ity at Buffalo the leader hip of Rohit hool of Dental /l.1edi inc, Bakshi, ,\tD '91, he is ha recei,ed the 2003 performing quantitative i\lRI Pharmacology, Therapeutics resear h in multiple s lerosi and Toxicology Re earch (;\L ). In 2002 he received a ward from the International L'B hool of ledicine and s.o iation for Dental Biomedical ciences Re earch Fellow hip to (IADR). The study whole brain gray­ award recognizes and-white matter iancio\ difference in :-.1· and " ignificant whether the e global contributi n to brain differen e are the field of related to cognitive dental research," impairment in l\L. and was pre\\'ith the QA award, ented to him m anfilipo will further Goteborg,, weden this June at inwstigate the relation hip the I DR General es ion. between cognitive dy fun -. UE \\ l;lTCHER tion in , I and variou. grav­ and-white matter region· by u ing three-dimen ional :-.rn1 techniques to ubdivide the umm,r 2003 1 1ll111 Hysiciu 31 �p t, T fl Y \ y regory . herr, MD, a vascular/endova cular surgeon, ha joined the medical staff at Erie unty Medi al enter (E M ); in ugust 2002, he joined niver ity at Buffa! chool of Medicine and Bi medi al cience a as i tant profe or of. urgery. A native of Roche ter, NY, and a graduate of Tuft niver ity ho I of 1edicine 111 Bo t n, 1 , herr ompleted a po tdoctoral re earch fellow hip and a clini al vascular fellow hip group led by Robert R •chtarik, PhD, s ni r re­ search scientist in the niver­ . tt} at Buffalo\ Resear h .B re. earch asso<.iate profe sor of ps hiatry and p y hology, ha_ received a · 2.3 million grant fr m the ational Institute n Alcoh I Abuse and koholism to study how and wh · different levels of care work for different people with al ohol problems. The study is being c nducted in collaboration with the rie ~ounty Medi al enter' (E M ) Divisionof hemical Depend ncy' outpatient and inp,llient rehabilitation programs. RobertB. Whitne , MD, 8 linical,1ssistant profcSM>rffamily medicine and psychiatry,and clinical director of E ~tC \ Division f hemi al Dependency,is a comn:stigator on the project. Other coinvestigatorsinclude RIA rescar h sdentist eil B. M ·(;illicuddy, Phl , and Gerard J. .onnors, PhD, direct r of RIAand B probsor of psrchology. l·or more information on work being condu ted at the Research Institute on ddict1om, nsit ii,\ ebsite at \ ww.ria.buffolo.cdu/. - KATHLEE lcdi ine in Ellr.abelh PierceOlmstedRoa, MD'39, recehedan honoraiy the Ameri­ can Board of Cu ERR urgery in general surgery and i a regi tered \ ,1sculartechnologist. In addition to perform­ ing vascular urgery, hcrr pe ialize in aortic ancury m repair and minimally inva ivc endova · ular surgery technique , in luding aneury rn repair, angio­ graphy, and angiopla ty/ stenting f arteries and veins. - \!£LANI! GRIFF! doctorof science degree on May 23, 2003, at the 157th commencement of the UnlYersitJat BuffaloSchoolof MedicineandBIGlnedical Sciences- A piollNr'.,g ophthalmologist c nlclan, lnYentorand mator,Olmsted Roa Isoneofthe Unlvenityat Buffalo's most dlstlnpishedalunmlandoneof WesternNewYortl'smost dedicatedphlanthroplsts. For six decades she has chan­ neled her expert! e into program for the visually Impaired, fromInstitutingcompanysafety pales and mak­ ing large-printbooksavailableIn publicschools to organiz­ ing vision-testing programsIn Buffalo'spreschools. Presenteda Lifetime Medical Alumna Achievement AwardIn 1999, OlmstedRosshas placed heralmamaterat th6 fotef1ont of vision researchwith the establishment of the Ira G. Rossand Elzabeth Pierce OlmstedRoss,MD, W "\lit FACS,chairIn ophthalmology at the UBSchoolof Medicine 3 2 11tfal1 n,siciu ~ummrr 2003 and BiomedicalSciences. �Louis A.and Ruth Siegel leaching Awards 2003 Siegel Awards Category I: for Excellence tyw in Teaching Category Ill: u t n-f ulty Recipient: Recipient: "Dr. Cohan is a professor with compassion, sensitidtv and a 10\·e of teaching. He take trong interest in his tudents and treats them with the utmost re pect. He took the time to learn everyone's name and created a very warm and friendly space for us to learn." Category II: h cl n cal c1 Recipient: "Dr. Fox erves as the sole physician advisor to the tudent volunteers of the Lighthou -e Free :-,tedical linic. A a physician, he is a role m del for every tudent who works in the linic. He approaches each intera tion with his students as an opportu­ nity to prepare them for their future medical career .. . He empower . us t take responsibility for every a pc t of the clinical encounter and teache us to be unbiased and com pas. ionate medical de i ion maker -." "Dr. Rabadi is one of the be t attending phy i­ ians I have had during my four years at UB. It is clear that Dr. Rabadi loves tea hing. He has a great ability to commun1 ate with and edu ate tudent in a fun, nonthreatening \\ay." Category IV: w rd 1d nt an Recipient: "Dr. Olawaiye 's attitude is a breath of fresh air. If you ever had a question, he gave you an entire I0- to 15-minute lecture on the topic. He never intimidated us, despite the fact that he b a 'walking HlJB. ' l:T' of information ... He created well- rafted storie to get us to remember clinical jewel -." Foryoung and old. Forpatients and families. Hospicecare touches everyone, including children with a sick mom or dad . sibling or grandparent . With chaplains and social workers helping out, the whole family feels better. The sooner you call, the more we can help. Hospice. A plan for living . 686 -80 77 hospicebuffalo.com. 111 1 ( l S IIR fOR H l SPICE& PAUlATIVE CARE Summer 2001 1111111 nysici11 33 �PATHWAY Alan D. Hut on, PhD, a·· iate profe · or and hief of the Divi ion of Biostatisti in the h ol of Public I lealth and Health Professions at the niversity at Buffalo, ha been awarded a 340,000 Faculty Development grant from the New York tate Office of cien e, Te hnology and Academic Re earch ( Y TAR) in recognition of academic excellen e in the field of bioinformatics. f that amount, 260,000 will be allocated for salarie and 0,000 for equipment. The support is part of Y TAR's Faculty evelop­ ment Program that a i t in ·titutions of higher education in 1ew York tate in the recruitment and retention of leading entre­ preneurial re earch faculty in science and technology fields with strong com­ mercial potential. An earlier Y TAR Fa ulry Development grant wa u ed to recruit Hut on, a key investigator in bio tati tics/statisti al geneti , to support the infrastru ture of the B enter of Excellence in Bioinformatics. Y TAR officials expect Hutson, who joined the UB faculty in eptember 2002, to make ·ignifi ant ontri­ bution to re car h in the areas of bioinformatic , bioterrorism/biosecurity and clinical trials, all of\ hich have commercial spin-off potential. He al o will continue hi linical re earch and will e tabli ha data coordinating center that will be a boon to clinical re earch­ ers and keep millions of dollars in New York tate that now are being contracted out to data coordinating enter in other state . - UE WUETCHER \ illiam L. Duax, H.A. Hauptman Distingui hed cienti tat the Hauptman­ Woodward Medical Re earch 111 ll\ a lull. worry-free lifestyle for independent adult, 62 and older oflenng as,et protec.t1onand health care guarantee conven,enc.e and value you wont find anywhere el,e C1/lto,foyfor mort111fonn,11to11 m11/a prrso,,,,/prosprdu (716) antcrbury 1 ,11111 npici11 'i ,, m m •· r 2 0 0 .~ \ oods 929-5817 • 705 Renaissance Dr., \ illiams.illc. Y 14221 �graphic re earch. The organization is al o rcsponible for maintaining interna­ tional tandard for data gathering, storage, and analy i , nomenclature and method . This, ork i vital to the infra truc­ ture of cience in Institute (H\\'I), and profes­ or in the Department of tru tural Biology in the Cni\'er ity at Buffa! hool of Medi inc and Biomedi al • ience , ha been elected pre ident of the International nion f ry tallog­ raphy (IUCr). The I U r, which 0UAX ha over 20,000 members from 60 countrie , i devoted to pr moting international cooperation in cry tall graphy and the publi ation of cry tallo- government laborato­ ries, univer itie , and indu tries throughout the world. As pre ident of the I r, Duax will focus on extending the benefit and ervice of the IU r to countrie that are not currently members. I le will al o be re ponsible for ensuring the u ce · of the next International ngre · and eneral A emblies of the Union that will take place in Florence, Italy, in 2005 and 0 aka, Japan, in 200 . Duax, who also erve as an adjunct as· iat profe or in UB' t.1edi inal hemi try Department and a an a ciate re ear h profe sor in the Bi hemistry Department at the Ro well Park Divi ion of B, ha publi hed over 300 manu cript . In addition, he ha· received many notable honor , in luding the Di tinguished cientist Award of the linical Ligand A ay o iety, and an Honorary Doctoral Degree from the Technical niversity of Lodz in Poland. He is a member of the ew York Academy of cien e and is a pa t member of the govern­ ing board and executi\'e board of the American Institute of Phy ic . TAVA HA. CHIJK THE AUDIOLOGY CE TER GEE EE HEARI G SERVICE 61 Wehrle Drive (Near Harlem) Amherst 14225 630 Orchard Park Rd. (Near Ridge Rd.) West Seneca 14224 837-6213 712-2000 • Diagno. tic audiometric valuations (pediatric and adult) • Digital programmable hearing aid fittings on 60-day trial ba ·i • Tinnitus e\aluation and therap • c tibular evaluation for patients with diuines /vertigo • tibular therapy • late of the art fa ilities "Th Ear i the Road to th R art /\,1//,J/R 0 / um mer 200 I lllfale nysiciu 35 �PATHWAY • VO K. ichael ummings, PhD, hair of the Department of Health Beha iors in the Division f an er Prevention and Population ciences at Ro well Park ancer Institute, wa awarded the 2003 Joseph W. ullen Memorial Award by the American o iety of Prevcnti c Oncology (A PO) at its annual national meeting in Philadelphia, P . fhe A P Award re og­ nizes distinguished achieve­ ment in national tobacco c ntrol effort , resear h, development of prevention and ce · ation programs with wide-reaching public health impa t, and public poli y and advo acy initiative . It also re ogni,e and honors an indi­ vidual who e leader hip, like that cu ,t mies f ullen, is e. emplified by a commitment to fostering llaboration among the wide netw-orkof basi and bchavi ral cientist , health care profe sional and public health advocates involved in the fight again t toba o and tobacco­ related di ea e. Cumming was honored by the A P for being an interna­ tionally re gnized authority n tobacco is ue who ha con­ tributed to several urgeons eneral Rep rt on moking and Health and to an Institute of Medicine rep rt on nicotine addiction in hildren. He wa · al cited for hi re ent work, in luding studies using internal toba co company documents to inve tigate cigarette marketing practices, the effectiveness of tob,teco ontrol poli ie on adult and youth moking behavior and consumer risk per eption about tobacco produ t · and nic tine delivery device . ummings ha publi. hed over 160 s ientifi papers and is the deputy editor of Tobncco 011trol:A11 llltemntional Journal. DEBORA II PETTIBO!S CD E NGtllnlREINTO YIIIR H ME& OFHCE "Experience the tranquility of Tropical Fish" LARGEST SELECTION IN THE AREA • Completeset-ups lrom table/desk top to large central displays • Equipmentand supplies • Tropicalfish, gold fish & Ko, (domestic& imported),dwarf lrogs. bottom leeders. mollusks,crustaceans & other unusualvaneues. • Importedlivestockand frozen foods • Wide selectionof aquarium accessoriesand decorative items • Food, antibioticsand water cond111oners • Aquatic plants (live & artificial) • Lighting accessones tlllTmfAS: ~ NumerousDry-ScapeDisplaysin Our Showroom ~ Beta Vase Plant Aquariums ~ Lucky Bamboo Plants ~ Set-Up and MaintenanceProgramsAva1labl ~ Gift Ideas & Gift Certificates V,s,t 'l.JrtleJoe·. !he Giant Pacu /roughly 30 lbs.) or Our Large Predator- T,ger Shovel Nose Cat-Ash Tran itown Plaza 634-9344 WWW tdslropical.com OPEN: Mon,Wed,Thurs9am-9pm; Tues& FriNoon-7:30pm Sat 10al1Hipm; SunNoon-Spm 36 1 111111 Plrsicl11 \ 11 m '" ,· r 2 0 0 J ~ D Tropical /; TRANS/TOWN P1RA j C) - -------1 J-q() Exll.49 Fi,,/1 -90-­ �Sc·enti 1cP anning Bv onna Jean Nowak, PhD, an internationally recognized scientist whose research has contributed directly to the Human Genome Jo H DELLA Co TRADA UB Provost Elizabeth D. Capaldi, announcing Nowak's appointment, noted that she "has an absolutely critical job at the UB Center of Excel­ Project, as well as to microa1Tay-basedapproaches to under­ lence in Bioinfonnatics-building standing heritable disorders and cancer, has been named integrating that with the infonnatics piece coordinated by director director of scientific planning for the University at Buffalo Center of Excellence in Bioinfonnatics. In this capacity, she will direct the Jeffrey Skolnick. "She will work with the deans at UB and our academic partners to integrated experimental component within the center that willbe crucial to recruit world-class researchers who can participate in our coordinated achieving the goal of creating a wortd-class center and advancing a bold systems-biology approach," Capaldi added. experimental initiative to complement its ongoing theoretical efforts. the "bio" part of bioinfonnatics and A native of Buffalo, Nowakearned a bachelor's degree in biology from An associate professor of biochemistry in the UB School of Medicine Canisius College, a master's degree in natural sciences from UB and a and Biomedical Sciences, Nowak previously served as director of the doctoral degree in experimental pathology, also from UB, where she Microarray and Genomics Facility, a collaborative research lab shared by received a New York State Predoctoral Fellowship in Cancer Research. the school and Roswell Park Cancer Institute (RPCII, and headquartered at RPCI. Prior to that, she was involved for 14 years in research at RPCI developing physical clone resources for cloning disease genes and map­ She completed her postdoctoral training in human genetics at RPCI under the mentorship of Thomas B. Shows, PhD. The UBCenter of Excellence in Bioinfonnatics was founded in 2001 by New York State Governor George E. Pataki, who proposed creation of ping the human genome. Among her major achievements, Nowak has authored landmark papers Centers of Excellence in Buffalo, Albany, Syracuse, Rochester and Long describing the cloning of several heritable cancer disorders, including a Island as part of an effort to leverage the state's expertise in high fonn of ataxia telangiectasia INijmegen Breakage Syndrome). Her work on technologies, attract new businesses and improve the state's economy. the Human Genome Project was published in the genome issue of Nature. To date, it has garnered more than $290 million in support from New Nowak also developed a microarray-based method for identifying numeri­ York State, the federal government, foundations and corporate partners. cal differences in DNAbetween tumor and nonnal cells and cells from UB's research partners in the center are Roswell Park Cancer Institute people with genetic disorders. The results of this work were published in and the Hauptman-Woodward Medical Research Institute. The UB Center of Excellence in Bioinfonnalics is located temporarily Nature Genetics. Nowak,who has received more than $3 million in research grants from at 901 Washington Street. Construction of a 129,000-square-foot to begin in late summer or in the National Institutes of Health, has authored or co-authored more than structure to house the center is scheduled SO research articles in leading scientific journals and is associate editor early fall 2003. The new building will be located at Ellicott and Virginia of Physiological Genomics. Streets on the Buffalo Niagara Medical Campus. --- Alp ha Omega Alpha Honor Medical Society Alpha Omega Alpha is a national organization dedicated to supporting academic excellenceand perpet!iating excellencein the medical profession.It is the 011/ynatioual medical honor society in the world;st11dentsare selectedon the basis of scholarshipand integrity. Neivly nominated AOA members of the University at Buffalo's Epsilon Chaprerfrom the Class of 2004 initiated this spring are: James R. Boyle Sara R. Connolly Carmine Alexander Grieco Christina L. Haverstock Cristina Lampuri Jennifer E. Nelson Jennifer L. Nowobilski Summ('r 1003 lllf al 1 Pl ysicin 37 �0E\ELOPIE~T f\\, • The flow ofGenerations I y Li nda J. Co r de r • Ph D. CFRE This continuity, this Oow of the river of co1noded with the B: e11eratio11lo Ge11ern1io11. institutional life, is what the ampaign for VB: Ge11eralio11lo Ge11eratio11celebrated. Tho.)c It struck me al both reunion weekend and commencement who hared their mem nes during the cam­ just how fitting that theme of generational continmtv ts for paign enriched the recorded history of our our institution. official end of the ampaign for tr,mscends time and d1stJnce. It is J Our community community that remembers it-. history and plans for its future. It is a community of memory and of hope. Our school was the first ,ic,1demic unit of gratitude for what the, received and their belief B. It sun ·1ved 1908. Among the shortcomings listed were the absence of,trts cxactlr right that the school topped ib 50 miUion goal as the and science prerequisites and the lack of a meeting 1.1blefor result of a gift m,1de hr the LB Council. The former 1,a solved in11iallyby institut ­ celebrate his sixtieth reunion. n,llion to their stories. During the w.ir, UB, like many medical B\ College of PRI l CC E TE TO PUBLIC," fcren e rooms. five mornings per week at 8 a.m. Fl'ery Friday after school, to the Hexner Report b still The un i,·er-,itr evolved successfully trom "private" to "public," and from being a ,1turdav morning they had intern hips and residencies ,1fter ,ictive duty; others were allr recognized research university. all the years ,rnd changes, All eight spoke glowingly of their regard for the chool, the alumni continue to return to celehr,lle their quality of their education, their preparation for the rest of roob. They wait in anticipation when their their lives. children, grandchildren, nieces and nephews One member of this class, Dr. Ralph Behling, chose this ,1pph to LB. !'heir eves moisten with tear as weekend to announce has plan, to endow a hair in dermatol ­ the) slip hoods over their children\ heads at ogy. his own spe ialtr (sec article on page IO). This is imply ,111dwat h the newest medical doctors re- his way of ensuring that future medical students and resi­ plans for the school\ future . They share th ir 01111 areer succe\Ses, as well as the 1,ays their cdu ation b making a difference, personally and to those they en ·e. nd many alumni take steps to make .irrangcments so th.11the s hool will continue to m,1ke ,1dilferencc to those who follm,. n,siclu they had a long march; even special drills for noncombatant officers .. omc finished their considered essential stateside and continued their training . lumni gather to hear ,rnd disLUss research finding, and lllfJlt )0111 solid regional institution 10 an internation­ peat the oath th,1t phvsicians have sworn for generations. 38 LOndensed to three year . ,\tcmber, of the Class of 1943 could the Army '>pec1alized Trainmg Program or the aw\ VI 2 Program . .\lcdical school then also included a muster 111response Through commencement chools, was on the "accelerated plan," \\ith the curri ulum the centerpiece of one of the s hool's con- built FRO I Eight of thirty -three )il'ing members of the Class of 1943 nion, whi h donated property and Arts and Scaen..:eswas established. The table E\ Ol\iED alumnu who returned to gathered to commemorate this mile tone. I listened in fosci­ of Buffalo's \\'omen\ rai. ed th required endowment of I 00,000, I\ ER ITV .1 generou Edu a­ commitment tional and Indmtrial l'ULD in the importance of this school to future gen­ a re ommend.ition of closure by the Flexner Committee in ing premedi al courses. Then, ,1 few rears later, through the U who participakd through gift erations of physicians and scienusts. Thus, it :;omehow !>l'emed philanthropic Tut school. Tho. and L>stateplans were expressing both their \ 11 111 111 er }. 0 Cl .I dents will have fulfilling experiences and that the,, in turn, will also eventuallr be .1ble to contribute to the school's con­ tinuity ... from generation to generation. CD �IEL faHE), cc,TER, \\ ILLIA\! V.ITH CL.A ·s I TE. BLOO\!, l.Fl'T A. D fRA c1.· PELl!L ..:; .J c,: 0:: = 0. "' :r. 0 , SEATED, LEFT TO RIC,IIT, RO ALD R CHO\\ A. D MICHAEL t;tll\A. \\JTH RICH RD "' 0 AGEL, '-TA\ DI. G, LEFT TO RIGHT BElffRA\I f-, SKIP GARVEY, PORTI 0 = =- D MILFORD MAL01'EY um mer 200 I llllile Plpici11 39 �• R nion ■ E, !ATE JOH I ,o l1flal1 P111ici11 LAMAR JR, LEFT B A D RM \ummer 100• 3 �s CU~IBO, LFfT MARCHETTI, A ·o ROBERT MILCH CLA:s D CocHAIRs ~IIcH>.EL SA:-. ·o. ·E icrr RTHUR MRUCZEK CF:.,TFR. \\ITH CLASS~IATES A. ·o BROTHERS FL! e, ' ummrr 2001 1111,1, n,siciu �'\'i 1TH '\'i lfE f I Lf.E Special thanks to Kenneth Zimmennan, chairfor the Class of 1983, and Sanjay "Ray" Ogra, chair for the Class 1993,for all their efforts. 42 1111111 nrs1c111 ')um m r 003 �Alunmi, Dear Felio r the time this edition of llficers u• le ■ hrs har• Zll3-Zll4 811ffa/oPhysicumgoes to press, I will have begun mr term as pre. idcnt of the }.kdi al Alumni A ociation ( MAA). I eagerly look forn·ard to sen ing in this capacitv, as the governing board of our association embarks on it annual goal of initiating and supporting social and academic proje b related to the medical school, its tudcnts and alumni . PRE. IDEST I would like to start by tipping mv hat to Patrici., Duffner, MD '72, who preceded St<'plte11B. Polfock \ff) 'X.? \ I F. PRE IDE me as president. Pattv led the go\'erning board with her unique blend of vivaciou - r ne,s, good humor and a\'OJr faire. The centerpie e of her tenure \\Js a • pring Col/e('11 \lattimorc \1() '9/ Tl(EA Clinical Day unlike any in recent memory, highlightmg downtown Buffalo, the t:RER Buffalo "iiagara Medi al Campu , and UB\ Center of b ellence in Bioinformatic-. In addition to \for1i11 I. Bralt,•r, .\Ji) '7.? Dr. Duffner, who will serve a past president, I \\'ill work along ·ide Colleen Mattimore, MD '91, and Martin Brecher, MD '72, who were elected vi e president and treasurer, re pectil·elv. t E I BER Rolrit U11k,/11, .\tv, •91 the alumni association continues to evolve in its relatiorn,hip " 'ith the Medical elopmrnt Office and the l f,,1.,,. ( appucn110, \II) 'xx hool Dev­ n1ver itr at Buffalo Foundation , I .1111pleased to welcome new individual. to active role. in the alumni office. These include Kimberh \ 'cnti, director of donor stewardship and .\fnrti11 C. \fo/l(lllt'I, \f [) '95, Pit I> constituent relations, and Jennifer Lobaugh, coordinator of special e,·ents. Kim and Jennifer are talented, energetic ,·oung women who have proven themseh·cs invaluable to the w cess of our C:o//<'n1 \ftitt1111ore, .\10 •91 programs in the short time they have worked with u . \\'ith a year under their belts, they will provide C/111,/,·, ;,'i/cs, \t D '113 tremendous support as we roll up our lee,·es and continue to do "great things" for the alumni, the f11dr11111i11/ra, \II) '96 medical students, and the school. As you enJO} your summer , your governing board ha begun to plan for the year ahead. The lr-.tERITU hMBER /ol,11 /. Roilki11 II, highly ,uc essful Phy. ician- tudent ~lentoring Program, in which each in oming medical tudent \t D '76 b matched to a community physician, will be presented to the tudent when they arril ·e for Donald P. Coplr)', \f [) '70 orientation. Rob,•rt l, Re, 1111111, .\t [) '56 we plan to take o,·er downtown Buffalo and build on the successes of the past year, o mark your pring Clini al l), 1} and Reunion Weekend b set for the weekend of pril 30, 2004- calendars and plan on being ,1 part of it! Rtc.10 L IBID R Iosep/, \, C/"1za11, .\11) '60 Rl,ode l,la11d TLPHDI \fo_, Do11/,r,11•11, ,\fl) '59 "'c1·ade1 Vorotlrr C. R11.,i11ki, '59, JI) <1lifomi11 p,.,side11t, 8. POLLACK Medical , MD ' 2 l1u1111iAssociatio11 P. . If you haven't alreadr renewed your ~fedical Alumni membership for 2003-2004, you ma) do so .\fl) by enclo ing payment in the em·elope inserted in this issue. Thank you! S 11 mmt • r 2 003 1 , 111 11 n rsi1i 11 43 �L ~ S N O T E LarryBeahan,MD'55. hJs puhlished a book titled SUMMER 2003 Allega11)'Ht'llbemla ·1ab, whi,h is dernted to Allegan)' talc Park, its histo11, lore and rnntro , crs}. The book i~ ,ivail­ able at \m.11on.,om. will be certified through EdwinR. lamm, MD'60. JosephI. Bellantl. MD'58. FICS.,, rites:"! finall, re­ wa ,elected b)' the Fdlow, of the Lollege .-- ---, of Allergy, Asthma ,rnd Immunol­ ogy to re ­ ceive the 200!. ,old I lc.1ded Cane A\\ard. Presented annually, the award re ognizcs an aller­ gist who has dcmon,1r,1tcd the higheM ,tandard, of s ·ientific excellence and intl-gnty while serving as ,I tired from active pradice 111 J,1nu.irv :!003, which gin:, u, more time to spend ,ll our rlorida (,ulf Coast home. \\ c now have eight grandchil drcn-all living nearby in Horid,1! Of our four chil­ dren , one .., an arti t; one ,1buildu/dc igner; one a tea ·her; and a on who i, still single and manages ,1 Sylvan Learning Center in Tampa. " Fdlow of the college for at least 20 year,. Bdl,rnti is a profc"or of pl'd1,1tri ·s ,rnd mi~ro ­ Correction: biology/immunology JI ,eorgctown nivcr,il) and founder ,1nd director of ,nrgctown\ lnterna tional Center for lnter­ ass JacobKriteman.MD'67, was misidcntifit:d as "Jml'ph" 111the spring :!003 issue of B11ffi1/o Pl,y ­ ,ic,1111 . I r. Kntem,111lives in Damers, Z\IA. disciplina11· 1ud1cs of Immunology. He is the rt>cipient of numerous other honors ,rnd awards, including the pr stigiou, I:. 1'.lc,1dJohmun \w,ird in Pediatric Research for his contributions in Jnti ­ dr.il immunit\. In 1992, he recein:d an honor,lr)' writes: "My wife, Karen, and I recently had a grand ·hild, Holden, and are en­ jo)'ing this degre<.' rom the niwr­ sity of Palermo, Ital . Bell,1nti is al,o a past recipient of the tock ton Kimball Award at L!B. new phase of our lives. I p.isscd the critical arc medkine reccrtifkation ex,1111 !,1stNowmbcr and MichaelBan,n.M '71. FCCP,Blountl'ille, K), \ummrr 2 UOt 2013. 1 MORE BOARD r :0.1SFORFVER! Prac­ fun ,llld chal tice is 1111 lenging sin e I moved rom i\1assachu cm sc1·rn year ago." f mail ad ­ dress is: km baron@ ch,irtertn.nct. ThomasDiSessa. MO'71. has been ,1ppmntcd pro ­ fc ~or of pediatrics and chief of pcd1,1tric cardiol­ Og} at the nivcr,ity of Kentu ky, Lexington, KY, where he has also ,1-sumed the position of director of the pediatrk c ho • rdiographv lab ra­ tory at the LIK lhildrcn \ hospital. I le and his wife, Patricia, mo, ·ed from Life employees. 1'.apili joined cw York Life in I 985 as Jn Jssociatc medical direc ­ tor in the Employee. · Health Department. Six year later he be ame medical dirc,tor, anti 111 2001 he was nam-ed a ,i e presi ­ dent, a position he held prior to his promotion. A native of the Phil ­ i\kmphis to Lexington in July. The) ha,c three children: Thom,1s Jr., 29; John, 27; and Prter 21. F mail address is: cchodx@>aol.com. ippines, Kapili earned hi. medical degree at B in 1977 and completed his residency training JI St. Vincent's Hospital .ind \tedical Center . He gr,1duatcd from Fordham l ,n, chool in \l,1y 2003. I le I a l'ellow of the American -\cadem) of Disabilit) haluating Phvs1cians .ind a Fellow of the \meric.in Bo,ird BerneeY. llapili, MD'77. of Internal i\ledicine. In ,1ddi1ion to his work with has bcrn named first vi<:e president in the Fmplov­ ecs' Health Department of the, cw York Life Imu ranee Company. In this capa ·it)-, he oversees .1 full}' staffed medical facility that offers a wide range t1f servkes, mclud ­ ing phy 1cal e,am111,1tion,, fertility treatment , emergenq , care, medi ,1I screenings, and wellness programs for ew York 1 'e" York Life, Kapili is a volunteer physician for the helsea \ illage Program for the Home ­ bound Elderly. es ( I1-1)in I995, after two ­ years of internal medi­ cine training and subse­ quentlr did a residencr in anesthesiology at Yale ' niversitr . After being on staff at Johns Hopkins Barvie1~ I\ !cdi al Center as a lmical instructor in ancsthes1ology, 1 re entl) served as a commander in the .. Publk Health ervice ,1cti,e reserve at \: alter Recd Army Medi ­ cal enter, assisting in the management of battkfidd casualties dur ­ ing the recent Operation Iraqi Freedom. I am mar ­ ried to Julia Wulkuhle, PhD, a staff scientist at the 'sill." E-mail address is: drjohncoopcr@yahoo.com. RohitMRob" Bakshi.MO'91. a sociate profes or of neurology and founding director of the Buffalo euroimaging An.ii pis Center m The Jacobs eurological !mtitute, has been elected to the mcri ­ can euro - ociation. John0. Cooper,MD'89, write : "! completed a fellow,h1p in molecular biolog) at the ational lmtitutes o I lealth ording to the Bakshi'. election follows rigorous rev ic" and is based on his "subst.inti,11 �RELOCATIO Ht, T REAi f<;TATf FR BruceThiershas been electedYicepresident-electof the AmericanAcademyof Ne will be installedin February2004, with histenureas vice presi­ Dermatology. dent beginningin February2005. Thiers,who practicesin Char1eston, SC, receivedhis medicaldegreefrom UB in 1974 and completedhis residencyat the State Universityof NewYorkat Buf­ falo AffiliatedHospitals.He Is cun-entlyinterimchair, professorof dermatology, and directorof clinicaloperations(dennatologylat the MedicalUniversity of SouthCarolinain Char1eston. Ne is alsochief of the Dermatology Serviceat the Char1eston VeteransAdministration MedicalCenter. web-based Thiersis the directorof the AmericanAcademyof Dermatology's CMEProgramand is a memberof Its Councilon Education.He is a past member of the Academy'sboardof directors,ExecutiveCommittee,PrioritiesCommittee, AssemblyCouncil.In additionto his numerousacademyactivities, and Scientific ThiersIs cun-entlypresidentof the South CarolinaDennatological Association. Theauthorof morethan 130 publications,Thiersis cun-entlythe editorof we help people move. the Yur Boolrof DHmatology and DennatolOgicSurgery and has servedas the all for a free relocation portfolio regarding your destination it)­ all 1-800-6 -1170 or go on-line and visit our web site at hu n treales tate.co m Academyof Dennatology. associateeditorof the Journalof the Americ1111 academic contributions to the field of neurology" and his "promise for the future." HowardPodolsky.MD'91, has been appointed vice pre ident-chief medical officer at JI.I t. M.iry\ Health in ·t. Louis, MO. enter "Thi announ ement follows .in extensive search process , given the pivotal n,llurc of this po ­ sition," said Kenneth W. Lukhard, Mary's . "It was \ital we find the best individual for thi key leader hip role. \\'e t. haw accomplished that goal with the appointment of Dr. Podolsky." Following gradua­ tion from UB, Podolsky completed his intern ­ hip and residency train­ ing in internal medicine at The Christ Ho pital in incinnati, OH. In I993, he completed an externship with the Department of Gastroenterology / Hcpatology .it the University of Chi ago. Later this rear, he 1,·ill complete a JDdegree in health la1>studies at t. Louis Uni1•ersity hool of L.iw. Totally cu tom iz ed servic e portfolio includin g Christine8. lmbrosone. PhD'94, ha been ap­ pointed chair of epidemi­ ology in the Department of ancer Prevention and Population cience · at Roswell Park Cancer Institute ( RP I). In this capacity, she is respon ­ sible for re. earch in mo­ lecular epidemiology and biomarkers and collabo­ rates with investigator in the hemoprevcntion, genetic and therapeutics • Nationally trained relocation experts • Complete family needs analysis • Global home sale assistance • Special services for seniors • Full community tour • A complete cost of living analysis • A list of all school systems throughout WNY • Complete spousal placement assistance including resume writing and corporate contacts • 24 hour or less response time • Confidentiality assured programs. Prior to thi,, Ambrosone served in the Molecular Epidemiology Division, National en tcr for Toxi ologu:al Research, Food and Drug Administration, in Jefferson, Arkan,as Hunl ERA Relocation Center 5570 Ma,nStreet Wil ,amsv,lle . New Yon<14221-5410 Email : huntrelocatoon@huntrealestate com S u mm e r 20 /J .l l 1if1l1 riysicin 4 5 �• ( 1996- 00); as a member of the .Arkama, Can er Rese,irch Center in Lillie Ro k ( 1996-02); and as Jeffrey Tessier.MD'95. focuses on molecular epi­ demiology and the role of genetic factors in modify­ ing rdatiomhip, between reprodudin:, dictan and Therese completed her general surger, residency at Eastern Virginia Medi cal School in 'orfolk, \'A. She subsequentl> · went on to complete a fellowsh1p in trauma sur gery/ ntical care at the 'niwr,ity of ,\1aryland ho k/Tr,1um.1 Center in Baltimore, \ID. he no\, holds ,1 faculty position in the Din,1011 of Trauma ·urgcn·, Emer­ gency Surgery, and C nt1"al (_arc.it the \ ledkal ollege of\ 1rginia/ \ 'irgima (_ommonwealth environmental exposure, ' niver,it~ in Richmond, a s ciate professor and director of the Can ­ cer Lp1de111iologr Program at the Dcrald 11. Ruttenberg Cancer Center at the ~lount Sma1 School of ~lcdicine in ·cw York (2000-02). Her research .ind cancer ri k. 46 ThereseDuane.MD'95. and l1tla l 1 n,s i c i 11 \' . Therese b married to clas. mate Jeftrcr Tessier, MD '95, and thev have recently added Luke John Duane-Tessier to the family. Jeffrey is leaving ,1Ct1, ·e sen ·i e in the U.. Navy lo pursue a re,ear h fellm,·,hip in in­ fectious disease, at the niversity of Virgini,1. edical lumni was elected president of the Medical AlumniAssociationon April 26, 2003, at SpringClinical Day. Pollack is a UB clinical assis­ tant professorof ophthalmologywho is in private practice in Williamsville,NY. will serveas the new vice presidentfor the association.Mattimore is a UB clinical instructorof pediatricsand is on staff at Kaleida Health'sWomenand Children'sHospital TimothyV.JordenJr.• MD '96. ha . iomed the 1:.ne Count) \lcd1cal Center\ Dep,ntmcnl of urger, ,, an attending phy,i ­ ci,rn. He aJ.,o currently ...crvcsa ,, clink,11 assis ­ B\ D,,1>artrncnt ofSurg~I). tant professor 111 of Buffaloand Mercy Hospital. will serve as treasurer. Brecher is chair of the Department of Pediatrics at Roswell Park Cancer Institute, chief of the Division of Pediatric Hematology/Oncology at Kaleida Health's Women's and Children's Hospital of Buffalo, and chief of pediatric hematology/oncology in the UB Department of Pediatrics. �THEN GET TO BUFFALO. Likelbr? Plesst1e yoo:curentpos.::Jn tw handle Is vw practice !JM11Q waytoo rr. , headilChe5 ~so -~~meto~olf oBuflar • Visit the UBSchool of MedlciN alNIm-edlcal Scletlces' website at www.smbs.buffalo.edu • click OIi Alumni • click on What's Up, Doc? Bu aJo only i!'ll!f alJOl.( 25!laysotsnowa 'fCiJf Snowf t ..-.rodIJll19 some Cl!JeS toag-inding ha ar '10 pr heft And<U agesummer •empcratll' Womed :WNfl Physicians Here's whatwe'vegot! TheBills.TheSabres , TheTorontoBlueJays GoingoverNiagaraFalls in a barrel prefrtcrmplet Suicidewingsat the AnchorBar llthealthcertffi • familyupdates • interestln&'trips alNItrails' • happyoccasions,11■-• tntert■cles • mo,nt~ • retirement • honon and awards • publications • publicsemce/electlo■ to office • researchendeawon • muslnp on life as a doc .... toJOI<U preslJ!llOl' Reelingin freshfishfor rOS!ef olhealth eveprole;siOOals. sizzlingbackyardBBQ F t yoo:I e by send L{e\lmeHealth205 Crossinginto Canada 221 PH 877Z'77465 for an eveningor fun ear f DownhillwinteradVentures on net snowCOYefed mountains Lifetime Health wwwfitsyoll'I ife.com alo-rnedical.bk!ib" .co m Your medical resource is just a click away . University at Buffa l o The State Universityof New York UNIVERSITY MEDICAL BOOKSTORE Main Street• Phone:(716)833-7131 • um mer 2003 1,11111 Plpitill 47 �S U MMER d C.Fi ch r schools by moving the children into their home in Willard G. Fischer died on February 27, 2003, in his Eggertsville, NY,residence followinga long illness. He was 92. A Buffalo native, Fischer was a family physi­ order to allow them to le­ gally attend schools outside their home districts. The Freibergs had five children of their own and Jane quit her practice at Kaiser after cian who was known for making house calls until the day he retired in 1991 at age 80 after practicing their first child was born. Their efforts to assist black medicine for 55 years. Followinggraduation from medical school in 1936, he served as chief of staff at Deaconess Hospital for several years and was a children to enter Palo Alto schools eventually led to the establishment of the Tinsley Transfer Program, a court• mandated effort to help chil­ dren from poor districts, according to Gertrude Wilks, member of the staff of Buffalo General Hospital. then Palo Alto's mayor. As a result of the Freiberg's, "so many doors have been During that time, he also served as president of the opened," Wilks said. Deaconess staff for two terms and president of the Deaconess Hospital Foun­ dation for several years. Survivors include two daughters, HollyMomberger of the Town of Boston, and Melinda Keirnan of Solon, OH;a stepdaughter, Martha Freiberg is survived by her husband, Kenneth, of Palo Alto; and children: Jo Ann Reagan of Farmington, CT;Donald of MountainView, CA;Andre of Hershey, PA; Ellen Freiberg of Santa Rosa, CA;and Paul of Palo Alto. "Mimi" Heaps of Orem, UT; Daniel Chartes Kozera, an obstetrician­ gynecologist Gerald Ford of Tempe, AZ, and Donald Ford of Logan, His wife, the former Helen Heinrich Ford, died in 1997. and treasurer for the UB Medical AlumniAssociation, died suddenly on February 24, 2003. He was 69. J • u r '3 Jane Auer Freiberg died in June 2001. A native of Buf­ falo, NY,she moved to Palo Alto, CA,following medical school. In the 1960s, she and her husband, Kenneth, helped black children from Pa lo Alto enter better 48 1111,1, n,si,in Lackawanna, West Seneca, and Derby. He was on the staff at both Our lady of Victory Hospital and Buffalo Mercy Hospital and held leadership positions includ­ ing department chair al both institutions. In addition, he was an obstetrician for Our lady of Victory Infant Home and Maria Goretti Home. Kozera was an accom­ plished physician and com­ munity leader. He was the first in Western NewYork to perform successful intrau­ terine transfusions for Rh hemolytic disease. He was past president of the Buffalo Gynecologicand Obstetric Society, the OB-GYNunit at Mercy Hospital and the Erie County Health Board. He a son, Craig W. of Rich­ mond, MA;two stepsons, UT;23 grandchildren; and many great-grandchildren. drafted into the Army, where he served as a captain in the Medical Corps and act­ ing chief of OB/GYNat Kenner Army Hospital at Fort lee, VA. Kozera practiced medi­ cine for more than 30 years and had offices in A native of Lackawanna, NY,Kozera graduated as salutatorian from Canlsius High School and cum laude was elected to the Wall of Fame at Mercy Hospital in 2000 for his years of service and dedication. Kozera Is survived by his wife of 46 years, the former Delphine M. Gorski of Lackawanna; two sons, Davidof Lynchburg, VA,and Michael of Prospect, CT; three daughters, Kathleen Roweof Delmar, NY,and Caryn laReche and Terese from Fordham University in 1955. Followingmedical Macpherson, both of Clifton school, he completed his residency at Sisters of Char• ity Hospital. In 1967, he was lotte of Lackawanna;a sis• ter, CarolynChlosta of Issue, MD; and 10 grandchildren. ~ 11 mm l r .2 (} tJ J Paril, NY;his mother, Char­ Jeffr y Jeffrey S. Perchick died on March 1, 2002, as a result of an apparent robbery. He was 55. Perchick was in the practice of oncology and hematology in the City of Poughkeepsie, NY.Previ­ ously, he was an attending physician at Vassar Broth­ ers Hospital, 2003 Pittsburgh and received fel­ lowship training in hematol­ ogy and oncology at Strong Memorial Hospital at the Universityof Rochester. He was In private practice limited to hematology and oncology since 1978 In Poughkeepsie, NY. Perchick is survived by his wife of 32 years, Jo Anne, and his children: Rebecca Kent of Poughkeepsie; Brian of St. Francis Hospital, and Hudson River Psychiatric Center. He was a Rochester, NY;and Larry, who is a student at Tufts Universityin Boston, MA.He is also survived by his two former senior medical direc­ tor at Hospice of Dutchess grandsons, Joshua Gilbert Kent and Jeffrey Perchick County, and former chair of Kent of Poughkeepsie. "Dr. Perchick was ex­ the Cancer Committee at Vassar Brothers Hospital. Followinggraduation from UBmedical school in 1972, Perchick completed his internship and residency training in int.ernal medi• cine at the Universityof traordinary. He was a great man and a great doctor, and he will be missed not only by his family, but also by his patients, whom he treated like 'family,"' said a former patient. 4D �James Scholar Alfred"Tom" FronteraJr.,Classof 2003 Pictured. left toritht.Jo ·s t er.Yer 1ca. Alfred Sr.. T , andsister en 1fer. he Jame PlattWhiteSocietyi a distinguihed group of donor that contribute 1,000 or more annually to the Univerity at BuffaloSchoolof Medicineand BiomedicalScience. . ·amed after Jame Platt White, .\10, one of the founders of the ~tedical hool, White wa. a pioneer in as both dean and pre ident of the ni\'ersity at Buffalo merican obstetric and gynecology who sen·ed B facult}. Each year at grnduation, the Jame Platt White . · iet}·honors a . tudent who e:em­ plifics the leadership qualities that personify those of Dr. White-foresight, intellectual ,·igor and moral courage. This year'· r cipient is Alfred ·1. Frontera Jr., or "Tom," as he is known to familr members and friends. Tom was hooded by his father, Dr. Alfred T. Frontera r., a neu­ rologist \\;th succe~ ful practices in their hometom1 of Kingston, . ;)'_ Tom i. following in his father's foot tep. by entering into residency training in neurol­ ogr at Columbia lJniwrsit}· College of Ph) iciam and urgcon . , eurolq,1y is a family affair, a,;Tom' sister, Jennifer, is in her fourth ye-..1r of rcsidenq-'in neurology at olurnbia. Tom recei"ed a Hitchcock hair adorned ,\;th the L'B hool of, fcdicinc and Bio­ medical Sciences insignia in recognition of thi special honor. �p H A R M A 0 p 0 E I A Thi 11lu tranon "''lls d,.,. uall reproduced from offizm ·lien Ce .. ach,e, a four ,olume cd1t10n of pharmaceutical plants and their m d1c111alu e , publi hcd m German m 1863. Thc ph rmacopoe1a b, 0110 Karl Berg (1815 1866) 1 part of the Roh rt L. Brown H1 tory of led,cme Colle 110n. lo c tcd m th \.bbott Hall Health c1encc Llhrnl'). 1'1ctun d h.-re 1 the Daphne, one of a ene of botanic I 11na c d1gi tally re to red a pa, t of an 1m11atl\e to pre .-,.,,e nd highlight umque re ourc from the libr I') collec11on, Reproduct 10n are av ,!able for purcha e throu h the hbran, and can be ,1ewcd onhne at 1 ledia.buffalo.edu an . Image re tora11on wa, performed b I ledUI. the 1n trucllonal m ,ha ser dep rtment of om pu1111g and Inform 1t10n 1 echnologi; t B \ICC 8 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 2003 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2003-Summer Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v38n01-2003-Summer Table Of Contents A list of subunits of the resource. New Vision of Collaboration In Step with Medical Milestones Take Note Medical School Research Pathways Reunion Weekend Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Copyright 2003 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/19e427fcdda7c7fbf3a8aa72c2ea7814.pdf d0897c074d32cf00d5f2c64f456c63ff PDF Text Text inimally invasive approaches to stroke treatment �llffall Hysiciu VICE PRESIDENT FOR 'I\ ERSITY COMMUI'iiCATIONS u jennifer McDonough DIRECTOR OF NEWS SERVICES Arthur Page DIRECTOR OF PERIODICALS Sue Wuetc/Ier Paroski Named Interim Dean EDITOR Stephanie A. Unger ART DIRECTOR & DESIGN on January 15, 2003 , that he planned to resign Alan]. Kegler and David]. Riley effective February 14 as vice president for health affairs at the University at Buffalo and dean of DESIGN the UB School of Medicine and Biomedical Sciences. Karen LichtJCr CoNTRIBUTING WRITERS Lois Baker and Ellen Goldbarun PRODUCTION COORDINATOR CyrJtlria Todd-Flick At the same time, UB President William R. Greiner announced the appointment of Margaret W. Paroski, MD '80, the medical school 's senior associate dean for academic affairs and admissions, as interim vice president for health affairs and interim dean of the School of Medicine and Biomedical Sciences. LNIVERSITY AT BuFFALO SCHOOL OF MEDICINE AND BroMEDrc.AL SciENCES Dr. 1\fargaret Paroski, lnterzm Dean EDITORIAL BOARD Dr. john Bodkin Dr. Martin Brecher Dr. Harold Brody Dr. Linda J. Corder Elizabeth Volz, Class of 2005 Dr. fames Kanski Dr. Elizabetlr Olmsted Dr. James R. Olson Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zeplowitz Greiner said UB "will hold off on the search for and appointment of a new vice president and dean until UB's 14th president has been appointed by the SUNY Trustees. " On January 13, 2003, Greiner had announced plans to retire as UB's 13th president effective June 30, or at a later date if requested by State University of ew York Chancellor Robert L. King, depending on the appointment of his successor. ln a message to faculty members at the time of his resignation, Bernardino said that he and his wife were moving back to Atlanta to be closer to their children . Prior to coming to UB as vice president for health affairs in April 1998, Bernardino, who also holds an MBA degree, had served as director of managed care with the Emory University System of Health Care, Inc. , and professor of radiology in the Emory University School of Medicine. TEACH!-.;G HOSPITALS Erie County MediCal Center Roswell Park Cancer Institute Veterans Affarrs Western New York Healthcare System As vice president, he oversaw the clinical and collaborative activities of PAR OS KI UB 's five hea lth-sciences schools-medicine and biomedical sciences, dental medicine, health related professions, nursing and pharmacy. He was named dean of the medical K,tLIIT>A Hf.-\LTH: Tire Buffalo General Hospital The Children's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital C.iTIIOll< Ht\1111 SL"iTE\1: Mercy Hea/tlr System Sisters of Cluuity Hospital Niagara Falls .\1emorial Medical Center ® UII[ISI!IIlllfflll. Ill Sill! UIHISllY If m!Ill Letters to the Editor Buffalo Physician is published quMtcrly by the Unive rsity at Buffalo School of Medicine and Biomedical Sciences in cooperation with University Communications. Letters to the Editor are welcome and can be sent c/o Buffalo Physrcian, 330 Crofts Hall, Umversity at Buffalo, Buffalo, NY 14260; or via e- mail to bp-notes@buffalo.edu. Telephone: (716) 645-5000, ext. 1387. The staff reserves the right to edit all submissions for clarity and length. T...::J:... University at Buffalo ~ 1'1teState Ut~iversityofNew York school in July 2001. "I think that this is an appropriate time to move on," Bernardino noted in his message. "We have accomplished the major goals that I set forth when I arrived in Buffalo: establishment of an infrastructure within the medical school, reorganization of the school, restructuring of the practice plan and the negotiation of new affiliation agreements with the teaching hospitals. The latter two I consider to be very significant events in the history of the medical school. And the last one, as important as it is to UB, probably is more important to the Buffalo community." Greiner noted that Bernardino's contributions to UB during the past five years "have been significant, and his departure is a loss to our entire UB community." He added: "Mike came to UB with a clear vision and action agenda: reform of the administrative structure of our faculty practice plans, and transformation of our relations with our affiliated hospitals regarding both the delivery of graduate medical education, and the fiscal and managerial relationships between the hospitals and the medical school vis-a-vis our shared responsibility for teaching, research and health-care delivery. �"These reforms have been made," Greiner added. "Our practice plans are on a sound fiscal basis, and our new affiliation agreements provide not only the platform for first-rate teaching and research programs, but also a new framework for regional health-care delivery. Beyond these extraordinary accomplishments, Mike has seen to it that the finances of the medical school and its administrative leadership are both in very strong condition." While Bernardino gave credit to many colleagues in and outside the university for their roles in those accomplishments, Greiner said that "he has been an extraordinary leader. UB, the medical school and all of us in the Buffalo-Niagara area owe Mike a debt of gratitude for all that he has done to date, and for the future prospects for Buffalo-Niagara, which his work here has greatly enhanced." UB Provost Elizabeth D. Capaldi praised Bernardino for "managing in a very short period of time to organize the clinical affairs of the School ofMedicine and Biomedical Sciences and to put the financial affairs of the school in excellent shape. "We now have a firm foundation to move forward," Capaldi added, "and all of us are indebted to Mike for his excellent work. I doubt anyone else could have accomplished what he has in this short a period of time. We will miss his leadership." Greiner said Parosk.i "is one of UB's most accomplished faculty members, and has proven herself an outstanding administrative officer. I have every confidence that she will provide excellent leadership for the medical school and for clinical affairs." Prior to joining the medical school's administration in May 200 I as director of admissions, Paroski served as medical director of the Erie County Medical Center for five years and as clinical director of neurology at the medical center for four years. She has been a member of the medical school's faculty since 1984 and is a professor of clinical neurology. A !980 graduate of the UB medical school, Parosk.i is president of the UB Alumni Association and past president of the UB Medical Alumni Association. An accomplished educator, Paroski was the 1988 recipient of the UB medical school's coveted Siegel Award for Excellence in Teaching. In addition to her administrative duties, she currently teaches in five medical school courses and serves as the course coordinator for the mandatory senior neurology rotation. She served for a year as the school's point person for curriculum development and implementation in preparation for the Liaison Committee on Medical Education Review, which took place in October 2002. She also has an active practice in neurology. A native of Buffalo, Paroski received a bachelor of arts degree in biology and psychology from Canisius College in 1976. She completed her residency training in neurology in UB's affiliated teach- HEALTH SCIENCES ing hospitals and is board certified in neurology. In 2000, she completed a master's degree in medical management at Carnegie Mellon University in Pittsburgh. -ARTHUR PAGE JUN I 3 20D.1 LIBRARY �Dear Fellow Alumni, y the time you read this message, the 2003 Spring Clinical Day and Reunion Weekend will have lfficers ~~~ liar~ Mn~ers ZIU-ZII3 taken place, and we will be in the process of preparing a full report for publication in the summer issue of Buffalo Physician. This year we had an outstanding scientific program that was organized by Marty Brecher, MD '72. Speakers included Rohit Bakshi, MD '91; Robert Genco, DDS, PhD; Bruce Holm, PhD; and Jeffrey Skolnik, PhD, (our Stockton Kimball Awardee), who discussed various topics in the field ofbioinformatics. Matthew Enstice, associate director of the Buffalo-Niagara PRESIDENT Patricia K. Duffner, MD '72 Medical Campus (BNMC) development, also gave a presentation on the past, present and future of the B MC. The recipients of the 2003 Achievement Awards were Bertram Portin, MD '53, VICE PRESIDENT Robert Zizzi, MD '58, and Robert Milch, MD '68. The Berkson Awardee was Robert Stephen B. Pollack, MD '82 Kaplan, MD '81. For the first time, the awards were presented immediately following MEMBERS Rohit Bakshi, MD, '91 Martin L. Brecher, MD '72 Martin C. Mahoney, PhD, MD '95 the scientific session so that those who could not attend the luncheon were able to congratulate these outstanding alumni. Planning for Spring Clinical Day and Reunion Weekend was helped immensely by Kimberly Venti, who was hired in December 2002 as director of donor stewardship and constituent relations in the Office of Alumni Affairs and Development in the School of Medicine and Biomedical Sciences (see introduction of Venti on page 36). We are very fortunate to have her as medical alumni administrator. In addition, I would like to recognize the essential role members of UB's Office of Special Events Colleen Mattimore, MD '91 played in the extensive planning required for this weekend event. Finally, I would like to extend a PAST PRESIDENT special thanks to Steve Pollack, MD '82, vice president of the Medical Alumni Association, for his excellent work with the reunion class chairs. fohn f. Bodkin, JI, MD '76 EMERITUS MEMBERS In closing, I have two sad pieces of news. The first is that Michael E. Bernardino, MD, MBA, vice president for health affairs and dean of the School of Medicine and Biomedical Sciences, has resign- Donald P. Copley, MD '70 ed effective February 14, 2003, to return to Atlanta and Emory University. During Mike's tenure, Robert E. Reisman, MD '56 affiliation agreement and carried us through the Liaison Committee on Medical Education (LCME) REGIONAL MEMBERS Joseph A. Chazan, MD '60 Rhode Island Max Doubrava, MD '59 Nevada Dorothy C. Rasinski, MD '59, /D Califomia he established a firm financial foundation for the University Practice Plan, negotiated a difficult visit last fall with flying colors (see article about the school's reaccreditation on page 28). Mike was extremely supportive of the Medical Alumni Association, assisting us in recruiting and funding our new, outstanding administrator, Kim, as well as providing funding to support a parttime staff member who is now working with us, Jennifer Lobaugh. Mike was also a great friend to me personally, and I will miss him. Secondly, Dr. William Greiner has announced that he will be stepping down as president of the University at Buffalo in June 2003 or at a later date if requested by State University of New York Chancellor Robert L. King, depending on the appointment of his successor. I first got to know Bill when we served together on the Kaleida board of directors during one of the more turbulent times in the history of medicine in Buffalo. Bill's voice was always one of reason and clarity. His great love Orestes G. Rosabal, MD '77 Florida for the university and for his job as president was apparent to everyone who met him. Bill has made me proud to be a UB alumnus and a member of his faculty. Eric f. Russell, MD'74 Jllinois PATRICIA K. DUFFNER , MD ' 72 President, Medical Alumni Association �VOLUME 37, NUMBER 0 p H y s c A N Features The Inside Passage 4 Minimally invasive treatment of stroke and other cerebral vascular diseases-Buffalo's neurosurgeons chart the way BY UNGER Acute Care, Astute Care 20 Two UB alumni develop pathway to ensure optimal care for acute cardiac patients BY 24 S. A . !COLE PERADOTTO On Course, Part II Cardiologist John Corbelli, MD '79 , left, and emergency room physician David Janicke, MD '88, PhD, right, are working to reduce our region's high rate of death from hean disease. For more, turn to page 20. A conversation with Margaret Paroski about medical education, curriculum and admissions PICTURED ON THE COVER ARE NEUROSUR G EON$ HOPKINS, RIGHT, AND LEE GUTERMAN, LEFT. PH 0 T 0 37 John Canty, MD '79, elected to Association of University Cardiologists 47 Tony g,MD '91, an update on Disaster Psychiatry Outreach 28 School of Medicine and Biomedical Sciences reaccredited for eight years 31 UB establishes School of Public Health and Health Professions 32 Merril T. Dayton, MD, named chair of surgery Frederick Munschauer named chair of neurology 33 Rob Bermel, MD '03, receives Oldendorf Award 30 Oishei and Wendt foundations support Buffalo Life Sciences Complex 39 James Platt White Society annual listing 43 ews from your UB classmates and other alumni 44 Francis Fote, MD '52, founder of Grounds for Health, volunteers around the world L. N . " I C K" BY ERIC FRI C K . Medical Student Research Forum, a showcase for achievements �L. N. "Nick" Hopkins, MD, chair of neurosurgery at the University at Buffalo, and his DB colleague, lee Guterman, PhD, '89, are recognized leaders in field of neuroendovascular surgery. Pictured with them is £lad levy M li f w �F.-AIR - -- Minimally invasive approac es to stroke treatment �ore o ent an ot, scientific advances come slowly and incrementally, each step dependent upon the work of earlier researchers whose focus, patience and plodding zeal were guided by a shared vision that at times may have seemed over· reaching, perhaps even a bit surreal. n cases where these incremental steps are successful, however, there comes a turning point when the quiet, behindthe-scenes evolutionary work reaches a critical mass and becomes revolutionary in its impact. Nowhere is this phenomenon better exemplified than in the work of neurosurgeons who over the past several decades have collaborated with other clinical specialists and basic scientists to make real the vision of treating stroke and other cerebral vascular diseases with minimally invasive surgical techniques. These techniques involve taking advantage of the body's circulation system to navigate micro-thin devices through the large artery in the groin until they reach injured or blocked vessels in the brain or neck, where treatment is provided using procedures and devices specially designed for endovascular surgery. Bolstered by ongoing iterative advances in the miniaturization and visualization of these devices-and 6 l ulfa l e Pb ysicin Sp r i 11 g 2003 the testing and perfecting of them in a large number of clinical trials-minimally invasive approaches to cerebral vascular diseases not only are here to stay, but within the decade are expected by many to become the gold standard for a growing number of neurological conditions requiring surgery. The reasons for this are numerous: The endovascular approach is less invasiverequiring only a needle puncture in the groin as opposed to opening the skull; the risk of infection is lower; postoperative recuperation is faster; hospital stays are shorter; expenses are reduced and the emotional stress on patients and their families is significantly decreased. A widely recognized leader in the field of neuroendovascular surgery is L. . " ick" Hopkins III, MD, chair and professor of neurosurgery and professor of radiology in the University at Buffalo School of Medi- �I - cine and Biomedical Sciences, who also serves as director of the UB Toshiba Stroke Research Center. Inspired by cardiologists, whom he readily credits with pioneering the concept of endovascular intervention, Hopkins has long made it his mission to take minimally invasive techniques as they apply to coronary arteries and adapt them for use in the more delicate, convoluted and difficult-to-access blood vessels in the brain. "While the concept is the same, the devices, techniques and training required to treat cerebral vascular disease with endovascular approaches are quite different from those used to treat coronary artery disease," he explains. "The intracranial circulation is much more tortuous and difficult to navigate, and the blood vessels in the brain are much thinner." Undaunted by the challenge of discovering new or better ways to safely navigate micro-devices deep within the brain, Hopkins, in collaboration with his UB colleagues, has been at the forefront of efforts to develop and test many of these devices and procedures and has meticulously built an Endovascular Surgical euroradiology Service at Kaleida Health's Millard Fillmore Hospital in Buffalo that is a magnet for patients from all over the United States. In addition, the service has become a top draw for talented residents and fellows seeking to learn advanced neuroendovascular surgical skills and to participate in groundbreaking research projects in collaboration with scientists at the Toshiba Stroke Research Center. Hopkins attributes the success of UB's neurosurgery program to its three-pronged approach of clinical care, research and education, as well as to the fact that the faculty is multidisciplinary. "We have always had very strong vascular surgery and neurosurgery here," he notes. "However, I think that the addition of the endovascular approach has made our center a leader because we can offer both traditional, open surgery, as well as endovascular surgery interchangeably, with no bias. By this I mean that all services are provided by one group of physicians, so there's not one specialist saying, 'I can do it better with open surgery' and another saying, 'I can do it better with endovascular surgery.' "As you might imagine," he continues, "as the lessinvasive endovascular techniques continue to mature and gain popularity, this is a very important advantage because there are centers where the two approaches are separated and it's getting to be a competition between ---- endovascular and traditional surgical techniques. In our department, because we're a multidisciplinary team, there's no competition, so we can avoid bias in deciding the best way to treat patients." The synergy among clinical specialists in the department is further enhanced by the fact that basic-science faculty in the Toshiba Stroke Research Center also represent a broad spectrum of disciplines, including radiation physics, biomedical and aerospace engineering and polymer chemistry. "One of the things I'm most proud of is that our program, because of the Toshiba Stroke Research Center, has always been in the lead in terms of researchmostly translational-type research-that goes hand in hand with the development of new techniques," says Hopkins. The concept of the Toshiba Stroke Research Center at UB was originated by Lee Guterman, PhD, MD '89, according to Hopkins (see page 16). "Over the years, it's been a truly exciting thing for me to be associated with great people, and my partner, Stent deployed to open ablocked carotid artery. Studies are ongoing to determine Lee Guterman, has the safety and efficacy of this procedure been one of those as aless·inrasire alternatire to opening people," says Hopthe neck and peeling out the plaque. kins. "Back when he was a medical student and resident at UB, Lee kept saying, 'We've got to be doing some research here.' And that led directly to the multidisciplinary team we put together in the early 1990s and, eventually, to our developing the concept of the Toshiba Stroke Research Center. "The ability to do the preliminary work at the research center and then to transfer, or translate, that research into the clinical setting very quickly has been a huge opportunity for us to have both a strong clinical and teaching program," he adds. Spri u g 2003 e 1111111 Hysici11 7 �The Ins and Outs of Ste ·ng and Coiling Two endovascular procedures that today have the potential to revolutionize the treatment of stroke are "stenting," which is used to prevent ischemic stroke (blockage of brain blood vessels), and "coiling," which is used to prevent hemorrhagic stroke, or aneurysm (burst blood vessels in the brain). Hopkins and his group have been involved in long-term clinical and laboratory studies that have directly contributed to the development of both of these procedures, neither of which has escaped growing pains as it inches its way toward winning acceptance as standard treatment for carefully defined patient populations. The primary cause of ischemic stroke is a buildup of plaque in the carotid arteries on each side of the neck, which supply blood to the brain. If patients present with TIAs, or transient-ischemic attacks (mini-strokes) and are found by Doppler ultrasound studies to have significant plaque buildup in their carotid arteries, the standard treatment over the past 50 or more years has been endarterectomy, a surgical procedure in which the artery is opened and the plaque is peeled out. Traditionally, the procedure has been performed by vascular surgeons; however, it is not uncommon for neurosurgeons to perform endarterectomy as well. Although safe and effective for many patients, endarterectomy does cause significant scarring and is a highrisk procedure for patients with severe medical co-morbidities, such as coronary artery disease or pulmonary disease, according to Hopkins, who began performing the operation about 25 years ago. In the early 1980s, Hopkins became convinced that alternatives to endarterectomy had to be found for high-risk patients, when he operated on the father of a friend. The patient was a physician who had severe diabetes, coronary disease and pulmonary disease and was obese. In addition, he presented with mini-strokes, which pointed to a severe blockage of his carotid artery. " All this meant that it was going to be a difficult operation," recalls Hopkins, "but we didn't have an alternative. So I operated on him and he made it through the procedure, but it was difficult. To make a long story short, he never made it out of the ICU. Right then, I said there has to be a better way." Shortly thereafter, a French surgeon began pioneering the use of balloon angioplasty for treatment of carotid artery disease. By the mid-l990s, surgeons were placing a tiny mesh cylinder, called a stent, over the balloon , so that when the balloon was inflated at the site of the occlusion, it expanded the stent, which then braced open the artery and maintained blood flow to the brain. Traditionally, this stenting procedure has Elad Levy, MD, senior fellow in endovascular neurosurgery, standing, reviews acase with radiologic technologist been performed by interventional cardioloGene Maziarski, seated, in the control room of the special procedures suite at Millard Fillmore Hospital. gists and neuroradiologists. 8 l1flala Hysitiaa Sp r irzg 2003 �Until recently, a serious drawback to the stenting and Drug Administration] has not approved a product. approach was the tendency for pieces of plaque to be We reserve it for the high-risk patients. I think they're a dislodged during the procedure and migrate up to the lot of places where people have been using this technobrain and cause a mini-stroke. This risk has been signi- logy pretty willy-nilly. We're just not ready for that yet. ficantly reduced by the development of a tiny filter that We don't know for sure that carotid stenting is as safe as is placed distal to the stent to collect any debris that is carotid endarterectomy, which is still a great operation. released during the pro- More studies, like the CREST, need to be done." As is the case with carotid artery disease, clinicians cedure, after which it is are determined to expand viable treatment options for removed. Over the past five patients with hemorrhagic cerebral aneurysm, a devasyears, there have been tating condition that affects some 30,000 Americans a ongoing studies assess- year, 15 percent of whom die within minutes and 50 ing the safety and effi- percent, within a month. cacy of stents in carotid For the past three decades, an intracranial surgical artery disease, and the procedure called clipping has been the standard treatUB group has been in- ment for aneurysms. This involves a neurosurgeon volved in six of them, opening the skull, finding the location of the bleeding with either Hopkins or vessel in the brain and placing a clamp on the section l tiny filter is now placed distal to the lesion to collect pieces of plaque if dislodged during the Guterman serving as of artery that has become weakened and has bulged procedure, significantly improving safety. principal investigator. out owing to pressure from the circulating blood. (In One of the most some cases, the clip is applied to the parent vessel of important trials to date the unruptured aneurysm-as opposed to the bleeding is the SAPPHIRE (Stenting and Angioplasty with vessel-to prevent a future rupture. ) Protection in Patients at High Risk for EndarterecOver the past 12 years, an endovascular approach tomy) Trial, in which patients considered at high risk called coiling has come into its own as a technique that for surgery were randomized to receive either surgery might someday supplant the need for invasive surgery or stents. to treat aneurysms. "Stents won overwhelmingly," says Hopkins, noting Performed by either a neurosurgeon or a neurothat the results of the study were reported at an Ameri- radiologist, coiling involves the use of computercan Heart Association meeting in ovember 2002. "It aided X-ray imaging to navigate a catheter from the proved for the first time that stenting is safer and better groin up into the brain to the site of the aneurysm, for surgery in patients who are at high risk." where micro-thin Slinky-like devices called coils are Currently, Hopkins is co-principal investigator for gently packed inside the aneurysm, where they form a a study called CREST (Carotid dense mesh catacomb that clots Revasculariza tion Endarterecoff the bleeding. Coil-type devices have been tomy vs. Stent), which is compararound for approximately 20 years; ing endarterectomy with stenting however, the technology was given a in patients who are not at high formidable boost in 1990, when risk for surgery. Guido Guglielmi-a neurosurgeon "One of the things I think is and neuroradiologist with electrical important to emphasize is that all expertise (then at the University of the way along in the development California at Los Angeles)-invented of this technology, our group has a coil that detaches from the catheter been extremely conservative in when zapped by a small electrical the way we have used it," Hopkins current. notes. "We don't use carotid Before and aher images of acarotid Over the past decade, however, stenting in the normal low-risk artery revascularized following stenting. coiling has not flourished as much patients for which the FDA [Food - S pr i n g 2 00 3 I a II a 11 n ysic i a a 9 �in the United States as it has in Europe owing to concerns that U.S. physicians have about the long-term efficacy of the procedure, as well as to differences in European and American health-care delivery and reimbursement systems. Questions concerning the efficacy of the procedure were recently addressed in a landmark European study funded by the Medical Research Council (the British equivalent of the FDA) that compared coiling to surgery for the treatment of aneurysms. As reported in the October 26, 2002, issue of The Lancet, the ISA T (International Subarachnoid Aneurysm Trial) was halted early when results after a year showed that 31 percent of patients who underwent surgery for an aneurysm were disabled or had died compared with 24 percent who had undergone the coiling procedure. Although these results are promising, U.S. physicians are calling for additional studies that will address specific long-range concerns they have regarding the question of recurrent hemorrhage after coiling compared to surgery. While the neurosurgeons are participating in ongoing trials to examine the efficacy of coiling and coiling devices, they are also working with their UB colleagues Angiogram at top depicts at the Toshiba Stroke Research Center to an aneurysm; in the develop improvements to existing coiling centerit has been packed technology, as well as next-generation with Slinky·like devices devices and procedures that have the pocalled coils, which tential to someday supplant coiling itself. prevent blood flow into the aneursym, bottom. One such improvement that was developed at the center is the idea of using specialized neuro stents to overcome a significant problem that had precluded coiling from being used to treat aneurysms that have a wide neck (the opening from the normal blood vessel into the bulge). For these types of aneurysms (an estimated 30 to 40 percent of all aneurysms), coiling doesn't work because the devices cannot be held in place- they slip out through the wide neck. Several years ago, Guterman and his colleague Ajay Wakhloo, PhD, MD, (now director of interventional radiology at the University of Miami) developed the concept of placing a stent at the base of a wide-necked aneurysm to hold the coils in place. Owing to the development of this new technique, which is now in clinical use, neurosurgeons and neuroradiologists can effectively treat a larger number of aneurysms using less invasive endovascular procedures. "The technique accomplishes three things," explains Guterman, UB assistant professor of neurosurgery and co-director for device development at the Toshiba Stroke Research Center. "One, it enables us to confine the coil within the aneurysm; two, it actually shapes the flow of blood, which is funneled by the stent back into the normal artery; and three, it straightens out a segment of the artery where the aneurysm is, which gives the blood a further hemodynamic boost." Image Is Everything 10 lulfalo Pbpician Spr1 11 g 2003 The idea to develop a next-generation device that might someday supplant coiling has evolved from a seemingly unrelated but highly successful area of research at the Toshiba Stroke Research Center that promises to advance all aspects of neuroendovascular surgery: the development of a prototype camera that can turn blurred X- ray images of tiny blood vessels and micro-devices into high-resolution images that can detect a structure as fine as a single strut on a neuro stent. Called a "high-resolution region-of-interest microangiographic digital detector," the camera, which was patented by UB in September 2002, is close to being ready to test in the clinic, according to Stephen Rudin, PhD, UB professor of radiology and physics, codirector of the center's Imaging Division and lead researcher on the project. Having clear X-ray images of vessels and instruments is critical to reaching a damaged or occluded site in the brain without injuring vessels along the way. Once at the site, improved visualization greatly enhances a Physicians at UB developed a clinician's ability to place or technique that uses stents in reposition a device. combination with coils, pictured here, to treat wide·neck Work on the camera beaneurysms, acommon type gan in 1999 with the support of aneurysm previously untreatable using coils alone. �of a three-year, $1.2 million grant from the ational angiography, which provides good-quality images at Institute of Neurological Disorders and Stroke. Much somewhat higher exposure, but not the continuous, progress has been made since that time. real-time imaging that you get with fluoroscopy," ex"We started with an existing camera chip that had plains Rudin. "What they'd really like-and what we'd about a centimeter-by-centimeter field of view, which like to develop for them-is one device that can switch is very impractical," explains Rudin. back and forth between the two. "We now have a five-centimeter-by-five-centimeter "To do that requires a non-trivial step from where we field of view and can correct for artifacts and nonlinear- are," he adds with a chuckle. "However, we do have all ities, something we couldn't do before," he continues. the elements of technology in place; they've been test"Also, we are able to take pictures at five frames per ed and have been successful enough to make it feasible second, at 50-micron pixel sizes. Since the images are for one of our students to earn his PhD on the topic." digital-just like you'd get from any digital camera-we Almost as exciting to Rudin and the research team at can place them in files in a computer, where they can be the Toshiba Stroke Research Center is a new capability processed, displayed and manipulated. These are all they have discovered for the camera-it allows them to things that conventional equipment can do at rough res- see well enough to rotate a stent on its axis. olution; but we are doing them at high resolution." While the camera is in the final phase of being readied for testing in the clinic, under development is a newer camera that the researchers hope will move the technology forward from five frames per second to 30. "This is the subject of one of our graduate student's thesis," says Rudin-"to be able to go to 30 frames a second, which is real-time." Another more longterm goal for the team is to take the camera, which is designed only for angiography, and develop it to a point where it can be integrated into a single device that can perform angiography in combination with fluoroscopy. " ormally what the surgeons do is switch back and forth between Stephen Rudin, PhD, professor of radiology and physics and co·director of the Imaging Division in the UB Toshiba Stroke Research Center, the fluoroscopy, which has played akey role in developing acamera that gives neurosurgeons high·resolution X· ray images of vessels and instruments. This provides real-time, lowimprovement in imaging has in turn led to anew concept for endovascular treatment for aneurysms called a"low·porosity patch." resolution imaging, and e Spring 2003 l1ffale Pbysiciae 11 �This realization has led the scientists to formulate a concept that may lead to the development of a new endovascular treatment for aneurysm: If stents can be clearly vis ualized and manip ulated, why not create a stent that has a low-porosity patch on it that can be maneuvered up against the neck of an aneurysm to seal it and thereby prevent it from growing and hemorrhaging? "Aneurysms are bulges in the vessel, and these bulges are not symmetrical," explains Rudin. "The advantage now is that we can use the camera to not only see at high resolution things as small as a strut [on a stent], but we feel that we can rotate the stent on its axis, and if there's any asymmetry, we'll be able to localize it and wall off the aneurysm with the low-porosity patch." This approach, Rudin and his group theorize, might someday make coils superfluous. e the Blocks New area of stroke research explored ne of the biggest challenges in stroke ment of Neurosurgery are exploring a novel treatment is finding a way to quickly open approach that combines the use of the country, the UB re- blocked vessels in the brain without caus- thrombolytics with minimally invasive searchers, led by Ad nan ing hemorrhage or another stroke. (endovascular) surgery to treat patients Qureshi, MD, used a newer, longer-acting Some blockages respond to intravenous with acute ischemic stroke. Results from a thrombolytic agent called reteplase, which thrombolytics (drugs that thin the blood and prospective trial they conducted, which they injected directly into the clot through dissolve the clot); however, these agents, were reported in the November 2002 issue a catheter placed intra-arterially, rather such as the standard tpA (tissue plasmino- of Neurosurgery, show that more than one- than through an intravenous line. If the gen activator), can cause bleeding in the third (7 of 191 of the patients-all of whom drug alone did not reopen the vessel quick- brain, even when given at recommended would otherwise have been expected to ly, then mechanical thrombolysis treat- dosages. Other serious impediments to the suffer severe deficits--returned to func- ment was used to break up the clot. drugs are that they must be administered tional independence. " This trial opens up new horizons for within three hours of stroke onset to be " If there is a major artery that's block- stroke treatment," says Qureshi, now at effective, they are active for only 6 to 10 ed, we know from our cardiology col- the University of Medicine and Dentistry of minutes and they aren't recommended for leagues [who treat blocked coronary arter- New Jersey. "It shows the feasibility of us- patients who have had a recent surgery. ies) that you can sing and dance and squirt ing both measures in combination to open Minimally invasive therapies such as drugs in there all you want, but if you don't up the blood vessels and reduce the risk of balloon angioplasty and stenting are used to remove the clot, if you don't reperfuse the hemorrhage. None of the 19 patients treat- compress the plaque against the walls of the heart or brain, the patient won't get bet- ed experienced symptoms of brain hemor- artery to establish a channel whereby blood ter," explains L. N. " Nick" Hopkins, MD, rhage. The two worked synergistically." flow can be restored; however, this "me- chair and professor of neurosurgery and " This pharmaco-mechanical, intra- chanical" approach increases the chance professor of radiology at UB. "So, we've arterial approach has launched our de- that fragments of plaque from the clot will been working on ways to use drugs that partment into a whole new area of stroke break off, migrate to the brain and cause block platelets and dissolve the clot in research," adds Hopkins. "Methodologies another stroke (see article on page 4). combination with the mechanical removal such as this have the potential to add of the clot." greatly to what we are doing already." To overcome these problems, researchers in the University at Buffalo's Depart- 12 of the first of its kind in l1flal• Hpicin Spriflg 2003 In the prospective trial, which was one �"In the past, people hadn't thought of this approach because there was no way to control the stent because you couldn't see it clearly enough," explains Rudin. "We would have to be very precise, very targeted when we're positioning these patches over the aneurysm," adds Guterman. "It can't be done sloppily because there are problems with putting low-porosity regions in neurovasculature. For example, there are tiny perforator vessels that come off the main vessels. You don't want to cover these up because they lead directly into brain tissue, and if you cover them up and stop the flow, you can cause severe damage. So the placement of this type of stent will require very careful guidance, which means you have to be able to see what you're doing, which means you have to have high resolution, which we now have with the new camera." A patent application has been submitted for the new device, called an asymmetric low-porosity stent, and in January 2002 the researchers received a $75,000 grant from the UB Office of Science, Technology Transfer and Economic Outreach (STOR) that will enable them to buy equipment needed for the fabrication of an array of prototype devices. Teaching the Teachers These and other clinical-research endeavors serve to attract the best and brightest residents and fellows from around the world, who, in turn, continuously rein fuse the UB neurosurgery group with energy, ideas and talent. Each year, the department accepts one or two residents; it also offers a two-year fellowship in endovascular neurosurgery that is open to two individuals at a time. (Other fellowship training is offered in neurooncology and in critical care and stroke.) To date, some 25 fellows have graduated from the UB program. "All of our alumni are out there starting their own programs, and that's even more exciting," says Hopkins. "This [training] is one of the main reasons why our service is strong. Because when there is a difficult decision to be made at the angiography table, we have the most incredible team of young people standing there kicking ideas around. "These kids are so smart that I find that after the first six months I'm learning as much from them as they are learning from me," he continues. "Oh sure, I've got a few gray hairs and when one of them gets into a technically difficult situation, I can sometimes go in and show them a little trick or two, but these young people are phenomenal. Every one of them has come to me with recommendations from their chair, saying: 'This is the best student I have ever trained,' and they send them here. "So I have been absolutely privileged to be able to teach and collaborate with the talented young people who choose to come here. They've given up two years to learn these new endovascular techniques because they feel, as I do, that the future of neurosurgery in the vascular area is going to be endovascular." Currently, the senior fellow in endovascular neurosurgery at UB is Elad Levy, MD, who earned his medical degree at George Washington University and has completed two years of residency training in neurosurgery at the University of Pittsburgh. "I think everyone [in the field] considers this to be the number-one endovascular fellowship in neurosurgery in the country," says Levy, who will complete his training at UB in June 2003, after which he will return to the University of Pittsburgh to finish his residency. Today's generation of neuro stents "Dr. Hopkins has been a are so tiny and pliable, they can go pioneer in the past decade. wherever microcatheters go within the brain's vascular system. He's really considered by many to be the 'father' of neuroendovascular surgery; he's constantly pushing the envelope. Most importantly, however, he is a mentor in every sense of the word. He teaches us not only about neuroendovascular surgery, but about patient care and about judgement. Judgement comes from experience, and I don't think anyone else has as much experience as Dr. Hopkins does." In terms of advances in clinical research, Levy says "Buffalo is the leader in intracranial stenting," and he explains why he thinks now is a particularly exciting time to be involved in neuroendovascular surgery. "As recently as two years ago, stents really had a lot of trouble going around the C- 1 arch, where the vertebral artery takes a very sharp turn before going into the skull base, or the intracranial cavity," he says. The reason for this is that the stents were designed for the heart, so were not delicate or pliable enough for neuroendovascular surgery, according to Levy. Today, however, finer, more pliable stents designed for neuro- e S prin g 20 0 3 l1ffale Pbysiciaa 13 �New and effectiv Opti • For reasons that are not entirely says Munschauer. "Clearly we don't clear, the rate of stroke in the Buffalo have all the answers; in general, how- could not be making their and Niagara region is higher than any- ever, the population is more obese and way into the clinic at a better time, as where in New York State and one of the more sedentary. We also have higher each year in the United States about highest in the United States, according rates than expected of hypertension, 750,000 people have a stroke. Of these, to Frederick Munschauer, MD, chair of diabetes and hypercholesterolemia. about 160,000 die, making it the third the University at Buffalo's Department leading cause of death in our country of Neurology, chief ofthe Jacobs Neuro- he adds. "We think there are probably after heart disease and cancer, and the logical Institute and founding director genetic and environmental factors that leading cause of severe neurologic dis- of the Research Center for Stroke and we have yet to explain." ability.* As the elderly segment of our Heart Disease at the institute. "But that doesn't explain it all," For more information on the Research population continues to grow, the "Our research at the Jacobs Neuro- Center for Stroke and Heart Disease in stroke death rate is predicted to reach logical Jnstitute is directed toward find- the Jacobs Neurological Institute, visit epidemic proportions. ing out why those rates are higher," http://www.strokeheart.org. Th five most common stro .........---toms includ sudd n: Stroke deaths per 100,000 population for year 2000 ERIE 80.9 • numbness or weakness of face, arm or leg, especially on one side of the body; WYOMING 80.6 • confusion, trouble speaking or understanding; AllEGANY 74.1 CHAUTAUQUA 72.3 NIAGARA 63.7 USA 60.9 ORLEANS 58.9 GENESEE S8.0 CATTARAUGUS 54.8 NY STATE 41 .8 • difficulty seeing in one or both eyes; • trouble walking, dininess,loss of balance or coordination; • severe headache with no known cause Call911 if you see or have any of these symptoms. Treatment is more effective if provided quickly; every minute counts. •source: National Stroke Association at http://www.stroke.org/. RESEARCH CENTER for STROKE & HEART DISEASE JACOBS "ELROLOGICAL I"STITLH �Collaboration Among Specialists logic applications can navigate vessels as small as two millimeters. "Essentially, you can just about go wherever micro-catheters go [within the body's vascular system]; that's how soft these stents are," notes Levy. "So, if a catheter can get in there, so can a stent." Levy is enthusiastic about the research opportunities he has had through his fellowship and is eager to describe a UB study he recently collaborated on that was published in the December 2002 (Vol. 97) issue of the journal of Neurosurgery. The study pertained to stenting for atherosclerotic disease in intracranial vessels using what Levy refers to as "a revolutionary technique." "Traditionally, surgeons just go in and stent the lesion, but there is a high incidence of dislodging plaque, which goes upstream and causes strokes," he explains. Under Hopkins leadership, the UB study group examined whether they could treat vertebrobasilar atherosclerotic disease with staged stent-assisted angioplasty, according to Levy. "The idea was to first treat the plaque with angioplasty to open up the vessel to give it a little bit more blood flow, then let it heal before returning in a month or two-after there had been some scar formation and protection-and then treat with stenting to provide the best revascularization. "Our question was: 'Is this a safer approach?' And there were no strokes in the subgroup of patients that we treated with this 'staged-stenting' approach." While large-scale, multiple-center trials need to be conducted before the efficacy of this new approach can be determined, Levy is convinced that studies like this are pointing to where his field is moving in the future. He is also convinced that his work on these studies is helping him to develop the endovascular expertise he will need as a neurosurgeon. "There's no such thing as a magic bullet, so the more tools surgeons have to treat neurovascular disease, the better position they are in, and the better surgeon they will be," says Levy. "And this removes bias. Most people [in the field] can do one or the other: Typically the endovascular procedures are done by neuroradiologists, and surgery is done by neurosurgeons. So there's always the possibility that there will be a clinical bias, a lack of information, or even a financial bias to treat your patients one way or another. But if you have a variety of tools, a variety of skills, it helps you to individualize patient care." As technical barriers continue to fall, clearing the way for a future that is sure to include endovascular approaches to cerebral vascular diseases, it will be physicians like Levy and his peers who will have to resolve the thorny, long-term issues related to which specialists will provide such care and, subsequently, which will reap the economic rewards-issues that, over the years, have evolved parallel to the technology. Leaders today, like Hopkins, can strive to lay a foundation but, ultimately, it will be the current generation of students, residents and fellows who will decide what the future will hold. "Over the years, I've tried to build bridges," says Hopkins. "In our service, and on more and more services throughout the country, neurosurgeons are working hand in hand with neuroradiologists to manage the whole schema of care for the neuroendovascular patient, from diagnoses through preoperative and postoperative care. This, I feel, is what the blueprint should be for the future. "From the patient's perspective," he adds, "it will be critical for specialists to find synergistic ways to provide these really wonderful new neuroendovascular techniques, many of which are certain to become standard care over the next decade." 6 Special thanks to Paul Dressel for illustrating this article and for providing editorial assistance. Spri11g 2003 luffalo Pbysiciaa 15 �,MD'89 UB Toshiba Stroke Research Center �The Toshiba Stroke Research Center was necessary to expand the was established at the University at models that were available for Buffalo School of Medicine and Biomedical testing, designing and implementing new technologies." Sciences in 1996 with a $3.6 million gift of As a result, Guterman went to the University of Wisconsin equipment from Toshiba America Medical to train in the latest laboratorytesting techniques, which he Systems. In the spring of 2003, the com· brought back to Buffalo. This training, he says, positioned pany continued its support for the center UB's Department of eurosurgery to be the third group in by equipping a second research suite the world to use the Guglielmi detachable coil for the neurowith its most advanced X-ray endovascular treatment of anangiographic machines. eurysms when it came on the market in 1990 (see BY S· The concept of establishing a research program at UB to study and perfect neuroendovascular surgery techniques was originally envisioned by Lee Guterman, PhD, MD '89, according to L. N." ick" Hopkins, MD, chair of neurosurgery at UB and director of the Toshiba Stroke Research Center. "Back when he was a medical student and resident at UB, Lee kept saying, 'We've got to be doing research here,"' says Hopkins. "And that led directly to the multidisciplinary research team that we put A· Unger together in the early 1990s and, eventually, to our developing the concept of the Toshiba Stroke Research Center." Prior to entering medical school at UB, Guterman earned a doctorate in polymer chemistry at Clarkson University in Potsdam, New York. After completing residency training in neurosurgery at UB, he pursued a fellowship in endovascular surgery under Hopkins, and in 1996 he joined the faculty of the UB School of Medicine and Biomedical Sciences. Today he is an assistant professor of neurosurgery at UB and codirector of device development at the Toshiba Stroke Research Center. "Back in the late 1980s, when you looked through the literature related to endovascular treatment for cerebralvascular disease, there really were no basic-science laboratories in the country other than one in Wisconsin and one in Los Angeles," recalls Guterman. "There was such a paucity of research, it was clear to me that in order for this fledgling new field to take off, it e related article on page 4). Soon thereafter, the Department of Neurosurgery received seed grants from the Margaret L. Wendt Foundation and the John R. Oishei Foundation, both of Buffalo, to support its research in this new field. "With that funding, we were able to get a laboratory going at the university," says Guterman. "We began looking at the use of stents along with coils for the treatment of aneursyms, and different types of imaging technology-specifically, we made images of aneurysms using an ultrasound probe that had been used to image coronary vessels, but never before used to look at aneurysms." Work in the one-room laboratory gained further momentum when Guterman teamed up with Stephen Rudin, PhD, UB professor of radiology and physics, to develop region-of-interest fluoroscopy. They and their UB collaborators were convinced that in order for neuroendovascular technology to move forward, it was critical that imaging methods be developed that would be capable of providing clear views of tiny blood vessels and micro-devices deep within the brain. "We found we could produce very high-quality images while at the same time limit the radiation dose to patients," explains Guterman. About the time that the device development and imaging research efforts were gaining ground, Hopkins and Guterman were approached by the chair of a company called Boston Scientific (now a major medicaldevice manufacturer), who told them about a young neuroradiologist named Ajay Wakhloo, PhD, MD, who was looking for a clinical-research position. Spring 2003 laflal1 Plysiciu 17 �"There was such a paUCity Of research, it was clear to me that in order for this fledgling new field to take off, it was necessary to expand the models that were available for testing, designing and implementing new technologies." Wakhloo joined the UB Department of eurosurgery and began collaborating on hemodynamic (blood-flow) research with Barry Lieber, PhD, UB professor of mechanical and aerospace engineering and current director of the UB Center for Bioengineering. "Blood-flow patterns have a major effect on arterial disease, including atherosclerosis, aneurysms and arteriovenous malformations-all major causes of stroke," notes Guterman. "For this reason, hemodynamics was another area of research we felt it was very important to develop." Wakhloo left UB in 1999 to become director of interventional radiology at the University of Miami. Currently, Hui Meng, PhD, UB associate professor of mechanical and aerospace engineering, and Kenneth Hoffmann, PhD, UB associate professor of neurosurgery, are furthering the blood-flow research by designing experimental models that mimic hemodynamic patterns through and around blood-vessel abnormalities. Based on this information, their colleagues in the Toshiba Stroke Research Center's Prostheses Design Division are custom tailoring implantable prostheses to correct the aberrant blood flow. "By the mid-1990s, we had achieved a critical mass of neurosurgeons working with physicists, chemists and mechanical and aerospace engineers," continues Guterman. It was during this time that Bruce Holm, PhD, who today is senior vice provost at UB, approached Hopkins and Guterman about moving the laboratory into the Biomedical Research Building that was being built on UB's South Campus. This invitation prompted the surgeons to begin looking for a corporation to donate equipment and funds to establish a state-of-the-art angiographic research facility. 18 lalfal1 Pbysician S pr111 g 2 00 3 In 1996 Toshiba America Medical Systems announced its support for such a facility, and the UB Toshiba Stroke Research Center was established with a gift of $3.6 million in equipment from the company. The mission of the new center was formalized to focus on the three areas of study that the UB researchers had identified a decade earlier as being critical to the advancement of the field of neuroendovascular surgery: image optimization and radiation dose reduction; device development and testing; and hemodynamics. Once the center was fully operational, its reputation quickly grew. By the late 1990s, physician-collaborators from all over the world began gravitating to Buffalo, not only to perform research experiments, but also to train in how to use the new, catheter-based medical technology. "It was this infusion of brain power that has really pushed our research forward," notes Guterman. Over the years, in addition to attracting physicians interested in receiving state-of-the-art training in neuroendovascular procedures and in collaborating on research projects, the center also has drawn medicaldevice equipment manufacturers eager to test new products or improve existing devices. Today, in order to maximize this synergy, researchers in the Toshiba Stroke Research Center closely collaborate with the UB Office of Science, Technology Transfer and Economic Outreach (STOR), directed by Robert ]. Genco, DDS, PhD, UB vice provost and SUNY Distinguished Professor. "To Dr. Genco's credit," says Guterman, "STOR provides UB with a unique opportunity to capitalize on the relationships that the center has developed with medical-device companies throughout the world. The hope is that we �will see medical technology that's either developed or enhanced here in Buffalo and then spun off to form start-up companies that would be based in Buffalo." This "seed mentality" at UB, as Guterman refers to it, has great potential not only to move forward the research at the center, but also to provide a source of jobs for the Buffalo community. Guterman credits both Holm and Genco for their leadership and vision in these areas, as well as Jaylan Turkkan, PhD, UB vice president for research, and Kenneth Tramposch, PhD, UB associate vice president for research. "The support at UB for translating research discoveries into products is remarkable," he notes. In collaboration with these administrative leaders, a new and increasingly important focus for center researchers is to win grants from the ational Institutes of Health to further support their basic-science studies. Given the role Guterman has played in the establishment and success of the UB Toshiba Stroke Research Center, it's only natural to ask him if he has been ap- proached about leaving Buffalo to pursue other opportunities in this burgeoning field of clinical research. Without hesitating, he responds: "When I look across the United States at jobs that have been offered to me over the years, it's been very difficult to consider leaving Buffalo because of the wonderful relationship I have with my partners, the outstanding clinical opportunity I have to practice neurosurgery and the access I have to a research laboratory that is the finest of its kind in the world," he says. "If you put those three elements together, it's almost impossible to consider taking a job anywhere else." <D For more information on University at Buffalo's Toshiba Stroke Research Center, visit the UB Department ofNeurosurgery's Web site at www.neurosurgerybuffalo.com/. For more information on the UB Office of Science, Technology Transfer and Economic Outreach (STOR), visit its Web site at www.stor.buffalo.edu/. When is a house more than a home? ... When it is a Patio Home at Canterbury Woods. Come and learn more about what makes our new Patio Home Community so unique. Informational Seminar Seating is Limited Call 929-5817 To Reserve your Date and Time Episcopal Church Home and [jfiliates $ 705 Renaissance Drive, Williamsville, NY 14221 Spri11g 2003 l1flale Pbysiciaa 19 ��Although !estern Ne xrYorkers would like to be known for their big hearts, 1 t~e the 're n1ore well known for their bad That's because this region holds a dubious claim to fame as the heart-disease capital of the United States. According to statistics from the Kaleida Research Center for Stroke and Heart Disease, Western New Yorkers are hospitalized more frequently for cardiovascular disease than people in any other region of the country. More disturbing still is the fact that the incidence of fatal heart attacks in the region is nearly 50 percent higher than the national average. In response to this health crisis, two alumni of the University at Buffalo School of Medicine and Biomedical Sciences have developed a comprehensive protocol for acute cardiac patients. Designed to ensure optimal care from a patient's first crucial minutes in the emergency department through the time of discharge from the hospital, the pathway focuses on faster diagnosis and intervention, with the aim of decreasing readmissions, medication errors and health-care costs-while, most importantly, increasing survival rates. He ') <? o R ~a1' Known as the Acute Coronary Syndrome Emergency Treatment Strategies program, or ACSETS, the pathway was created by John Cor belli, MD '79, UB clinical instructor and a cardiologist with Buffalo Cardiology and Pulmonary Associates; and David Janicke, MD '88, PhD (pharmaceutics), UB clinical assistant professor, emergency medicine research and residency director at Millard Fillmore Hospitals and an emergency physician with MFHS Physicians' Emergency Services, PC. "What we have done is come up with a standardized set of orders that help 'risk stratify' the patient," says Corbelli, who also serves as research director for his medical group. "It gives physicians a reference, right there in the emergency department, as to how they should be assessing a patient's risk. So, if a patient is at a certain level of risk, he would be treated with the level of medical therapy that would most effectively address his particular situation." The idea for the pathway-which was introduced into the Kaleida system last fall-has its roots in a May 2001 meeting of physicians and managed care representatives. At that meeting, UB Department of Neurology chair Frederick E. Munschauer III, MD, who is director of the Research Center for Stroke and Heart Disease, presented a hearts. raft of alarming statistics about Western ew York's escalated rates of hospitalization and mortality due to heart disease. At a follow-up gathering four months later, physicians began discussing the possibility of standardizing care for acute cardiac patients at Kaleida's four area hospitals. "It's clear that in terms of quality of care there are some things that can be done for acute coronary events in the emergency department that have been shown to improve outcomes," says Munschauer. "In much the same sense that pilots use checklists before they let a plane take off, we felt there should really be recommended practice guidelines. "It's not that we as a community of physicians are bad in this area," he adds, "but this makes us better." Corbelli and Janicke signed on to the project at the end of 2001 and began working on it in earnest in early 2002. As part of their research, they arranged video teleconferences with experts in the field from the Cleveland Clinic and Harvard University. The physicians also conferred with medical directors of area health maintenance organizations to make sure they would lend their support for such a program. During the summer before the program was launched, they educated Kaleida physicians and nurses about the system. "We did a lot of homework before this came out," says Janicke. "For six to nine months we were just fact-finding, getting all the information together and trying to come together with a consensus that everyone would be comfortable with in our region." When writing drafts of the protocol, the physicians relied primarily on the most recent guidelines from the American Heart Association and the American College of Cardiology. "There are a lot of complicated treatments that have come out, and it's hard to sort through them all," notes Janicke. "For instance, the recommendations from the American College of Cardiology are 95 pages long. It takes time for clinicians to gather the data and use that information. What we thought to do was to make it more simple and concise so people would be aware of what the recommendations actually are." The pathway begins in the emergency department when patients present with acute chest pain and possible acute coronary syndrome. "The forms are preprinted, so no body's struggling with handwriting," explains Corbelli. "They all include a risk-stratification outline followed by Sprrng 2003 1111a11 npiciu 21 �., -· an outline of recommended medications based on the individual patient's level of risk. It helps make the process very efficient, and it cuts down on medical errors." If a patient is admitted to the hospital, the emergency department orders follow him to the floor, ensuring that the admitting physician knows exactly which procedures and medications were administered and why. At this point, the physician refers to a separate set of orders so that the medications started in the emergency department are more efficiently carried on once the patient is admitted to the hospital. "One of the problems with people who have heart disease, is that they may not be on all the medications that have been demonstrated in the medical literature to help lower their risk of having another attack: an aspirin, a beta blocker, an ACE inhibitor, cholesterol-lowering medication and clopidogrel," explains Corbelli. "By combining a preventive approach with an acute approach to the treatment of these patients, the ACSETS pathway represents an unusual- perhaps even uniqueapproach compared to treatments in other areas of the country," he adds. Finally, when the patient is ready to leave the hospital, the physician discharges him with a form in duplicateone for himself and one for his referring doctor-that lists the medications that have been prescribed, why they have been prescribed and how they are pronounced. "A big problem is that patients either don't fill the prescriptions, or they fill the prescriptions and stop taking them," notes Corbelli. (As a general rule, the greater the number of drugs prescribed, the lower the patient's compliance is in taking them.) "The idea with this form is to help empower the patient to understand why the doctor is putting him on these medications so that, hopefully, he'll see the importance of staying on them," he adds. ow that the pathway has been launched in the Kaleida hospitals, the question remains: Will physicians follow the guidelines? That's something Anthony Bonner, MD '68, can address. Two years ago, he spearheaded a similar protocol for cardiac patients that remains in use at South Buffalo's Mercy Hospital. "The real battle is getting everyone to use them. To me, they just make life easier, but some people are reluctant to use them. They feel they're too 'cook-bookish,' says Bonner, UB clinical assistant professor of medicine and Mercy's chief of cardiology. "On the other hand, a lot of intelligent, well-read doctors made these guidelines ba ed on the best available information, and we should follow them as best we can." Janicke stresses that ACSETS is not intended to replace I ! I I I I i II 1111111 P~JIICIII s i a physician's judgment. "Any time a pathway or protocol is handed out, there's always reluctance. I've never seen there not be reluctance," he acknowledges. "But this is not a cookbook. This is a guideline for evidence-based treatment options. It still takes a well-trained clinician to make a timely diagnosis and decide how high risk the patient is in order to determine appropriate treatment. Emergency physician involvement is particularly crucial because the emergency department is where most patients present with acute coronary events and risk-stratification treatment needs to be initiated promptly. "Once the physicians and residents become aware of why we're recommending various treatments," he continues, "then the buy-in starts to be cumulative." Corbelli adds that ACSETS avoids battles that have limited the acceptance of other pathways because it is different in its fundamental concept. "It's an educational and communication vehicle serving not only to guide treatment but also to instruct the physician as to why different therapies are appropriate according to individual risk," he explains. "This communication/education approach facilitates patient understanding and therefore buy-in, as well." The Corbelli-Janicke plan includes a detailed review of the pathway that will allow physicians to identify not only how closely the hospital orders were followed for every patient admitted to a Kaleida hospital, but how well patients are complying with their medication regimen-and, not least of all, how the pathway affects patient outcomes. "In addition to the care pathway, there is a very detailed research protocol that looks at, one, whether physicians are using ACSETS consistently and, two, whether it really improves the quality of care in our region,'' explains Corbelli. "Also, once people are discharged, we plan to monitor whether they're actually taking their medications, and we're looking to see if there's a lower frequency of heart attacks, of patients needing angiograms, angioplasty and so on." Disseminating the Concept ACSETS will be updated to stay current with the literature and with the latest recommendations from the American Heart Association and the American College of Cardiology, according to Janicke. Furthermore, the physicians stand ready to make any changes to the forms to make them more reader-friendly for physicians, nurses and patients. "We're constantly thinking of ways to revise this,'' says Janicke. "That's the only way, really, to make this work." Last ovember, shortly after the ACSETS program was introduced, research findings reported at a meeting of J �More disturbing still is the fact that the incidence of fatal heart attacks in the region is nearly 50 percent higher than the national average. their pathway and research with hospitals outside the the American Heart Association pointed to the need for the standardized care it advocates. A group of studies highlighted a gap between what guidelines call for in preventing and treating particular heart conditions and what physicians actually prescribe for them. "We as physicians need to look at the results of all these clinical trials and assemble them into a coordinated, comprehensive plan so that we make sure that care is delivered in an optimal fashion," asserts Munschauer. "This ACSETS program really allows for everything to become systematized and eliminates the chance for variations from best practice." Months after completing the pathway's final draft, Cor belli sits at a desk that is still covered with the literature he scoured in preparation-the physical representation of what he describes as "a huge effort." With all the heavy lifting done, both he and Janicke are interested in sharing Kaleida Health system. Already, two other hospitals in the region-Niagara Falls Memorial Medical Center and Lockport Hospital-plan to use the ACSETS program. One advantage of smaller hospitals signing on, the physicians note, is that it provides a continuum of care for patients transported to a Kaleida hospital when specialized cardiac services are not available at an outlying hospital. "From the standpoint of health and, correspondingly, the cost of medicine, the acute coronary syndrome is a very significant problem in our area," stresses Corbelli. "That's why our goal is to disseminate this concept. We want to make this available to anyone who's interested." 4D The ACSETS pathway, along with a description of how it was developed and implemented, was published in the March 2003 issue of Critical Pathways in Cardiology. "We practice law for your peace of mind." Suburban location, extended hours and personal service. Fstate Planning • Corporate • Real Fstate • Elder Law Personal Injuty • Criminal Law • Family Law Taxation and Financial Planning HoGAN & W ILLI G, PLLC - - - - - A t t o r n e y s nt Lnw - - - - - Proud Sponsor of hoganandwillig.com The Tour de Cure • May 31, 2003 Ftmdraising event for tlte American Diabetes Association One John James Audubon Parkway • Amherst, New York 14228 • 716.636.7600 �1111111 Plpici11 Spr~ng 20Ul �The goal in publishing these articles is to inform our readers Q: When you consider a candidate for medical school at UB, do grade point about the complex economic, political, regulatory and historic average and MCAT score carry the most weight? considerations school leaders must weigh in making decisions A: Too often people think that getting into medical school means and to provide a larger context within which to understand the many new developments taking place on campus. that you just had the best grades. We recently rejected a candidate with a 4.0 grade point average from a top university and a 40 on '' Comments and questions, as well as suggestions for future topics, are welcome and can be e-m ailed to bp-notes@buffalo.edu or mailed to the address printed on the inside front cover of the magazine, below the heading "Letters to the Editor." his MCAT when one of our interview questions was, 'Tell me about a time when you couldn't stand spending one more minute on an activity needed for medical school.' And this student's answer was, 'Community service. I just couldn't stand dealing to medical school at UB? with those people.' So here at UB, you will find that our interview process is geared toward picking people who-in addition to how they look on paper-embody characteristics that we feel will make them a good fit for the profession. A: Q: What are the personality characteristics of the students you seek to -S.A. Unger, editor Q: What is the process students must follow in order to apply for admission To apply to medical school, for starters, you have to have the prerequisites. You can major in anything you want as long as you have taken four semesters of chemistry (two of which have to be organic) and two semesters of biology-all of which have to be with labs-two semesters of physics and two semesters of English. Everyone has to take the MCAT [Medical College Admission Test], except for candidates who come in through the early assurance program. They must also complete an AMCAS application, which requires that they write a personal essay. Letters of reference must also be submitted. All of these materials, combined with college grades, need to be submitted to apply. Now, for competitive applications, we want to see that these candidates have adequately tested their decision to go into medicine. For example, if someone applies who has a 4.0 GPA in art history and has a great MCAT score, but they have never set foot in a hospital, that person might want to try volunteering in a medical setting to see if they are going to faint every time they see blood! To become a physician, you have to complete a lot of years of school, and it costs a lot of money. We would really love to graduate every student we admit, so that makes us a whole lot pickier on the selection end. attract? Can you elaborate on this? A: We are obviously looking for someone who is motivated and altruistic and who has excellent analytical skills. We also assess candidates to see if they have intellectual curiosity, because we are looking for the lifelong learner. We also want to attract people who are open-minded and capable of changing their minds if new information is given, and capable of tolerating that which they have no intention of changing their minds about! We look for this because when you become a physician, you're going to treat a lot of people whose value systems are completely different from your own, and we have to know whether a person is going to be able to cope with the fact that there are patients out there who aren 't like them, but still need to be cared for by them. Too, we look for individuals who are able to make other people comfortable. So, in general, we look for a "good" personality and certainly the challenge is to define exactly what that is. At UB, the Admissions Committee has put together a composite list of characteristics that they feel define this. Spri n g 2003 llfl1lt Hysiciu 25 �Q: Who sits on the Admissions Committee, and what role do its members play in the admissions process? A: I want to start by saying that the Admissions Committee meets every Wednesday for five to six hours, eight months a year, so each member is asked to make a huge time commitment. These are incredibly dedicated people! The committee is made up of about 50 members, although only 20 to 30 are able to attend any given week. They represent a mix of basic-science, clinical and volunteer faculty, as well as some emeritus faculty. When the files from applicants come in, each is reviewed and scored separately by two different people on the committee. We have a system for scoring files that takes into account who the student is by way of his or her background, what they say in their personal statement, what others say about them in their letters of recommendation, and so on. These two scores provided by the comm ittee members are then added to what we call the "weighted score," which is a single number we arrive at through a formula that basically takes the hard-core numeric data we have available from tests scores and transcripts, adjusted for various degree-ofdifficulty factors. A composite score is determined by combining the two interviewers' scores and the weighted score, and then we rank the students and begin the interview process. Each week, we bring in anywhere from 20 to 25 candidates, each of whom is interviewed by two members of the Admissions Committee. How is the interview conducted? We have begun using a behavior-based technique, which is actually very popu lar in the business world, whereby-unlike the stock market- the belief is that past performance is the best predictor of future performance. So we no longer throw out a hypothetical question such as, 'How would you tell the parents of a five-year-old that their child is dying of leukemia?' After all, this is a class of 21 year olds, for the most part, and they have never had to do anything like this in their lives! Instead, we pose a question such as, 'Tell me about a time when you had to del iver bad news to someone. How did you prepare yourself? How did you handle yourself?' Everybody can come up with a time when they were the bearer of bad news-such as telling your sister that her dog was hit by a car-and how you handled it is a good predictor further down the line of how you're going to handle these types of situations with patients. As I explained earlier, the committee has compiled a list of characteristics that they feel are important attributes for a physician. Under each characteristic, we have multiple questions they can ask. They're not going to ask every candidate every question, 26 l 1 ff al1 Hysici11 Spr~11g 2003 but at least each question is one that we, as a group, have determined to be fair. Interviewers can certainly ask additional questions not on the list to explore each candidate's unique features and to round out the core questions. Because everyone is now interviewed using the same process, I think it's more objective and, frankly, I feel it's been much easier to make decisions. Q: What would you tell students to encourage them to come to UB when they have been accepted at other medical schools, as well? A: First, even though our tuition is going up, I would tell them that UB provides a relatively inexpensive education for what you get. More generally, however, something I would encourage prospective students to think about is a school's personality and culture and whether it's a good match for them. Some schools, for example, emphasize competition, whereas at UB we very much emphasize a collaborative approach to education. Our feeling is that when a student graduates and gets out in the hospital, he or she is not competing with the other physicians taking care of a patient. It's not that we don't expect them to strive for excellence, but we encourage them to compete for their personal best, as opposed to trying to beat the person sitting next to them. My theory is that all boats rise with the tide. In reality, I know that the students do have to compete in the outside world. If you want to go into orthopedics, you have to have a dazzling board score, but my conviction is that you can get that yourself by studying hard. Success doesn't have to come at the expense of other students. In essence, I think the students are pretty good at looking at schools and sizing up where they best fit. And I really don't want to encourage them to come here if they don't want to. I want students to come here who feel they fit UB's personality because, frankly, if we can meet their needs, they're going to be happier and all of our lives will be easier! Q: [Former] Dean Bernardino has said that recruitment of minority students to our school is a priority. Can you update our readers on some of the efforts being made in this area and the results to date? A: Yes, as we discussed earlier, Dr. Bernardino mandated that I admit classes that better reflect the demographics of the community we live in-the community our students are going to go out in and serve when they graduate. We have a great deal of diversity in Buffalo, Western ew York and throughoutthe state; in particular, we have large African American and Hispanic populations. In terms of updating you on progress in this area, our medical school has six minority students in the second-year class and 17 in the first-year class, so we have made a real effort over the past year. �l To assist us in this process, last August we brought in a consultant, Dr. Billy Ballard, who presented the Expanded Minority Admissions Exercise, which is a workshop designed by the Community and Minority Programs section of the AAMC [Association of American Medical Colleges]. The primary goal of the exercise was to increase our knowledge and sharpen our skills as they relate to assessing noncognitive attributes in minority students applying to medical school. These attributes, we learned, may be predictors of academic success, but often go unrecognized by admissions committees. By completing the exercise with Dr. Ballard, we were given guidance in how to go beyond the basics, such as what a student's GPAand MCATscores are, because minority students often come from disadvantaged backgrounds, where, for example, they may have had to work full time while in college and their GP A may not be the best reflection of their ability. So, in addition to looking at numeric data, the workshop walked us through how we can take a look at things like a student's support system, aptitude for realistic self-assessment and other things that tend to make or break how people do and help you select candidates who have the best chance of getting through medical school. We can't have one way of admitting minority students and another way of admitting non-minority students, and an increased understanding of the role of noncognitive attributes has helped us evaluate all our applicants. I think that, across the board, you have to be sensitive to characteristics that do or don't predict performance. For the same reason that I'm not going to admit a student with a 4.0 GPA from a top university with a 40 on the MCAT who states in the interview process that he doesn't like community service and working with people, I think it's reasonable to consider admitting someone who may not have such high numbers, but who brings all sorts of other things to the table. Another step we've taken to provide our office with the expertise it needs to effectively increase minority student representation at our school is to bring on board Dr. David Milling, who joined the staff of the Office of Medical Education in December of 2002 as assistant dean for multicultural affairs. A 1993 graduate of our school, Dr. Milling is the first physician to hold this position. As a respected teacher and clinician, I think he will serve as a terrific role model for our students. We are also indebted to Adrian Jones, assistant director for multicultural affairs, who runs our post-baccalaureate program and has played a critical role in improving our recruitment efforts. Q: What role do scholarships play in your ability to attract quality expenses, have to buy expensive equipment and books and need to have a car, the financial pressures they feel can be enormous. I have 135 students I must consider when I distribute that $90,000, so it doesn 't go very far-and I don't want to start giving out $50 scholarships! So, basically, what I have is very little money to use as an attraction. Now people may say, 'Well, your school is inexpensive. ' To that I say, 'There's nothing cheaper than free. ' By tha I mean, let's say I'm competing for a particularly attractive st dent and I can give him $6,000 toward his tuition, but Mayo is offering him a full scholarship; then my money doesn't really mean I I I anything. We have pitifully little endowment. Do we lose goods udents because of that? Absolutely. I have students on the multiple-accept list who as , "How much scholarship assistance am I going to get?" And t en they pick the school that offers them the best deal, and who can fault them? Many of our students today are looking at $70,000 t $100,000 debt when they graduate-a mortgage without a hous . We have to find ways to help them more. Q: If, 20 years from now, you were to ask members of the Class of 2006 what they feH about their medical education at UB, what - ould you like to hear them say? A: I would want them to say that we really prepared them for lifJ when they went out the door-that they do have e core education they need, they do have the learning skills the need in a fie! that is constantly changing, and that they do have the people skills they need to take good care of their patients. Finally, I'd like them to feel that they have basic lifetime skills that allow them to take good care of themselves so that they can take care of other people and enjoy themselves while they're doing it. I think this last point is often overlooked, and I hope it is something that we are able to teach and instill in our students. The bottom line is that if you don 't take care of yourself, you will not be in any shape to take care of anyone else, and medicine is a profession of giving. So, when I talk with our first-year students 20 years from now, I'd love to hear that when they get up each morning, they're looking forward to going to work. If that's the case, then the skills we taught them will be manifested in ways that their patients will gladly attest to. 4D students? v· : I have about $90,000 in scholarship money each year to hand out. ow, when you look at the fact that tuition at our school is $14,000 a year and that the students need to come up with living Spr i r~g 2003 l1ffal1 Plysicin 27 �MEDICAL SCHOOL E W S New curriculum, fiscal management lauded he School of Medicine ing the school's financial unand Biomedical Sciences derpinnings, were tasks the at the University at Buf- LCME had directed the medifalo has earned reac- cal school to achieve in order to creditation for eight receive its reaccreditation. In more years from the its final report, the LCME now Liaison Committee on labels both those areas specific institutional strengths. Medical Education(LCME). Most of the reaccreditation The action constitutes a work was accomplished under ringing endorsement of the school's educational program: the school's former dean, Eight years is the longest inter- Michael Bernardino, MD, who val between surveys allowed by resigned his post in February the LCME. The program's next after five years at UB to return accreditation survey will take to private radiology practice in Atlanta. The LCME notes place in 2010. Bernardino's contribu"To have LCME say, BY tions to the medical LOIS 'We'll see you in 2010' school as the first of five was great news, " says institutional strengths. Margaret Paroski, MD, The report commends him interim vice president for health affairs and interim dean as an effective agent for change of the medical school. "We have and lauds his leadership, coma few areas that need shoring munication with faculty and up, but by-and-large, the eval- students, and management of uators really liked our school 's the school's financial resources. Other specific strengths new curriculum. "Being involved in redesign- highlighted in the report are: ing the curriculum was one of • The new curriculum: "Colthe most exciting things I've laborative efforts of the dean's done in my academic career," educational administration and says Paroski, who directed the faculty have led to the creimplementation of this effort. ation of a new pre-clinical cur"The feedback from students riculum that promises a more has been very positive. We now cohesive educational environhave a living, breathingcurricu- mentand institutional culture." lum. ltmakes teaching so much The faculty: "The faculty more fun." displays noteworthy commitRedesigning the first two ment to its responsibility for years of the curriculum into teaching and supporting mediorgan-based modules instead of cal students. " department-based modules, The students: "Student moplus reorganizing and stabiliz- rale and enthusiasm about the 28 l•ffall Pbysici11 S pr~11 g 2003 school and its curriculum have shown significant improvement as a result of the faculty and administration's responsiveness to their concerns." • The Health Sciences Library: "The well equipped Health Sciences Library is responsive to the needs of a modern, electronically literate academic community, and functions as an important focal point for integrating the academic life of a multifaceted and geographically dispersed institution. " The report also notes five items in which the school was in partial or substantial noncompliance with LCME standards, and three "transition " areas outside the medical school that need attention in order for the school to sustain its ongoing accreditation. The transition areas named are lack of affiliation agree- Keyser Cadillac Upst:at:e Ne"WYork's only exclusive Cadillac Dealer Keyser Cadillac 4130 Sheridan Drive · Williamsville. NY 634-4100 key ercadillac.com �RELOCATION HU 'T REAL ESTATE ERA ments with teaching hospitals (Kaleida Health and ECMC have since signed agreements, Paroski notes), residency program management and oversight. UB is also addressing this concern, Paroski says, by phasing out consortium management of the residency program and transferring responsibility to the medical school. The final transition item warns that students and residents may not get enough exposure to patients in several specialty areas, in particular internal medicine, pediatrics, obstetrics and gynecology, and neurology, because of decreased hospital admissions and shortened hospital stays, a problem faced by teaching hospitals across the country. ''THEACTIO.'CO 'STITUTESARINGI~GE,'DORSEME TOF we help people move. THE SCHOOL'S EDUCATIO 'ALPROGRAM: EIGHT YEARS IS Call for a free relocation portfolio regarding your destination city. Calll-800-688-1170 or go on-line and visit our web site at huntrealestate.com THE LO. 'GESTI. 'TERVALB ETWEE.' SURVEYSALLOWEDBY THELCME. ' ' Totally customized service portfolio including Paroski reports that UB is addressing this problem by creating smaller clerkship groups, which gives each student maximum exposure to available inpatients, and by using standardized patients when necessary. Noncompliance issues that the LCME says must be addressed center on the need to set global objectives for the entire curriculum and establish ways to evaluate how the school is meeting those objectives. The report also says UB must offer students more career, residency (specialty) and financial counseling, areas in which the school has made substantial progress, according to Paroski. ancy Nielsen, PhD, MD '76, interim senior associate dean for medical education, has set up a program of one-on-one career counseling for third and fourth year students, Paroski says, and her entire staff is taking more responsibility for financial aid and debt management counseling. Establishing reliable ways to evaluate the new curriculum as a whole and student performance and improvement under the new curriculum will be a bigger task, Paroski says. ''I'm not sure how to measure a better doctor. It's a hard • Nationally trained relocation experts • Complete family needs analysis • Global home sale assistance • Special services for seniors • Full community tour • A complete cost of living analysis • A list of all school systems throughout WNY • Complete spousal placement assistance including resume writing and corporate contacts • 24 hour or less response time • Confidentiality assured thing to get your arms around." One approach will be to ask attending physicians who supervise third-year students to compare the performance of students who went through the old preclinical curriculum with those trained under the new curriculum, she says. "We want to see if we have created this 'active learner' as we had hoped." The LCME has requested a progress report on noncompliance and transition issues by September 2004. Hunt ERA Relocation Center 5570 Main Street Williamsville, New Yor1< 14221-541 0 CD Email: huntrelocation@huntrealestate.com S p ri n g 20 0 3 llffalt nysiciu 29 �BUFFALO LIFE SCIENCES COMPLEX B Y A R THU R P AGE John R. Oishei Foundation grants $9 million On March 6, 2003, the John R. Oishei Foundation announced grants research space to the BNMC. Construction will begin in the summer totaling $9 million to the three partners in the Buffalo Life Sciences of 2003. The complex will house the Hauptman·Woodward Center for Complex (BLSCI. Structural Biology, the Roswell Park Center for Genetics and Pharm- University at Buffalo will receive $2 million and Roswell Park acology, and the UB Center of Excellence in Bioinformatics. The BLSC Cancer Institute (RPCII and Hauptman-Woodward Medical Research will sponsor life sciences research designed to improve human health Institute IHWII each will receive $3.5 million. by developing new therapies to treat and cure disease. The award, the largest in the Oishei Foundation's 63-year history, With commitments totaling more than $11.7 million, the John R. is contingent on the BLSC institutions obtaining the necessary Oishei Foundation is the largest foundation supporter of "The commitments to reach their respective funding goals. It has been Campaign for UB: Generation to Generation," which has a goal of made to UB, HWI and RPCI as a partnership under the auspices of $250 million. Buffalo Niagara Medical Campus (BNMCI. The three organizations, Gifts from the foundation to the campaign have included 20 which have a long history of collaborative research, are cooperating separate grants supporting a wide range of projects. Among them are in the design and development of an integrated, three-building life more than $2 million for the Toshiba Stroke Research Center (see sciences research center, the Buffalo Life Sciences Complex, to be articles on pages 4 and 161; $1.5 million to the School of Medicine built at Ellicott and Virginia streets. and Biomedical Sciences to establish a Center for Research in Car- While the HWI and RPCI awards will be dedicated primarily to diovascular Medicine (see article on page 371; $1.2 million for facilities development, the money granted to UB will go toward the vascular disease prevention research; and $600,000 in support of recruitment, salaries and research of top-level scientists at the UB infectious disease research programs at the school (see article on page 351. Center of Excellence in Bioinformatics. An earlier grant from the Oishei Foundation to UB for $1,542,000 The John R. Oishei Foundation is committed to enhancing the was used to support the salaries and research of Jeffrey Skolnick, quality of life for Buffalo-area residents by supporting education, PhD, the center's director, and two other scientists recruited with health care, scientific research and the cultural, social, civic and Skolnick from the Danforth Plant Science Center in St. louis. other charitable needs of the community. It was established in 1940 The Buffalo Life Sciences Complex will consist of three new buildings adding more than 400,000 square feet of state-of-the-art by John R. Oishei, founder of Trico Products Corporation, one of the wor1d's leading manufacturers of windshield wiper systems. 4D Margaret L. Wendt Foundation awards $4.5 million 30 In December 2002, the Margaret l. Wendt the three partners in the Buffalo Life Sci· The Margaret l. Wendt Foundation is a Foundation announced grants totaling $4.5 ences Complex. Each institute will receive private, philanthropic organization that focuses its work in Western New York and is million to the University at Buffalo, Hauptman- $1.5 million, which will be used to reinforce Woodward Medical Research Institute (HWI) connectivity between the buildings they are devoted to the development of a stronger and Roswell Park Cancer Institute (RPCII- constructing as part of the complex. Western New York Community. 1 1 11111 Hysiciu Spriug 2003 �I UB School of Public Health and Health Professions established BY LOIS BAKER On January 31,2003, the University at Buffalo established its School of Public Health and Health Professions, which will train public health and health professionals in an environment focused on wellness, disease prevention, and environmental and population issues. ormed by merging the university's School of Health Related Professions, which has a strong track record in allied-health education and research, with the Department of Social and Preventive Medicine, which has been part of UB's School of Medicine and Biomedical Sciences and is a national leader in research into the epidemiology of disease, the school will continue highly regarded research programs investigating chronic disease and will develop innovative ways to meet emerging health needs of citizens in Western ew York, ew York State and the nation. Faculty and researchers in the School of Public Health and Health Professions will focus on key public health issues, including chronic diseases, environmental health, women's health, obesity, maternal and child health, rehabilitation and assistive technology. Their emphasis will be on studying the interaction of environmental factors and lifestyle habits (e.g., nutrition, physical activity, smoking) with genetic predisposition and evaluating their effects on the population burden of disease. UB's Center of Excellence in Bioinformatics will provide the supercomputing power to take public health research to the next level, integrating epidemiology with such disciplines as genetics, geographic mapping and telemedicine. A vital component of the school will be a Western ew York Population Health Observatory, a regional health and disease surveillance system that could serve as a model for establishing such systems throughout the U.S. The observatory, which will work closely with the eight Western ew York county health departments, will have three components: public-health surveillance and research, community participation, and education. Maurizio Trevisan, MD, who is interim dean of the School of Health Related Professions and chair of the Department of Social and Preventive Medicine in the UB School of Medicine and Biomedical Sciences, has been named by UB Provost Elizabeth Capaldi to serve as acting dean of the School of Public Health and Health Professions while a search is conducted for its first dean. Trevisan, an internationally recognized researcher in the epidemiology and prevention of cardiovascular disease, is the principal investigator of the Western ew York Center of the (national) Women's Health Initiative and is involved in a series of studies funded by the ational Institutes of Health investigating the relationship between oral health and cardiovascular disease. Structurally, the school will comprise the existing UB Departments of Social and Preventive Medicine, Exercise and Nutrition Sciences, and Rehabilitation Science, as well as the biostatistics unit, which will become a department. Three new departments are proposed: Environmental Health, Behavioral Sciences, and Public Health Practice and Health Policy. The UB Center for Assistive Technology, which houses two National Rehabilitation Engineering Research Centers-aging and technology transfer-and the UB Center for International Rehabilitation Research Information and Exchange (CIRRIE), will come under the school's umbrella, as well. The School of Public Health and Health Professions, which accepted its first students for the spring 2003 semester, currently offers degree programs leading to a master's in public health (MPH); master's and doctorate in epidemiology; master's in biostatistics; bachelor's, master's and doctorate in exercise science· ' bachelor's and master's in athletic training; master's in nutrition; doctorates in rehabilitation sciences and physical therapy (DPT) and bachelor's and master's in occupational therapy. In the future, the school plans to expand its offerings to include doctoral degree programs in public health, biostatistics and nutrition. CD Sp r ing 2003 luffale Hysicin 31 �PATHWAYS N Ews ABO UT UB' s ScHOOL O F M E DICINE AND BIOM E DICAL SCI ENCE S AND I T S ALU MNI , FACULTY, S TUD EN T S A ND S TAF F Dayton Named Chair of Surgery Merril T. Dayton, MD, chief of gastrointestinal surgery at the University of Utah College of Medicine, has been named chair of the ,:': . .. .... . Department of Surgery in the University at Buffalo School of DAYTO N Medicine and Biomedical Sciences, effective .~i'' . ···'·.· '. July 1, 2003 . Dayton earned a bachelor's [DAYTON] SERVH AS CHIEF 01 GENERALSURGER AT THE SALT LAKJ VA MEDICAL CENTFR FRO 1987 TO 1997 ANI: WAS NAMED CHIEF OF GASTROI~TES· 'II Al SURGERY AI THE UNJVERSIT) OF UTAH I 32 1 1 11 111 nysicill 1998. degree in zoology from Brigham Young University in Provo, UT, and a medical degree in 1976 from the University of Utah in Salt Lake City, his hometown . Following an internship and junior residency in surgery at UCLA Hospital and Clinics in Los Angeles, he completed a two-year fellowship at the Center for Ulcer Research and Education in the Wadsworth Veterans Administration Physiology Research Center, also in Los Angeles. Returning to UCLA, he served as senior S prirz g 2 0 03 and then chief resident of surgery and completed a one-year gastrointestinal surgery fellowship. Dayton spent three years as assistant professor of surgery at the University of Iowa College of Medicine before joining his alma mater's surgical faculty in 1986. He served as chief of general surgery at the Salt Lake City VA Medical Center from 1987 to 1997 and was named chief of gastrointestinal surgery at the University of Utah in 1998. He also served as assistant dean of admissions at the medical school from 1990 to 1995 and has maintained an active teaching schedule throughout his professional career. He was promoted to full professor of surgery in 1997. His primary clinical interests are inflammatory bowel disease and colorectal surgery. Dayton has been active in several professional organizations, including the Association for Surgical Education, which he served as president; the American College of Surgeons; the Society of University Surgeons; the ational Board of Medical Examiners and the Association of VA Surgeons. He has lectured and published widely. In 1996, Dayton was included in The Best Doctors in America: Pacific Region. - L O IS BAKER Munschauer Named Chair of Neurology Frederick E. Munschauer, III, MD, has been named chair of the Department of eurology at the University at Buffalo School of Medicine and MuNscHAUER Biomedical Sciences. In addition, he serves as chief of The Jacobs eurological Institute at Kaleida Health's Buffalo General Hospital and as founding director of the Research Center for Stroke & Heart �Disease at the institute. Munschauer earned bachelor of science degrees in electrical and mechanical engineering at Duke University in Durham, C, and a master of science degree in mechanical engineering from Massachusetts Institute of Technology in Cambridge, MA. He earned his medical degree at McGill University in Montreal, Quebec, in 1979, after which he completed residencies in internal medicine and neurology at The Johns Hopkins Hospital in Baltimore, MD, and a fellowship in neurologic and neurosurgical intensive care at the ational Hospital for ervous Disease, Queen Square, London, England. Munschauer is the recipient of numerous professional and teaching awards, including the 1995 and 1986 White Coat Award for outstanding clinical teacher, as voted by the UB medical house staff; and the 1985 Siegel Award for outstanding clinical teacher, as voted by the UB medical student body. His research interests include primary and secondary prevention of stroke and heart disease, as well as multiple sclerosis and its therapy. Rob Bermel, a fourth-year student in the University at Buffalo School of Medicine and Biomedical Sciences, has received the prestigious Oldendorf Award from the American Society of Neuroimaging (ASNJ. Named in honor of Dr. William H. Oldendorf, a neurologist who developed the principles of computed neuroimaging, the award is presented to a young investigator for outstanding neuroimaging research submitted to the annual ASN meeting. Bermel was cited for research he completed under the direction of Rohit Bakshi, MD '91, in the Buffalo Neuroimaging Analysis Center (part of The Jacobs Neurological Institute*) in collaboration with colleagues at the center, the Cleveland Clinic and the University of Colorado. The winning project was titled "Gray Matter T2 Hypointensity Predicts Longitudinal Brain Atrophy in Multiple Sclerosis: Effect of Intramuscular Interferon beta-1a Treatment." UB collaborators, in addition to Bakshi, included Srinivas Puli; Christopher ljoa; Andrew Fabiano (Class of 2004); Elizabeth Fisher, PhD; Richard Rudick, MD; Bianca WeinstockGuttman, MD; and Frederick Munschauer Ill, MD, chair, UB Department of Neurology. (Bakshi was the recipient of the Oldendorf Award in 1988, also for research conducted in Buffalo.) The award includes $500 in cash and coverage of expenses to attend the 26th annual meeting of the ASN, which was held March 6-9, 2003, in New Orleans. At the meeting, Bermel presented his research findings in a plenary lecture on March 7. In May 2002, Bermel was awarded the American Academy of Neurology's G. Milton Shy Award for medical student research in clinical neurology, based on studies he conducted at the Buffalo Neuroimaging Analysis Center on the use of the bicaudate ratio as an MRI marker of brain atrophy in multiple sclerosis. Following graduation from medical school, he will enter residency in neurology at the Cleveland Clinic. -S. A. Unger - S. A . UNGE R Spring 2003 1111111 Hysicin 33 �PATHWAYS Vela:z:que:z: Appointed Chair of Pathology In the winter 2003 issue of Buffalo Physician, it was announced that Francisco Velazquez, MD, had been named interim chair of the Department of Pathology and Anatomical Sciences in the University at VELA ZQUEZ Buffalo School of Medicine and Biomedical Sciences. On January 28, 2003, he was appointed chair of the department. Biomedical Sciences in ovember 2002 as head of the Division of Gastroenterology and S JTR I N utrition in the Department of Medicine. Sitrin' office is located in - S . A. UNG ER the new Gastrointestinal Suite on the eighth floor of the VA Sitrin Heads Medical Center and his Castroenterolo research laboratory is on the second floor of the VA Michael D. Sitrin, MD, joined Research Building (Veterans the University at Buffalo Affairs Western New York School of Medicine and Healthcare System), across from UB's South Campus. Prior to coming to UB, Sitrin was professor of medicine in the Section of Gastroenterology/Nutrition at the University of Chicago School of Medicine, where he also served as director of utrition Support Services, director of the Clinical utrition Research Unit, and medical director of University of Chicago Home Care. Sitrin is a member and former president of the American Society for Clinical utrition, and a member of the Velazquez has held the rank of clinical associate professor since August 2000 and has also served as pathologistin-chief at Kaleida Health. Recently, he was appointed division commissioner for Western ew York for the College of American Pathologists' Laboratory Accreditation Program. Phillips, Lytle understands t hat health care providers face unique legal challenges. HIPAA, STARK, compliance issues, DOH regulations, rei mbursement, the OPMC, and let's not forget about M FCU audits. These are all hot topics that we are prepared to help you with . Experience • • Breadth Depth Have questions or concerns? Call or e-mail Lisa McDougall, Esq., the health care practice group coordinator, at (71 6) 847-5478 or lmcdougall@phillipslytle.com . PHILLIPS. LYTLE . HITCHCO C K.. A T T 0 est . BLAINE 8 R N E Y S 1834 3400 HSBC Center, Buffalo, NY 14203 (716) 84 7-8400 website: www.phillipslytle.co m BUFFALO 34 l a fl ale Physiciaa • f REDONIA • jAMESTOWN • N EW YORK • ROCHESTER HUBER LLP �American Gastroenterological Association, the American Institute on utrition, and the American Federation for Clinical Research. He currently serves on the editorial boards of the journal of Critical Care Nutrition and Currellt Opinion in Clinical Nutrition and Metabolic Care. Sitrin earned a bachelor of science degree in zoology from the University of Michigan and a medical degree from Harvard University School of Medicine in 1974. He completed residency training in medicine and a fellowship in gastroenterology/nutrition at the University of Chicago in 1978, where he also served as chief instructor/resident in medicine in 1979. Sitrin's laboratory research interests include the molecular mechanisms of action of vitamin D in intestinal cells, the role of vitamin Din regulating cell growth, and the effects of vitamin D and calcium on colon carcinogenesis. His clinical research interests include nutrient absorption, metabolism, and requirements in patients with digestive disorders. - S. A. grants were awarded to Anthony Campagnari, PhD, professor of microbiology and medicine, who is researching sexually transmitted diseases; and Thomas A. Russo, MD, associate professor of medicine in the infectious diseases division, who is studying E. coli infections. Campagnari will lead studies analyzing virulence factors and potential vaccine antigens of Haemophilus ducreyi, the etiologic agent of chancroid, a sexually transmitted disease. Infection from H. ducreyi significantly increases the risk of human immunodeficiency virus (HIV) infection. Russo is seeking to develop a vaccine for extraintestinal I CON TI NU ED ON P AGE 36 UNG ER Kouo and Leonard Inducted into 101 Oishei Foundation Supports Research In December 2002, the John R. Oishei Foundation awarded two $300,000 grants in support of infectious disease research programs at the University at Buffalo School of Medicine and Biomedical Sciences. The For young and old. For patients and families. Hospice care touches everyone, including children with a sick mom or dad, sibling or grandparent. With chaplains and social workers helping out, the whole fam ily feels better. The sooner you call, the more we can help. Hospice. A plan for living. 686· 8077 hospicebuffa lo.com. ~Ls r 1 c E -z;2)~ T H E CE :-I TE R F O R H~SPICE& PAUlATIVE CARE 1978 - 2003 Spri11g 2003 l uf11l1 Pbpiciu 35 �PATHWAYS pathogenic E. coli, the most common cause of extraintestinal infection in ambulatory, long-term care and hospital settings. Typical infections due to E. coli include urinary tract infection, diverse intraabdominal infections, pneumonia, surgical site infection, meningitis and soft-tissue infections. "The strains of E. coli that cause extraintestinal infection are under-appreciated 'killers.' Each year in the United States, billions of direct health-care dollars are spent on millions of these infections, which are associated with thousands of deaths," says Russo. - SUZANNE CHAMBERLAIN Trump Nam d Editor Donald L. Trump, MD, senior vice president of clinical research and chair of the Department of Medicine at Roswell Park Cancer Institute has been appointed editor-in-chief of the journal Oncology. Trump was appointed to the position following the death of Paul TRuMP Carbone, MD, who had served as editor-inchief since 1992. Trump also serves as secretary/treasurer of the American Society of Clinical 36 laffall Hysici11 Oncology and is a reviewer and/or member of the editorial board for the New England Journal of Medicine, Journal of the National Cancer Institute, Cancer, Cancer Chemotherapy and Pharmacology, Journal of Urologic Oncology and Current Treatment Options in Oncology. Venti earned a bachelor of science degree in communications from the State University of New York - DEBORAH PETIIBONE College at Buffalo and will complete a master's degree in the field in 2003. Venti .loins Office of Alumni Affairs Kimberly A. Venti has been named director of donor stewardship and constituent relations for the Office of Alumni Affairs and Development in the School of Medicine and Biomedical Sciences. In this role, she is responsible for increasing membership and stewardship of the James Platt White Giving Society and coordination of class reunions. She will serve as the primary liaison for the Medical Alumni VENTI Association and Medical Emeritus Faculty Group. Venti comes to UB from Roswell Park Cancer Institute, where she served as director of development communications. In this capacity, she was responsible for all media relations, marketing and promotions for the Roswell Park Alliance Foundation. S pr i 11 g 2 00 3 - S. A. MoRELLI U NGER Morelli and Connolly Participate in NINDS Study and Report Daniel Morelli, MD '74, professor of family medicine, and Brian Connolly, MD, clinical associate professor of family medicine at the University of Buffalo School of Medicine and Biomedical Sciences were selected to participate in a symposium at the ational Institute of eurological Disorders and Stroke ( INDS) in December 2002. The symposium, titled "Improving the Chain Recovery for Acute Stroke in CONNOLLY Your Community," addressed public recognition of stroke; choosing your level of care; professional education; templates for organizing stroke triage; incentives for stroke treatment; and support systems for providers. Morelli worked with the Choosing Your Level of Care subgroup, while Connolly worked with the Support System Providers group. All six of the groups published their findings this spring as an update to the 1997 INDS Symposium on Rapid Identification and Treatment of Acute Stroke. - S. A. U N GE R CD �Sudden Cardiac Death Researchers in the University at Buffalo School if Medicine and Biomedical Sciences who are studying sudden cardiac death have received two generous grants in support of their work. r In February 2003, The John R. Oishei Foundation awarded $1.5 million to the University at Buffalo School of Medicine and Biomedical Sciences to establish a highly interactive, multidisciplinary Center for Research in Cardiovascular Medicine that will lead to better understanding of the mechanisms responsible for sudden cardiac death (SCD) in ischemic heart disease. At the time of the announcement, Thomas Baker, executive director of the Oishei Foundation, said: "The foundation's directors were impressed with the level of cooperation among departments and investigators working on this critical area of cardiac research. UB has taken the lead in research that could prove extremely beneficial in saving many lives." John Canty, MD ' 79, Albert and Elizabeth Rekate Chair in Cardiovascular Diseases at the UB School of Medicine and Biomedical Sciences, will serve as principal investigator of the project. He will lead a team of 11 others, including clinical scientists from the Division of Cardiology in the UB Department of Medicine, and basic scientists from the UB departments of Physiology and Biophysics, Biochemistry, Genetics (Roswell Park Cancer Institute), Pharmacology and Toxicology, and the Center for Positron Emission Tomography. "Our goal is to establish the University at Buffalo as a premier center of research in the area of sudden cardiac death," says Canty. "Cardiovascular disease continues to be the leading cause of mortality in the United States, and the aging of our population makes it a growing area of concern. Although great strides have been made in treating ischemic heart disease, myocardial infarction and heart failure, the impact of these advances has been disappointing with respect to preventing other types of cardiovascular disorders, such as sudden cardiac death from ventricular arrhythmias." The John R. Oishei Foundation's mission is to enhance the quality of life for Buffalo-area residents by supporting education, health care, scientific research and the cultural, social, civic and other charitable needs of the community. It was established in 1940 by John R. Oishei, founder of Trico Products Corporation, one of the world's leading manufacturers of windshield wiper systems. The foundation, a major supporter ofUB and its community-focused activities, has given or pledged nearly $12 million to "The Campaign for UB" for programs, including the Toshiba Stroke Research Center (see article on page 4). ;r T Canty has also received a three-year, $141,750 grant from the Mae Stone Goode Trust to support research on sudden cardiac death. Mae Stone Goode "left the funds for cure rather than care" and established the trust for medical research on tuberculosis, cancer and "other diseases of humanity," according to attorney William Yorks, co-trustee and second cousin to Mrs. Goode. She was a person who made many gifts anonymously during her lifetime, he notes, and the public should now know "about the generosity of this woman of strong character." Gifts from the trust are made in the names of Mae Stone Goode, who died in 1955, and her husband, Richard W. Goode, a real estate investor in Buffalo who died in 1928. r T p T( John Canty, MD, Albert and Elizabeth Rekate Chair in Cardiovascular Diseases at the UB School of Medicine and Biomedical Sciences, was recently elected to the prestigious Association of University Cardiologists (AUC). Founded in 1961, the AUC is limited to an active membership of 125 academic cardiologists from the United States, elected by their peers. The organization has a purely educational purpose and meets once a year for a two-day session of scientific interchange. Members are recognized as leaders in American cardiology whose efforts are actively shaping the course of research and training in cardiovascular disease in the United States. . Spring 2003 1111111 nysicill 3 7 �DEVELOPMENT E W S By li nda J . Cor de r , PhD, CFRE HE PHO E CALL CAME OVER A DECADE AGO. It brought mixed reactions, as the subject was painful to hear, and likely even more difficult for this alumnus to discuss. He wanted to let me know that he was leaving the school a bequest, but he was reluctant to give me even a ballpark figure. He had just found out he was in the early stages of Alzheimer's Disease and there were too many unanswered questions for him to predict how much money might be left. How long would he live? How much would his care cost? Would he outlive his wife? Underneath the spoken words were his silent questions, uncertainty, fear and frustration. In spite of these unanswerable questions, he was taking steps to ensure that he would leave his alma mater a portion of his worldly goods, while he was still able to direct his own affairs. This conversation seared itself into my memory, and over the years I kept my ears open for news from his friends. The disease took its expected toll. His wife died. His friends stayed in touch with him and oversaw his care. And, last year, Dr. Dobrak, medical class of 1939, died. His legacy to the school that he loved was generous. "What was left" was over four hundred thousand dollars. He had designated that it be divided among the Medical Alumni Scholarship Endowment, an endowment fund to underwrite an annual lecture in {'i ( p radiology and an endowed inter\\ R >U disciplinary radiology research fund. His gift to the scholarship fund increased it by approximately 45 percent at a time when rising student debt makes it critically important that funds be made available to qualified students. His support of radiology comes at a time when there is a national shortage of radiologists, and UB, like most medical schools nationally, is working to enhance the training of residents in radiology. Dr. Dobrak's bequest was a return on the investment that faculty 38 l 1 ff al1 Hpiciu Spri n g 2003 members in another era had made in him and his subsequent career. It was a wise decision relative to minimizing his taxable estate. Most important, it was a gift of love and a statement of faith in the future of his alma mater. There are many reasons that people make gifts to educational and other charitable institutions. Some mirror those of Dr. Dobrak. They support the groups' missions. An institution made a positive difference in their lives. They have generous hearts and want to expand possibilities for other individuals in similar circumstances to those they once faced. They wantto "repay" a gift or scholarship they received at an early time in their lives. Whatever triggers these gifts, we accept them all as a statement of faith in the future of this school. For that belief and regard, we say thank you to those who choose to share their resources with their alma mater, their hometown medical school, their nationally acclaimed institution where they have chosen to teach, work, conduct research and provide patient care. This year, we salute nearly 250 members of the James Platt White Society who made gifts during the 2002 calendar year to the UB School of Medicine and to the Health Sciences Library and its medical history collections. We applaud those whose lifetime commitments place them with the Founders' Circle of the Society. We acknowledge with sadness, love and appreciation our members whose lives ended during this past year, and with thanksgiving, those who have made arrangements for legacies in the future. The spirit ofphilanthropy is alive and well at UB's School of Medicine and Biomedical Sciences. For this we are grateful and express our heartfelt thanks to all donors. CD lz da L ' ( c>rda Phi>, 1~ a '"c ate c ec.n fc r , 1111'1111 dfmr .md .Je clop ·~··t Shl '"''be cJ•It•llte a e mazl tf he) J, r /lujf.l L td •, r b p Jll( at I 8~~ ~ '6 l.? "· �}ANUARY 1, 2002-DECEMBER 3 1 ) 2 0 0 2 Founded in 1846, the University at Buffalo School of Medicine and Biomedical Sciences has a proud history. James Platt White, MD (1811-1881), one of the nation's first practicing obstetricians and gynecologists, was a founder of the school. He later served as professor and was dean of the school at the time of his death. Because of]ames Platt White's contributions to society and the university, his name is associated with a group ofdistinguished donors who make leadership gifts to the UB School of Medicine and Biomedical Sciences through the James Platt White Society. Members of the society contribute $1,000 or more annually to the School of Medicine and Biomedical Sciences. This special group of donors may choose to support student scholarships; seed funding for ground-breaking scientific and clinical research; the Dean's Excellence Fund, which provides the dean flexibility to take advantage of unanticipated opportunities that arise mid-year; or any fund the donor may choose within the medical school. In forming Professor White's annual "class," we honor our history and recognize a very special group of donors. I. ,. UB•s founders, primarily physicians and attorneys, envisioned a school to train students for service to the community. The Society's founders help to actualize that vision by providing a generous base of support for programs and activities that enrich the academic environment and enhance medical training. Donors who have cumulative contributions of $50,000 or more, or who have established an irrevocable deferred gift for $100,000 or more, are granted lifetime membership in the James Platt White Society. Dr. George M. Ellis Jr. ' 45 & Mrs. Kelly Ellis Dr. Glen E. Gresham & Mrs. Phyllis K. Gresham '85 Mr. & Mrs. Edmund C. Lynch Newport, RI Connersville, IN Williamsville, NY Mrs. Catherine Fix Dr. Thomas J. Guttuso, Sr. '61 and Mrs. Barbara L. Guttuso Dr. Eugene R. Mindell & Mrs. June A. Mindell Mrs. Joan W. Alford Dr. William M. Chardack Buffalo, NY Gulfstream, FL Mrs. June M. Alker Dr. Joseph A. Chazan '60 & Mrs. Helen Chazan Providence, RI Martinsburg, WV Williamsville, NY Dr. Charles D. Bauer ' 46 & Mrs. Mary A. Bauer Mrs. Annette Cravens Dr. Thomas F. Frawley ' 44 Williamsville, NY Buffalo, NY Chesterfield, MO Dr. and Mrs. Ralph T. Behling '43 San Mateo, CA Dr. Ernst H. Beutner & Dr. Gloria Beutner '80 Eggertsville, NY Dr. Willard H. Boardman ' 44 and Mrs. Jean E. Boardman ' 48 Winter Park, FL Mr. Donald L. Davis Williamsville, NY Dr. S. Max Doubrava Jr. ' 59 and Mrs. Joan Doubrava Las Vegas, NV Mrs. Marjorie B. Eckhert Buffalo, NY Ms. Rose M. Ellerbrock Williamsville, NY Mrs. Christine Gretschel Genner Potomac, MD Dr. Lawrence Golden '46 and Mrs. Nancy Golden ' 48 East Amherst, NY Dr. Eugene J. Hanavan Jr. ' 41 Buffalo, NY Mr. & Mrs. Jeremy Jacobs East Aurora, NY Mrs. Pamela Jacobs Eggertsville, NY Buffalo, NY Dr. Pasquale A. Greco '41 & Mrs. Lois J. Greco Mrs. Morris Lamer Buffalo, NY Dr. Phil Morey ' 62 and Mrs. Colleen Morey Williamsville, NY Dr. Richard J. Nagel '53 & Mrs. Florence T. Nagel Orchard Park, NY Dr. Richard B. Narins ' 63 & Mrs. Ellen B. Narins East Aurora, NY New York, NY Buffalo, NY Spring 2003 luffalt Pbysiciaa 39 �DEVELOPMENT Mr. Allan Wade Parker San Francisco, CA Dr. Albert C. Rekate '40 & Mrs. Linda H. Rekate '71 Williamsville, NY Dr. Elizabeth P. Olmsted Ross'39 Buffalo, NY Dr. and Mrs. Edward Shanbrom '51 Santa Ana, CA Dr. Albert Somit Carlsbad, CA Dr. Janet H. Sung & Mr. John J. Sung Clarence, NY Dr. Philip B. Wels '41 & Mrs. Elayne G. Wels Williamsville, NY Mrs. Virginia S. Wendel Ft. Meyers, FL Dr. John and Mrs. Deanna Wright Williamsville, NY c The Dean is the School's leader. Every leader depends on a small circle of associates who help bring the organization's vision into reality. Individuals or couples qualify as members in the Dean's Circle with generous gifts of$25,000 or more during the calendar year. E W S Dr. Janet Sung and Mr. John Sung Clarence, NY Dr. Charles S. Tirone '63 & Mrs. Anne R. Tirone '94 Williamsville, NY Ms. Virginia S. Wendel Fort Meyers, FL Dr. James J. White, Jr. '69 Buffalo, NY cle Cha Fe o Just as a department chair leads a program, donors ofleadership gifts in the range of $10,000 to $24,999 are given special recognition. cle Fe ll ows within the school are recognized for added depth they bring to postgraduate study. Fellows are honored for gifts that total $2,500 to $4,999. Dr. and Mrs. Frederic D. Regan'45 Boca Raton, FL Dr. Melvin M. Brothman '58 Snyder, NY Mrs. Gloria C. Stulberg Buffalo, NY Dr. Jennifer L. Cadiz '87 Lemoyne, PA e cle A strong faculty is central to a great university. Likewise, central to the future of our School is the dedication of a cadre of supporters whose annual gifts range from $5,000 to $9,999. Dr. Charles D. Bauer, '46 & Mrs. Mary A. Bauer Williamsville, NY Mr. Sheldon M. Berlow Buffalo, NY Dr. Joseph G. Cardamone '65 & Mrs. Susan G. Cardamone '65 Eden, NY Dr. Joseph Chazan '60 & Mrs. Helen Chazan Providence, Rl Dr. Jack C. Fisher '62 Lajol/a, CA Dr. Anita J. Herbert '63 Bradford, PA Dr. Hani A. Nabi Buffalo, NY Dr. Nancy H. Nielsen '76 Orchard Park, NY Dr. Thomas P. O'Connor '67 & Mrs. Sandra S. O'Connor East Amherst, NY Dr. Edward A. Rayhill '54 & Mrs. Joanne Rayhill Grand Island, NY Mr. Jerry Ritch Piscataway, Nj Dr. & Mrs. Richard Ronald Romanowski '58 Williamsville, NY within the fames Platt White Society have made gifts to the School totaling $1,000 to $2,499 during the past year. Those marked with an asterisk (*) are young scholars, graduates of the last decade, who qualify with gifts of$500 to $999. Dr. Harold Brody '61 Getzville, NY Dr. Kenneth Z. Altshuler '52 Dr. James B. Bronk '81 & Mrs. Suzanne Bronk Napa, CA & Mrs. Ruth Altshuler Dallas, TX Dr. & Mrs. William S. Andaloro '45 Caledonia, NY Dr. Mark Anders Buffalo, NY Dr. Douglas Armstrong Buffalo, NY Dr. J. Bradley Aust Jr. '49 San Antonio, TX Dr. Rohit Bakshi '91 & Mrs. Lorain Bakshi Buffalo, NY Dr. George Bancroft '81 & Mrs. Susan K. Bancroft '79 Hamburg, NY Dr. Kevin Barlog '82 & Dr. Elizabeth P. Barlog '82 Amherst, NY Dr. Jared C. Barlow Sr. '66 & Mrs. Barabara Barlow Grand Island, NY Dr. Allen Barnett '65 Pi11e Brook, N] Dr. Michael B. Baron '71 Blountville, TN Dr. Paul D. Barry '71 St. Augustir1e, FL Mr. Donald l. Davis Williamsville, NY Ms. Ellen Freudenheim Brooklyn, NY Dr. and Mrs. Glen E. Gresham Williamsville, NY Dr. George A. Gentner '41 Phoenix, AZ Dr. Irving Sterman '64 and Mrs. Gail K. Sterman jacksonville, FL Dr. Robert A. Baumler '52 Amherst, NY Dr. Kim Griswold '94 Buffalo, NY Dr. Gerald Sufrin Snyder, NY Dr. Richard A. Berkson '72 & Mrs. Andrea Berkson Rancho Palos Verdes, CA Mr. Jeremy M. Jacobs, Sr. East Aurora, NY Mrs. Pamela R. Jacobs Buffalo, NY Mr. & Mrs. Edmund C. Lynch Newport, RI lllfal1 Hysiciaa Mr. Arthur H. Judelsohn Buffalo, NY Mr. Eugene M. Setel Buffalo, NY Mr. James I. Stovroff Buffalo, NY Sprt11 g 200 3 e One strength of an outstanding institution is the caliber of those who study there. Scholars Dr. Michael E. Bernardino & Mrs. Joan Bernardino Buffalo, NY Dr. Robert Bernot '60 & Mrs. Carol Bernot North Hills, NY Dr. Theodore S. Bistany '60 & Mrs. Undine Bistany Buffalo, NY Dr. Lawrence Bone '73 Orchard Park, NY Mr. & Mrs. William Bourke Orchard Park, NY Dr. Suzanne F. Bradley '81 Whitmore Lake, Ml Dr. Timothy Bukowski '87 & Dr. Naomi J. Kagetsu '86 Chapel Hill, NC Dr. Vern l. Bullough Westlake Village CA Dr. James P. Burdick '75 & Mrs. Sharon A. Burdick East Amherst, NY Dr. William M. Burleigh '67 Rancho Mirage, CA Mrs. John W. Buyers Williamsville, NY Dr. Evan Calkins & Dr. Virginia Calkins Hamburg, NY Dr. David T. Carboy '63 & Mrs. Jacqueline G. Carboy Lincroft, Nj Dr. Nicholas C. Carosella '54 & Mrs. Mary Carosella Appleton, NY Dr. Yung C. Chan '73 Draper, VA Dr. Norman Chassin '45 & Mrs. Charlotte S. Chassin Williamsville, NY Dr. Charles Kwok-Chi Chow & Mrs. Patricia Chow Hong Kong Dr. Eugene Cisek & Mrs. Ruth Cisek Buffalo, NY Dr. Geoffrey E. Clark '68 Portsmouth , NH Dr. Terence M. Clark '71 Clemson, SC Mr. Michael J. Collins '90 & Dr. Kathleen A. O'Leary '88 Buffalo, NY Dr. Mark Comaratta '85 East Amherst, NY �Mr. Anthony Conde & Mrs. Janette Conde Dr. Susan Fischbeck '82 & Dr. Patrick T. Hurley '82 Orchard Park, NY East Concord, NY Dr. Brian F. Connolly Dr. Thomas D. Flanagan '65 East Amherst, NY & Mrs. Grace Flanagan ' 70 Williamsville, NY Dr. Linda J. Corder Buffalo, NY Dr. J. Steven Cramer East Amherst, NY Dr. Julia Cullen ' 49 Buffalo, NY Dr. Daniel E. Curtin '47 & Mrs. Elaine Curtin Orchard Park, NY Dr. & Mrs. Raymond Dannenhoffer Amherst, NY Dr. David R. Dantzker '67 & Mrs. Shenye Dantzker New York, NY Dr. RogerS. Dayer '60 & Dr. Roberta A. Dayer ' 72 Buffalo, NY Dr. Ronald I. Dozoretz '62 Falls Chtach, VA Dr. Melvin B. Oyster ' 52 Niagara Falls, NY Dr. Robert W. Edmonds ' 41 Sun City Center, FL Dr. Robert Einhorn ' 72 North Brunswick, Nj Mr. John E. Estes '86 Malvern, Australia Dr. Domonic F. Falsetti '58 and Mrs. Margaret Falsetti Lewiston, NY Dr. Leon E. Farhi & Mrs. Haya Farhi Eggertsville, NY *Dr. Thomas Hugh Feeley '96 & Dr. Danielle Susan Notebaert '95 Elma, NY Dr. William A. Fleming '64 & Dr. Beth D. Fleming '67 Buffalo, NY Dr. Herbert E. Joyce '45 & Mrs. Ruth Marie Joyce East Aurora, NY Lockport, NY Dr. Frank A. Luzi '88 & Dr. Lori Luzi '88 Dr. Wendy A. Kaiser '85 & Dr. Roger E. Kaiser Jr. ' 79 Clarence, NY Dr. Robert J. Patterson '50 & Mrs. Patricia M. Patterson Snyder, NY Dr. John H. Peterson '55 Clarence, NY East Aurora, NY Dr. James F. Phillips ' 47 & Mrs. Marcella Phillips *Dr. Martin C. Mahoney '95 Buffalo, NY Clarence, NY Dr. Matthew Phillips '91 Dr. James R. Kanski '60 & Dr. Genevieve W. Kanski '84 Dr. William L. Marsh '46 Buffalo, NY Buffalo, NY Eggertsville, NY Bethesda, MD Dr. Stephen B. Pollack '82 Dr. Penny A. Gardner '69 Dr. Steven R. Kassman '87 and Mrs. Jeannine Kassman Dr. Ralston Rodcliffe Martin Williamsville, NY '90 Dr. Anthony V. Postoloff '39 Los Altos, CA Drs. Laura and Michael Garrick Getzville, NY Dr. Ronald F. Garvey '53 Tyler, TX Mr. Warren Gelman '70 & Mrs. Patricia C. Gelman Glendale, AZ Vellejo, CA Dr. Kenneth K. Kim '65 and Mrs. Susan Kim Dr. Conrad May '81 Clinton, NY Dr. Francis J. Klocke '60 Chicago, IL Buffalo, NY Dr. Robert A. Klocke '62 & Mrs. Barbara Klocke Dr. Lawrence H. Golden '46 Williamsville, NY & Mrs. Nancy P. Golden ' 48 Eggertsville, NY Dr. Joseph M. Kowalski '93 Amherst, NY Willia msville, NY Kensington, MD Dr. Linda G. Rabinowitz '82 M ilwaukee, WI Dr. Brian McGrath '87 Buffalo, NY Dr. Harry L. Metcalf '60 & Dr. Kaaren Metcalf ' 78 Dr. Kenneth John Raczka ' 72 & Mrs. Rita Raczka Amherst, NY Williamsville, NY Dr. & Mrs. Richard A. Rahner '58 Dr. William Mihalko Erie, PA Clarence Center, NY Dr. Merrill L. Miller ' 71 Dr. Bert W. Rappole '66 & Mrs. Mary Helen Rappole Hamilt011, NY jamestown, NY Dr. Michael Goldhamer '64 Mrs. Delphine Kozera San Diego, CA Lackawanna, NY Dr. and Mrs. Carl V. Granger Dr. Kenneth Krackow Dr. David P. Mindell & Mrs. Margaret H. Mindell Dr. Bernhard J. Rohrbacher '83 Buffalo, NY Williamsville, NY Ann Arbor, MI Getzville, NY Dr. Eugene R. Mindell & Mrs. June A. Minden Ms. Alice May Greer Dr. Jacob S. Kriteman '67 Niagara Falls, NY Danvers, MA Dr. Robert T. Guelcher '60 & Mrs. Elizabeth Guelcher Dr. Milton C. Lapp '52 Erie, PA Corning, NY Buffalo, NY Dr. Jeffrey S. Ross '70 Georgetown, DE Lebarwn Springs, NY Mr. James J. Rosso & Mrs. Cheryl Rosso Dr. Andre D. Lascari '60 & Mrs. Susan Lascari Dr. Shedrick H. Moore '55 Buffalo, NY Poestenkill, NY Costa Mesa, CA Dr. John H. Hedger ' 75 Dr. Thomas J. Lawley '72 Dr. John D. Mountain '33 Buffalo, NY Dr. Albert G. Rowe '46 Salisbury, MD Atlanta, GA Manhasset, NY Dr. Reid R. Heffner Jr. & Mrs. Elenora M. Heffner Dr. Dolores C. Leonard '87 & Mr. Martin Leonard Dr. Arthur W. Mruczek Sr. '73 Medina, NY Buffalo, NY East Amherst, NY Dr. Richard L. Munk '71 Dr. Ross G. Hewitt '79 Buffalo, NY East Amherst Williamsville, NY Dr. William Fiden ' 70 Dr. Richard T. Ho '92 and Dr. Veronique M. James '88 San Diego, CA Dr. Harold J. Levy ' 46 & Mrs. Arlyne Levy Honolulu, H I Depew, NY Rochester, NY Mrs. Patricia Papademetriou Blacksburg, VA *Dr. Randall J. Loftus '92 Eggertsville, NY Burlingame, CA Lancaster, NY Dr. Marc S. Fineberg Dr. Hilton R. Jacobson ' 45 Williamsville, NY Lakewood, NY Dr. Gerald L. Logue & Mrs. Joelle Logue Robert M. Jaeger, M.D. ' 47 Sylva11ia, OH Dr. Masao Nakandakari '55 Dr. John Naughton Mr. Paul F. Hohenschuh & Dr. Marjorie E. Winkler Williamsville, NY Orchard Park, NY Dr. Edwin A. Salsitz ' 72 Dr. Marshall A. Lichtman '60 & Mrs. Alice Jo M. Lichtman '58 '77 East Amherst, NY Dr. Joseph F. Ruh '53 Amherst, NY Dr. Hing-Har Lo ' 74 Dr. Thomas C. Rosenthal ' 75 & Mrs. Georgia Rosenthal Orchard Park, NY Dr. Maynard H. Mires Jr. '46 Dr. Christopher Hamill '89 Dr. Fredric M. Hirsh ' 73 & Mrs. Donna A. Hirsh Dr. Helen Marie Findlay '78 & Dr. Albert Schlissennan Dr. Thomas A. Lombardo Jr. '73 and Mrs. Donna M. Lombardo Dr. Robert Galpin Dr. Michael Ferrick '65 Buffalo, NY Dr. Cynthia L. Jenson '92 Bangor, ME New York, NY Mrs. Elizabeth Ann Schaefer Snyder, NY Dr. David S. Schreiber '69 Westwood, MA Dr. Daniel S. P. Schubert '65 Buffalo, NY Shaker Heights, OH Dr. John S. Parker '57 & Mrs. Dorris M. Parker Dr. Fred S. Schwarz ' 46 Latrobe, PA Buffalo, NY Dr. Margaret W. Paroski '80 Dr. Molly R. Seidenberg '53 & Mr. Peter Martin Buffalo, NY Rochester, NY Allentown, PA Spring 2003 lulfalt Pbysici11 41 �0 E V E L 0 P M E N T Dr. Joseph Tannenhaus ' 45 Homosassa, FL Dr. Timothy S. Sievenpiper '68 & Mrs. Karen S. Sievenpiper Dr. Michael Taxier ' 75 East Aurora, NY Columbus, OH Dr. Howard C. Smith '53 Dr. Wayne C. Templer '45 Huron, OH Coming, NY Dr. James A. Smith '74 Mr. Fritz Terplan Orchard Park, NY San Francisco, CA Dr. & Mrs. Robert G. Smith '49 Dr. Martin Terplan ' 55 Savannah, GA San Francisco CA Dr. Robert Smolinski '83 & Dr. Claudia Foskett '85 Dr. George Thorngate, IV '45 Orchard Park, NY Dr. James C. Tibbetts '64 & Mrs. Elspeth Tibbetts '64 Pebble Beach, CA E W S Dr. James E. Wild '83 & Dr. Andrea T. Manyon-Wild '83 Amherst, NY Dr. Richard G. Williams '80 Clearfield, PA Mr. Ralph C. Wilson Jr. Orchard Park, NY Dr. Lester E. Wolcott '51 Beverly Hills, CA Williamsville, NY Dr. James F. Stagg '47 Dr. Bradley T. Truax '74 & Mrs. Elizabeth Truax *Ms. Sanda Yu '95 Orchard Park, NY Dr. Melvin J. Steinhart '62 & Mrs. Susan S. Steinhart Delmar, NY Dr. Morton Stenchever '56 and Mrs. luba Stenchever Lewiston, NY Malden, MA Dr. Bernice S. TyraiH:omforl '58 Dr. Franklin Zeplowitz '58 & Mrs. Piera Zeplowitz Los Altos, CA Dr. Richard D. Wasson '58 & Mrs. Janet Wasson Holiday, FL Dr. Arnold Wax '76 Mercer lslarJd, WA Henderson, NV Dr. William C. Sternfeld ' 71 Dr. Paul H. Wierzbieniec '74 & Ms. Ellen Wierzbieniec Sylvflllia, OH Dr. lin-lan Tang '84 Plainfield, Nj Cmwndaigua, NY Buffalo, NY Dr. Gary J. Wilcox ' 73 Carlsbad, CA The Edmund Ha es Societ Tit is society is tutmed after General Edmund Hayes, all illtemationally renowned designer of bridges who in 1923 bequeathed nearly $390,000 to UB. Through the years, manygenerotls illdividuals have been inspired by the same conviction and have elected to build Oil Hayes' foulldation of support. Through their commitment to the university, and through their investment in Univer- Buffalo, NY Dr. David C. Ziegler '64 & Mrs. Susan D. Ziegler ..........., ........... ...........,.......... Socletr ...... ..., ..... Williamsville, NY Dr. & Mrs. John R. Wright . "' ... . _ .... Willa Mrs. Janet F. Butsch Aurora, CO Dr. Stuart Alan Wolman '74 Dr. Wende Westinghouse Young Dr. Philip M. Stegemann '82 North Hills, NY Dr. Marvin Z. Kurian '64 & Mrs. Eleanor Kurian Sturgeon Bay, WI Tucson, AZ Dr. Robert Bernot '60 & Mrs. Carol Bernot Lubbock, TX Carlsbad, CA Dr. Albert Somit generous gifts made between 1989 to 1993. Donors to the Health Sciences Library and the History of Medicine funds are also recognized as members of the society in the appropriate circle. ........... I8HI'OIII We have made every effort to ensure accuracy in these Walrwt Creek, CA Lists. Ifyouhaveanyques- Special Members call Kim Venti toll free at tions or corrections, please Those individuals and couples listed as follow were granted multi-year memberships based on Dr. Frances R. Abel 1-877-826-3246 or 716829-2773; ore-mail her at kventi@buffalo.edu. 4D Dr. Lance Fogan Dr. Benjamin E. Obletz Dr. & Mrs. Richard A. Rahner Mrs. June M. Alker Dr. Thomas F. Frawley Dr. & Mrs. Rohit Bakshi Dr. Ronald F. Garvey Dr. Charles A. Bauda Dr. Pasquale A. Greco Dr. John T. Cangelosi Dr. Eugene J. Hanavan, Jr. Dr. & Mrs. Edward A. Rayhill Dr. Albert C. Rekate Mrs. Edith Corcelius Dr. David Holden Dr. Myron G. Rosenbaum Dr. linda J. Corder Dr. Hilliard Jason & Dr. Jane Westberg Dr. Elizabeth P. Olmsted Ross Dr. Richard F. Kaine Dr. Daniel S.P. Schubert Dr. Julia Cullen Dr. Thomas G. Cummiskey Dr. Edward L. Curvish, Jr. sityat Buffalo, benefactors have taken part ill shapittgthe Dr. Leonard S. Danzig future of UB and sewrillg its legacy into the next Dr. Melvin Oyster celltury. Ifyou are interested in becoming a member of Ms. Rose M. Ellerbrock the Hayes Society, you cart contact our plmmed giving Dr. George M. Ellis, Jr. department at (716) 645-3312. Dr. Jack C. Fisher l afl a le Phy siciaa Spring 2003 IIIII fw the Scllool to receiYe Dr. J. Walter Knapp Dr. Albert Somit Dr. Harold J. Levy Dr. Eugene M. Teich Dr. Sanford H. Levy Dr. Max B. Weiner Dr. Milford C. Maloney & Mrs. Dione E. Maloney Dr. Karl L Manders Dr. & Mrs. Ralph M. Obler Dr. Pierce Weinstein Dr. John R. Wright & Mrs. Deanna Wnght Dr. Wende W. Young Anonymous 4 2 beqHIII or 131 �1940s Robert J. Dean, MD '47, anesthesiology, lives in Kinston, NC, where he is on staff at Lenoir Memorial HospitaL Favorite medical school memory: "jim Phillips entertaining the class as Dr. ]ones." 1950s James E. Lasry, MD '57, cardiology, lives in La jolla, CA, and is retired. Favorite medical school memory: "Professor Oliver P. )ones." Robert l. Baumler, MD '52, Sherman Waldman, MD '57, internal medicine, lives in Amherst, NY, with his wife, Jane. Favorite medical school memories: "Dr. 0. P. )ones' oral examinations in gross anatomy, as painful as they were." pediatrics, is in solo practice in Buffalo and is affiliated with Kaleida Health and the Catholic Health System. Favorite medical school memory: "0. P. )ones' recitations (with anxiety)." E-mail address is: swoldman @acsu.buffalo.edu. Melvin B. Oyster, MD '52, Richard l. Falls, MD '59, has family practice, lives in Niagara Falls, NY. He is in group practice with Niagara Family and is Director Emeritus of the FMMC family practice residency. Favorite medical school memory: "Hitchhiking daily from Buffalo to Niagara Falls until I got Neal Fuhr's old car!" E-mail address is: mbd3918@adelphia.net. been presented the 2003 Professional Service Award from The Prevention of Blindness Society of the Metropolitan Area [Washington, D.C.]. The award is given annually to the person who best exemplifies the spirit of the society's mission and its commitment assnotes to the community. Falls was chosen not only for his lifelong public service, but also for his many efforts to enhance the lives of patients and their families with vision challenges, according to the society. He has been active in the American Academy of Ophthalmology, Virginia Society of Ophthalmology and was past president of the orthern Virginia Academy of Ophthalmology. He is senior partner for the Northern Virginia Center for Eye Care and was chief of ophthalmology section at I nova Fairfax Hospital for 16 years. In 1992, Falls received the Clinician of the Year Award from Georgetown University Medical Center's Center for Sight for his voluntary efforts in resident education. 1960s Patrick J. Kelly, MD '66, joseph Ransohoff Professor of eurosurgery and chair of the Department of eurosurgery of ew York University School of Medicine, has been named trustee of Boys & Girls Clubs of America. In this position, Kelly will play an active role in securing financial support for the national youth organization and will help formulate strategies for positive youth development programs. As a child from a disadvantaged background, Kelly was a member of Boys & Girls Club in East Aurora, NY, and he credits the organization with setting him on a good path. "It's time to give something back," he says. Jonathan Ehrlich, MD '67, practices obstetrics and gynecology in the suburbs of Atlanta and, since 1973, has delivered over 4,000 babies. He has served as chair of the Medical Advisory Committee of Planned Parenthood of Atlanta and was the founding vice president of the Sandy Springs Branch of the American Cancer Society. Jn 1998, aware that the largely uninsured noncitizen Hispanic population in Atlanta had difficulty obtaining adequate obstetrical care, Ehrlich helped found a prenatal clinic with a local Hispanic business man to serve the Spri11g 2003 obstetrical needs of that community. Today he serves as medical director of the clinic-Centro Internacional de Maternidad (CIMA.). Since the clinic opened, the physicians and midwives of CIMA have deliv- ered over 2,000 babies. Largely through their efforts, the principal obstetric hospitals in Atlanta now distribute information packets and consent forms in Spanish and have full-time translators. For recreation Ehrlich skis, rafts and has run the ew York Marathon twice although, for the life of him, he cannot remember why. He has four children ("I believe in my product") and is married to Dr. Margaret Gorley Ehrlich from Eatonton, GA. She says he is everything her mother was afraid would happen if she moved to a big city. E-mail address is: dreobg@aoJ.com. JosephS. Kriteman, MD '67, pediatrics, lives in Dan Vers, MA, with his wife, Melody. They have two children: Lewis Scott Kriteman, MD, age 35; and Heidi Ruth )anock, age 31. E-mail address is: jskmbk@massmed.org. l1ffal• Physician 43 �Bv S. A. UNGER bstetrician/gynecologist Francis A. Fote retired in November 1987 and moved to Arizona in 1989. Prior to retiring, he had been in private practice in Buffalo since 1959 and had been an associate professor of OBIGYN at UB. In addition, he served as chief ofOBIGYN at Our Lady of Victory Infant Home (for unwed mothers and orphans), at Our Lady of Victory Hospital(l963 to 1982) and at Mt. Mercy Hospital(l982 to 1987). After retiring and living in Arizona for two years, however, Fote decided to return to work and began serving as a physician-volunteer and advocate for the poor and underserved around the world. The following is a brief outline of some of the projects he has been involved with since "retiring": In 1991, Fote spent two months in Northern Kenya with the Consolata Missions, where he worked with Ethiopian refugees fleeing civil war in their country. In 1992, he spent two weeks in El Salvador with the American Volunteer Medical Team IAVMT), providing medical care to the poor following civil war in that country. (The AVMT is a program begun by Cindy McCain, wife of Senator John McCain.) In 1994, he traveled to Santarem, Amazon, Brazil, where he spent a month introducing colposcopy and LEEP for management of uterine cervical dysplasia. In 1995, he worked for two months at the Common Health Center Hospital for the government of the Northern Mariannas on the island of Saipan. There, he supervised midwives, nurses and introduced LEEP. From 1995 to 2000, he served as a volunteer in the Gynecology Clinic at Luke Air Force Base Hospital in Glendale, Arizona, as a Red Cross Volunteer. From 1996 to 2002, he volunteered with Clinica Adelante, a community health clinic in Arizona that is dedicated to care of poor migrant farm workers. At the clinic, he taught colposcopy and helped establish obstetrical services. Currently, he serves on its Board of Directors. In 1997, he founded "Grounds for Health" IGFR), an international nonprofit organization providing health-care services to coffee-growing communities in Mexico and Central America. Also from 1997 to 2002, he worked with the San Pedro Pochutla Hospital in Oaxaca, Mexico, and the Huatusco Hospital, in Huatusco, Vera Cruze, Mexico, where he established a Dysplasia Clinic for the study of cervical cancer, the leading cause of cancer deaths for Mexican women. (The clinic is operated by local Mexican doctors and is supported by health-care volunteers such as Fote, who bring their own equipment and pay their own expenses. The health-care team Fote has worked with on this project include a cytopathologist nurse, physicians, and technicians, who volunteer a week of their time, twice a year.) If you are interested in participating in a health-care project overseas, Fote recommends contacting one of the following organizations listed below, or you can email him at ffote@aol.com. ( D 1) OPTIONS IPCII Project Concern International 3550 Afton Road, San Diego, CA 92123. Phone: (619) 694-0294; Internet postmaster@procon.cts.com (Fote has provided an OPTIONS catalog, which is available in the Office of Medical Education.) 21 Northwest Medical Teams International, Inc., Volunteer Program; P.O. Box 10 Portland, OR 97207 Phone: (503) 644-6000; fax (503) 644-9000 3) Grounds for Health, 286 College Street, Burlington, VT 05401. Phone: (800) 375-3398; www.groundsforhealth.org 4) Esperanca, 1911 West Earl Drive, Phoenix, AZ 85015. Phone: (6021 252-7772 (Amazonia and Madagascar) �David L. Larson, MD '67, psychiatry, lives in Wausau, Y, and is Vernon. I have three boys, and Debbie and I have now been married affiliated with North for 29 years. I am presi- Central Health Care. Favorite medical school dent of our hospital 's local IPA and president memory: "Anatomy recitation , freshman year. " of Pinnacle IP A, a sevenhospital IPA. " E-mail address is: dlarson @norcen.org. Mark Polis, MD '77, urol- l1ldlolo&YIIIreat ........ lhesi115ewema P•rk, MD, with ller husltMd, Rollert E. Buttles, ..... their two childl'lll: SarH, liP 10, •nd Rollert A., liP 8. F..nte medal scheol 11181Hries: "IIJ flnt cll•lul raUtiollln third,.... ..... I felt lille. '1"8111' doctor. The raUtioll ... surgery •nd I spellt sevenl weeks doilll ........ with Dr. Ross ......... He t.u&ht ... how to IUrt lVI .... how to ........... patlelds.lt .... nice, pluunt Introduction to c:llnluiMIIIIcille." ' . ogy, lives in Williamsport, PA, with his 1970s wife Denise. He has two Michael Kressner, MD '77, children: writes: " I live in Cory, age 26; Scarsdale, NY, and practice gastroenterology in ew Rochelle and Mt. and Chelsea, age 22. 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And our average summer temperature is a perfect 79 degrees. NEED IDEAS: " THEN GET TO BUFFALO. 2 00 3 Suicide wings at the Anchor Bar Reeling in fresh fish for sizzling backyard BBQ Crossing into Canada for an evening of fun Downhill winter adventures on snow covered mountains wwwfitsyo 1.1'1 ife.com Equal Opportunity Employer. m/f/d/v. II f fIll Pb Is i c iII 45 �CLASSNOTES certified in internal medicine, geriatrics and clinical pharmacology. E-mail address is: is@doc.mssm.edu. CONTINUED FROM PACE 45 school memories: "General surgery rotations during third year; psychiatry rotation at Buffalo Asylum for the Insane; Dr. Lee's 1990s Philomena Mufalli Behar, MD '92, lives in Amherst, NY, with her husband Jerry, and their two-yearold daughter, Julia. She completed residency training in pediatric otolaryngology in Buffalo in 1997 and a fellowship at Emory University in 1999. She is in group practice and on staff at Children's Hospital of Buffalo. E-mail address is: pmbehar@aol.com. 1980s anatomy class, first year." E-mail address is: b.d.bop@suscom.net. Kathleen Grisanti Lillis, MD '87, pediatrics, lives with her husband, Michael Lillis, PhD, in Ira Salmon, MD '77, inter- nal medicine and geriatrics, lives in Elmhurst, Y. He is affiliated with Mount Sinai Medical Center and North Shore Hospital and is board Williamsville, Y. They have four children: Michael, age 9; Christopher, age 8; Alexandra, age 7; and J ulianna, 3. E-mail address is: klillis@upa .chob.edu. Elizabeth Conroy, MD '92, dermatology, lives with her husband. leffrev. in "Come Discover What My Mom Has Found!" - J ltoll/1 .!Tttm i • Beautiful private 1 & 2 bedroom apartments • 3 meals a day in elegant dining room • Weekly housekeeping • Scheduled • Hair salon, bank, library, billiards Come Home to Amberleigh ·A~~~~~ity 2330 Maple Road, Williamsville For a free brochure or personal tour, call 689-4555 4 6 l t f falt Pbpiciu Spr~ng 2003 �OUTREACH ANTHONY G, MD '91, MEDICAL DIRECTOR I n the winter 2002 issue of Buffalo Physician, Anthony Ng, MD '91, was featured in an article about his work as medical director of Disaster Psychiatry Outreach (DPO' in New York City during the weeks following the September 11 attacks. Over the past year, DPO has received a number of awards and honors for the seiYices it has provided. In October 2002, the New York State Office of~lental Health (OMH) recognized DPO with an award of special achievement for its response to 9/11, for which. 'g was present to accept on behalf of the organization. In November 2002, DPO was honored by the Philadelphia Psychiatric Society (PPS 1 at its annual Benjamin Rush Ball. Each year PPS members raise funds for an organization focused on the issues of mental health, and for 2002 they selected DPO to receive this funding. In other news, the United Nations has granted DPO nongovernmental (NGO) status. In a statement issued subsequent to this announcement, DPO administrators stated: "With this status, it is our intention to explore opportunities and expand on current projects that assist in training and outreach for international disasters. This association constitutes a commitment on the part ofDPO to disseminate information and raise public awareness about the purposes and activities of the United Nations and issues of global concern." Last fall, DPO representatiws participated in the September 9-11 th UN Annual NGO collaborative meeting, where discussions focused on ways in which the CN could collaborate with psychiatrists to provide treatment and assessments of UN staff involved in high-risk missions abroad. In April 2002, DPO held its 2 d International Congress on Disaster Psychiatry in New York City, which drew a large number of attendees. DPO has also been actively recruiting and training an increasingly large pool of volunteers who work in close collaboration with DPO and their local chapters of the American Red Cross. Buffalo volunteers have been active in working with the Erie County Department of Mental Health and the Office of Emergency Management in disaster mental-health preparedness in Western New York. Psychiatrists interested in volunteering with DPO can contact the organization at (212) 598-9995 or via e-mail at info@disasterpsych.org. <I;) S. A. Williamsville, Y. They have four children: Dylan, age 10; Jacob, age 7; Julia, 4; and Sam, 1. MG across the street; NY, NY, with ina." Classma tes can e-mail her at suzskiq@aol.com. Suzanne Rosenberg, MD '92, Yin and Gayle Singh, MDs pediatrics and physical medicine and rehabilitation, lives in Lakewood, CO. Favorite medical school memories: "The peanut butter party; Chevy's; pushing Rick's '92, live in Montrose, CO, with their three children: Vijay, 6; Arjun, 4; and Liam, 2. Vin practices orthopaedics and Gayle, family medicine. They completed their CNGER residency training at the University of Colorado and are currently in group practice and on staff at Montrose Memorial Hospital. Favorite medical school memories: "Peanut butter party; Rick's cottage; watching Reed rotate around the couch." E-mail address: vs ingh67@aol.com. Karen 1. Chojnacki, MD '95, has joined the Department of Surgery at Thomas Jefferson University Hospital in Philadelphia, PA. Prior to that she was a surgeon on staff at Bryn Mawr Hospital, where she had also served as a Spring 2003 Baltz Teaching Fellow and residency director, overseeing graduate and undergraduate medical education. Chojnacki's clinical and research interests include laparoscopic management of ben ign esophageal diseases and surgical treatment of pancreatic cancer and liver tumors. She is a fellow of the l 1 ffal e Hys i c i n 47 �CONTINUED FROM PAGE 47 American College of Surgeons and a member of the Society of American Gastrointestinal Endoscopic Surgeons. Her postgraduate training began at Jefferson University Hospital, where she completed a residency in general surgery and served as administrative chief resident. She also completed an advanced laparoscopic fellowship at the University of Southern California in Los Angeles, where she was a clinical instructor in surgery. medical school memory: "Being done with blocks." Jason Ho, MD '96, family practice/urgent care, lives in Pasadena, CA, and works in Valencia. Favorite medical school memory: "Gross anatomy lab and graduation!" E-mail address is: jasonhomd@yahoo.com. Joseph Chow, MD '97, Patrick V. Scott, DDS, MD '97, oral/maxillofacial surgery, lives in Hamburg, NY, with his wife, Gabrielle Scott, DDS. They have two children: Maxwell, age 5; and Nicholas, age 2. E-mail address is pscott@ bluemoon.net. Marc Richman, MD '98. Timothy Bukowski, MD '87, writes: "One of the residents in our urology training program at the E-mai family medicine, lives in Orchard Park, NY. He and his wife, Dawn, have a daughter named Elizabeth, age 2. Favorite University of North Carolina at Chapel Hill School of Medicine is Marc Richman, a 1998 UB medical school graduate. For the fourth consecutive year, Marc has scored in the lOOth percentile (highest) on the inservice exam given by the American Urological Association. I do not believe this has been done before. In july 2003, Marc will be joining a urology practice in Virginia Beach, VA." CD GENESEE HEARING SERVICES THE AUDIOLOGY CENTER 61 Wehrle Drive (Near Harlem) Amherst 14225 630 Orchard Park Rd. (Near Ridge Rd .) West Seneca 14224 837-6213 712-2000 • Diagnostic audiometric evaluations (pediatric and adult) • Digital & programmable hearing aid fittings on 60-day trial basis • Tinnitus evaluation and therapy • Vestibular evaluation for patients with dizziness/vertigo • Vestibular therapy • State of the art facilities "The Ear is the Road to the Heart" (Voltaire) 48 lulfal• Hysici11 Spring 2003 Daniel Schneider, AuD Jennifer Schneider, MA Jerri Kaplan Joyce, MA �The Medical Student Research Forum Poster Presentatio11 took place on Tuesday, January 14, 2003, in the Biomedical Education Building Atrium at the University at Buffalo School ofMedicine and Biomedical Sciences. A total of29 students participated, displaying the results of research projects they conducted at UB and other institutions. Each participant worked closely with a research mentor to complete his or her project, and a variety offimding agencies supported the students with stipends. "This forum provides students the opportunity to showcase their research and commwzicate and interpret their results to other students, as well as to faculty," says Debra L. Stamm, assistant dean for student services in the Office of Medical Education. "We recognize the importance of research training in providing the best medical care to patients and in providing fitture physicians with a well-integrated educational experience." Each research poster was evaluated by three faculty judges, and all student participants received a certificate of recognition. The three students with the top scoring posters each received cash prizes. TO THE FOLLOWING STUDENTS WITH THE TOP SCORING POSTERS: 1ST PLACE Jennifer Nowobilski, Class of 2004 PROJECT: Characterization of the Immune Response to '\on typeable Hemophilus Influenzae in Chronic Obstructive Pulmonar, Disease Left to right are Jennifer Gurske, Jennifer Nowobilski, and Shawn Ciecko, with Debra L. Stamm, assistant dean for student services. MENTOR: Timothy .\I urphy, .\ID, professor of medicine and Imcrobiology and chief of infectious diseases at CB and the \'eterans Affairs \\'estern , ' ew York Healthcare System 2ND PLACE 3RD PLACE Jennifer Gurske, Class of 2005 Shawn Ciecko, Class of2004 PROJECT: The Effects of Shoulder Rotation Positioning During Long Head of Biceps Brachii Tenodesis on Passive Range of .\lotion (PROM) of Fresh Frozen Cadaveric Shoulders ME TOR: William .\Iihalko, :\10, associate professor of orthopaediCs, research director for the Department ofOrthopaedicsand executn-e director of the lJB Center for Advanced Technology PROJECT: Endoscopic Approaches to the Th}Toid Compartment MENTOR: David Terris, .\!D, Division of Otolaryngology Head and. -eck Surgery, Stanford Universitv .\ledical Center �crnnsc CATHY GEARY HEALTH SCIENCE LIBRARY 130 ABBOTT HALL SOUTH CAftPUS p H A R M A c p 0 E I A 0 l B's HISTORY OF :\1EDJCINE COLLECTION PRESENTS itally reproduced from offizinellen Gewachse, a four-volume edition of pharmaceutical plants and their medicinal uses, published in German in 1863. The pharmacopoeia by Otto Karl Berg (I8I5r866) is part of the Robert L. Brown History of Med1cine Collection, located in the Abbott Hall Health Sciences Library. Pictured here is the Bitterwood, one of a series of botanical images digitally restored as part of an initiative to preserve and h1ghlight unique resources from the library's collectiOn. Reproductions are available for purchase through the library, and can be viewed online at iMedia.buffalo.edu/ art/. Image restoration was performed by iMedia, the instructional media services department of Computing and Information Technology at UB. I· Bl· 0002·03 0 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Copyright 2003 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/1485f88b0d716aba78a368ac0f4b5d8f.pdf 90848b6cc9a03855aadebcfb1e95cdb4 PDF Text Text �l1ffale r•ysicial ASSOCIATE VICE PRES I DENT FOR UNIVERSITY COMMUNICATIONS Dr. Caro le Smith Petro DIRECTOR OF PERIODICALS Sue Wuetcher EDITOR Dear Alumni and Friends, Stephanie A. Unger ART DIRECTOR & DESIGN Alan f. Kegler David]. Ri ley N N OVEMBER, I ATTENDED T HE ANNUAL MEETING of the Association of American Medical Colleges (AAMC) in San Francisco. Because the meeting is a forum for discussing topics affecting academic medicine nationwide, it serves as a valuable bellwether for deans and other school leaders whose responsibility it is to prepare as best they can for foreseeable trends, as well as for sudden exigencies. DESIGN ASSISTANT Karen Lichner CONTRIBUTING WRITERS Lois Baker and Ellen Goldbaum PRODUCTION COORDINATOR The financial status of medical schools was a prominent theme at the meeting due to the fact that as many as 70 percent of all schools are having financial concerns. A number of deans l spoke with experienced cuts between 4 and 8 percent in their school's budgets last year and are expecting further cuts of about 4 to 6 percent for the coming year. Cynthia Todd-Flick UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr. Michael Bernardino, Dean As a result of the current economic environment, many universities are postponing building projects; others that have built are not sure how they are going to pay for the buildings or maintain them. This reflects a notable difference in how our school operates because the state builds and maintains our buildings. Although we may have smaller cuts in our school's budget, these cuts are in some ways more painful because labor and union laws preclude us from exercising the flexibility that others schools have in implementing them. In general, however, I feel the financial status of our school is currently no worseand no better-than many of our peer institutions. TEACHING HOSPITALS An especially controversial topic at the meeting was physician shortages, which participants spent an entire day debating. As you are aware, the number of residents was capped in 1996 by the Balanced Budget Act, a move that was endorsed by the AAMC and a number of other groups. EDITORIAL BOARD Dr. John Bodkin Dr. Martin Brecher Dr. Harold Brody Dr. Linda f. Corder Elizabeth Volz, Class of 2005 Dr. ]ames Kanski Dr. Elizabeth Olmsted Dr. ]ames R. Olson Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zep lowitz ow, for the first time, the wisdom of this move is being questioned due to the fact that, nationwide, there is a shortage of specialists in a growing number of fields. This is a debate that will directly impact our school, which ten years ago moved sharply toward training primary care physicians and away from training specialists, as did many other schools. l don't know when or how the pendulum is going to swing back to a point that better reflects the needs of our society, and l certainly don't advocate for reversing current trends by instituting equally sharp upward adjustments in specialist training. However, most leaders in our school's administration feel, as I do, that we currently have too many primary Erie County Medical Center Roswell Park Cancer Institute Veterans Affairs Westem New York Healtltcare System KALETD.~ HEALTH: Tlte Buffalo General Hospital Tile Cltildren's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital CATHOLIC HEALTH SYST£\1: Mercy Healtlr System Sisters of Cltarity Hospital Niagara Falls Memorial Medical Center @ IIIYEISITY AT IIFFALI , TIE SliT£ UIHISJTY If lEW Ylll care and internal medicine residents and that it makes increasingly good sense to gradually move some of them into specialties. Letters to the Editor Lastly, a topic that concerned many at the meeting is the amount of debt medical students are assuming upon graduation. (It was reported that the mean average debt for all medical graduates in 2002 was $103,855. When specialty training is factored in, the amount of course rises.) This is an issue that we as educators must address. We must find a way to decrease the significant debt burden of our students. J. R. 4-A .i.:. ,_A-<) ~.BERNARDINO , MD, MBA Dean, School of Medicine and Biomedical Sciences Vice President for Health Affairs Buffalo Pltysicratr is published quarterly by the University at Buffalo School of Medicine and Biomedical Sciences in cooperation with the Office of Communications. Letters to the Editor are welcome and can be sent cfo Buffalo Pltysicimr. 330 Crofts Hall, Unrversity at Buffalo, Buffalo, NY 14260; or via e-mail to bp-notes@buffalo.edu. Telephone: (716) 645-5000, ext. 1387. The staff reserves the right to edit all submissions for clarity and length. T~ ~ University at Buffalo TheStateUniversityofNt:wYork �VOLU M E 37, NU M BER 0 p H y c s A N Features 2 Family Medicine, aGlobal Perspective Refugee Cultural Competency Training Program gives students an opportunity to work with patients from other cultures BY 12 S . A. UNGER ADegree of Latitude Popular biomedical education program helps young scientists make smart career choices May Shogan, left, translating coordinator atthe lnternationallnstitute, and Luis Zayas, PhD, right, a medical/cultural anthropologist and research instructor in the Department of Family Medicine, helptrain medical students and residents in University at Buffalo's new Refugee Cultural Competency TrainingProgram, developed by KimGriswold, MD'94. Turn to page 2 for more. BY NICOLE PERADOTTO 16 On Course A conversation with Margaret Paroski about medical education, curriculum and admissions COV ER PHOTO AB OUT THE 32 Update on Convocation 21 Alpha Omega Alpha Scholars 22 Sung and Medical Alumni Association scholarships Golden Mind and Body Lecture Lawley named Distinguished Medical Alumnus 41 Messages from reunion class chairs 43 Alumni President's column faculty, staff, students and alumni 30 Western ew York Pioneers of Science In Memoriamjohn Edwards work in UB's Center of Excellence in Bioinformatics 34 The Living Anatomy Program 36 Women's Health Initiative spins off new projects BY COVER , RHEA ANNA SEE PA C E 40 The Road Best TraveledKim Griswold's circuitious route tomedical school other alumni 11 ��Family Medi ine: aGlobal I I 1 I �~-~- - - - - - - - · ~-. Despite the presence of interpreters, attention to protocol and the neat stacks of paperwor , the participants were not convened to resolve border disputes, monitor free elections, intercede on behalf of warring parties or debate the merits of armed intervention. Instead they had gathered to welcome new arrivals to America-men, women and children forced to flee their homelands for safety-and to help these refugees learn how to navigate the labyrinthine health-care system that awaits them in their new country. Conspicuous among this group gathered at the Columbus Health Center were two young men and a woman in starched white coats, all first-year students in the University at Buffalo School of Medicine and Biomedical Sciences, who were participating in the meeting as part of an innovative educational program aimed at increasing their cultural competency while improving access to preventive and primary care services for refugees in Western ew York. An Immersion Experience The voluntary program, which is open to all students and primary care residents at UB, was developed by Kim Griswold, MD '94, MPH, an assistant professor of family medicine, who has garnered a three-year, $393,933 grant from the ew York State Department of Health to support its integration into UB's medical school curriculum. A joint sponsor of the program, along with UB's Department of Family Medicine and Kaleida Health's Columbus Health Center, is Jericho Road Family Practice (also located on Buffalo's West Side), which is operated by Myron Glick, MD '93 UB assistant professor of clinical family medicine. Assisting the two clinics with implementing the program are the International Institute of Buffalo and Journey's End Resettlement Services. "Our strategy is to offer a concentrated cultural-immersion l1ffale Hysiciaa W11!t e r 2 003 experience to students and residents at evening clinical sessions that serve only refugee patients," says Griswold. "The students work with people from Rwanda, Sudan, Somalia, Ethiopia, Congo, Kosovo, Bosnia, and Cuba, as well as from a number of Asian countries." All refugees seen in the program are legal immigrants who are being resettled through the federal government, according to Glick. "They receive Medicaid for a year, during which time they are expected to learn English, find a job and provide for their family," he explains. "Some people do incredibly well with that. There are a lot of success stories, but there definitely are those who struggle, and health care is a big part of that struggle because even when they do get jobs, they' re often low-paying and so don't provide health insurance." T he program, formally titled the Refugee Cultural Competency Training Program, builds on a pilot project developed over the past two years by Griswold, UB medical students and volunteers in which medical students conducted health screening of refugees during monthly "health nights" at one of the participating clinics. Clinics for the newly funded program take place from 5:00 to 10:00 p.m. and are dedicated to medically evaluating refugees who have recently entered the country. Prior to seeing patients, the students attend an orientation discussion presented by staff �Pictured, left to right, May Shogan, from one of the resettlement agencies, a cultural/medical anthropologist, a physician, and a case worker from either Journey's End or the International Institute who is informed about the medical, psychosocial, financial, cultural, gender and legal issues of the refugees to be seen. "The orientation focuses on helping the students know what to expect during the clinical session, " explains Griswold, who adds that each session is limited to a maximum of three students to assure that they receive as much one-on-one training as possible. "In particular, they are briefed on what type of psychosocial problems the refugees might present with; for example, traumatic stressors such as torture, mutilation, religious persecution, murder of family members, or loss of home and possessions. They also learn about the medical problems common to the refugees ' homeland, such as parasites and infectious diseases. " In the orientation session, the students also are instructed in how to address the problem of translation and how the translation will be handled during the upcoming session-whether through a telephone translator, physician or health-care translator. Finally, the program's medical/cultural anthropologist, Luis Zayas, PhD, research assistant professor in UB's Department of Family Medicine, teaches the students about basic principles of medical anthropology and introduces them to the concept of "culture," as well as to methods for "taking the role of the other. " In discussing this latter concept, Zayas and a staff member at the International Institute talk to the students about the importance of being open, interested, empathetic and tactful with the patients, attributes that will assist them not only in building trust, but also in gaining meaningful information about the patients' lives. Zayas, an experienced ethnographer who is fluent in Spanish and Portuguese, also briefs the students on the importance of note taking while performing a history, as well as the etiquette for doing this effectively, yet unobtrusively. The Preceptor and the Process After the orientation session, the students spend several hours in the clinic, where they are encouraged to practice their interviewing and listening skills in order to gather knowledge about a patient's life story, as well as facts about his or her health history. Giving the refugees an opportunity to tell their stories serves as a means to help validate the often bewildering and painful experience they have undergone as an immigrant, according to Winter 2003 l 1 fl al• Hysicin 5 �Griswold. "Too, a patient's life story can include important cultural, emotional, sociopolitical and economic events not captured in a standard medical history," she explains. Glick, who leads similar evening sessions at his Jericho Family Practice, recalls an encounter he had with a patient several years ago that reinforced for him the importance of knowing as much about a refugee's past as possible in order to deliver effective care. "I met a woman from Sudan who was especially sad," he says, "and when I heard her story-that she had lost her three older children in a war, and that, basically, they were killed right in front of her and her three younger children-this allowed me to understand her a lot differently than if I didn 't know that part of her story. "But we hear countless stories like this," he continues. "The refugees come with a lot of trauma in the past that can end up causing depression , post-traumatic stress disorder, marital conflict or domestic violence-a lot of psychiatric issues that are hard to put a finger on and are hard to treat, especially if you don't know their stories. " Despite the importance of gathering information about a refugee's life story, Griswold is quick to tell the students that they need to be patient in the interview process and that they don 't need to obtain everything in one visit. "Often the patients are not ready to divulge their histo ry, whatever it is," she says. "For example, torture is a huge issue, and we need to ask about it sensitively. On the first visit, you're not going to say, 'Okay, tell me about your torture.' You can't be that direct; you 6 laffala Hysiciu Winter 2003 have to establish the rapport, the trust. And it may take many visits before a person is comfortable talking about things like that." In addition to taking a medical history and listening to patients' life stories, students also conduct physical exams (depending on their level of training), or assist a resident or attending physician. Further data are collected on health behaviors such as smoking, drinking and the patient's understanding of health in general. 0 nee the exams are completed, the students are taught how to review the patient's story and objective findings, make an assessment and plan with the preceptor forthe patient's continuing medical and psychosocial care. Refugees in need of psychiatric care or mental health services are referred to Lakeshore Mental Health Counseling or to Child and Adolescent Treatment Services, as well as to other agencies and practices collaborating with the program. Attention also is paid to the refugees' oral health, as many have never seen a dentist in their lives and are in urgent need of such care, according to Glick, who is hoping to establish a similar referral network among area dentists. At the close of the clinic session, the students then re-group in the conference room for a half-hour debriefing session that is conducted in a focus-group format by Zayas and the supervising physician. "We ask the students to talk about all aspects of their clinical session with the refugee," says Griswold, "and we pay special �attention to their emotions, especially if they have had few or no experiences with a refugee population." In addition to monitoring the students' emotional responses to their patient encounters, the instructors ask the students to summarize what they learned as it pertains to cultural issues and to talk about hurdles they may have encountered related to translation. They also ask the students to suggest ways they feel the experience could be improved. As part of the program, the students--each of whom must commit to a minimum of two such sessions in order to participate-are asked to keep a diary in which they record all of their encounters with refugees, whether they be within the formal context of the program or in extracurricular activities they undertake on their own, and to complete a written evaluation of their experience in the program. They also are required to write a short paper linking the clinical experience to the lecture aspect of the program and to describe how they feel they benefited from participation in the program. The data obtained during the debriefing sessions are recorded and will be qualitatively analyzed by Zayas at the end of the program in order to assess its success, including how effectively it was integrated into the medical school's curriculum. Life Stories. LiYe The first-year students participating in the late October session at Columbus Health Center were Lynne Learned, Justin Spooner and Brian Eichner. Prior to the start of the session, they were told by Griswold to expect the arrival of two refugee families as the evening progressed: one from Vietnam and the other from Bosnia. They also were reminded that once the refugees and the other participants arrived, introductions would be made and the refugees would be invited to tell the group as much about themselves as they wished. After this discussion, Griswold, Learned and Spooner would escort the refugees down the hall to the clinic to begin the clinical exam sessions. Eichner, who, unlike his two classmates, had not yet attended an orientation session, would remain behind and be briefed by Zayas and a representative from the International Institute, later joining the others in the clinic. As it was the dinner hour, snacks and beverages were passed around the table, and an air of warmth and collegiality filled the small room as others trickled in and introductions were made. Among the first to arrive were the translators from the International Institute: Bong Vu, a Vietnamese man who has been in the United States for 30 years, and Vesna Demirovic, a Bosnian woman who came to the United States five years ago with her husband and 12-year-old daughter. They soon were joined by Barbara Burns, a social worker and a conPictured,leh to right, are sultant on the grant, and Sister Mary Judith, medical students Justin a case worker at the International Institute. May Shogan, an immigrant from Jordan who has been in the United States for 15 years, also arrived and sat with Zayas, with whom she partnered to present the orientation session for Eichner. Fluent in English, French and Arabic, she, too, is a consultant on the grant, with special expertise in cultural issues and refugee assimilation. Rounding out the group were Griswold and two staff members in UB's Department of Family Medicine who work closely with her to administer the day-to-day operations of the grant: Joan Kernan and Christine Wagner, a social worker. A fter about 15 minutes, the first refugee family arrived: a husband and wife and two teenage daughters from Vietnam . The parents were seated next to Vu at the head of the table, while the girls sat to the left of their mother. The girls immediately began interacting with the group, helping themselves to the food and drink that was offered and playfully trying to sound out how to pronounce words printed on the label of a pop bottle. The younger girl, clearly the most outgoing and spontaneous, stood up to offer to pour a cup of soda for the social worker seated across the table from her and engaged in a cheerful pantomime with Kernan, who admired the girl's blouse as she took off her winter coat and settled into her chair. Although Winter 2003 l affal1 Plysiciu 7 �little English was spoken by either girl, clearly they were relishing the encounter and eager to dive headlong into their new life. Their father sat quietly and appeared anxious and withdrawn, the skin on his face deeply creased and worn in contrast to the bright, fuchsia-colored sweatshirt that reached high on his neck, forming the middle layer of several shirts he wore on this chilly evening. The girls' mother also sat quietly, her reserve broken only when Vu drew her into conversation in low tones. Occasionally she cast a quick, guarded look around the room and seemed mildly amused with her daughters' chatter. H aving been informed that the Bosnian family was experiencing-delays in their transportation to the clinic, Griswold decided to move ahead and formally opened the session, asking those in the room to introduce themselves to the family. Once the introductions were completed, Spooner, upon request, briefed the family about what to expect during the clinical exam, after which he and Griswold addressed a few questions from the younger daughter. Zayas then gently encouraged the parents to tell about themselves, if they wished: Where were they from? What was life like in their village? The father, too shy to speak, deferred to his wife. After a brief pause, she began talking rapidly while holding out both hands and repeatedly flashing her fingers to show the numbers "two" and "five," as if convinced her words alone could not convey what she needed to explain. The younger daughter, hearing her mother's sudden outpouring of words, implored her to slow down for the interpreter, tugging on her mother's arm and making a pumping, brakelike motion with her hands. Her distraught mother appeared not to notice and proceeded with her story unabated. When she stopped after a few minutes, Vu paused to collect his thoughts, and then slowly turned to the group and spoke. He explained that she had described how she and her husband had met and married. She also said that they were from a rural province in South Vietnam, about 80 kilometers south of Saigon. When the communists took over, it was very hard because her husband worked for an American company. They gave them all kinds of problems, so it was very difficult to live under the new regime. They didn't think they could survive in Vietnam. Two of their children are here with them; five still are back in Vietnam. Griswold thanked the mother for sharing some of her story and then asked Vu to explain that she and two of the students were going to escort the family down the hall to begin the clinical session. ll•lrli1nlll.••·u. tl!b ...... ..uns .. i1lrtll( 1M R•flt• C•lt•r•P Ce•••t••cr Ti'IIIIIC Prep-. Ill&' • ._ ?lit II ....a; 111· ..............,••, 1111· ucn ... •ret.....IIYII ftnt·,...,ltllll ...lpllltl 1U flc1 tbt ..., II .tlll ..... ltltli. ............. lilllltJU..a.a .r-.m.a.,.llwYIIk.LIIIIil ......,. If w111t lrlinlll calli.., . . . ..... .........-111111 .... II . . - ,_. 111n ,.nJclptlllll ................ iiJIIiti•• !lilt .. . ......... .... ..... 11111 .... till •1 2I 2 I Ill till ...... CIPtlnl c Jl_,,...,.......... ..., ,... . . till..,... ... 8 lulfala PbysiciiR W1n t er Stltll II IIIZ. 2 II I h Cl8flllll . . . . . tUt c-. ,.,._ .................. . &!It .. 2ilfll-.t?ll ... ....... c. . ........... - •I ..... .....,... ...... , I .........., .................. _ . . . .......... ....,.... I ,... ............... , I liM "'IIIC................ ..,........ . . _.... 1 I .....,.. Mtlllil_...._...,._• ............... ......,......., .......................... lriinPII ..... till ....... ...,. ......... . , ............. AJI lilllliiiiMilwlllt . . . . ~tlll .............. ll ....... l?ltull. ...... WntiNIFiiii?J .... . . 2003 �A for now, they communicate by writing letters. fter they left, and before the orientation for Eichner began, The youngest of the two daughters with them attends a local Sister Mary Judith, the caseworker, made a few follow-up high school and the older takes English classes at the Internacomments about the Vietnamese family. She explained that in tional Institute. 1995, immigration policy in the United States changed and, as a They are happy to be in the United States, but the father worresult, children who are over age 18 or who are married cannot ries about finding a good job, although he currently does enough accompany their family. She surmised that the couple's five other piece work for the family to live without public assistance. children remained behind for that reason. Learned, who examined the mother and two daughters, exLater that evening, during the debriefing session, Learned and plained that she was impressed with their closeness. Spooner shared additional information that they had learned "They seemed very loving and concerned for each other," she about the family during the clinical session. said. "They freely discussed sensitive sexuality and gynecological They explained that the parents are in their late 50s and have five adult children in Vietnam. The family had been in the counquestions, even though neither girl is sexually active nor has a boyfriend, something they believe they are try about four months, and they hope that someday the far too young for because, in their culture, it older children also can come to the United States but, Betty Lim, Class of 2003 means marriage." On the whole, Learned concluded, "the entire family was quick to laugh and were very loving toward one another and seemed happy. I found them easy to talk with and was even invited to come to their home. It was sad leaving them in the end." Shortly after Eichner's orientation session with Zayas and Shogan ended, the Bosnian couple arrived and were seated with their interpreter, who introduced them to the others and then talked quietly with the couple for a few moments. B ,.................... ...... .., ...., ................... ............................., ................... .... ........................ ....... ,,,...... u. .............. _ ......,....... .,.....,. ......... _ . ... ........... ,,,6 ....,_ ..................... - .....a,.u. ............... _,.UIIL"'IIIII~)IItlfflrta ............................ ...., ................ ,., .................. ....,_,., a. ................. ....... .. ......_,..,_ t 3 1 oth appeared to be on the brink of exhaustion. The man's thin cheeks, stubbled with whiskers, were sunken in his face, and his eyes were red rimmed and bloodshot, as if he had not slept for days. His wife's pallor was gray and her brown eyes were faded to a lusterless amber. Sturdily built, she sat upright in her chair, tensely dangling her purse over the side of the armrest and staring vacantly around the room, her occasional words to the interpreter revealing broken and missing teeth, similar to her husband's. In a short while, Griswold reappeared to talk briefly with the interpreter and, because the hour was growing late, she and Eichner then escorted the couple to the exam area . Following the clinic sessions, the refugees returned home and the group reconvened in the conference room to debrief the students. In the debriefing session, Eichner, who had Win t er 2003 l tffala Hysieiaa 9 �- ....... ........, __ ............. ... ... ). ....... . . ......... a••• ...., ......., atllllltlll.,. ........... cltll• ............. .................. ..._._,., IJ•IIII•II lltlrlllttutiJ . . . . . . . .... . . - whll ......,., IIIII,_... ... ..., ..... u. ,,... ........., at lllllr.'l ...... lllhlr- IIC ¢1-Jlllillll ........ • ..............., flltll. ,....llltmll1mat••7• • ......... ..-llw -'lillll]lra.... 111111111 F-lllflfa. . . . . . . ........................... ........-. ...... .......................,..... _, .. ......,_ ..., ........... ......................... .. ................ .... lllfrla - - ' .. ........ ~ 1111 . . . . .111MI-'If(•ftnt ............., ....... Jllltlll ..... c•••,.... fir . . . . . . . ~•111 I1Mt.ll 1MI Clfllllr, .................... C111¢1 1111 tr11t111 ,...... w111 all fiiiiiiCIIIII. Tlnl,... .... ..._ ....... _ _ ._..... ........ 111111111 F-•--••~flrl ......................... .... ...... ,... ...... . . . ...................._....... .... ....... ........... ........... _..., ..........., ..., ........................... ... .............. ...,CIIIt. ............. ..... ....................... ................,......_ nni llultll .... .nr1tlll ]11'111'1& llllllrlntlllr,wllllllll . . . . . . . ..... 11111. . . . tllllllnllll 11illlllw111l-111171.tllll...., ....... ~~~u~ .............. -- .... Cllllll't- .... - tllllll I .............. llllllllallll • ..................... Ill E_..._.llftn.,PIIIIIIII IIYIII II lfrlcl lllllllr • ........ ..... \ ...... ,_..lllflr ...... .... ....... JIIIIIC_ ...... ...... . . . . -...... a~~ ... ...................... ,,, . earlier that the remains of her husband had been found in a mass grave in Srebrenica; she had then been asked to describe his personal effects over the phone. The Demographics of Doctoring While the experiences students gain through this intensive program may seem exotic to some, Glick and Griswold both point to the fact that, more than ever, such experiences are increasingly pertinent to the practice of medicine in the United States and will teach students important clinical skills no matter where they eventually practice or whom they choose to serve. In his Jericho Family Practice, Glick estimates that he sees patients from approxiParisima Mirzakazemi. MD mately 50 different countries around the interviewed the Bosnia woman, shared with the world, some 20 to 30 percent of whom are refugees. group more about the family's story. "More and more of our country is becoming increasingly He explained that the couple, in their early 40s, has three sons, diverse," he says. "And whether you end up practicing in rural the oldest of whom was shot in the head but survived. They had been in the United States for four months and speak very little Iowa or on the West Side of Buffalo, you're going to end up dealEnglish, so are taking classes at the International Institute. They ing with folks who are different from you and who come from are Muslim, from a small village in northeastern Bosnia, and the different places, so I think it's wise early on in your training to get husband is an environmental scientist. The wife lost her brothers exposure in a controlled setting such as this program affords." Too often, the first clinical encounters medical students have in the war, and her mother also died recently. She has several with people from other cultures take place in an emergency sisters in the country, one of whom had been notified two weeks 10 lulfalo Hysiciaa W ill t er 2003 �......................... ............................ ................... ,. ••a•am. _. ... ...., .............1. ., 11111111 .. filii ....,. whll .................... .....•••c, ...... ... __....,......,....... ....... _..... _. ...... ......... ......, .. ...... ., • troll I .,._ • fllln•• alii • • 'Y• .... _ .......__ naiL_ 1111 ..,. tllat ......... tllll( ..................... 1..... . . 1111 ....... ..._ tUt ....... c.'t ........... , ......... tnllla( . . ntaMI( 1111 ..... . . . . . . . . . . . .lllllllt- ...... , . . . ........ F-. ...................,.... .......................... ........................... ..................... .. ......................... 1'1111-............,... ..................... ..........._.............. ... ..,.,._.................... .... ............... . .......................... _.,.......................... .................... .., ..... .,......................... .......................... CllllalrJ .... ..., . . . ~ cld- -. Clltanl u ••• ..., ......... ............... naiL _,, ••• r-..t ......... -dllflntCIIIIalrJIIIat ....... ..., ..................... ............. ...., ..... u... llllcwll II "'alll,1 . .'tllana dlllriiiCIII.IIilllllllltwllll..,.. I:III'J................ ., ....,, til. . . . . . . . , - . : . . ,illtllilll'tllana...ay." room, according to Glick. Because of the hectic nature of this setting, the encounter often becomes a source of frustration for the student, instead of a potent learning experience, he feels. "One of the things that this grant does is it allows us to bring students in for an evening that is fairly slow paced," says Glick. "So they get a chance to just go in and talk with the patients, and that gives them a chance to give in a different way than if the visit were just about a medical problem. This is incredibly important because if you don't see people as people, if you don't see them for who they are and where they come from, then you're not going to give them the kind of care that you really should be giving." S pooner couldn't agree ~ore with G~ick's .assessment of the merits of the program. I feel workmg with the refugees IS the most rewarding activity I participate in," he says. "The refugee population needs our help to get acclimated to American culture and lifestyle," he adds. "Each person brings with them a history of family, beliefs and knowledge that varies greatly from my own, and I feel I can learn a great deal from listening to them. Also, interviewing people across a language and cultural barrier is challenging and educational. Prior to this, I really took language for granted!" First-year student Brian Eichner, who previously worked with migrant farm workers from Mexico, says he's interested in learning about the health-care needs of refugees because they are an underrepresented group that has few advocates, and by immersing himself in their lives, he hopes to learn about how to help them. This, he adds, "might also shed some light on aspects of my own family's immigration experience generations ago and so help me to understand my past on a new level." Having met and talked with the Bosnian couple in detail during their clinical visit, he says he was most impressed with their bravery. "The mother spoke to me as openly as she could about her struggles in Bosnia, even though it was clearly difficult for her to do, and she eventually changed the subject," he explains . "However, in that brief time, I felt that I made an emotional connection with her and gained her trust, if for nothing more than a minute; but that was truly a powerful feeling, especially when working with someone who has had to endure so much." Eichner feels it would be valuable for anyone working in health care to be exposed to the type of patient encounters he has experienced through his participation in the program. "It's very easy for us to get caught up in our own daily struggles and to lose sight of how lucky most of us are," he says. "Experiences like this remind me of why I am working so hard in medical school and of how blessed I am to have the opportunities and freedoms that I have in my life." CD Pictured on the cover is the Nzotungicympaye family from Burundi. Left to right. back row: Agnes Musoni , holding five·month·old Nelson Peary Nzo; and Protais Nzotungicympaye, holding Franklin Sijeniyo. age three. In front is She ilia lngabire, age 7. The family immigrated to Buffalo in January ZOOZ via Rwanda. ��Progran1 helps young scientists n1ake smart career choices 0 f-o ~< "' "' p.. "' ...J 0 u z �One of the great advantages of the program is that you get to explore different disciplines and choose the one that you prefer the most. "!thought, 'What a novel idea.' owl don't have to make an uninformed decision about what l want to do for the rest of my life," recalls the Minnesota native, currently a fifth-year IGPBS student in toxicology. "What sold me most on the program was the prospect that interdisciplinary training in biomedical research would open the most doors for my future." Apparently, quite a few students feel the same way. Since the program's inception in 1997, the number- and caliber-of applicants has exceeded the expectations of UB's staff and faculty. "As soon as we set it up, our enrollment increased," notes Suzanne G. Laychock, PhD, senior associate dean for research and biomedical education. "The students have responded extremely well." A ll involved with establishing the program agree that get- ting it off the ground was an incredible undertaking. From developing the curriculum and creating new classes to uniting faculty members and determining the best ways to recruit students, it required participation from dozens of different voices. "We were moving graduate education out of the medical curriculum, and that was revolutionary for us," says Lachock. "There was a lot of dissension on how things would go, and which courses would be given, but we had to get beyond that. The program went forward and now everyone's on board." The faculty's dedication to the program has paid off in more ways than one. With the IGPBS attracting so many applicants, the admissions committee can be more selective in the candidates it chooses. "In the past couple of years we have been competing very well with institutions such as Cornell, University of Rochester and St. Louis University," says Elizabeth Hayden, staff associate for Graduate Biomedical Education. "We have brought students in from as far away as Texas and Utah, and all over the East Coa t." And just what type of student is attracted to the interdisciplinary approach? According to Anthony Campagnari, PhD, former director of recruitment and admissions for the IGPBS and professor in the department of microbiology, the program is geared for students still looking for their research focus. "We attract those individuals interested in multiple disci- 14 laffall Hysician \V inter 2003 plines, and those who are not ready to commit to one single program," he says. "The students are very creative in terms of being able to think about things they would like to do," adds Laychock. "But many of them are unwilling to say they would like to do something specific because their undergraduate programs didn't provide them with the breadth of information to make that decision." Even students with predetermined interests often favor the IGPBS over a traditional departmental program because it provides them such a strong foundation in the sciences. Of those students, Laychock notes, roughly 80 percent are open to the possibility of changing fields. ~e program's first graduate can count himself among that .1_ group. In the summer of 1997 Mohamed R. Mohamed came to UB as part of a training program jointly sponsored by the U.S. Agency for International Development and the Egyptian Ministry of Health. Although he planned to apply to the microbiology department's PhD program, he was encouraged to instead apply to the IGPBS. In June of2001, Mohamed received his PhD-not in microbiology, but in biochemistry instead. "Of course, I would not have been able to change majors ifi wasn't in the IGPBS," says Mohamed, who is conducting postdoctoral research at UB. "One of the great advantages of the program is that you get to explore different disciplines and choose the one that you prefer the most." The program is also popular because it equips students with a knowledge of various fields, which is considered a desirable trait among potential employers, according to Richard Rabin, PhD, director of IGPBS and professor of pharmacology and toxicology. "Gone are the days when the scientists went to their labs by themselves and did their own thing," says Rabin, "That just doesn't happen anymore. There's a lot of interaction across fields. "Of course, students have to specialize; you can't be a jack-of-all-trades. But you have to have an appreciation for the other fields to know what their needs are. Students get a broad experience from the IGPBS rather than immersing themselves immediately in a field and getting myopic." The IGPBS's first-year curriculum includes mandatory lecture courses in cell biology and biochemistry as well as a course on the principles of lab techniques. In the spring semester, students are asked to critique and present papers in a seminar series designed to hone both their analytical and communicative skills. Elective-course options also help �students explore new fields of interest. During the first year, students are required to rotate through at least three labs-and they have the option of working in a fourth-allowing them an opportunity to narrow down their areas of interest and determine their PhD adviser. "These lab rotations are very meaningful experiences," Rabin says. "They're 12 to 20 hours per week and half a semester in length. The students are in there learning new techniques, getting involved to see how they like it and, from the investigator's mind-set, to see how they do. "They are really in the thick of things," he adds. In the spring of the first year, students are asked to rank, in order of preference, the three faculty members with whom they would most like to work. The match is made-with the vast majority of students receiving their first choice of labsonly after it's certain the professor has the funding and space to accommodate the student. In this way, the students differentiate into PhD programs in anatomical science, biochemistry, biological science, biophysical science, microbiology, neuroscience, oral biology, pathology, pharmacology, toxicology, physiology or structural biology. S cott Severance, currently in his fifth year of the program, works in the biochemistry lab of Daniel Kosman, PhD. For Severance, one of the most alluring aspects of the program is the fact that the courses are tailormade to his needs, not those of an aspiring physician. "Although we are associated with a medical school, we do not take medical school classes," says Severance. "Medical school classes are great if you are going to be a doctor, but the instruction, examinations and expectations are different in a graduate school class. "It would be much easier to have the IGPBS students fulfill their course requirements by taking medical school classes, as is the case at many other schools," he adds. "But the directors of the program have done just the opposite." Another bonus of the program comes from an administrative point of view: With the creation of the IGPBS, the recruitment process has been dramatically streamlined. "Previously, each department had to have its own recruitment brochures, and they had to support financially all the recruitment activities," Laychock says. "That was a very expensive and time-consuming undertaking, and we were not necessarily reaching the students we wanted to reach. " ow, with the interdisciplinary program, everything is consolidated, so all the expenses go toward attracting students to this centralized program. We have cut down on expenses and decreased duplicated efforts." "Recruitment involves far more personal contact and follow-up than before," adds Campagnari. "I attempt to contact students as soon as I receive any inquiries or GRE scores and encourage them to fill out an online application." And while the Internet has certainly helped prospective students find out about the program, it's interesting to note that the old-fashioned word of mouth still works wonders. "About three years ago, we did a mailing to PhD alumni informing them of what we were doing and how we were proceeding," Hayden says. "Many of those involved in academic programs have sent us some very qualified candidates. Our alumni are some of our best recruiters, and we welcome their recommendations." Winter 2 00 3 II If Ill rb J SiC iII 15 ��Recently, Paroski agreed to sit down and talk with Buffalo Physician as part of an ongoing series of conversations with leaders of UB's School of Medicine and Biomedical Sciences. (Part I of the interview is published on the pages that follow; Part II will appear in the spring 2003 issue of the magazine.) In addition to this conversation-and an earlier conversation with Dean Michael Bernardino-future issues of Buffalo Physician will publish interviews with Roseanne Berger, MD, senior associate dean for graduate medical education, and Suzanne Laychock, PhD, senior associate dean for research and biomedical education, each of whom will be asked about issues pertinent to her areas of responsibility. The goal in publishing these articles is to inform our readers about the complex economic, political, regulatory and historic considerations school leaders must weigh in making decisions and to provide a larger context within which to understand the many new developments taking place on campus. Comments and questions, as well as suggestions for future topics, are welcome and can be emailed to bp-notes@buffalo.edu or mailed to the address printed on the inside front cover of the magazine, below the heading "Letters to the Editor." -S. A. Unger, editor Q: What are the primary challenges you face in leading the three offices you oversee: medical education, curriculum and admissions? A: Let's start with admissions, since that is the office I started in when I first joined the medical school's administration full time. There, Dr. Bernardino has basically tasked me to do two things: to give the school a better class every year and to give it a class that looks more like the community. In terms of a better class every year, that can be a tough call because I don't think that the "best class" is necessarily the one with the highest grade point averages and MCAT scores. While being bright is certainly a prerequisite for being a doctor, there are many other characteristics that are important in defining what makes a good physician; for example, being personable and professional. So, in the Office of Admissions our primary challenge is to come up with a methodology for finding people who are capable of excelling in their coursework and who possess '' critical non-cognitive attributes. In terms of a class that looks more like the community, we have a great deal of diversity in Buffalo, Western ew York and throughout the state. For example, we have large African-American and Hispanic populations. Our current second-year class of 135 students, however, has only six under-represented minority students in it, which certainly does not reflect the demographics of our community. So, our challenge is to look for ways to recruit more students who will not only be competitive, but also make their class better reflect the community they are going to go out in and serve. In the Office of Medical Education [OME], our primary challenge is twofold: The first is to serve a registrar function-to track students and to produce all the paperwork that enables them to go where they need to go- and secondly, to provide a wide range of guidance and counseling services for our students. With regard to the counseling component, we find that every student who enters our school is truly unique. They all differ widely in the pressures they experience and how they respond to them, whether they be academic, financial or personal. Believe me, these are people who lead widely diverse and exciting lives, and trying to sort out reasonable solutions to their concerns or dilemmas takes up a lot of folks' time! In addition, the students need guidance counseling to help them to decide what area of medicine to choose. This can be a very tough decision. Some of the students have a family full of doctors and they've been exposed to everything, and choosing a career path is not a problem. For other students, they get to the end of their third year and they either love or hate everything and it is truly a crisis for them. ancy Nielsen, who is the dean for the third and fourth years, coaches them through this, and Chuck Severin, who is the dean for the first and second years, helps them through the early years. W int e r 2 003 l 1ffal1 Pbysicial 17 �Debbie Stamm, who is our assistant dean for student services in OME, spends a lot of time taking care of the details of daily life that may not be medicinesuch as financial aid, insurance, clubs, summer internships, special events, and so on-but these are the things that make the medical school experience tick. Some of our students are married and have children; there are just so many facets of life they need help integrating. Again, these may seem like little things, but taken together, they make the difference between a student having a good experience or a bad one. In the curriculum office, our challenge is, obviously, to give the students the education they need to be good practicing physicians, now and in the future. To accomplish this, the curriculum needs to be interesting and stimulating for both the students and the faculty and it needs to have something on the menu for all types of learners. Last year we implemented a new curriculum for the first and second years. In doing so, we switched from a discipline-based curriculum to an organ-based curriculum, where, for example, when you learn the gastrointestinal system, you learn GI physiology, pharmacology, anatomy, microbiology, and so on, because when you go out into the real world and begin practicing medicine, this is how you will need to put information together. When I went to medical school here in the '70s, we sat through lecture hour after lecture hour-a very efficient way for the teacher to stuff as much information into your head as possible, but arguably not the most effective way to learn. Adult learners like to see the relevance of what they are studying; they like to apply it, they like to be active learners. Therefore, in devising the new curriculum, the goals were to have fewer lecture hours and more interactive learning sessions and to teach the students how to go out and find their own information because, again, that's what you do once you get out and begin practicing medicine. Q: In recent years, as you have described, the Office of Medical Education has placed an increased emphasis on providing services to students, and in 1999 the position of director of student services was created. Was that a big change for OME? A: Yes, it sure was. Actually, when I went through school here, the staffing and services in OME were 18 I u II all Pb y sic i 11 Wi nt er 2003 fairly generous, but then they went through a period where they were pretty scant. I think that the staff in the office were very overextended and it was hard for them to be creative because they were running to stay in place with the basic mechanics of: Did the students have grades recorded? Have the dean's letters gone out? As a result, I think a lot of the quality-of-life issues got away from them. Every year the AAMC [Association of American Medical Colleges] has the fourth-year class fill out a graduation survey and they send the results back to the schools. Again and again, it was very clear to us at UB that the students felt they received a good basic education, but that a lot of the support services that made a difference to people weren't there. The school realized that these were not things that could be addressed by somebody as a sideline task ten minutes a day. This was a full-time job. In 1998, therefore, the position of director of student services was created, which was filled by Debbie Stamm. Debbie has done a fantastic job, and the position has assumed such importance that we recently changed the title to assistant dean for student services. Q: How is the success of the new curriculum going to be measured, and when might there begin to be results from these measurements? A: It's always hard to prove that the way you're doing something is better, particularly when the results are so far down the line. You know, who makes the best doctor is going to take time to sort out! However, in the short term, what we can measure is how they do on Step 1 of the national boards, the USMLE. Our first class in the new curriculum is coming through the second year now, so next summer we're going to know how they did on that. We have been told, however, that when schools put a new curriculum in place, they often see a dip in these scores before they see an improvement, so we are aware of that trend. For the type of curriculum we've put in place, where you tend to see the difference is when the students get into their clinical clerkships. Because this year's third-year class is the last class to go through the old pre-clinical curriculum, we're going to survey the clerkship directors to get a handle on how well prepared these students were when they walked in the door. We will be asking such questions as: Did they seem to be able to integrate the basicscience material? Were they able to think on their feet? How good were they at going and getting other resources and information and integrating it? And then we will do this for next year's thirdyear class, which will be the first through the new curriculum, to see if we have a difference. Feedback on the success of the new curriculum will be conveyed to the faculty through the appropriate committee structure-for example, the Curriculum Committee, which reports to the Faculty Council-and through Town Hall meetings. �Q: Are changes planned for the third and fourth years, as well? If so, what is the goal of these changes, and what is the timeline for their implementation? A: We do have changes planned for the curriculum in the third and fourth years, but they are not quite as sweeping. Our goal is to put some elective time into the third year for career exploration. For the students, choosing the direction they will take after graduation is a very pressured decision, and so we want to provide them with a bigger sampling of career options in their third year. Currently, the third-year students have seven-week clerkships in family medicine, psychiatry, OB-GYN and pediatrics and eight-week clerkships in internal medicine and surgery. We are proposing reorganizing the clerkships into four 12-week blocks. One 12-week block would have six weeks of OB-GYN and six weeks of pediatrics; another would have six weeks of family medicine and six weeks of psychiatry. The remaining blocks would be eight weeks of internal medicine or surgery, combined with four weeks of elective time. The four weeks during medicine could be used for any type of elective, and the four weeks during surgery will be used for the advanced-surgery elective previously required in the fourth year. This clerkship design will reduce the number of students per clerkship because, at any given time, approximately 25 students will be taking an elective. This will relieve some of the congestion on the inpatient services and in the clinics. We also plan to give all third-year students two weeks off at at the end of December and over New Year's, as students want to be home with their families during the holidays and the combination of cancelled clinics, few elective surgeries and a decreased inpatient census makes these two weeks a difficult time to teach. We are also proposing that the third year of medical school start earlier than we currently do- in early July rather than mid-August. One of the advantages of starting earlier is that it gives the students more time when they get to their senior year to either take additional electives in things they think they may want to do, or to get things out of the way to give them time to travel when they're on the interview circuit for residency positions. With regard to the timeline for these changes, we propose to partially implement them in 2003 and fully implement them in 2004. We need to phase in the earlier start date for third year to avoid overlap between the incoming and outgoing third-year class and to allow students adequate notice to adjust summer plans and financial aid. We also want to make sure we have faculty buy-in regarding the proposed changes. Q: What is the "continuity series" being developed for third- and fourth-year students, and what is its purpose? A: The continuity series-so called because it will span all 48 weeks of those clerkships we just discussed-is something we are putting in place for two reasons: The first is to keep the third- and fourth-year students connected to the school once they begin their rotations in the hospitals. We have a very decentralized clinical campus; one class can be placed in up to nine different hospitals. Given these logistics, they can lose touch with each other and the school's faculty. This is tough on the class and can be very alienating. It can also make it difficult to provide the students with the counseling they need. So, to that end, the continuity series will bring the students back on campus a couple of times a month in the evenings and will give us an opportunity to talk with them about all the housekeeping details that need to be covered and to keep them connected to one another and to the school. The second reason for starting the series is to provide a forum for introducing the students to topics that don't belong in any one place in the curriculum, but that belong everywhere. These 'orphan topics' can include ethics, professionalism, and some basic-science integration, as well as topics that are suddenly in vogue-for example, bioterrorism. Do you put that in obstetrics or pediatrics? Obviously, it doesn't really fit a particular clerkship. And yet, would you in this era graduate someone from medical school who hadn't been introduced to this topic? o, you wouldn't. So this is the continuity series, and we are piloting it in a limited fashion this year, from 6:00 to 8:00 in the CD evening on some Tuesdays. Editor's note: Part II of this conversation, which will be published in the spring 2003 issue of Buffalo Physician, will include in-depth discussion of admissions procedures and criteria, minority recruitment efforts and the role scholarships play in attracting quality students. Winter 2003 l11fal1 Hysiciu 19 �MEDICAL SCHOOL E W S Honors Convocation Recognizing medical students' achievements HE ANNUAL Ho ORS CoNVOCATION recognizing academic excellence among first- and second-year students at the University at Buffalo School of Medicine and Biomedical Sciences was held in Butler Auditorium on September 21, 2002. The following is a list of award recipients and a description of the awards received. Departmental Awards The departments in the School of Medicine and Biomedical Sciences have established awards to recognize meritorious performance in their courses as well as outstandingachievement in other curriculum-related activities. Garron Solomon, '04, has received the Department of Microbiology's Ernest Witebsky Award for Proficiency in Microbiology, which is given to the secondyear student achieving the highest grade in the microGARRO'I SOLOMO" biology and immunology course. Dr. Witebsky was the founding chair of the Department of Microbiology. Primary Care Summer Externship Program. Dr. Calkins is a former chair of the Department of Medicine. Natalie Shaw, '04, received the Department of Patholo gy's Kornel Terplan Award, presented to the student with the highest combined average in the two second-year pathology courses. Dr. Terplan was a past chair of the department. Shaw also received an Association of Pathology Chairs Honor Society Award. Carmine Grieco, '04, David Block, '04, received the Department D A\' 1[) 20 of Microbiology's Marek Zaleski Award, which is presented to the student who best combines high standards of academic achievement with outstandingservice to the community. The second-year class chooses the recipient. Block also received the BLO< K Evan Calkins Primary Care Achievement Award, which is given to one outstanding student in the laffall nysiciaa W ir1t er 2003 received the Department of Pathology's John Sheffer Award, which is given to the second-year student who has performed at the highest level in CAR\11 "1E GR IECO the laboratory portion of the courses in general and systemic pathology. Dr. John Sheffer practiced pathology in Buffalo for over 35 years and was acting chair of the Department of Pathology from 1972 to 1974. Julie Baker, '04, received The Department of Pathology's American Society of Clinical Pathologists Award for Academic Excellence, J u LIE B AKER which is presented to the second-year student who has demonstrated high academic achievement and outstanding performance in the pathology laboratory. Jennifer Nelson '04, received the Department of Pharmacology and Toxicology's Edward A. Carr, Jr. Clinical Pharmacology Award and the Douglas S. Riggs Award. The former award is given to the student achieving the highest average in the Fundamentals of Pharmacology course. Drs. Carr and Riggs were chairs of the Department of Pharmacology and Toxicology. elson also received an Association of Pathology Chairs Honor Society Award. Other Awards Neeta Chaudhary, James Hereth, Jason Hoffman, Jennifer Maclaughlin, and Eric Ko, Class of 2004, received the AstraZeneka Cardiovascular Drug Monograph Award, which is presented to second-year students by the Department of Pharmacology and Toxicology. They are based on the quality of a monograph written in the form of a package insert. �)EFFREY FEI!'<ER MATTHEW fERNAAYS Jeffrey Feiner and Matthew Fernaays, Class of 2005, received the McGraw-HillLA GE Medical Student Award, which is given to the two highest-ranking students in the first-year curriculum. Discipline Honorary Societies The Association ofPathologyChairs Honor Society awardees were Carmine Grieco, Sandy Kotiah, Jennifer Nelson, Jennifer Nowobiliski, Natalie Shaw, Class of2004. ELIZABETH BOURKE LISA ESLER ]AMES W. BOYLE DAVID LAURA CINSKI DANIELLE DORSANEO Ft ToDD ]ANICKI LY:--<OSAY ]ENNIFER KORZEN WILLMOTT- MELANIE FIORELLA TIMOTHY PARDEE BARTOS BRYAN GARGANO ERIC SCHAEFER DOROTHY STEPHEN LISA ANN DOS TAK HENDRICKS JoYcE ZMt:DA TURKOVICH SANTOS CD Dean's Letters of Commendation Years 1, 2 and 3 Dean's Letters of Commendation recognize exceptional coursework. In years one and two, they are awarded to students who earn honors grades in 75 percent of required courses or achieve 75 percent of available honors points each year. In year three, students who earn at least four honors and two high satisfactory grades are honored. Year One GLENN MILLER MATTHEW ABOUDARA MICHAEL NAZARETH KRISTINE ALGOE RYAN Ross BAUER CHADD SARA BROOKSSIENKIEWICZ CHRISTOPHER BRENNAN SHERIN HUSSAIN KAVITA MICHAEL jORDAN TIMOTHY O'HERRON YALAKONDA LAURA Clt-<SKI MICHELLE CLARK A:-.' LORI BRODERICK MANAS! KADAM KIMBERLY CARNEY JosEPH ]AY PAHADE CATHERINE CASEY ERIC Ko DIANA PRATT EsME Ft:--<LAY KRISTOPHER PAOLINO LEE CHALUPKA SANDY D. KOTIAH MARAT REYZELMAN DAVID FI:-<TAK ALFRED FRO:-.JTERA ELSON ESBIT EETA CHACDHARY KtTA jESSICA PELOW LISA ]ASON PERICAK LtsA EsLER DOS SA:--<TOS ROBERT BUCELLI RoNALD PARSONS CRISTINA LAMPURI KARl SCANTLEBLRY MARK BuRKER BETH PETERSON REBECCA CHUSID MARY LEUNG ELIZABETH ScHNEIDER BRYAN GAR(,ANO SAMANTHA CHEN KEVIN SHILEY SHAWN CIECKO DEANNA LoVALLO CORINE SEBAST }ULIF G.>.\ IN } EFFREY FEINER KEITH SIKORA DAVID CIPOLLA }ENNIFER MATTHEW FERNAAYS DALJIT SINGH GREGORY CONNOLLY ALLISON GRAZIADEI jOANNE SMITH SARA CONNOLLY ICOLE MANN ATALIE SHAW MACLAUGHLIN ICHOLAS 51 LV ESTRI GARRON SoLOMON CHRIST"A GRACZYK DoROTHY HENDRicKs 5TEPHEK HESS THOMAS GRt-BER HoUMAN VosoGHI )EFFREY DAYTON TANIA MARIANI ERIK STEINIGER Tooo ]ANICKI CRAIG HENDLER DAVID WAGNER ANNE DELLES }EFFREY MARTINEZ KEVAN STERNBERG SARA KAPROVE }ACQUELINE }ULIUS STEVEN WATSON }F. 'NIFER KoRnN FAYE ]USTICIA-LINDE THOMAS DUQUIN MEGAN MOORE ]AMES SULZER ANDREW FABIANO BRITTANY MORSE }ILL THOMAN K1>1BERELY LEONARD CAREN GELLIN EvE MoscATO MEGAN TRACY MICHELE 0BROBINA MICHAEL WEII\GARTEN • STEPHEN TL'RKO\'ICH )OHN KARPIE Year Two SAFINA KoREISHI MEGHAN ANDREWS BRIAN GIORDANO )OLENE MusCAT AMANDA KOST CATHERINE ARTMAN CARMINE GRIECO SYED MusTAFA MICHAEL LADRIGAN DANIEL BAER )ASON GuTMAN }ENNIFER MONICA LEE )ASON BARKER CHRISTINA )AMES NITZKORSKI ELIZABETH BoL•RKE ANDREA LUCZKOWSKI )A,1ES R. BOYLE )ENNIFER LYNN )AMES W. BOYLE SAMUEL McCABE HAVERSTOCK ELSON }ENNIFER WILER Year Three Ln..:DSAY WILLMOTT BARTOS )OYCE Z.\1l DA OWOBILISKI W i 11t e r 2 00 3 1 111111 Hysici11 21 �MEDICAL SCHOOL E W S Sung Scholars Named M oLLY M ooRE H ANG K YU P ARK Molly Moore and Hang Kyu Park, Class of2006, are the recipients of this year's John J. and Janet H. Sung Scholarship. Moore, a native ofHamburg, ew York, earned a bachelor of arts degree in biomedical sciences from University at Buffalo. "I wish to express my sincere gratitude to Dr. Sung and Mr. Sung, and I'm honored to be a recipient of their generous gift," says Moore. Park, who was born in Korea and immigrated to the United States in 1994, earned a bachelor of science degree in chemistry from Queens College, CUNY. "I am fortunate to be accepted to UB's medical school," says Park. "Furthermore, I am very honored to be recognized as a Sung scholar. This scholarship enhances and enriches my educational experience at UB and encourages and assists me to be successful academically. I have had the chance to meet many helpful and wonderful people because of the Sung scholarship." The Sung Scholarship is funded by a $1 million gift to the University at Buffalo School of Medicine and Biomedical Sciences by John and Janet Sung, who came to the United States from Korea in 1972 with only $200 to complete their education. At the time, they had two dreams: to attain their educational goals and to establish a renowned clinic in radiology, both of which have been realized. Medical Alumni Association Scholarship Lori-Ann Oliver and Jodi-Ann Oliver, Class of 2006, are recipients of this year's Medical Alumni Association Scholarship. The scholarship is made possible by the generosity of the alumni through their reunion gifts designated to the Medical Association endowment fund. Recipients are selected by the admissions committee according to considerations of financial need and academic merit based on the incoming students' applications. The Olivers, twin sisters, were born in Jamaica and raised in Queens, ew York. They attended Cornell University and earned bachelor of arts degrees in English in 2001. 4D - S. A . UNGER 2 2 11flal1 Hysiciao Wr11ter 2003 �Thomas J. Lawley, MD, an internationally known expert in autoimmune skin disease and Dean and William P. Timmie Professor of Dermatology at Emory University School of Medicine, is the recipient ofthe University at Buffalo's 2002 Distinguished Medical Alumnus Award. Lawley was presented the award on September 19,2002, by Patricia Duffner, MD '72, president of the UB Medical Alumni Association, at a dinner held at the Buffalo Club. fter graduating with honors from UB's school of medicine in 1972, Lawley trained in dermatology at Yale University School of Medicine, UB and the National Institutes of Health (NIH). Following completion of his training, he stayed on at the NIH, where he rose to the rank of senior investigator in the Dermatology Branch of the National Cancer Institute(NCI). In 1988, Lawley left the CI/NIH to become chair of the Department of Dermatology at Emory University School of Medicine. Under his leadership, the faculty grew six-fold and the department went from having no NIH funding to becoming the third highest NIH-funded department in the country. Lawley, whose research interests include the cell biology of endothelial cells and the regulation of cell adhesion molecules and inflammation, has published more than 150 original articles and book chapters. In 1996, Lawley was appointed dean of the Emory University School of Medicine, having served the previous year as interim dean and executive associate dean. In this role, he has focused on creating and implementing two critical strategic plans. Under the research plan, he has recruited more than 80 new scientists and has fostered the establishment of several interdisciplinary centers. He has also established the Dean's Scholar Program, which protects the research time of clinician scientists and Distinguished Medical Alumnus Thomas J. Lawley, MD '72, left, being congratulated for his outstanding contributions to research and education by Patricia Duffner, MD '72, right, president of the Medical Alumni Association. fulfills all 25 goals outlined by his comprehensive plan. During Lawley's tenure as dean, the amount of research space in the Emory University School of Medicine has doubled and the amount of research funding increased by 150 percent. Under the teaching plan, Lawley has increased scholarships, created the Dean's Teaching Awards, expanded the MD/PhD Program and developed plans for a new Medical Education Building. In addition to spearheading these strategic initiatives, Lawley takes a proactive role in overseeing the clinical enterprise at Emory and its affiliated sites and has continued to see patients on a regular basis. As a result of these and other initiatives, the Emory School of Medicine has risen dramatically in rankings to become one of the outstanding medical schools in the nation since Lawley assumed the role of dean in 1996. Over the years, in addition to his academic responsibilities, Lawley has served on many national boards and committees, including NIH study sections and the National Advisory Allergy and Infectious Diseases Council for the National Institute of Allergy and Infectious Diseases of the NIH. He is president of the Emory Medical Care Foundation and chair of the board of directors of the Emory Children's Center. He also serves on the board of directors of the Emory Clinic, Emory Healthcare, and the Emory Children's CD Research Center. -S. A. UNGER Wi11ter 2003 llffal• Pkysicia1 23 �PATHWAYS NEws ABOUT UB's ScHOOL OF MEDICINE AND BIOMEDICAL SciENCEs AND ITS ALUMNI, fACULTY, STUDENTS AND STAFF Velazquez Named Interim Chair VELAZQUEZ 24 laffa le H ys ic i aa Mallory Institute of Pathology and Boston University Medical Center in Boston, Massachusetts. Velazquez is board certified in clinical pathology and is currently enrolled in the Master's in Health Care Administration and Policy Program at Harvard University. Francisco Velazquez, MD, has been named interim chai r of the Department of Pathology and Anatom ical Sciences in the University at Buffalo School of Medicine and Biomedical Sciences. Velazquez has held -S. A. UNGER the rank of clinical associate professor since August 2000 Robotic Surgery Specialist and has also served as pathologist-in-chief Celeste M. Hollands, MD, a at Kaleida Health. pioneer in pediatric robotic Recently, he was surgery, joined Children's appointed division Hospital of Buffalo in commissioner for Western September 2002 as clinical New York for the College director of the of American Pathologists' Miniature Access Laboratory Accreditation Surgery Center Program. (MASC) and Velazquez has held the Miniature academic appointments Access Teaching, at Boston University Training and School of Medicine and Robotic Research H OLLANDS Wayne State University Center (MASTin Michigan. He received TARR), located at the Unihis medical degree from versity at Buffalo School of Universidad Central del Medicine and Biomedical Caribe, Puerto Rico, and Sciences. Hollands, who has served his residency at the also been named associate Wznter 2003 professor of surgery and pediatrics at UB, debuted robotic surgery at the MASC on September 27, 2002, when she operated on two children using this new technology. The procedure was telecast live to UB's School of Medicine and Biomedical Sciences, where twenty-four pediatric surgeons-in-training from various institutions throughout orth America viewed it as part of a two-day advanced training course in pediatric surgery hosted by UB, CHOB, the MASC and the MASTT ARR. "We are very fortunate to have Dr. Hollands as a member of the Children's Hospital staff and the UB medical faculty," says Philip L. Glick, MD, surgeon-inchief at CHOB and professor and interim chair of surgery at UB. "She is one of the few pediatric surgeons in the world to work extensively with robotics. Her work is ground breaking." Hollands earned her medical degree at the �University of South Alabama researchers College of Medicine. She in science, completed her general medicine and surgery training at the engineering Graduate Hospital of the honored at a University of Pennsylvania special dinner and her pediatric surgery held last training at Miami Children's October in TREY! SAN Hospital. Her research Albany. interests include pediatric Trevisan is interim dean of trauma and surgical educathe School of Health Related tion in addition to miniature Professions and professor and access surgery, robotics and chair of the Department of new technologies as they Social and Preventive apply to these fields. Medicine (SPM) in the UB "The work we will be School of Medicine and doing here at Children's will Biomedical Sciences. A UB faculty member since 1985, be paving the way for other types of robotic surgeries," he is director of the Center for says Hollands. "Eventually, Preventive Medicine-part of we will find ways to use this the Women's Health Initiative-as well as SPM chair. technology to help very tiny He has served as interim dean infants and possibly even for of the School of Health surgery in the womb. I am very excited about the Related Professions since prospect of finding new and September 1, 2001, and in better ways to perform that capacity is spearheading surgery on infants." an effort to create a School of The two-day training Public Health and Health program was sponsored by Professions at UB. Ethicon Endo-Surgery, Inc., A prolific researcher, Stryker Corporation, ComTrevisan has authored or puter Motion, Inc., Berchtold, co-authored more than 110 B-K Medical Corporation, articles in scholarly publications and LSI Solutions. and delivered numerous - S. A. UNGER presentations at national and international meetings. A recipient of grants from such Trevisan Receives Chancellors' Award funding entities as the ational Institutes of Health, Maurizio Trevisan, MD, was the American Heart Associaone of three University at tion and the ational Cancer Buffalo faculty members Institute, his current work is selected to receive Chanfocused on cardiovascular cellor's Research Recognition disease epidemiology. Awards for 2002 and was among leading SU Y - SuE WuETCHER Kaiser Named Interim CEOatECMC The Erie County Medical Center (ECMC) Board of Managers has appointed Roger E. Kaiser Jr., MD '79, interim CEO of the ECMC Health care Network. Kaiser, who is an associate professor of clinical anesthesiology in UB's School of KAISER Medicine and Biomedical Sciences, currently serves as ECMC's medical director, as well as clinical director of its Department of Anesthesiology. Kaiser agreed to fill the pos1t1on in ovember 2002 while the ECMC Board of Managers completes its search for a permanent CEO to replace Sheila K. Kee, who stepped down from this role on October 31, 2002. -S. A. UNGER Book on Children's Mental Health David Kaye, MD, associate professor of clinical psychiatry, and Maureen Montgomery, MD, assistant professor of clinical pediatrics at the University at Buffalo, have authored KAYE a text titled W i nte r the Handbook of Child and Adolescent Mental Health, along with Stephen Munson, MD, associate professor of psychiatry and pediatrics at the University of Rochester. Published in October 2002 by Lippincott, Williams and Wilkins as part of its "Core Handbooks in Pediatrics" series, the book is intended to be a practical, handson guide for primary care physicians. Its authors took special care to integrate the perspectives of both mental health professionals and pediatricians, explains Kaye, who adds that the book fills a niche in an area of increasing importance in health care. "There are large numbers of children and adolescents with mental health problems presenting to primary care physicians, and yet there is no single source of treatment information available to guide the practitioner on the front lines," he says. "Pediatricians are increasingly asked to prescribe psychotropic medications, and we hope this book will help them make more informed decisions." In addition to addressing common mental health problems seen frequently in practice, the book explains the various systems involved 20 0 3 I I ffI II Pb J SiC iII 25 �PATHWAYS in children's mental health (i.e., school, social services, the legal system, the mental health system ). By blending the perspectives of child psychiatry and general pediatrics, "the authors present a pragmatic and current approach to issues of office evaluation, assessment, and treatment, including pediatric psychopharmacology," according to the publisher. - S. A . U N G ER .lames Waxmonsky .loins Psychiatry from Cornell University in 1992 and a medical degree, James G. Waxmonsky, MD, summa cum laude, from UB in joined the University 1996. He completed at Buffalo School of residency training in Medicine and adult psychiatry in the Biomedical Sciences UB Medical-Dental in September 2002 as Consortium in 1999. assistant professor of Following residency psychiatry. He is training, he comaffiliated with the pleted a fellowship in Children's Hospital WAXMONSKY child and adolescent of Buffalo, where he psychiatry at serves as the primary psychiaMassachusetts General trist in the Outpatient Hospital (MGH) and a Behavioral Health Unit. psychopharmacology research Waxmonsky earned a fellowship, led by Dr. Joseph bachelor of science degree Biederman, also at MGH. Waxmonsky's primary research interests include the pharmacological treatment of children with bipolar disorder and attention-deficithyperactivity disorder (ADHD) and treatment of adolescent addictions, as well as adults with ADHD. - S. A . UN G ER Ferrick .loins Orthopaedics Michael Ferrick, MD, has joined the pediatric orthopaedic surgery staff at the Children's Hospital of Buffalo and has been appointed When is a house more than a home? ... When it is a Patio Home at Canterbury Woods. Come and learn more about what makes our new Patio Home Community so unique. Informational Seminar Seating is Limited Call 929-5817 To Reserve your Date and Time Episcopal Church Home and /tffiliE.tes 26 l tffllt nysiciiD Winter 2003 $ 705 Renaissance Drive, Williamsville, NY 14221 �clinical assistant professor of orthopaedics at the University at Buffalo School of Medicine and Biomedical Sciences. FERRICK A Buffalo native, Ferrick graduated, summa cum laude, from the University of otre Dame in 1987. He earned a medical degree from the University of Michigan in 1992, after which he returned to Buffalo for residency training in orthopaedic surgery. From 1997 to 2001 Ferrick served as an active-duty orthopaedic surgeon in the United States Army, and in 2002 he completed a fellowship in pediatric orthopaedics and scoliosis at the Texas Scottish Rite Hospital for Children in Dallas, Texas. Ferrick's research and clinical interests include pediatric spinal deformity and childhood lower-extremity disorders. - S. A. UNG ER Stamm Named Assistant Dean Debra L. Stamm has been promoted to assistant dean for student services in the Office of Medical Education (OME) in University at Buffalo's School of Medicine and Biomedical Sciences. She previously served for three years as director of student services in OME. In her new position, Stamm STAMM continues to advocate for students and to act as a liaison between the student body and the school's administration. She also serves as a resource person for student clubs and organizations recognized by Polity, coordinates summer programs for students and assists with the implementation of MedCAREERS, a fouryear career planning program created by the Association of American Medical Colleges to help medical students select a specialty. Stamm earned a bachelor of arts degree in psychology at "We practice law for your peace of mind." Estate Planning - Personal Injury Real Estate - Matrimonial Elder Law One john james Audubon Parkway Amherst, New York 14228 716.636.7600 H oGAN & W ILLIG, PLLC - - - - - Attorneys a t Law - - - - - hoganandwillig.com Winter 2003 l 1ffal1 Pbysicia1 2 7 �PATHWAYS the State University of ew York at Genesee in 1992 and a master of education degree in college counseling and student personnel administration at UB in 1995. Prior to joining the staff in OME in September 1999, she was admissions coordinator in the Offices of Admission and Financial Aid at Harvard Medical School in Boston, Massachusetts. -S. A. UNGER Chief of Thoracic Surgery at RPCI Todd Demmy, MD, has been named chief of the Thoracic Surgery Division at Roswell Park Cancer Institute (RPCI) and associate professor of surgery at the University at Buffalo School of Medicine and Biomedical DEMMY Sciences. Demmy comes to Buffalo from the University of Missouri Hospital and Clinics, Columbia, MO, where he served as chief of thoracic oncology, associate professor of surgery in the Division of Surgical Oncology and Cardiothoracic Surgery and co-director of the Cardiac Transplant Program. He earned his medical degree at Jefferson Medical College, Philadelphia, PA, in 1983, and completed residency training in general surgery 28 llffal1 Hysiciaa (1988) at Baylor College of Medicine, Houston, TX, and in cardiothoracic and cardiovascular surgery (1991) at Allegheny General Hospital, Pittsburgh, PA. Demmy is a Diplomate of the American Board of Thoracic Surgery and the American Board of Surgery. Although he has had laboratory and human research projects in both heart and lung surgery, he is joining RPCI to focus his efforts on thoracic oncology. His research interests include the minimally invasive management of tumors of the lung, esophagus and central portion of the chest. - DEBORAH PETTIBONE Kuvshinoff .Joins Surgery at RPCI Boris W. Kuvshinoffll, MD, has joined the Division of Gastrointestinal Surgery at Roswell Park Cancer Institute and has been named assistant professor of surgery at the University at Buffalo School of Medicine and Biomedical Sciences. Kuvshinoff comes to Buffalo from the Ellis Fischel Cancer Center, Columbia, MO, where he served as chief of the Section of Hepatobiliary and Pancreas Tumors, Division of Surgical KuvSHINOFf Wr11t er 2 00 3 Oncology, and interim chief in the Division of Surgical Oncology, Department of Surgery, at the University of Missouri HealthCare. He earned his medical degree from the University of Maryland (1986) and completed residency training in the Department of Surgery (1993) University of Cincinnati Hospital and a fellowship in Surgical Oncology (1995) at Memorial Sloan-Kettering Cancer Center. Kuvshinoff is boardcertified in general surgery (1995) by the American Board of Surgery. His research interests include radiofrequency ablation of primary and secondary liver tumors and neoadjuvant therapy with sphincter-sparing surgery for low-lying rectal cancers and the surgical treatment of hepatobiliary and pancreatic malignancies. - DEBORAH PETTIBONE Ciovino Receives Doii/Wynder Award Gary Giovino, PhD, a tobacco control specialist in the Department of Cancer Prevention, Epidemiology and Biostatistics at Roswell Park Cancer Institute and a research professor in University at Buffalo's Department of Social and Preventive Medicine, received the Doll/ Wynder Award during the 2002 annual meeting of the Society for Research on icotine and Tobacco (SRNT) in Savannah, Georgia. Giovino is only the second winner of this prestiGIOVINO gious award, which is presented every three years. The award honors scientists who have made ground breaking advances in public health, public policy or epidemiological research, focused on tobacco use and the consequences of smoking on populations of smokers. The award is named after Sir Richard Doll and Dr. Ernst Wynder, whose influential research in the 1950s clearly established the link between smoking and lung cancer. Giovino is recognized internationally for his contributions to the measurement of tobacco use. In April 2002, he received a four-year grant of approximately $3.5 million from the Robert Wood Johnson Foundation to conduct a comprehensive survey to assess youth smoking cessation needs and practices. - DEBORAH PET T IBONE O'Connor and Fakih .Join Medicine Two medical oncologists have received joint appointments to Roswell Park Cancer Institute (RPCI) and to the University at Buffalo School of Medicine and �Biomedical Sciences, where they have been named assistant professors of medicine. Tracey L. O'Conner, MD '97, will serve in the Breast Cancer Division at RPCI, and Marwan G. Fakih, MD, in the Gastrointestinal Cancer Division. After earning her medical degree from UB in O'CONNER 1997, O'Conner completed residency training in internal medicine at Strong ., """ ,.,, Memorial Hospital, University of Rochester Medical Center, in 2000 and a fellowship in medical oncology at RPCI in 2001. She is board certified in internal medicine by the American Board of Internal Medicine and is a member of the American Association of Cancer Research and Alpha Omega Alpha Honor Medical Society. Her research interests focus on novel treatments for breast cancer and supportive care therapies for patients with advanced disease. Fakih comes to Buffalo from the University of Pittsburgh School of Medicine, where he served as assistant professor of medicine. He earned his medical degree at the American University of Beirut, Lebanon, in 1992 and completed residency training in internal medicine at Wayne State University in 1995 and a fellowship in hematology and oncology at the University of FAKIH Pittsburgh in 2001. He is board certified in internal medicine and medical oncology by the American Board of Internal Medicine, and is a member of the American College of Physicians, the American Society of Hematology, the American Society of Clinical Oncology and the European Society of Medical Oncology. His research interests include the development of novel treatments for patients with gastrointestinal malignancies. - DEB O RAH PETTIB O NE GENESEE HEARING SERVICES THE AUDIOLOGY CENTER 61 Wehrle Drive (Near Harlem) Amherst 14225 630 Orchard Park Rd. (Near Ridge Rd.) West Seneca 14224 837-6213 712-2000 • Diagnostic audiometric evaluations (pediatric and adult) • Digital & programmable hearing aid fittings on 60 day trial basis • Tinnitus evaluation and therapy • Vestibular evaluation for patients with dizziness/vertigo • Vestibular therapy • State of the art facilities "The Ear is the Road to the Heart" ( Voltai re) Daniel Schneider, AuD Jennifer Schneider, MA Win t er Jerri Kaplan Joyce, MA 2003 111111 1 Pbysicill 29 �PATHWAYS Western New York Pioneers of Science The inaugural Western ew York Pioneers of Science Educational Conference and Awards Banquet, sponsored by the Hauptman-Woodward Medical Research Institute, was held on October 30, 2002. The purpose of the awards is to focus public awareness on the many significant scientific advancements that have been developed in our region and to recognize those individuals who have achieved prominence through their discoveries. Among those honored at this event were the following members of University at Buffalo's medicalscientific community and affiliated institutions: T. MingChu, PhD, DSc, a research professor at Roswell Park Cancer Institute, developed the PSA (prostate specific antigen) test, which has revolutionized the detection of prostate cancer and become the world standard for early detection. Chu received postdoctoral training at Hauptman-Woodward Medical Research Institute, University at Buffalo and Buffalo General Hospital. Currently, he is engaged in research that focuses on the immunodiagnosis of pancreatic cancer. John A. Edwards, University at Buffalo professor emeritus of medicine and founder of the Alzheimer's Disease Assistance Center of Western New York, died October 28, 2002, in Sisters Hospital. He was 66. Edwards, who retired from UB in 2000, had been acting head of the Division of Geriatrics/ Gerontology in the School of Medicine and Biomedical Sciences. Dr. Wilson Greatbatch is known for inventing the implantable cardiac pacemaker and for introducing the long-life lithium iodine battery into medical usage. He has dedicated his life to studying interdisciplinary areas combining engineering with medical electronics, agricultural genetics and the electrochemistry of pacemaker batteries. He is currently adjunct professor of electrical engineering at the University at Buffalo. Herbert A. Hauptman, PhD, a world-renowned mathematician, received the obel Prize in Chemistry in 1985 for a mathematical formula known as direct methods. His work changed the field of chemistry and began a new era in molecular structure determination of crystallized materials. He is currently president of Hauptman-Woodward Medical Research Institute and a UB Distinguished Professor in the Department of Structural Biology. Anative of Hawarden, Wales, Edwards obtained medical degrees from the University of Liverpool in the United Kingdom in 1959 and trained in internal medicine in the U.K. He came to Buffalo in 1967 and completed atwo·year fellowship in medical genetics at the University at Buffalo School of Medicine and Biomedical Sciences. He joined the UB faculty as aresearch assistant professor of medicine in 1969. Edwards received aNational Institutes of Health Research Career Development Award and was a member of the American Posthumously Lawrence D. Jacobs, MD, was chair of University at Buffalo's Department of Society of Clinical Investigators, eurology and head of the Jacobs eurological Institute at Buffalo General Hospital, which is affiliated with UB. A dedicated physician-scientist, he was world renowned for groundbreaking research on multiple sclerosis and for the development of new treatments for this disease. the American Foundation for Clinical Research and the New York Academy of Sciences. He was medical director of the Episcopal Church Home Long Term Care Facilities and Adult Day Program, and was a member of the Episcopal Church Homes board. He also was president of the Amherst Senior Center advisory board. 30 l ufllil Pbpitill W i n ter 2003 �New Web Index to the Buffalo MedicalJourna1(1845-1919) The Buffalo Medical Journal, published from hospitals and discoveries, 1845 through 1919, contains original submis- • contain obituaries and biographies about Education Services, and linda Lohr, manager of Sharon Gray, former head of Reference and sions by Buffalo and Western New York physi- Western New York physicians and nurses the Robert L. Brown History of Medicine Col- cians, including case studies, editorials and • chronicle the UB medical school and regional lection in the Health Sciences library, Jed the articles, as well as reprints of articles published medical history. in other American and foreign medical journals of the time. project and established criteria for articles. Un- Also included are select editorials by Buffalo der the direction of Corinne Jorgensen, PhD, Medical Journal editors. (The first editor of the students in the UB Department of library and Because indexing for this publication was journal was Austin Flint, MD, a founding faculty Information Studies completed half of the in- inconsistent and sporadic, a comprehensive in- member of the then-University of Buffalo School dexing (nearly 1,200 articles). dex in a single, searchable site on the web has of Medicine. A professor of medicine as well as Funding for the project was provided by the recenUy been compiled, increasing access to the the medical school's first registrar and treasur- Friends of the Health Sciences library and the journal's unique information for those interested er, Flint edited the journal from 1845 to 1855.) Western New York library Resources Council. in the medical history of Western New York. The database includes articles that: The indexing project was a collaborative Mouse Calls is compiled by Pamela M. Rose, effort between the UB Health Sciences library, MLS, Health Sciences Library, University at Buf- • are written by Western New York physicians the UB Department of library and Information falo, 3435 Main St., Buffalo, NY 14214, (716} • describe Western New York heaHh issues, Studies, and the UB University libraries. 829-3900, ext 129; prose@acsu.buffalo.edu. ' · Chofce Employee Benefits G roup LLc THEN GET TO BUFFALO. Pressure at your current pos1t1on JUSt too much to handle? Is your pract1ce giVIng you way too many headaches? If so. then 1t ~ t1me to shuffle off to Buffalo' ? Worned about the snow? No sweat. Buffalo only averages about 25 days of snow a year Snowfalls that would bnng l1fe 1n some Cities to a gnnd1ng halt are no problem here' And our average summer temperature IS a perfect 79 degrees e Here's what we've got! Physicians Ufet1me Health IS a not-for-prof1t complete care prov1der featunng state of the art health centers. We are seeking BC/BE physiCians to JOin our prest1g1ous roster of health care professonals Find out how Ufet1me can f1t your 1fe by send1ng CV to: Physician RecrUitment. Lifetime Health. 205 Park Club Lane. Buffalo. NY 14221 PH 877-217-7465 FAX 310-917-5062 EMAIL: lscreeney@earthllnknet Lifetim e Health (716) 631-3614 • Toll Free: 877-552-1508 w wwfitsyo uri ife.com Equal Opportun1ty Empl ' JP.f m/f/d, e-mail: hs@choice4benefits.com web: www.choice4benefits.com 6633 Main Street • Williamsville, Winter 2003 ew York 14221 1111111 Pbysiciae 31 �era otential outcomes for the newly christened post- The Structure of Proteins genomic era have been widely prophesized and pub- At the UB Center of Excellence in Bioinformatics, one aspect of licized: The development of drugs targeted to an research focuses on predicting the structure of proteins of a individual's genetic profile. The elucidation of ways certain size-below a couple of hundred amino acids-and all biochemical processes interact in the human body. figuring out how they fit into the extremely complex biology of The creation of precise methods of diagnosing condi- both normal function and disease. tions and treating them with minimal side effects. "Ultimately, we' re trying to reduce the lead time for drug Key to translating these theoretical potentials into development, not for one molecule or a few, but for hundreds concrete results is the relatively young science of bio- or even thousands," Skolnick explains. informatics and the ability ofbioinformaticians to acWithout the power of the CCR's supercomputers, this recess and leverage the exponential power of supercomputers. search would not be capable of fulfilling its cutting-edge At the University at Buffalo's Center of Excellence in Biopotential. "Even if each simulation of each protein took informatics, director Jeffrey Skolnick, PhD, UB Distinfive days of computer time, and even if you're looking guished Professor, and his research team have access to BY at just 14,000 protein structures (the small proteins in ELLEN this indispensable computing power and are focusing all the human genome), then you're talking about 70,000 GOLDBAUM their efforts on leveraging it to its maximum capability. days to predict protein structure on a single computer In fact, when describing computing capability at UB processor," says Skolnick. these days, the word that often comes to mind is "staggering." "So if you don't have on the order of several thousand proThat's because in September 2002 a new Dell supercomputer cessors, you just can't reasonably do it. But if you have 4,000 cluster was installed in the university's Center for Computational processors, which we do, then, theoretically, it could take only Research (CCR). 18 days," he predicts. Weighing more than 80,000 pounds, the cluster has a capacity And that's only for one genome. Skolnick and his colleagues in to perform 5.8 trillion operations per second; it contains 4,120 the Department of Structural Biology in the UB School of Pentium processors, more than 2 trillion bytes of random access Medicine and Biomedical Sciences are studying numerous gememory and 160 terabytes of storage. nomes, including those of pathogens and organisms such as the Currently more than 50 scientists at UB are engaged in mouse, the basis for many models of important human diseases. bioinformatics research in the fields of genomics, proteomics, They also are studying less complex genomes, an understandbiophysics, biology, pharmaceutics, chemistry and computer ing of which will provide the basis for better approaches to the science. Many, like Skolnick, will use the supercomputers in the human genome. CCR for their research, which ranges from molecular-structure After important protein structures are determined-a huge determination and computational chemistry to materials sci- undertaking in itself that requires collaboration with experi- �mentalists-comes what Skolnick calls "the hard part," the analysis of each structure to determine its role in biochemical function and how it may both influence, and be influenced by, cellular processes involved in disease. "Ultimately, what we want to do is to relate genotype (what's happening genetically) to phenotype (what's happening clinically)," he says. "What we want to find is, What's the physiological manifestation of this protein structure in this cellular pathway? "The overall goal is to develop personalized medicine, which is based on understanding how a drug affects one person versus how it affects another, " he adds. the interacting proteins that will help scientists discover their role in biochemical pathways. "That's what our method aims to do," he continues. "Using our supercomputer, we can start to see how the path fits together, how this enzyme interacts with that small molecule, or functions in a cascade of cellular processes. "Ultimately, you want to know how the expression of these particular molecules relates to a particular phenotype; for example, whether a particular set of proteins causes a certain kind of cancer," he says. Appetite for Data Connecting the Dots kolnick and his team already are making headway in connecting those dots. In the November 15, 2002 issue of Proteins, the team published results developed while Skolnick was at the Danforth Plant Science Center in St. Louis that provide the first large-scale (genome-based) ability to predict protein-protein interactions. * "With that research, we are now moving toward an understanding of how the whole system works-what's known as systems biology, which is the key revolution in the post-genomic era," he explains. According to Skolnick, the Protein Data Bank, the international "public library" of solved protein structures from which scientists draw data, contains not just isolated molecules but in many instances solved compounds of two or more proteins interacting with each other. "Lots of cellular signals are mediated by these protein-protein interactions," he explains, "but it's a very crowded party, and we want to know exactly who's interacting with whom. Often, the function of one protein can be deduced by studying the proteins with which it interacts." Skolnick conjectures that perhaps there are hundreds of millions of these interactions, a seemingly intractable problem. However, he adds that the process is greatly accelerated if you have a computational method that helps pinpoint the sites on For bioinformaticians like Skolnick, these unprecedented challenges carry with them unprecedented opportunity, for these scientists are getting a first glimpse of the dazzling array of complex cascades of the biochemical activities that make up human life. "Right now, there are only about 500 proteins that are targets of existing drugs, and there are 35,000 genes," explains Skolnick. "The questions we are going to attempt to answer include exploring what makes a drug target a drug target? Can we predict interesting drug targets? Can we suggest cocktails of drug leads? "There is an immense and voracious appetite out there for the kind of data we are generating. " If the post-genomic era lives up to its promise, then experimentalists working in laboratories around the world will eagerly devour these fresh computational results and in the years ahead will translate them into findings that, step by step, will guide the development of medications whose power and precision can today only be imagined. 4D •For a detailed description of the article published in the November 15, 2002. issue of froteins by Skolnick and his team in which they describe a promising new algorithm they have developed that can predict interactions between proteins whose struc· tures are unsolved, visit the University at Buffalo's New Services Web site at http:// www.buffalo.edu/news and enter the keyword "Skolnick" in the search engine. �RESEARCH E W S Virtual Surgery, Virtual Organs Living Anatomy Program takes on a life of its own esearchers at the Uni- if I could learn how to do an versity at Buffalo are operation that poses a high combining 21st-century mortality risk-one I may materials and comput- never see until I'm called to erized sensors to create do it at 3 p.m. on a Tuesdaya simulator for surgical if I can find a way to allow training with "organs" that people to learn surgery techfeel, smell and respond like liv- niques quickly and efficiently, it could save lives."' ing tissue in the human body. That was in 1993. Today The work is being led by David Fineberg, MD, clinical Fineberg is working with UB assistant professor of surgery computer scientists, engineers, and oral and maxillofacial sculptors, materials experts, in the UB School of Medicine pharmaceutical firms, highand Biomedical Sciences, who school curriculum coordinawants to change the way sur- tors and a veterinary school to create a surgical version geons train. In fact, he of a simulator he has also wants to change BY named "The Living LOIS the way content is deBAKER Anatomy Program." livered across many In the process, he has industries and disciplines, including the teaching come to believe that the technology being developed for a of mathematics and science. Fineberg's idea took shape surgical simulator could have nearly 10 years ago when he applications far beyond that was a trauma surgery resident original goal. at Erie County Medical Center. ''I'm interested in creating a A young woman arrived at profound, in-depth immersion the hospital with internal in- into content through a technojuries sustained in an automo- logy platform based on interacbile accident the day before tive physical-virtual models," she was to be married. The im- says Fineberg. "Users will be pact had ripped her liver from able to enter, become immersed its tethering vessels, and her ab- in and manipulate computerdomen was filled with blood. generated content in a very The trauma team worked for natural way by using their three hours in a frantic but fu- hands-a development that tile attempt to save her life. represents a new step in the 'Til never forget that," says evolution of a human-systems Fineberg. "It really affected me. approach to interface developI thought, 'If! had had a model ment. This can be accomplishto practice that procedure on, ed with custom-made physical 34 ltffalo Physician Wi11ter 2003 objects that direct motion of related virtual models." In referring to "a humansystems approach," Fineberg explains that he is collectively describing a myriad of interrelated components that are customized to represent sensory systems of the human body in order to allow, for example, a surgeon-in-training to communicate more effectively with an artificially generated environment. In the case of the Living Anatomy Program, "the sensation of touch and its relationship with vision is the focal point," he explains. Fineberg sees a variety of potential applications, from teaching math and science to high school students, to using simulation to train workers to perform potentially risky tasks, such as operating industrial machinery, without actually putting them in harm's way while they're learning.'Tm looking to change the way content is delivered across all industries and disciplines," he says. The surgical simulator would showcase the technology's potential and function as a prototype for this human/virtual reality interface. Prospective surgeons, like all medical students, learn about the body from a cadaver, which is useful but far from optimal, says Fineberg. "A cadaver is cold, hard and preserved. It bears little resemblance to the living body. "With a surgical simulator, surgeons-in-training could learn, for example, how a ruptured spleen feels or how to locate a torn blood vessel in a blood-filled abdomen." �FINEBERG WILL USE 21ST-CE TURY MATERIALS AND ENDOW THE MODELS WITH COMPUTERIZED SE SORS TO CREATE PSEUDO-ORGANS THAT WILL FEEL, SMELL A D RESPO D LIKE LIVING TISSUE I Fineberg and Thenkurussi Kesavadas, PhD, UB associate professor of mechanical and aerospace engineering and director of UB's Virtual Reality Laboratory, have begun working toward that goal, one organ at a time, with $100,000 in development funds from the ew York State Office of Science Technology and Academic Research (NYSTAR). rgan models, per se, are nothing new, but Fineberg's organs will be unlike anything that exists currently. He will use 21stcentury materials and endow the models with computerized sensors to create pseudoorgans that will feel, smell and respond like living tissue in the body. "This has not been done before," says Fineberg. "You have to have someone who knows what human organs feel like committed to the project to make it work. o one even comes close to our technology of combining these organs with the computer interface." To date he has made molds of the liver and spleen using cadaveric organs as models . He is now working with Polytek, a materials company, to find polymers that feel like living tissue with which to fill the molds. The University of Ottawa Heart Institute's Medical Device Department has also offered engineering assistance and mentoring services on the project. THE BODY. Translating the tactile information into electronic data falls to Kesavadas. He is helping to capture the properties of human tissue using his virtualreality glove, a device that collects data on what the wearer is feeling through sensors located in the glove's fingertips. Kesavadas is creating a database of information that describes the biomechanical properties of soft tissue under various conditions. Just as flight simulation involves more than manipulating instruments on a panel, surgical simulation, to be truly representative of reality, must recreate the sense of urgency and controlled chaos of the surgical suite. "There is a complex atmosphere that exists in a surgical setting that must be reproduced for a realistic simulation," Fineberg says. "That includes sound, people walking around, and algorithms of activities that are occurring. A computer-generated environmentcan capture much of this." Before the project can reach this point, the model organs likely will have a first life as individual teaching tools . Fineberg plans to market them and the technology platform for a number of uses to generate funds to finish the surgical simulator prototype. A firm in Rochester, ew York, is interested in marketing a complete set of organs for teaching biology and anatomy. Veterinary schools also have shown interest in models of dog organs for use in training veterinary surgeons. (Washington State University's College of Veterinary Medicine is currently formalizing a relationship with Fineberg to install a lab to use his models as alternatives to live dogs in the training of veterinary surgeons.) The spleen model will be marketed to physicians who treat bloodrelated diseases. Kesavadas is working on a virtual-reality "overlay" of the spleen, which could make it appear to be injured, inflamed or of a particular age. Fineberg plans next to produce a "liver trainer," for use by anyone who needs to learn the liver's physiology; a pancreas model will follow. "What we are working toward doing is linking spatial position and motion of physical objects with related images in a computer-generated visual scene, so that we can selectively control objects in a virtual world," Fineberg says. "This will allow us to merge the physical with the virtual. We cannot do this without quite a bit of front-end development in both the physical and the virtual area, and that is what we are doing now." <P for every ring purchased a $10 donation will be made to the University at Buffalo alumni fund / February 12th·14th , 10am to 4:00pm place an order call 1.800 .424.1492 or visit www.jostens.com C 2002 Jostens Inc. Printed in U.S.A. 02·0920 Winter 2003 l11fale Pbysiciae 35 �RESEARCH E W S Rich Vein of Data Women's Health Initiative a catalyst for new studies hen researchers in the University at Buffalo School of Medicine and Biomedical Sciences began recruiting women to participate in the three-pronged Women's Health Initiative (WHI) in 1993, the relationship of gum disease to osteoporosis was not one of the questions they were seeking to answer. generation, all of which The goal ofWHI is to BY are direct spin-offs of gather essential clinical LOIS the original initiative. BAKER data on the major disToday, a decade after eases affecting women, the initiative was launched, hun- using women as subjects. With dreds of other spin-off projects that mission in mind, researchare under way at the WHI's 40 ers set out to determine, once clinical sites across the country, and for all, if a woman's risk of catalyzed in whole or in part by developing coronary heart disthe 12-year, $625 million initia- ease,breastandcoloncancer,and tive funded by the ational In- osteoporosis could be lowered stitutes of Health. The WHI is through three interventions: hormone replacement (estrogen alone or with progesterone); vitamin D and calcium supplementation; or a low-fat diet. Meanwhile, myriad ancillary studies have begun addressing questions that weren't even being asked in 1993. "This is one of the legacies of WHI," says Jean WactawskiWende, PhD, co-director with Maurizio Trevisan, MD, ofUB's WHI Vanguard Center. "With comprehensive health data on 162,000 women, we have an invaluable mine of information to use to advance public health. I think we'll be learning from it Jean Wactawski·Wende, PhD, co-director with Maurizio Trevisan, MD, of University for 50 years." at Buffalo's Women's Health Initiative Clinical Vanguard Center UB's interest in the link beIn the "one-thing-leads-to- the largest clinical trial ever un- tween oral health and osteoanother" nature of scientific dertaken in the U.S.; currently, porosis dates to the early 1990s. research, however, investiga- some 162,000 women are en- Researchers in the Department tors in UB's WHI Clinical rolled in it nationwide, includ- of Oral Biology in the School of Vanguard Center have sincere- ing 4,000 in Buffalo. Dental Medicine in 1995 received $3 million in funding to Historically, clinical trials ported results of a pilot study conduct a series of studies on have been conducted only on demonstrating that women with the link between the two condi- men. As a result, treatments increasing levels of periodontal tions. UB also is taking part in tested exclusively on men were disease showed corresponding trials examining the effect of prescribed for women without losses of bone mineral density. estrogen on memory, Alzhei- evidence that they would receive That study, supported in part by mer's disease and macular de- the same benefit. the U.S. Public Health Service, 36 l ulfalo HysicilD Wi11ter 2003 led to a $750,000 grant from the U.S. Army to investigate this link in UB participants enrolled in one arm of the WHI study. Based on those findings, which duplicated the pilot study results, UB received $2 million in the summer of 2001 from the ational Institute of Dental Research to follow the women for four more years and document any gum disease-osteoporosis link. Having a periodontal-disease clinic in place for this WHI spinoff study provided the opportunity for UB researchers to move forward quickly on another major investigation: the link between periodontal disease and heart disease. Trevisan and co-principal investigator Robert J. Genco, DDS, PhD, vice provost and SUNY Distinguished Professor in the Department of Oral Biology, received $7 million from the a tiona! Institute of Dental and Craniofacial Research in October 2001 to plan and conduct a pilot study to determine if treating periodontal disease in patients who have had one heart attack will prevent a second. Genco was one of the first scientists to show a connection between inflammation from periodontal disease and heart disease. He has been working for several years to further elucidate this connection and identify the particular oral pathogens involved in inflammation in the blood vessels. �Inflammation now is considered an important cause of heart disease, and research is progressing in this area on several fronts. Perhaps the richest WHI vein available to be mined is the data bank of blood samples taken from alll62,000 participants at the start ofthe initiative. As various conditions and diseases develop in participants, these blood samples can be scanned for disease "markers," that could form the basis for future screening tests designed to catch diseases in the very early stages. none study, Trevisan and another group of WHI investigators led by Paul Ridker of Harvard University Medical School are analyzing the sam- pies of WHI participants who develop cardiovascular disease, looking for such clues. This research will help detect blood markers that can be used to identify people who are at risk of having a heart attack before any symptoms develop. UB researchers and scientists at additional WHI clinical sites also are studying CA 125, a blood marker for ovarian cancer, using this large database. The collection of blood samples could lead to the discovery of currently unknown disease markers and new methods of early identification for a wide variety of conditions, according to Trevisan. "The fact that we can wait for a disease to show up and then look for clues in the specimens already collected and stored in the WHI blood sample bank will give us better and quicker ways to identify disease markers," he explains. The studies of estrogen replacement and its relationship to Alzheimer's disease and macular degeneration are being carried out at UB and several other WHI clinical centers in participants over the age of 65. Even though the estrogen/ progesterone arm of the trial has been halted, these women will continue to be followed to determine if hormone replacement was beneficial in preventing dementia or vision loss. Women in the estrogen- alone arm of that trial, which was not halted, will continue their participation as scheduled. Results of those trials will begin to be released when the WHI ends in 2005. As the end of the initial WHI trial approaches, UB and other WHI clinical centers will be applying for additional grants to follow participants into the future. "The idea is to keep a data stream going," notes Wactawski-Wende. "The intention is to keep the cohort together. I look at this as a lifespan study. "There'ssomuchdata,people will be analyzing it and learning from it for years." 4D Phillips, Lytle understands that health care providers face unique legal challenges. HIPAA, STARK, compliance issues, DOH regulations, reimbursement, the OPMC, and let's not forget about MFCU audits. These are all hot topics that we are prepared to help you with . Experience • • Breadth Depth Have questions or concerns? Call or e-mail Lisa McDougall, Esq., the health care practice group coordinator, at (716) 847-5478 or lmcdougall@phillipslytle.com. PHILLIPS. LYTLE. HITCHCOCK. A T T 0 BLAINE 8 HUBER LLP R N E Y S est.1834 3400 HSBC Center, Buffalo, NY 14203 (716) 847-8400 website: www.phillipslytle.com BUFFALO • FREDONIA • jAMESTOWN • NEW YORK • ROCHESTER W i nt e r 2 00 3 l1ffalu Pbysician 37 �G u E s T COLUMN MEDICAL B v an STEPHEN W E A p H R , 0 :LH,I C S CUlture ditor's Note: Last summer, Stephen Wear, PhD, associate professor in the Department of Medicine at the University at Buffalo School of Medicine and Biomedical Sciences, and co-director of the UB Center for Clinical Ethics, was invited to be a visiting professor at the Graduate Institute of Philosophy, National Central University, in Chung Li, Republic of China (Taiwan). Wear, who holds adjunct appointments in the gynecology/obstetrics and philosophy departments at UB, sits on various ethics committees in Buffalo, including those at the Veterans Affairs medical center (where the UB Center for Clinical Ethics is located), South Buffalo Mercy Hospital, Erie County Medical Center, Kaleida Health System and Millard Fillmore Hospital. He has published some 40 articles on a wide range of bioethics' topics and has authored a book titled Informed Consent: Patient Autonomy and Clinician Benef'icence within Health Care, which is now in its second edition and has been translated into Italian. At the invitation of Buffalo Physician, Wear has written the following article that encapsulates observations he made during his stay in Taiwan regarding that country's efforts to establish ethical guidelines for health care that incorporate both traditional and modem approaches to treatment. -5. A . Unger f rom July 3 to August 4, 2002, I had the privilege of being a visiting professor at the Graduate Institute of Philosophy at the ational Central University in Chung Li, in the Republic of China (Taiwan). During my month-long stay, I delivered a series oflectures and grand round presentations and participated in a number of case conferences at health-care facilities in the Chung Li and Taipei area. In addition, I collaborated on various research projects that focused on ethics committees and bedside ethics consultation, and consulted with staff at the institute, as well as with physician and nursing faculty at the Yang Ming School of Medicine in Taipei. Technologically, the Taiwanese seem to be about on par with the United States. For example, I was shown medical facilities that boast enormous 200-bed intensive care units, was briefed on very active research efforts in the teaching hospitals, and observed medical student/resident education models that are fairly similar to our own. One notable difference in the educational system, however, is that students begin medical 38 la lf ll t Pb ysicin Wi11ter 2003 school right out of high school and earn their medical degree after a seven-year course of study. As I met and became acquainted with faculty and attendings at various hospitals, I was surprised to discover that a large percentage had been trained in the West, particularly in the United States. Taiwan has what is probably the last large, concentrated population in which traditional Chinese culture abounds, as the communists have done everything they can to eradicate it on the mainland since they took over in 1949 (e.g., the Great Leap Forward, the Cultural Revolution, and the Red Guards). Given that the focus of this ancient tradition is on the family as the basic social unit-not on the individual, as in the West-this produces very different clinical approaches to patient care than what we have become accustomed to in our culture. For example, even when the patient is competent, families are the first to be approached with diagnoses and treatment recommendations by staff. Respect for patient confidentiality is thus not a major ethical principle in �Taiwan, and a family's demand that a patient not be told bad news is usually honored. It was also interesting for me to learn that informed consent for procedures may be obtained by law from either the patient or the family. While the technological level of health care in Taiwan seems in many ways to be as high as ours, the country is about 15 years behind the West in grappling with the issues of medical ethics that inevitably accompany such technology. They are just now beginning to deal with such issues as do-not-resuscitate orders, they have not yet made provision for advanced directives and withdrawal of life support rarely occurs. In this sense, they are behind us; however, their much higher respect for families as surrogates has allowed them to deal with many death and dying issues more comfortably than we have in the West. B efore I left for my visit, I was warned that, in general, Taiwanese health-care professionals are not interested in a rendition of Western individualistic, patient-centered medical ethics. The reason for this sensitivity, I was told, is that this approach would be perceived as just another form of Western imperialism, something the Chinese have certainly had quite enough of over the course of the past two centuries. Given the emphasis on diversity in our own culture, and out of respect for my host country's mores, I was of course prepared to avoid any affront in this regard. Interestingly, however, throughout my visit, my Chinese colleagues consistently wanted to know how a given issue or case would be dealt with in the West. On closer examination, it soon became apparent to me that they were in many ways wrestling with the same sorts of concerns we had wrestled with 25 years ago, when bioethics arose in reaction to the Western tradition of physician paternalism. In particular, they expressed concern that the well-known lack of confidentiality in their medical culture has resulted in a tendency for patients not to be candid when interviewed by physicians. They also report that, for the same reason, people with AIDS come in for treatment much too late. As to truth-telling and patient autonomy, anumber of the cases I was presented with involved patients with treatable malignancies whose families had forbidden the doctors to tell them their diagnosis and took them home for traditional Chinese medical therapy, only to have the patient return a few months later when their disease had metastasized and was untreatable. In response, I found myself wondering if we in the West are being too humble about our progress in medical ethics or too accepting of cultural diversity. In effect, I felt that my hosts were most concerned about the negative, harmful effects of a paternalistic medical ethic, just as we had been a few decades ago. This concern was demonstrated not just in their more general discussions, but over and over again in the cases they chose to present to me in their healthcare institutions. It's not that I feel that the Western individualistic approach to bioethics has the full answer for the Chinese, any more than it does for Western cultures. Often in the West our approach to patients commits the opposite evil of not involving their loved ones at all, an approach that the traditional Chinese practitioner would not allow. As my visit drew to a close, however, it became increasingly apparent to me that cultural diversity only goes so far, and that there may well be a bedrock of desires, expectations and needs common to all patients that any culture and medical establishment must somehow accommodate in order to be successful. Many clinicians in Taiwan are seeing traditional Chinese culture, on its own terms, as challenged by the new technologies and therapies of 21st-century medicine. As a result, I came to understand that they are curious not so much about how we in the West deal with such issues, as about how their own tradition can deal with them as they move forward. 4D Winter 2003 E loffal1 Pbysiciu 39 �DEVELOPMENT E W S The Road Best Traveled By Linda J. Corder, PhD, CFRE UR STUDE TS TRAVEL many paths to reach medical school. One of the most interesting journeys is that of Kim Griswold, MD '94, MPH, whose work with refugees is highlighted in this issue. Kim grew up in San Antonio but moved East to attend Bard College, where she majored in acting. She then took a job in summer stock in Virginia, later moving to Boston to work for the Boston Repertory Company and to be near her parents, who had relocated to Massachusetts. When her mother became ill with breast cancer, Kim moved home to help. Shortly after her mother's death, she spent several weeks in the hospital herself, recovering from injuries sustained in a horseback riding accident. With her acting career on indefinite I I hold, Kim spent many long hours in the hospital bed thinking about what she would like to do with her life. Her primary doctor provided a possible answer: "nursing." She enrolled in a two-year program at Syracuse University and after graduation went to work at Massachusetts General Hospital in neurology. After five years, a neurologist-mentor asked ifshe had ever considered medical school. She said she hadn't because she was sure she "couldn't do it"; but the question led Kim to realize she needed a new challenge. Eventually this same mentor suggested public health, and Kim entered the MPH program at Yale University. Her work at Yale brought to the fore an interest in displaced populations, and a fellowship resulted in her spending ten months at Oxford University, where she studied the delivery of health-care services. After she completed her MPH degree, Kim's father, who had remarried and moved to Buffalo, suggested that Kim consider moving to Buffalo, as well. She did, and took a job writing grant proposals for UB's School of Health Related Professions. Later she worked with the Department of Pediatrics, helping to obtain a grant to study developmental problems of children with severe disabilities. She then began to teach research methods in the Family Medicine Department and approached a 40 l ulf al1 Hysicin Wt11t e r 2 00 3 mentor-supervisor with a request for flexibility so she could pursue a PhD. He said no, but added that he would support her studies if instead she pursued a medical degree. This time she took the suggestion seriously and went back to school to complete prerequisite science courses. As the application deadline approached, her mentors wrote letters acknowledging her nontraditional path, but whole-heartedly endorsing her admission. Once admitted, it wasn't easy. The socialization process was " overwhelming," says Kim, who turned 39 the day of her first anatomy exam, which she failed. But she worked, I I she studied, she cried, and by the end of I her first semester, she had passed everyI thing. It was the turning point Kim needed, and from then on, she knew she would succeed. In deciding on an area of practice, Kim was conflicted until one day she finally "just knew family medicine was it." The field allows her to combine all the elements she encountered on her road to medical school, including public health and research. And, along the way, Buffalo had become home: Her family and friends are here, and she feels she is in her element in the city, whether it be practicing on the west side, teaching medical students or conducting research in the Family Medicine Research Institute. In addition to other ways that Kim gives back, she has initiated two endowments: a scholarship fund to honor Adelaide and Brendan Griswold, who encouraged her to "consider Buffalo"; and the Family Medicine Research Fund, which will eventually underwrite research combining many of the areas of interest reflected in Kim's circuitous journey to medical school. 4D Linda (Ly n) /. Corder is associate dean for alumni affairs and development. She can be contacted via e-mail at ljcorder@buffalo.edu; or by phone at 1-877-826-3246. �Spring Clinical Day and Reunion Weekend Class of' 58 / Mike Genco, MD, '58 and Mickey Stein, MD, '58 Mark your calendars It's not too early to plan for the 2003 Spring Clinical Day and Reunion Weekend. A cocktail reception will be held Friday, April 25, 2003. The 66th Spring Clinical Day and Reunion Dinners will be on Saturday, April 26. For more information, turn to Patty Duffner's message on page 43, or call the Medical Alumni Association office at (716) 829-2778. Our 45th reunion . • • Can you believe it? We have much to be thankful for much to look forward to. We'll see you in April! \Class of '63 Charlie Tyrone, MD, '63 The face of medicine has changed drastically since 1963. Has yours? Make plans now to attend our 40th reunion in Buffalo. Let's get reacquainted and reminisce about the Class of' 43 / good old days. Ralph Behling, MD, '43 Plans are still evolving! There are 37 "old timers" who are contemplating our 60th! I hope to be there and hope you will be there too. Class of' 68 / Tom Cumbo, MD, '68 and Bob Milch, MD, '68 Class of '48 / Dan Fahey, MD, '48 We are putting together a 35th reunion weekend that should prove enjoyable, and we sincerely hope you will make every effort to attend. Plans are well underway to celebrate the 55th anniversary of our graduation from med school. Wouldn't it be great if all 41 surviving alumni of our class could attend? / Class of '73 Arthur Mruczek Sr, MD, '73 and Michael A. Sansone, MD, '73 We have accomplished great things with our degree from '73! Our 30th reunion success depends on your participation ••. Come and share your triumphs with us and see how UB has changed! Class of'53 Bert Portin, MD '53 "Hey everyone, great 50th party planned. Look forward to seeing you!" Class of '78 / David Marchetti, MD, '78 Don't miss a chance to see old friends and get caught up on what they're up to after 25 years. W in ter 2003 l uff 1 l1 Hysici11 41 �D EVE L O PM EN T E W S Class of '83 / Ken Zimmerman, MD '83 1983 ••• 2003 -The more things change the more they stay the same. Come see for yourself. Which can you afford to waste? /Class of '88 Helen Cappuchino, MD, '88 and Andy Cappuchino, MD, '88 1988--We were listening to Michael Jackson sing "The Way You Make Me Feel" and Bobby McFerrin sing "Don't Worry Be Happy." Gorbachev withdrew troops from Afghanistan and the U.S. PeachKeeping Force won the Nobel Peach Prize. The World Series was between two teams from California. Andy still had hair and we had only one child! AND, we all graduated FEATURES BENEFITS • Electronic submission of all major insurance claims • Increase your accounts receivable turnover • Follow-up of all unpaid claims and open patient accounts • Improve collection ratio and reduce bad debts • Advisement on and assistance with insurance carriers and government regulations • Optimize revenue through proper monitoring of charge master • Choice of processing options including on-line or full-service • Eliminate costs associated with computer software and maintenance • Easy start-up or conversion from present billing system • Transition smoothly and quickly while maintaining cash flow • Appointment scheduling software available on request • Improve office efficiency and patient satisfaction from UB med school! Join our classmates on April 26 to reminisce and have fun. We really hope to see you for this great weekend! Class of '93 / Ray Ogra, MD, '93 "Can you believe it's been over 10 years since Renier had his accident with bleach and transformed himself into "Carrot-Top" ? Or since yours truly asked the stupidest question ever (hint: cadaver and wax·injected vessels)? Do you remember the Follies? The H.O.P.E. clinic? The Dive of the Week? The Talent Show? We've all come so far and have so many great memories to share, so come join us this April for our loth year class reunion! • Expertise on existing and new • Assure your patients' rights are corporate compliance guidelines protected • Practice management with • Gain peace of mind from professionally trained staff and knowing that your finances are experienced C.P.A.'s being managed optimally /Class of'98 Thomas A. Maher, C.P.A. President Michael Zionts, MD, '98 Can you believe it's already been five years? Come back and see who is doing MEDICAL BILLING SPECIALISTS what, and where! 42 1111111 Pbysitill Wint e r 2 00 3 50 Alcona Avenue Amherst, NY 14226 Tel: (716) 834-1191 Fax: (716) 834-1382 e-mail: pbs50@aol.com �Dear Fellow Alumni, he highlight of the year thus far for the Medical Alumni Association (MAA ) was the Past President's Dinner, in which we honored our Distinguished Alumnus of 2002, Thomas Lawley, MD '72, dean of the Emory School of Medicine (see article on page 23 ). University at Buffalo has had many alumni who have made significant contributions to the field of medicine, but Tom is really special, and I was honored to be able to present him with this award! As I mentioned in my last message, Spring Clinical Days will be held April25-26, 2003. This year Marty Brecher, program chair, and I would like to highlight the UB Center of Excellence of Bioinformatics and the Buffalo/Niagara Medical Campus (see article on page 32 ). The welcome cocktail party will be held on April 25 (Friday night) at the Jacobs Executive Mansion (the old Butler Mansion ) on Delaware Avenue. The formal program on bioinformatics will be held Saturday morning, April 26, in Hillboe Auditorium at Roswell Park Cancer Institute, and the speakers will include Dr. Jeffrey Skolnick, who will deliver the Stockton Kimball Lecture, Dr. Bruce Holm, Dr. Robert Genco, and Dr. Rob Bakshi. An overview of present and future plans for the Buffalo/ Niagara Medical Campus will also be provided. Following the lectures, a luncheon will be held at the Buffalo Club. This should be an exciting conference, which I know both out-of-town and local alumni will enjoy. In another development regarding one of the MAA's most successful programs-the PhysicianStudent Mentoring Program-! would like to announce that Debra Stamm, assistant dean for student services in the Office of Medical Education (OME), has graciously agreed to assume administrative responsibility for the program, with support from our MAA Governing Board member Marty Mahoney. The program had previously been administered through the Office of Development and Alumni Affairs, which recently underwent staffing changes that limited its ability to continue management of the program. The staff in OME maintain close contacts with the medical students, and we feel they will do an excellent job of matching students with the appropriate mentor. Another important change in the MAA relates to our finances, including dues and expenses, which up until now had been managed by our administrative secretary, who retired last year. After much thought, the Governing Board has decided to enlist the services of the University at Buffalo Foundation (UBF) to collect dues and manage our accounts. UBF has experienced accountants with auditing oversight, and I personally believe these professionals will offer an increased level of financial security for our organization. Finally, the Medical Alumni Scholarship Endowment has grown significantly following a very generous gift from AI Dobrak, MD '39. Our goal is to raise the endowment to 1 million so that we can increase the number of scholarships we give each year (see page 22 for this year's recipients of the scholarship). Please donate generously to your class gift for the scholarship endowment! And please remember to put Spring Clinical Days on your calendar. We're very excited about the program, and know you will enjoy seeing the new campus and hearing about plans for its future. J,b~,:?.~ President, Medical Alumni Association Win t er 2003 llfllll Pbysician 43 �C L A S N 0 T E Cedric M. Smith, MD '52 (started with the Class of '52; graduated with the Class of '53, with an MD/MS degree.) Currently, Smith is a professor emeritus in the Department of Pharma· co logy and Toxicology at the University at Buffalo School of Medicine and Biomedical Sciences, and associate research scientist in UB's Research Institute on Addictions. He also teaches pharmacokinetics and sources of quality drug information to residents in psychiatry. He spends the majority of his time following up on publications he has authored. (Over the past ten years, he has authored 22 scientific/medical articles and edited two pharmacology textbooks and 25 abstracts and book reviews.) 1950s Phoebe Sat uren, MD '52, physical medicine and rehabilitation, lives in Nyack, Y. She writes: "The May 2002 50-year reunion of the Class of 1952 was spectacular, as was our class party and the clinical day. I spoke to the residents in rehab about the growth of pediatric rehabilitation over the years. Dr. Thomas Polisoto hopes to invite more alumni physiatrists to lecture. I also attended a Sunday brunch with some of the students who wanted to meet with alumni. I think this event should continue." E-mail address is: saturendoc@aol.com. He writes: win addition, I have some pet projects such as renewing antique family Ben Celniker, MD '57, ob- photographs, cultivating numerous medicinal stetrics-gynecology, lives in Phoenix, AZ, where he works in a group practice and is on staff at the Maryvale Hospital Medical Center. Favorite medical school memory: "Putting sugar in Harris Kanel's urine in biochemistry class." plants, and studying the yellow bird of the tropics-the Bananaquit and its appetite for sugar and alcoholic beverages. wl am also involved in an active medical/ legal consulting practice specializing in describing the time course of alcohol effects and blood levels and adverse reactions to psychoactive drugs. " My wife, Katerina Kobakof, and I are blessed with five children and nine interesting and active grandchildren. We are challenged to keep up with gardening around our house that over looks the Niagara River. During at least part of the winter you can find us walking/biking the beach of Jekyll Island, GA. Although we are beginners at golf, we fre· quently conclude, along with many others, that golf 'is a good walk ruined. '" E·mail address is: cms23@buffalo.edu. .... la f f al1 Hysici11 Winter 2003 1960s Richard H. Daffner, MD '67, is a di- agnostic radiologist affiliated with Allegheny General Hospital in Pittsburgh, PA. He and his wife, Alva, have two children: Marc, 33, and Scott, 29. Favorite medical school memory: "Summer radiology preceptorship with Dr. George Alker in 1966, which convinced me to become a radiologist." E-mail address is: rhda ffner@netsca pe. net. David Silverstein, MD '72, ophthalmology, lives and works in Saratoga, CA. Favorite medical school memory: "Saturday morning anatomy with 0. P. jones." E-mail address is: dsseyedoc@aol.com. Mark Zlotlow, MD '72, 1970s Sanford J. Holland, MD '72, anesthesiology, lives in Scranton, PA, and is on staff at Moses Taylor HospitaL Favorite medical school memories: "The 'Kent State' year (1970): Erie County K-9 cops on campus; tear gas in Norton Union; no sophomore final exams in pharacology, pathology or microbiology." E-mail address is: sanfordh@mth.org. Joanne Levitan, MD '72, is a diplomate of the American Board of Surgery, and the American Board of Plastic Surgery, with added qualifications in surgery of the hand. She lives and practices in St. Clair Shores, MI. She is in group practice and is affiliated with the Harper Hospital in Detroit and the Cottage Hospital and Bon Secours Hospital in Grosse Pointe. pediatrics, lives in Sacramento, CA, and is on staff at the Kaiser Foundation Hospital in Sacramento and Roseville. His favorite medical school memory: "Buffalo General HospitaL" E-mail address is: mark.zlotlow@kp.org. l ewis R. Groden, MD '77, ophthalmology, lives in Tampa, FL. He is director of the Ophthalmology Residency Program and director of the Cornea Service at the University of South Florida. He is also medical director of Lasikplus Vision Centers in Tampa. E-mail address is: doccornea@aolcom. 1980s Jill Brody, MD '82, internal medicine, lives in Providence, RI, with her husband, R. Nicholas Camp, and their two children, Michael, 16, and Sabrina, 14. Favorite medical school memories: "Biochemistry with Alexander Brownie; neuroanatomy with Harold Brody; medical sub-internship at ECMC; getting done with �Timothy P. Bukowski, MD Paul B. Karas, MD '87, lives '87, FlAP, FACS, has opened in Cheektowaga, NY, with his wife, Donna, and a new office (Pediatric Urology of North Carolina) in Raleigh, NC. Following graduation from UB, Bukowski completed his surgical/urology residency at Wayne State University. After a pediatric urology research fellowship at Cincinnati Children's Medical Center, he returned to Children's Hospital of Michigan to complete his accredited pediatric urology fellowship. From 1995-2001, Bukowski was director of pediatric urol- anatomy." E-mail address is: ralph.camp @verizon. net. Manuel Leonardo Saint Martin, MD '82, lives in Los Angeles, CA, where he has a solo practice in forensic psychiatry. Favorite medical school memory: "All of it. Working with Roberta Pentney, PhD." E-mail address is: cerberus 1113 @hotmail.com. Jessica Rockwell, MD '82, endocrinology, lives in Cooperstown, Y, with her husband, Peter Jederlinic, and their three children: Nicole, 17, their three children: Paul B. (Ben), Jr, 10, Andrew Jay (AJ), 8, and Catherine, 5. He is in a group practice and on staff at Sisters Hospital in Buffalo. Favorite medical school memory: "Getting accepted to the school as a transfer student." E-mail address is: bandofive @aol.com. Adam Ashton, MD '87, psy- chiatry, lives in East Amherst, NY. He and his wife, Cindy, have three children: Evan, 10, Leah, 8, and Alexis, 6. Favorite medical school memory: "Playing drums in the Follies Talent Show bands." E-mail address is: aashton@buffalo medicalgroup.com. ogy at the University of orth Carolina at Chapel Hill, where he received several teaching awards; and from 2001-2002, he was chief of pediatric urology at Children's Hospital of Michigan in Detroit. Bukowski is a Fellow of the American College of Surgeons, F;:i!cw of the Society of Pediatric Urology, and Fellow of the American Academy of Pediatrics, Section on Urology. He has an active interest in laparoscopy and fetal urologic intervention. He and his wife have four children. Sheri Baczkowski, MD '92, is an obstetrician/gynecologist and lives in Williamsville, NY. She Bonnie Orzech, MD '87, is a pediatrician and lives in Finksburg, MD. She and her husband, Bert Nixon, assnotes Alex, 15, and Eric, II. She is board certified in internal medicine and endocrinology and is on staff at Bassett Healthcare. Favorite medical school memory: "Biochemistry classes with Alexander Brownie." and their one-year old daugher Emma. She completed residency training in neurology at the Mayo Clinic in 1996 and is currently on staff at Fairview Southdale. E-mail address is: jald@ dnamail.com. have three children: Bryan, 7, Beth, 4, and Brooke, 2. Favorite medi- and her husband, Jerry Wild, have two-year-old twins, Jenna and Mia. Favorite medical school memories: "Dive of the week, studying in the Study Room, the holiday part and the formal." E-mail address is: wildplace@aol.com. Judine Davis, MD '92, cal school memories: "Friends, parties, snowdrifter!" E-mail address is: bfnbon@aol.com 1990s Janiece Aldinger, MO '92, lives in Edina, MN, with her husband, Tim Clavin, Winter 2003 obstetrics/gynecology, lives in Hamburg, Y, with her husband, Jeffery, and their twoyear-old son Liam Jeffrey Davis. She works in a group practice and is on staff at Sisters Hospital and Kaleida. Favorite medical school memory: "Transition from second to third year, after exams and boards-a really great celebration!" l uff a l• Pb ysiciaa 45 �CLASS Mark Ippolito, MD '92, lives in Davidson, NC, and is on staff at the Northeast Medical Center in Concord. He and his wife, Donna, have two chi!dren: Arielle and Ethan. He completed residency training in neurology at the ational Naval Medical Center in Bethesda, MD, in 1996 and a neurophysiology fellowship at Walter Reed Army Medical Center in Washington, DC, in 1999. He is board certified in neurology, clinical neurophysiology and electro- NOTES diagnostic medicine. E-mail address is: ippolitofour@yahoo.com. lldiko Mikos (Gyimesi), MD '92, plastic surgery, lives in Louisville, KY, with her husband, George, and their two children, Christopher, 4, and Anthony, 3. She completed residency training at UT Southwestern in Dallas, TX, in 1997, and a fellowship in breast reconstruction in Atlanta, GA, in 1997. She is on staff at the Baptist Hospital East. E-mail address is: lldikom@aol.com. Alphonse Daniel Osinski, MD '92, psychiatry, lives in Mount Kisco, Y. Residency training was split between Sheppard Pratt Hospital in Baltimore, MD, and Cornell Medical Center in New York City; completed a fellowship in child psychiatry at the Sheppard Pratt/University of Maryland )oint Program in 1998. "I am on the faculty of Mount Sinai School of Medicine and work at a satellite program at the Elmhurst Hospital of Queens, as a unit chief on an inpatient Keyser Cadillac Upstate NelNYorks only exclusive Cadillac Dealer Keyser Cadillac 4130 Sheridan Drive · Williamsville. 1\lY 634-4100 key ercadillac.com 46 laff al• Hysiciaa Wi11ter 2003 adolescent psychiatric unit. (And I love it!)." Favorite medical school memory: "In some ways I took it all far too seriously, although I remember, with thanks, support I received in various study groups-and some fun, too. Sorry I couldn't make it [to the reunion] E-ma this time guys, but I'll come to one in the future. My best wishes to everyone for success in all aspects of your lives." E-mail address is: alosinski@aol.com. Donna (Sinensky) Ferrero, MD '94, recently moved from Boston, MA, to • • Classnotes can also be submitted by e-mail to: bp-notes@buffalo.edu "Hi, I'm Susan Hunt. I invite you to come to see my Mom's new home ... the Amberleigh Retirement Community. You 'll smile too!" .AB~~nf~~nity 2330 Maple Road, Williamsville For a free brochure or personal tour, call 689-4555 �- ==----------- Rochester, Y, with her husband, Vincent, and their IS-month-old daughter, icole. She works as a physiatrist at Strong Memorial Hospital and is assistant professor in the Department of Orthopedics at the University of Rochester. E-mail address is: vferrero 17@aol.com. Jeffrey W. Kanski, MD '94, has joined the Radiation Oncology Department of the Massachusetts General Hospital and the faculty of the Harvard Medical School. Thomas Burnett, MD '94, and Carol Ann Killian, MD '94, are pleased to an- nounce the birth of their son, Matthew Killian Burnett. He was born March 14, 2002, and weighed 8 pounds, 2.5 ounces and was 21 inches long. Big sisters, Kristen (4 112) and Lauren (3), love their little brother and are enjoying preschool. Tom continues to practice internal medicine in a large multi-specialty group, and Carol Ann practices emergency medicine per diem at two local emergency departments." E-mail address is: tburn @cloud9.net. got married (September 28, 2002) to Todd Wilkerson, who works as a project manager for UPS corporate headquarters. E-mail address is: lesleywilke @aol.com. Lesley (Orman) Wilkerson, completed her residency in internal medicine at the University of Maryland in June 2001. She and her husband, Rajat Bannerji, PhD, MD, subsequently moved to the Seattle area, where she is in her second year of an Rachna Gupta, MD '98, MPH, MD '97, completed her residency in pediatrics at the Childrens' Hospital of the King's Daughters in Norfolk, VA, in 2000, and currently works for Children's Healthcare of Atlanta, GA. She recently infectious disease fellowship at the University of Washington. Her husband is a hematologist/ oncologist at Madigan Army Medical Center. They are also excited to announce the arrival of their daughter, Aradhana Bannerji, born June 16, 2002 (Father's Day). Rachna welcomes e-mails from friends from the classes of 1997 and 1998. E-mail address is: rachnag@u.washington.edu. «D SAVE TIME . •• Order your medical books online at efollett.com Mention this ad and get 5°/o off your next in-store purchase! T..:J... University at Buffalo ~ The State University ofNew 1Vrk UNIVERSITY BOOKSTORE Main Street • Phone:(716)833-7131 www.buffalo-medical.bkstr.com Winter 200 3 I u I I I I D Physic i I D 47 �In Memoriam Orvan Hess, MD '31 when he administered the Health for the State of Orvan Hess, antibiotic to a 33-year old Vermont. During his tenure, MD, '31, died mother who suffered from leopold developed one of on September scarlet fever and a blood the nation's first statewide 6, 2002, infection following a miscar- system of community-based after a brief riage. Her fever broke the mental health services. After illness. He next day and she lived to be a brief stint as an associate was 96. Hess, an obstetrician/ 90 years old. Hess also pioneered the gynecologist by training, was study of healing wounds fol- a medical pioneer who devel- lowing Cesarean sections. oped the first fetal heart "He was a leader in the professor at The Johns Health and Hygiene, he returned to direct patient care, serving in hospital medical community," says settings with the Veterans physician in the United Timothy Norbeck, executive Administration in New York, States to administer penicil- director of the Connecticut Florida and Virginia. lin to treat a life-threatening State Medical Society. "He illness. He spent his 50-year was also one of the friend- at Johns Hopkins, he served career in New Haven, deliver- liest people on earth-pro- as a part-time faculty at UB ing thousands of babies at fessionally and personally." emeritus of obstetrics and .Jonathan Porter A. Leopold, MD '51 gynecology at the Yale Uni- Jonathan Porter Aaron In 1937, while still a resident, Hess began working on a machine that could monitor the heartbeats of In addition to teaching (1957-1965), the University of Vermont (1965-19721 Yale-New Haven Hospital and versity School of Medicine. leopold, MD '51, died on and the University of South Florida at Tampa (19871990). leopold also served on numerous advisory grams at the Brookings huntrealesta te.com September 22, 2002, at his boards and participated in home in Richmond, VA. leadership development pro- leopold retired in 1996 after a distinguished career Institute and the National of more than 45 years as a Institutes of Health. World War II broke out, he physician, public official and leopold is survived by left research to join a U.S. educator. Following gradu- his wife of 21 years, Anita, Army medical team that fol- ation from UB medical and his children: Jonathan lowed General George S. school in 1951, leopold P. A. Jr of Burlington, VT; Patton's Second Armored completed residency train- James S., of West Danville, Division through North Af- ing in internal medicine at VT; Christopher B. of Walter Reed hospital in Shelburne, VT; and Elizabeth After the war he resumed Washington , DC, and A. leopold of Greensboro, his research, and in the served as a captain in the VT. He is also survived by mid-1950s he and another U.S. Army Medical Corps. In his former wife, Barbara, of physician developed a ma- 1954, he joined his father, Shelburne, VT: his brother chine that could pick up and Francis, in private practice David Francis leopold of of internal medicine. After a South Burlington, VT: and record electrical heart signals of a fetus during labor, launching the field of fetal cardiology. In the years that followed , Hess worked to refine the fetal monitor and reduce its size. In 1942, Hess participated in the first clinical use of penicillin in the world residency in psychiatry in his stepchildren Kenneth 1958, he began his public Callahan, Peter Callahan, career as a staff psychiatrist and Patrick Callahan. and, later, as director at we help people move. Call for a free relocation portfolio regarding your destination city. Calll-800-688-1170 or go on-line and visit our web site at unborn children. When rica, Sicily and Normandy. HU. 'T REAL ESTATE ERA Hopkins University of Public monitor, he was also the first becoming clinical professor RELOCATION Totally customized service p ortfolio in cludin g • Nationally trained relocation experts • Complete family needs analysis • Global home sale assistance • Special services for seniors • Full community tour • A complete cost of living analysis • A list of all school systems throughout WNY • Complete spousal placement assistance including resume writing and corporate contacts • 24 hour or less response time • Confidentiality assured In lieu of flowers, Niagara County Mental the family requests that Health Services. In 1964, contributions be made in Governor Philip Hoff ap- leopold's memory to the pointed leopold as the first UB School of Medicine and Commissioner of Mental Biomedical Sciences. Hunt ERA Relocation Center 5570 Marn Street Williamsville, NewYor1< 14221-5410 48 l a ff al1 Plysitill Wi11ter 2003 Email: huntrelocallon@huntrealestate.com �Three i11tercowzected buildi11gs \\Jll make up the Buffalo L1fe Soences Complex on the l3ut1alo- 1agara Medical Campus (l3NMC). 1()() acres bordered by Mam Street. orth Street. Michigan Avenue and Goodell Street. Pictured. abol'c /~ft, is the Umversity at But1alo Center of Excellence in Bioinformatics, and, abtwc r('(ht, Roswell Park Cancer Institute's Center for Genetics and Pharmacolot,'Y· A third building, headquarters for Hauptman-Woodward Medical Research Insntute, not pictured. will be constructed to the left of the Ul3 building. for more information on the BNMC. and \\·ork under way in l3iomformaucs, see article on page 32. ,lt the Ul3 Center of Excellence �p H A R M A c p 0 E I A 0 LB ' 'HISTORY Of 1EDICI ' E ( OLLEC.TIO PRESF TS PHARMA C OPOEIA This illustration was digitally reproduced from offizinellen Cewachse, a four - volume edition of pharmaceutical plants and their medicinal uses, published in German in r863. The pharmacopoeia by Otto Karl Berg (1815-1866) is part of the Robert L. Brown History of Medicme Collection, located in the Abbott Hall Health Sciences Library. Picture here is the Apple, Pyrus malus, one of a series of botanical F images digitally restored as part of an initiative to preserve and highlight X ~ I 0- 1/ / a 0 1' unique resources from a.(/ the library's collection. Reproductions c are available for purchase through the library, and can be viewed online at i Media. buffalo. ed u/art/. Image restoration was performed by iMedia. " the instructwnal media r services department of Computing and Infor mation Technology at the University at Buffalo. 8POOO Ol � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/1f9f80a7249cf0b628331132b008c118.pdf 9268fd1e42601b3a68ca00d9a0a7516d PDF Text Text �l1ffal1 P~ysicial ASSOCIATE VICE PRESIDENT FOR UNIVERSITY CoMMUNICATIONS Dr. Carole Smith Petro DIRECTOR OF PERIODI C ALS Sue Wuetcher Dear Alumni and Friends, EDITOR Stephat~ie A. Ut~ger ART DIRE C TOR & DESIGN Ala"]. Kegler School of Medicine and Biomedical Sciences graduated its ! 56th class, m arking yet another chapter in the histo ry of one of the oldest institutions of m edi cal edu cation in o ur coun tr y. Anyone familiar with o ur school's histo ry knows that its lo ngevi ty is d ue to both an adherence to trad ition and an adaptability to change. While the graduation ceremony fo r the Class of 2002 paid tribute to trad it io n, this year's incoming class paid tribute to change by bei ng the first group of students to complete a year of study in our new curriculum. Th is new curriculum , which is essen tia l to our rem ai ning at th e cutting edge of med ical educatio n, is a change that the students, for the most part, took in str ide, giving DESIGN ASSISTANT Karen Liclwer CONTRIBUTING WRITERS Lois Baker and Ellen Goldbaum PRODUCTION COORDINATOR Cynthia Todd-Flick U NIVER S ITY AT BUFFALO S C HOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr. Michael Bernardino, Dean us reason to believe that we have gotten off to a good start in what we EDITORIAL BOARD know will be an o ngo ing process of refi nement. While it is imperative that we immerse our students in the most modern and effective curricul um possible, it is equally important for us to turn our attention to other ways we can support their medical school experience. This support can be demo nstrated in a num ber of different ways, including financia l, ca reer and psychosocial counseling, to name a few. The bottom line is that, as educators, we must establish a relationshi p with our students that assures them we are as interested in their success as they are. Programs that support our students require a financial investment, as well as a moral commitment. In looking to the future, 1 anticipate that our school, like most state-assisted schools, will not receive significantly more money from the state than what it is already receiving, which is about 13 percent annuall y. Therefore, if we are to provide a "value- Dr. john Bodki11 Dr. Martin Brecher Dr. Harold Brody Dr. Linda]. Corder 5 Elizabeth Volz, Class of 200 Dr. ]ames Kanski Dr. Elizabeth Olmsted Dr. ]ames R. Olson Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zep/owitz TEA C HIN G HOSPITALS Erie Cout~ty Medical Center Roswell Park Cat~cer lt~stitute Veteratls Affairs Wester" tetll New York Healthcare Sys . I The Buffalo General Hosplta lo The Children 's Hospital of B4f~ Millard Fillmore Gates Hosplta "tal Millard Fillmore Suburban Hospl KAI.EIOA Ht .\ LT H: added" education to ou r students it is clea r that a major issue we must devote our energy to in the years ahead is development and ph ilanthropy. Currently, our school receives about $200,000 a year from its alumni. I would like to see that fig ure rise to $3 to $5 mill ion. It is important that these funds be used to enhance research efforts, to recruit and retain fac ulty, and to bolster a discretionary fund that supports special projects that arise each year. However, I feel it is equally important that we be in a position to use these fu nds to support programs and services that make our students feel that they are having a positive and worthwh ile experience. Also, because the cost of a medical education is only go ing to increase, it is crucial that we be able to provide scholarships to high-quality students who don't have the wherewithal to attend med ical school without financia l assistance. Sr sTE-"' Mercy Health System Sisters of Charity Hospital CA1Hou c H EAI.TII Niagara Falls Memorial Medical Center @ ONIYEISITY AT IUFFllO. TIE STliE UNIYEISITY OF NEW YOlK If we can do these things, then today's students will be motivated to support tomorrow's students, further ensuring the integrity of a med ical school experience that has Letters to the Editor meant so m uch to so many people over the past century and a half. Buffa lo Physician is published quarterly by the University at Buffalo School o f Medicine and Bio medical Sciences In cooperation wi th the Office of Communications. Letters to the Editor a re welcome and can be sent c/o Buffa lo Physician. 330 Crofts Hall, University at Buffalo, Buffalo, NY 14260; o r via e-mail to bp-no tes@buffalo.edu. Telepho ne: (7 16) 645-5000, ext. 1387. . The staff reserves the right to edit all submissions for clarity and length. As we look to the future, therefore, I hope that you will join me and others at ou r school to not only help define both short- and long-term goals for how we can enhance o ur students' experiences, but to also provide the resources and support needed to see these plans through to fruition. ) _ R.. ~~£4 ./l_;_ y .i) M I CHAEL E . BERNARDINO. MD . MBA Dean, School of Medici ne at~ d Biomedical Sciet~ces Vice Presidetlt for Hea lt h Affairs T...:.:.... University at auffal~rk ~ TI1e State University ofNeW �VOLUME 37, NUMBER t l p H y c s A N Features Sound Science UB scientists advance our understanding of how we hear and what happens when we don't BY LOIS BAKER AChild Abused, but Not Forgotten Stephen Lazoritz, MD '76, brings the lessons of history home to the present by M .K. Kinnamon David Hojnacki, MD '02, pauses to savor the long-awaited moment on stage at this year's commencement, held on May U . For more on the day'scelebration, turn to page 22. COVER 1& Medicine Taken to Heart-John Canty, MD '79, Albert and Elizabeth Rekate Chair in Cardiovascular Disease 18 Match Day Listing 22 Graduation Day, 2002! 24 jeffrey Sko ln ick amed Director of the Buffalo Center of Excellence in Bioinformatics I LLUSTRATION 30 Presidential Assassinatio ns of the 20th Centuryup Close and Medical Honored for Lifetime Achievement SANDRA 35 Find Your Class and All the Familiar Faces from Your Medical School Days OtONISI 42 News from Your UB Classmates and Other Alumni 49 Spring Clinical Day- a Collage 31 Medical Alumni 2& Carl Granger BY Achievement Awards �B I ILLUSTRATIONS SA ND R A D PHOTOGRAPHY KC 2 BY I 0 N IS I BY KRATT laffafo Physicin y L 0 I I s B A K E R �n this multidisciplinary laboratory, specialists in anatomy, audiology, biophysics, engineering, otolaryngology, pediatrics, neurology, physiology, pharmacology and psychology are conducting studies in hair-cell regeneration, drug therapy and ototoxic drugs, noise-induced hearing loss, middle-ear disease, infant hearing loss, central-auditory system plasticity, mechanical transduction (the fundamental process of transferring sound energy to electrical energy), age-related hearing loss, hormonal influence on hearing loss, and central-auditory processing in the brain. Center scientists have generated more than $12 million in research funding, including a highly competitive $5.7 million multidisciplinary program project grant from the National Institutes of Health awarded in 1999, which focuses specifically on the mechanisms underlying acquired hearing loss. Why is a large segment of the population becoming "hard of hearing?" S umm er 2 00 2 luffal1 Pbysician 3 �BOUT 10 MILLION CAN ATTRIBUTE THEIR LOSS OF HEARING TO NOISE EXPOSURE. Listening to music through stereo headphones at top volume, for example, is as damaging to the auditory system as the thunder of a diesel locomotive. Thirty million people in the U.S. are exposed to similarly dangerous noise levels each day. Infections and some cancer chemotherapy drugs also can cause deafness, but the maJor culprit is Father Time. The National Institute on Deafness and Other Communicative Disorders estimates that 30 to 35 percent of people between the ages of 65 and 75 have a hearing loss. The percentage climbs to nearly 50 percent among those over 75. For much of the 20th century, technology to improve hearing had advanced little beyond the ear trumpet, a large cone-shaped megaphone-in-reverse that was intended to amplify sound. That was state-of-the-art for our hard-of-hearing great-grandparents. Salvi, professor of communicative disorders and sciences, neurology and otolaryngology and director of the UB Center for Hearing and Deafness, says that until the past five to eight years, people looked at hearing loss from a descriptive point of view. "They measured loss-how poorly people detected speech and other sounds, and how well they could hear in a background of noise," he says. "That's been the situation for about the last 100 years." Only within the past two decades have hearing researchers begun to understand that hearing depends primarily on the ability of tiny cilia on hair cells of the inner ear to transform sound-wave energy into electrical energy, and on how accurately the brain receives and translates the resulting nerve impulses. "The big change came with advances in biology and our ability to study how inner-ear hair cells develop, live and die," Salvi says. "A huge amount of work is now being done in that area, and our lab was one of the first to get involved. Hearing research has moved from the cellular to the molecular to the genetic level." Tracing the Path of Cell Death Most cases of hearing loss occur when inner-ear hair cells in the cochlea are damaged or killed. Hair cells transfer their neural activity to the auditory nerve, which carries the nerve impulses to the brain's central auditory system. Considerable research in recent years has been devoted to finding compounds that might protect against hearing loss by preventing hair-cell death or by rescuing and repairing damaged cells. Center researchers, collaborating with colleagues at Roswell Park Cancer Institute, were among the first to study the process of hair cell death-specifically programmed cell death called apoptosis- in inner-ear hair cells. Salvi and fellow center scientists are attempting to determine what triggers the cell-death switch of apoptosis by subjecting cultured inner-ear sensory cells and sensory neurons to known ototoxic drugs- the antibiotic gentamicin and cancer therapy drugs cisplatin or carboplatinand tracking the biochemical pathways involved in cell death. 4 luflal1 Pbysici11 S umm e r 2 00 2 Armed with these findings, the researchers now are using certain drugs to try to block these pathways. The primary candidates are a protease inhibitor called leupeptin and an inhibitor of the tumor suppressor gene p53, which acts a "cell executioner" of sorts. "Gentamicin is used in the U.S. to treat infections that arise in persons with muscular dystrophy and cystic fibrosis and is prescribed extensively in other parts of the �world to treat a wide range of bacterial infections," Salvi says. "Unfortunately, gentamicin causes severe deafness, so there is tremendous interest in finding drugs that block hair-cell death. "We have found that leupeptin does a tremendous job of rescuing cells exposed to gentamicin. In inner-ear cultures, we see 70 percent loss of hair cells without it, but with it we can rescue most of those cells. We've also shown that using a p53 inhibitor, we can block cisplatin toxicity in the inner ear." RI HASHINO, PHD, a center research assistant professor and specialist in neuroscience, is studying the cellular mechanism thought to be responsible for the uptake of gentamicin into the hair cells. Her studies suggest that gentamicin is captured and sequestered in lysosomes (cell components that take up external material in the body) for a period of time before it kills hair cells. This finding suggests that lysosomes may be an important factor in the cell-death process and could be targeted for intervention. Hair-cell death due to noise exposure is the primary focus of the work of Donald Henderson, PhD, professor of communicative disorders and sciences and otolaryngology at UB. He and colleagues are conducting investigations into compounds that may protect the auditory system from too much noise. They have identified and are concentrating on a family of enzymes, some of which trigger the death process and some that execute it. "Now we are trying to trace the pathway of these enzymes to following three to six hours of moderate-level noise exposure. Initial studies indicate that even moderate noise exposure stimulates the repair and replacement of proteins in the inner ear, suggesting that if this repair process can be started early enough, it may be possible to condition the ear against hearing loss. Taggart also is investigating the potential of inherited variation in DNA sequences of the inner ear to influence an individual's susceptibility to noise-induced hearing loss. These studies, which involve U.S. Navy personnel who work in high-noise jobs, are assessing the possible role of genetic variation within the specific inner-ear proteins that maintain cellular homeostasis of the inner ear during and after noise exposure. Taggart is targeting a group of functionally related proteins called connexins that maintain normal functioning within the inner ear and are thought to be linked to noise-induced hearing loss. Hearing loss due to aging, responsible for the largest cohort of the hearing impaired, also may have a genetic component, an avenue Robert Burkard, PhD, professor of communicative disorders and sciences and otolaryngology, is pursuing. "Many hearing losses are genetically programmed to show up later in life," says Burkard. "There is quite a bit of evidence to indicate that age-related hearing loss may be a result of a genetic inability to cleanup free radicals. If we know that the gene turns on at, say, 60, we can be poised to do something ''The big change their starting point," says Henderson. "If we can do this, we can rescue, and perhaps prevent, hearing loss due to noise damage." One enzyme being studied as a possible protectant is gluthathione peroxidase, a compound important for maintaining antioxidant activity, which in turn is essential for combating cell damage from free radicals. "We know noise can increase formation of free radicals in the cochlea," Henderson says. "We are investigating how this enzyme would work as a treatment in humans, and how and when to give the drug." The Genetics of Hearing Loss Center researchers led by Tom Taggart, PhD, associate professor of communicative disorders and sciences, are taking center stage in a new avenue of auditory research: the genetics of hearing loss. UB's center is one of the first to conduct gene-expression studies identifying genes within the inner ear that are up-regulated in response to intense sound stimulation. So far they have identified about 100 genes that increase their expression substantially about it. Once we have ideas concerning the causes, we are in a better position to approach a treatment or cure." Tinnitus from the Brain's Perspective UB researchers have done groundbreaking research into tinnitus, the debilitating phantom sounds known as "ringing in the ears" that plague millions of persons, some to the point of disability. Alan Lockwood, PhD, professor of neurology, nuclear medicine and communicative disorders and sciences, a member of the center faculty and director of operations for DBVeteran Affairs' PET Imaging Center, was the first to identify certain sites in the brain where tinnitus originates. Lockwood, Salvi and Burkard now are studying volunteers who can change their tinnitus with certain eye or jaw movements to define further the brain regions that are involved. They also are investigating the effects of the painkiller lidocaine on tinnitus, as the drug is said to reduce the symptoms by up to 30 percent in some sufferers. S u m 111 e r 2 0 0 2 luff al o Ph pici an 5 �"We are trying to determine what is causing tinnitus from the brain's perspective," says Burkard. "Why is the sound being modified? Do different parts of the brain light up? We're looking for areas less and more active that could be helping turn off tinnitus." Burkard, Salvi and Lockwood also are working with an experimental device that can interrupt or mask tinnitus in some subjects through the use of ultrasonic bone conduction. In a related project, center researchers are capitalizing on PET's ability to track brain responses to stimuli to determine if different brain regions are activated during noise and quiet. The Mysterious, Pliable Brain For other center researchers, studies in the field of brain plasticity have more immediate clinical applications. It is known that the neuronal network responsible for hearing reorganizes itself after damage to inner-ear hair cells-in a system may be important for hearing during noisy situations." McFadden also is investigating the potential role of estrogen as a protectant against hearing loss. Hers is the first study to look at the hormone in this context. Working with chinchillas, she found that noise exposure caused less damage in animals receiving estrogen than in those that didn't. These results suggest that estrogen, like gluthathione peroxidase, may act as an antioxidant. "Men get more noise-induced hearing loss than women, and they experience age-induced hearing loss earlier and more severely than women," McFadden says. "In part, this may be because men are exposed to more noise throughout life. But we are seeing some very similar sex differences in chinchillas." In experiments conducted before and after administering estrogen, she found that the females were less susceptible to noise damage at baseline, and that animals receiving estrogen were less likely to develop hearing loss due to noise. She is now measuring natural estrogen levels in the animals and testing their susceptibility to noise. "Now we are trying to trace sense, changing the channel to get better reception. Burkard says one explanation for this phenomenon may be that somewhere in the brain, the inhibition mechanism that protects the central auditory system from too much stimulus develops a lower threshold when less sound reaches the system. The brain's penchant for reorganizing itself may then explain why people who receive hearing aids or implants often have trouble adjusting to the devices. "When people first try a hearing aid, they frequently don't like it," Burkard says. "We think this is because the brain has already compensated for less stimulus, and when the signal is turned up with a hearing aid, it's bothersome; it helps to explain people's distress. This is why it is really important for people to stay with their devices until the brain once again adjusts to the new stimuli." Sandra McFadden, PhD, research assistant professor at the center at UB, and Henderson have found that a poorly understood segment of the auditory organs called the efferent system may play a role in permanent hearing loss. "The efferent system is the appendix of the auditory system," McFadden says. "We don't really know what it does." natomically, the efferent system is a large bundle of fibers running from the brain to the cochlea that functions as a feedback mechanism. "We' re one of the first laboratories to show that if you cut the efferent fibers in one ear, those ears show more damage from noise," McFadden says. "It appears the efferent 6 luffalo Pbysicin S umm e r 2 0 02 Knowledge is power in nearly every endeavor, and this is particularly true in basic scientific research. Understanding how hearing is lost and how hearing loss can be recovered or prevented will make possible the development of new devices and therapies that will brighten the lives of millions of people. The future for understanding and treating hearing loss and other hearing disabilities looks bright, Salvi says. "Drawing from brain imaging, genetics, neuroscience, molecular biology and biochemistry," he says, "we now have a whole arsenal of weapons at our disposal, ranging from those that allow us to look at acquired hearing loss at the molecular level to those that let us look at the whole brain at once." Great-grandmother, with her ear trumpet, would no doubt be a mazed. CD Additional UB scientists who have contributed to the studies described above include Dalian Ding, Wei Sun, Xiangyang Zheng, MD, and Bo-Hua Hu, MD, all of whom are research assistant professors. For more infonnation on the studies described in this article or other major research advances made at the UB Center for Hearing and Deafness, visit the center's web site at http://wings.buffalo.edulfaculty/research/chdl �SENSORY PHYS I CS AND THE SUBSPECIALTY OF Most hearing research and treatment to date has concentrated on the transmitting of auditory signals to the brain-the How Sound, Taste, PSYCHOACOUSTICS "sending" end. It is possible, however, for people to have trouble hearing even when the sending mechanism is in fine shape. One new and promising field of hearing research focuses on how One of the theories she is following is that during hearing loss, these and where the brain receives and deciphers certain signals from the cells may lose their sensitivity due to lack of stimulation. "This leads us auditory nerve. to address a number of questions," she notes. "How plastic is the David Eddins, PhD, and Ann Clock Eddins, PhD, both associate professors in Communicative Disorders and Sciences By Lois Baker (and also husband and wife), are conducting frontline research in this area within University at Buffalo's Center for Hearing and Deafness. brain? Are the cells in the brain being damaged? If we can provide some other type of stimulation, can they recover? Can we stimulate them in a way that will help them respond better?" In another approach to studying the temporal quality of sound, Eddins is conducting PET studies on human volunteers to observe which parts of the brain are active when exposed to auditory signals and what features of sound prompt the brain to shift focus from one part to another. "We are trying to understand why hearing comes easily when listening to certain aspects of sound, while other aspects are more difficuH," she says. "We've found that processing shifts from one side of the brain to the other, depending on whether you are listening globally, such as to general conversation, or locally, such as to a teacher's instructions." This work may help to explain why a problem student "can't hear" even though a hearing test finds no deficit-there may be a glitch in the central processing. David Eddins, PhD, trained in clinical audiology and experimental psychology, studies how the intensity of a sound varies across different frequencies, a concept called spectral processing. "The ability of the ear to identify peaks and valleys of sound is very important in identifying the characteristics of sound," he says. "Every sound has a characteristic spectral pattern, which helps in identifying They work in the field of sensory physics, which is the study of how the source of the sound and in telling the difference between sounds, sound, taste, smell, touch and vision are perceived, and within this but we don't know how the brain processes this information." larger field, in the subspecialty of psychoacoustics. Eddins bases his research on the earlier work of vision researchers. Ann Eddins, a specialist in auditory physiology, studies the brain's These scientists had shown that the brain breaks down an image into temporal processing of sound, or how sound varies over milliseconds of many different parts, then assigns the parts to specific places in the time. "There is a lot we don't know about how the auditory system codes brain's visual center, where specialized cells tuned to certain spatial time," she says. "Most people are able to process temporal variations in frequencies become excited and create a neural representation of sound, but in hearing loss we think people lose some of this proces- the image. sing abilitY." "This discovery brought a revolution in visual science," Eddins says. This results in sounds being smeared together, especially if the "We think there may be a general mechanism for processing features person is listening in an environment with background noise, Eddins of all stimuli. Are cells in the brain tuned to certain spatial frequencies says, which probably contributes to poor understanding of speech in for hearing? We have found strong evidence of "tuning," and we think the hearing impaired. tuning can be explained by the presence of channels-groups of cells Eddins is studying the question of how the temporal aspects of sound devoted to different spatial frequencies of sound. This provides us with are processed in the brain using several approaches, working with an a basic understanding of how sound is interpreted in the brain and how animal model. On a "global" level, she measures the electrical action this tuning changes with hearing loss. created by groups of cells in the brain, called evoked potentials, during "We suspect that the evidence we and others find in this research sound. This identifies the parts of the brain that are activated. She then will completely change the way we think about how the central-auditory measures responses of single neurons in the regions activated to deter- system works." mine which cells respond to sound duration, or to high or low frequency. Summer 2002 l u ffa l1 Pb ysici a a 7 ��BUT NOT FORGOTTE THE WORK OF STEPHEN LAZORITZ, MD '76, PEDIATRICIAN, CHILD ADVOCATE AND AUTHOR WHEN STEPHEN LAZORITZ, MD '76, FIRST "MET" MARY ELLEN WILSON, IT WAS THE LATE 1960s AND HE WAS A UNIVERSITY AT BUFFALO As UNDERGRADUATE. A STUDENT IN SOCIAL WORK 101 HE LEARNED ABOUT THE 10-YEAR- OLD GIRL, A NEW YORK CITY ORPHAN, WHO HAD SUFFERED HORRIFIC ABUSE AT THE HANDS OF HER FOSTER MOTHER FOR ALMOST EIGHT YEARS. S 11 111 m ,. r 2 0 0 2 llflal• nysicia• 9 �Not FORGOTTEN Mary Ellen was not a modern-day child, however. Born in 1864, she was a child from another century, a time when laws accommodated the rescue of abused animals yet made no provision for rescuing abused children. In 1874, her tragic young life became the subject of one of the most celebrated and important legal cases of its time, a case that led to the establishment of the first child protection agency in the United States: the New York Society for the Prevention of Cruelty to Children (NYSPCC). Lazoritz never forgot the little girl whose suffering resulted in a landmark child protection case. Years later, as a pediatrician with expertise in child abuse, he picked up the thread of Mary Ellen's story and embarked on a 15-year quest to find out more. In 1988, his perseverance and a few serendipitous occurrences yielded a book titled Out of the Darkness: The Story ofMary Ellen Wilson, now in its second printing. A Simple Twist of Fate window, along with books and files, and the crowd chanting 'off Today, as vice president for medical affairs at Children's Hospital ROTC.' Eventually, this and other action by vocal students and in Omaha, Nebraska, Lazoritz can look back on a career in which he faculty led to the program being discontinued." has dedicated more than 20 years to abused and neglected children. As a result, Lazoritz, who had been accepted into the Air Force's Despite this remarkably long tenure in a field noted for its quick pilot training program with high honors, had to decide whether burnout, Lazoritz did not enter college at the University at Buffalo in he would transfer to a ROTC program at another university, or 1968 with a driving desire to become a physician. As an undergrad- stay at UB and declare a new major. Eventually, he decided to stay at UB and pursue studies in sociology and pre-medicine. To catch uate in Air Force ROTC at UB, he had pretty much decided on a career as a pilot. However, his experience as a hospital volunteer up with his coursework in these areas, he attended summer while in high school had also sparked an interest in healthcare, school for two years, an effort that paid off when he was admitted which prompted him to take classes in social work. to UB's School of Medicine in 1972. In his third year of medical school, Lazoritz completed his "UB's social work department back then was radical. And there I was, a politically conservative sophomore in my ROTC uniform," Lazoritz recalls. "So, needless to say, I didn't really fit into social work at that time." pediatric rotation at Mercy Hospital in Buffalo, where he met faculty who inspired him to make a lifelong commitment to working with children. "! had some really great preceptors who had a big influence on my life," says Lazoritz. In particular, he remembers UB clinical professors of pediatrics Although he didn't know it in 1987, t return to Buffalo ing more of the Mary Ellen mystory. Upon learning that the child was ventually placed with a family who lived near Rochester, ew York. he made several trips there to investigate. joseph Mattimore, MD, and Chelikani V. Varma, MD. "These physicians and the staff at Mercy showed me that working with kids was a fun thing to do," he recalls. On-the-Job Training Upon graduation in 1976, Lazoritz began a 10-year stint in the United States military, during which time he served in both the Navy and Army. After completing his residency in pediatrics at the Naval Regional Medical Center in Portsmouth, Virginia, in 1979, 10 Ultimately, anti-Vietnam sentiments on campus culminated in events that forced Lazoritz to make a tough decision about his career plans, a decision that put him on a path to becoming a physician. he began his pediatric career at the Naval Regional Medical Center in Orlando, Florida. "One afternoon a crowd looted the ROTC office in Clarke Gym," he recalls. "! remember a Xerox machine flying out the abused children. A turning point in his exposure to these cases laffala Pbysiciaa S umm e r 2 00 2 As a pediatrician, it was inevitable that Lazoritz would encounter came one day while he was working with a group of psychiatrists �and overlooked documents. During his tenure as assistant professor of pediatrics at the Uniformed Services University in Bethesda, Maryland, from 1981 to 1987, he used his free time to search the Library of Congress for information on her case. Finding newspaper articles from 1874 that documented the court trial was easy, he says, but what he really wanted to discover was who her descendants were and how her life later unfolded. On a trip to the National Archives he met a man who gave him a crash course on how to conduct genealogical research, which led to a major breakthrough. performing evaluations of abused kids in Orlando. "On my first day, I got paged to the emergency room to see a child abuse case, and my boss said, 'Oh, by the way, you're also on the child abuse team,"' recalls Lazoritz. "I found out that Mary Ellen had gotten married, and !learned what her husband's name was," recalls Lazoritz. "Then I started looking through years of obituaries to find out when he died so I could get a list of their descendants." In 1987, Lazoritz, his wife, Mary, and their growing family (which "When I saw that first patient, which was a sexual abuse case, I realized that I didn't know what I was doing, and I knew I had to eventually numbered six children, including a daughter named learn," he continues. "Until the late 1970s and early 1980s, we didn't Mary Ellen) returned to Buffalo, where he joined the UB School of know much about sexual abuse. Those of us working in the field at Medicine and Biomedical Sciences as an assistant professor of the time had to teach ourselves and learn in an informal way from pediatrics, a position he held until 1992. During this time, he also other people who knew what they were talking about." Lazoritz soon discovered that the "other people" who knew what they were talking about often were the allied healthcare professionals involved in the abuse cases. "One of the things that intrigued me most about working in the area of child abuse is that you were a member of a team that could include social workers, psychologists, law enforcement officers, lawyers, or prosecutors. And we all had to share information; this is one of the tenets for this field. For example, early in my career I didn't know as much about child abuse as the social workers, nor did I know about the social work aspects of interven- served as director of pediatrics at Erie County Medical Center, where he established the hospital's first child sexual abuse clinic ing in child abuse cases. I had to learn all this in order to be on common ground with them." (sec related article on page 15). Although he didn't know it in 1987, his return to Buffalo moved To this day, teamwork has remained an integral part of Lazoritz' work ethic. Lazoritz literally closer to solving more of the Mary Ellen mystery. History in the Making In 1980, Lazoritz began giving presentations in Orlando to educate the public about child abuse. One day in 1983 while researching a Upon learning that the child was eventually placed with a family who lived near Rochester, New York, he made several trips there to investigate. Not only did he find Mary Ellen's grave, but he also found a school that was named after one of her daughters, florence Brasser, a renowned teacher in the area. lecture, he again encountered the scant, but extremely moving, In talking with the school's principal, Lazoritz was elated to Jearn details of the Mary Ellen Wilson story. "Right then I decided that I had to know as much as I could about that Florence Brasser was still alive and living in a nearby nursing this girl. It became an obsession," recalls Lazoritz. "I kept thinking information that eventually gave him access to the original files from of her as a child, the way she was in 1874, and I believed there were the Mary Ellen case that were stored in a box in the basement of the NYSPCC in Manhattan. real insights and lessons that could be learned from her story." Lazoritz credits "serendipity and divine providence" for helping him painstakingly reconstruct :V1ary Ellen's history from scattered home. He visited the 86-year-old Brasser and was able to gain "My meeting with Florence Brasser basically unlocked all kinds of clues and information," says Lazoritz. S11mmer 2002 lulfa l l npicill 11 �'ot FORGOTTEN 1 A Chance to Finally Tell Her Story In September 1989, eager to share his latest findings on the case, Lazoritz published "Whatever Happened to Mary Ellen?" in the journal Child Abuse and Neglect. A subsequent article about her in American Heritage magazine, which mentioned Lazoritz's research, caught the attention of Eric Shelman, a playwright and fiction writer who lived in Southern California. Shelman had earlier become interested in Mary Ellen's story after reading about her case in a book of little-known facts. In 1991, Shelman contacted Lazoritz via e-mail and the two men began communicating by phone and computer. Eventually they decided to combine their talents to finally tell Mary Ellen's story. "I did most of the research and some of the writing; Eric did the majority of the writing," says Lazoritz. "We were equal partners: I couldn't have done it without him, and he couldn't have done it without me." "Until the late 1970s and early 1980s, didn't know orking in the Milwaukee, where, in 1997, he was appointed associate professor. In 1998, seven years into their collaboration, Lazoritz and Shelman finally met, a year before Out of the Darkness was published. Unique Opportunity to Advocate for Children In the late 1990s, after more than two decades of working on the "front lines" with cases of child abuse, Lazoritz began to feel that his job's high stress level was exacting a toll. "Some people can take a daily dose of the worst that our world has to offer without getting bitter, disillusioned or burned out," he says. "However, I found myself getting bitter, hostile and angrylosing my objectivity and becoming part of the problem. "I like the term 'compassion fatigue,"' he adds. In 2000 Lazoritz left Wisconsin for his current position as vice president for medical affairs at Children's Hospital in Omaha, where he also serves as clinical professor in Creighton University School of Medicine's Department of Pediatrics and as adjunct professor in the University of Nebraska Medical Center's Department of Pediatrics. In his leadership role at Children's Hospital, he feels he has a unique opportunity to advocate for children. "My job is to be a field at the time had to teach ourselves and learn in an facilitator, to provide the medical staff with the tools they need to do informal way from other people who knew what they their work, and to look at the medical needs of the community to see how we can better serve them," he says. were talking about." Collaborating by e-mail, phone and fax, the two created a work of "historical fiction" that is firmly grounded in facts. Initially, Lazoritz was reluctant to include even an iota of fiction; however, Shelman convinced him that a strict reading of court transcripts, dates, and data would not do justice to the story. Having the complete original court transcript of the case was crucial to retelling the story, as it supplied the authors with dialogue in a realistic context. Still, Shelman's storytelling expertise was needed to recreate the settings and thoughts of the characters, as was the assistance of a historian whom the writers employed to review the book for accuracy. For his part, Lazoritz walked the streets of New York and gathered factual information about the neighborhood settings described in the book. In 1992, when his collaboration with Shelman was just beginning to gain momentum, Lazoritz left Buffalo for a position as assistant professor of pediatrics at the Medical College of Wisconsin in "As an administrator at a children's hospital," he continues, "I get a dose of the best that our world has to offer: a team of dedicated professionals working tirelessly to save lives or make children's lives better." While awareness and activism against child abuse has grown tremendously in the past 30 years, the fight to protect children is far from over, says Lazoritz, who points out that an average of three children die from abuse and neglect in the United States every day. One Person Helping One Child During his career Lazoritz has been a keen observer of how the medical profession reacts to child abuse cases, and he hasn't always liked what he's seen. "The issue is not identifying child abuse," he stresses. "For 10 years, every physician licensed in New York State has had to take a course in identifying and reporting child abuse. Unless they were sleeping, they have had the facts. The real issue is taking a stand." Physicians, he says, deny child abuse or don't report it for a number of reasons: "For example, they don't want to get involved, don't want to go to court, don't believe that a family they are well acquainted with I 12 l1ffala Ph ysician Summer 2002 CONTINUED ON PACE 14 �children, Wheeler and Bergh rescued Mary Ellen by relying on laws written to protect animals from inhumane treatment. As a result of the Mary Ellen case, Bergh later went on to found the New York Society for the Prevention of Cruelty to Children INYSPCC). Before the creation of the NYSPCC, child abuse and neglect was considered a family matter; challenging parents or Ellen7 intervening on behaH of a child was unheard of. The land- • mark case of Mary Ellen Wilson forced society to accept a moral responsibility to protect children, even from their parents, and many states followed New York in making child abuse illegal. The Story of Mary Ellen Wilson by In April 1874, Mary Ellen's foster mother, Mary Connolly, was convicted of felonious assault and sentenced to a year in the first child in America to be legally removed from an abusive the penitentiary at hard labor. home. Born in 1864 in the New York City tenements of Hell's In June 1875, Mary Ellen Kitchen, Mary Ellen was only two months old when her father was placed in the care of Etta was killed in the Civil War, leaving her mother destitute. Wheeler's sister, Elizabeth, Unable to care for her daughter, Fanny Wilson was forced and grew up in the country to find others who could. When Fanny later died of consump- outside of Rochester, New tion, Mary Ellen was placed in a home where she was horribly York. She eventually married abused by her adoptive parents. She was beaten with a rawhide and had two daughters who whip almost daily, forced to sleep on a piece of carpet on the are remembered as educated, floor of a closet, burned with an iron, cut with sewing scissors, successful and compassion- and sexually abused by her foster father. Clothed only in a ate women. Mary Ellen Wilson tattered and tom dress she wore in all seasons, she was finally died in 1956 at the age of 92. rescued at age 10. Out of the Darkness, The The two extraordinary people who came to Mary Ellen's Story of Mary Ellen Wilson, is rescue were Etta Wheeler, a social worker who served victims available at online booksell- of poverty in the tenements, and Henry Bergh, who in 1866 ers; or it can be purchased founded the American Society for the Prevention of Cruelty to directly from its publisher, Animals IASPCA). Because there were no laws in 1874 to protect abused Dolphin Moon Publishing, at dolphinmoon.com. Summer 2002 1111111 Pbysicin 13 �FORGOTTEN CONTINUED FROM PACE 12 could be abusive, or they don't want to cause trouble for the family." Lazoritz's hero, C. Henry Kempe, a researcher, teacher, pediatrician and pioneer in the field of child abuse and neglect, was outspoken in what he believed a physician's role should be. "Since 1961, when Kempe said 'physicians have a duty and a responsibility to identify abuse and prevent its likely recurrence,' the medical profession has had this responsibility," says Lazoritz. Child Abuse Resources The Child Abuse Resources page The American Professional Society on the Abuse of Children (APSAC) Another factor that affects the issue of effective intervention is the differing ways a culture views child abuse over time. "Child abuse is defined by society. Some of the things that we now call child abuse would not have been labeled this 100 years ago, or even 20 years ago,'' explains Lazoritz. "As societies advance and become more sophisticated, they identify things as child abuse that other cultures wouldn't. Too, we're identifying abuse more often because we're looking for it." In addition to a rise in child abuse cases due to more strenuous reporting, the incidence of abuse is increasing due to societal changes. The biggest change, Lazoritz feels, is in the increased numbers of single-parent families and teenage pregnancies. "An MARv ELLEN AT AGE 16 art icle titled 'Infanticide' in the October 22, 1998, issue of the New The International Society for Prevention of Child Abuse and Neglect (IPSCANI England journal ofMedicine stated that the highest risk factors for an infant being killed in his or her first year oflife are a maternal age of less than 19 and less than 12 years of education," he explains. "The number of single teenage mothers has gone up, and therefore I think that's why serious child abuse has gone up." Another disturbing risk factor in abuse cases-and the subject of an abstract Lazoritz coauthored-is a boyfriend or husband who is The National Clearinghouse on Child Abuse and Neglect Information not the child's biological father. In the abstract, Lazoritz cites a 1998 study showing that the rate for child physical abuse committed by mothe rs' boyfriends lies somewhere between 16 and 25 percent. Another form of abuse is the subject of Lazoritz's latest book, Shaken Baby Syndrome: A Multidisciplinary Approach, which he coedited with Vincent). Palusci (Haworth Press, November 2001). "! can't say there's a direct cause-and-effect relationship between early childbearing age and infant homicide, but there certainly is a strong correlation,'' he says. "We can tell people never Prevent Child Abuse America to shake a baby, but if we can get teenagers not to have babies, that would be more effective." Ultimately, Lazoritz hopes his work reflects and inspires a passion for helping children. "We are at a point now where each physician who deals with children should ask: 'What more can I do Compiled by Pamela M. Rose, MLS, Health Sciences Library, University at Buffalo, 3435 Main St., Buffalo, NY 14214. (716) 829-3900 x129; pmrose@acsu.buffalo.edu. to prevent abuse? How can I advocate more for this child who has been abused? How can I do more to help this abused child heal?"' Again, he recalls a quote from Kempe: "It is just not possible to worry about all of the needs of all of the children all of the time. There lies frustration and total inaction as well. " What should be learned from the Mary Ellen story? "Each one of us must have our own 'Mary Ellen,"' says Lazoritz. "One person helping one child at a time can make a difference." 1 1 1f al1 Hysicin S u m m er 2002 CD �~Uo.;'JW'"""'tl when a child living in Buffalo or the surrounding area was discovered to be sexually or physically abused, he or she was referred to ·nOur Own ackyar the only physician in town who was providing medical care for these emergent Coyne is paid by Kaleida Health System's Children's Hospital of Buffalo to treat patients through CATS. FURTHERING THE WORK OF STEPHEN LAZORITZ Niagara tor of pediatrics at Erie Country Medical Center and a University at Buffalo assistant professor of pediatrics. "Steve not only would see the children medically, he also would very In addition, he treats children at the CAC of cases: Stephen Lazoritz, MD, then direc- pital; the former is more of a justice model, where children needed to do," says Jack Coyne, MD '85, clinical associate professor of are primarily advocated for through the court system. pediatrics at UB, and medical director of the Child Advocacy Centers of Each week, Coyne treats 10 to 12 children at the Child Advocacy Center of Erie County, or about 600 a year. In 1992 Lazoritz left Buffalo for a position with the Medical College "That's medically speaking," he emphasizes. "From of Wisconsin in Milwaukee (see article opposite), and Coyne stepped there, the children are seen therapeutically, and CATS in to fill the vacancy he left. advocates on behalf of the children for a wide variety of On several occasions in the early 1990s, Coyne traveled to Milwaukee reasons." to train with Lazoritz in how to medically treat children who had been In addition to the efforts of Lee Anthone, Coyne sexually or physically abused, and since then the two physicians have says, "Our community wouldn't be where it is today in maintained a close friendship. this process if it hadn't been for the work Steve Lazoritz "Steve taught me the process for physically examining the children, did while in Buffalo. By educating the community about as well as how to talk to them and how to document what I saw," says the medical exam we can provide for sexually abused Coyne. In addition to treating abused children, Coyne also picked up children-and what we can do with these exams- where Lazoritz left off in attempting to better organize how the chil- Steve showed how we can really help the children." dren's cases were responded to in Buffalo by a multidisciplinary team of Prior to Lazoritz's educational efforts, instead of professionals that included child protective services, police and district abused children being allowed to begin healing after attorneys. At the time, disputes over areas of responsibility were result- intervention, they were often subjected to a series of ing in less than optimal intervention strategies for the children. court-ordered physical exams-sometimes four or five "For two years, we met as a group in an attempt to discover common ground so that the process of evaluating these children and advocating by different individuals and as late as nine months after the initial intake exam. for them wouldn't be one that was detrimental to their well-being," says "Now we have colposcopy and we can document Coyne. "In order to do that, we had to get on the same page and give up with video and still photography for the medical record," things that we in our separate disciplines were doing, and that's exactly says Coyne. "So if a defense attorney contests evidence what happened." that's being presented and wants another opinion, he In 1994, as a result of these meetings, the Child Advocacy Center (CACI of Erie County was established in Buffalo on Delaware Avenue; can get it by having a physician look at the film and not by traumatizing the child with another exam." three years ago, it moved to its current location at 556 Franklin. Since Despite such progress, there is still much work to be that time, more than 300 such centers have been established in the done in the area of child abuse in our region, Coyne United States, including 14 in New York State. stresses. "Right now, the only entity that 'owns' this According to Coyne, much credit for this effort goes to the late Lee whole process is CATS; in many cases, our healthcare Anthone, the wife of Sidney Anthone, MD '50, a Buffalo general surgeon. system is just doing what it needs to do and no more. "Lee Anthone took this work upon herself as a citizen in an effort to Getting the community involved with ownership-that's try and make something happen. She helped facilitate the whole process," says Coyne. The Child Advocacy Center of Erie County is part of the Child and Adolescent Treatment Services (CATS), a local nonprofit social and and according to Coyne, and is affiliated with Niagara Falls Memorial Hos- effectively advocate for them by going to court or doing whatever he Erie, Niagara and Genesee counties. County the CAC of Genesee County. The latter operates along a hospital model, the most important thing now," he says. For more information on the Child Advocacy Center of ~ Erie County, contact Edward Suk, CSW, director, at (716) 886-5437, or e-mail him at sukedward@aol.com. therapeutic agency. Summer 211112 laffale Hysician 15 �ALUMNl MEDICINE, ibernating myocardium i. a condition causec1 by the progressiv£ narrowing of th£ heart arteries, re· suiting in chronic reduction of blood flow tc t-ho hPtJrt M. CANTY MD '79, ALBERT JoHN While contraction of the heart is depressed, the heart tissue remains viable. Since function can improve if blood flow is restored, it is a reversible cause of heart failure. At the University at Buffalo School of Medicine and Biomedical Sciences, John M. Canty Jr., MD '79, and colleagues in the Center for Research in Cardiovascular Medicine are investigating ways in which the heart adapts to chronic reductions in blood flow. Their goal is to discover techniques by which this condition can be diagnosed and to devise new therapies to improve heart function. Canty, a professor in UB's departments of medicine and in physiology and biophysics, recently received a four-year, $700,000 grant from the Department of Veterans Affairs to support a study in which he is using gene transfer by injecting the heart with experimental viruses that contain vascular growth factors in order to try and stimulate development of new or existing blood vessels in the hibernating porcine model. "Over the last several years, there has been intense interest in developing angio- JR., A~D ELIZABETH KATE CHAIR IN .ARDIOVASCULAR DISEASE 16 laffalo Phpiciaa S umm e r H111,r!P 2 00 2 genic gene transfer therapies to stimulate the development of the coronary collateral circulation as an alternate approach to care for patients with inoperable coronary artery diseases," says Canty. "This investigation will identify the ability of different therapeutic strategies to improve collateral perfusion and reverse chronic ischemic left ventricular dysfunction." This study is just one of a number of funded investigations currently being conducted by Canty, who is internationally known for his work in the area of chronic adaptations of the heart to ischemia, according to Robert Klocke, MD, chair of the Department of Medicine in UB's School of Medicine and Biomedical Sciences. In addition to the VA grant, Canty's support includes two grants from the National Heart, Lung and Blood Institute (NHLBI) that total $3.2 million. "At the present time, we have very few options other than cardiac surgery or interventional cardiac catheterization to improve blood supply to compromised cardiac muscle," explains Klocke. "Dr. Canty's work has the promise of providing alternate means of improving cardiac blood flow in all patients with heart disease, not just those who are well enough to tolerate invasive procedures." In recognition of his ongoing contributions to research in cardiovascular medicine, Canty was appointed as the Albert and Elizabeth Rekate Chair in Cardiovascular Disease in UB's School of Medicine and Biomedical Sciences in January 2001 (see article, opposite). "It is a tremendous honor to have been appointed the Rekate Chair," says Canty. �"Since its inception nearly 20 years ago, the Rekate endowment has been instrumental in facilitating a steady expansion of the cardiovascular research programs at UB. It has allowed us to support a number of talented physician/scientists pursuing basic research in cardiovascular medicine in Buffalo." A native of Buffalo, Canty received his bachelor's degree in biomedical engineering from Rensselaer Polytechnic Institute in 1975 and his medical degree from UB in 1979. After training in internal medicine at the University of Rochester, hereturned to UB as a cardiology fellow and joined the full-time faculty in 1983. In 1995 he was named professor of medicine at UB and in 1996, professor of physiology and biophysics. Currently, he also serves as associate chief of the Division of Cardiology and is director of the Cardiac Care Unit at Erie County Medical Center. Canty has received numerous academic awards, including membership in Alpha Omega Alpha, the James A. Gibson Anatomical Society and the Tau Beta Pi Engineering Honorary Society. In 1982 he received the John C. Sable Memorial Fund Award and in 1983 was named a Sinsheimer Scholar. He was also the recipient of a Clinical Investigator Award from the National Institutes of Health's HLBI. In addition, Canty has held numerous memberships on national committees of the American Heart Association and has received consecutive four-year appointments to the Cardiovascular-Renal Study Section of the NHLBI. He has also served on the editorial boards of the American journal of Physiology, Circulation Research and the journal of Cardiovascular Pharmacology and currently reviews manuscripts for numerous other journals, including the New England journal ofMedicine. He is a Fellow of the American College of Cardiology, the American College of Physicians and the American Heart Association. An active teacher and speaker, Canty has mentored over 20 undergraduate students and postdoctoral trainees and has accepted many invitations to speak at recognized centers of cardiovascular excellence worldwide and to chair national and international meetings. 4D 1 he Albert and Elizabeth Rekate was established in 1982 to support and strengthen the educational and research activities of the Division of Cardiology in the University at Buffalo School of Medicine and Biomedical Sciences. Albert C. Rekate, MD '40, has served UB in a number of capacities, including professor of medicine, director and acting chair of the Department of Rehabilitation Medicine, acting dean of the School of Health Related Professions, and associate dean. Since 1995, he has also served as a member of the Dean's Advisory Council for the School of Medicine and Biomedical Sciences. In 1999, the Albert and Elizabeth Rekate Chair in Cardiovascular Disease was augmented by the Willard H. Boardman, M.D., and Jean Boardman Endowment. William Boardman, a retired cardiologist, earned a medical degree from UB in 1944; his wife, Jean, earned a B.A. degree in biological sciences from UB in 1948. 4D CRoss-DisCIPLINARY CoLLABORATIONS m the cent r is their poten estern New c app 1c for Research in Cardiovascular Medicine has a tion to the development of new diagnostics and York Healthcare System. Fallavolhta has re broad interest in integrative cardiovascular bi- therapies for patients w1th chronic coronary ar- ceived a three-year, $390,000 grant from t ology. By combining investigatiOnal stud1es di- tery disease, accordmg to Canty. "In this regard, Department of Veterans Affairs to support a rected at understanding pathophysiological we collaborate closely w1th the UB-VA Center for study he 1 conductmg to determme wh1ch mechanisms m the intact heart with stud1es Positron Em1ss1on Tomography, as well as w1th cardiac tests are most useful in pred1ctmg aimed at tter understandmg the basic bio- bas1c scientists in the School of Med1cine and those patients w th coronary heart d1s ase chemical mechamsms at the molecular level, who w1ll benefit most from surgery. the program emphasizes research that can Biomed1cal Sciences," h says. "The translational nature of the research translated from the laboratory to the beds1de. giVes us the opportunity to test the concepts we the heart improve clmically when blood flow "The central theme of our research is fo- know to be mechanistically involved based on 1s restored by cardiac bypass surgery, accord- cused on understandmg chronic adaptive re- pnor laboratory work with patients who have car- mg to Fallavolhta. "However, m patients w1th sponses of the heart to repetitive ischem1a diovascular d1sease," adds Canty. "Many of the coronary artery d1sease, chromcally dysfunc- ar to that occurring m chronic coronary expenmental approaches that we use are iden- tional myocardium artery d1seases," says John M. Canty Jr., MD, tical to those used m the care of patients w1th coronary revascul rlzation can improve left Albert and Elizabeth Rekate Chair in Cardio- chronic cardiovascular d sease." ventricular function, symptoms and mortal- si vascular D1sease at UB and director of the university's card logy research programs. A key feature of all research projects with- At present, Canty is collaboratmg on myocar- Not all patients wsth poor blood flow to IS frequently v1 le and ity. Therefore, the abihty to identify th1s via· dial hibernation studies with James Fallavolhta, bility m patients, prospectively, is of great MD, assoc1ate professor of medicme at UB, who 1s chnical importance," he says Su mm er 2002 lulfalo Hysiciu 11 �MEDICAL ScHOOL N E w s a This yea National Residency Matching Program (NRMP) results were announced on March 21.2002. Thirty percent of University at Buffalo's graduating medical students will stay in Buffalo to train in the Graduate Medical-Dental Education Consortium, while 46 percent will go out of state. "For the first time, the NRMP has not provided data on choices," says Nancy Nielsen, MD, assistant dean for Student Affairs in DB's Office of Medical Education. "However, polling our students reveals oustanding results, with over 60 percent receiving their first choice and over 90 percent matching in their top three choices." Nationally, match results indicate adecrease in residency positions filled in six primary care specialties: family practice, internal medicine, pediatrics, medicine/pediatrics, internal medicine primary and pediatrics primary. There were 373 fewer U.S. seniors filling these generalist residency positions, with 2051ess positions filled overall. Some specialty areas experienced an increase in match rates compar· ed to last year, including anesthesiology, which had afill rate of 95.1 percent-a 7percent increase over last year; and physical medicine and rehabilitation, for which the fill rate increased from 77.3 percent to 90.4 percent. Diagnostic radiology filled an additional44 PGY-2 positions this year, while there was aslight decrease in U.S. medical school seniors matching to general surgery positions. Overall, 23,459 individuals partici· pated in the match this year. Active U.S. medical school senior applicants enjoyed the highest percentage of matches to first·year residency positions. with a94.1 percent match rate. Nazaneeo Grant learns she is gaing to Geargetown to train 11 surgery. Amodeo, Victoria Blitshteyn, SYetlana U ROCHESTER/STRONG MEM-NY UN i v BuFFALO GRAD MED-N Y Applebee, Garrick UVM/FLETCHER ALLEN-V T Ariyaratana, Suzie lulfal1 Pbysiciaa Summer2002 LOYOLA UN I VERS ITY MEDICAL CTR- I L UN I V NoRTH CAROLINA HosP Brennen, Dnid Auerbach, Marc SAUS H EC/ B ROOKE ARMY NYU SCHOOL OF MED ICINE MED CTR-TX Azodo, Uchendu Brooks, Victoria M OREHOUSE SCHOOL OF MED IC I NE-GA UN I V BUFFALO GRAD MED-NY Beaman, Antoinette Brunetti, Vito r BETH I SRAEL MED CTR- y MERCY H OSP- P ITTSBURGH-PA Beaman, Shawn UN I V H EALTH CTR OF PITTSBURGH- P A UN I V H EALTH CTR OF P I TTSBURGH-PA ALBERT E I NSTE I N COM-NY Bullaro, France sa UN I V H EALTH CTR OF P I TTSBURGH-PA Burke, Mark Beatty, Matthew UNIV BUFFALO GRAD MED-NY UN I V BuFFALO GRAD MED-NY Carlin, Matthew Belani, Shaleen SUN Y H SC-SYRACUSE-NY W I LLS EYE H OSP I TAL-PA Belli, Lily Chang, Jerry LONG I SLAND ) EWISH-NY Choe, Hana LENOX H I LL H OSP ITAL-NY W I NTHROP-UN I V H OSP-NY Binder, DaYid U SouT H ERN CA LI FORN I A Chopra, Liza UN i v BuFFALO GRAD MED-NY CAMBRIDGE H osP/C H A-MA NEW ENGLAND MEDICAL CTR-MA 18 MAYO CLIN IC- ) ACKSONV I LLE BojoYic, Branko �Asuccessful couple'smatch takes Jay Mepani and Rachel Kozower to Case Western University's Metrohealth Medical Center. Francesca Bullaro and friends celebrate news that she will train in pediatrics;Margo McKenna, leh, was aresearch scholar at the NIH last year. Hennon, Mark Chu, Alvina ALLEGHENY GEN H osP-PA UN1v OF CHICAGO HosP- I L DeiBroccolo, Jennifer Fleming, Emily Hinchey, Paul Chung, Jeffrey y STONY BRooK TEAC H H asP- Y Foresta, Christopher Hineman, Ashley NYP HOSP-COLUM PRESBY-NY WAYNE STATE UNIV-M I W I NTHROP-UNIV H osP- Den Haese, Diane Collure, Don UNIV BuFFALO GRAD MED-NY P HOENIX C HI LD/MAR ICOPA-AZ UN I V MARYLAND MED CTR MART I N L K I NG ) R/DREW-CA Dischner, Kurt Conklin, Jeffrey METROHEALTH MED CTR-0H MEM SLOAN- K ETTER I NG-N Y YU SCHOOL OF M ED ICINE Gordon, Kelly THOMAS ) EFFERSON UN I V-PA Domaracki, Beth Connery, Cristine NYU Sc H OOL oF MED I C I NE H ARTFORD H os PI TAL-CT OHIO STATE UN I V MED CTR-O H Grant, Gavin Courtright·Orr, Caryn EMORY UN I V SOM-GA Dwyer·Matzky, Keely UN I V BUFFALO GRAD MED- y UN I V BUFFALO GRAD MED-N Y Horn, Scott B ETH I SRAEL MED CTR-NY NYU SCHOOL OF MED IC I NE U CoLORADO SOM-DENVER Hrycelak, Michael Grant, Nazaneen Cuomo, Linda NYP HosP- CooK CouNTY H oSP ITAL- I L Dufort, Elizabeth UN I V BuFFALO GRAD MED-NY Holder,Amy MARY I MOGENE BASSETT-NY CooK CouNTY H oSPITAL- IL Corvino, Timothy Hoghooghi, Alexander Hojnacki, David Gore, Robert UNIV BuFFALO GRAD MED-NY Hines, Ryan Gittleman, Alicia ST. V I NCENT MERCY MED-O H y Y YU SC H OOL OF MED IC I NE DeSantis, Melissa Cone, Jesse COLUMBIA BASSETT- UN I V BUFFALO GRAD MED- UN1v NoRTH CAROLINA H osP WILSON MEM REG/UHS-NY UN IV H OSPS CLEVELAND-O H U ROC H ESTER/STRONG M EM-NY Y CoRNELL- Y Dayrit, Marivic N SHORE U-MANHASSET-NY De Jolla, Daniel GEORGETOWN UNIV H osP-DC Elliott. Darianne GEORGETOWN UN I V H OSP-DC N S H ORE U-MAN H ASSET-NY Gregory, Charmaine Figueroa, George UN I V BUFFALO GRAD MED- Filipink. Robyn y UNIV BuFFALO GRAD MED-NY STONY BROOK TEACH HosPs-NY UN I V H EALTH CTR OF PITTSBURGH- P A Filsinger, Daren CEDARS-S I NA l MED CTR-CA UN 1v BuFFALO GRAD MED-NY Janis, Gregory DUKE UN I V MED CTR-NC Gupta, Anjeli E1 NSTE I N/MONTEF IORE-NY Kader, Michael UN1v BuFFALO GRAD MED-NY Defazio, Jennifer Huebschmann, John CLEVELAND CL I N IC FOUNDATIONO H U ROCHESTER/STRONG MEM- Y Kam,Steven Hebrank, Jessica £1 NSTE I N/M ONTEF IORE-NY W I LSON MEM R EG/U H S-NY UC SAN FRANCISCO-CA Summer 2002 l 1 f f af • H ys ic iaa 19 �M E C D A L N SCHOOL E w Ab1g sm le for Hana Ch e, who IS on ber way to the Umversity of Southern California to train in general surgery. S Katona, Kyle Lee, Angela Lundgren, Janell N SHORE U-MANHASSET-NY U UNIV HosP CINCINNATI-OH Kenjarski, Brian Lee, Mitchell Pr UNIV BuFFALO GRAD MED-NY IV BuFFALO GRAD MED-NY FLUSHING Maceda, Aimee HOSPITAL MEDICAL U MD-MERCY MED CTR CTR-NY Kerr, Christine U FLORIDA PRoG-SHANDS HosP YU SCHOOL OF MEDICINE Mak, John BROWN U INT MED REs- RI Lerner, Alexander Kim, David ST . LuKE's-RoosEVELT-NY WILSON MEM REG/UHS- Y BARNES-)EWISH HOSP-M0 B I DEACONESS MED CTR-MA EINSTEIN/JACOBI-NY Kozower, Rachel Maim, Brian METROHEALTH MED CTR-OH Lesser, Adam METROHEALTH MED CTR-OH NYP HosP-NY CoRNELL- I WINTHROP-UNIV HosP-NY Krakowski, David Y Mato, Anthony IV Hosr-NY HosP oF THE UNIV oF PA Lin, Peter MT. SINAI HOSPITAL- Mclean, Erika y Lang, Christopher Logue, Christopher Miller, Rebecca UN1v BuFFALO GRAD MED-NY MT. SINAI HOSPITAL-NY WINTHROP-U Mepani,Jay Morcos, Morcos ST. FRANCIS MED CTR-PA UNIV BuFFALO GRAD MED-NY MAIMONIDES MED CTR- NY RIVERSIDE METHODIST- 0H U HLTH Svs E CAROLINA - C ''We practice law for your peace of mind." Estate Planning - Personal Injury Real Estate - Matrimonial Elder Law One John James Audubon Parkway Amherst, New York 14228 716.636.7600 20 laflal1 Hysiciu S umm e r 2 002 HOGAN & WILLIG, PLLC .\ ttorneys at Law - - - - - - hoganandwillig.com �Robert Gore ispleased to be going to Cook County Hospital to train in emergency medicine. Mutty, Christopher Rosella, Peter Sorci, Jonathan UNIV BuFFALO GRAD MED-NY U UNIV BUFFALO GRAD MED-NY UNJV BUFFALO GRAD MED- Weiss, Karen Stanbro, Peter MT AuBURN HosP ITAL- MA y Nguyen, Doan u LA MEDI C AL CENTER-CA Russell, Teresa BOSTON U MED CTR-MA UNIV H EALTH CTR OF Stanislawski, Aimee BosToN U MED CTR-MA I LLINOIS COM-CH ICAGO Weitzman, Steven PITTSBURGH-PA O'Donnell, Kathleen UNIV MAss MED ScHOOL Samson, Gregory LONG I SLAND ) EWISH- Swan, Andrew EMORY UNIV SOM-GA UNIV NoRTH CAROLI Oh, Richard y Whiteside, Michael A HosP H osP OF ST. RAPHAEL- CT Schapiro, Ann MARY I MOGENE BASSETT- NY YALE UN I VERSITY-CT UNIV BuFFALO GRAD MEDMAIMON I DES MED CTR- Y y Osman, Magda UN I V BuFFALO GRAD MED- NY Ostrow, Gregory H ARTFORD H OSP I TAL-CT HLTH PART/REG IONs HosP-M Symons, Andrew Schindler, Kim Wisnoski, Jennifer r UN I V BuFFALO GRAD MED- NY UN I V BUFFALO GRAD MED- y UN I V BuFFALO GRAD MED- NY Tenney, Emily Wolpiuk, Anne CLEVELAND CLINI C FouNDATIONOH UN I V BuFFALO GRAD MED- NY Schwartz, Lainie Teper, Irene UNIV BUFFALO GRAD MED- NY ST . MARY's MED ICAL CTR-CA Seereiter, Phillip Thurlow, Juliane UN I V BUFFALO GRAD MED-NY UN I V B UFFALO GRAD MED- UNIV BuFFALO GRAD MED-NY UNIV BuFFALO GRAD MED-NY Packianathan, Nalini UNIV BuFFALO GRAD MED- NY y ) OHNS HOPKINS H osP- MD Selip, Debra Traugott, Matthew E1 NSTE I N/J ACOB I-NY L ONG I SLAND )EW I S H-NY Selkirk, Stephen Vannelli, Patrick Woo, Junda BAYLOR CoLL MED- H ousTON - TX Yoon, Daniel YU SOM UN I V BuFFALO GRAD MED- Perez, Brenda Y ATLANTI C HEALTH SYs- N J Shahryarinejad, Azin Puchalski, Rebecca BETH I SRAEL MED CTR-NY UN I V BuFFALO GRAD MED- NY Singh, Sandesh Ramsdell, Robert THOMAS ) EFFERSON UNIV - PA UN I V BuFFALO GRAD MED- NY lf'd Yolfson, Alexander CASE WESTERN RESERVE- OH ST. }osEPH ' s-SvRACUSE-NY y UNIV HosP C I NC I NNAT I- OH Pasol, Joshua YU DowNTOWN HosP-NY Wong, Robert UN I V BuFFALO GRAD MED- UN I V BUFFALO GRAD MED- y Siuta, Jonathan Ridgeley, Jamison U NEBRASKA AFFIL HosP NYP H osP-NY CORNELL-NY Zwerling, Brian Walcott, Roger NY H osP/MED CTR QuEENS ST. ELIZABETH ' s MED CTR- MA LONG I S LAND }EWISH MED CTR- NY Weinstein, Jody NAVAL HOSPITAL PENSA C OLA-FL PROGRAM - U H LTH Svs E CAROL I NA- N C UNIV BuFFALO GRAD MED-NY u "' m e r 2 0 0 2 la ffalo Hys i c ian 21 �THE 156TH COMMENCEMENT FOR THE SCHOOL OF MEDICINE AND BIOMEDICAL SciENCES wAs HELD ON MAY 24, 2002, AT THE CENTER FOR THE ARTS ON THE NoRTH CAMPus. THIS YEAR, THE SCHOOL CONFERRED 136 MD DEGREES, 2 MD/PHD DEGREES, 7 MD/MBA DEGREES, 22 PHD DEGREES, 2 MPH DEGREES, AND 27 MASTER'S DEGREES. THE HONORED SPEAKER WAS NEW YORK STATE HEALTH COMMISSIONER DR. ANTONIA NovELLO. CLASS SPEAKER WAS ANTHONY 22 l1ffala Pbysicin MATO. ��PATHWAYS N E ws ABOUT UB' s ScHooL oF M E DICINE AND BIOMEDICAL SCIENCES AND ITS ALUMNI, FACULTY, STUDENTS AND STAF F SUMMER Skolnick t 2002 ad Jeffrey Skolnick, PhD, a worldrenowned scientist in the fields of computational biology and bioinformatics, has been named director of the Buffalo Center of Exce ll ence in Bioinformatics and UB Disting u ished professor of structural biology at the University at Buffalo, the lead research SKOLNI C K partner in the center. Skolnick has served as director of computational and "THIS C OMBI Fl structura l genomics at the Danforth Plant Center in St. Sl PPORT MADE I I Louis, Missouri, since 1999 POSSIBI E FOR US TC' and as an adjunct professor of biochemistry at Washington GO AFIER HIE BfSl University in St. Louis, where ) OF THE. BFST. he has been a member of the faculty since 1982. He has developed algorithms for the prediction of protein structure and folding pathways from protein sequence and has pioneered the use of lattice-based approaches to protein tertiary structure prediction, as well as the simulation of membranes 24 l a lfal e Phy si c iu S t~ m m e r 20 0 2 and membrane peptides. He has also developed structurebased approaches to predict protein function from amino acid sequence, protein-protein interactions and pathways that can be applied to entire genomes. He holds nearly $700,000 in grant support from various agencies, including the National Institutes of Health. Sko lnick earned a bachelor's degree in chemistry from Washington University in St. Louis and master's and doctoral degrees in chemistry from Ya le University. He was a postdoctoral research fellow at Bell Laboratories from 19781979 and an Alfred P. Sloan Foundation Research Fellow from 1983-1987. He is chair of the Scientific Advisory Board on Geneformatics and a member of the Scientific Advisory Board of the Proteome Society and the NIH's Molecular and Cellular Biophysics Study Section. Skolnick is a member of the editorial boards of Biopolymers and Applied Genomics and Proteomics, and also has served on the editorial boards of Proteins, Biophysical Journal and Journal of Chemical Physics. He serves as a referee for professional journals that in cl ude Nature, International Journal of Biological Macromolecules, Journal of Molecular Evolution, Journal of the American Chemical Society and Science. Two accomplished researchers at the Danforth Plant Science Center, Andrzej A. Kolinski, PhD, and Marcos R. Betancourt, PhD, will be joining Skolnick at the Buffalo Center of Excellence in Bioinformatics. Kolinski is a professor at the plant center and heads the biopolymers laboratory at the University of Warsaw 1n Poland. He has won numerous grants and earned several honors, inc! uding the Swietoslawski Award in 1994 and an International Scholar's Award from the Howard H ughes Medical Institute in 1995. Kolinski earned his doctorate in chemistry from the University of Warsaw in 1979, and has taught there and at Washington University in St. 1 I �1 1 Louis, in addition to having worked at the Scripps Research Institute in La Jolla, California. Betancourt has worked in the computational genomics laboratory at the plant center. Prior to that, he held positions at the University of Maryland and at the University of California at San Diego, where he earned his doctorate in physics in 1995. His honors include the Enrico Fermi Award in 1986, a National Defense Science and Engineering Fellowship in 1989 and a National Science Foundation Fellowship in 1996 and 1998. The John R. Oishei Foundation has awarded UB a threeyear, $1,542,000 grant to help support the salaries of Skolnick, Kolinski and Betancourt. "Thanks to the generosity of the John R. Oishei Foundation, in addition to Governor George E. Pataki's strong and visionary financial commitment to this initiative and, at the federal level, the efforts of Congressman Tom Reynolds and Senator Hillary Rodham Clinton, we're delighted to have secured the talents of Jeffrey Skolnick and the world-class team he has assembled for our Buffalo Center of Excellence in Bioinformatics," said President William Greiner at the time of the announcement. " This combined support made it possible for us to go after the best of the best." achsNamed UB Di tinguished Frederick Sachs, PhD, professor of physiology and biophysics was one of 13 University at Buffalo faculty members named in May2002 to the first class of UB Distinguished SA c Hs Professors. The UB Distinguished Professor designation is open to faculty members who have achieved national or international prominence and a distinguished reputation within their field through significant contributions to the research/ scholarly literature or through artistic performance or achievement in the fine arts. Sachs is an authority on cell mechanics and director ofUB's Center for Single Molecule Biophysics. He is also a member of the university's Center for Advanced Molecular Biology and Immunology and its Center for Neurobiology and Vision. His research attempts to understand the electrical processes in cells. Of particular interest are the mechanisms of mechanoreception and the role of ion channels. - SU E W U ET C HER Norton edaiConferred on Jacobs The late Lawrence D. Jacobs, MD, who was professor and chair of the Department of Neurology and a wortd·renowned researcher in the treatment of multiple sclerosis IMSJ, was chosen to receive posthumously University at Buffalo's highest award, the Chancellor Charles P. Norton Medal. The Norton Medal is given annually at the uniYenlty's general commencement ceremony to recocnize someone who has, in Norton's words, "performed some great thing which is identified with Buffalo . · . a civic or political act, a great book, a great work of art, a great scientific achievement, or any other thing which, in itseH, is truly great and enabling and which dignifies the performer and Buffalo in the eyes of the world." "Larry Jacobs was one of our most distinguished faculty mem· ben, and a great Buffalonian-a scholar, researcher and teacher whose groundbreaking research discoveries were exceeclecl only by his compassion and his desire to serve our university, our region and all of humanity," said Presl· dent William R. Greiner. "Throughout his career, Larry brought national and international acclaim to our Depart- ment of Neurology and the UB medical school, as well as to Buffalo-Niagara." Jacobs, who also held the Irvin and Rosemary Smith Chair in Neurology at UB and served as director of the Jacobs Neurological Institute and the William C. Baird Multiple Sclerosis Research Center at Buffalo General Hospital, died of cancer last November at the age of 63. His innovative research, geared toward developing better treatment for relapsing multiple sclerosis-a form of MS that affects 350,000 people in the United States-led to the development of Avonex, which today is the most widely prescribed drug to treat this debilitating form of MS. -SUZASNE CHAMBERLAIN - A RTH U R PA GE Su mm e r 2002 Ia If a I a n y sic ian 25 �PATHWAYS Cranger Pr nted ;t=.n ... i"F..,e Achi vemen Carl Granger, MD, an internationally recognized authority in the field of rehabilitation medicine and professor and chairemeritus of the Department of Physical Medicine and Rehabilitation at the University at Buffalo, received the Lifetime Achievement Award at the third Annual Health Care Heroes Breakfast on April 18, 2002, sponsored by Business First. Granger was honored for his role in developing the Functional Independ e n c e Measure, or FIM™ an easy-to-use rehabilitation assessGRANGER Patrick J Kelly, MD '66, FACS, the Joseph P. Ransohoff Professor and Chainnan of Neurosurgery at New York University (NYU) School of Medicine, received the Olivacrona Award from Karolinska Institute in Stockholm in December 2001 in conjunction with the Nobel ceremonies. Kelly has pioneered computer-assisted stereotactic neurosurgery and minimally invasive surgical techniques for the removal of brain tumors-techniques he is credited with introducing to NYU Medical Center. While a faculty member in the Department of Neurosurgery at UB in the early 1980s-before moving to the Mayo Clinic in 1984-Kelly conducted innovative work in image.guided neurosurgery. To date, he has operated on more than 6,000 patients with brain tumors and is internationally known not only as a brain tumor surgeon but also as an expert in the surgical treatment of movement disorders. In April 2002, Kelly became the only neurosurgeon in history to deliver the William P. Schneider honorary lecture at the American Association of Neurological Surgeons (AANSJ for a second time, having also delivered it in 1996. In this year's lecture he talked about his experiences as a surgeon in Vietnam in 1968-1969. In 1997, Kelly was awarded the Scoville Achievement Award ment tool that allows trained personnel to assign a numerical value-the FIM rating-to a patient's ability to function, based on performance of 18 physical and mental tasks that represent a basic daily routine of personal-care activities. The federal Centers for Medicare and Medicaid Services (CMS), formerly called the Health Care Financing Administration, recently selected the FIM™ as the assessment instrument to be used by rehabilitation hospitals to document requests for prospective payment for rehabilitation treatment. The FIMTM now is used by 1,400 facilities in 50 states and the District of Columbia and has been translated into several languages. In conjunction with the FIM™, Granger established a nonprofit business, the Uniform Data System for Medical Rehabilitation, or UDSMR, to provide reports and store the data for their FIM™ users. That database now holds information on more than 4 million patients, comprising the largest database of medical rehabilitation treatment outcomes in the world. UDSMR is a part of UB Foundation Activities, Inc. -LOIS BAKER art- from the World Federation of Neurological Surgical Societies, marking only the second time in the organization's history that this award has been given. He is also the recipient of The Sir Peter Freyer Medal (Ireland, September 2001), and the Obrador Medal from the Spanish Neurological Association (1996). -S. A. 26 UNGER luffalo Hysician Summer 2002 Ashwani Raj put, MD, has been appointed attending surgeon at Roswell Park Cancer Institute (RPCI) and assistant professor of surgery in the University at Buffalo School of Medicine and Biomedical Sciences. Rajput earned his medical degree (1993) and completed a research fellowship in the DepartmentofSurgery (1997) RAJPUT and residency training in general surgery (2000) at Case Western Reserve University School of Medicine in Cleveland, Ohio. He also completed a fellowship in clinical oncology at RPCI (2002). Rajput's research interests include the molecular genetics of colon cancer and other gastrointestinal malignancies. He is a member of the American College of Surgeons, the Association for Academic Surgery and Society of Surgical Oncology. -DEBORAH PETTIBONE nv tors Recogniz: d School of Medicine and Biomedical Sciences faculty named on United States patents issued to The Research Foundation of the State of New York in 2001 were among those honored by the University at Buffalo at a reception held on May 2, 2002. Among those recognized were Wesley H icks Jr ., DDS, MD '84, associate professor of otolaryngology, who invented the first model of a tracheal lumen that combines epithelial �'V\ R PROl.DTHA A I> IT I M r Y lB W PTTHE<; AWI\RD<;.l8's~CIE CEA D R't Hl( H PRIORIIY I-OR THE l cHI v ME ..,I and mesenchymal elements in a manner that mimics the tracheal lumen surface. Hicks was also honored for his role in developing a method for providing novel surface modified biodegradable polyester polymers that allow small amounts of surface modifiers to be situated on the surface. The research goal for both technologies is the development of wound-healing membranes. Paul }. Kostyniak, PhD, professor of pharmacology and toxicology; Rossman F. Giese Jr. and Joseph A. Syracuse, PhD, co-director of the Toxicology Research Center, were recognized for developing an antimicrobial composition that can impart antimicrobial properties both in, and on, the surface of various household, industrial and medical products. Donald D. Hickey, MD, research assistant professor of physiology and biophysics and clinical assistant professor of neurosurgery, was honored for inventing a device and method to provide a noninvasive estimate of cardiac performance parameters by inserting a catheter and balloon into the esophagus, adjacent to the aortic arch, to sense aortic pressure (part of the previously paten ted Hickey Cardiac Monitoring System). I\ R'\IIY CH UlOGYI<.OF rH 0 ( OMME R( lAllZF fH <;I THLH HI AR AARI rRLLYI tPRESSI\LA I>WI APPR CIAr Stephen Rudin, PhD, professor of radiology and codirector of Radiation Physics Laboratory and Toshiba Stroke Research Center, and Daniel R. Bednarek, PhD, professor of radiology, were recognized for their role in developing a radiographic image apparatus and method for vascular interventions for acquiring veryhigh-resolution radiographic digital images over a small region of interest using a digital solid-state x-ray image detector for the medical imaging application of angiography. Faculty Who Received e Anthony Auerbach, PhD, Physiology and Biophysics; Anthony Campagnari, PhD, Microbiology; Leonard Epstein, PhD, Pediatrics/ Social and Preventive Medicine; Jo Freudenheim, PhD, Social and Preventive Medicine; Paul Knight III, MD, PhD, Anesthesiology/ Microbiology; Mulchand Patel, PhD, Biochemistry; Stanley Schwartz, MD, Medicine; Suzanne Laychock, PhD, Pharmacology and Toxicology. Inventors affiliated with the University at Buffalo were also recognized by the State University of New York as being among the outstanding inventors within the SUNY system at a ceremony held in Albany on May 20, 2002. The UB inventors represented more than one third of the 64 SUNY faculty and staff members from campuses across the system who received awards for their achievements from SUNY Chancellor Robert L. King. Noting this UB Provost Elizabeth D. Capaldi says, "We are proud that UB swept these awards. UB's science and technology is of the highest quality and it is a very high priority for the university to commercialize this intellectual property. Our faculty's achievements in this area are truly impressive and we appreciate SUNY's recognition." The SUNY inventors were honored in four categories: "outstanding inventor," "entrepreneur," "first-time patent" and "first-time invention disclosure." Faculty members were honored as "outstanding inventors," either because they have received multiple patents, their invention has brought in considerable licensing income or their invention is seen as significant in other ways. Faculty in the UB School of Medicine and Biomedical S umm er SG HCH '>TQlALirY. l Al PROPI RTY. YsR coc Ot R 0 • Sciences recognized in this category were: Claes Lundgren, MD, PhD, professor of physiology and director of UB's Center for Research and Education in Special Environments. He has been awarded (with coinventors) more than 120 patents pertaining to, among other areas, human engineering (breathing gear for divers) and the pharmaceutical fields (Nicorette® for smoking withdrawal). Since joining the UB faculty in 1974, Lundgren has submitted six new technology disclosures and has been awarded three patents, two of which are licensed to Sonus Pharmaceuticals and one to a Swiss company, Idiag AG (equipment for respiratory muscle training). Timothy F. Murphy, MD, professor of medicine and microbiology. During his distinguished career at UB, Murphy, who conducts research in the area of vaccine development, has submitted 11 disclosures. Nineteen U.S. and foreign patents have been issued and many more are pending. He is working on a vaccine that targets a bacteria that is the second most common cause ofear infections in children and a leading cause of recurrent infection in patients with chronic obstructive pulmonary disease. 2002 laffale Pbysiciu 27 �PATHWAYS Frederick Sachs, PhD, UB Distinguished Professor of Physiology and Biophysics. Sachs has submitted more than 35 invention disclosures. In a recent study published in Nature, he reported that a protein isolated from the venom of a Chilean tarantula shows promise as a drug to prevent and treat atrial fibrillation, a chaotic beating of the heart that affects 25 million Americans. Several companies are considering the technology for licensing. Those honored as "entrepreneurs" have demonstrated entrepreneurial spirit that enabled them to move their inventions from the research laboratory into wide-scale use. Faculty in the UB School of Medicine and Biomedical Sciences recognized in this category were: EdmundA. Egan, MD, professor of pediatrics and physiology, and Bruce A. Holm, PhD, senior vice provost and professor of pediatrics, pharmacology and toxicology, and gynecology-obstetrics. Egan and Holm developed the commercial surfactant-replacement therapy, INFASURF neonatal, which received new drug approval from the Food and Drug Administration in 1997 as a lifesaving drug that has been demonstrated to reduce the morbidity and mortality of premature newborn infants. INFASURF adult is now in phase II clinical trials. INFASURF drugs are manufactured by ONY, Inc., located in the UB Technology Incubator, part of the university's Office of Science, Technology Transfer and Economic Outreach. Faculty in the UB School of Medicine and Biomedical Sciences recognized for receiving their first patents in 2001 were: Wesley L. Hicks Jr., DDS, MD, associate professor of otolaryngology and attending head and neck surgeon at Roswell Park Cancer Institute, and Frederick Sachs, PhD, UB Distinguished Professor of Physiology and Biophysics. 4D - LORRAINE WAPPMAN AND SUE WUETCHER Choose Canterbury Woods for a lifetime of warmth and fun Set among 63 beautiful acres, Canterbury Woods combines all the best and most meaningful aspects of the way you live now, while addressing your needs and desires for a worry-free future. Call today for your personal tour. Western New York's first Life Care Community. ~nterbury UJoods 1}5) 28 Call7161929-5817 for your personal tour ... laffal1 Physician S umm e r 2 00 2 705 Renaissance Drive Williamsville, New York 14221 �and physiological feedback systems led to the publication of two books on the subject. Dougtas S. Riggs, fonner chair of the Department of Phann· Riggs and his wife of 60 years, Robin Palmer Riggs, acology in University at Buffalo's School of Medicine and shared an uncompromising belief in pacifism. With her help Biomedical Sciences, died on December 22, 2001, at his Riggs was a conscientious objector in World War 11, took in home in Halifax, Canada. He was 87. Hungarian refugees after the 1956 revolution and worked Born in Harpoot, Turkey, of missionary parents, Riggs was educated at Rollins College and at Yale University, where he earned BS and MD degrees. Prior to coming to UB as chair of the Department of Pharmacology in 1954, he pursued an with Physicians for Social Responsibility in the Nuclear Freeze Movement. Riggs is survived by his three children: Timothy A. Riggs of Durham, NC, Virginia P. Riggs, MD (Wendy Lyons) academic career in pharmacology, with teaching positions at of Suffield, CT, and Robin Elizabeth Sagurna of Taufkirchen, Yale and Harvard universities. Gennany; three grandchildren; and a brother, Lorrin A. Riggs was a respected researcher, a gifted teacher and Riggs of Hanover, NH. an enthusiastic mentor. His fascination with mathematics Keyser Cadillac History of Orthopaedic surgery at UB Eugene R. Mindell, MD, chair of the Department of Orthopaedic Surgery at the University at Buffalo School of Medicine and Biomedical Science from 1964 to 1988, has written a history of the department, which is now available for purchase. The book includes an over· view of trends in orthpaedics, both locally and nationally, that impacted on the development of this department, starting in about 1860 and continuing to the present. Complementing this overview are infonnative descriptions of universityhospital affiliations dating from 1848 to the present, and succinct profiles of faculty who contributed to ortho· paedic education at UB over the last 155 years. Also chronicled is Upstate New York's only exclusive Cadillac Dealer the evolution of medical student curriculum and residency training in orthopaedic surgery in Buffalo. Supplementing the 70-page text are 80 photographs, spanning the entire history of the department. The book, titled History of Orlhopaedic Surgery at the University at Buffalo, can be purchased for $25 by sending a check, made payable to the University at Buffalo Foundation, to Michael Quinn, Keyser Cadillac Orthopaedic Surgery Department, University at Buffalo, Hayes 4130Sheridan Drive· Williamsville. Y Annex A, 3435 Main Street, Buffalo, NY 14214. All copies of the 634-4100 key ercadillac.com book and sale proceeds have been donated to UB's School of Medicine and Biomedical Sciences by Dr. Mindell. Summer 2002 4D luffalo Pbysician 29 �BY S. A. UNGER PRESIDENTIAL AssASSINATIONS, Up osean I e c -REEXAMINING THE DEATHS OF KENNEDY AND McKINLEY chair of the Department of Legal Medicine Trauma, presented a talk titled "Trauma Care at Virginia Commonwealth University, Today." He described treatment McKinley Medical College of Virginia, and codirector received in 1901 after he had been shot in of the Virginia Institute of Forensic Science Buffalo and then contrasted this with the and Medicine. Fierro presented a fascinating care a president similarly wounded today look at both the Kennedy and McKinley au- would receive; he also outlined the detailed topsy reports from the perspective of a for- medical-contingency and security plans that ensic pathologist with decades of experience would be put in place wherever the chief executive travels worldwide. studying fatal gunshot wounds of all kinds. After a brief break, the Stockton Kimball In keeping with the lively public debate he University at Buffalo School of Lecture was delivered by Jack C. Fisher, MD, surrounding Kennedy's assassination over Medicine and Biomedical Sciences' emeritus professor of surgery and former the decades, Fierro peppered her talk with 65th Annual Spring Clinical Day was head of the Division of Plastic Surgery at the candid and thought-provoking rebuttals of held on April 27,2002, at the Buffalo/ of California at San Diego. Fisher, University a number of conclusions reached by Becker. Niagara Marriott. The program, sponsored who has authored a book on the McKinley Following Fierro, Roger Seibel, MD '66, by UB's Medical Alumni Association, focused on "Presidential Assassinations in the UB clinical professor of surgery and ortho- assassination titled Stolen Glory, recounted 20th Century." The opening talk was titled "A Surgeon pedics and medical director of the Regional Evaluation for Quality Improvement in how he had become interested in this subject while a medical student at UB. He then pre- Looks at the Assassination of John F. Kennedy" and was delivered by Donald R. Becker, MD, a UB emeritus clinical professor of surgery. Becker provided a riveting description of Kennedy's assassination-his wounds, emergency room treatment and autopsy (the latter of which he characterized as "chaotic"). He also reviewed the criminal investigation that followed, the findings of the Warren Commission and the myriad conspiracy theories that persist to this day. Becker was followed by Marcella Fierro, MD '66, chief medical examiner for the Commonwealth of Virginia, professor and 30 luffall nysician S ummer 2 002 I �sented a well-argued case for why the con- Sullivan, Sharon Murphy, Teresa Vietti and troversy surrounding McKinley's operative the late Brigid Leventhal. His prominence on and postoperative care in Buffalo should finally be laid to rest. At the close of the lectures, the audience the Hodgkin's and non-Hodgkin's lymphoma disease committees of the Pediatric Oncology Group, as well as his role as principal investi- had an opportunity to ask questions of a gator of seminal phase 3 studies of children editor in chief of Vaccine Bulletin. He also serves as a reviewer and editorial board member for many other publications, including Pediatrics. panel made up of the morning's speakers, with these disorders, have Jed to important ad- After leaving Buffalo in 1974, Dantzker after which attendees gathered for a lun- vances in treatment worldwide. In addition to cheon, where Fisher was presented with the Stockton Kimball award by Stephen his scientific and academic credentials, Brecher is known as a devoted, tireless and Pollack, MD '82, on behalf of the UB compassionate pediatrician who exemplifies served as an instructor in the Department of Internal Medicine at the University of California at San Medical Alumni Association. the best qualities of a caring physician. Diego for a year before joining the Each year at Spring Clinical Day, medical of pediatrics at the UniversityofCalifornia at faculty at the Universityof Michigan, where he contrib- alumni achievement awards are presented to Los Angeles and director of pediatric infec- uted greatly to the graduates of UB's School of Medicine and tious diseases and the Pediatric AIDS growth and reputa- Biomedical Sciences. Recipients are nominat- Program at the Cedars-Sinai Medical Center tion of the Depart- ed by their fellow alumni, with final selections made by the governing board of the in Los Angeles. Prior to that, he served for six years as professor and head of the Division ment of Internal Medicine's Pulmo- Medical Alumni Association. This year's re- of Infectious Diseases in the Department of nary Medicine Sec- Pediatrics at the University of Texas Health tion. In 1983, he moved to the University of Science Center at San Antonio, where from Texas Health Science Center in Houston, 1975 to 1981 he was professor and chair of where he served as professor and vice chair of the Department of Internal Medicine atrics at Roswell Park Cancer Institute, chief the Department of Pediatrics. Brunell was a member of the Advisory Committee on Im- of the Division of Pediatric Hematology/ munization Practices Oncology at Kaleida Health's Children's of the Centers for Dis- cine. In 1990, he was nam- Hospital of Buffalo and chief of pediatric ease Control (CDC) ed chair of the Depart- hematology/oncology in the Department of Pediatrics in the University at Buffalo's and the Consultative Group on Vaccine De- ment of Medicine at Long School of Medicine velopment, which is and Biomedical Sci- concerned mainly with medicine at Albert Ein- ences. He is recog- evaluating vaccines for stein College of Medicine nized as a national developing countries. in New York City. He is He has also served as a member and chair of currently a partner in a of childhood lym- the Committee on In- Wheatley Medtech Part- phomas and has fectious Diseases of the MEDICAL ALUMNI Since 1987, Brunell has served as a professor cipients are as follows: Brecher is chair of the Department ofPediat- and international authority in the area and Critical Care Medi- Island Jewish Medical Center and professor of biotechnology company, ners LP. Dantzker has Academy of Pediatrics (the Red Book Committee). In addition to disease and non- serving as a consultant to the World Health Organization, the CDC, the National Insti- textbook Cardiopulmonary Critical Care, Hodgkin's lym - tutes of Health and the Food and Drug Ad- which is the foremost text of its kind. He phoma in children ministration, Brunell has contributed to most of the standard textbooks of pediatrics, med- also established a major investigative jour- icine and infectious diseases in the area of his served on the editorial boards of numerous expertise. Currently, he is chief medical editor of Infectious Diseases in Children and other journals, including The American Review ofRespiratory Diseases. published more than stracts on Hodgkin's and adolescents. Brecher is first author on many papers, published in collaboration with such prominent pediatric oncologists as Margaret :~ 0 and director of the Division of Pulmonary authored more than 100 peer-reviewed papers and several text- 400 articles and ab- c a E books. He is best known for his remarkable nal, The Journal of Critical Care, and has S Limm e r 2002 luffale Physician 31 �A L U M N Spring Clinical Day B rkson M morial Award The RobertS. Berkson, MD, Memorial Award in the Art ofMedicine is presented annually to honor the values and ideals epitomized by Dr. Berkson, who was an esteemed family physician in Buffalo. Patient care was his forte; competence, compassion, patience and dedication to teaching were his virtues. His special expertise in "the art of medicine" is perpetuated in this award. This year, the award was presented to Lawrence Golden, Lawrence Golden a local cardiologist who has served in a number of leadership positions at Millard Fillmore Hospital, including chair of the Department of Medicine (1969-86), chief of cardiology (1967-87) and director of the Cardiology Fellowship Program (1980-92). Throughout his career, Golden has given freely of his time and expertise to a wide variety of services and programs, according to Margaret Paroski, MD, senior associate dean in the School of Medicine and Biomedical Sciences, who nominated him for this award. "In addition to dedicating his life to giving his patients the best care possible and teaching the students and residents how to appreciate the humanism of medicine, Dr. Golden and his wife, Nancy, recently endowed a lectureship series in mind-body medicine at our school," says Paroski. "This generous gift builds upon what his many years of voluntary service have exemplified to our studentsthat physicians who are well versed in mind-body medicine concepts will better provide humanistic care for their patients." D an's Community Service Award Melvin Oyster is the inaugural recipient of the Dean's Community Service award, which recognizes outstanding accomplishments that contribute to making our community a better place to live. "After 50 years in medicine, I can recall only five outstanding physicians, and Dr. Mel Oyster is one of them," says Francis Fote, MD '52, who introduced Oyster at Spring Clinical Day. Oyster is best known for having established the accred- Gentzke & Associates, Inc. Registered Investment Advisor ited Family Practice Residency Program in Niagara Falls, New York, which has graduated 90 residents since 1974. The program grew out of an internship he created in 1952 that was dedicated to preparing students for family practice. "He did this without having Private Portfolio Management President and CEO Glenn Gentzke and Ch1ef Investment Strateg1st Chns King Tax Consulting was one of the first to participate in the internship. "And he earned recognition for the program the hard way. Initially his request for help to support it was turned down by UB's medical school, so he looked Estate Planning instead to the University of Rochester School of Medicine." Fee-Based Asset Management UB Commons 520 Lee Entrance TIAA -CREF Advisor Suite 205 Network Amherst, NY 14228 Tel: (716) 639-0475 had any formal residency training himself," recalled Fote, who Certified QuickBooks Professjonal Advisors www.gentzke.com In addition to founding the residency program, Oyster continues to be "medical director of everything in Niagara Falls that concerns the poor and underprivileged," according to Fote. "He continues to work and teach with the enthusiasm of his youth, long after his contemporaries have retired, and he remains a favorite of the students." Thomas Rosenthal, MD '75, chair ofUB's Department of Family Medicine, says, "Dr. Oyster has been a mentor to me since I was in medical school, and he continues to offer insight into how I, as department chair, can best serve primary care physicians in Western New York. He is an outstanding physician, a leader with energy, an innovator with style, and an educator by example. Dr. Oyster defines community-based primary care." 32 luftal• Hysiciaa Summer 2002 4D �was elected president of · will se"e as treasurer. Kozera is the Medical Alumni Association on April27, 2002, at Spring Clin- the medical director for social services and assistant medical ical Day. Duffner is a UB professor of neurology and pediatrics and administrator for Erie County Health Department. a physician in the Department of Neurology at Kaleida Health's Children's Hospital of Buffalo. will se"e as the new vice president for the association. Pollack is a UB clinical assistant professor of ophthalmology who is in private practice in Williamsville. GENESEE HEARING SERVICES 61 Wehrle Drive (Near Harlem) Amherst 14225 THE AUDIOLOGY CENTER 630 Orchard Park Rd. (Near Ridge Rd.) West Seneca 14224 712-2000 837-6213 • Diagnostic audiometric evaluations (pediatric and adult) • Digital & programmable hearing aid fittings on 60-day trial basis • Tinnitus evaluation and therapy • Vestibular evaluation for patients with dizziness/vertigo • Vestibular therapy • State of the art facilities "The Ear is the Road to the Heart" rvouaireJ Jerri Kaplan Joyce, MA Summ e r 2 00 2 Buffalo Physicin 33 �DEVELOPMENT N E w s The Choice to leave ale ac By Li nda J . Cor de r , PhD. CFRE of my first child and became a member of the "older generation" quite recently, when my last parent, my mom, died. Neither transition was unexpected. We are schooled in this normal course of events from our earliest years. It is, however, our personal experience of these transitions that gives the concept, "Generation to Generation," substance. On this day of transition, we met, a small group of those closest to my mom, with several doctors and a hospital social worker. The lead doctor explained what had happened medically, since Mom's admission several days before. One or two others added some small detail. Altogether, we spent forty minutes discussing the physical aspects of her body's rapid deterioration, in both technical-and very down-to-earthterms. Each ofher children reaffirmed what we had accepted in our hearts the night before around her bed: If there was no hope, life support should be withdrawn. At the end of this discussion, one of Mom's ministers-a woman not many years younger than ! suggested we say the Twenty-third Psalm together, "one of Eva's favorites." Hand spontaneously joined hand around the circle, physicians and children, grandchildren and close friends. Familiar words both comforted and strengthened each of us for our respective roles in the final few minutes of her long, loving life, already irrevocably complete. I was participant and spectator at once. I was grateful for the education and experience of these doctors, that they handled this particular endof-life discussion with such compassion and caring. (I hoped that it was typical.) I was thankful that they were part of the circle that symbolized our contemplation of the mystery of life, and what it meant to walk in the shadow of death. 34 Ia f fa II P b J sic i a1 Summer 2002 This healing and profound transitiOn also made me proud to be a part of one of our nation's medical schools. It made me want to return home and make certain that UB's curriculum included practice in these crucial conversations. It made "The Oath," repeated by each new class of graduating medical doctors, more poignant and imminently real: " ... I will "It made crystal clear tread with care in matters of life that medicine is art as and death. If it be merely within my abilities to help ease suffering well as science, and that at the end of a life, may I face this we must provide our awesome responsibility with humility and awareness of my students with experi· own frailty." It made crystal clear ences along this entire that medicine is art as well as scicontinuum." ence, and that we must provide our students with experiences along this entire continuum. My sibs and I spent the rest of that day of transition making arrangements. Mom's service was a celebration, and memorials were designated for nonprofits in which she was involved for many years. Who can say where her impact will be the greatest? For those who knew my mom, memories, love, values, hope, even her genes, are her most direct legacy. For others, it will be the story of her courage to change and grow, her ideals and career as a teacher. It may also be the scholarship created in her memory that will provide an opportunity for a few more members of the next generation to earn a college degree. When it comes right down to it, such possibilities are why I work in this field, for UB and wholeheartedly through our current campaign-to assist those who, like my mom, choose to leave a legacy that will truly make a difference from "Generation to Generation." Linda (Lyn) Corder, PhD, is associate dean for alumni affairs and development. She can be contacted at 1-877826-3246, or via e-mail at ljcorder@buffalo.edu. CD �SUMMER 2002 1 - - - - - - - -l FI RST ROW, LEFT TO RIGHT' GUEST MARGARET PAROSKI (SENIOR ASSOCIATE DEAN), DANIEL CuRTIN.jOHN SHEFFER. HENRY GARDNER. SECON D ROW: WILLIAM EDGECOMB, PHILIP REITZ, DONALD C. NUWER, ROBERT jAEGER, ANTHONY PREZYNA. HANS f. KIPPING,jAMES STAGG, jAMES PHILLIPS. Summer 2002 l 1ffale Hysiein 35 �, FIRST Row, LEFT TO RIGHT· DONALD H. SPRECKER, 0LIVERj. STEINER, RALPH 0BLER, BERNIE DAVIS, EUGENE W. LOESERjR., ROBERT McDONOUGH WILSON, KURT j. WEGNER, AARON SIMPSON, PHOEBE E. SATUREN, jOSEPH f. CENEWICH, FRANCIS A. FOTE, DONALD F. DOHN, MILTON C. lAPP, ROBERTA. BAUMLER, MELVIN B. DYSTER, jOHN Y. RANCHOFF,jAMES F. ZELLER, DONALDj. KELLY, MELVIN KROHN, NEAL fUHR. , FIRST ROW, LEFT TO RIGHT· BEN CELNIKER, CERMANTE L. BONCALDO, ROBERT B. SuSSMAN, SHERMAN WOLD MAN, jAMES E. lASRY, j. DAVID SCHNATZ. SECOND ROW: fRANKj. CHAFEL, SOL MESSINGER , PHILIP ALFRED BRUNELL, BERNARD WAKEFIELD, jOHN PARKER, ARTHUR L. BECK, PAULL. ARCHAMBEAU. 36 llffall nysiciaa �FIRST Row, LEFT TO RIGHT: DAVID CARLSON, ALAN POHL, GEORGE R. TZETZO. SECOND ROW: RONALD I. DOZORETZ, PHILIP D. MOREY, ROBERTA. KLOCKE, jACK C. fiSHER, PAULj. LOREE, ANTHONY P. MARKELLO, M I CHAEL M . MADDEN, MELVIN j. STEINHART, SEBASTIAN S. fASANELLO. FIRST Row, LEFT TO RIGHT• ROBERT M. BENSON,jOHN RANDALL ANDERSON, RONALD P . jOSEPHSON, DAV I D R. DANTZKER. SECOND Row: jACOB KRITEMAN. T H OMAS P. O'CONNOR, ARTHUR C. SOSIS. GoiNG UP STAIRS ON THE LEFT, BOTTOM TO TOP· jAMES P. GIAMBRONE, THOMAS P. SHEEHAN, RICHARD G. jUDELSOHN, ANTHONY LO GALBO . LAST FOUR BOTTOM TO TOP: T H OMASAUGUSTI NEjR.,j. BRIAN SHEEDY, DONALD E. MILLER, Rocco C. VENUTO. Summer 2002 1111111 Phys ici n 37 �SUMMER FIRST Row, 2002 1 - - - - - - - - ' LEFT TO RIGHT: ROBERT EINHORN, LINDA A. KAM. SECOND Row: RICHARD SAVAGE, MARTIN BRECHER. I FIRST ROW, LEFT TO RIGHT: EuGENE A. PAUL, HOWARD LIPPES, IRA l. SALOM, LINDA SMITH, ALAN S. KURITZKY, RONALD A. VIDAL, CARLj. SCHMITT. SECOND ROW: MARK DE~ARIE,jOSEPH K. BYLEBYL, 0URET S. SMITH, KEVIN C. GREENIDGE, GREG YOUNG. 38 l1ffale Pkysiciae Summer 2002 �FIR.ST ROW, LEFT TO RfGHT: GERALD A. HARSTER, I VAN A. B AUMWELL, NA!'<CY j. PETERS, jESS ICA R OCKWELL, SUSAI'< fiSCHBECK, MARY A. KELLY, ELIZABETH P. BARLOC. SECOND ROW: TI~!OTHY j. CEERING,jO H N S. SANTELLI, ARLENE R. CURRY, DOUGLAS K . PLESKOW, RAND! C. PLESKOW. LINDA C. RABINOWITZ. ROBERT A. CIANFAGNA, jOSEPH P. LEBERER. THIR.D ROW: ANDREW R. HORDES. jOSEPH f. GIOIA, DAVID I. KURSS, jOSEPH WAYNE, RICHARD HEATH, STEPHEN POLLACK PATRICK HURLEY, 1\EIL KLUGER, KEV I N BARLOG, PHILLIP STEGEMAN, ROBERT STERN, jOSEPH CELORMINI. BOTTOM TO TOP: ADA\! K. ASHTON, TIMOTHY BUKOWSKI, DANIELA. BUR!'iS, PATRICKj. SHAUGHNESSY, YUOKO YERACARIS, CARLOS LOPEZ, CAETANO SCUDERI, KATHY LiLLIS. PATRICIA L. KAUFMANN, DOLORES C. LEONARD ]. KEVIN QUINLIVAN. IVAN HARANGOZO, MICHAEL B. WEINBERG. MICHAELS. WATSON. S11mmer ' 2002 llfflll nys i cial 39 �Flli.STROW, LEFT TO RIGHT: jOHN K. CUMMING, KATHARYNE SULLIVAN, DIANE SANFILIPPO,jUDINE C . DAVIS, SHERI BACZKOWSKI ILDIKO MIKOS, PATRICIA A. VORIES, MAUREEN E. DLUGOZIMA, SHARON R. MALLEN, PHILOMENA~. BEHAR, REBECCA HAVERLY, GAYLE FRAZZETTA, ROBERT HAVERLY, KEVIN jACOBSON, MARK IPPOLITO, BRIAN E. J. McGRATH. SECOND ROW: BOB l.AUDICO, MARK PIOTROWSKI, MICHAELA. COLUCCI, GERARD DILLON, EILEEN CRESPO , CYNTHIA JENSON, EvELYN CoGGINS, SUZANNE ROSENBERG, STEPHANIE fRETZ, CATHY YI, VINEET SINGH. FIRST ROW, LEFT TO RIGHT• jEANNIE KAO - KOENIG, SUCHITRA KONERU,jANICE M. LEE, CLAUDIAjARAMILLO LEE, ANDREA TORSONE. SECOND ROW: DAVID NOVAK, WILLIAM WIND, BENJAMIN KOENIG, fRANK M . LEE, RONIKA D. CHOUDHARY, CATHERINE COSTELLO. jARED C. BARLOW JR., PETER ERCOLINO . THIRD ROW: CHARLES SEVERIN, RAVI K. DESAI, M. ANGELA MCLELLAN,jOSEPH 40 11ffal1 Hysiciu L. CHOW, THOMAS R . ELMERjR., ALEXANDER MARCUS. Summer 2002 �Dear Fellow Alumni ' tis with great pleasure that I begin my year as president of the Medical Alumni Association (MAA ). John Bodkin, who served as president for the last two years, ran the organization smoothly and successfully, with insight, intelligence and good humor. I am pleased to announce that he has promised to continue to play an active role as past president. This year's Spring Clinical Day-a fascinating blend of medicine and history-was extremely successful, and I invite you to read about it, starting on page 30 of this issue. Over the past several months, 1 have had the opportunity to serve as a member of the Liaison Committee on Medical Education (LCME) Task Force, a self-study group that reviews all aspects of the medical school in preparation for the accreditation review in October. The last LCME visit was in 1994, and since then there have been a number of significant developments at our school. For example, lecture halls have been renovated and new classrooms and seminar rooms added-all of which are equipped with the latest educational technologies. A new curriculum has been developed for the first- and secondyear students that combines basic science and clinical teaching, with less emphasis on lectures and more on small-group and independent learning. Since 1994, recruitment in the basic sciences has been very successful, and faculty in these areas (including those at Roswell Park Cancer Institute and Hauptman-Woodward Medical Research Institute) have received grants equivalent to the 86th percentile of all medical schools in the country. The clinical faculty has also seen a sizeable increase in research dollars. Under Dr. Bernardino's leadership, an infrastructure for the medical school has been put in place, with clear-cut lines of authority. Direct communication between the medical school administration and faculty has been greatly enhanced by Town Hall meetings that are hosted by Dean Bernardino at each of the clinical sites. As is the case elsewhere in the country, the biggest challenge to medical education in Buffalo is the shortage of hospitalized inpatients for third- and fourth-year medical students. Additional outpatient teaching clinics in hospitals and private offices will be necessary in order to train medical students and residents in the future. As such, the school's administration and faculty are working hard to establish and enhance these venues throughout our community. Finally, following the tragedy of September II, the enormous financial pressures on New York State have directly impacted the medical school. Because our endowment is so limited, money for scholarships, minority student recruitment and funding of resident and medical student research projects is suboptimal. I hope that the medical alumni will take up the challenge to increase donations to the medical school to support these important projects. Medical students are our future and we need to do everything we can to get the brightest and most compassionate to come to Buffalo. In closing, I would like to say that it is a great honor to serve as president of the MAA. If you have concerns or questions that you feel I can address on behalf of the association, please feel free to contact me at any time by calling the MAA office at (7 16) 829-2778. I /_LA- PATRICIA K. DUFFNER, MD •72 President, Medical Alumni Association Summer 2002 luflalo Physiciaa 4 1 �C L A 1950s John W. Richards, MD '52, FACS, writes: "I retired from general surgery in Chicago 1992 and like living in the Ft. Lauderdale area very much. Enjoy opera, symphony and ballet here, plus great weather. " N 0 T E S the antique car hobby. We spend our summer months in Western New York, at our 150-year-old home in Franklinville, NY, and keep up contact with our Meyer Eye Department colleagues." E-mail address is: thelorees@hotmail.com. William Sperling, MD '66, Jacob (Jack) Lemann Jr., MD '54, New Orleans, LA. E-mail address is dr.jack@lemann.net. "In May 2001, I retired from Kaiser Permanente, where I practiced pulmonary and critical care with one office in suburban Williamsville, NY, and the other in midtown, Buffalo, close to the Children's Hospital of Buffalo and the school of medicine. The city office, especially, serves a highly diverse and often clinically challenging population of children and adolescents. Because of my interest in public health and epidemiology, I serve as the medical director of the spending two exciting years traveling nationwide and internationally. I have been a member of the New York State Immunization Advisory Council since its formation by the governor and legislature in I 995. With the rapidly expanding spectrum of vaccines that have been introduced in recent years, I have had a busy schedule teaching and consulting on the subject." care physician with Group Health Cooperative in Spokane, W A. The sun and snow were great, and it is hoped that there will be more trips in the future." E-mail address: schaffer@icehouse.net. Robert Z. Fialkow, MD '72, writes: "My wife, Mikie, and I live in beautiful Owensboro, Kentucky, where we are building a farmhouse on our 22acre farm. We have three Michael S. Bardo, MD '55, writes: "I retired from medical practice on December 31, 2001, because of my wife's illness. My last 11 years of medical practice were with the State of California at the California Correctional Center, where I served as the chief medical officer." 1960s Jack Fisher, MD '62, writes: "In June 2002-at the tender age of 64-I graduated with a master of arts degree in history from the University of California at San Diego as a member of the class of '02-40 years after '62!" E-mail address is: jfishermd@aol.com. medicine. My wife, Barbara, and I are traveling around the U.S. and Canada in our motorhome. We are also enjoying tandem bicycling and playing golf and tennis. " E-mail address is: billsperl@aol.com. James Giambrone, MD '67, is director of the Catholic Health System, Western New York Board of Directors; also chief operating officer for Associated Physicians ofWNY, P.C. Richard Judelsohn, MD '67, writes: "Sally and I are Florida residents (Ft. Lauderdale) and are enjoying retirement, traveling, grandchildren, and writes: "As a practicing pediatrician for over 25 years, I am the managing partner of Buffalo Pediatric Associates. The group has six physicians and two nurse practitioners, luffalo Hysiciaa S umm e r Paul J. Loree, MD '62, 42 assnotes 200 2 Erie Country Department of Health. My responsibilities there cover a broad range, including supervision of programs for school health, chi!dren with special needs, inner-city clinics, STD and TB clinics, outbreak investigation and control and immunizations. Vaccine-preventable diseases-and their eradication-have been of special interest to me since my pediatric training at Cornell Medical Center-New York Hospital (where I volunteered at city vaccination dinics ), followed by appointment to the Epidemic Intelligence Service at the Centers for Disease Control. At the latter, I was an immunization officer, E-mail address is: judelson@bflo.co.erie.ny.us. Donald P. Copley, MD '7D, a cardiologist with Buffalo Medical Group, P.C., was installed as the new president of the Medical Society of the County of Erie on May 7, 2002. Daniel J. Schaffer, MD '7D, and Alan Podosek, MD '7D, reunited this past january in Vail, CO, for a week of skiing. Alan has a private practice in Lynchburg, VA, and Dan is an urgent sons: Dr. Lawrence Fialkow, who lives in Charlottesville, VA; jared, who graduated from medical school in Philadelphia in May and who presented us with our first grandchild in January 2002; and Ethan, who is married to a gorgeous Japanese girl and is a first-year law student at the University of Louisville. I run four dialysis units with my two associates and contemplate retirement in the next few years to enjoy my hobbies of running, tennis, music and video poker. " E-mail address is fialkow@yahoo.com . ��CLASS NOTE Bruce R. Javors, MD '73, received the Award of Merit from the Rochester Academy of Medicine in 2001. A boardcertified surgeon who practices at Rochester General Hospital, as well as a fellow of the American College of Surgeons, Dynski holds numerous faculty positions and finds time to teach surgical, internal medicine and 08-GYN residents. She is also the liaison between the writes: "I was recently named chairman of radiology at St. Vincent's Catholic Medical Center in NY. I was elected to become a Fellow of the American College of Radiology, effective this September. Last year, I was appointed professor of clinical radiology at New York Medical College. I have just completed the manuscript for my second text, to be published this fall by Springer-Verlag. My wife, Susan, and daughter, Alii, continue to light up my life." E-mail address is: bjavors@ saintvincentsnyc.org. Department of 08-GYN and has served as director of the Breast Clinic at the Women's John Marra, MD '74, is a Center since 1992. cardiologist at Good Samaritan Hospital in Baltimore, MD. He is director of cardiac rehabilitation and assistant professor of medicine at johns Hopkins University. He and his wife, Maggie, live in Roland Park and have three children. Dynski, who is a sister of St. Joseph, is involved in numerous community programs and has been a Special Olympics volunteer since 1997. She is a member of a Congregational Committee to evaluate the future of geriatric needs and member of a committee on medical ethics advising the Catholic Diocese of Rochester through the Department of Social Justice and Social Ministries. "Perhaps most admirable and intriguing about Marge," writes her friend Jeanne Grove, DO, "is her courage and continuing accomplishments in spite of being paralyzed from the waist down" as a result of complicated back surgery in 1994. "Through intense rehabilitation and amazing perseverance, Marge has taught herself to walk without gaining sensation in her lower body. "A quote by Willa Cather, I feel, epitomizes Dr. Marguerite Dynski as follows: 'There are some things you learn best in calm and some in a storm."' Larry Altschul, MD '77, writes: "I can't believe it has been 25 years already. My wife, Mercedes, and I live in Dix Hills on Long Island. I am the 'senior' (I can't believe that word actually applies to me) partner in a large cardiology practice. Since April 2000, I have been director of cardiology at Good Samaritan Hospital 44 llffala nysicin Summer 2002 Medical Center. We have five children, ages 15, 17, 19, 21, and 22." E-mail address is: drlarryalt@ aol.com. Andrew S. Ross, MD 'BD, writes: "I have been in practice in Boca Raton, FL, since 1986. I completed my general surgical residency and colon and rectal surgical fellowship. I practice in the largest surgical group in South Florida ( 11 surgeons). I have a busy colorectal practice with a lot of laparoscopy. I remain happily married (26 years) and have three wonderful daughters: Dara, age 23, llana, age \9 and Jordana, 16." E-mail address is arossl7481@aol.com. Adolph Soto Jr. MD '83, writes: "! am still working for Saint Vincent's CMC of New York as a pyschiatrist-Harrison, NY. Adopted a baby, Lucas Enrique, born on january 18, 2001." E-mail address is asoto@ saintvincents.com. Herbert B. Newton, MD 'B4, writes: "My family continues to enjoy Columbus and Ohio State. Alex is into TaeKwonDo, swimming, soccer and riding his bike. Ashley is into ballet, gymnastics, swimming and piano lessons. Cheryl is still the clinical nurse specialist for the neurology/neurosurgery floor at OSU. Work remains busy as I continue my role as the director of neurooncology at OSU and the james Cancer Hospital. I was recently elected vice chairman and chairman elect of the NeuroOncology Section of the American Academy of Neurology. In addition, I am thrilled with the publication of an article entitled "Review of the Molecular Genetics and Chemotherapeutic Treatment of Adult and Pediatric Medulloblastoma" in the December 2001 issue of Expert Opinion on Investigational Drugs. Blackford Middleton, MD '85, writes: "I have re- turned to the world of academic medicine after leaving MedicaLogic/ Medscape (now owned byGE Medical Systems) in early 2001. I have joined the faculty in general medicine at the Brigham and Women's Hospital, Harvard Medical School, and I am director for clinical information systems research and development at Partners HealthCare System, Inc. I'm having fun with students and research, and still building clinical �information systems. Daughters Julia (9) and Lillian (5) are wondering, 'Where is the snow?' Wife Ursula King is making our new home and considering work ... eventually." Laura L. Post, MD '87, writes: "I have been living and working in Saipan, Commonwealth of the Northern Mariana Islands (U.S.) for five years now and am very much enjoying medical practice in a remote, underserved area. I am sorry that I was not able to come to the reunion, but the trip would cost over $2,000 and taken longer than 24 hours. Maybe I will be ble to make the 20th reunion. I spend my days as the correctional psychiatrist at the local prison and commute to the nearby Territory of Guam (U.S.) to serve at their Medication Clinic for seriously mentally ill adults. After hours, I see private clients and on weekends do competency and insanity evaluations for the court, disability and fitness-forduty evaluations in the private sector, and opinions in personal injury civil and sentencing mitigation in criminal matters. My partner, Judith E. Avery, RN, MS (SUNY at Buffalo '87), CNS and I live in a beautiful house overlooking the ocean with our small dog, Max; our medium-sized dog, Sasha, and our large dog, William Palmer Jr. MD. '90, Boris." E-mail address is drlaurapost@hotmail.com. the move again. Stephanie, Janee (12), Jilian (9) and Jayson (2) Pat Shaughnessy, MD '87, and I relocated to Winston-Salem, NC, in june 2002. I have joined another physician in pri- writes: ''I'm in a twoman rehabilitation medicine practice in rural Western Pennsylvania. (I see Dennis Moll ins at conventions.) I am president-elect of the Mercer County Medical Society. My wife, Maggie, and I have three daughters: Colleen, a freshman in high school, Maureen, 12, and Kathleen, 11. All are involved in music. I am cantor and accompany at church. Our "Farmette" is six acres, and we have llamas, sheep, chickens, etc. I'm in Disney World's 20012002 promotional video-biggest accomplishment to date!" Anthony J. Bufo, MD '89, writes: "I am a pediatric surgeon in West Palm Beach, FL." E-mail address is: ajbcrb@ netscape.net. Glen M. Ginsburg, MD '90, pediatric orthopaedic surgeon at the University of Nebraska Medical Center, has been promoted to associate professor. He has been on the staff there si nee 1996. E-mail address is: gi nsy4549@yahoo.com. writes: "We have been on vate practice to work at Whitaker Rehabilitation Center. I have also assumed the outpatient rehabilitation medical directorship. We left Indiana after eight years." Andrew Feinberg, MD '95, and Whitney (Orman) Whitney writes: "Andrew and I got married E-mail address is: wpalmerjr@aol.com. and have a two-year-old son, Ryan, and a Susan J. Littler, MD '91, ophthalmology in a private practice here in PhD, is an attending in Atlanta, and I am working part-time at a OB/GYN at Mt. Sinai Hospital. E-mail address is: suejlittler@aol.com. pediatric urgent care center." on November 2, 1996. We live in Atlanta baby due in June 2002. Andrew is practicing Atif Zafar, BA '89, MD '94, received the George W. Thorn Award from the University at Buffalo Alumni Association during its annual awards dinner held on April19, 2002. The award recognizes graduates under the age of 40 who have made outstanding national or international contributions to their career field or academic area. A medical computer scientist, Zafar is clinical assistant professor in the Department of Medicine at the In diana University (IU) School of Medicine and is on the staff of the Regenstrief Institute, a 25-year-old research foundation located on the IU medical school campus dedicated to the study and improvement of health and health care delivery. Gonzalo Bearman, MD '97, writes: "Regrettably, I was not able to attend the reunion this year. All is well. I am an infectious diseases and public health Fellow at Cornell University in New York City. I will finish the program in july 2003. Currently, I'm dedicating most of my time to clinical research and an MPH degree. Regards to all." Dayo (Wilson) Lanier, MD '97, wrote: ''I'm a pediatrician, living in Albany, NY, with my husband, Rob, and my nine-month old son. I took this past year off from practicing medicine to stay at home with my son, but started back to work parttime this june." Stephen Milback, MD '97, writes: "My wife, Cindi, and I now have three beautiful children ages 5, 3, and 16 months. We've enjoyed living in San Diego these past five years and look forward to a new adventure as we plan our move to Japan." E- mail address is: steve milback@hotmail.com. CONTIN U ED ON PAGE 4 8 Summ e r 20 0 2 luffale Physicia n 45 �• e .John Ambrusko, named in his honor in 1988. 2002 After military service he University of Buffalo School LTJG, he returned to Buffalo of Medicine. He was an All· in private practice. In his 80s, Ambrusko returned to Buffalo and re· John S. Ambrusko, a fonner took on the role of father to sumed his medical career, American basketball player Buffalo surgeon and Florida two grandsons, 4 and 6 serving as chief of the head and captain of the 1940 shaped the rest of Loeser's career occurred in 1953, The defining event that public health official died on years old, after their and neck service at Roswell Dartmouth team that won April 25, 2002. He was 88. mother, his daughter Sara Park Cancer Institute. He the Ivy League title. He when he fell victim to polio The youngest of nine Tokars, was murdered near also maintained a private served in the Anny during during the last major epi- children of Hungarian immi- Atlanta. Eventually her hus· surgical practice in the Buf- World War II, rising to the demic in the Buffalo area. grants, Ambrusko rose from band, Atlanta attorney falo area and served as a rank of captain. According to his brother, humble beginnings to be- Fredric Tokars, was convicted clinical professor in UB's come one of New York of arranging the murder. medical and dental schools. State's most recognized and respected surgeons. Ambrusko's wife, the Marchetta's colleagues After the war, Sullivan Eugene W. Loeser, MD '52, was on the staff of Kenmore he spent agonizing months Mercy Hospital in the Town in an iron lung, and only after further months in re- former Phyllis Eusterman, describe him as a dedicated of Tonawanda, served as died in 1998. He is survived humanitarian and skilled chief of staff and surgery at habilitation was he able to cal degree, Ambrusko be- by six daughters, Therese of surgeon whose career was Sheridan Park Hospital in ambulate sufficiently to After receiving his medicame a surgical fellow at San Francisco, CA; Gretchen marked by quiet service the Town of Tonawanda and work in the UB Respiratory the Mayo Clinic in Roches- Schaeffer of Newport Beach, to his patients. He has operated a private practice and Rehabilitation Center, ter, MN. When World War II CA; Mary Bennett of also been honored by the for many years on Kenmore where he later served as broke out, he enlisted in the Shrewsbury, NJ, Joni of many medical residents Avenue in the Town of medical director. Loeser's Navy, serving for several Bradenton, FL, Karen Wilcox he trained. Tonawanda. A sports enthu- personal experiences led years before returning to the of Buffalo, NY; and Krissy of siast, he was team physician him to introduce improve- Marchetta was a diplo- Mayo Clinic. In 1948, he Woodstock, GA; and 11 mate of the American Board for the Bisons baseball team ments in feeding and joined the surgical faculty at grandchildren. of Surgery, a fellow of the in the 1950s and for the breathing techniques to aid American College of Sur· Bills from 1960 to 1963. patients in weaning from the UB. He also opened a general surgery practice and in rank Marchetta, 1950 helped the Sisters of geons and a member and Survivors include his iron lung. In 1958 Loeser relo- past president of the wife, the fonner Mary Ferguson of Delray Beach cated to Youngstown, Ohio, Mercy found Kenmore Mercy Frank Marchetta, a re- International Head and Neck Surgical Society. Hospital, where he served as spected oncologic surgeon chief of surgery for 20 whose medical career Survivors include his years. From 1954 through spanned more than 50 1978, he was chief medical and Rose Hill, Ont.; a daugh- to become director of medi- ter, Elizabeth S. Bond of cal education for its hospital wife of 53 years, Jean; two Wellesley, MA; a son, Ken· association. During this pe- years, died unexpectedly daughters, Linda Marchetta neth F. of New York City; riod he introduced renal di- consultant to Niagara March 6, 2002, in his home Wild, MD '76, of Williams- and two grandchildren. alysis into the local hospital. Mohawk Power Corporation. on Sanibel Island, FL. He ville, NY, and Joanne was 81. Marchetta of San Francisco, After cataract surgery forced him to give up his Born in Utica, Marchetta Although he never re- 1am • Loeser: CA; a son, Dr. Charles of attended Cornell University East Aurora, NY; and five William D. Loeser, died on moved to Florida, where he prior to earning his med- grandchildren. February 11, 2002, at 79 passed the state's medical ical degree at the then- board exam and began a University of Buffalo Medical new career as public health School. After World War II, years of age. ames Sullivan, Loeser was a native of Buffalo and a graduate of he served James R. Sullivan, a former County Health Department in the U.S. in Bradenton. He also served Medical as an associate medical ex- Corps sity of Buffalo ('41). Follow- cally in his later years, but Buffalo Bills and Buffalo ing graduation from medical his good spirits and humor Bisons, died April 8, 2002, school, he trained in inter- never failed him. with the in Boynton Beach, FL, after nal medicine at Jewish a long illness. He was 85. Hospital of Brooklyn and forces of his career. Post-polio team physician for the occupation under General Douglas who became close friends and colleagues for the rest syndrome slowed him physi- aminer for the State of agency, Ambrusko was re- resume private practice and joined a group of internists Lafayette High and Univer- Florida from 1980 to 1995. As director of the Manatee gained full strength, Loeser felt the calling in 1964 to surgical career, Ambrusko director of the Manatee 46 SUMMER Sullivan graduated from Nichols School, Exeter and Loeser is survived by his wife of 55 years, Annette completed his residency Brown Loeser; a son, David, under John Talbott, MD, at of Needham Heights, MA; sponsible for building a new McArthur, attaining the rank Dartmouth College prior to Buffalo General. After a stint daughters Ellen of West health center, which was of captain. attending the then- as a naval medical officer, Roxbury, MA, and Cynthia luffale Hp i cian Summer 2002 �RELOCATION HU T REAL ESTAT E ERA Loeser Sandoval, of Daly was an Erie County medical where he practiced anesthe- City, CA; and his brother, examiner. He was also clini- siology for two decades. Eugene, of Jupiter, FL. cal instructor emeritus of rehabilitation medicine at UB. er ert S. Wolfe, Mrs. Herbert S. WoHe, RN, Survivors include his For the past 15 years, Potenza had been medical director of the health center wife of 45 years, the former at Geneseo State College. Kathryn "Katie" Siegfried; a He was also a past president writes: "After Dr. WoHe had daughter, Karen Vergo of of the Livingston County open heart surgery and he Kenmore, NY; a son, Robert Medical Society. feH better, we headed for of Santa Barbara, CA; a Texas. We located in Mission, TX, at the Bentsen cal care, often free, to indi- NY; and five grandchildren. gent patients. He received .James mr awards, and July 24, 1984, Grove Trailer Park. We en· joyed all the activities, and many community service the friends we made were was declared Lucien A. wonderful. Each year we James lmre Szabo, of stayed longer, and about Winter Garden, FL, died three years ago, we became Monday, March 18, 2002, permanent residents. "Doctor's heaHh started to fail, and each year he did Potenza provided medi- brother, Nicholas of Buffalo, at age 84. Szabo, a Buffalo native, moved to Central Florida in 1953. He was a less. He was hospitalized member of the American many times and then on Association of Physicians January 26, 2002, he went and Surgeons, American home to be with the Lord he Geriatrics Society, American Potenza Day in Buffalo. Survivors include his wife, the former Susan Baer; a daughter, Evelyn Frank of Lewiston, NY, Michael both of Amherst, NY, Andrew Bellman of loved and served all his life. Gerontologic Society. He is survived by his wife, Nancy; 59 years in June." daughters, Lisa A. Stone of and a sister, Carmello Oviedo, FL, and Nancy J., of .James N. "Bo" Menno of Cheektowaga . Gainesville, FL; son, lmre A., of Winter Garden, FL. former chief of rehabilita- Cheektowaga, NY, and Paul Bellman of Berkeley, CA; ary Miller, MD Lucien A. Gary Miller, died unexpect- Affairs Medical Center in Lucien A. Potenza, died heart attack while jogging. He was a professor of tion medicine at Veterans edly May 25, 2001, of a Batavia, NY, died March 26, April 1, 2002, in Strong 2002, in Town of Tona· Memorial Hospital, pathology and urology at wanda, NY, after a long ill- Rochester, after a brief the University of Colorado ness. He was 73. illness. He was 71. A native of Buffalo, Potenza was born in Buf· HeaHh Sciences Center in Denver, where he was also Schmitt attended Canisius falo and graduated from College and the then- Canisius High School. At the urologic University of Buffalo School University of Buffalo School cancer of Medicine he served as research. as a surgeon and lieutenant president of his class. He was commander in the Navy dur- Following the war, he • • • • • • • Nationally trained relocation experts Complete family needs analysis Global home sale assistance Special services for seniors Full community tour A complete cost of living analysis A list of all school systems throughout W NY • Complete spousal placement assistance including resume writing and corporate contacts • 24 hour o r less response time • Confidentiality assured known For over 30 years both na- Potenza maintained a gen· eral medical practice on Totally customized service portfolio including director of of Medicine prior to serving ing the Korean War. Call for a free relocation portfolio regarding your destination city. Call 1-800-688-1170 or go on-line and visit our web site at huntrealesta te .com Bellman and David Bellman We would have been married James N. "Bo" Schmitt, ...we help people move! Buffalo; six sons, Daniel of Warner, NH, Mark of tionally and internationally headed rehabilitation medi- Buffalo's west side. He was in the field of prostate can- cine at the veterans hospi- also a former president of cer research. tal, and until the mid-1970s Lafayette General Hospital, <D) Hunt ERA Relocation Center 5570 Main Street Williamsville, New York 14221-5410 Email : huntrelocation@huntrealestate.com S 11mmer 2 002 luffalo Pbysician 47 �CLASS I CONTINUED FROM PAGE 45 Kristen Andresen, MD '98, Milford, CT, writes: "After finishing my residency in internal medicine at the University of Rochester and marrying a fellow resident, I've moved to Connecticut, where my husband, Scott, is doing a fellowship at Yale. I'm presently working as a hospitalist and enjoying life with Scott and our two best friends: Shadow (black lab) and Sonner (golden NOTES retriever)!" E-mail is: skskibo@ comcast.net. Lisa E. Heichberger, MD '98, Tacoma, WA, writes: "I completed my family practice residency at Hamot Medical Center in Erie, PA, where I served as chief resident. This past year, I was granted a fellowship in Rural Family Medicine at Tacoma General Hospital in Tacoma, WA. My husband, Mark Peterson, and I presently reside in Tacoma." E-mail address is MPeter32@aol.com. Michael P. Melman, MD '99, Sue Miller, MD '99, writes: writes: "After graduation I spent a year at the NIH completing research in the field of pediatric hematology/oncology. Currently, I am a pediatric resident at Emory University in Atlanta and will be applying for a fellowship in pediatric emergency medicine. Hope all is well with my fellow alumni! E-mail address is: mpmcrew@ aol.com. "Larry and I are excited to be moving to Seattle, WA, in june. I finished my pediatrics residency at Children's Hospital of Buffalo and will be starting my fellowship in CELEBRATE THE SEASONS OF YOUR LIFE AT AMBERLEIGH 48 I u II a II Ph J sic i a 1 Summer 2002 neonatology at the University of Washington. Larry completed his MBA and is currently a consultant with Andersen. We hope everybody is doing well!" E-mail address is: smm4S@hotmail.com. E-mai �Held at the Buffalo/Niagara Marriott, THE 65TH ANNUAL SPRING CLINICAL DAY AND REUNION WEEKEND WAS A TIME FOR OLD FRIENDS AND CLASSMATES TO REUNITE AND REMINISCE ABOUT THEIR MEDICAL SCHOOL YEARS . Dean Michael Bernardino briefing the luncheon crowd on mam of the positive changes taking place at the school, as well as ongoing challenges. ..----- Stephen Pollack, MD '82, vice president for the \!edtcal Alumm Association, was ke} to makmg the day a success. �p H A R M A c 0 p 0 E .I A OF MEDICINE COLLECTION PRESENTS PHARMACOPOEIA This illustration was digitally reproduced from offizinellen Gewachse, a four - volume edition of pharmaceutical plants and their medicinal uses , published in German in 1863. The pharmacopoeia by Otto Karl Berg (18I5I866) is part of the Rob e rt L. Brown History of Medicine Collection , located in the Abbott Hall Health Sciences Library. Pi ctured is the Pomegranate, one of a series of botanical images digi tally restored as part of an initiative to preserve and highlight unique r e sources from the library's collection. Reproductions are available for purchase through the library, and can be viewed online at iMedia. buffalo .edu/ art/ . Image restoration was performed by iMedia , the instructional media se rvices department of Computing and Info rma tion T echnology, University at Buffalo. b, R P 000 3- 02 .E � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 2002 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2002-Summer Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v37n01-2002-Summer Table Of Contents A list of subunits of the resource. Sound Science A Child Abused, but Not Forgotten Alumni Medical School Pathways Spring Clinical Day Reunion Photos Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-14 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v37n01 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 2002 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/b3def877e14766f5a9307dce69790cf0.pdf aea8e1a006e8e9754fc81f41174dba71 PDF Text Text �hffale P~ysician ASSO CIATE VICE PRESIDENT FOR UNIVERSI TY COMMUNICATIO NS Dr. Carole Smith Petro DIRECTOR OF PERIODI CALS Sue Wuetcher Dear Alumni and Friends, EDITOR Stepl1a11ie A. U11ger ART DIRE CT OR & DESIG N Alan f. Kegler AST SPRI ·c, YOL READ ABOVI the pride and excitement we felt when Governor George Pataki p roposed in his "State of the State" address that Buffalo be designated the site for a world-class Center of Excellence in Bioinformatics-a collaborative effort involving the state, industry partners and area academic institutions. In january 2002, this proposa l moved one step closer to rea lity, when Governor Pataki visited Buffalo to announce $200 mi ll ion in state and private-sector funding for the center (see article on page 14 for details on this announcement). The Center of Excellence in Bioinformatics-combined with the establishment of the Strategically Targeted Academic Research (STAR) Center for Disease Modeling and Therapy Discovery in Buffalo-will have a sign ificant influence on the types of basic research we will be conducting at our school in the decades ahead. It will also affect the growth and development of our school's faculty because we will be hiring individuals to fi ll positions that will mesh with the center's goals. Working synerg istically, these two ce n ters-with the aid of supercomputers-will place our school in an excellent position to take a lead role in research that will help provide a better understanding of interactions between molecules and proteins, and disease states and genetics. Ultimately, such studies hold great promise for the timely development of novel drugs, as well as the discovery of new, more viable ways to manage and treat disease. DE SIGNER David f. Riley DESI GN A SS ISTANT Kare11 Lichner Co NTRIB UT ING WRITERS Lois Baker and Elle11 Goldbaum PR ODUCT I ON COO RDI NATO R Cynthia Todd-Flick UNIVERSITY AT BUFFALO S CHOO L OF MEDI CINE AND BIOM EDI CA L S CIE NC ES Dr. Michael Bemardino, D ea 11 E DIT ORIAL BOARD Dr. john Bodkin Dr. Marti11 Brecher Dr. Harold Brody Dr. Linda f. Corder jason Hoffman II, Class of 2004 Dr. james Ka11ski Dr. Eliz abet/1 Olmsted Dr. james R. Olson Dr. Steph e n Spaulding Dr. Bradley T. Truax Dr. Frat1k/in Zeplowitz The establishment of the Buffalo Center of Excellence in Bioinformatics is extremely important to our school, and we will continue to update you on the progress of this exciting venture in the months and years ahead. I am also p leased to announce that Suzanne Laychock, PhD, professor and associate chair of the Department of Pharmacology and Toxicology at UB, has agreed to serve as the T EAC HI NG H OSPITALS Erie County Medical Center Roswell Park Cancer In stitute Veterans Affairs West ern N ew York Healthcnre Syst em K ALE I DA H EAl T JI : significant role in determining what research will be conducted at our school in the future . Th e Buffalo General Hospital Til e Cl1ildren 's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital She will also help deter mine how resources will be allocated for th is research and will C A TH O II C new senior associate dean for research at our school, replacing Bruce Holm, PhD, who has been named a senior vice provost at UB. In her new position Dr. Laychock wi ll have a oversee the recruitment and hiring of new research facu lty. Recent data provided by the Association of American Medical Colleges (AAMC) indicates that our school's performance in basic and clinical research is very good and, as a result, UB has moved up in AAMC rankings in this area. Certainly this improvementalong with the recent steps made toward establishing a center in bioinformatics-gives us H EAcr u S rsrE M: Mercy Health System Siste rs of Clwrity Hospital Niagara Falls Memorial Medical Center @ UNIYEISITY lT IUFFlLO. THE STATE UNIYEISITY II NEW Ylll a positive context within which to work as we strive to conduct research that will help reshape the fie ld of medicine as it enters the new era of proteomics and genomics. Finally, I would like to announce that in the coming year we are planning to recruit new faculty in surgery, pediatrics, neurology and medicine. Currently, we are conducting national searches for chairs of surgery, neurology and rehabilitation medicine, and !look forward to updating you on these once completed. MI C HAEL E. BERNARDINO . MD , MBA Dean, Sclwol of Medicine a n d Biomedica l Sciences Vice President for Hea lt h Affairs Letters to the Editor Buffalo Physician is published quarterly by the University at Buffalo School of Med icine and Biomedical Sciences in cooperation with the Office of Communications. Letters to the Editor are welcome and can be sent c/o Buffalo Physician, 330 Crofts Hall, University at Buffalo, Buffalo, NY 14260; o r via e-mail to bp-notes@buffalo.edu. The staff reserves the right to edit all submissions for length and clarity. T~ ~ University at Buffalo T11e State University ofNew York �V 0 L U M E N U M B E R 36, 0 Features 2 Minimal Access Surgery for Kids Buffalo's pediatric surgeons are leaders in performing and teaching laparoscopic surgery BY 16 24 S. A. UNGER APlace for Business in Medicine A student's perspective on UB's new MD/MBA Program BY Jennifer Wiler, Class of 2003 Imaging and Imagination A look back at a decade of research: Pet Center marks its tenth anniversary The Buffalo Center of Excellence in Bioinformatics receives $200 million in state, federal and private-sector support. Article begins on page 14. BY ALAN LOCKWOOD, MD COVER PHOTOGRAPH, CLOCKWISE, FRONT RIGHT, PEDIATRIC SURGEONS PHILIP GLICK, MARC LEVITT , M I CHAEL CATY , AND GuY BRISSEAU 15 ational Science Foundation grant bolsters computer storage capacity 21 Sung and White scho larship recipients Alpha Omega Alpha scholars inducted 22 Orvan Hess, Class of 1931, a pioneer in fetal-heart monitoring 30 Suzanne Laychock, PhD, named senior assoc iate dean for research 31 Maxine Hayes, 36 Message from MD '73, honored by theAMA 37 james Platt 33 ew faculty at Society Roswell Park 42 News from your UB classmates and other alumni the directorthe cost of medical education then and now White Society 40 Edmund Hayes ~- \ I\ JUN ' 5 ���NE OF THE THINGS THAT IS DIFFERENT ABOUT OUR PROGRAM in Buffalo compared to others around the country is that our entire faculty has embraced the goal of converting over to minimally invasive surgery as a way to think about every operation;' says Glick, who also serves as interim chair of surgery at the University at Buffalo and professor of surgery and pediatrics. "Five years ago, each faculty member made a commitment to this and said, 'I'm on board.' We decided we were going to learn together, sharing both our successes and our mistakes," he adds. ''Although the learning curve was just as steep, I believe we got to the flat part of the curve much quicker than we would have otherwise." At the time they began the transition, the surgeons at CHOB were applying minimally invasive surgical techniques to about 5 percent of their cases; currently, they are up to about 50 percent, and their goal is to eventually reach 100 percent. Convinced that these proven techniques provide a host of benefits to patients and their families, as well as savings in healthcare costs, they now want to do for other pediatric surgery training programs in the country what they've done for their own. "There are some programs out there that are still at 5 percent, so the children in those cities are not benefiting from these great techniques," says Glick. "We'd like to help change that." An Operating Room with a View The new MASC includes two state-of-the-art operating rooms custom-designed for the performance of multidisciplinary, minimally invasive surgery, including laparoscopy, thoracoscopy, endoscopy, arthroscopy and cystoscopy. All equipment in each room is suspended from ceiling booms and is totally automated by a voiceactivated computer controlled by a headset worn by the surgeon. Simply by talking into this headset, he or she can direct all the equipment located on the booms, in cluding flat-screen televisions used to view procedures in real time as transmitted from cameras embedded in the tips of the endoscopes. [n addition, cameras built into the lights above the operating table capture on-screen a bird's-eye view of what the surgeon is seeing with his or her own eyes. Situated unobtrusively in the corner of each room is a "communication control center" that allows images captured by these cameras to be telecast to any location in the world equipped for teleconferencing, which provides the MASC with expansive telesurgery and "telemen to ring" capabilities. I u f fa I o Physician Spri11g 2002 On October 10, 2001, the first live operation from the MASC was broadcast to a meeting of the American College of Surgeons in New Orleans. On March 15, 2002, a second surgery was broadcast from the MASC to a meeting of the Society of American Gastrointestinal Endoscopic Surgeons in New York City. Also located within the MASC are state-of-the-art conference room facilities and an observation room, where medical students or other visitors can view surgical procedures being performed and telecast on a highresolution screen mounted in the room. Surrounding this minimalistic surgical environment are walls and ceilings painted with soft blue clouds and floating teddy bears. Children can select a cartoon movie from a collection of 20 videos donated by Warner Brothers and watch it on the four television screens in the operating room while anesthesia is administered. Or they can choose to play Xbox games donated by Microsoft. "So the kids go off to sleep watching the cartoon or playing the games," says Glick. A New Way to Teach and Train Students I eveloped in tandem with the MASC is the Miniature Access Teaching, Training and Research (MASTTAR) Center, housed in the Biomedical Research Building on the campus of the University at Buffalo School of Medicine and Biomedical Sciences, located five miles from CHOB. This $900,000 center-linked fiberoptically to the MASC- is a component of the Buffalo Center of Excellence in Bioinformatics (see related article on page 14) and is supported by the university for the purpose of teaching medical students, residents, fellows, nurses and technicians about minimally invasive surgery. The idea to make the MASTTAR Center a component of �l the Center ofExceUence in Bioinformatics was championed by Bruce Holm, PhD, former senior associate vice president for health affairs at UB, who was recently named a senior vice provost at the university. "Bruce Holm's efforts have been an essential component of the MASTTAR," explains Marc Levitt, MD, UB assistant professor of surgery and pediatrics and medical director for both the MASC and the MASTTAR Center. "Several years ago, he foresaw how it could be a part of the bioinformatics center, and because of his involvement from the start, the university has been extremely supportive of the MASTTAR Center by providing a significant amount of funding, as well as by encouraging multidisciplinary collaborations with engineers, computer scientists and others on campus." he MASTTAR Center includes an eight-station laboratory that is used to conduct basic-science projects and minimally invasive surgery training courses. Located adjacent to a fully-equipped surgery suite that is used in conjunction with this training, the MASTTAR Center also houses cutting-edge computer facilities, fiberoptic connections and office space available for personal computing needs, including data storage and reduction, statistical analysis and graphic presentation. Also located in the center is an $850,000 Zeus surgical robot donated by Computer Motion. This highly sophisticated robot is an earlier model of one that is located in Buffalo General Hospital's (BGH)* Center for Less Invasive Cardiac Surgery and Robotic Heart Surgery, which is directed by Hratch Karamanoukian, MD, a UB assistant clinical professor of surgery (see page 9 for details on a robotic heart surgery trial currently under way at this center). "Dr. Karamanoukian is one of the premier cardiac surgeons in the country, and he routinely performs coronary anastomoses with the Zeus robot," says Levitt, who adds that Karamanoukian collaborates on a number of projects at the MASTTAR Center. "Basically, Dr. Glick worked out a deal with Computer Motion, where they gave Dr. Karamanoukian a newer model of the robot, and the MASTTAR received the older one he had been using." In the future, surgeons fully expect that robots will merge with minimally invasive surgery to provide surgical applications that could only have been imagined a few years ago. For example, NASA and the military are interested in this technology, which, theoretically, could allow an operation to be performed on an astronaut in space by a surgeon on Earth, or on a soldier on a battlefield by a surgeon located miles away at a secure site, according to Levitt. These scenarios recently took one step closer to becoming a reality when Michel Gagner, MD, a surgeon at Mount Sinai Hospital under whom Levitt trained, performed a Spri11g 2002 Bu If a I o Ph ysi cian 5 �(bottom right) (bottom left) The stmulator was donated to the MASTTAR by Computer Motion. �laparoscopic gallbladder operation on a woman in France from his office in New York City. " In addition to these applications, the reason we're interested in robots is because they can do repetitive motions in very small places, very accurately, and eliminate any tremor a surgeon might have, so you can be incredibly precise," explains Levitt. In pediatric surgery, this instrumentation would be particularly advantageous for such procedures as esophageal repairs on newborns, according to Glick. It would also be a valuable tool for ligating extra blood vessels between the heart and lungs in a procedure called patent ductus arteriosus ligation, and may have some applications to biliary atresia, where surgeons sew extremely small pieces of the intestine to the liver and bile ducts. A t the MASTTAR Center, Glick and his colleagues also are working to develop and test a wide variety of new equipment and technologies related to minimally invasive surgery. Currently, for example, they are collaborating with a multidisciplinary Surgical Simulator Team to develop a next-generation laparoscopic virtual-reality surgery simulator in partnership with two companies: Mentice Corporation, of San Diego; and Silicon Graphics, of Mountain View, California. Members of this team include Christina Bloebaum, PhD, UB Professor for Competitive Product and Process Design and director of the ew York State Center for Engineering Design and Industrial Innovation (NYSCEDII) on UB's orth Campus; and Eliot Winer, PhD, UB research assistant professor of engineering and applied sciences and the associate director ofNYSCEDII; Thenkurussi Kesavadas, PhD, UB assistant professor of mechanical and aerospace engineering and director of the UB Virtual Reality Laboratory; Russ Miller, PhD, UB professor of computer science and engineering and director of the university's Center for Computational Research (CCR); and Thomas Furlani, PhD, associate director of CCR and UB research associate professor of chemistry. Each of the three entities that makes up the Surgical Simulator Team provides specialized expertise that makes this project possible, according to Glick and Levitt. CCR primarily provides the computing power and knowledge; YSCEDII provides advanced virtual-reality technology; and the VR Laboratory is contributing groundbreaking work on hap tics. "Haptics involves, for example, a surgeon using virtual-reality technology to pick up an instrument on the computer screen and being able to feel its weight and consistency with his hand," explains Levitt. The surgical simulator under development at the MASTTAR Center will have two specific applications. The first is preoperative planning, where radiographic images, such as CAT scans or MRis, are burned onto a CD and loaded in a computer, where the images are reconstructed in three dimensions. "If you have a patient with a tumor in his liver, which has a lot of blood vessels around it, you could reconstruct the liver in three dimensions and then remove certain components of the anatomy to see how close the tumor is to the main blood vessels," says Michael Caty, MD, a CHOB pediatric surgeon and UB associate professor of surgery. "This is work we have already done, and it can help the surgeon avoid potential problems and discover safer approaches to take." The second application being developed is one that will enable an individual to simulate an operation on the computer for training purposes. "If you had a surgical resident learning to remove a gallbladder," says Levitt, "she could perform the whole operation before she met her first patient. It's just like the flight simulators used by the airlines, and in both cases it really enhances safety." In addition to these and other research and development projects, Glick has established a clinical laboratory at the MASTTAR Center that focuses exclusively on minimally invasive surgery. He explains that surgeons working with adults have recently begun to examine how minimally invasive surgery affects the physiology of their patients; however, few such studies have been conducted in the pediatric population . "Our goal, therefore, is to explore how this type of surgery impacts on the physiology of children," says Glick. "For example, when you insufflate the abdomen of a fivepound infant with carbon dioxide [in order to create a hollow space so you can perform a minimally invasive Spring 2002 Buffalo Physician 7 �surgical procedure], what exactly is going on in that little baby? This is the type of question we are asking in our research." Stitching in the Curriculum Piece Glick is tremendously enthused about ways in which these research projects and the technologies made available through the MASTTAR Center will affect the training of medical students and surgical residents at UB. He also feels the center can play a role in reversing trends in medical education over the past decade that have resulted in fewer students choosing surgery as a career. "Over the past 10 or more years, because there has been such an emphasis on primary care, students have lost valuable contact time with surgeons and other specialists and, as a result, some of the best students have been turned on to things other than surgery," explains Glick. 0 etermined to do his part to counter this trend, Glick has embarked on an effort to build what he calls "a farm team for the Department of Surgery." To accomplish this, he has begun a surgical interest group (the "SIG") at UB for first- and second-year students, and he is working with administrators to introduce changes in the curriculum that, among other things, will expose students to stimulating new laboratory experiences. Guy Brisseau, MD, CHOB pediatric surgeon and UB assistant professor of surgery and pediatrics, is collaborating with Glick on the details of this new secondyear elective. There are inducements for third-year students, as well. On the first day of their surgery rotation, the students are brought to the MASTTAR Center, where they begin learning basic hands-on skills, such as suturing, the placement of chest tubes and endotracheal intubation. Also, students can test their hand-eye coordination by attempting to take balls from one beaker and place them in another using the laparoscopic virtual reality-surgery simulator/trainer (the same simulator for which the MASTT AR Center researchers are working to develop a next-generation model). "The student's proficiency on this trainer is really amazing," notes Levitt. "If you took a senior surgeon and put him next to a third- or fourth-year medical student on the virtual-reality simulator, the student would do better because they have grown up playing video games and so 8 Bu ff a l o Physicia n Spring 2002 are used to looking at a TV screen while working with their hands. People 50 years and older never did this as children. The computer can record how quickly the students learn these skills, and they are very adept right away." Glick is also developing an entirely new curriculum and training for pediatric surgical residents, a goal he says the MASTTAR Center is "totally suited to support." Recently, he created a teaching program in miniature access surgery for third-year residents aimed at helping them to acquire a clearly defined set of surgical skills prior to being allowed to work in an operating room. "In England, they're very into this kind of'programmed learning,"' notes Glick. "Basically, you have to be credentialed in certain skills before you can operate on humans. In this country, a lot of teaching has been done in the OR, but we're going back to the basics now and our residents are going to have to be credentialed in certain skills before they can progress to the operating room." Alan Posner, MD, UB assistant professor of clinical surgery and chief of laparoendoscopic surgery at Erie County Medical Center (ECMC) and Buffalo General Hospital, will collaborate with Glick and others to help train the residents in acquiring these skills. In addition, ECMC has been fiberoptically linked to the MASTTAR Center, and in February 2002 Posner taught a course on nephrectomy for urologists. For the course, a nephrectomy was performed at ECMC and broadcast live to a conference room on UB's campus. In addition to medical students and residents, practicing surgeons-many of whom attended medical school before minimally invasive surgery was taught-now are being retrained in these techniques utilizing teleconferencing and "telementoring" capabilities at the MASC. In reference to this latter mode of training, Glick explains that there are a number of new operations he and his colleagues have developed and want to teach to others, but they don't have time to travel to locations to be present with surgeons who are performing the operation for the first time on their own. Instead, the surgeons can come to Buffalo to train and when they return home to a facility whose operating rooms are equipped with teleconferenc- �ing capabilities, they can then perform the new procedure while being closely monitored by a CHOB surgeon situated in the MASC conference room. A key to taking the center's teleconferencing capabilities to such an advanced stage is an ongoing collaboration between MASC faculty and Lisa Stephens, associate director for Distance Learning Operations at UB. Due in large part to the technical assistance provided by Stephens and her group, the MASC this year is offering six postgraduate teleconferencing courses, not only to physicians, but to nurses and technicians, as well. The first course, held on January 26, 2002, was attended by 80 operating room nurses and technicians representing 30 hospitals in five different cities in Western New York. f or the past five years, a course has been taught at Miami Children 's Hospital to train pediatric surgery fellows in pediatric laparoscopy. This year, the course moved to Buffalo, where it was taught by the CHOB pediatric team of Glick, Levitt, Caty and Brisseau. Joining this team as v1s1tmg professors were four other leading pediatric surgeons from around the country, including Raleigh Thompson, MD, Steve Rothenberg, MD, Keith Georgeson , MD, and Thorn Lobe, MD. Held in April 2002, the course was attended by more than 20 pediatric surgery fellows from across orth America. In addition, a pediatric laparoscopic fellow, funded by Ethicon Corporation, currently is being trained at CHOB in minimally invasive surgery. The fellow, )oselito Tantoco, MD, is from the Philippines; after two years he will return to his homeland, where he will be the only pediatric surgeon trained in these skills. Another exciting development is the completion of a fiberoptic connection between the MASC and Butler Auditorium in UB's School of Medicine and Biomedical Sciences, which equips that venue with telesurgery capabilities. The new telecommunications system was unveiled on March 19, 2002, for a class on minimally invasive surgery sponsored by UB's Mini Medical School , which seeks to educate the community about science and medicine. More than 300 people attended the class, which was taught by Glick while Levitt simultaneously performed an operation at CHOB, key portions of which were telecast live in Butler Auditorium throughout the lecture. "Our multifaceted approach is the thing that sold our program to our corporate sponsors," Glick says, explaining that the MASC and the MASTTAR Center are supported by grants from the Stryker Corporation; Ethicon Endo-Surgery, a subsidiary of johnson and Johnson; Berchtold Corporation; and Steris Corporation. The MASC has also been supported by the Children's Hospital of Buffalo Foundation, and the MASTT AR, by funds from UB. "There are many people knocking on the doors of corporations, saying they want to be a center of excellence," adds Glick. "But what made us unique is that we were the first pediatric group to approach these sponsors and offer them the clinical excellence, as well as teaching, training and research, in one program. " CD *Children 's Hospital of Buffalo and Buffalo General Hospital are part of the Kale ida Health System. Sp r i11g 2002 luflalo Physician 9 ��inimally invasive surgery is the antithesis of the traditional "open access" approach to surgery in which an operation is performed through an incision in the body large enough to accommodate a surgeon's hands wielding a scalpel, suction tubes or other instruments. Alarge, open wound brings with it collateral tissue damage, risk of infection, pain and alengthy recovery, not to mention permanent, often prominent, scarring. The ability to perform surgery through small "ports," or keyhole incisions, became possible with the invention of the endoscope, a rigid or flexible tube a few centimeters in diameter equipped with a light and camera at one end. By introducing the endoscope and other tiny instruments into small, strategically located incisions via conduits called "trocars," surgeons can complete almost any task. Gynecologists have been performing laparoscopic procedures for several decades; in many ways, they pioneered the field of minimally invasive surgery as we know it today. The first laparoscopic cholecystectomy (gallbladder excision) was performed in 1987, and since then laparoscopy has been applied to many surgical problems, leading some to predict that minimally invasive surgery will make up greater than two-thirds of operating room cases in the near future. Despite its success in adults, however, this form of surgery was rarely used in infants and children until recently. "There was a lot of resistance to minimally invasive surgery in pediatrics, and some was for bad reasons that have taken us a decade to get past," says Philip Glick, MD, surgeon-in-chief at Children's Hospital of Buffalo (CHOB)*, executive director of its new Miniature Access Surgery Center (MASC) and UB professor of surgery and pediatrics and interim chair of the Department of Surgery (see previous article). These reasons include the fact that postoperative pain in children was not well understood and was underestimated, so the need for a more minimal approach was not deemed necessary. Also, because pediatric surgeons prided themselves on making small incisions to begin with, the advantages of Spring 2002 I u If a I o Phy s i ci an 11 �even smaller incisions were not at first recognized, but instead dismissed by early critics of laparoscopy in pediatrics as merely "cosmetic." Other major stumbling blocks were the steep learning curve for minimally invasive surgical techniques and the fact that the equipment was costly and time consuming to set up. Finally, the unavailability of instruments that were small enough in size for infants and children served to effectively stymie those few pediatric surgeons amenable to exploring these innovative surgical procedures. Over the past five years, Glick and his colleagues at CHOB have played a leading role in surmounting many of these barriers, as well as in pioneering new minimally invasive surgery techniques for use in children that, ironically, now are being adapted by surgeons working with adults. A Quest to Move the Field Forward 8 ecause there are 35,000 general surgeons in the United States and only 400 pediatric surgeons, the manufacturers of medical instrumentation were not interested in downsizing their tools for use in pediatrics, claiming that the market was not big enough. "It took a few companies to believe in what we were doing to realize that we were going to push the envelope on this technology, and then they started miniaturizing the equipment for us about five years ago," says Glick. So, instead of 10- to 12-millimeter telescopes-about the size of a chunky pen-pediatric surgeons now can use three- to five-millimeter tools that also have been shortened in length. The new instruments have proven so effective that general surgeons have started using them, especially in adults for whom scarring is a concern. With the new instruments on board, other barriers began tumbling, and minimally invasive surgery in children has taken off at a brisk pace, especially given the obvious benefits to patients and the bottom line for hospitals. "The benefits of minimally invasive surgery for children are significant," says Marc Levitt, MD, UB assistant professor of surgery and pediatrics and medical director for the MASC and the Miniature Access Teaching, Training and Research (MASTTAR) Center at UB. " It leaves little or no scarring, and the risk of pul monary problems is greatly reduced. Also, the chil dren have shorter hospital stays, and once they are discharged they can return to school and normal activities. Essentially, after most of these operations 12 I u If I II P h J s i e i a n S p ri 11 g 2 00 2 there are no restrictions on their activities." Levitt says that evidence is now pointing to a correlation between a decrease in pain due to the smaller incisions and the decrease in pulmonary complications. "Because they have less postoperative pain, they are better able to cough and breathe deeply," he notes. In addition to improved patient care, the equipment and instruments that have been developed are resulting in reductions in healthcare costs. The state-of-the-art operating rooms in the MASC can be readied for surgery with the flip of a switch, in comparison to the lengthy and labor-intensive set-up procedures required for minimally invasive surgery in years past. "We basically have a 'preflight' checklist, where the nurses walk into the OR and in five minutes it's ready to go; all they have to do is set up the sterile equipment," says Levitt. In addition, recent studies have shown that the dollars saved in turnaround time for these operating rooms-where six to eight cases can be done in a day instead of just four- will pay for them in a short time. Leaving No Procedure Unturned By having all the latest equipment and instrumentation at their fingertips, the pediatric surgeons at CHOB have become innovators in their field, challenging themselves and their peers to take a fresh look at all procedures, leaving none overlooked. What they are finding is that many surgeries not only can benefit from the adaptation of minimally invasive techniques, but in some cases can be converted over to these new techniques exclusively. An example of such a surgical procedure involves the treatment of Hirschsprung's disease, a congenital disorder in which the bowel malfunctions, resulting in severe constipation. This condition once required three separate operations during a baby's first six months of life, with each surgery involving a five- to seven-day hospital stay. Using a laparoscopic approach, surgeons at CHOB now perform one three-hour operation that requires no incision. The procedure is done during the first month of life, and the baby can go home in one or two days. "We've done 20 of these operations using telescopes. This gives us a lot better visualization and mobilization from above, which makes the operation safer," says Michael Caty, MD, who, along with Levitt, performed this procedure at the MASC while it was being broadcast live to a group of several hundred surgeons watching it on a screen at the annual meeting of the American College of Surgeons in ew Orleans in October 2001. Caty and Guy Brisseau, MD, along with Glick and Levitt, �make up the pediatric surgery team at CHOB and are the only pediatric surgeons in Western New York. Building on this work, these surgeons have begun using trocar-less surgery in exceptionally small babies in need of minor operations. "Instead of using a trocar, we introduce the surgical instruments directly into the abdominal wall through a three-millimeter incision," says Glick. "This greatly reduces scarring, and it allows you the flexibility of putting the instru- to eight hours to complete. ow, with the assistance of the pediatric surgeons at CHOB, the orthopedists are using thoracoscopic techniques to complete this phase of the surgery, reducing it to a two- to three-hour process and avoiding a large incision. The pediatric surgeons' role is to insert all the trocars and camera instruments for the orthopedic surgeon. Once this is done, they can either go down the hall to the MASC conference room, where they can observe the procedure via telesurgery, or they can go next door to perform their own surgery while still being available to communicate with the orthopedic surgeons should the need arise. ments tn anywhere you want. In the past, we were very rigid about where we placed our trocars, but now we understand that this can be cus- As they eagerly look to the future to explore how other minimally invasive techniques can be incorporated into surgical procedures, the pediatric surgeons at CHOB take pride in the fact that they consider no operation outside the bounds of their scopes. "When we started doing minimally invasive surgery here five years ago, it involved about 60 of the 2,000 cases we complete each year. ow we're up to about 1,000 cases," says Glick. "And the ones we're not doing, we're still asking ourselves, ' Can we do it?' Right now, the answer is, 'We can't,' but we keep asking ourselves that question every day, and as the equipment gets better and we gain more experience, we'll be approaching 100 percent. It's just a matter of time." CD tomized for each operation." The CHOB surgeons also are collaborating with specialists in other fields to develop innovative alterations to surgical procedures that significantly affect quality of life and outcomes for patients. A dramatic example of this is the work they've been doing with orthopedic surgeons to correct spinal deformities resulting from congenital scoliosis. In this procedure, the orthopedic surgeons at CHOB-Robert Galpin, MD, and Douglas Armstrong, MD-must first release the ligaments on the child's anterior spine, after which the patient is turned over and the corrective hardware inserted. In the past, using the traditional open-surgery approach, the surgeon had to make a large incision across the chest or the abdomen to access the spine and release the ligaments, a process that took six *Children's Hospital of Buffalo is part of the Kaleida Health System. Lois Baker, senior editor in News Services at the University at Buffalo, contributed to this story. Sp r i 11 g 2002 l ullala Physician 13 �RESEARCH E W S Bioinformatics Center Receives 8200 Million Bv ELLEN GOLDBAUM -Merging of high·end technologies to foster advances inhealthcare and science n December 6, 2001, ew York State Governor George E. Pataki announced $50 million in state funding and more than $150 million in private-sector funding for the Buffalo Center of Excellence in Bioinformatics, a collaborative effort involving ew York State, industry partners and academic institutions. Building on the emerging discipline of bioinformatics, which uses the power of supercomputers to interpret data in the biological sciences at the molecular level, the new center will merge high-end technology, such as supercomputing and visualization, with expertise in genomics, proteomics and bioimaging to foster advances in healthcare and science. First proposed in January 200 l by Pataki, the Buffalo Center of Excellence in Bioinformatics is an integral part of the governor's plan to develop centers of excellence across the state to harness the strengths of universities and the private sector to create strategically targeted hightechnology centers of innovation, all aimed at spurring economic development and creating jobs. Since that initial announcement, the Buffalo Center of Excellence in Bioinformatics has attracted funding from major national corporations. In December, Pataki acknowledged that efforts to garner such funding were bearing fruit and that the center "will go forward. " In addition to an "initial installment" of $50 million from New York State, he announced the following commitments in software, hardware, venture capital, cash and equipment from the industry partners 14 I u I I a II Physic i a a S prir~ g 2 00 2 to date: Veridian will contribute $62.5 million; Compaq, $42.6 million; Informax, $20.8 million; and a group ofWestern New York businesses is investing 15 million. Stryker Communications is providing $7.2 million to create a communications network for the center (see related article on page 2), and Dell Computer Corporation and Sun Microsystems Inc. together are providing more than $1 million. Other partners include Invitrogen Corporation, Q-Chem, SGI, Amersham Pharmacia Biotech, AT&T, Wyeth Led erie, Human Genome Sciences, Inc. and the Alfred P. Sloan Foundation. The level of the commitment of New York State and the industry and academic partners, Pataki said, will assure that the center will be "the state-of-the-art facility, not just in the United States, but in the world"; and he also predicted that the center "will transform Western ew York into a 21st-century economy." On behalf of the University at Buffalo, which is taking the lead among the center's academic partners, UB president William R. Greiner thanked Pataki for his vision, leadership and continuing commitment to Buffalo- iagara. "It is much appreciated in this region," Greiner said, "and we will work to make you proud." In addition to support from the state, the Buffalo Center of Excellence in Bioinformatics will receive funding from the federal government. On December 7, Representative Thomas Reynolds an nounced that $3 million had been earmarked for the center in the House version of the defense appropriations bill. Senator Hillary Rodham Clinton worked hard to supplement this allocation in the Senate, and on December 21 she and Representative Reynolds announced $3.1 million in funds from two separate Congressional appropriations, providing important start-up costs for the initiative. The Buffalo Center of Excellence in Bioinformatics will be headquartered in a 150,000-square-foot facility to be built on the Buffalo-Niagara Medical Campus (formerly known as the "High Street medical corridor") and will house drug-design and research laboratories, high-performance computational facilities, 3-D visualization capabilities, product commercialization space and workforce training facilities. The center is a natural progression of the pioneering work that the center's major research partners-the University at Buffalo, Roswell Park Cancer Institute and the Hauptman-Woodward Medical Research Institute- have been doing for years in the areas of high-performance computing and visualization, structural biology, genomics, proteomics, pharmaceutical science and �generation of custom gene "chips" through the generation of DNA microarrays. Global link for Bioinformatics Center In a related development, the University at Buffalo has entered into a new hightechnology partnership with Biopharma Ireland, Ireland's new national institute focused on biopharmaceutical research and development, giving the Buffalo Center of Excellence in Bioinformatics an important international connection. UB and Columbia University were named as Biopharma Ireland's first U.S. partners in an announcement made on March 27, 2002, by U.S. Senator Hillary Rodham Clinton. Biopharma Ireland was established by Dublin City University and Athlone Institute of Technology to promote research leading to the discovery of new pharmaceuticals and to the creation of new companies and investments based on that research in Ireland and ew York State. "As a true Center of Excellence we need not only national, but international, connections and recognition," says UB Provost Elizabeth D. Capaldi, PhD. "Ireland has strong computer and pharmaceutical industries and is an ideal partner for our bioinformatics effort. We are pleased to be able to have Biopharma Ireland as a partner." Bruce Holm, PhD, UB senior vice provost and the university's representative at the announcement, notes, "It only makes sense that as a center of excellence, Buffalo's bioinformatics center should be linked with other centers of excellence. "In particular, Ireland has made substantially more of an investment in pharmaceutical research than most other places in the European community," he says. "With our partners in Ireland, as well as with Columbia, this is a natural, complementary partnership for UB." The pharmaceutical companies Elan, Wyeth (a subsidiary of American Home Products) and Schering-Plough recently have made major investments in Ireland. Biopharma Ireland also is putting resources into developing spin-off biotech companies that will benefit both Ireland and New York State. UB's partnership with Biopharma Ireland has its roots in previous research collaborations with Irish institutions facilitated initially by the Atlantic Corridor USA, a Buffalo-based, non-profit alliance created to link the NAFTA and European Union markets. Last semester, UB's Institute for Lasers, Photonics and Biophotonics and the Hauptman-Woodward Medical Research Institute hosted visiting researchers from the University of Galway and the Athlone Institute of Technology. UB has been partnering with Columbia University on the Northeast Structural Genomics Consortium, a $25 million project involving nine institutions to study structural genomics, a new field dedicated to determining gene function by defining the protein structure encoded in a gene's D A sequence. UB's Center for Computational Research, one of the world's leading academic high-performance computing sites, serves as the computational backbone for the ational Institutes of Health-funded project. ( D Sp r i 11 g 20 0 2 Buffalo Physician 15 �16 lallala Hysiciaa Spri11g 2002 �Sprtng 2002 1111111 .. JSICIII 17 �hile the general public may not fully understand how business skills can help today's physicians function more effectively in our complex health care economy, medical students do-and increasingly they are seeking ways to obtain these skills. In response to this growing demand. UB'sSchool of Medicine and Biomedical Sciences teamed up with the School of Management in 1997 to design an innovative program aimed at providing business skills to medical students. This collaboration has since resulted in the formal establishment of an MD/MBA program at UB, which last spring matriculated its first graduate. The new program, one of MBA student Michael Chilungu, Class of neurship, which may help them to open 17 MD/MBA programs in the 2003. " I see a need for physicians who are their own practices, participate in hospital country, was designed to allow medical students to obtain a dual degree in medicine conversant in the business aspects of medi cine to serve as an antidote to this problem. administration, serve as managers in health maintenance organizations, or simply and management in five years, instead of the l t is they who can best reconcile the need for improve their understanding of personal six it would take if the degrees were earned sound financial management with quality finance. independently. Students enrolled in the pro- patient care." gram spend years one and two completing gram is that students are required to complete traditional preclinical medical school also Class of2003, had no previous business a semester of internship training, which helps coursework. They then spend the following experience before entering the MD/MBA ground coursework in the realities of the year as full-time MBA students, after which program. Instead, she credits her clinical market economy. To date, UB students have they return to medical school to complete experience in medical school and intern- completed internships that have involved their third-year medical clerkships and the ships at Independent Health as her primary performing quality assessment research in required fourth-year medical rotations. They conclude the five-year dual-degree motivation to better understand the business of medicine. Erie County Medical Center's Emergency Department; developing and facilitating a "I became interested in the program after course in medical ethics; working as an ac- The reasons students cite for entering the I began working with physicians during my countant; and assisting in product develop- program are as eclectic as the choice of a outpatient experiences as a first-year stu- ment and strategic planning at Cognigen medical specialty. Some report having felt intimidated by financial jargon, others say they have been unsure of what will be dent," says Perez. "I realized that most phy- Corporation, a local firm that performs sta- sicians were overworked, pressured for time and very frustrated with the effect managed care is having on them and their practices. tistical analysis and consulting services for global pharmaceutical organizations. program with a semester of MBA classes. required of them to run a private practice, while still others are drawn to an opportunity to explore a subject other than medicine. Diverse as these motives are, however, one "I feel that the way around this obstacle is to get physicians involved in the decisionmaking processes of HMOs," she adds. l hadeus Grasela, PhD, PharmD, chief executive officer and president of Cognigen, says his company recruits students from the program because their education and training provide them with a students are seeking ways to provide the "In general, I believe that the business aspect of medicine should be understood highest quality of care for their future patients. by all physicians in order to help them de- assets to his organization. theme is echoed by all: Ultimately, these "I have been hearing so much about the changes that are going on in the medical profession with regard to cost-cutting and managed care, and it concerns me that this 18 A notable feature ofUB's MD/MBA pro- Like manyofhercolleagues, Brenda Perez, liver optimal care to their patients." unique skills set-and perspective- that are "The students have a background and Medical students who earn their MBA interest in both science and business, so they have an opportunity to gain exposure to bring a new vision of the future to the table," says Grasela. " In order for Cognigen to be increased emphasis on the business aspect of numerous subjects that are essential to a practicing physician, such as finance, medicine will lead to a disregard for the well - accounting, information technology, man - knowledge for decision making, we must being of the patient, particularly when top agement development and negotiations. also develop paradigms for the use of management consists of individuals with little or no clinical experience," says MD/ Students can also receive training in health - knowledge in strategic planning. luffala Hysiciu Spri11g 2002 care consulting, marketing, and entrepre- successful, we must not only develop new "Society desperately needs individuals �trained in science and the use of knowledge for decision making," he continues. "The obtain a dual degree. "The year of business training between the second and third year directors looked upon his degree favorably when he interviewed. "They were uniformly lack of these individuals will become more of medicine is well-timed," observes Michelle Clark, Class of2003. "Without interrupting impressed and encouraging," he says. apparent as we move into the next phase of increasing productivity based on the efficient use of technology. "The [MD/MBA] students bring an enthusiasm and interest in global affairs that is refreshing and stimulating. It is a pleasure to rotations, we gain business knowledge after having been introduced to medicine. This Some MD/MBA students, however, have received feedback about their participation in the program that reflects deeply felt allows us to begin applying our business experience during our clinical years." schisms in our society regarding the rela- or the most part, students report that Third-year student Perez, for example, has f tionship between medicine and business. responses to their dual degree aspira- been asked questions such as, "Why are you tions have been positive. Daniel Avosso, getting a business degree, only to go work for For students, the opportunity to fluently MD/MBA '01-the UB program 's first an HMO?" And, "If you are interested in transition between two well- integrated professional training environments is viewed graduate-is currently working as an emergency medicine resident at Long Island's as both an efficient and pragmatic way to North Shore Hospital. He says residency business, why not just go to business school? You are taking the spot of someone who is truly interested in practicing medicine." work with such motivated-and motivating-individuals," Grasela adds. I see aneed for physicians who are conversant in the business aspects of medicine to serve as an antidote to this problem. It is they who can best reconcile the need for sound financial management with quality patient care. �The students have abackground and interest in both science and business, so they bring anew vision of the future to the table. In order for Cognigen to be successful, we must not only develop new knowledge for decision making, we must also develop paradigms for the use of knowledge in strategic planning. About the author Jennifer Wiler is a Colorado native who has lived in NewYorkStateforthe past 10 years. After completing her undergraduate education at Colgate University in Hamilton, New York, she worked at Memorial Sloan-Kettering's Harlem Women's Clinic Some have even suggested to her that she is adds. "By now, I feel it has become abun- betraying the profession of medicine, ex- dantly clear that medicine is not practiced in pressing the opinion that "there is no place a vacuum-it must be understood within the context of its environment, part of in medicine for business." Fortunately, many physicians and students which includes our market economy." and then on Wall Street as an assistant securities do appreciate the critical role that business Students in UB's new MD/MBA program analyst. She has now plays in medicine, and they recognize the are delighted with the training they have been an active need for physicians who are both clinicians received thus far and, as a group, we are member of the and managers. "Regardless of whether I later anxious to see where our degrees will lead decide to go into private practice, hospital us. As we look to the future, we have no administration or medical consulting, there- doubts that throughout our careers as medical school community and served as president of the alities of business have a daily and profound physicians, we will strive to increase the medical student body for 1999-2000. Upon impact on how medicine is practiced in any of quality of care delivered to our patients, completion of her MD/MBA degree in 2003, these settings," says MD/MBA student while simultaneously acting as informed she hopes to practice emergency medicine Charlton Byun, Class of2003. patient and physician advocates when busi- "Understanding the basic concepts un- ness issues enter the equation. This is not a derlying the business world will likely be formula for us to "make a lot of money," but very helpful, if not essential, in any attempt to deliver high-quality patient care," he perhaps it is a way to enrich the healthcare experience for our patients. <t) 1501 Ferry Road , Grand Island , NY 14072 773-7063 z0 in New York City l1ffale Pbys i c i u S priu g 200 2 and design programs for victims of domestic violence and sexual assauH. <t) �Alpha Omega Alpha Honor Medical Society White Family Memorial Fund Recipient B Alpha Omega Alpha is a national organization dedicated to supporting academic rittany Lee Morse, Class of 2004, participated in a six-week rural family practice excellence and perpetuating excellence externship in Perry, ew York, with support provided by the White Family in the medical profession. It is the only A native of LeRoy, New York, Morse currently resides in Corfu, New York, a world; students are selected on the basis Memorial Fund. national medical honor society in the rural town in Genesee County. Prior to entering the University at Buffalo's School of Medicine and Biomedical Sciences, she attended SU Y College at Geneseo, where she of scholarship and integrity. Newly nominated Alpha Omega Alpha earned a bachelor of science degree in biology. Lee's goal is to members of the University at Buffalo's practice medicine in an underserved rural community and, to Epsilon Chapter from the Class of 2002 date, she has pursued a strong interest in family medicine. inducted this spring are: The White Family Memorial Fund was established in 2000 to memorialize Deborah A. White, MD '87, and her husband, Christopher, and son, Adam, who died in a car accident in 1999. It supports a summer internship for a firstor second-year student who is interested in pursuing a career Garrick A. Applebee Suzie Ariyaratana Lily M. Belfi linda J. Cuomo Keely E. Dwyer-Matzky in rural medicine. "It was an honor to take part in achieving the goals set forth by the White family, and I look forward to furthering this effort in my career," says Morse. <li) Christopher M. Foresta Anthony R. Mato Christopher E. MuHy Kathleen T. O'Donnell -S. A. UNGER Aimee l. Stanislawski Andrew B. Symons Cra:z:iade Receives Sung Scholarship Juliane M. Thurlow Matthew S. Traugott llison Graziade, Class of2005, is the first recipient of the john J. and janet H. Sung A Karen M. Weiss Scholarship. Graziade, a native ofL1ttle Falls, New York, attended Umon College m Schenectady, New York, where she majored in biology, with a minor in psychology. "!am honored to receive the Sung Scholarship and be chosen out of the first- Students from the Class of 20021nducted Last Spring: year class to be the first recipient," says Graziade. "The Sungs are outstanding people, Shaleen l. Belani and I appreciate that they have provided a scholarship to recognize medical students. Jennifer l. DeFazio "In addition to the honor of receiving this award, the monetary gift is extremely helpful considering the burden of financing a medical education." The Sung Scholarship is funded by a $1 million gift to the University at Buffalo School of Medicine and Biomedical Sciences by John and Janet Sung, who came to the United States from Korea in 1972 with only $200 to complete their education. At the time, they had two dreams: to financially assist other deserving students to attain their educational goals and to establish a renowned clinic in radiology, both of which have <li) been realized. David M. Krakowski Brian J. Maim Caryn E. Orr Andrew P. Swan Students from the Class of 20031nducted This Spring: Esme E. Finlay Alfred T. Frontera Julie A. Gavin Stephen D. Hess Sara I. Kaprove Natasha S. Manes Richard G. Newell �A L U M N BY S.A. UNGER ATribute to Orvan Hess A pioneer in fetal·heart monitoring opment that made it possible to keep a continuous, accurate check on the unborn University at Buffalo School of Medicine and Biomedical Sciences-and certainly one of the most baby's heartbeat even when medical peraccomplished. Over the course of his career, which spanned more than 50 years at Yale-New Haven sonnel were unable to be in the room. Hospital, Hess helped pioneer fetal-heart monitoring, was an early advocate for the return of natural "The fetal cardiac electrical signals childbirth methods and was instrumental in the first use of penicillin. could then be monitored and transmitted While not able to travel from his home in Connecticut to join us for last year's Spring Clinical by radio signal to a distant receiver," Day and his 70th class reunion, Dr. Hess, age 95, was nonetheless with us in spirit. explains Hess. The following article is published as a tribute to Dr. Hess, whose many scientific accomplish· While these early fetal-heart monitors ments not only have earned him world renown in his field, but also a place of pride among his fellow were crude by today's standards and medical school alumni. - John J. Bodkin II, MD '76 Preside11t, Mediml Alumni Association would eventually be replaced by ultrasound, their development by Hess and his colleagues marked the beginning of the field of fetal cardiology. In large part due to his work in this field, Hess received the Scientific AchieveOLLOWI G GRADUATIO from faint and difficult to isolate from the the then-University of Buffalo mother's. As a result, physicians were forc- ment Award from the American Medical School of Medicine in 1931 , ed to employ what he calls the "watch-and- Association in 1979. Contributing to his receipt of this prestiOrvan Hess completed his in- wait-and-pray" method. ternship and residency training Watching and waiting, however, was gious award was the work he did following at the New Haven Hospital in not Hess's style. Upon his return to Yale, World War II to usher in the renaissance of natural childbirth, as well as New Haven, Connecticut. In therefore, he teamed up \VHI LE THESE EARLY pioneering studies he led in 1936, he began a research fel- with Dr. Edward Hon, a FETA L· H EA RT MO l'<I TORS wound healing of the uterlowship at Yale University postdoctoral fellow, to WERE C R t; DE BY TODAY'S us after a Cesarean section. School of Medicine, where he address this problem. In STANDARDS AN D WOULD was named clinical instructor 1957, the two researchers Hess's clinical judgEVENTUA LLY BE REment also proved presm 1937. Five years later, he left the uni- became the first in the PLACED BY uLTRASOuND, cient in 1942, when he versity to serve as a surgeon during World world to monitor fetal THE I R BY was a catalyst for the first War II as part of the evacuation hospital heart activity by continHESS AND H I S COLsuccessful clinical use of attached to General George Patton's 2nd uously detecting and reLEAGUES MARKED THE penicillin. He recalled the cording electrical cardiac Armored Division during the invasions BEG INNING OF THE FIELD circumstances leading to signals indicating the of North Africa, Sicily and ormandy. OF FETAL CARDIOLOGY. this milestone in a 1999 In 1949, Hess returned to Yale Univer- condition of the unborn. interview. "My associate, sity as assistant clinical professor and re- The machine they develsumed work he had begun as a resident on oped was six-and-a-half feet tall and two Dr. A. Nowell Creadick, asked me to go a way to electronically monitor fetal-heart feet wide, far from being portable or com- see Mrs. Anne Miller in the isolation unit of New Haven Hospital. She was one of activity before and during delivery. One of pact in a crowded delivery room. Working in collaboration with Wasil our obstetrical patients, pregnant with her the problems obstetricians faced at that time was the inability to diagnose fetal Litvenko, chief of Yale Medical School's fourth child, when she contracted scarlet distress during the critical period oflabor electronics laboratory in the 1960s, Hess fever from her youngest son and suffered a and delivery. devised a system of telemetering the fetal miscarriage, subsequently developing an "The stethoscope just could not do the electrocardiogram and intrauterine pres- overwhelming bloodstream streptococcus job," says Hess. The fetal heartbeat was sure during pregnancy and labor, a devel- infection. Doctors had done everything Obstetrician/gynecologist and surgeon Orvan Hess, MD '31, is one of the oldest living alumni of the DEVELOP~IEl'<T 22 B u II a I o Physician Spri11g 2002 �possible, both surgically and medically. I went to see her and knew she was dying. " From the hospital I went to the Graduate Club to see her internist, Dr. John Bumstead. I discovered he was upstairs in the library, where he had fallen asleep reading a newspaper. While I was waiting for him to wake up, I sat and read the latest Reader's Digest, in which there was an article called " Germ Killers from Earth, " about the use of a soil bacteria to kill streptococcal infection in animals. "When I spoke to Dr. Bumstead, I asked if anything more could be done for Mrs. Miller, and I said, 'Wouldn't it be wonderful if we had something like this gramicidin mentioned in the Reader's Digest?' This suggestion prompted Dr. Bumstead to talk with his neighbor, John Fulton, a professor of physiology at the Drvan Hess, MD '31, says he is still fascinated with technology and the excitement of medical progress. Yale School of Medicine, who had worked in England with Howard Florey, who was studying penicillin. Dr. Bumstead asked Fulton if he could contact Florey and possibly obtain some of the scarce penicillin. Fulton agreed and Anne Miller received her first injection on March 14, 1942. By the next day, her fever had broken. " Today, Hess says: "I am more convinced than ever that technology can be applied to medical practice without sacrificing humanism or our sacred patientphysician relationship. " (Ji) . 0 ... .,E "We practice law for your peace of mind." Estate Planning - Personal Injury Real Estate - Matrimonial Elder Law HoGAN & WILLIG, PLLC - - - - -- Atto n1 eys ut L nw - - -- - - hoganandwillig.com Proud Sponsor of The Tour de Cure • June 1, 2002 Fundraisirrg event {or tire A m erican Diabetes Association One john james Audubon Parkway • Amherst, New York 14228 • 716.636.7600 Spring 2002 lu ff a l o Phy sici lD 23 �IMAGINATION PET CENTER MARKS TENTH ANNIVERSARY BvALAN H. I LOCKWOOD. MD n November 2001, the University at Buffalo-Veterans Affairs' Positron Emission Tomography (PET) Center celebrated its 1Oth anniversary. In recognition of this milestone-and the notable accomplishments emanating from this center since its inception-we asked Alan Lockwood, MD, director of operations, to write an article highlighting work that has taken place at the facility over the past decade and to preview the direction in which he sees this research moving in the years ahead. Lockwood, a UB professor of neurology, nuclear medicine, and communicative disorders and sciences, has won international acclaim for PET studies he has led in recent years on the origins of tinnitus. These studies-conducted in collaboration with Richard Salvi, PhD, UB professor of communicative disorders and sciences and clinical professor of otolaryngology and neurology, and Robert Burkard, PhD, also a UB professor of communicative disorders and sciences-were the first to show that tinnitus sounds originate in the brain, not in the cochlea, as scientists previously thought. Following the announcement of these findings in January 1998, Lockwood received a steady stream of calls from news reporters around the world. The study was featured on NBC's Today Show and reported on in the New York Times, the Los Angeles Times and Time magazine, among other publications. As Lockwood reports here, a number of other studies conducted at the UB- VA PET Center over the past ten years have uncovered intriguing findings that demonstrate what can be accomplished when talented researchers from a broad range of disciplines combine the science of imaging with the power of imagination. S. A. lJ~GER EDITOR 2 .. Ia f fa I o Physic i aa Spri 11 g 2 00 2 �hat do tinnitus , heart attacks, cancer and the past tense of English verbs all have in common? These seemingly disparate topics have all been the focus of research studies performed in the UB-VA Positron Emission Tomography Center. To mark its first ten years of operation, center investigators described their accomplishments in an Anniversary Symposium held last ovember. Positron emission tomography, better known as PET, is a technique that captures basic life processes in a pictorial format. The PET image is, in essence, a snapshot of how the body functions from a biochemical or physiological perspective. By contrast, X-rays, computerized tomography (CT) scans and magnetic resonance images (MRI) typically portray anatomical information. This ability of PET images to photograph life processes has led to important advances in research and patient care. PET imaging begins with knowledge of how a critical body system works. For example, the brain uses glucose, a sugar, as its only source of energy. Since the brain can't store glucose, it depends on the rest of the body to deliver this vital compound on a second-to-second basis via the bloodstream. In a very real sense, the brain is like the engine of a car-it does lots of work, but it depends on the constant delivery of fuel to be able to function. By measuring how much glucose the brain is using or how much blood is flowing to the brain, it is possible to deduce how hard the brain is working. In other words, measurements of glucose use and blood flow yield impor- ALA" LOCKWOOD, ~D largest medical cyclotrons in the United subject or a patient undergoing a PET scan, inject a tracer (isotope) and take pictures. Behind this fa<yade, however, there is a large team of technicians. Since the isotopes used in PET all have very short half-lives (the time it takes for the activity to fall by 50 percent ), all the tracers the process is deceptively simple. All they are synthesized just before they are used. need do is to lie down with their head in the This step takes place on UB's South Cam- The most commonly used PET tracers camera while members of the PET team pus, in Parker Hall, home of one of the are fluorodeoxyglucose (FDG ) and water. tant information about how normal or healthy a part of the brain might be or how hard it is working. From the perspective of a research States. After the tracer is synthesized, it is whisked over to Buffalo's VA medical center, some 3,000 feet away, via an underground pneumatic transport system. At the VA, images are produced and then analyzed using sophisticated computer software. S pri ng 2002 lullalo Physicin 25 �I111aging and I MAG CONTINUED I NAT I FROM PAGE o N 25 The metabolism of FDG is very similar to glucose metabolism, with one important exception: One of the key enzymes for glucose metabolism can't act on FDG, so the metabolic process stops at this step. This traps the tracer, which allows the PET camera to image its distribution in the body. The amount of trapped FDG is proportional to the amount of glucose that is being metabolized. High amounts of the tracer are an indication of a high glucose metabolic rate, and vice versa. Blood flow is measured in studies that use labeled water as a tracer. These studies are complicated by the fact that the halflife of the water used is only 123 seconds, SO every tWO minutes the amount of jAMES fALLAVOLLITA , MD, left, AND jOHN CANTY, MD tracer is reduced by half. As a result, these studies require close cooperation be- parts of the brain become active or inac- energy to bring this complex projecL tween the cyclotron operators and chem- tive. Thus, a typical brain mapping study to fruition. After securing critical support ists who make the labeled oxygen and includes scans done at rest and scans done from the community in the form of a convert it into water and the technolo- as a subject performs a series of increasingly substantial grant from the James H. Cummings Foundation, Prezio and his associates convinced UB and the VA that the center would become a vital element "THE STUDIES IN THE UB-VA PET in their quest for excellence. Several years CENTER SERVE AS A MODEL FOR INTERDISCIPLINARY COLLABORATION. THE OPPORTUNITY TO WORK WITH COLLEAGUES WITH VASTLY DIFFERENT BACKGROUNDS of planning, construction and recruitment of staff led to the first PET scan in October 1991. Since then, thousands of patients have been scanned and more than HAS BEEN ONE OF THE MOST REWARDING ASPECTS OF MY JOB AS DIRECTOR OF PET OPERATIONS." - ALAN LOCKWOOD, MD $4 million has been awarded to support research in the center. The Anniversary Symposium was planned to highlight major research accomplishments. gists and investigators who use the labeled complex tasks. By subtracting the resting- water in a PET study. state scan from the scan done while the Although blood-flow studies using labeled water are complex, they have been the key to some of the most important work done in the UB- VA PET Center. By comparing the pattern of blood 26 brain is at work, it is possible to identify the parts of the brain that mediate the task. Using this basic strategy, center investigators have made important discoveries that have identified the brain regions that flow at rest with the pattern during the mediate tinnitus and those that we use performance of a specific task, it is pos- when we form the past tense of a verb. sible to identify the regions of the brain The Anniversary Symposium began that perform the task. This strategy works with a brief history of the UB-VA PET because the brain can' t store energy. It Center, which reviewed how joseph Prezio, depends on instantaneous changes in the MD, the then-chair of the UB Department delivery of glucose and oxygen as various of Nuclear Medicine, had the vision and l1ffalo Physician Spri11 g 2 00 2 BETTER CARE FOR HEART DISEASE Heart disease is a major cause of death and disability among Americans and is a particularly serious problem in Western ew York. John Canty, MD, and James Fallavollita, MD, from the UB Department of Medicine, have used FDG PET to define and study "hibernation" in the heart muscle. Hibernating muscle is still alive but does not function properly, causing the heart to pump inefficiently. A better understanding of this process will lead to improved care for patients with coronary artery disease. �Since PET cameras are thesizes that some of these new connec- nearly noiseless, unlike tions are responsible for this false sense of magnetic resonance scan- ringing in the ears. ners, PET is the ideal tool These studies are complemented by for studies of hearing dis- studies of the normal auditory systems orders. A research team performed by the tinnitus team and inves- consisting of myself, Robert tigations of other aspects of the normal Burkard, PhD, and Richard auditory system spearheaded by Ann Salvi, PhD, from the UB Eddins, PhD, associate professor in the UB Departments of Communi- Department of Communicative Disorders cative Disorders and Sci- and Sciences. ences, Neurology and Nuclear Medicine, have identi- L ANG UAG E AND GENDER fied and mapped the brain regions that mediate tinnitus, the false perception of a sound in the absence of an environmental source. This problem plagues millions and is almost always associated with hearing loss. By studying a group of patients who are able to modulate the loudness of their tinnitus, this investigative team was able to pinpoint the auditory cortex as the site ROBERT BURKARD. PHD. front. A~D RICHARD SALVI. PHD DI FFE RENTIATING LESIONS Every year, doctors must tell some of their patients that a routine chest X-ray reveals where tinnitus originates. In related studies, these researchers have found that hearing loss leads to a reorganization of the auditory jeri jaeger, PhD, from the UB Department of Linguistics, directed studies that show how the brain forms the past tense of English verbs. By mapping brain regions activated by forming the past tense of regular verbs (e.g., walk/walked), irregular verbs (run/ran) and clusters of letters that look like words (brep/brepped), jaeger and her colleagues concluded that the brain minimizes word storage needs by using rules to form the regular past tense and a dictionary look-up strategy for irregular verbs. In addition, the brains of men and women perform these tasks differently: Women use both brain hemispheres to form a past tense, whereas men use the left hemisphere. pathways in the brain. The team hypo- a spot or nodule in the lung. Not all of these nodules are cancerous, but that is always the main concern. Since cancerous cells use large amounts of glucose, FDG PET scans can help differentiate the cancers from benign lesions, without the need to perform invasive surgical procedures. Syed Husain, MD, a nuclear medicine physician at the VA, is the Buffalo site investigator in a nationwide cooperative study designed to better characterize the ability of PET to differentiate malignant nodules in the lung from those that are benign. B RA I N R EGIONS AN D T I NN ITUS Studies of the auditory system, particularly investigations of tinnitus, have been a major focus of research in the center. JERI jAEGER. PHD Spring 2002 8 u If a I o Ph JS i ci a n 27 �Jmagin,~ and I M A G I N AT I 0 N anatomy relationships revealed by MRI scans, and brain physiology revealed by PET. CusTOMIZING CANCER CARE Hani Abdel-Nabi, MD, PhD, chair of UB' s Department of uclear Medicine, and his associates from otolaryngology and surgery have made important contributions to the emerging field of PET oncology. In patients with cancer PET often yields information about the extent of a patient's disease with images that are more sensitive and specific than images obtained with other methods. PET scans allow a cancer patient' s physicians to plan treatments RALPH BE!';EDICT, MD THE IMPACT OF MULTIPLE SCLEROSIS ON AUDITORY ATTENTION Attention is a term psychologists use to describe the process of focusing brain resources on a given task. The neural systems that mediate visual attention have been studied extensively in other centers. Ralph Benedict, MD, and his colleagues from the UB Department of Neurology have developed a task that tests auditory attention. Not surprisingly, some of the same regions of the brain are used by both the auditory and the visual systems. In a recent extension of those studies, Benedict and his colleagues have studied attention in patients with multiple sclerosis, They have found that there are changes in the auditory attention pathways that appear to be the consequence of the disease, and they have begun to show how the brains of these patients are reorganized in an attempt to compensate for the lesions in their brains. This team is also collaborating with Rohit Bakshi, MD, from the UB Department of eurology, to study brain that are the most effective while avoiding high-morbidity surgical procedures that would be ineffective. This is a win-win situation that helps the patient, the physician and the healthcare system by reducing costs. Left to right, laflalo Physician S prin g 20 0 2 D THE AUDITORY SYSTEM Salvi and Burkard and I have teamed up with investigators from the University of Rochester to study aging in the auditory system. Studies by this group have shown that aging has an effect on the central auditory system that is independent of the hearing loss common among the elderly. MIGRAI E PHYsiOLOGY AND TREATMENT Headache is one of the most common problems faced by Americans and is a frequent cause of lost time from work. Edward Bednarczyk, PharmD, of the UB Departments of Nuclear Medicine and Pharmacy Practice, and his associates have tackled this problem in a series of studies of spontaneous migraine headaches. They augmented these investigations by using a model of migraine in which tiny amounts of nitroglycerine are given to migraine patients as they are scanned. To complement these studies, the team is evaluating drugs designed to prevent headaches. PET AND EUROPSYCHOLOGY The symposium was rounded out by showing how PET imaging can be integrated with psychological testing. In separate studies that have probed the effects of head injury and the effects of liver failure on brain HA:-11 ABDEL-N'ABI, MD, PHD. EDWARD BEDNARCZYK. PHARMD, AND SYED SAJID HUSAIN. MD 28 AGING A �function, my colleagues and I have shown that specific brain regions are associated with the performance of some of the most common tests used by psychologists. IN ANOTHER STUDY ON THE HORIZON, CENTER INVESTIGATORS WILL BEGIN COLLABORATION WITH COLLEAGUES UB RESEARCH PROJECTS ON THE HORIZON FROM THE DEPARTMENTS OF NEUROLOGY AND The studies in the UB-VA PET Center serve NEUROSURGERY IN A NATIONWIDE EFFORT TO IDENTIFY as a model for interdisciplinary collaboration. The opportunity to work with col- STROKE PATIENTS WHO WOULD BENEFIT FROM SURGERY leagues with vastly different backgrounds DESIGNED TO BYPASS BLOCKED ARTERIES TO THE BRAIN. has been one of the most rewarding aspects of my job as director of PET Operations. Clearly, none of the research conductstudy of multiple sclerosis, where inves- ed in the center would have been possible without grants from sources that are as a nationwide effort to identify stroke patients who would benefit from surgery tigators from the Jacobs diverse as the expertise of the center' s sci- designed to bypass blocked arteries to Institute are studying genetic markers in entists. These include several branches of the brain. these patients. eurological ational Institutes of Health, the Also, Canty and Michael Haka, the For these reasons and more, I believe Department of Veterans Affairs, the De- center's chief radiochemist, have recently that the next decade will be even more partment of Education , the American Heart Association, a number of pharma- teamed up to study the nerve supply to the exciting than the first for the UB- VA heart using a novel PET Center. ceutical companies, Siemens Medical tracer, hydroxy- the Systems, and a variety of foundations, ephedrine. Canty most notably the James H . Cummings suspects that an Foundation of Buffalo. In looking toward the next decade, I abnormal nerve PET Center. Several new initiatives are supply to the heart may be an important factor in sud- under way that will expand its research den cardiac death. program . In a new half- million-dollar grant from I also anticipate that the ini- feel the best is yet to come for the UB-VA the VA Merit Review program, Burkard tiatives growing and I, along with other collaborators, will out of the Buffalo study the effects of background noise on Center of Excel- the auditory system. Merging recordings lence in Bioinfor- of brainwave activity with PET is a cen- matics (see related tral aspect of this research. It takes about a minute for a PET camera to image brain article on page 14) will enable PET activity. This is an eternity, in terms of neural activity, where communications expand their stud- investigators to between nerve cells occur in thousandths of ies and enhance a second. By combining PET images that show where something happens with the value of their PET data by creating links with in- electrophysiological recordings that show 4D when something happens, we hope to improve our ability to probe brain function. In another study on th e hori zon, center vestigators study- investigators will begin collaboration liminary steps in with colleagues from the UB Departments of eurology and Neurosurgery in been taken in the ing genomics and proteomics. Prethis direction have Spri11g 2002 Bu ffalo Physician 29 �PATHWAYS NEws ABOUT UB's ScHooL oF MEDICINE AND BIOMEDICAL SciENCES AND ITS ALUMNI, FACULTY, STUDENTS AND STAFF IN THIS CAPACITY [LAYCHOCK] WILL PLAY A LEAD ROLE IN DETERMINING WHAT RESEARCH WILL BE CONDUCTED AT UB's SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES AND HOW RESOURCES WILL BE ALLOCATED FOR THIS RESEARCH. 30 I u I I a I o Physician logy from Brooklyn College, Laychock to Lead Research Efforts City University of New York, Suzanne G. Laychock, PhD, and a doctorate in pharmacolprofessor and associate chair ogy from the Medical College of the Department of Pharm- of Virginia. In 1990, she was acology and Toxicology in the selected as the outstanding University at Buffalo STAR alumnus at School of Medicine the Medical College and Biomedical Sciof Virginia. ences, has been apLaychock serves pointed senior associas associate editor ate dean for research of Lipids and was and biomedical eduassociate editor of cation at the school. Endocrine Research In this capacity, LAY C HO C K from 1992 to 200 l. she will play a lead She has also served role in determining what re- as field editor for the Journal search will be conducted at of Pharmacology and ExperiUB's School of Medicine and mental Therapeutics, and on Biomedical Sciences and how the editorial board of the resources will be allocated for journal Diabetes. this research. She will also Laychock's research into oversee the recruitment and endocrine pharmacology with hiring of new research faculty. an emphasis on the cellular Laychock, a member of the mechanisms regulating insuUB faculty since 1989, is an lin secretion has been funded accomplished researcher with since 1979. more than 80 publications. In She is a member of several addition to serving as associ- professional societies, includate chair of her department ing the American Diabetes since 1995, she was codirector Association, the American of its Institute for Research Society for Pharmacology and and Education on Women and Experimental Therapeutics Gender. She holds bachelor's and the Endocrine Society. and master's degrees in bio- - LOIS BA K ER S p ri n g 2 00 2 Holm Named Senior Vice Provost Bruce A. Holm, PhD, has been named a senior vice provost at the University at Buffalo, where he will serve as the point person on many of the university's high-technology/ biotechnology projects. In this role, Holm, who formerly served as UB's senior associate vice president for health affairs, will represent Provost Elizabeth D. Capaldi in a variety of capacities. He will be the chief administrator in the provost's office for the Buffalo Center of Excellence in Bioinformatics (see related article on page 14), the Strategically Targeted Academic Research (STAR) Center for Disease Modeling and Therapy Discovery, and the Center for Advanced Biomedical and Bioengineering Tech nologies (CAT). He also will participate in the development of an institute in biomedical engineering at UB and collaborate with administrators in the Office of Science, Technology and Economic Outreach. "Dr. Holm will work closely with our academic partners- �Roswell Park Cancer Institute and the Hauptman-Woodward Medical Research Institute-and with our corporate HOLM partners, the local business community and faculty and deans as these projects move forward," says Capaldi. "He also will work to develop further external relations and scientific and corporate partnerships." Holm holds faculty positions as professor of pediatrics, pharmacology and toxicology, and gynecology-obstetrics, and also serves as associate senior vice president for scientific affairs at Roswell Park. He is principal investigator of the STAR center, as well as several other large awards, including those from the Markey Trust and the Howard Hughes Medical Institute. In addition, he maintains an active research program that has attracted millions of dollars in grant awards to VB. - S U E WUETC HER Mihalko to Direct CAT William M. Mihalko, MD, has been named executive director of the University at Buffalo's Center for Advanced Technology (CAT) by Provost Elizabeth D. Capaldi. Mihalko is an associate professor in the Department of Orthopaedics in UB's School of Medicine and Biomedical Sciences and research director in the Department of Orthopaedic Surgery. Holding both medical and biomechanicalengineering degrees, he serves as the head of arthroplasty at the Erie County Medical Center and is on the medical staffs of Kaleida Health's Millard Fillmore hospitals, Buffalo General Hospital and Children's Hospital of Buffalo. "We are delighted to have someone of Dr. Mihalko's caliber to direct the CAT," Capaldi said in making the announcement. "He is a bioengineer with an active research and clinical program who will provide superb leadership in evaluating and developing biodevices for commercialization in Western New York." Mihalko ' s appointment comes at a time when the CAT- barely three-quarters into its first official year-is already making strides in its main mission: to provide funding to innovations in biopharmaceuticals and in biomedical devices that are close to commercialization. ew York State Governor George E. Pataki announced creation of the CAT and $1 million in funding for its first year of operation last May. "Dr. Mihalko's expertise bioengineering represents an area in which we' re very strong," says Robert Genco, DDS, PhD, a vice provost and head of UB's Office MIHALKO 111 Hayes Honored by the AMA Maxine Hayes, MD '73, assistant secretary of Community and Family Health for the Washington State Department of Health and the recipient of UB's 2000 Stockton Kimball Award, has received the American Medical Association's 2002 Nathan Davis Award in the category of Career Public Servant at the State Level. She was nominated for the award by Mary Selecky, Secretary of Health, Washington State Department of Health. In announcing the award, the AMA stated: "The awards, presented to local, state and federal career and elected government officials, were established by the AMA in 1989 and are truly one of the most prestigious forms of recognition for outstanding public service in the advancement of public health .... The caliber of our nominees [this year) was truly inspiring, and your selection from such an impressive group certainly speaks volumes in recognizing the dedication and diligence of your public service." Hayes, who also holds a master's degree in public health from Harvard University, is a nationally known HAYES pediatrician who, among other things, has strongly advocated for universal health and dental care for children and the elimination of tobacco use among our youth. The award was presented to Hayes on January 29, 2002, at a dinner in Washington, D.C., that was attended by officers of the AMA, as well as by members of Congress and administration officials. <t) -S. A. UNGER Spri11g 20 0 2 I u If a I o Physician 31 �PATHWAYS MIHALKO's APPOINTMENT COMES AT A TIME WHEN THE CAT ... IS ALREADY MAKING STRIDES IN ITS MAIN MISSION: TO PROVIDE FUNDING TO INNOVATIONS IN BIOPHARMACEUTICALS AND IN BIOMEDICAL DEVICES THAT ARE CLOSE TO COMMERCIALIZATION. of Science, Technology and Economic Outreach. Previously director of the CAT, Genco is a SU Y Distinguished Professor and chair of the Department of Oral Biology in the School of Dental Medicine. After completing his residency at the UB Department of Orthopaedic Surgery, Mihalko completed an Adult Reconstructive Surgery Fellowship at the Missouri Bone and Joint Center. He earned his medical degree, as well as a doctorate in biomechanical engineering, from the Medical College of Virginia. He is the recipient of an award from the Buffalo Orthopaedic Research and Education Foundation for Outstanding Orthopaedic Research during Residency, and the American Medical Association's Physician Recognition Award and, with colleagues, the Knee Society's Ranawat Award for research on knee-joint stability. - ELLE N GOLDBAUM Baker and Coldbaum Win Writing Awards Lois Baker and Ellen Goldbaum, senior editors in the University at Buffalo's News Services unit and regular contributors to Buffalo Physician received a Gold Medal in the research, medicine and science writing category in the 200 l Council for the Advancement and Support of Education (CASE) District II Accolades competition. The silver medal in this category was awarded to the University of Toronto and the bronze to Princeton University. Baker ' s submissions included a series of articles on research being conducted by Frederick Sachs, PhD, UB professor of physiology and biophysics, in which he has shown how a protein isolated from the venom of a Chilean tarantula holds promise as the basis for new GOLDB A UM drugs for preventing atrial fibrillation. Also judged to be excellent were articles she wrote on research conducted by Herbert Schue!, PhD, UB professor of pathology and anatomical sciences, that elucidates an internal cannabinoid-signaling system that regulates human sperm fertilization potential; and a study by Ad nan Qureshi, MD, UB assistant professor of neurosurgery, which found a lack of preventive efforts to avert second heart attacks. Goldbaum was singled out for her article on work being conducted at UB by Thenkurussi Kesavadas, PhD, assistant professor of mechanical and BAKER aerospace engineering, who is collaborating with researchers in UB ' s School of Medicine and Biomedical Sciences to develop a virtual palpation glove. Baker and Goldbaum's medical-science reporting also won Bronze Medals in the national 200 l and 2002 CASE Circle of Excellence Awards competitions. -S. A . Rokitka Named to Editorial Post Mary Anne Rokitka, PhD, clinical associate professor of physiology, assistant dean, and director of undergraduate studies in the University at Buffalo's School of Medicine and Biomedical Sciences, has been named an associate editor for Advances in Physiology Education. The peer-reviewed journal, a publication of the American Physiological Society, is dedicated to the improvement of teaching and learning physiology and to the advancement of physiology as a teaching profession. 4D - S. A. 3 2 luttale Physician Spring 2002 UNG ER U NGE R �Roswell Park Cancer Institute IRPCII was founded in 1898 and is the nation's first cancer research, treatment and education center and the only National Cancer Institute-designated comprehensive cancer center in Western New York. The cancer center is a teaching and research affiliate of the UB School of Medicine and Biomedical Sciences, and many faculty at RPCI hold joint appointments at UB. Over the past two years, RPCI has developed and implemented a strategic plan to aggressively recruit new clinical and scientific talent to the cancer center. In January 2002 RPCI president and CEO David Hohn, MD, held a press conference to summarize the successful results of this effort. He also took the opportunity to announce the recent recruitment of two national leaders in the field of oncology, Donald L. Trump, MD, and Candace S. Johnson, PhD. Below are brief profiles of Trump, Johnson and other faculty who have joined RPCI and UB's School of Medicine and Biomedical Sciences in leadership positions since 2000. Donald L. Trump, MD Senwr V>ce President for Clinical Researrh Chazr, Department of Medicim Copnncipnl Jnvestzgator, Cancer Center Support Grant Roswell Pnrk Cancer Institute Donald L. Trump, MD, joined the faculty of RPCI in February 2002 as senior vice president for clinical research, chair of the Department of Medicine, and coprincipal investigator of the Cancer Center Support Grant. Trump earned his medical degree from The Johns Hopkins University School of Medicine, Baltimore, in 1970 . From 1970 to 1975 he completed an internship and resiTR U MP dency training in medicine at The Johns Hopkins Hospital, along with a fellowship in oncology at The Johns Hopkins Oncology Center. Most recently, Trump served as deputy director of clinical investigations at the University of Pittsburgh Cancer Institute (UPCI), where he had primary responsibility for directing the clinical and translational research activities, and as chief of the Division of Hematology and Oncology in the Department of Medicine and professor of medicine and urology at the University of Pittsburgh Medical Center. Trump is a Diplomate of the American Board of Internal Medicine, with subspecialty boards in medical oncology, and a Fellow of the American College of Physicians. His research interests include innovative clinical trials and chemoprevention studies in prostate cancer; antitumor mechanisms and therapeutic effects of vitamin D; and feasibility studies on retinoid treatment in emphysema. He is a member of the Eastern Cooperative Oncology Group and a principal investigator or coprincipal investigator on several National Cancer Institute-funded trials. Trump is the recipient of numerous awards and honors including the 2001 Pittsburgh Science, which recognizes those individuals who dedicate their services to making Pittsburgh a better place to live; multiple citations in Best Doctors in America; and, yearly since 1998, awards from the Association for the Cure of Cancer of the Prostate (CaP CURE) for his research on the role of vitamin D in the treatment of prostate cancer. Trump serves as secretary/ treasurer of the American Society of Clinical Oncology and is a member of many professional societies. He is also reviewer and/or member of the editorial board of several prestigious journals, such as the New England foumal of Medicine, and the Journal ofthe National Cancer Institute. Gentzke & sociates, Inc. Registered Investment Advisor Priva te Po rtfo lio .\ la n age mcnt T a, Co n ~:> uhin g Es tate PI a nn iJ1g President and CEO Glenn Gentzke and Chief Investment Strategist Chris King Fcc- Based 1\ ssrt .\la nagcm cnt UB Commons 520 Lee Entrance Tll\A-C RE F Ackisor Suite 205 ~e t\\·o rk Amherst. NY 14228 Tel: (716) 639-G475 Certified Qflicf.JJooks Profrss iona l Ackiso rs www.gentzke.com Vectors Person of the Year in Sp rin g 2 0 0 2 l alfal1 Physiein 33 �PATHWAYS Candace S . .lohnson, PhD Senior ~'icc Pres1dwt {or Translational Research Semor Member, Department of Pharmacology and Therapeutics Roswell Park Cancer Institute Candace S. Johnson, PhD, joined the faculty of RPCI in February 2002 as senior vice president for translational research and senior faculty member of the Department of Pharmacology and Therapeutics. Johnson earned her doctoral degree in immunology from Ohio State University in 1977. From 1977 to 1981 she completed research and postdoctoral fellowships in immunology/cell biology at the Michigan Cancer Foundation in Detroit. Most recently, Johnson jOHNSON served as deputy director of basic research at the University of Pittsburgh Cancer Institute and as professor of pharmacology and medicine at the University of Pittsburgh School of Medicine. Johnson's research interests include translational research to facilitate the efficient application of promising laboratory findings in clinical studies; preclinical design and development of more effective therapeutic approaches to cancer using highly characterized tumor models; and mechanisms of vitamin D-mediated antiproliferativeeffects either alone or in combination with other cytotoxic agents. 34 luflal1 Pbysiciaa Johnson is a member of the National Institutes of Health Reviewers Reserve and the National Cancer Institute Review Group Subcommittee A-Cancer Center (Parent Committee). She is also a member the editorial board of Oncology Reports, Molecular Cancer Therapeutics, and Molecular PIUlrmacology. Michael C. Brattain, PhD Chair, Department of Phannacology and Therapeutics Basic Science Director, Cancer Center Support Grant Roswell Park Cancer Institute Michael Brattain, PhD, joined RPCI in 2001 as chair of the Department of Pharmacology and Therapeutics and basicscience director of the Cancer Center Support Grant. Brattain, who earned his doctoral degree in biochemistry from Rutgers University in 1974, carne to RPCI from the San Antonio Cancer Institute, a National Cancer Institutedesignated comprehensive cancer center, where he was associate director for basic research. At the same time, he served as professor of surgery at the University of Texas Health Science Center in San Antonio. Over the years, Brattain has held several research, administrative and academic positions, including professor of biochemistry and molecular biology at the Medical College of Ohio; director of the BristolBaylor Laboratory Division, Baylor College of Medicine; and director of molecular and Spring 2002 cellular biology, anticancer research, at BristolM y e r s Squibb, Inc. He serves on BRATTAIN the editorial board of Cancer Research, International Journal of Oncology, and Oncology Research. Brattain is a member of the American Association for Cancer Research, the American Association of Pathologists, and the Metabolic Pathology Study Section of the National Institutes of Health. His research in signal transduction pathways in breast and colon cancer has attracted major funding from the National Cancer Institute, and he has created a broad national network of scientific collaborations. .lohn K. Cowell, PhD, DSC Chmr, Department of Cancer Genetics Roswell Park Cancer Institute Professor, Cellular and Molecular Biology Program Roswell Park Graduate Dll'lsion, University at Buffalo John K. Cowell, PhD, DSc, joined the staff of RPCI in 2000 as chair of the Department of Cancer Genetics. He also is professor of the Cellular and Molecular Biology Program in the Roswell Park Graduate Division, University at Buffalo. Cowell earned his doctoral degree in genetics from Sheffield University (UK) in 1978 and completed research fellowship training in the Department of Cellular Pathology at the Imperial Cancer Research Fund (London, UK) in 1981. He was honored with a doctor of science degree from Sheffield University in 1993. Cowell came to RPCI from the Cleveland Clinic Foundation (CCF), Lerner Research Institute, where he had served as direc- CowELL tor of the Center for Molecular Genetics since 1995. He also had a joint appointment at the CCF Cancer Center and was a CCF professor of clinical chemistry at Cleveland State University. Cowell's research interests include molecular genetics of cancer and cancer predisposition, molecular analysis of neuroblastoma, molecular genetic changes in leukemia, and genetic analysis of brain tumors and breast cancer. Soldano Ferrone, MD, PhD Cha1r, Department of Immunology Roswell Park Cmzcer Institute Professor, Aficrolnology University at BujJalo Soldano Ferrone, MD, PhD, joined the staff of RPCI in 1999 as chair of the Department of Immunology. He also is professor of microbiology at the University at Buffalo. Ferrone earned his medical �degree at the Medical School, University of Milan (Italy) in 1964, and his doctorate in hematology at the University of Milan in 1971. He was a member of the faculty of the Department of Medicine at the University of Milan from 1964 to 1965; the Department of Experimental Pathology at Scripps Clinic and Research Foundation (La Jolla, California) from 1971 to 1981; the Department of Pathology at Columbia University from 1981 to 1983; and chair of the Department of Microbiology and Immuno- logy at New York Medical College (Valhalla, New York) from 1983 to 1999. Ferrone's laboratory research program focuses on developing approaches to counter the multiple mechanisms used by human melanoma cells to escape immune recognition and destruction, and on designing a strategy to target humoral and cellular immunity to malignant lesions in patients with melanoma. Ferrone is a member of the American Association of Immunologists, the American Association for Cancer Re- search, and the Transplantation Society. Currently, he is a member of the Biological Resources Branch Oversight Committee and of Subcommittee F (Manpower and Training) of the National Cancer Institute Initial Review Group. Ferrone has been issued patents on "Anti-idiotypic Monoclonal Antibodies MK223MelanomaAntibody763.74" and on "Anti-idiotypic Monoclonal Antibodies for Treatment of Melanoma." He was honored with the Alexander Von Humboldt Award, Senior Distinguished U.S. Scientist Award, Germany, in 1997. Ferrone has authored or coauthored more FERRONE than 700 journal publications, book chapters and abstracts. He serves on the editorial board of the International Journal of Oncology, Journal of Im111unology, Journal of l111munothernpy, Tissue Antigens, and Vaccine Research. GENESEE HEARING SERVICES THE AUDIOLOGY CENTER 61 Wehrle Drive (Near Harlem) Amherst 14225 630 Orchard Park Rd. (Near Ridge Rd.) West Seneca 14224 837-6213 712-2000 • Diagnostic audiometric evaluations (pediatric and adult) • Digital & programmable hearing aid fittings on 60-day trial basis • Tinnitus evaluation and therapy • Vestibular evaluation for patients with dizziness/vertigo • Vestibular therapy • State of the art facilities "The Ear is the Road to the Heart" rvoJraireJ Daniel Schneider, AuD Jennifer Schneider, MA Spring Jerri Kaplan Joyce, MA 2002 lulfal1 Physician 35 �DEVELOPMENT N E w s Scholarships for Our Students By Li nd a J . Cor d e r , PhD, CFRE OR YEARS, THERE'S BEEN DISCUSSION about the importance of scholarships- "We're losing some of our best 'acceptances' due to higher scholarships elsewhere ... ";or, "If we had even one full scholarship, we might be more competitive ... " Recently, I decided to look into tuition, average student debt and scholarship assistance at UB. What I found begs for additional research and analysis, including correlation of tuition with the number of paid full-time faculty, when medical class size changed and when the school added basic science programs. In the interim, I found that UB's tuition has always been relatively low. Initially, this was due to the short course of study ( 15 weeks) by people who were already, in effect, apprentices to volunteer faculty members who organized the first curriculum. The Class of 1847 paid $80. This included their graduation fee. This situation scarcely changed for 70 years. Although the course of study lengthened, the cost per year remained stable. In 1916, tuition had risen to only $125 a year. In 1928, a mere 12 years later, medical education had in1:-\CREASL 'G creased fourfold to $500 annually. ENDOWMENTS FOR Another period of stability lasted SCHOLARSHIPS WILL through WWII. Then, from 1948 CO, 'TINUE TO BE A to 1955, costs rose from $600 a \IA)OR FOCUS FOR year to $850. During the late 1950s, THF RE,\!AINDER OF tuition decreased and fees increasTHE CA\!PAIG::-.. FOR ed, with the net cost steady. In UB AND BEYO:\'D. 1959, tuition climbed to $1080, but fees declined. Five years later, in 1964, two years after UB's merger with the State University, tuition dropped slightly to $800 for New York residents, remaining at $1,000 for all others, plus a UB fee of $81. This remained constant through the 1970s, increasing somewhat towards the end of the decade. By 1982, residents paid $4,300 a year, when the national average for public medical schools 36 luffalo Physician Spring 2002 was only $2,1 00! By the early 1990s, tuition was $5,600 for New Yorkers, nearly $9,000 for others, with fees still at about $300 a year. We seem to be in another growth mode. Last year was slightly under $12,000. This year we're at $12,840 in-state and $22,940 out-of-state. There is a projected annual increase of $2,000 for the next three years. The above figures might dispel a few myths. Tuition was incredibly low while UB was private. The clinical faculty, high in experience, volunteered their time to teach, which kept costs to students artificially low. The "drop" in tuition and fees when the school merged with SUNY was minor. The largest increases have taken place recently. UB is still a relative bargain, but the fact is that medical and biomedical education and research now cost significantly more than they did for the majority of our graduates. Our students are graduating with an average debt in excess of$80,000. With current scholarship endowments, we were able to award only about $288,000 this academic year m scholarships. The school's Alumni Scholars Endowment got a big boost this year with a generous bequest from AI Dobrak, MD, Class of '39. His gift, in excess of $200,000, increased this endowment by 53 percent, bringing it to about $580,000. Last year, Janet Sung, MD, a Western New York radiologist, and her husband, John, established a scholarship fund with a million-dollar gift. Several alumni have set up smaller named scholarship endowments. Every one of these gifts helps, but the fact is we have a long way to go. Increasing endowments for scholarships will continue to be a major focus for the remainder of the Campaign for UB and beyond. Linda (Lyn) Corder, PhD, is associate dean for alumni affairs and development. She can be contacted at I -877-826-3246, or via e-mail at ljcorder@buffalo.edu. �Lifetime Members When cumulative contributions reach $50,000 or an irrevocable deferred gift is completed for $100,000 or more, a couple or individual is granted lifetime membership in the fames Platt White Society. Combinations of outright and deferred gifts in appropriate proportions may also be the basis of lifetime membership. Names of Founders' Circle members are repeated in an annual category in any year that they make a new gift to the school. UB' s Founders-primarily physicians and attorneysenvisioned a school to train students for service to the community. The Society's Founders help to actualize that vision by providing a generous base of support for programs and activities that enrich the academic environment and enhance medical training. Mrs. Catherine Fix Martinsburg, WV Dr. Thomas F. Frawley '44 Chesterfield, MO Mrs. Christine Gretschel Genner Potomoac, MD Dr. Lawrence Golden '46 & Mrs. Nancy Golden '48 Mrs. Joan W. Alford Mrs. Annette Cravens Buffalo, NY Buffalo, NY Mrs. June M. Alker Mr. Donald l. Davis & Mrs. Esther P. Davis Williamsville, NY Charles D. Bauer, MD '46 & Mrs. Mary A. Bauer Williamsville, NY Dr. Ralph T. Behling '43 Williamsville, NY Dr. S. Max Doubrava Jr. & Mrs. Joan Doubrava Las Vegas, NV Eggertsville, NY Dr. Pasquale A. Greco '41 & Mrs. Lois J. Greco Buffalo, NY Dr. Glen E. Gresham & Mrs. Phyllis K. Gresham '8S Williamsville, NY Dr. Thomas Jr. '60 & Mrs. Barbara l. Guttuso San Mateo, CA Mrs. Marjorie B. Eckhert Dr. Willard H. Boardman '44 & Mrs. Jean E. Boardman '48 Buffalo, NY East Amherst, NY Ms. Rose M. Ellerbrock Dr. Eugene J. Hanavan Jr. '41 Winter Park, FL Williamsville, NY Buffalo, NY Dr. William M. Chardack Dr. George M. Ellis Jr. '4S & Mrs. Kelly Ellis Mrs. Morris Lamer Gulfstream, FL Connersville, IN New York, NY Dr. Joseph A. Chazan '60 & Mrs. Helen Chazan Mrs. Grant T. Fisher Dr. Eugene R. Minden & Mrs. June A. Mindell Providence, RI Palm Beach, FL Buffalo, NY Dr. Phil Morey '62 & Mrs. Colleen Morey Dr. Philip B. Wels '41 & Mrs. Elayne G. Wels Williamsville, NY Williamsville, NY Dr. Richard J. Nagel '53 & Mrs. Florence T. Nagel Dr. John & Mrs. Deanna Wright Orchard Park, NY Williamsville, NY Dr. Richard B. Narins '63 & Mrs. Ellen B. Narins East Aurora, NY Dr. Albert C. Rekate '40 & Mrs. linda H. Rekate '71 Williamsville, NY Dr. Elizabeth P. Olmsted Ross '39 Buffalo, NY Mrs. Mary Cecina Riforgiato Buffalo, NY Dr. Robert J. Smolinski '83 & Dr. Claudia D. Fosket '85 Orchard Park, NY Dr. Albert Somit Carlsbad, CA Dr. Janet H. Sung & Mr. John J. Sung Clarence, NY Spri11g 2002 Annual Memberships All annual donors of $1,000 or more are granted membership in the]ames Platt White Society. Annual membership in the appropriate circle within the society are granted for one year, beginn ing January 1, for the gifts received the prior calendar year. The roster of the fames Platt White Society "Class of 2001" follows. lullalo Phy sic ian 37 �DEVELOPMENT I jAMES PLArr\VHITE. cosT. Dean's Circle The dean is the school's leader. Every leader depends on a small circle of associates who help bring the organization's vision into reality. Individuals or couples qualify as members in the Dean's Circle with generous gifts of $25,000 or more during the calendar year. Professors' Circle A strong faculty is central to a great university. Likewise, central to the future of our school is the dedication of a cadre of supporters whose annual gifts range from $5,000 to $9,999. Charles D. Bauer, MD '46 & Mrs. Mary A. Bauer Williamsville, NY Dr. Melvin B. Oyster '52 Niagara Falls, NY Mrs. Lidia Hreshchyshyn Williamsville, NY Mr. Donald l. Davis & Mrs. Esther P. Davis Williamsville, NY Dr. Max Doubrava Jr. '59 & Mrs. Joan Doubrava Las Vegas, NV Dr. Janet Sung and Mr. John Sung Clarence, NY Dr. Gordon R. lang '62 Chicago, IL Dr. John C. Newman Lewiston, NY Mr. James I. Stovroff Buffalo, NY Dr. Charles S. Tirone '63 & Mrs. Anne R. Tirone '94 Williamsville, NY Chairs' Circle Fellows' Circle Just as a department chair leads a program, donors of leadership gifts In the range of $10,000 to $24,999 are given special recognition. Fellows within the school are recognized for added depth they bring to postgraduate study. Fellows are honored for gifts that total $2,500 to $4,999. Dr. and Mrs. Ernest Beutner Dr. Willard H. Boardman'44 & Mrs. Jean Boardman '48 N E w Dr. Douglas Sinensky Dr. Jay Belsky' 51 Dr. Roman Cham Williamsville, NY San Pedro, CA La Mesa, CA Dr. Robert J. Smolinski '83 & Dr. Claudia D. Fosket '85 Dr. Richard A. Berkson '72 & Mrs. Andrea Berkson Draper, VA Orchard Park, NY Rancho Palos Verdes, CA Dr. Irving Sterman '64 & Mrs. Gail K. Sterman Mr. Sheldon M. Berlow Dr. Isidore S. Edelman New York, NY Dr. lawrence Golden '46 & Mrs. Nancy Golden '48 Eggertsville, NY Philip D. Morey M.D. '62 & Mrs. Colleen Morey Williamsville, NY Dr. John R. Wright & Mrs. Deanna P. Wright Williamsville, NY Winter Park, FL Dr. Melvin M. Brothman '58 Snyder, NY Buffalo, NY Williamsville, NY Dr. Yong Baek Chi Dr. Martin C. Terplan '55 San Francisco, CA Buffalo, NY Dr. Theodore S. Bistany '60 Scholars' Circle One strength of an outstanding institution is the caliber of those who study there. Scholars within the fames Platt White Society have made gifts to the school totaling $1000 to $2,499 during the past year. Those marked with an asterisk (*) are young scholars, graduates of the last decade, who qualify with gifts of $500 to $999. Mrs. Joan W. Alford Buffalo, NY Dr. Kenneth Z. Altshuler '52 & Mrs. Ruth Altshuler I uI I a I o n ys i c i a n West Seneca, NY Dr. lawrence B. Bone '73 Dr. Charles Kwok-Chi Chow & Mrs. Patricia Chow Orchard Park, NY Hong Kong Dr. Jerald Bovino '71 Dr. George H. Christ '56 Aspen, CO Largo, FL Dr. Suzanne F. Bradley '81 Dr. Eugene Cisek Whitmore Lake, MI Buffalo, NY Dr. Martin Brecher '72 & Geri Brecher Dr. Mark Comaratta '85 Amherst, NY East Amherst, NY Dr. Harold Brody '61 Dr. Bernice S. ComfortTyran '58 Getzville, NY Los Altos, CA Dr. James B. Bronk '81 & Mrs. Suzanne Bronk Buffalo, NY Napa, CA Dr. August A. Bruno Sr. '51 Buffalo, NY Dr. linda J. Corder Dr. J. Steven Cramer East Amherst, NY Dr. Julia Cullen '49 Buffalo, NY La jolla, CA Dr. Daniel E. Curtin '47 & Mrs. Elaine Curtin Dr. Stanley Bukowski '81 Orchard Park, NY Buffalo, NY Dr. Stanley J. Cyran Jr. '46 Prospect, KY Dr. William S. Andaloro '45 Chapel Hill, NC Dr. David R. Dantzker '67 & Mrs. Sherrye Dantzker Dr. James P. Burdick '75 Roslyn, NY Caledonia, NY Dr. Mark Anders Dr. Douglas Armstrong Buffalo, NY Dr. J. Bradley Aust Jr. '49 San Antonio, TX Lemoyne, PA Hamburg, NY Dr. Charoen & Dr. Charlearmsee Chotigavanich Dr. Jared C. Barlow Sr. '66 & Mrs. Barbara Barlow Thailand Grand fsland, NY East Amherst, NY Dr. William M. Burleigh '67 Rar1cho Mirage, CA Mrs. John Buyers Little Silver, NY Dr. Roger S. Dayer '60 & Dr. Roberta A. Dayer '72 Williamsville, NY Buffalo, NY Dr. Gerard J. Diesfeld '60 Hamburg, NY Dr. David T. Carboy '63 & Mrs. Jacqueline G. Carboy Lincroft, N] Dr. Nancy H. Nielsen '76 Mrs. Agnes T. Baron Orchard Park, NY Snyder, NY Eden, NY Dr. Thomas P. O'Connor '67 Dr. Michael B. Baron '71 Dr. Nicholas C. Carosella '54 & Mrs. Sandra S. O'Connor Blountville, TN Appleton, NY Dr. Paul D. Barry '71 Dr. leonard S. Danzig '51 Dr. Evan Calkins & Dr. Virginia Calkins Dr. Joseph G. Cardamone '65 & Mrs. Susan G. Cardamone 2002 Dr. Prem Chopra Dr. Timothy Bukowski '87 & Dr. Naomi J. Kagetsu '86 Dr. George Bancroft '81 & Mrs. Susan K. Bancroft '79 Spring Lockport, NY Dallas, TX Arlington, VA 38 Buffalo, NY Dr. Helene E. BuergerPeck'56 Dr. Jennifer l. Cadiz '87 East Amherst, NY Dr. Norman Chassin '45 & Mrs. Charlotte S. Chassin Dr. Michael E. Bernardino & Mrs. Joan Bernardino jacksonville, FL Buffalo, NY Eggertville, NY Dr. Yung C. Chan '73 Arcade, NY Mr. James B. Docherty Orchard Park, NY Ronald I. Dozoretz M.D. '62 Falls Church, VA Dr. Robert Einhorn '72 North Brunswick, Nj Dr. Domonic F. Falsetti '58 & Mrs. Margaret Falsetti Lewiston, NY �Dr. Leon E. Farhi & Mrs. Haya Farhi Eggertsville, NY Dr. Carl V. Granger Buffalo, NY Dr. Bernard J. Feldman '66 Dr. Glen E. Gresham & Mrs. Phyllis K. Gresham '85 Palos Park, IL Williamsville, NY Mr. Kevin Feor '80 & Mrs. Elizabeth A. Feor '78 Dr. Robert T. Guelcher '60 & Mrs. Elizabeth Guelcher Webster, NY Erie, PA Dr. James R. Kanski '60 & Dr. Genevieve W. Kanski '84 Dr. Gerald L. Logue & Mrs. Joelle Logue Eggertsville, NY Williamsville, NY Latrobe, PA Dr. Steven R. Kassman '87 & Mrs. Jeannine Kassman Dr. Thomas A. Lombardo Jr. '73 & Mrs. Donna M. Lombardo Dr. Margaret W. Paroski '80 Glendale, AZ Dr. Kenneth K. Kim '65 & Mrs. Susan W. Kim Clinton, NY East Aurora, NY Dr. Frank A. Luzi '88 & Dr. Lori Luzi '88 Bethlehem, PA Dr. Robert Joseph Hall '48 & Mrs. Dorothy N. Hall Dr. Francis J. Klocke '60 Dr. Helen Marie Findlay '78 Dr. Albert Schlisserman '77 Houston, TX Chicago, JL Dr. Christopher Hamill '89 Dr. Robert A. Klocke '62 & Mrs. Barbara Klocke Dr. Brian McGrath *Dr. Amy E. Ferry '94 Clarence, NY Dr. John M. Marzo '86 Buffalo, NY Eggertsville, NY Buffalo, NY Dr. Donald Hauler '57 and Mrs. Barbara Hauler Williamsville, NY Buffalo, NY Dr. Ludwig R. Koukal '51 Dr. Susan V. McLeer Pensacola, FL Tucson, AZ Buffalo, NY Dr. Mark Heerdt '51 & Mrs. Lois Heerdt Dr. Joseph M. Kowalski '93 Dr. Harry L. Metcalf '60 & Dr. Kaaren Metcalf '78 Dr. Susan Fischbeck '82 & Dr. Patrick T. Hurley '82 East Concord, NY Dr. Jack Fisher '62 La jolla, CA Dr. John Fisher Buffalo, NY Dr. Thomas D. Flanagan '65 & Mrs. Grace Flanagan '70 Williamsville, NY Dr. William A. Fleming '64 & Dr. Beth D. Fleming '67 Greer, SC Dr. Reid R. Heffner Jr. & Mrs. Elenora M. Heffner Buffalo, NY Amherst, NY Dr. Daniel Kozera '59 Lackawanna, NY Dr. Kenneth Krackow Williamsville, NY Dr. Fredric M. Hirsh '73 & Mrs. Donna A. Hirsh Dr. Jacob S. Kriteman '67 Williamsville, NY Danvers, MA Dr. John M. Hodson '56 Dr. Harold Krueger '51 Williamsville, NY Rockford, IL Buffalo, NY Mr. Paul F. Hohenschuh & Dr. Marjorie E. Winkler Dr. Ivan W. Kuhl '45 Dr. Neal W. Fuhr '52 Burlingame, CA Dr. Marie Leyden Kunz '58 & Dr. Joseph L. Kunz '56 Williamsville, NY Ms. Peggy Hong Dr. Robert Galpin Milwaukee, WI Buffalo, NY Wimberley, TX Lockport, NY Dr. Andre D. Lascari '60 Dr. Penny A. Gardner '69 Dr. Waun Ki Hong & Mrs. Mihwa Hong Los Altos, CA Houston, TX Drs. Laura & Michael Garrick Dr. Bradley Hull '41 Brooklyn, NY Getsville, NY Rocky River, OH Dr. Mark J. Lema '76 & Mrs. Suzanne Lema Dr. Ronald F. Garvey '53 Dr. Hilton R. Jacobson '45 Tyler, TX Lakewood, NY Mr. Warren Gelman '70 Robert M. Jaeger, M.D. '47 Buffalo, NY Allentown, PA Dr. George A. Gentner '41 Dr. Charles Alexander Joy '46 Poestenkill, NY Dr. Sanford E. Left '68 East Amherst, NY Dr. Dolores C. Leonard '87 & Mr. Martin Leonard East Amherst, NY Dr. Eugene Leslie '51 & Mrs. Faith Leslie Buffalo, NY Dr. Robert J. Patterson '50 & Mrs. Patricia M. Patterson Snyder, NY Dr. Norman L. Paul '48 Lexington, MA Dr. Marc S. Fineberg Williamsville, NY Dr. John S. Parker '57 & Mrs. Dorris M. Parker Dr. Joel H. Paull '71 &Mrs. Linda Paull Eggertsville, NY Dr. John H. Peterson '55 East Aurora, NY Dr. Harry E. Petzing '46 Hamburg, NY Williamsville, NY Dr. Daniel Phillips '51 & Mrs. Mary Ann Phillips Dr. Merrill L. Miller '71 Reno, NV Hamilton, NY Dr. James F. Phillips '47 & Mrs. Marcella Phillips Ms. Sounghae Min Korea Buffalo, NY Dr. David P. Mindell & Mrs. Margaret H. Mindell Dr. Matthew Phillips '91 Ann Arbor, M I Buffalo, NY Dr. Anthony V. Postoloff '39 Dr. Maynard H. Mires Jr. '46 Georgetown, DE Williamsville, NY Dr. Richard A. Rahner '58 Dr. John A. Moscato '68 & Dr. Beth A. Moscato '96 Orchard Park, NY Erie, PA Dr. John Y. Ranchoff '52 Fairview Park, OH Dr. John D. Mountain '33 Manhasset, NY Dr. Arthur W. Mruczek Sr. '73 Medina, NY Dr. Bert W. Rappole '66 & Mrs. Mary Helen Rappole jamestown, NY Dr. Frederic D. Regan '45 Boca Rator1, FL Dr. Richard L. Munk '71 Sylvania, OH Dr. Robert E. Reisman '56 & Mrs. Rena Reisman Dr. Masao Nakandakari '55 Williamsville, NY Honolulu, HI Dr. Bernhard Rohrbacher '83 Dr. Richard Narins '63 & Mrs. Ellen Narins Getzville, NY Dr. Richard Romanowski '58 Phoenix, AZ Fairview, PA Dr. Allen L. Goldfarb '51 Buffalo, NY Dr. Herbert E. Joyce '45 & Mrs. Ruth Marie Joyce Dr. Elizabeth P. Olmsted Ross '39 Dr. Michael Gold hamer '64 Dr. Harold J. Levy '46 & Mrs. Arlyne Levy Depew, NY Lockport, NY Dr. Tomoe Nishimaki Buffalo, NY San Diego, CA Mr. Arthur H. Judelsohn Amherst, NY japan Ms. Barbara Mcalpine Gong'90 Buffalo, NY Dr. Seymour J. Liberman '61 Dr. Ralph M. Obler '52 & Mrs. June M. Obler '49 Williamsville, NY Dr. Myron Gordon '48 Dr. Jeffrey Kahler '66 Chapel Hill, NC Albany, NY Dr. Wendy A. Kaiser '85 & Dr. Roger E. Kaiser Jr. '79 Dr. Walter Grand Clarwce, NY Williamsville, NY Williamsville, NY Slwker Heights, OH Dr. Hing·Har Lo '74 Blacksburg, VA Dr. Alice Challen LoGrasso '37 Alameda, CA East Aurora, NY Buffalo, NY Dr. John Naughton Dr. Jeffrey S. Ross '70 Los Angeles, CA Lebanon Springs, NY Dr. Albert G. Rowe '46 Tonawanda, NY Dr. Rudolph Oehm '66 Walnut Creek, CA Dr. Joseph F. Ruh '53 Orchard Park, NY Dr. Kathleen O'Leary '88 & Mr. Michael J. Collins '90 Buffalo, NY Spring 2002 B u If a I o P h y s i c i a n 39 �~ -~ -- ---~ - --- DEVELOPMENT I jA\f ES PLATT W HITE CO"\T. Dr. Edwin A. Salsitz ' 72 New York, NY Dr. Iqbal A. Samad & Mrs. Vicar Samad Williamsville, NY Mrs. Elizabeth Ann Schaefer Snyder, NY Dr. David S. Schreiber '69 Westwood, MA Dr. Fred S. Schwarz ' 46 Buffalo, NY Dr. Molly R. Seidenberg '53 Rochester, NY Dr. Elizabeth G. Serrage '64 Cape Elizabeth, ME Mr. Eugene M. Setel Buffalo, NY Dr. Timothy S. Sievenpiper ' 68 & Mrs. Karen S. Sievenpiper 40 Dr. Daniel J. Tutas Washington Grove, MD Dr. Gregory E. Young '77 & Mrs. Diane Young Dr. John J. Squadrito ' 39 Dr. Salvador M. Udagawa & Mrs. Aurora Udagawa Dr. Wende W. Young '61 Lake View, NY Cmw11daigua, NY Dr. Alvin Volkman ' 51 *Ms. Sandra Yu ' 95 Greenville, NC Malden, MA Dr. Coolidge S. Wakai '53 Dr. Franklin Zeplowitz ' 58 & Mrs. Piera Zeplowitz Albany, NY Dr. Philip M. Stegemann '82 Orchard Park, NY Dr. Morton A. Stenchever '56 Mercer Island, WA Dr. William C. Sternfeld '71 Sylvania, OH Mr. Franz T. Stone Clarence, NY Mrs. Gloria Stulberg Buffalo, NY Dr. Michael A. Sullivan '53 Williamsville, NY Dr. Joseph Tannenhaus '45 Homosassa, FL Dr. Michael Taxier '75 Columbus, OH Dr. Wayne C. Templer '45 Dr. Howard C. Smith '53 Mr. Fritz Terplan Huron, OH San Francisco, CA Dr. James A. Smith ' 74 Dr. James C. Tibbetts '64 Orchard Park, NY Sturgeon Bay, W I Dr. Robert G. Smith '49 Dr. Bradley T. Truax '74 Savannah, GA Lewiston, NY internationally renowned designer of bridges who in 1923 bequeathed nearly $390,000 to UB. Through the years, many generous individuals have been inspired by the same conviction and have elected to build on Hayes' foundation of support. Through their commitment to the university, and through their investment in University at Buffalo, benefactors have taken part in shaping the future of UB and securing its legacy into the next century. I u II a I a n ysic ian S Encinitas, CA Corning, NY This society is named after General Edmund Hayes, an W Dr. Albert Somit East Aurora, NY The Edmund Hayes Society E Several of the Medical School's friends and alumni have joined the Edmund Hayes Society, demonstrating their support of our school by including the UB School of Medicine and Biomedical Sciences in their estate plan. If you are interested in becoming a member of the Hayes Society, you can contact our planned giving department at (7 16) 645-3312. Dr. Frances R. Abel Mrs. June M. Alker Dr. Charles A. Bauda Dr. John T. Cangelosi Spri11 g 200 2 Honolulu, HI Dr. Richard D. Wasson '58 & Mrs. Janet Wasson Holland, NY Buffalo, NY Holiday, FL Dr. David C. Ziegler '64 & Mrs. Susan D. Ziegler Dr. Arnold Wax '76 Walnut Creek, CA Henderson, NV Dr. Charlotte C. Weiss '52 & Dr. Hyman Weiss Highland Park, N] Dr. Paul H. Wierzbieniec '74 & Ms. Ellen Wierzbieniec Buffalo, NY Dr. Gary J. Wilcox '73 Carlsbad, CA Special Members A few individuals and couples were gra nted multi-year memberships based on generous gifts made between 1989 and 1993. Dr. Myron E. Williams Jr. ' 46 Batavia, NY Dr. Richard G. Williams '80 Clearfield, PA Mr. Ralph C. Wilson Jr. Orchard Park, NY Dr. Robert Bernot '60 & Mrs. Carol Bernot North Hills, NY Dr. Marvin Z. Kurian '64 & Mrs. Eleanor Kurian Williamsville, NY Dr. Stanley B. Clark Dr. Richard F. Kaine Mrs. Edith Corcelius Dr. J. Walter Knapp Dr. Linda J. Corder Dr. Harold J. levy Dr. Julia Cullen Dr. Sanford H. levy Dr. Thomas G. Cummiskey Dr. Milford C. Maloney & Mrs. Dione E. Maloney Mr. Edward l. Curvish Jr. Dr. leonard S. Danzig Dr. Melvin Oyster Ms. Rose M. Ellerbrock Dr. George M. Ellis, Jr. Mrs. Grant T. Fisher Dr. Jack C. Fisher Dr. lance Fogan Dr. Ronald F. Garvey Dr. Pasquale A. Greco Dr. Glen E. Gresham Dr. Eugene J. Hanavan Jr. Dr. David M. Holden Dr. Hilliard Jason & Dr. Jane Westberg Dr. Kart l. Manders Dr. Benjamin E. Obletz Dr. Richard A. Rahner Dr. Albert C. Rekate Dr. Myron G. Rosenbaum Dr. Elizabeth P. Olmsted Ross Dr. Daniel S. P. Schubert Dr. Albert Somit Dr. Eugene M. Teich Dr. Pierce Weinstein Dr. John R. Wright & Mrs. Deanna Wright Dr. Wende W. Young �Dear Fellow Alumni, nother Spring Clinical Day and Reunion Weekend has comeai1d gone, the success of which will be reported on in detail in the summer issue of Buffalo Physician. As I close out my two-year term as president of the Medical Alumni Association (MAA ), l feel I would be remiss not to thank some of the people who have made my job very easy, including Nancy Druar, our longtime secretary, and Mary Glenn, director of constituency relations and the school's liaison with our association, both of whom have greatly assisted me. I also want to thank all the current and past MAA board members and my fellow officers-Colleen Matti more, MD '91, and Stephen Pollack, MD '82-for the help they have lent toward making the different activities we had throughout the year very successful. I appreciate everything you have done for the association and for the school. In my final message as president, l would like to remind you of the three major awards the MAA bestows on our fellow alumni throughout the year. I think that these awards are very special and that more of our alumni need to know the criteria for nominating individuals to receive them. The Distinguished Alumn us Award, our most prestigious award, is presented each September at the dinner for past presidents. The qualifications for the award are an alumnus who has distinguished himself or herself nationally or internationally among peers and who has made an outstanding contribution to medicine or to the arts and humanities. The Med ical Alumn i Ac hievement Awa rds and the Robert S. Berkso n Memorial Award are the other two awards, which are presented during Spring Clinical Day in April each year. The achievement awards are presented to alumni who have shown conspicuous and outstanding achievement in one of the following areas of medical endeavors: teaching, research, innovation, practice, service, and medical administration. Traditionally, these awards are given to alumni celebrating their reunions that year so that their classmates and friends can join with them in celebrating their success. The RobertS. Berkson Award has been presented since 1988 in memory of Dr. Berkson, a wellknown internist in the Western New York community. It honors a physician who has performed his or her teaching responsibilities in an outstanding manner during five or more years on the volunteer teaching faculty and who combines scholarship and compassion in a way that elevates medicine, in its best sense, from a science to an art. Because I am sure there are many deserving alumni who have not yet been recognized by our association, I encourage you to write to the MAA office to nominate a peer for one of these awards. If you prefer to send your nominations via e-mail, they can be forwarded to Mary Glenn at glenn@acsu.buffalo.edu. In closing, I would also just like to put one more plug in for all eligible candidates-medical school alumni, faculty, PhD graduates and emeritus professors-to join our association and, if you are able, to become a lifetime member. Again, thank you for the honor of allowing me to serve as your alumni association president. 4d14eft4·? BooL,~:~ JoHN J. ' 76 President, Medical Alumni Association S prin g 20 0 2 Buffalo Physician 4 1 �~~- ------- C L A SNOTES 1940s Raymond Bondi, MD '44, writes: "Enjoying salubrious and warm South Florida. I even exercise daily, with a knife and fork." 1950s Joseph F. Ruh, MD '53, writes: "I retired from the office in 1996, but am working at the hospital one day a week doing GI endoscopy." E-mail address is joe@ruh.net. Over the years, Bell has been nationally recognized for his extensive work in promoting women's health issues, particularly familycentered OB care. In 1980, he pioneered the certified nurse mid- University of California, Irvine. Michael I. Weintraub, MD '66, FACP, FAAN, writes: "I am in full-time private practice of neurology and pain medicine. Currently, I am performing clinical research with dia- Medical Center in Anaheim, CA. At that time, betic peripheral neuropathy and carpal tunnel syndrome with alternative modes of therapy; i.e., magnetic therapy and laser therapy. I have over 190 publications, James Youker, MD '54, it was the first such pro- and recently I edited a writes: ''I'm still working gram within the Kaiser book, titled Alternative and chair of radiology at the Medical College of Wisconsin. In March 2002, I finish my two- system and one of the first in the nation. and Complementary Treatment in Neurologic Illness (Churchill Livingstone, 2002). Presently, I am clinical professor of neurology and medicine at New York Medical College and ad- wifery program at Kaiser Jacob (Jack) Lemann Jr., MD '54, New Orleans, LA. E-mail address is dr.jack@lemann.net. year term as president of the American Board of Medical Specialties." E-mail address is: jyouker@mcw.edu. 1960s Kenneth Bell, MD '61. After 33 years as a Kaiser Permanente obstetrician and gynecologist, including the last 14 years as area medical director for the organization in Orange County, CA, Bell retired from the Southern California Permanente Medical Group on December 31, 2001. 42 assnotes luff al a Ph ysici an Pemlallel1te In 1997, he was honored with the prestigious Mentor in Medicine Award from the March of Dimes for his commitment to and leadership in the community and the healthcare industry. While Bell is retiring from Kaiser Permanente, he is not giving up his work as a medical administrator. On January 2, 2002, he stepped into his new role as CalOptima's chief medical officer (Cal-Optima is Orange County's Medi-Cal managed care program). He also serves as clinical professor at the Spri11g 2002 junct clinical professor of neurology at Mount Sinai School of Medicine in ew York City." from 1987 to 1990." E-mail address is andyandcarole@netzero.net. E-mail address is: miwneuro@pol.net. Barry Schultz, MD '&B. John R. Anderson, MD '67, Wyomissing, PA, writes: "After a year at sea, I spent the next year doing Depew, NY, writes: "In 1998, I retired nothing but vasectomies 16/day, 5/day week. Then from Brothers of Mercy Hospital, where I was I went into urology at the University of Connecticut with classmate Bruce Stoesser. I am now chief medical director. From 1999 to 2001, I taught anatomy and physiology and medical terminology at Bryant & Stratton. Currently, I work as a program physician two days a week at UB's Research Institute on Addictions. I had two teaching degrees before earning my medical degree, and would love to teach in the medical school again, as I did of urology at the Reading Hospital and Medical Center in my hometown. I am past president of the Urological Association of Pennsylvania. I may slow down a bit after I get new knees." John Fisk, MD '69, profes- sor of surgery at Southern Illinois University School of Medicine, was �HUNT Since 1911 elected in january 2002 to a two-year term as chair of the board for the U.S. members of the International Society for Prosthetics and Orthotics. Hunt Relocation Center 1970s Donald H. Marcus, MD '71. Northridge, CA, writes: "! have just been reelected to the board of directors of the Southern California Permanente Medical Group for my seventh three-year term. My daughter Elizabeth is in her second year at the University of Southern California School of Medicine." Diane L. Matuszak, MD '74, MPH, was appointed director of Community Health Administration in the Maryland Department of Health and Mental Hygiene, effective December 26, 2001. This administration oversees all local health departments and statewide programs for Epidemiology and Disease Control (including bioterrorism), Food Protection and Consumer Health Services, Environmental Health and Health Planning. E-mail address is dmatuszak@home.com. Greg Antoine, MD '76, writes: "! am the new chairman of plastic surgery at Boston University School of Medicine. I am board certified in plastic surgery and otolaryngology. I specialize in congenital and posttraumatic facial reconstruction. I retired as a colonel from the Army and was formerly on the faculty at Case Western Reserve University School of Medicine. My son Elliott's high school football team won the Ohio State Division I championship. My daughter, Tai, graduated from Dartmouth, and my son Greg got a master's degree from the University of Miami, both in june. I am sad to hear that UB lost its otolaryngology residency program. Jane (King) Dorval. MD '76, was recently elected chair of the Rehabilitation Accreditation Commission's (CARF) board of trustees for the 2002 term. CARF is a private, nonprofit organization that promotes quality rehabilitation services by establishing standards of quality for national and international organizations to use as guidelines in developing and offering their programs or services to consumers. CARF standards are developed with input from consumers, rehabilitation professionals, state and national organizations and those funding the process. There are more than 26,000 medical, behavioral, employment/ community services, adult day services and assistedliving CARF-accredited programs in the U.S., Canada and Europe. As a board-certified physiatrist, Dorval is currently senior vice president of medical affairs and quality oversight at Good Shepherd Rehabilitation Hospital in Allentown, PA. She is also a division chief of rehabilitation medicine at Lehigh Valley Hospital, also in Allentown, and a clinical associate professor on the faculty of Pennsylvania State University School of Medicine in Hershey, PA. Totally customized service portfolio including • Nationally trained relocation experts • Complete family needs analysis • Global home sale assistance • Special services for seniors • Full community tour · A complete cost of living analysis • A list of all school systems and administrators throughout WNY • Complete spousal placement assistance including resume writing and corporate contacts • 24 hour or less response time • Confidentiality assured We don't just move people... We help people move. Call for a free relocation portfolio regarding your destination city. Call 1-800-888-1170 or go on-line and visit our web site at huntrealestate.com Ira Salom, MD '77, has been appointed to the ew York State Board of Medicine, in the Office of the Professions, State Education Department, to serve on license restoration and moral fitness hearing panels. Mary Croglio Corporate Relations Officer Hunt Relocation Center 5570 Main Street Williamsville, NY 14221 -5410 Email: huntrelocation@huntrealestate.com S p r in g 2002 8 u f fa I o Physician 43 �CLASSNOTES Fred H. Geisler, MD '78, publ ished three papers on the natural evolution and treatment of spinal cord injury in the December 200 I issue of the journal Spine. He works in the Chicago Institute of Neurosurgery and Neuroresearch, specializing in spinal instrumentation. E-mail address is: fgeis ler@co ncen tric. net. Leigh Lachman, MD '78, writes: "I live in New Jersey and practice in Manhattan . I am boarded in both otolaryngology and ,;._..;. genera l plastic surgery. I'm married and have three children: two girls, ages 10 and 17, and a boy, age 13. I truly miss those days and parties in medical school. I'd be happy to hear from my friends, who can e-mail me at devilsrul9@aol.com. " Roger E. Kaiser, Jr, MD '79, has been appointed medica l di rector of the Erie County Medical Center (ECMC) Hea lthcare Network. The network encompasses a base of off-campus health centers, an advanced academic medical center with 500 inpatient beds and 156 skilled nursing home beds, and the Erie County Home, a 638-bed skilled nursing facility. Kaiser, who has served as clinical director of the Department of Anesthesia!ogy (1989-present) and as attend ing anesthesio logist ( 1983-present) at ECMC, will continue to It is never less than 94% efficient at trapping particles as small as 0.35 micron. No other whole-house air cleaner can reach more that 70% efficiency on these t 7/EA~lNG BILLS TOO HIGH? Plan ahead and consider updating your heating equipment with a natural gas furnace Just because you have allergies doesn't mean you have to suffer. The Ap rilaire® High Efficiency Air Cleaner is up to 99% efficient at removing allergy-causing sym ptoms from the air in your home. So not only does it relieve your allergies, it also removes airELECTRONIC AIR CLEANERS borne dust and dirt, making your Nobody Makes Clean Air Easier" home Cleaner. e® H & Q HEATING & AIR CONDITIONING " Where Quality Means Quality " • INSTALL HEATING & AIR CONDITIONING SYSTEMS • SERVICE & REPAIR • AIR CLEANERS & HUMIDIFIERS 830 1575 • FREEESTIMATES • FULLYINSURED • • CARBON MONOXIDE TESTING Call George Hoage - References Upon Request NATURAL GAS YOUR BEST ENERGY VALUE 44 Buffalo Phys i cian Spring 2002 practice in these capacities. He also concurrently serves as medical director at the Western New York Center for Ambulatory Surgery (2001present) and is associate professor of clinical anesthesiology (1993present) for the University at Buffalo's School of Medicine and Biomedical Sciences. Kaiser is a member of the American College of Physician Executives, Society of Critical Care Medicine, American Society of Anesthesiologists, and In- ternal Anesthesia Research Society. 1980s Frank W. Sanchez, MD '8D, writes: "I am in my sixteen th year of practice in interventional radiology. l am president of the medical staff at Memorial Hospital in Jacksonville, FL. I had a great time at the 20th reunion in spring 2000." John Claude Krusz, PhD, MD '83, Dallas, TX, was elected vice president of �~-~~--~ the American Board of Electroencephalography and Neurophysiology (ABE ), which administers board certification exams in EEG. Krusz recently cofounded the ational Deaf People's Institute, a nonprofit organization dedicated to providing clinical services to the deaf and hard of hearing. E-mail address is nodynia@ swbell.net. Joseph Carrese, MD '84, MPH, Ellicott City, MD, writes: "I was recently ~- ----- promoted to associate professor of medicine at The johns Hopkins University School of Medicine (November 2001), and am a core faculty member of The johns Hopkins University Bioethics Institute. " E-mail address is: jcarrese@jhmi.edu. - physician assistant. We also expanded our office. John R. Fudyma, MD '85, l continue to enjoy the full spectrum of family ciate medical director of the Erie County Medical care, including obstetrics. My spare time goes into maintenance of home, yard and kids. Rachel ( 16) is hoping to drive soon. jacob (12) is work- work. Fudyma is currently associate professor of clinical medicine in internal medicine ( 1998- Benson Zoghlin, MD '84, ing on preparing for his bar mitzvah. Mindy, my wife, is practicing law Hilton, Y, writes: "Our family practice group expanded again and working on her second-degree belt in lsshin Ryu Karate." E-mail last year to five full-time docs, one part-time (my semi- retired dad) and a address is: drben862 @aol.com. has been appointed asso- Center Healthcare Net- present) and associate ties, including assistant program director of the Internal Medicine Residency Program A ( 1996present) through the University at Buffalo's program director (19951996), assistant clinical professor ( 1991-1998), clinical instructor ( 1989-1991 ) and clinical School of Medicine and Biomedical Sciences. He assistant instructor (1985- 1989). The ECMC has also served in other university faculty capaci- Healthcare Network encompasses a base of Choose Canterbury Woods for a lifetime of warmth and fun Set among 63 beautiful acres, Canterbury Woods combines all the best and most meaningful aspects of the way you live now, while addressing your needs and desires for a worry-free future. Call today for your personal tour. Western New York's first Life Care Community. ~nterbury 1JJoods @l ~~-::.~ Call716/929-5817 for your personal tour.. . 705 Renaissance Drive Williamsville, New York 14221 S prin g 2 0 02 Bu f f a I a Phys i cia n 45 �CLASSNOTE off-campus health centers, an advanced academic medical center with 500 inpatient beds and 156 skilled nursing home beds, and the Erie County Home, a skilled nursing facility. Kathleen O'Leary, MD '88, has been appointed director of the Operating Room at Roswell Park Cancer l nsti tu te (RPCI ). In her new position, O'Leary coordinates the scheduling, staffing and day-today adm I IllStration of the seven operating rooms at RPCI, in which 3,500 procedures are performed annually. O'Leary joined the faculty of the Department of Anesthesiology and Pain Medicine at RPCI in 1992. She has served as medical director of the PostAnesthesia Care Unit (1993-1995); medical director of the Respiratory Therapy Department (1993-1995); director of resident education in the Department of Anesthesiology ( 1994--1997); chief of surgical anesthesia (I 997); and vice chair of the Department of Anesthesia (2000.) Howard Chang, MD '89: Dawn and Howard are pleased to announce the birth of Katherine Mei Chang on December 17, 2001. She weighed in at 5 pounds, 13 ounces, and was 17.5 inches long. Baby Kate is blessed with lots of beautiful, silky black hair and has features similar to that of her sisters, jenny and Marisa, who are thrilled with their new baby sister. town Seattle. Our three girls keep us very busy and sleepless ... (in Seattle!) ." E-mail address is longomc@aol.com. IIana Feinerman, MD '93, writes: "My husband , Cary, and I have settled in Dartmouth, MA. I have just become a partner in my practice. We have a son, jeremy, who is a green belt in tae kwon do. Our daughter, Emily, is two, and our 1990s third baby is on the way. " Marie Christine Longo, MD Lisa F. Keicher, MD '93, '92, writes: "Mike and I are happily transplanted in the Pacific Northwest-great outdoors-and we both have great jobs in down- writes: " Last summer my husband, Steve, and I experienced the greatest and most rewarding adventure of our lives! We In Men1orian1 SPRING 46 traveled halfway around the world to Kazakhs tan, where we adopted our beautiful son, Eli Sergei! He is now a healthy, thriving one year old who is the love of our lives! We continue to live in Verona, NY, where I practice general pediatrics, and my hubby, veterinary medicine. " E-mail address is scneth@dreamscape.com. CONTINUED ON PACE 48 2002 Marvin L. Amdur, MD'36 Buffalo, NY, from early tions. He frequently deliv· two sisters, Adele "Ettie" childhood. Following gradua- ered expert testimony on Brock and Genevieve ing Long Island University, Marvin L. Amdur, MD '36, tion from the then-University and wrote about toxic expo- "Shaney" Cohen of Helfert achieved distinction emeritus professor of Social of Buffalo School of Medi- sure to substances, includ- Rochester, NY, six grand· by graduating from the and Preventive Medicine in cine, he practiced occupa- ing lead and asbestos. In children and two great- then-University of Buffalo the University at Buffalo tiona! medicine and was the mid-1980s, a lifelong grandchildren. Dental School in 1934 and , School of Medicine and Bio- director of the Buffalo interest in art led Amdur medical Sciences, died on Industrial Medical Center back to UB, where he stud- sors, from UB's Medical JanuarY 18, 2000, in San at 755 Tonawanda Street, a ied with the artist Harvey Irving Helfert, DDS,MD'36 Diego, CA. Amdur, 86, was private group practice (with Breverman. In later years he a pioneer in occupational Drs. Robert A. Caputi, also developed his skills on medicine and an expert on Harold L. Graff and John N. the organ and piano. In ad- toxic exposure in the work· Strachan) for 50 years be- dition to his wife, Myra, place who, in his 70s, re· fore retiring. Amdur served Amdur is survived by a turned to college to earn a as a consultant to industrY, daughter, Susan Hayman of degree in fine arts. A native federal and state govern- San Diego, CA; a son, Dr. of Erie, PA, Amdur lived in ment and private organiza- Mark Amdur of Chicago, IL; la ff al1 Physician Spring 2002 Hall High School and attend· by invitation of the profes- Irving Helfert, DDS, MD '36, died on December 10, 2001, at age 90. Born and raised in Brooklyn, NY, Helfert was the son of a well-known New York tailor of fine men's clothing. After graduating with honors from Erasmus School in 1936. Helfert was chief resident in urology at Columbia University and assisted in the advanced development of the well-known Gomco Clamp circumcision tool. He was board certified in urology, a Fellow of the Ameri- �I CONTINUED FROM PAGE 46 can College of Surgeons and a Fellow of the International College of Surgeons. grandson Dylan B. from Niagara Falls High 1930s and later the railway surgeon from 1956 to 1981, Swerdlow; sisters Gertrude School in 1942. He attended mail service. During World with offices in the San Tarnower and Rena Rifkin, the then-University of Buf- War II, he served in the Fernando Valley, CA. He is and former wife Sylvia falo for premedical and Army Corps. Upon discharge survived by his wife, Helen. medical school studies, from the military, Erickson Dinhofer Helfert. Helfert moved to Day· ton, OH, in 1943 and served as chief of staff and chief of Amo John Piccoli, MD'46 surgery at St. Elizabeth and Amo John Piccoli, MD '46, Good Samaritan Hospitals. died February 19, 2000, in Shortly after World War II, Fort Myers, FL. He was 77. at the request of the U.S. Piccoli, originally from Roch- Government, he was one of ester, NY, received his the first doctors to adminis· bachelor's degree from ter penicillin to civilians. If a Cornell University and his patient could not afford life· medical degree from the saving surgery, Helfert was then-University of Buffalo. known to accept homemade He completed his training pies in lieu of payment and and residency at the Roches- was remembered as a ere· ter General Hospital and ative, caring and beloved served as a major in the U.S. doctor who found tremen· Army during World War II. dous satisfaction in helping Piccoli practiced internal people from all walks of life. medicine at Rochester Gen- In 1971, he moved to eral Hospital until retiring in los Angeles, CA, and joined 1990, when he moved to the Sherwood Trimble Medi· Fort Myers. cal Group with the intention He was a member of the of practicing urological Monroe County Medical So- medicine with his son, Cap· ciety, New York State Medi- tain Bruce Stephen Helfert, cal Society, New York State MD, who died in 1972. Society of Internal Medicine, While in practice in Califor· the American College of nia, Helfert trained young Physicians and the Roches- doctors in Mexico and Cen· ter Academy of Medicine. tral America for City of Hope Piccoli is survived by his and donated time to the La· wife, Bess (Gioia), and a guna Beach Free Clinic. In daughter, Julie Margaux 1976, he retired and moved Kelleher. to Laguna Hills, CA, with his second wife, Gertrude Kolbert Helfert, who passed away in 1995. Helfert is survived by his children, Jay Helfert and Carole Helfert Aragon and son-in-law, Audie Aragon; grandchildren Heather Helfert Swerdlow and her husband Aaron Swerdlow and Breanna Helfert; great- graduating in 1948. He entered UB's medical served a general surgery school, after which he in- residency at the former E. J. terned in San Mateo, CA. Meyer Memorial Hospital in Buffalo and completed his training, he opened a gen- training at Veterans Hospital eral practice in Hemet, CA. in Omaha, NE. Graff In 1954, he left his practice enlisted in the Air Force in to work for the Dade County 1952 and was stationed at Public Health Department in Mitchell Air Force Base on Miami, where he remained long Island, where he was untill961. During that chief of surgery. There, he time, Erickson worked in the met Mary Ellen White, a field trials of a then-new registered nurse, and the oral vaccine against polio· couple were married in myelitis and earned an MPH 1955. They returned to degree from Tulane Univer- Buffalo, where he practiced sity. In 1961, he moved to general surgery at Kenmore Crescent City, Fl, where he Mercy Hospital and occupa- practiced for a year before tional medicine at Buffalo moving to De land, where Industrial Medical Center he practiced until his retire· until he retired in 1997. ment in 1977. Erickson is Besides his wife, he is survived by a son, Jonathan, of Madison, WI; a brother, Deborah, of San Clemente, Charles G. Erickson, of CA; and three brothers, Williamsville, NY; and a Sanford and Harry, both of sister, Marie T. Erickson, Amherst, NY, and Herman of of De land, FL. George Erickson, MD'49 died June 12, 2001, of complications related to Alzheimer's disease. He was 70. According to his oncology colleagues at the Uni· versity of Nebraska (UN) Medical Center, Foley strove to provide the best care possible to his patients and to keep up with research; but it was in helping to train future oncologists that he took the most pride. A native of Buffalo, NY, Foley was first in his graduating class at the then-University of Buffalo in 1955. He later earned a doctorate from the University of Minnesota School of Medicine. He joined the UN Medi· cal Center as an assistant professor of internal medicine in 1963 and was named a full professor in 1968. He Hospice Program from 1977 Gertrude Waite DeLaney, MD '50 to 1990. In 1994, he was Gertrude Waite Delaney, among 29 Nebraska physi· George MD '50, died in Tampa, Fl, cians selected for the book Erickson, on April 18, 2001. Best Doctors in America. WilliamS. Glassman, MD '51 wife, Janet; three sons, Harold L. Graff, MD '48, a gust 8, retired general surgeon, 2001, in Foley is survived by his MD '49, died unexpectedly on August De land, Fl, where he lived 27, 2000, at his summer since 1962. He was 90. A home in Rose Hill, Ontario. graduate of South Park High He was 75. in Buffalo and Canisius Col· NY, Graff grew up on Memo· John F. Foley, MD '55, also served the University Niagara Falls. died Au· rial Parkway and graduated survived by a son, Matthew George Erickson, MD, PhD, of Amherst, NY; a daughter, Harold L. Graff, MD'48 Born in Niagara Falls, Upon completion of his John F. Foley, MD'55 lege, Erickson worked in the Bethlehem Steel Works in lackawanna, NY, in the William S. Glassman, MD '51, died November 8, 2001, in las Vegas, NV. Glass- Peter of los Altos Hills, CA, David of Fairview Heights, ll, and James of Petaluma, CA; and three daughters, Sharon of Milwaukee, Judy of Schaumburg, ll, and Susan of los Angeles. man was a general Spri11g 2002 I u f I a I o Phy si ci a n �Which can you afford to waste? BENEFITS FEATURES E-mai I CONTINUED FROM PAGE 46 C. White, MD. DDS '93, writes: "! am practicing emer- gency medicine in Ravenna, OH. I am a partner in PES, Inc. and have been practicing at Robinson Memorial Hospital since 1997." E-mail address is CRW36@aol.com. • Electronic submission of all major insurance claims • Increase your accounts receivable turnover • Follow-up of all unpaid claims and open patient accounts • Improve collection ratio and reduce bad debts are delighted to announce the birth of our daughter, Naomi Hahna Kissel, on April12, 2001. We make Madison, WI, our home and would welcome visitors." E-mail address is: jsbae22@hotmail.com. • Advisement on and assistance with insurance carriers and government regulations • Optimize revenue through proper monitoring of charge master Pamela (Crowell) Grover, MD '98, writes: "Last year I • Choice of processing options including on-line or full-service • Eliminate costs associated with computer software and maintenance • Easy start-up or conversion from present billing system • Transition smoothly and quickly while maintaining cash flow • Appointment scheduling software available on request • Improve office efficiency and patient satisfaction • Expertise on existing and new • Assure your patients' rights are corporate compliance guidelines protected • Gain peace of mind from • Practice management with knowing that your finances are professionally trained staff and being managed optimally experienced C.P.A.'s Thomas A Maher, C.P.A. President MEDICAL BILLING SPECIALISTS 50 Alcona Avenue Amherst, NY 14226 Tel: (716) 834-1191 Fax: (716) 834-1382 e-mail: pbs50@aol.com Gregg Kissel, MD '97, and Jean 8ae, MD '97, write: "We graduated from the University of South Florida/ Morton Plant Mease Family Practice Residency Program and was the recipient of the Outstanding Family Practice Resident Award. I am currently a junior faculty member for the program and will be completing my fellowship in Faculty Development at the Michigan State University Primary Care Faculty Development Fellowship in june, 2002. I am also medical director for the Turley Family Health Center-the outpatient site for our residency program. On May 27,2001, my husband, Will, and I were married at Letchworth State Park, NY." E-mail address is pgrover@tampabay.rr.com. Hannah loon, MD '98, writes: " ! was married to Steven lsserman on November 17, 2001. After a brief honeymoon in Hawaii, I've resumed my duties as chief resident in anesthesia at Massachusetts General Hospital. I am anticipating starting an ICU fellowship at MGH in August 2002." E-mail address is: HToon@massmed.org. 2000s Steve Ambrusko, MD 'DO, writes: "My wife, Amy, and I are doing well and are very excited about our baby on the way, due in June 2002. Otherwise the pediatric residency is going very well." E-mail address is sj_ambrusko@hotmail.com. CD 48 luffalo Physician Spring 2002 �Nineteenth-century shagreen leather lancet case with four tortoise-shell handled blades. Knives such as these were used to bleed patients. After applying a tourniquet, the physician would cut a vessel, usually a vein, with the lancet, which he carried in a case. (Shagreen is a dyed, untanned leather or sharkskin.) The instrument is part of the Edgar R. McGuire Historical Medical Instrument Collection, housed in the Robert L. Brown History of Medicine Collection, Health Sciences Library, Abbott Hall, on the University at Buffalo's South Campus. �~-----------' p H A c. r~rsc CA HY GEAR Y 1E LTH 1 30 ~a )JU T ~ ~==~--~=====- C SCIE~Ct OTT H LL L I~R RY I A C A~PJS PUS M~I L UB's HISTORY Of MEDICINE COLLECTION PRESENTS PHARMACOPOEIA Th is illustration was digita ll y reproduced from offizinellen Gewachse , a four - volume edition of pharmaceutical plants a and their medicinal uses , published in German in I 863. The pharmacopoeia by Otto -Karl Berg (I815 () c ~~afl~ .. ~ I866) is part of the Rob ert L. Brown History of Medicine Collection , located in the Abbott Hall ~ Health Sciences Library. Pi ctured is the Cherry Blossom , one of a series of botanical images digi tally r estored as part of an initiative to preserve a nd highlight unique re sources from the library' s coll ection. R e production s are avail a bl e for purchase through the library , and ca n b e viewed onlin e at iMedia. buffalo. edu/ art/ . Image restoration was performed by iMedia , the instructional media ser vices department of Computing and I nforma tion Techno logy, Univer sity at Buffalo . c BP o no 2- 0 2 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 2002 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2002-Spring Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v36n04-2002-Spring Table Of Contents A list of subunits of the resource. Minimal Access Surgery for Kids A Place for Business in Medicine Imaging and Imagination Research Medical School Alumni Pathways Development Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-14 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v36n04 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 2002 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/69082f9aaa4291d81f3417ec6bf7ea4e.pdf a9e3771f9dabbf968482bef859318bc9 PDF Text Text �AssOCIATE \ ICE PRESIDE"T FOR UN I\ ERSITY Co~n! UNICATIONS Dr. C arole Smit/1 Pe tro DIRECTOR OF PERIODICALS S u e Wu e tcl1 e r EDITOR Dear Alumni and Friends, S t ephanie A. U nge r ART DIRECTOR & OESIG" A lan j. Keg le r OVEMBER, I ATTENDED THE AN UAL MEETING of the Association of American DESIGNER Da v id f. Riley Medical Colleges (AAMC) in Washington, DC, along with other individuals representing our school. An important reason for attending meetings such as this is that they provide a 0ESIG'I ASSISTANT Ka re n Lie/m e r national perspective on challenges faced by medical schools. This, in turn, enables us to understand that many of the day-to-day issues we deal with at UB are not unique but are instead part of larger trends and patterns. For example, we learned that, like UB, most medical schools are having difficulty placing their third- and four-year students in clinical teaching sites because faculty are increasingly situated in outpatient environments. In these environments it is difficult for faculty to take time to teach because of their patient load and paperwork. We also learned that about one-third of all medical schools are experiencing financial difficulties due in large part to the debt being incurred by their hospitals. While we do not have a university hospital and our school is not in debt, we do have pressing issues related to the dispersed nature of our school and its affiliated clinical sites. If we are to address these issues, it is important that we communicate with one another in an open and consistent way. This fall, therefore, the school's senior associate deans and l began hosting a series of Town Hall meetings at our affiliated hospitals and on campus. These meetings, attended by faculty, students, residents and staff, have spurred productive discussions about a wide range of issues. In order to share the content of these discussions with as many people as possible, we have prepared notes from each meeting and distributed them on a listserve. If you would like to be included on this listserve-which distributes other schoolrelated announcements, as well-please send your e-mail address to Mary Glenn, director of constituency relations in the Office of Alumni Affairs, at glenn@acsu.buffalo.edu. Another challenge schools are facing is the introduction of new curricula. At the AAMC CONTRIBUTING WRITER Lo is Ba k e r PRODUCTION CooRDINATOR Cy nthia T o dd - Fli ck UN I\ ERSITY AT BuFFALO SCHOOL OF \1EDICINE AI'D BIOMED ICAL SCIENCES Dr. Mi chael B e rnard i n o , D~oll EDITORIAL BOARD Dr. f o /w Bodk i n Dr. M artin Brech e r Dr. Har old Brody Dr. Linda j. C orde r 04 ja son H offmann , C lass of 20 Dr. jam es Kan ski Dr. Eli z ab e th Olm s t ed Dr. j a m es R . Ol so n Dr. S t eph e n Spauldin g Dr. Bradley T . T ruax Dr. Franklin Z eplowit z TEACHING HOSPITALS Erie Co unty M ed ica l Ce nt er Ros well Pa rk Ca ncer In st itut e \'et eran s Affairs Wes tem New }'~r k Hea lth care Sys tem K :\ll:ID," H t:-\IIH: T il e B uffa lo Ge nera l H ospital . 1 Tir e Clril d ren 's Hospit al of Buffll 0 M ill ard Fillm ore Ga t es Hospital . 1 Millard Fillm o re S ubu rban Hosprta meeting we learned that our peer institutions are finding that it takes anywhere from four to eleven years from the inception of a new curriculum to the time it is solidly in place and well adapted to the school's needs and educational goals. As you know, we introduced a new curriculum at our school this past fall. One thing I assure everyone when talking about this milestone achievement is that the new curriculum is a "work in progress" and one that will be evaluated and improved with as much input as possible from everyone involved. Finally, I would like to announce that according to numbers provided by the AAMC, our CArttotn H f.-tt1H S1srr\f: M ercy Healtlr Sys tem S isters of Clra rit y Hospital N iaga ra Falls Me m orial M edi cal Ce nt er ® UNIYEISITY IT IUFFILI. THE STATE UNIYEISITY If lEW Till school 's basic science faculty produce above the 90 percentile in revenues, per individual, when compared with other medical schools in the United States (specifically, $300,000/ faculty). What this tells us is these faculty are bringing in large amounts of grant dollars in an exceedingly competitive environment and that their work is of the highest quality. This is something I think we should all be very proud of, and it is a strength we will do our best to maintain and build upon in the future. J. R, (LA~; .... -c) ~~- BERNARDINO , MD. MBA Letters to the Editor Buffalo Plly;rcum "published quarterlY h)' the Um,·ersitv at Buffalo School nf ~1cdicine and Biomedical S(ICO(CS Ill cooperation with the Office of (.ommunicatiOns. Letter> to the Editor arc wckoille .md can be sent c/o IJ11(jalo Plr)'srcu"'· 330 Crofts Hall, Univ~r"t' at Bufl,,to, Buffalo, NY t 4260; or vi,J e-nMil to bp-notcs~• bufti1lo.edu. . ·dit ,Jll The >taft re>en·c; the nght to< submissions for length and darity. Dean, School of Medicine and Biomedical Sciences Vice Presiden t for H ea l t l1 Affairs University at Bu ffalo }vrk The State Uui~'Ct'Sity ofNeW �V 0 L U M E 36, Features 2 10 18 Healing in the Aftermath A report on three UB psychiatrists' work at Ground Zero and environs BY S. A. UNGER First Impressions, Lasting Memories Buffalo Physician readers write about September 11, 2001 One Woman's Global Concern Bess Miller, MD '77, a leader in efforts to prevent and treat AIDS and TB worldwide BY BETSY SAWYER COVER Convocation 26 Christiane Northrup, MD, delivers the inaugural Lawrence and a ncy Golden Lectu re EdwardS. Cheslow, MD '81, above, contributes to "First Impressions, Lasting Memories" about September 11, 2001. starting on page 10. Litchman, Class of 1960, ho nored as Distinguished Medical Alumnus 41 Messages from this year's reun ion chairs alumn i 31 Lawrence jacobs, MD, and Gloria Roblin, PhD, remem bered grant to fund study of lin k between periodo ntal d isease and hea rt d isease 34 Program project gra nt to develop vaccine fo r ear and respiratory tract in fections PHOTO OF ANTHONY tori um to the Hospitalthe Third-Year Experience, by Svetlana Bli tshteyn, Class of 2002 No BY 00UC LEVERE other alumni 46 Past Forward, a unique perspective on the Class of 1976 �BY S.A. Areport on three UB psychiatrists' work at Ground Zero and its environs u GER N THE LONG HOURS FOLLOWING THE ATTACK on the World Trade Center on September 11, 2001, many healthcare professionals trained to respond to disasters found themselves in limbo as they awaited a tidal wave of patients that instead arrived at their doors as a wayward trickle. As the days passed and even the trickle dissipated, it became clear that the definition of a worst-case cenario was being reconstructed in this environment of limited activity. Instead of physicians equipped to deal with the most devastating of physical traumas, what was needed were physicians equipped to treat psychic trauma on a scale previously unimaginable in our country. One physician well prepared to galvanize a response to this hastily redefined disaster wasAnthonyT. g, MD '91, who at the time of the attack was treasurer and vice president of operations for Disaster Psychiatry Outreach (DPO), an organization for which he is now medical director. Headquartered in ew York City, DPO comprises volunteer psychiatrists committed to providing on-site disaster mental health services, as well as to producing educational programs, research data and policy statements in support of this mission. �••••••••• ,. c •• �e p The photographs in this a.::» article that depict me- ... morials erected on the E5 e 1 I streets of New York City after the September 11 attack on the World Trade Center were taken by Bruce Jackson, SUNY Distinguished Professor and Samuel P. Capen Professor of American Culture at the University at Buffalo. Sixty of Jackson's photographs-documenting the commemorative candles, photos, flyers, notes, toys and flowers left in New York City's Union Square and Sheridan Square, at St. Vincent's Hospital and on the streets of lower Manhattan-were exhibited October 16--22, 2001, in UB's Center for the Arts. Jackson notes that many of the items displayed originally posed questions as to the whereabouts of thousands of individuals lost in the attack. By September 22, when he took the photographs, however, they had become memorials. "Every place you go in lower Manhattan," he says, "you see sheets of paper taped to walls, fences, kiosks and lampposts. They're all about people who are missing. "Most of the city's firehouses and parks have shrines-things people made or left to try and say something that could not be sail! in words." Buffalo Physician would like to thank Professor Jackson for his generosity in allowing us to include his photographs in this article. We would also like to thank Patricia Donovan, senior editor in UB's News Services, for providing the above information about Jackson's exhibit. -S. A. UNGER AST SUMMER, NG HAD CALLED his former teacher Cynthia Pristach, MD '83, associate professor of clinical psychiatry in the University at Buffalo's School of Medicine and Biomedical Sciences, and asked if she would be interested in not only joining DPO, but also in expanding its membership in Western ew York. Pristach joined the organization and recruited a number of her UB colleagues, including Linda Pessar, MD, associate professor of clinical psychiatry, and Helen Aronoff, MD '92, assistant professor of clinical psychiatry in the Division of Child and Adolescent Psychiatry. Two weeks after the attack on the World Trade Center, g was again on the phone to Pristach, asking if she and other members of DPO in Buffalo would be willing to come to ew York City to work at two sites: the Family Assistance Center and Ground Zero. g said he contacted Pristach because he was confident his former medical school professors would be up to the task. ''I'm biased because I know both Cindy [Pristach] and Linda [Pessar]," Ng admits, "but I also knew they would be very helpful for two reasons: First, they are very experienced, and second, there were a lot of Buffalo folks down here that week, both with the ational Guard and as firefighters, and I thought their having that connection would help us. Too, I knew Linda had previous experience working with firefighters, and that was a nice addition because they are a very tough group to get close to." On September 27, 2001, two days after she had the courage she would need. They assuaged many of these feelings by talking with one another and by confronting what Pessar calls "the imagined chaos of this time." The evening before they departed, which was the eve of Yom Kippur, Pessar and Aronoff went to services together. "We each would have done this anyway," says Pessar, "but I felt like we were preparing to enter another psychic space, and when we ended our final shift in ew York City that following Saturday, we accompanied Cindy to mass at St. Patrick's Cathedral. "So, it occurred to me that, in this time of crisis, we were mobilizing around the values of the important institutions in our lives-that we were bounded by religious, patriotic and vocational values," adds Pessar. Upon their arrival at La Guardia Airport, Pessar and Aronoff, both New York City natives, immediately noticed a dramatic change in the city. "Everything was spooky," says Pessar. "The airport was empty when we arrived, and the taxi dispatcher in Manhattan thanked us for coming! Everything was sort of tumbled about." That same evening, Pristach accompanied g to Ground Zero, where he taught her the protocol for intervention so that she could in turn teach it to Pessar and Aronoff in the days that followed. Pessar and Aronoff did not go directly to Ground Zero, but instead began a 4 p.m. to midnight shift at the Family Assistance Center, located in the cavernous Pier 94 on the Hudson River, which housed a wide array of centralized services for families and survivors. g called, Pristach, Pessar and Aronoff boarded a plane to New York City. In recalling their decision to help, all three psychiatrists say that while they were not ambivalent about going, each did experience some anxiety prior to departing and even questioned whether THE FACES OF TRAGEDY At the Family Assistance Center, Pessar and Aronoff began work at a booth next to another sponsored by the ew York City Department of Mental Health. Thousands of people milled about, �availing themselves of services provided by such almost like what you would see in a painting." Some people needed counseling and referral, organizations as the Red Cross, Salvation Army, Social Security Administration, and Department of while others needed simple advice or an opportuVeterans Affairs, as well as the mayor's office and nity to vent anger, frustration, grief and fear. the city's police and fire departments. Also on site Counseling sessions took place anywhere the psywere groups prepared to provide assistance with chiatrists encountered need, and the need they housing and financial needs, as well as representa- encountered was as diverse as the population. tives from companies formerly located in the World Trade Center. Food was available in cafeterias, and AN FOLD! G OF STORIES places were allotted for children to play and for families to rest. "There were also two long rows of Ten minutes after arriving at the pier, Pessar talked attorneys whose job it was to take data and fill out with a woman referred by a Red Cross worker. The death certificates," recounts Pessar. "Later, we woman lived in an apartment several blocks from learned that the Department of Mental Health had the World Trade Center and, in the aftermath of organized support groups for these lawyers because the attack, was extremely agitated. "She kept repeating, 'I'm not crazy.' She had they had heard some 3,000 stories." At the pier, as well as at Ground Zero, a number of terrible post-traumatic stress disorder," says Pessar. shrines had been spontaneously constructed. Pessar "What we did was talk about the events that had so recalls that along one wall at the pier was a massive upended her life, and what it was she was dwelling collage of photographs of the missing-people of on and worrying about. I reassured her that she every ethnicity, age and appearance. The area was had a well-known and predictable syndrome and roped off, and under the pictures were hundreds of that she would get 'all better' with quick linkage and Teddy Bears sent from families in Oklahoma City. ongoing psychotherapy at a clinic." Helping people identify and name what they "People walked by and looked at this makeshift were experiencing was key to the psychiatrists' shrine, and it was very moving for everyone," says Pessar. "Again, 1 think this was an attempt to use work. "I think the most important advice we gave ritual as a way of containing people's grief and fear." people was that their enormous emotional upUnder the aegis of Disaster Psychiatry Out- heaval was proper and that they didn't need to be reach, the psychiatrists were asked to perform two afraid of their own responses," Pessar notes. If neckinds of services. One was to respond to requests for essary, in addition to talking with people, she and formal evaluation made by the various agencies at the other six or seven psychiatrists working at the the site on behalf of individuals they were assisting, pier also gave medications, but provided only a few and the second was to walk around the pier and talk days' supply so that people wouldn't become comwith people who appeared distressed, with the goal placent about seeking further help. Another encounter at the pier took place in the of providing them with a quick linkage to longladies room, where Pessar and Aronoff struck up a term mental health services. conversation with an African-American woman "What I remember most about the pier are the who appeared outwardly composed. "This wonderfaces, the faces of tragedy," says Pessar. "You knew whom to walk up to, and it was like nothing I had fully dignified woman in her mid-50s talked to us ever seen. The grief had drained and etched them; about her faith, explaining that she was very relithe detail of suffering in their faces was exquisite, gious," says Pessar. u "\VIzat I remember most about the pier are the faces, the faces of tragedy," says Pessar. "You knew whom to walk up to, and it was like nothing I had n•er seen. The grief had drained and etched them; the deta if of suffering in their faces was exquisite, almost like what you would see in a painting." �HE WOMAN ALSO TOLD THEM HER STORY, "There were also two long rows of tJttorneys whose job it was to take data and fill out death certificates," recounts Pessar. "Later, we leamed that the Department of Mental Health lznd organized support groups for these lawyers because they had heard some 3,000 stories." explaining that she was a receptionist for one of the administrators at the World Trade Center and that she had been in the 1993 bombing and had escaped without incident. On September 11, one of the planes hit the tower very close to the floor on which she worked. The ceiling fell in, but she was unscathed. "When she didn't get anything on her from the ceiling, she thought that was a sign from God, that God had created a shield around her to protect her, and that calmed her," recounts Pessar. "One of the secretaries on her floor was not so fortunate and was consumed by a fireball." The woman further explained that when the plane hit, the building's sprinkler system was activated and all the doors in her office automatically locked. She knew of a door that had been kept ajar so people could go down to the level below and smoke. She headed for this exit and proceeded to walk down 73 flights of stairs. "She described water pouring down on these slippery steps and how she just tried to go step by step while the firemen were rushing up," Pessar relates. "And she did escape. But, after telling us her story, she said, 'I'm a religious woman, and my faith is very important to me, but I've been through two bombings, and I need counseling.' So before we parted, Helen provided her with referral information." While working at the pier, Aronoff also recalls going into a television lounge and finding an Ecuadorian woman curled up tightly on a couch, accompanied by her four-year-old son and her sister. Aronoff sat on the floor and talked with them for about half an hour, relying on her limited proficiency in Spanish and the sister's equally limited English to piece together their story. She learned that the mother had recently left behind three other children in her homeland to come to the United States with her husband, who was in the World Trade Center and was missing. When Aronoff asked how the boy was doing, she discovered that the mother was very concerned about him. "She told me he was 'acting like a baby again,"' says Aronoff. "He wanted to sleep in her bed, was clinging to her, was enuretic and was having temper tantrums if he didn't get what he wanted. And she didn ' t know what to do about it because she was barely able to function day to day herself. So I focussed on giving her support, and I think that was very helpful to her. " No E D To THE NEED As intense and draining as these patient encounters were, Aronoff and Pessar found that their work didn ' t end when they left the pier. Each night when their shift was over, they boarded one of the buses provided by the city that stopped at subway stations and other locations in order to facilitate transportation for people traveling to and from the pier to receive services. As it turned out, these bus rides also proved fertile ground for counseling sessions. On one occasion they met a woman on the bus whose fiance worked at the World Trade Center as a carpenters' supervisor. He was called in to work that day and had died in the attack. "The woman told me they had planned to marry and that they had custody of his two small children," recalls Pessar. "She was accompanied by the man's sister, who herself had recently been widowed and had no living relative except her brother. So these sad women had come to the pier only to discover that because the woman was not legally married to the carpenter, she was not entitled to any benefits. "And this was quite common in terms of what we found," continues Pessar. "The pier was populated by people who represented all kinds of domestic catastrophes. These were the families of the janitors, the secretaries, and the cafeteria workers in the World Trade Center. Most had scanty resources to �begin with, and many saw all those resources disappear. They needed to be advised about psychological services and given practical advice." On another bus ride, Aronoff remembers meeting and talking with a husband and wife who had come from south New Jersey because the woman's brother had been killed in the attack. "They were planning a memorial service," says Aronoff, "and they wanted to get as close to Ground Zero as possible just to get a cupful of dirt so they would have something to remember him by." GROU D THAT DEFIES DESCRIPTION On Friday, the second day they were in ew York City, Aronoff worked at Ground Zero in the morning, while Pessar and Pristach worked there in the evening. All three women relate that it is difficult to put into words their first impression of Ground Zero, saying simply that it defies description. Each says she was initially struck by the vastness of the space, approximately 70 acres of dirt and gray mountains of rubble. "On the periphery are cinder-stained buildings with windows blown out and sections of the World Trade Center imbedded in them; and this is Manhattan! " recalls Pessar. Adding to the disorienting effect produced by the obliteration of streets and other directional cues was the fact that at night the site was artificially lighted, which gave it a garish, foggy atmosphere made all the more lurid by the smells that hung in smoke-filled air. Dotting the site, as at the pier, were a number of shrines, where exhausted and dispirited workers stopped to pray. "Everywhere you looked, there was this eerie contrast of the sacred and the profane," says Pessar. "Among the workers, there was a sense of enormous grief, but enormous purpose and patriotism, too. This was a sacred site, sacred to all of us because of the death and because we were Americans and felt we needed to protect it; but then it was a hellish place, too." Along with the grim mood and somber respect evoked by destruction and death, there was a strange, almost carnival-like atmosphere that developed at the site, as well. "Amidst the ruins, there were rows of tents with free food of every kind," says Pessar, "and booths full of new clothes, boots and socks, all free for the taking; heaps of stuffed animals for your children; and places where you could make free calls home. It made me think of Pleasure Island in the Pinocchio movie. And then there was this pile of rubble with 3,000 human remains." MEMORIES OF THE U IMAGINABLE At Ground Zero, the psychiatrists' first task was to meet with the disaster medical assistance teams (DMAT), which are teams of health professionals mobilized by the federal government during emergencies. There were five DMAT teams on the perimeter of the site, and it was their job to respond to any medical emergency, whether it be a cut finger or more serious situations. As was the case at the pier, in addition to responding to formal requests for evaluation, the psychiatrists were expected to approach people at the site-construction workers, firefighters, police, and members of the National Guard-and to provide counseling if needed. A crucial aspect to work at Ground Zero was helping the workers validate their experience, according to Pristach. "Although nobody was saying it officially, during the four days we were there, work at the site was transitioning from rescue to recovery. The workers digging through the rubble needed help validating that they were living through the experience and that what they had been doing was in some way helpful," she says. In one instance, Pristach and Pessar had a lengthy conversation with a high-ranking firefighter who The woman further explained that when the plane hit, the building's sprinkler system was activnted and all the doors in her office automnticnlly locked. She knew of a door that had been kept ajar so people could go down to the level below and smoke. She headed for this exit and proceeded to walk down 73 flights of stairs. �On another occasion, Pristach says she was approached by a firefighter who was concerned about a coworker who had fallen five stories in one of the towers and had survived, but was not coping well in the aftermath. "He told me that his friend was shaking like a leaf at home and that nobody knew what to do for him," she recounts. they said "just needed to vent." He explained how the younger firefighters looked to him for support and guidance but that, as a leader, he had few people to turn to for comfort. He was exhausted by the continuous 12-hour shifts he had been required to work and was concerned about new manpower shortages the fire department was experiencing as a result of the disaster. He explained that, in addition to the many deaths among his ranks, SO new recruits had decided to rethink their career paths, putting pressure on older firefighters not to retire as they had planned. "He was not only grieving the loss of his coworkers and time away from his family, but the fact that everything in his life had been displaced," says Pristach. "And the worst thing was he felt he couldn ' t complain because so many had died." On another occasion, Pristach says she was approached by a firefighter who was concerned about a coworker who had fallen five stories in one of the towers and had survived, but was not coping well in the aftermath. "He told me that his friend was shaking like a leaf at home and that nobody knew what to do for him," she recounts. The firefighter gave Pristach the man's phone number, which she then passed on to a local outreach center for appropriate intervention. Pessar says she found people at Ground Zero more reluctant to talk than at the pier, but that the older firefighters, in general, were more open about their feelings than their younger colleagues. "They had nothing to prove," she says. While working at the site, she recalls being pulled aside by one such older firefighter who said, "Can I speak with you, Doc?" He then began telling her how he had been off duty when he heard the reports of the attack on the radio and had come to the World Trade Center to help. He was in the second tower when it collapsed and was saved by being thrown under a metal table that protected his head. He was rescued from the rubble, given last rites and hospitalized for ten days. '' from the hospital he became preoccupied by the fact that his injuries were not on his face," says Pessar. "He didn't have any legitimate markings of his involvement, and he thought that there were rumors in his neighborhood that he was lying about his experience." Again, Pessar found it important to help the man name what he was experiencing and to be assured that it was normal. "So we talked extensively about survivor guilt, and I tried to help him understand what he was feeling," she says. "We must have talked 4S minutes; it was really a psychotherapy session, and as we finished I asked him to link up with services offered through the fire department and he promised me he would." For Aronoff, one of the most lasting memories of Ground Zero pertains to seeing families of the victims who were brought to the site by Red Cross workers to say their final good-byes. "The first day I was at Ground Zero, the Red Cross began escorting family members by ferry boat from the Family Assistance Center over to Ground Zero in groups of about SO at a time," she explains. FTER HE WAS DISCHARGED "When the first boatload of families came, it was a very moving experience because we were literally standing at the site of the twin towers and all of a sudden from one of the side streets came a group of people who were clearly not rescue workers. They were holding on to each other, holding Teddy Bears, holding flowers, and were absolutely silent as they walked past the towers. Spontaneously, every one of us working at the site took off our hard hats and held them to our hearts," she says. " It was incredibly painful, and it happened three or four times while I was there." �TIME To Go HoME After four days, the remarkable ordeal of these three psychiatrists came to a close and it was time to return to Buffalo and their families, practices and students. In attempting to sum up the enormity of their emotions surrounding this experience, they expect it will take months, perhaps years, to fully absorb what they encountered. All agree that the experience is one they never would have forfeited, and they relate wholeheartedly to Aronoff when she says, "I felt like it was an honor to go, to be called to help. You never really know how much individual help you provided, but I think none of us feels our time was wasted. For me, at least, I was glad to have a chance to be able to give something back." Echoing Aronoffs sentiment, Pessar adds, "I think all three of us-Cindy, Helen and I-are fairly idealistic. And I know that when I went to medical school, I was taught that medicine is a calling. "During the time we were in the city, there was a sense of responding to one's calling. I think this is something all three of us felt; and it was a privilege to respond." CD Drs. Pristach, Pessar and Aronoff would like to thank Dr. Susan McLeer, chair of University at Buffalo's Department of Psychiatry, and other administrators in the School of Medicine and Biomedical Sciences for allowing them to take time away from their normal schedules to travel to New York City to work with Disaster Psychiatry Outreach. .- hllall ,.rslclu I �--- -- Buffalo Physician readers write about September 11 [~itor'snote: J allowing the tcrrorists'attacks zn" 'cw York, \\ ashington, DC, Waiting for Few Patients and Pcnnsylmnia on September 11,2001, "\litlwel Bcmard111o, AID, dean Bv ALEXANDER VoLFSON. CLASS O F 2002 of the Unn·ersity tlt Buffalo School of Medicine and Bio111CdJml Sciences, conl'eycd in 11 letter to alllllllll, flu ulty and students the deep sorrow and disbelief our UB COIII/Illllllt)' felt in the ajtermath oj tillS tragi( day. Dean Bernardino also expressed concern f(Jl· the saJcty of our school's alumni, explaining that some 1,550 lil'c and \\'Orkin the New York Cit)' area, and anaddit1onal600 or more within a 45-minute dnve of\\'ashington, DC At the cl(N o( Ius letter, he inntcd ltllhl'Jduals to contact Buffalo Ph) sician should they lun•e stories they "1shcd to tell about e1 cnts surrounding eptC1nl1cr 11th. Here arc so11zc of tilt' responses \\'e receJ\'cd. n September 11th I was in the fourth week of an anesthesiology elective at ew York Presbyterian Hospital/Weill Cornell Medical Center and spent most of the day in the emergency room. Once I rea lized the scope of what had happened, I felt shocked and scared, but definitely proud to be in a position to help. When the hospital went into emergency mode, there was no panic; everyone just came together and worked calmly. Physicians from all specialties were divided into teams, each assigned to an ER station. There were nurses, students and other staff there as well. Volunteers passed out food and drinks, and we had shifts so that no one would get tired. Unfortunately there weren't too many patients to treat. Cornell has a big burn center, and many patients were directed straight there, bypassing the emergency room. We took care of a few firefighters and police who suffered minor inhalational injuries. Several buses took doctors to the Chelsea Piers, where a triage area was set up. At one point, the discovery of the bodies of two EMT workers brought to tears many of the people in the ER who knew them. But everyone remained calm and continued to work. At the end of the day, a couple of us went to get some pizza at a nearby pizza shop. As we walked in, the customers there began to applaud us. It was a great feeling knowing that you were part of a special group of people who know how and a re ready and willing to help others. CD �SORE SPASMODIC SO ET U SU G VESALIUS EXFOLIA T SUBJECT DESCE DI FREE OF GALILEO A G D EWTON BOTH AT 0 E POI T, THE DISCOVERY OF THE BODIES OF TWO EMT WORKERS BROUGHT TO TEARS MA Y OF THE PEOPLE I WHO K EVERYO A THE ER EW THEM. BUT E REMAINED CALM D CO TI UED TO WORK. �Grey Sonnet Following the Cloud Solace and Inspiration BY EDWARDS. CHESLOW, MD '81 Cataclysmic Convulsions Imploding Laden in grieving horror of chagrin As the initial Witnesses all too complicit in expedient libel begin numbing phase Substitutive Echo of the Enigmatic Hate began to wane, Unpardonable Occurrence action we mistake the psychiatric repercussions of this trauma began to surface. \\'e saw immigmnts with post-trcwnwt1c stress Immediate nearly complete in lethality aftermath unrest Incalculable misery seed to vitiate our unsoiled mighty granite nest Sore spasmodic sonnet unsung Vesalius' exfoliant subject descending disorderfrom war- Free of Galileo and Newton both tom countries who Terminal velocity of neither feather nor weight were rc-tmumatized; Applied accelerant to both Human body and symbol in at least one case I either hope nor solution this encountered, this led Innumerable Particulate to psychotic dcc0111pcnsation requiring Or Clzeslow" a, Ticholas Ra11go Fellow i11 HI\' ,\fedu i11c at the 4IDS Institute, \lowlt Si•m1 S( fwol of A!ed!Wie, m, 1cw York City hospitaliza tio 11. CATHY BUDMAN BY CATHY BuDMAN, MD '84 am an academic psychiatrist on staff at the orth Shore-Long Island Jewish Health System, approximately 20 miles from Manhattan. While our staff remained on alert, anxiously awaiting for what we expected to be the many injured, we could see the smoke from the burning towers from our hospital. To our horror, the patients never arrived. The devastating reality for health-care workers throughout the ew York metropolitan area on September 11 was that there were no large numbers of civilians to be saved. Many, many people perished without tangible remains. Forty to 60 people are missing from my hometown, Manhasset, on Long Island. Some families are missing two siblings, or both parents. In the majority of cases, there are no whole bodies to retrieve, only body parts that were gruesomely dispersed throughout the rubble. The human loss is overwhelming. On a personal level, this catastrophe impacted directly on my sister and her family. They became homeless, the children's elementary school was destroyed, and my sister's office in the American Express building was used as a morgue. And my sister-in-law, who survived the 1993 tower bombing, managed to safely evacuate from the ninth floor of Building 7, which later collapsed. Both witnessed the carnage: the terrifying crashes of both planes into the towers, the desperate people jumping from the upper floors, those killed by falling debris on the streets, and the tidal waves of dust and debris that followed the collapse of the towers. Of course, they have lost neighbors and colleagues. We feel blessed that our immediate family members are alive. For the first few days after the disaster, my office at the hospital was unnaturally quiet. We spent some time counseling emergency medical service personnel from Long Island, many of whom were at Ground Zero but unable to find survivors to help. Many had lost colleagues and friends from the various fire or police departments. �September 11,2001 BY LARRY BEAHA ' .MD '55 t's like On the Beach. What would you like to do As the initial numbing phase began to wane, the ' on the last day of your life?" my wife, Lyn, said. psychiatric repercussions of this trauma began to We were launching our tandem canoe into the surface. We saw immigrants with post-traumatic Erie Barge Canal on our way for apple strudel stress disorder from war-torn countries who were at Omi's Deli across the water. A battered Stars re-traumatized; in at least one case I encountered, this led to psychotic decompensation requiring and Stripes dangled at two-thirds mast as brilliant sun turned a cotton-spattered sky unreal baby blue. hospitalization. "If this is the last day, it will do," I said. We saw families reeling from the unimaginable loss of loved ones, in many cases involving young That morning as I was at work on my computer, people with young children. We saw elderly who Lyn came in breathless: "They just crashed a jet into had survived America's wars overseas and who the World Trade Center." We rushed to the televiwere now heartbroken to experience it on our soil. sion as another plane exploded the second tower in We saw paranoid-schizophrenic patients who were orange flame. It was unbelievable. Like watching delusionally convinced that they had actually King Kong climb the Empire State Building. It lookcaused this disaster. We saw Moslem patients who ed like a trick. The audio portion was Orson Wells were afraid to leave their homes lest they be threat- and his "War of the Worlds" over again but there ened and beaten. We saw angry, depressed adoles- were no disclaimers. cent boys filled with fantasies of rage and retaliOur son, Teck, called from work. "Did you hear ation, as well as many patients with anxiety disor- what happened?" he said. ders and depression who were experiencing severe Yes, we did, and we recalled a pilot with a Kenworsening of symptoms. Many children were pre- more connection who was killed when his B-25 senting with somatization and conversion disor- crashed into the Empire State Building in fog, and ders. We expect the need for psychiatric services will Kennedy's death. Curiously, I remembered the only increase as time goes on. bowl of oyster crackers I ate in a Deco restaurant Being a doctor has provided me with great solace when the Pearl Harbor news came over the radio and inspiration during this crisis. I appreciate more that day my dad had taken us Christmas shopping. than ever the gift of being able to help others. Each Our out-of-town son, Nick, got through on the day brings new challenges and opportunities to phone. "We haven't heard how Pat and Mike are," exert one's humanity, and for this I am so very I said. Our niece and her husband have a tiny rentthankful. 4D controlled apartment they inherited in lower Manhattan. He works in the Financial District. "Thank God you aren't flying today," Lyn said. Nick said, "Isn't Patty's baby just about due?" I remembered the Bay of Pigs. I was in the Air Force on temporary duty in the U.S. Lyn and our kids were on a troop ship sailing from our home base in Japan to meet me in Hawaii. While we were there, Teck and I watched from Waikiki as a hydrogen bomb, tested 600 miles from us, ignited the en tire Pacific sky. As New York rocked in the aftershocks of the World Trade towers, we watched and watched the death and destruction on television. Reports of the Pentagon crash and of another jetliner in Pennsylvania came in. A friend e-mailed, "What if that jet went into the nuclear reactor at Three-Mile Island?" \\'e recalled a pilot with a Kenmore Connection who \\'{IS killed when his B-25 crashed into the Empire State Building in fog, and Kennedy's death. Curiously, I remembered the bowl of oyster crackers I ate in a Deco restaurant when the Pearl Harbor news came over the radio that day my dad had taken us Ch ristmns shopping. -LARRY BEAHAN �That afternoon in the canal and at Omi's, it might fum.' been the last day of our ln·es, so Lyn and I rclJShed the sun, the \Vlltcr and a great blue heron's flight. \\'c paddled our canoe doH 11 the canal and across to the do(k at Omi's little dclzcatesscn. - I f 1• LARRY BEAHAN ~ I 1 f f a f 1 P ys i ei a1 That evening I had two meetings I was planning to attend. Both were cancelled. I argued with one chairman who felt we must mourn rather than meet. I believe it would have been better for our groups to meet and talk and plan joint action, maybe a carpool to the Red Cross to donate blood or to pray. Staying home glued to the one-way communication of the television screen does little for me. That afternoon in the canal and at Omi's, it might have been the last day of our lives, so Lyn and I relished the sun, the water and a great blue heron's flight. We paddled our canoe down the canal and across to the dock at Omi's little delicatessen. Omi, the transplanted German grandmother with her big smile, her bad hip and her full-length apron of pale roses, was flustered. " o, I didn't forget your soup. Who would believe it, how could it happen in this country?" I accepted the hot chocolate she brought instead of the chocolate milk I ordered. "Everything is discombobulated this morning, "she said. An elderly couple arrived by bicycle and took their tea and brownies outside in the sunshine. "I'll pay, you paid last time at Mississippi Mudds," she said. Apparently it was their second date. Omi called, "How do you want your strudel, hot from the oven or cold? "Hot, I love it hot," I called back. Two young women talked, one in a bright red dress with a watermelon-size bulge in front, the other in similar red top and white pants but carrying her newborn in a car seat. "I like to make a big pile of spaghetti with a red meat sauce," one said as the other picked up with her ideas on how to make pickles. Omi, between serving her Transylvanian horseradish soup and delicious flaky, tart-sweet strudel, talked of war: "You tell me how that was possible, in this country. In Germany the airports have soldiers with machine guns. Here we pay inspectors minimum wage. When she interviewed me, Janice Okun loved this soup. I got one granddaughter, lives twenty miles from the Pentagon." One of the mothers peeked at the baby in the basket. "He's nodding. They do that, you know," she said: then, "I just sat and watched an airplane fly into the World Trade Tower. You know how sometimes you can't grasp what you're looking at. IV , , r ,. r 1 oo2 I couldn't believe it. Jt was like something in the Third World." I went to the counter to pay Omi. She was working on a sandwich as she talked on a cell phone tucked under her tilted chin. "Bye, bye Shatzi. I love you too. Goodbye," she said; then to me, "All my kids are calling. I charged you for the lunch special since you had the sandwich and your wife the soup. Was everything okay?" "That strudel, just hot out of the oven, was wonderful." "I know, but some people only like it cold. You have to ask." I tried to tell her about Lyn's On the Beach question- "How would you like to spend your last day?" I don't think I got it through Omi's "discombobulation" that, if this had to be our last day, then a paddle on the canal with Lyn and strudel at Omi's would do fine for me. That evening my sister e-mailed me, "Mike got home covered with dust. He helped rescue workers till there was nothing more he could do. Pat and the baby are okay." CD Dr. Bcaha11 ;, a rcttrcd p:-rclzl<ltn~t mui c111thor o(Mv C.randp.1\ \\'oods, th~ Admmd,1cb. 1-h lives 11ot far from where the Fnc Hargt Canal pa:scs througlz 'orth f'otull\'<lllda, 'ew York. 1-lt• wrote thi.< story 011 the Cl't'lllllg o('\eptl'll!bcr II, 2001. ADay in Downtown Manhattan BY HAROLD BRODY , MD '61, PHD hile on a visit to ew York City to see my cousin on October4, 2001, I took the opportunity to travel into downtown Manhattan to visit the area around what was formerly the World Trade Center. Since my cousin lives on Broadway and West I 1 I th Street, I rode the subway downtown to two station stops before Canal Street and walked the remainder of the way to the site. Leaving the subway, I was immediately struck by how few people were on Broadway. Uptown, there had been about 100 persons per city block, while downtown there were only two to four people per block. �"IT's LIKE ON THE BEACH. WHAT WOULD YOU LIKE TO DO 0 THE LAST DAY OF YOlJR LIFE?" MY WIFE, LY , SAID. WE WERE LAUNCH! DEM CA G OUR TA ERIE BARGE CA AL 0 OE INTO THE OUR WAY FOR APPLE STRUDEL AT 0MI'S DELI ACROSS THE WATER. A BATTER~D STARS A D STRIPES DANGLED AT TWO-THIRDS MAST AS BRILLIANT SUN TUR SPATTERE SKY U ED A COTTO - REAL BABY BLUE. MY ONLY HOPE IS THAT WHAT ALSO LINGERS IS THE RESPECT AND REGARD THAT PEOPLE SHOWED EACH OTHER AT THE SITE. IT SEEMS A PITY THAT WE MUST GO THROUGH AN EXPERIE CE LIKE THIS TO DEVELOP A ATTITUDE OF REGARD AND RESPECT FOR EACH OTHER. BUT PERHAPS THIS PAl FUL LESSO WITH US. WILL REMAI �I went into a hardware store to speak with the owner, who said that the streets had been desolate since the World Trade Center was destroyed and he could not see how he and his family could remain there for very long, given the drop-off in customers to his store. Restaurants were empty, hardly a car passed by, and I saw few police patrolling the area. In short, there was a feeling that everyone had forgotten the existence of this part of the city, where even 24 days after the attack, a cloud of smoke hung in the air. As I neared Canal Street I noticed that store fronts and apartment houses were covered with thick deposits of ash. There was an increase in the number of pedestrians and police, although automobiles, including taxicabs, were virtually absent. Pedestrians were restricted to walkways that had been built on the sidewalks. We could venture as far as one street from the periphery of the damaged area, but no closer. The number of police in this area was very great and they were clearly in charge. Looking toward Ground Zero, the amount of damage I observed was incredible. o buildings were standing in the area; everything had been destroyed. Occasionally, people walking by would wipe tears from their eyes. As we stood observing the work at the site, no one smiled or laughed. There were few young adults in the area, and I saw no children. The area around Wall Street, assau Street, Fulton Street and the former World Trade Center is normally very noisy. Yet while I was there, I was struck by how quiet it was. When people spoke, they kept their voices low. o one shouted, everyone was patient, and there was a total regard for the next person, as well as a gentleness toward complete strangers. In talking with people I encountered, l often sensed confusion in their minds about how to respond to what had happened. While they wanted some form of retribution for those who had created this hell and killed so many thousands without regard, at the same time they were very sad, and several remarked that they wanted to cry as they looked at the broken buildings and debris. Many talked about struggling with the realization that life must go on. You have to leave this area before you can overcome the feeling of dread that envelopes you while you are there. And the feeling does not disappear completely once you've left, but haunts you for hours and days after. My only hope is that what also lingers is the respect and regard that people showed each other at the site. It seems a pity that we must go through an experience like this to develop an attitude of regard and respect for each other. But perhaps this painful lesson will remain with us. 4D Dr. Harold Brody 1sa lh<tmguishcd fcaclung Projl·ssor l;mcntus of anatomical sciences in the Ulllvcrsit)' at Bu{fi1lo School of.\lcdicillc a111f Biomedical Scic11ccs. lhttp://www.sciam.coml attacks are most at risk fo~ post-traumatic stress disorder feel much more vulnerable. Author Sarah Graham discusses wliat events in this article on the Scientific American web site. An internet study lhttp://coping.stanford.edu/J launched on September 22nd attempts to assess responses to the attacks on America. The article also offers a set of do's and don'ts for coping with anxiety and links to other relevant topics. mental heaHh services to those who have survived disasters such also available in print, free of charge, from the Center for Mental �ALUMNI Oistin~ished Medical Alumnus Named Marshall A. Lichtman, MD '60 arshall A. Lichtman, MD '60, received the University at Buffalo's Distinguished Medical Alumnus Award from the Medical Alumni Association at a dinner held on September 20, 2001, at the Buffalo Club. Lichtman is former dean of the University of Rochester School of Medicine and Dentistry and former executive vice president for research and medical affairs for the Leukemia and Lymphoma Society of America. After graduating from Buffalo's Lafayette High School, Lichtman attended Cornell University, where he earned a bachelor of arts degree in zoology. He then entered the thenUniversity ofBuffalo School of Medicine, graduating in 1960. Lichtman spent his entire academic career at the University of Rochester. He completed his residency in internal medicine there in 1963, after which he served in the Public Health Service until1965. He then returned to the University of Rochester to serve as chief resident in medicine. After completing his residency training in 1966, he pursued a strong interest in hematology and was awarded a Special Postdoctoral Research Fellowship from the National Institutes of Health from 1967 to 1969 to conduct studies on the biochemistry and physiology of blood cells and their abnormalities in leukemia. In 1969, he was named a Scholar of the Leukemia Society of America, an honor that was complemented by research support from the National Cancer Institute. In 1968 Lichtman was appointed assistant professor of medicine at the University of Rochester School of Medicine and Dentistry and in 1970, assistant professor ofbiophysics. In 1974, he was appointed professor of medicine and of biophysics, and in 1975 he was named chief of the Hematology Unit. From 1979 to 1989 he served as dean for academic affairs and research at the university, in addition to his responsibilities as a professor, scientist and hematologist. From 1990 to 1995, Lichtman served as dean of the University of Rochester School of Medicine and Dentistry. In 1996, he was named executive vice president for research and medical affairs of the Leukemia Society of America, now the Leukemia and Lymphoma Society. He also retained his appointment as professor of medicine and of biochemistry and biophysics at the University of Rochester. Lichtman has served on the editorial board of five scientific journals and as the editor-in-chief of Blood Cells, Molecules, and Diseases. He has been the editor of two monographs and four textbooks of hematology, one of which is in its sixth edition, and has authored more than 230 scientific articles and book chapters on the physiology, biochemistry and disorders of blood cells. Left to right: John Bodkin II, MD '76, president of the University at Buffalo's Medical Alumni Association, Marshall A. Litchman, MD '60, and his wife, Mary Jo. A Master of the American College of Physicians, Lichtman has been a visiting professor at over 40 medical centers in the United States and Canada. He has served on the Hematology Study Section of the National Institutes of Health and as chair of the U.S. Navy's peer review group of the Division of Biological and Medical Research. He is a past president of the American Society of Hematology and has been chair of the society's advisory board. Lichtman also served on the Council for Graduate Medical Education of the State of New York and on the board of governors of the American Red Cross. CD -S. A. UNGER \V i 11 t er 2002 lulfale Physiciaa 11 ��"There are about eight million new cases of TB worldwide each year, 95 percent of which occur in the developing world," Miller says. "Unless we act aggressively to control and eliminate this treatable and preventable disease, it will continue to take an enormous toll." The World Health Organization (WHO) estimates that without dramatically strengthening public health control and elimination efforts, one billion people will become infected with TB within the next 20 years, 200 million people will become sick and 35 million people will die from TB. Moreover, there are approximately 36 million people living with HIV infection-some 5.3 million of whom became newly infected in 2000 alone. To date, nearly 22 million people worldwide have died from AIDS, and the number of individuals who have been co-infected with this disease and TB-estimated to be about 11 million people-is expected to dramatically increase in the next 10 years. Persons infected with both HIV and TB are 50 to 100 times as likely to develop active TB as those who are not HIV infected. As a result, rates of TB in subSaharan Africa, formerly 10 to 20 times higher than rates of TB in the U.S., have doubled and tripled in the past 10 years. "To prevent HIV infection is to prevent TB, and to treat TB is to treat AIDS," Miller observes. "These two pandemics are intimately linked, and the tactics to control them must be synchronized." 1.1.1 a: TO MAKE A DIFFERENCE u; Born in 1947 in Racine, Wisconsin, and raised in Gary, = 1.1.1 Indiana, Miller was encouraged to pursue her academic interests by her mother, and equally imbued with a strong sense of community and a desire to make a difference in the world by her father, who is a rabbi. A career in public health seemed the logical choice, Miller explains, because of its scientific rigor and its potential to improve conditions for large numbers of people. With this in mind, Miller studied public health nutrition at Harvard University, earning a master's degree in that field in 1970. Three years as a public health nutritionist whetted her appetite for medical knowledge and prompted her to enroll in medical school at the University at Buffalo. C "I loved Buffalo from the beginning," she says. "The \Vi11ter 2002 luffalo Physiciaa 19 �approach there was, and continues to be, very practical and very patient oriented." At UB, she adds, she found further inspiration to work in the area of public health under the tutelage of such mentors as Harry Metcalf, MD, UB associate clinical professor of family medicine, and Robert Dickman, MD '68, then a UB professor of medicine in the Department of Social and Preventive Medicine, who is currently chair of family medicine at Tufts University. Both professors, she says, conveyed a strong concern for and awareness of community-oriented medicine. Her interest in public health was further reinforced when she and a fellow medical student, Benjamin Gitterman, MD '76, established a community board to work with the administration of Buffalo General Hospital to enhance the hospital's responsiveness to the needs of the local community. C PANDEMIC AND OTHER ..... INTERNATIONAL Miller's interest in international health was sparked by another unusual opportunity that came her way during her two-year training with the Epidemic Intelligence Service. This time it was the chance to track down the cause of an illness affecting more than 900 Palestinian schoolgirls on the West Bank of Israel. The illness was characterized by headache, dizziness, abdominal pain and leg weakness, and many of the girls were hospitalized. "I was asked to participate in this outbreak investigation because I had previously worked in the Middle East and because I was a woman," Miller notes. "We visited five hospitals where the girls were receiving care in wards accommodating up to 40 patients, generally two to a bed. Some clearly appeared in distress, but most were full of the bubbling enthusiasm and curiosity of teenage girls. While all were wearing abbayahs and appeared appropriately modest, further examination re- c::t CROSSCURRENTS en After completing her internship and residency in internal e medicine at Washington Hospital Center in Washington, .... DC, Miller moved to Atlanta to join the staff at the CDC as a member of the Epidemic Intelligence Service, a practical training program in public health, emphasizing field work. The year was 1981, a momentous time in public health, as a puzzling affliction (a generalized lymphadenopathy syndrome) had recently emerged among gay men and appeared to be associated with the growing numbers of cases of Kaposi's sarcoma and Pneumocystis carinii pneumonia in the same population. Miller spent months in ew York City investigating the condition. She and her CDC colleagues produced the most complete description of the syndrome, which is now known to be an early manifestation of HJV disease. "The experience was life changing because we were seeing so many vibrant young men in the prime of their lives with an unknown illnes ,"she says. "We conducted extensive interviews, drew blood specimens for the virologists in Atlanta, and reviewed thousands of pathology records to look for a pattern. We found one: There was an increase in generalized lymphadenopathy in ew York C ity among homosexual and bisexual young men between 1977 and 1981. This syndrome appeared to be linked to the illnesses affecting gay men. In a few years, nearly all of the men we had interviewed would be dead." en 20 laffale PhysiciaA \Vi11ter 2002 ..... a: 1111 ..... a: ..... ...:z: w w : �asks, 'What are the major health issues for this community and nation? What causes the greatest burden of disease and loss of productive life? What is the cost to the community and nation in terms of economic development and quality of life? '" a:1!5 BEFORE THE STORM vealed that most were wearing blue jeans and tee shirts beneath their traditional dress. I was filled with feelings of tenderness. "Thankfully, we were able to rule out organic disease and toxic exposures and to rapidly identify possible trigger factors for what turned out to be an epidemic of mass psychogenic illness. Despite the political tensions of the region, the CDC's structured, epidemiologic approach helped calm the situation, and we were able to put a community's concerns over this immediate worry to rest. " Although she found such detective work fascinating, Miller left the CDC in 1983 in favor of a clinical practice as an internist. As much as she enjoyed working with patients, however, she found that she missed the breadth and scope of public health work. After two years, she returned to the CDC, this time taking a position with the Division of TB Elimination, where she could combine her interests in clinical medicine Miller's first years with the Division of TB Elimination in the mid-1980s were .... fairly quiet, she recalls. Because the pub:Z:: lie was not yet aware that the Pandora's .... box of tuberculosis had been reopened, federal funding was sparse. Miller primarily worked in the U.S., consulting with state and local TB control professionals on public health practice. The link between TB and HIV infection was just becoming apparent in the U.S. , and much of Miller's writing and consultation were focused on this connection. As this assignment involved less travel, it gave Miller and her husband, Steve Solomon, an infectious disease specialist who works on patient safety and health-care quality at the CDC, an opportunity to settle in and concentrate on raising their two sons, David and Matthew, now ages 17 and 14. "I like the fieldwork. It's energizing and allows me to learn about the concerns of health-care workers and the people in the community involved," Miller says. "However, when the boys were younger, I felt strongly about not being away from home too much. Now, they beg me to leave!" she jokes. On a more sombre note, she adds that following the September 11 attack on New York City, CDC staff continue to travel and work abroad. However, they closely monitor all State Department warnings regard- and public health. Part of the balance she strives to achieve between practicing clinical medicine and public health comes from her work at a weekly TB clinic in Dekalb County, Georgia, where she has seen patients for the past 12 years. "I like the mixture of the political, analytic and medical features of public health," she says. "At the same time, my clinical work keeps me grounded. " Miller emphasizes, however, that a supervening challenge for everyone working in public health is getting public and private sectors to communicate. "The world of private medicine is geared toward the individual patient, primarily toward illness and cure, although it is becoming more prevention oriented," she says. "The focus of public health, on the other hand, is the entire community. The public health practitioner ing specific destinations. Despite the increasing incidence ofTB, control of the disease remained a low priority throughout most of the 1980s. Late in the decade, however, reports of the spread of multidrug-resistant TB jolted the U.S. public out of complacency. The mounting HIV/ AIDS crisis prompted further concern as epidemics ofTB among AIDS patients were reported in hospitals, prisons and other institutional settings where persons infected with HIV lived or received care. As a result, numerous public and private foundations entered the fray against the disease at both the national and international levels, and Miller soon found herself at the forefront of well-financed efforts to bring TB under control. U ll'i11ter 2002 luflalo Physiciaa .....,;.. E - ·= ........ ...... ........ ..=..._ ... ...... ...... -E -= = co ... co • b.O ·S ... -~ ~ = ... _.,.= -:;; ... ...- I'=co ...... "'... .....: • "' ... ·!:E . ... =-= co ~ ..... >I ... _ ... = ...... =-s_ ·... !J: ·-... .s..... IIIIII :z: 1- z .... > c:; w w 21 �• GLOBAL HEALTH PRIORITY .... So alarming is the modern TB pandemic that WHO declared it a global emergency in 1993. In 1998 the organization C launched the STOP TB Initiative, a global partnership to increase resources and move worldwide TB control higher up on the international public health agenda. Since then, numerous partners have joined this initiative, including United ations agencies, private donors, universities, professional societies and nongovernmental agencies. Miller has represented the CDC on this initiative and strives to promote collaboration between the Global AIDS Program and the efforts of STOP TB. TB control is particularly challenging in developing countries in Africa, Asia and Latin America, where TB and HIV/AIDS are prevalent and health-care infrastructures may be weak. In an effort to improve control in all settings, WHO promotes the Directly Observed Therapy Strategy (DOTS) for TB. "This strategy requires political commitment on the part of the government of each country, a stable supply of anti-TB drugs, direct observation of each patient's therapy for six to nine months, a network of laboratories to perform microscopic examination of sputum, and a recording and reporting system," says Miller. "Political commitment is the key, however, because TB control efforts require perseverance." :Z A major hurdle in the battle against TB is the tendency for patients to discontinue treatment prematurely. "TB is a very slow-growing organism, and it takes six to eight months to treat it," Miller explains. "Because it's time consuming and labor intensive for patients to complete the regimen, it's not surprising that many drop out of treatment after the symptoms go away, even though they still have the disease. " The result may be an increase in drug-resistant disease in the community, Miller notes. When people fail to complete standard treatment regimens, or are given the wrong treatment regimen, the persisting bacilli may include organisms that are res istant to one or more of the anti-TB drugs. These individuals may then transmit these drug-resistant organisms to the people they infect. Multidrug-resistant TB requires up to two years of more toxic, less effective chemotherapy and may be up to 100 times more expensive to treat than drug-susceptible disease. "All of these activities require a strong primary health-care infrastructure, which is critical for the improvement of the health sector in developing countries," Miller explains. "However, these activities are significant challenges for countries where the per capita health expenditure may be less than five dollars a year." There is a great need for new drugs, a shorter treatment regimen, an improved and more effective vaccine than BCG, and "We practice law for your peace of mind." Estate Planning - Personal Injury Real Estate - Matrimonial Elder Law One John James Audubon Parkway Amherst, New York 14228 716.636.7600 22 lull a lu Ph ysi cian IV i 11 I c r 2 0 0 2 H oGAN & W ILLIG, PLLC ------ Attorn e ~· s at Law----- - hoganandwillig.com �...... = ... "i ~ ·= -....... = ... :§ .=CI. -... ... ~ e new tools to make the diagnosis of TB quicker and easier in the field, Miller stresses. "It takes years of research to develop effective new drugs, and large financial commitments to fund that research. Given that TB is a 'poor person's disease'-afflicting homeless people, prison inmates, refugees and people with HIVthe market for TB drugs isn 't very lucrative. This tends to inhibit research in this area," she says. -= ..."' ........ ....:.~e"' =-... -=..,_ ~ -·- .... .,:;c -=~ . e ...... = ...... .,...,. ..."'= ·c::; ...... ...... ,. Cl,. ~a; ... > cn FORHOPE 1::::1 Despite these challenges, Miller is optimistic that c: .... !!§ > "' ,. -=... ...= TB can be brought under control, even in areas c:::» where HIV infection is prevalent. "Though TB is "'-~ :E 1:::1::: --... by far the most common opportunistic infection associated with HIV infection, it is treatable and preventable, provided that treatment is begun early and carried through to completion," she says. The growing collaboration among international agencies, governments and private donors seeking solutions to TB and other health concerns greatly encourages her. In 1998, for example, WHO launched a massive effort toward elimination of "diseases of poverty, " including malaria, HIV/AIDS and TB . ·;:; e .... ::I ... ---== c.::l ... = ... ...... .... ~ :E ·- = z ~ ... .... ... u .... -:'... ~ j 'II 'II Recently, the CDC has also substantially expanded and formalized its efforts in the international arena, a direction that has been supported by Congress. "This past year, as part of the STOP TB initiative, a Global Alliance for Drug Development, spearheaded by the Rockefeller Foundation, has been created to promote new drug development for TB, which is really quite thrilling," Miller points out. Scientific progress offers additional hope. "The genome of the TB bacillus has been sequenced. That's a huge breakthrough that will have a great impact on treatment and vaccine development. All of this makes me optimistic. The TB bacillus is a very complex and tenacious organism, but we have finally moved into the 21st century and are poised to eliminate it." Miller encourages medical students to consider a career in public health as an opportunity to make a difference for entire populations. "When I was in medical school, I don't think many of us looked to public health practitioners as role models. But since then, I've been impressed by the creative, inspiring professionals contributing to this field of medicine. In the arena of TB, with the enormous burden of disease it imposes on world health, the challenge to public health practitioners is tremendous and thoroughly motivating. I feel privileged to be among those responding to that challenge." <TI> Take the Life Care Plunge ... Choose Canterbury Woods for a lifetime of warmth and fun Set among 63 beautiful acres, Canterbury Woods combines all the best and most meaningful aspects of the way you live now, w hile addressing your needs and desires for a w orry-free future . Call today for your personal tour. Westem New York 's first Life Care Commtmity. ~nterbury UJoods ('5) Cal/ 716/929-5817 for your personal tour .. . 705 Renaissance Drive Williamsville, New York 1422 1 ~=·~ \V i 11 t er 2 0 02 luflalo Physician 23 �M E C D A E SCHOOL L W S Honors Convocation Reco nizes first· an Second-Year Achievements ur A \ Hr) rw<; Co ' ·oc \flO recognizing academic excellence among first- and second-year students at the University at Buffalo School of Medicine and Biomedical Sciences was held in Butler in general and systemic pathology. Dr. john Sheffer practiced pathology in Buffalo for over 35 years and was acting chair of the Department of Pathology from 1972 to 1974. Auditorium October 6, 2001. The following is a list of award recipients and a description of the Elizabetb laurke, '03, received The Department of Pathology' s awards received. Departmental Awards CARl- . level in the laboratory portion of the courses the second-year student achieving the highest grade in the microbiology and immunol- American Society of Clinical Pathologists Award for Aca- The departments of the School of Medicine mzd Biomedical Sciences have established awards to recognize meritorious performance in their courses as well as outsta11di11g achievemerzt i11 other curriculum-related activities. Iarin Llrb•anee,'13, outstanding performance in the received the Department pathology laboratory. Carea Cellia, '14, received the Department ofMicrobiology' s Marek of Anatomy and Cell Biology's Gibson -A twell - jones Award, Zaleski Award, which is prese nted to the student ment of Pharmacology and which recognizes the student with the highest combined average in the anatomical sciences courses of gross anatomy, histology, neuroanatomy and embryology. The award is named in honor who best combines high Toxicology's Edward A. Carr Jr. Clinical Pharmacology Award and the DouglasS. Riggs Award. GtLLIN ogy course. Dr. Witebsky was the founding chair of the Department of Microbiology. demic Excellence, which is presented to the second-year student who has demonstrated high academic achievement and ELIZABETH BOURKE ~iaa Lia, '13, received the Depart- standards of academic achievement with outDARius LoGHMANEE standing service to the community. The second-year class chooses The award is given to the student achieving the highest the recipient average in the Fundamentals of of past chairs of the department }IAN LIN Pharmacology course. Drs. Carr Drs. james A. Gibson, Wayne ). Atwell and Laura Ciaski, '13, received and Riggs were chairs of the Department of Oliver P. jones. the Department of Pa- Pharmacology and Toxicology. thology's Kornel Terplan Natalie Sbaw, '14, received the Award, presented to the Department of Biochemistry's student with the highest Lisa Esler, '13, larn Cbaa, '13, an~ IISs Iieber, '13, received the AstraZeneka Car- Edward L Curvish Award, which combined average in the diovascular Drug Monograph Awards, recognizes the student with the two second-year pathology courses. Dr. Terplan which are presented to second-year students highest average in the two first- LHRA C1NSK I year biochemistry courses. was a past chair of the department by the Department of Pharmacology and Toxicology. They are based on the quality of a mono- Timatby Par~ee, '13, NATAUF SHA\\ graph written '13, ceived the Department in the form received the Department of Pathology's john B. of a package Sheffer Award, which is insert Darat~y Hn~ricks, ofMicrobiology's Ernest Witebsky Award for given to the second-year student who has per- Proficiency in Microbiology, which is given to formed at the highest DoROTHY 24 re- laflale Phpician H rNDRICKS \Vi11ter 2002 TIMOTHY PAROFF LISA ESLER Ross RICHER �Je1aifer NIWibilski, '14, received the Department of Physiology and Biophysics' Donald W. Rennie Physiology Prize, which is given to the student with the highest combined average in the l \ two physiology courses in the first year. Dr. Rennie was a former vice president for research at UB and chair of the Department of Physiology AL F R E D FRo NTE RA SARA KAPROVE LYNDS AY ESME FINLAY WILLMOTT-BARTOS Discipline Honorary Societies: Narab Jaaasy, '13, received the and Biophysics. The Association of Pathology Chairs Honor Society awardees were Laara Ciaski, Alfred .leaaifer Naw1bilski, '14, aad Natalie Sbaw, '84, re- and Esllle Fialay, all in the Class of 2003 ( Cinski Evan Calkins Primary Care Achievement Award, which is given to one outstanding student in the Primary Care Summer Externship Program. Dr. Calkins is a former chair of the Fr11tera. Lyadsay Willmatt·lanas, Saralapme. ceived the McGraw-Hill Book Awards, which are given to the two highestranking students in the first -year curriculum. is pictured on page 24.) Department of Medicine. CD NoRAH JANosv NATALI E SHAW Dean's Letters of Commendation Dean's Letters of Commendation recognize exceptional coursework. In years one and two, they are a earn honors grades in 75 percent of required courses or achieve 75 percent of available honors pom three, students who earn at least four honors and two high satisfactory grades are honored. Letters in Yea NICOLE MANN DANIEL BAER )EFFREY MARTI DOROTHY HENDRICKS CHRISTOPHER Ross1 Tooo )ANICKI ELENA SALKOVSKY FORESTO CHRISTINE KERR MEGAN MooRE ADAM COHEN NoRAH )ANOSY ERIC SCHAEFER DAVID KRAKOWSKI CHRISTOPHER SYED MusTAFA DANIEL COTTER SARA KAPROVE DAviD ScHLESINGER BRIAN MALM KIMBERLY CARNEY jENNIFER NELSON KAMALJOT DHINGRA jENNIFER KoRZEN LARISSA STABINSKI ANTHONY MATO jENNIFER DANIELLE DoRSANEO THERESA Kouo jENNIFER TRASK CHRISTOPHER MUTTY LISA DosSANTos KIMBERLEY LEONARD STEPHEN TURKOVICH KATHLEEN REBECCA DWYER )IAN LIN )ULIE VOGEL LISA ESLER )AMES LIN BoBBI WAx ANDREW SWAN LYNDSAY WILLMOTT- ANDREW SYMONS OWOBILSKI ORA CHAN GREGORY Co NOLLY THOMAS DuQUIN SARA GAUGHAN CAREN GELLIN BRIAN GIORDANO DIANA PRATT ATALIE SHAW GARRON SoLOMON ESME FINLAY MARA LINSCOTT STEPHEN VARA DAVID FINTAK NATASHA MANES MICHAEL MELANIE FIORELLA VALERIE MARCHI ZAIR FISHKIN CYNTHIA MARTINEZ- CARMINE "ALEX" l KIT CHENG LAURA CINSKI )AMES BoYLE BRENNAN I EZ WEINGARTEN DAVID FLI T GRIECO )ASON GUTMAN CHRISTINA HAVERSTOCK Lett .arll APRIL BAKER SUNIL BANSAL CAPOLINO BARTOS )OYCE ZMUDA MICHAEL WHITESIDE HEATHER MORGANTI SUZIE ARIYARATANA ALFRED FRONTERA RICHARD LILY BELFI BRYAN GARGA 0 AARON OLDEN LINDA CUOMO jENNIFER DEFAZIO KEELY DWYER- SHERU KANSAL ELIZABETH BouRKE )ULIE GAVIN BRIAN PAGE ERIC Ko )AMES BOYLE LISA GELMAN TIMOTHY PARDEE SANDY KOTIAH BRANDY BRYDEN DAVID GRAY BRENT RISCILI CRISTINA LAM PURl ALBERT CHA G HoWARD HAo KERRYN ROCK )ULIANE THURLOW KAREN WEISS Le ters in ear Ill ANDREW FREEMAN EWELL O'DoNNELL MATZKY CHRISTOPHER Wint e r 20 0 2 l lflall nysieiu 25 �M E D C A L SCHOOL E W S • Bv 10 Engender Health I COLE PERADOTTO Christiane Northrup, MD, delivers inaugural Lawrence and Nancy Golden Lecture hen Christiane orthrup, MD, When it came time to decide began stressing the importance of who would kick off the lectureship, holistic health during the 1980s, it Northrup was an easy choice for the seemed like she was a lone voice in Goldens. A dynamic speaker who the wilderness. The obstetriciangynecologist remembers shutting has hosted four popular specials on PBS, the Ellicottville, ew York, her office door while discussing native, who now lives and practices nutrition with a patient, for fear in Maine, has received international a colleague would hear her dispen- acclaim for advocating that women sing such unconventional advice. tune in to their bodies, take charge of their health and take it easy on What a difference 20 years can make. Today, mainstream news pro- While addressing UB medical stories about healing foods. Ameri- students, she similarly encouraged cans are pending billions of dollars them to listen to their inner wis- in alternative medicine and thera- dom and know their limits. "We all pies. At health clubs, yoga and Pilates have this intuitive ability to know are all the rage. For her part, Northrup doesn't what's the right thing to do for our patients," Northrup said. "What need to whisper behind doors anymore. In fact, so many you need to learn is how to be good surgeons, good people want to hear what she has to say about wellness plumbers. You have to tie the knots right; you have to know this body of work. But that also means that you cannot treat every patient in an ideal way because it and health that her first book, Women's Bodies, Women's Wisdom, sold more than 1.2 million copies. Last year's follow-up, The Wisdom ofMenopause, leaped to first place takes too long. So choose one patient a week with whom among advice books on the New York Times best-seller list you'll interact fully, on whom you'll take a full history. a week after it was released. "You can be St. Francis of Assisi and pretend that "It's really gratifying to see how things have changed," patient is someone you're administering to. Be a physi- Northrup said during a September 24, 2001, lecture at the cian in that way for one person a week who somehow University at Buffalo School of Medicine and Biomedical grabs your soul." Sciences. "As far as I'm concerned, it's a miracle." orthrup warned the group that physicians who orthrup was the featured speaker for the inaugural blame themselves for every patient death simply can't Lawrence and Nancy Golden lecture on mind-body perform effectively in the medical profession. "The medicine. Founded in 2001, the annual lectureship aims reason doctors get burned out is that they begin to think, to teach medical students how the mind and body inter- and you're taught-at least, I was-that if someone dies, act to promote or endanger good health. A clinical professor of medicine at UB, Lawrence Golden, MD '46, was faster than [thinking like] that." chief of medicine and cardiology at the Millard Fillmore Hospital, where he founded the first cardiac rehabilitation program with his \vife, ancy, a family therapist at Child and Family Services for more than 30 years. 26 themselves. grams and magazines abound with lufl a l e Pb Jsician IVi11tcr 2002 it's your fault. othing will take the wind out of your sails When treating patients, orthrup told the physicians- in-training, it's wise to consider factors outside the traditional medical model of cells and genes-factors such as the health of a patient's marriage, her job satisfaction or �\, even incidents of physical abuse lingering in her past. She acknowledged that she makes it a habit to ask patients, one simple question: "What's going on in your life?" From the answers, she's often able to glean important information about situations that may be compromising her patients' health. Although she doesn't minimize the role of molecular biology, orthrup argues that it can't always explain the complex roots of illness and disease. She worries that physicians too often opt for a pill's quick fiX, yet fail to address the circumstances in a patient's environment that may be aggravating the condition. To make matters worse, the so-called magic bullet may even result in a new complication-addiction. As she spoke, orthrup reinforced her points with a slide presentation of advertisements Jeffrey Ross, MD '70, Delivers Terplan Lecture The second annual Kornell. Terplan Memorial Lecture was held October 17, 2001, in Farber Hall at the University at Buffalo School of Medicine and Biomedical Sciences. The lecturer was Jeffrey Ross, MD '70, chair and Cyrus Strong Merrill Professor in the Department of Pathology and Laboratory Medicine at Albany Medical College. He is also vice president for molecular pathology at Millennium Pharmaceuticals of Cambridge, Massachusetts, where he served as a Scientific Fellow during 2000. Ross's lecture was titled "From Gene to Patient: The Emergence of Targeted Therapy and Personalized Medicine in Oncology." The event was made possible by the generlished an endowment to fund the lecture. Terplan's son, Martin Terplan, MD '55, assum- for psychotropic drugs. An ad for Valium showed a woman jogging ed a major role in creating the endowment and down the street, her face a portrait of bliss. A Xanax ad claimed to have unraveled the mystery of depression, pinpointing its origins at a was in Buffalo to attend the lecture and host a particular synaptic site in the brain. "Depression and anxiety in the brain are highly overlapping and r-------..1.....-- osity of the Terplan family, which has estab- reception following it. Kornel Terplan, MD, was professor and chair of UB's Department of Pathology from 1933 to they intercept," she said. "You might have some professors who think 1960 and served for many years as a pathologist that if you get the absolute correct dose of Xanax or Prozac you will cure your patient's life. I wish it were that easy." orthrup added that she's not against prescribing such drugs, if circumstances warrant it. "They all help some people. But what about all the women who are battered in their marriage? We can't get a at Children's Hospital of Buffalo and Buffalo General Hospital. biochemical solution for that." He was internationally recognized for his work in childhood tuberculosis and brain pathology associated with chromosome anomalies of children. "Not only was Dr. Terplan an eminent scholar and one ofthe leading figures at the medical school, he was also a man with great energy and enthusiasm who was known for his personal S umming up her concerns, she read a quote from Max Lerner's warmth," recalls Reid Heffner, MD, chair of UB's Department 1959 book The Unfinished Country: "What. is dangerous about tranquilizers is that whatever peace of mmd they bnng ts a of Pathology and Anatomical Sciences. packaged peace of mind. When you buy a pill and buy peace of mind, you get conditioned to cheap solutions instead of deep ones." Since she began preaching the merits of a mind-body approach to medicine, orthrup has contended that a woman's health is tied to the culture she lives in. She's a harsh critic of the messages that society sends women-destructive messages that make them feel insignificant When the endowment to support this lecture was established by the Terplan family, the long-term goal was for UB to work to expand it by asking former students and colleagues, as well as those who enjoy the lectures, to join in expanding the endowment, according to Heffner. "We would like to be able to fully underwrite one lecturer each year, with a visit lasting for at least one day in order to and self-conscious. Casting an accusing glance at a lingerie ad featuring provide an opportunity for all current medical and graduate a gorgeous woman preparing breakfast while clad only in a bra and students to interact with the guest lecturer," he says. "These panties, she quipped: 'Tm sure that most women make eggs like this- types of visits enhance the curriculum and provide students, you know, before you go into the clinic and get going for the day." When women- and for that matter, men- are made to believe about exciting innovations in pathology research." residents and practicing physicians with an opportunity to hear that they should do it all, they're bound to think they've come up short For information on contributing to the endowment in at the end of the day. The cover of the health magazine Northrup support of the annual Kornel Terplan Memorial Lecture, used to illustrate her point read: "Be loved, think positive, eat right, please contact Lyn Corder, associate dean for alumni affairs stay fit, enrich your life, save the world." "This is the new American dream," she sighed. "It makes you crazy, and development. She may be reached by phone, toll free, at and very stressed out." 1-877·826-3246; or by e-mail at ljcorder@buffalo.edu. CD W in t er 2 00 2 1111111 Pbysiciaa 27 �PATHWAYS NEws ABOUT UB's ScHooL oF MEDICINE AND BIOMEDICAL SCIENCES AND ITS ALUMNI, FACULTY, STUDENTS AND STAFF ((I HAD THE OPPORTU- NITY TO MEET SOME OF MY FELLOW TORCHBEARERS AT A TRAINING EVENT [IN EARLY NOVEMBER], AND I WAS TRULY HUMBLED." TURKOVICH 28 l1flal• Physician \I' i 11 t r r Turkovich Selected as Olympic Torchbearer Steve Turkovich, a third-year student in University at Buffalo's School of Medicine and Biomedical Sciences, was selected to be an Olympic Torchbearer for the 2002 Winter Games in Salt Lake City, Utah. A native of West Seneca, ew York, Turkovich attended Orchard Park High School before coming to UB to complete a major in anthropology. He was nominated for the honor by a relative who, among other things, highlighted his past involvement in the Tar Wars Program, which educates elementary students about the dangers of tobacco use, as well as his work with Hospice's Life Transitions Center, which provides support to children whose parents have a terminal illness. Turkovich was notified of his selection on September 12, 2001, at which time he was 2 0 0 2 told he would be running Because Turkovich will be in two-tenths of a mile at a yet- his medicine clerkship in to-be determined location in February, his near-future plans unfortunately do not include Western New York on December 31 or January 1. attending the Olympics. "This is an unbelievable For more information on honor," says Turkovich about the Olympic Torch relay and his selection. "I had the optorchbearers, visit the 2002 portunity to meet some of Winter Olympics' website at my fellow torchbearers at a www.saltlake2002.com and training event [in early ov- click on Game Programs. ember 2001], and I was truly -S. A. UNCER humbled. Trevisan Named "Many of them have overInterim Dean of HRP come much adversity in their Maurizio Trevisan, MD, prolives and are very inspira- fessor and chair of the Departtional. It's a privilege to carry ment of Social and Preventhe torch with them. tive Medicine in the "Too, this is the University at Buflast time the Olymfalo School ofMedipics will be held on icine and Biomedical American soil for at Sciences, has been least the next ten named interim dean years," he says. of UB's School of "And given the Health Related Proevents of September fessions (HRP). TREVISAN 11, I am especially Trevisan succeeds proud to represent the United Mark Krista!, PhD, professor States in an event that stands of psychology, who has refor peace and unity." turned to the faculty after When asked what he hopes serving as interim dean of his future as a physician will HRP for 18 months. A search hold, Turkovich says, "''d like for a permanent dean has been to pursue a career in either under way since the death of general pediatrics or child Frank Brady in November psychiatry, and perhaps also 1999, just a month after he teach clinical medicine." assumed the dean's position. �l In addition to serving as chair of the Department of Social and Preventive Medicine, Trevisan is diEDGE rector of the Center for Preventive Medicine, part of the Women's Health Initiative. A UB faculty member since 1985, Trevisan's current research is focused on cardiovascular disease epidemiology. He earned a medical degree from the University of aples Medical School in Naples, Italy, and a master's degree in epidemiology from UB. L EV I N E Edge and Levine Named Best Breast Cancer Doctors Two Roswell Park Cancer Institute (RPCI) physicians and University at Buffalo professors were named among the top breast cancer doctors in America in the October 2001 issue of Redbook magazine. Stephen B. Edge, MD, chief of breast surgery at RPCI and an associate professor of surgery at UB, and Ellis Levine, MD, chief of the medical divisions of breast and genitourinary on cology at RPCI and associate professor of medicine at UB, were among the 355 physicians cited by the magazine's "Exclusive List: The Breast Cancer Specialists Rated the Best by Their Peers." "The faculty and staff of Roswell Park congratulate these two outstanding physicians for the recognition given to them by their peers through Redbook magazine," CIAN C IO says David C. Hohn, MD, president and chief executive officer of RPCI. "Drs. Edge and Levine lead a team of caring and compassionate cancer specialists who are dedicated to giving breast cancer patients the best possible care, as well as improving outcomes for the disease." Ciancio Receives Cold Medal from AAP Sebastian G. Ciancio, DDS, SU Y Distinguished Service Professor and chair of the Department of Periodontology, has received the Gold Medal Award from the American Academy of Periodontology (AAP). Ciancio received the award- the AAP ' s highest honor-at the group's 87th annual meeting, held this past fall in Philadelphia. The Gold Medal Award is given annually in recognition of outstanding contributions to the field of periodontology and the diagnosis and treatment of periodontal diseases. A member of the AAP for 35 years, Ciancio is a past president of the association, as well as of the American Academy of Periodontology Foundation. He is a consultant for the Journal of Periodontology and an editor for Biological Therapies in Dentistry and Periodontal Insights. Ciancio received the AAP's Clinical Research Award in 1996, a Special Citation in 1994 and the William]. Gies Award in 1988. A prolific researcher, he has authored more than I 00 scholarly papers. Cinsberg's Earigator Device on the Market The Earigator, an ear-wax removal device invented by Irwin Ginsberg, MD '44, adjunct clinical professor in University at Buffalo's Department of Otolaryngology, is currently being marketed by SURYA Technologies of Amherst, ew York. Ginsberg says he identified the need for an improved method of removing ear wax after observing the discomfort that many patients endured while undergoing the procedure, which traditionally involves irrigating with a syringe that injects water into the external auditory canal. In addition to requiring two-people to complete, the procedure is time-consuming and messy, he explains. The Earigator, on the other hand, delivers a large quantity of irrigating water maintained at 3 7 degrees Celsius and is controlled by a pistol-grip tip equipped with an optically programmed trigger. A large deflector disc uses fiberoptics to illuminate the gently pulsating stream of water and the ear canal. The proce- GINSBERG dure can be done in one-third the time of the syringe method and can be performed by a trained medical professional other than a physician. Currently SURYA Technologies is featuring the device at trade shows and arranging onsite demonstrations for audiologists, otolaryngologists, pediatricians and hearing aid dispensaries. "The response to the product has been very good, and we are quite encouraged," reports "THE RESPONSE TO THE [£ARIGATOR] HAS BEEN VERY GOOD, AND WE ARE QUITE ENCOURAGED," REPORTS RAJ BANSAL OF SURYA TECHNOLOGIES. "WE HAD BEEN FOCUSING ON WESTERN NEW YORK BUT NOW ARE TAKING IT NATIONWIDE." ll' i 11 ter 2002 luffalo Physician 29 �PATHWAYS GET C oNNECTED. • • the exclusive right to all PDT compounds and technologies discovered during the next five years of collaboration between Light Sciences Corporation and the PDT Center of RPCI. This agreement also provides - S . A. UN G ER Light Sciences Corporation with a license to certain novel Global Licensing PDT compounds previously Agreement for discovered at RPCI. In return, Photodynamic Therapy RPCI will receive research Roswell Park Cancer Institute funds, licensing fees and cer(RPCI) and Light Sciences tain milestone payments, in Corporation have entered into addition to royalties on coman exclusive global licensing mercialized products. and research agreement for "Light Sciences brings a the development of future unique perspective to PDT Photodynamic Therapy (PDT) that may well extend its use products. both in cancer and Photodynamic other diseases," exTherapy, pioneered plains Dougherty, at RPCI by Thomas director of the PDT J. Dougherty, PhD, Center at RPCI. "Combined with and colleagues, is a several highly effectwo-step treatment tive new photosenthat uses a light sitizers developed at sensitive drug, called DOUGHERTY RPCI over the past a photosensitizer, and visible light to destroy few years that are activated at cancer cells in solid tumors. deep-tissue penetrating wavePDT using Photofrin, a photo- lengths, this collaboration sensitizer developed in the promises to advance the field PDT Center at RPCI, has been of PDT and, most importantly, approved by the U .S. Food benefit patients," he adds. and Drug Administration Projects to be developed (USFDA) and regulatory under this agreement include agencies worldwide for the preclinical and clinical retreatment of certain types of search on several unique comcancers, including lung and pounds aimed at approval by esophageal cancers. health agencies worldwide, The agreement secures for including the USFDA. CD Light Sciences Corporation - CATHERINE D O NNELLY Raj Bansal of SURYA Technologies. "We had been focusing on Western ew York but now are taking it nationwide." Eventually, the product is expected to make its way into the worldwide market. CARITAS MEDICAL ARTS BUILDING 2625 HARLEM RoAD , CHEEKTOWAGA, NY ADJACENT To S r. JosEPH HosPITAL MARIAN PROFESSIONAL CENTER 515 ABBOTT RoAD , BuFFALO, NY ADJACENT ro MERCY HosPITAL SETON PROFESSIONAL CENTER 2121 MAIN STREET, BUFFALO, NY ADJACENT TO S tsTERS H osPITAL 3 PRIME LOCATIONS (ALL CONNECTED TO AREA HOSPITALS VIA ENCLOSED WALKWAYS) 0 SuiTES N ow AvAILABLE 1000-5000 SQUARE FEET 0 FoR MoRE INFORMATION 716.631.8000 ~ CIMINELLI ' 30 luflall Physician \\' i nt er 2 00 2 • Development Company, Inc. �Lawrence D. Jacobs, MD, world-renowned researcher in the an honorary doctorate from D'Youville College. He also received treatment of multiple sclerosis who was professor and chair of a Dean's Award from the College of Arts and Sciences at Niagara the Department of Neurology in the University at Buffalo School University and the Alumni Merit Award from St. Louis University. of Medicine and Biomedical Sciences, died November 2, 2001, Jacobs served on the board of the International Federation of in Memorial Sloan-Kettering Cancer Center in New Multiple Sclerosis Societies, was past president of the American York City. He was 63. Society of Neuroimaging anti was a founding member and former Jacobs' ground-breaking research, geared toward developing better treatment for relapsing multiple sclerosis, led to the development of the drug Avonex officer of the American Academy of Neurology Education and Research Foundation. Jacobs is survived by his wife, the former Pamela Ryan, a (interferon beta·lal the most widely prescribed drug member of the State University of New York Board of Trustees; used to treat this debilitating form of multiple three sons, Christopher L., Luke T. and Lawrence D. Jr., all of sclerosis. As early as 1981, Jacobs' research showed that early treatment of multiple sclerosis with interferon beta·la, a genetically engineered form of beta inter· feron, significantly reduced the rate of progression and impact Buffalo; two daughters, Jessica H. Enstice of Snyder, NY, and Elizabeth R. of Buffalo; two brothers, Max of Captiva Island, FL, and Jeremy M. of East Aurora, NY, who is chair of the UB Council; two sisters, Michelle of Laguna Beach, CA, and Jennifer of Phoenix; and a granddaughter. of the disease, which often includes brain and nerve damage. Jacobs funded his initial work privately, eventually attracting multi-million dollar grants from the National Institutes for Health. In 2000, the New England Journal of Medicine published the results of a large-scale study, led by Jacobs, of the benefits of beta·la interferon in treating multiple sclerosis, which led to the Harvard Health Letter naming his research as one of the 10 leading health advances for 2000. After earning his medical degree from St. Louis University and completing his residency at Mount Sinai Hospital and School of Medicine in New York City, Jacobs returned to his native Buf· falo, where he began his career in medicine as an attending physician at Millard Fillmore Hospital. He served as chief of research at the Dent Neurological Institute from 1985 to 1989. In 1987, he became director of the William C. Baird Multiple Sclerosis Research Center at Buffalo General Hospital, which was devoted to developing better treatments for the disease and excel· lence in patient education, clinical programs and support services. The Jacobs Neurological Institute, which he also directed, was dedicated in memory of his parents, Genevieve and Louis. Jacobs held the Irvin and Rosemary Smith Chair in Neurology in the School of Medicine and Biomedical Sciences, established in 1998 with a 51.5 million endowment from Biogen, manufac· turer of Avonex. He authored more than 200 publications on neurology and served on numerous medical journal editorial boards. He was the recipient of many awards, including the Stockton Kimball Award from the UB School of Medicine and Biomedical Sciences, the Gloria L. Roblin, PhD, the first non-physician to become a full clinical professor at the University at Buffalo School of Medicine and Biomedical Scie ces, died April25, 2001, in Millard Fillmore Hospital. She was 76. Born Gloria Landsman in New York City, Roblin graduated from Barnard College at age 20 and within two years earned a master's degree and joined the Columbia University faculty. She moved to Buffalo and put her career on hold · after marrying local industrialist and civic leader Daniel A. Roblin Jr., who died in 1986. Once her children completed elementary school, however, Roblin returned to UB and earned a doctorate in psychology in two years, finishing the coursework ROBLIN with distinction. During her years as a clinical professor at UB, she pioneered the medical study of both human sexuality and clinical hypnosis. In particular, she was credited with engendering understanding of sexual orientation. An animated and entertaining speaker, her lectures and speeches drew standing-room-only audiences. In 1980, the medical school's yearbook was dedicated to her. Surviving are her husband, Bennett Friedman of Bradford, PA. her son, Daniel A. Ill of Buffalo, and her daughter, Diane Finlayson of Toronto. Stephen B. Kelley Award from the National Multiple Sclerosis Society of Western New York and Northwest Pennsylvania, and r\ 1 tJ t t~ ... llffaft Hysitill 31 �RESEARCH E W S $7.3 Million Crant to Study the Effects of Periodontal Treatment on Heart Disease he University at Buffalo has received a $7.3 million grant from the National Institute of Dental and Craniofacial Research to plan and conduct a pilot study for a clinical trial of the impact of periodontal disease treatment on prevention of second heart attacks. The three-year effort, involving five centers, will set the stage for a definitive clinical trial on a larger scale of the relationship between periodontal infection, which affects 75 percent of Americans, and cardiovascular disease. Robert }. Genco, DDS, PhD, chair of the Department of Oral Biology in the School of Dental Medicine and a SUNY Distinguished Professor, is principal investigator on the grant. UB is leading the study, which also involves the University of North Carolina, Boston University, Kaiser Permanente/ Oregon Health and Science University and the University of Maryland. DDS, PhD, SUNY Distinguished Professor and chair of the Department of Oral Biology in the University at Buffalo School of Dental Medicine. Recently, Genco A Potential New Weapon Against Heart Disease Genco says the grant "provides an opportunity to bring the basic research we have been doing at UB on periodontal infection and its potential effect on the risk of heart disease and stroke into the real world of the clinic. "If we find through this pilot study that keeping gum disease in check appears to lessen the chances of a second cardiovascular incident," Genco continues, "we will be justified in proposing a large-scale clinical trial that should provide definitive answers on the relationship between these two chronic conditions. If the study is positive, it will give us one more weapon in the battle against heart 32 I u f f II 0 p by sic i I D \1 ' i 11 t er 2 0 0 2 was named a vice provost at UB and appointed head of its new Office of Science and Technology Transfer and Outreach, which replaces the UB Business Alliance. The new office will strengthen the university's existing business partnerships and foster creation of new businesses and commercialization of the university's intellectual property. disease; however, we are a long way from having the data necessary to suggest that treatment of gum disease or any infection will reduce heart disease. " The grant will allow Genco and coinvestigators to assemble a team of cardiologists, periodontists, epidemiologists, infectious-disease specialists, biostatisticians, research nurses in periodontics and cardiology, and data managers necessary to carry out a full-blown periodontal intervention trial. The Question to Be Answered The planning period and pilot study are intended to form the foundation for a definitive trial to answer the question "If periodontal infection is suppressed by an anti-infective intervention , will this result in decreased risk of heart disease?" "It is important to answer this question in a clear and definitive fashion before any clinical decisions are to be made to treat periodontal disease for general health reasons," Genco says. �The pilot clinical trial will begin after a nine-month planning and development period. It will include three groups of subjects: one that will receive antibiotic therapy directed to suppressing the local gum infection; a second that will receive local therapy plus treatment with the systemic antibiotic azithromycin; and a third that will receive standard care. The investigators will assess a risk factor for heart disease, the C-reactive protein, which also may be related to periodontal infection. A total of 900 persons who have periodontal disease and have had one heart attack or are otherwise at high risk for a cardiovascular event will be recruited for the trial by the five centers. The pilot trial will be used to refine the infrastructure and to select or refine an intervention protocol for the definitive trial, Genco says. Growin g Evidence of a Link Epidemiological studies conducted at VB and elsewhere have shown an association between various measures of poor dental health and coronary disease, even after accounting for other risk factors. A 1999 study using data collected nationwide through the Third ational Health and Nutrition Examination Survey, for example, found that people with the most severe periodontal disease were nearly four times more likely to have had a heart attack than people with no periodontal disease. Genco's research team at VB, in one of several studies, assessed the presence of specific oral bacteria in heart-attack patients compared to healthy controls. The researchers found that two periodontal bacteria (Porphyromonas gingiva/is and Bacteroides forsythus) were associated with a 2.5 and 3.0 increase in risk, respectively, of heart attack. Periodontal disease is common in the United States. Seventy-five percent of the population suffers mild forms, while 20-30 percent has more severe forms, according to the most recent statistics from the national health survey. "There is growing evidence of a relationship between infection and atherosclerosis, as well as a specific link between periodontal infection and heart disease," Genco says. "Previous studies have established possible effective treatments of periodontal disease, and it is possible these treatments may lead to fewer subsequent myocardial events in people at high risk for cardiovascular disease. Our study is designed to select the periodontal treatment with the best chance of reducing the risk for heart disease." Co-investigators-all from UB-are Maurizio Trevisan, MD, professor and chair of the Department of Social and Preventive Medicine and interim dean of the School of Health Related Professions; Susan Graham, MD, associate professor of medicine; Sara Grossi, DDS, clinical assistant professor of oral biology; Joseph J. Zambon, DDS, PhD, professor of periodontics and endodontics; and Paola Muti, MD, PhD, associate professor of social and preventive medicine. - Lots BAKER \mce /911 Experience the quality of life our Buffalo Niagara region offers by contacting the AWARD WINNING Hunt Real Estate Relocation Team. HUNT Relocation Center There is so much to think about when considering a transfer. We want you to know what our city offers including housing, cultural attractions, education, entertainment and the truth about our climate. If you have a different destination in mind or moving locally let us know and we'll do the rest. CD We don't just move people... We help people move. Call for a free relocation portfolio regarding your Medical Student Research Training Grant Faculty in the University at Buffalo's School of Medicine and Biomedical Sciences have received a five-year, $231,000 training grant from the National Institutes of Health to support summer research fellowships for medical students. The grant will fund stipends for eight first- and second-year medical students to spend 10 weeks during their summer sessions performing a mentored research project that focuses on infectious destination city. Call l -800-888-1170 or go on-line and visit our web site at huntrealestate.com Hunt Relocation Center 5570 Main Street Williamsville. NY 14221-5410 Email: huntrelocation@huntrealestate.com Wint e r 2 00 2 1111111 nysicill 33 �RESEAR C H E W S earc it funds. Murphy has had a long-standing interest in ear and respiratory tract infections. He holds several patents in volving vaccines, in- - $2 Million Crant · Targets Ear and Lung Infections u Scientists at the University at Buffalo, the Veterans Affairs (VA ) Medical Center in Buffalo and Roswell Park Cancer Institute ( RPCI) have received a 2 million program project grant from the ational Institutes of Health to conduct research aimed at developing vaccines to prevent ear infections in children and respiratory tract infections in adu lts with chronic lung disease. Timothy Murphy, MD , professor of medicine and microbiology and chief of infectious diseases at UB and the VA medical center, is principal investigator for the four-year grant, as well as leader of one of the three research projects 34 luflale Phys ician ll'tll ter cluding one for the P6 protein, which he discovered and has been studying for 15 years. This protein is a promising vaccine candidate for the prevention of recurrent ear and lung infections caused by nonencapsulated strains of the bacterium Haemophilus influenzae, and it is currently being tested in early clinical trials in humans. collection of samples obtained from the long-running VA COPD study, in which 110 veterans have been followed. Yasmin Thanava la, PhD, cancer research scientist at RPCI, and Anthony Campagnari, UB associate professor of microbiology, each will direct one of the remaining projects. Thanavala, an immunologist who has performed innovative research in the develop- Ge11tzke & Associates. Inc. Registered Investment Advisor All three projects include studies of clinical samples emanating from a chronic ob- Prinrte Portfolio/ \\' ca It h \ lanagrmcnt structive pulmonary disease (COPD) study clinic that has been conducted continuously since 1994 at the VA hospital by Murphy and Sanjay Sethi, MD, UB associate professor of medicine. The project Murphy is leading will involve experiments to determine the human antibody response to th e bacterium Moraxella catarrhalis, which is a common cause of ear infections in children and of lung infections in adults with COPD. To accomplish this, he and his team will test a 2002 ment of vaccines for hepatitis, wi ll study the human immune response to specific regions of the P6 molecule. She will introduce human lymphocytes into mice that lack immune systems, creating an animal model with a human immune system. The mice will be immunized with P6 and the researchers will study the antibody response. This is the "next best thing" to immunizing people, according to Murphy, because the mice make human antibodies. As another part the project, researchers will collect lymphocytes from healthy donors and Comprrhrn:,i,·r Planning Financial. C~tale. l?etin'lltenl. Tax Tru:,t Sc 1Yice::, Pre<odent and cro Gleon Gefltzke and Oloef Investment StrategiSt Chris King Concierge ScrYicr::, l UB Commons 520 Lee Entrance Suite 205 Amherst, NY 14228 Tel: (716) 639·0475 Holland Office 10661 Crump Road Holland, NY 14080 Tel: (716) 537·2269 www.gentzke.com ri\\-C.HI.I· \<hi-,or 1'1\\ orl ( .t'rl ifit·< I (JuidJJooks Proft•-,-,ionnl \< h i-,or-, �from adults with COPD and study the response of these cells to P6. Campagnari is a widely recognized authority in studies of the mechanisms of infection and the immune response to the bacterium M. catarrhalis. His project involves studies of an important molecule on the surface of the bacterium called lipooligosaccharide, or LOS. This molecule is critical to the bacterium 's ability to attach to the human mucous membranes and to cause the inflammation seen in the ears of children and the airwa ys of adults with COPD during infection. "Understanding the speci fie mechanisms whereby the LOS molecule does this is the first step in designing novel strategies to prevent these deleterious effects of infection, " notes Murphy. " Dr. Campagnari will clone the genes that are responsible for making LOS and make mutant bacteria with altered LOS molecules. This will allow him to elucidate the role of LOS in infections. " In addition, samples from the COPD study clinic will be used to study the human immune response to the LOS molecule. Campagnari also will collaborate with Howard Faden , MD, UB professor of pediatrics at Children 's Hospital of Buffalo , to study samples obtained from children with ear infections. <Ii) - L O IS B A K ER diseases, microbiology or immunology. Twenty UB faculty members with active, extramurall y funded research programs will serve as a pool of mentors for the students. Principal investigator on the grant is Timothy F. Mur- phy, MD, director of the Division of Infectious Diseases at UB's School of Medicine and Biomedical Sciences and chief of infectious diseases at the Department of Veterans Affairs Medical Center. Coprin cipal investigators are Stanley Schwartz, MD, PhD, director of UB's Division of Allergy/ Immunology and professor of medicine, pediatrics and microbiology; and Charles M . Severin, MD, PhD, assistant dean for years l and 2, and associate professor of pathology and anatomical sciences. <Ii) - S. A. UNGE R C'l 2002 Porsche Cars North Amenca, Inc. Porsche recommends seat belt usage and observance of all traff1c laws at all t1mes. Performance specd 1cat 1ons for companson purposes only. a You dream about it. You decide to get it. Then you enter kindergarten. The more kids you have, the more practical it becomes. Maybe it was the shape. Or the sound. Maybe it was so long ago you can't remember what made you determined to someday drive one. Meanwhile, we put the years to good use, making the 320 horsepower 911 Carrera our best yet. A top that glides elegantly back in seconds. A new, more powerful 2.7 mid-engined flat six that pumps out 217 hp. And exactly two seats. The Boxster. If this isn't a perfectly engineered means of escape, what is? ® CULLIGAN F=ICJ~SC:HE: 8135 Main Street, Williamsville • 716-633-5200 • www.CulliganPorsche.com 1Vi11ter 2002 l •ffale Hysicia1 35 �RESEARCH N E w s average amounts, but who drink together and in their own home, tend to be very satisfied with their marriages. We also have found that couples in which the husband and wife have dramatically different drinking patterns are often the least satisfied with their Impact of Alcohol on Marriage Studied The impact of alcohol on marriage-for better or for worse-is the focus of a study being conducted by a scientist at the University at Buffalo's Research Institute on Addictions (RIA) under a new 1.5 million grant from the ational Institute on Alcohol Abuse and Alcoholism. Kenneth E. Leonard, PhD, a clinical psychologist at RIA who also is a research professor Children's Health and Polluted Fish The Toxicology Research Center at the University at Buffalo School of Medicine and Biomedical Sciences will receive $1.3 million over the next five years as a par- "This study will ment of Psychia- ticipant in a new six-member examine how try in the School of Medicine and Biomedical Sciences, is studying alcohol, the transition to mar- children's environmental health change and adapt their drinking patterns to each other over the early riage, and spouse and peer influ ence on the use of alcohol. "While it seem common sense that drinking problems can cause divorce, there also is evidence that some couples can incorporate heavy drinking into the marriage," Leon- years of marriage." ard says. "Our previous research has found that couples who drink frequently and drink above l alfalt Hysician Wt11ter pal roles in the project are James Olson, PhD, professor of pharma- Researchers will look at the effect cology and toxicology, and Rich- of eating fish from these contami- ard Fitzpatrick, laboratory direc- nated sources on the motor, sen- tor of the Toxicology Research sory and mental development of Center. The University of Illinois at Chi- the refugees' children. The project also will involve educating the cago, Michigan State communities on safe fishing University, the New York sites, safe types of fish and pre- State Department paration methods that reduce the of Health and the risk of contamination. The Toxicology Research Cen- University of Texas Health l--\.1~-::::::;;;:~:;;;:::=:~ "(f ter will serve as the core analytical ScienceCen- toxicology facility for the study. ter also are Paul Kostyniak, PhD, director of membersofthe the center, will head the analytical new consortium. core project. Also playing princi- - CD LOIS BAKER -KATHLEEN WEAVER in the Depart- husbands and wives 36 marriage. "This study," he adds, "will examine how husbands and wives change and adapt their drinking patterns to each other over the early years of marriage, and which couple-drinking patterns can have a deleterious effect on marriage." CD important part of the diet of the two refugee groups being studied. research center formed to study the effects on Laotian and Hmong refugees of eating large quantities of contaminated Great Lakes fish. "I've retired my snow shovel!" A5 a semor, l enJoy my mdependence. That:S why the Amberleigh lifestyle IS appealing. Without mowing the lmm, rakmg the leaYe or shm·eling the snow, I have ume to spend on thincr that I enJoy' My monthly rental lee includes three meals a day m a grac1ous dining room, weekly housekeepmg, scheduled courtCS) transportation, plus a \\ide range of socwl and recreational acmiues. If )'l) 1 think Amberielgh IS what you've been lookmg for, why not call today for a personaltour7 Call 689-4555 ... you'll be glad you did' The project, called the Fox River Environmental and Diet Study, or FRIENDS, is centered at the University of Illinois at Urbana-Champaign. The Fox River, which cuts through Green Bay, fv\onthly rent inc udes. we -oppr m•• d ore and twc.bedrocm oporlm •nl • th _ "leo s served dody • w ,kJy h ,, p1ng and mo•n enonce serv• • 24-hour stoffng • emergency resp< n "' •Y''' m • sc~edu ed tronspo • exercise room • pet w1ng • guest apartments is one of the most heavily PCB· contaminated sites in the Great Retirement living... the way you always dreamed it would be. Lakes Basin and the single largest source of PCBs entering Lake Michigan. Fish from the Fox River and Lake Michigan make up an 2002 -~~~!,. 2330 Maple Road, \\'illiamSYllle For a Jtcc brochure or personal row~ Call (716) 689-4555 �DEVELOPMENT N E w s any Rainbows Yet to find By Li nda J . Cor de r , PhD. CFRE the rainbow ended at Farber Hall. There had been a run of gray days, literally and figuratively, so the ephemeral colors leading right to our school seemed to be a good sign, and I spent the remainder of the semester looking for rainbows. New York was hit hard by the tragedies in September, especially those families who were directly affected by terrorists' actions. Budgets, already tight, became more tentative as legislators struggled to decide among competing priorities, and donors dealt with myriad requests under the shadow of a volatile stock market. Within the school, course coordinators, administrators and students met in different types of ad hoc groups to adjust to change and devise plans for finding resources that make our respective responsibilities possible. You are likely aware of some of our efforts. The first full alumni annual appeal was mailed. We are stili receiving responses from graduates of the school's many programs. Class chairs for spring medical reunions are working to increase class gifts. The Pathology and Anatomical Sciences Department held the second annual Terplan Lecture and added several thousand dollars to that endowment. A bequest, "on the books" for more than twenty years, came in, half designated for scholarships, the remainder for a radiology lecture fund and seed money for radiation research. The school also received proceeds from a charitable trust, again designated for scholarships. As a community, we celebrated the life of, and grieved for, Dr. Lawrence Jacobs, chair of neurology, who died "too soon," yet who accomplished much through his research on multiple sclerosis. A dedicated faculty and staff group began plans to augment the Clinical Skills Development Fund, an extremely important account for those teaching students how best to communicate with patients. Family Medicine, the first department to form an advisory board and hire a development officer, launched a drive to increase their departmental endowment, with an initial goal of $250,000. Members of the Medical Emeritus Faculty Group met regularly throughout the year, and the Medical Alumni Association has extended its membership to them. Dean Bernardino and administrative staff joined those in comparable positions for the Asand sllllnts .et illlffmlt sociation of American Medical ~ Colleges' fall meeting in Washington D.C. These gatherings llljlst t1cllaiCIIIIIIIInisl provide a perspective on where the school is now, relative to peer institutions and to its own progress compared with a year, or res,.sillilities jiiSSillle. several years, before. My personal benchmark is the beginning of the campaign, summer of 1996, essentially the same time I returned to UB. That year, Buffalo Physician had an interim editor. This year, the magazine received highest honors from AAMC's Group on Institutional Advancement. In 1996, we had 169 members in the James Platt White Society and raised slightly over a million dollars from alumni and friends. Today, we have commitments for 85 percent of the school's campaign goal of $50 million. We have several new endowed lectures, many more scholarships, nearly 300 White Society members, a few endowed chairs and many planned gifts in the pipeline. We have an active Dean's Advisory Council extending the network of volunteers and donors-which is fortunate because, in one sense, we have barely begun. Those meetings come around with startling frequency and there are many rainbows yet to find. 4D ....,... Linda (Lyn) Corder, PhD, is associate dean for alumni affairs and development. She can be contacted at 1-877-826-3246, or via e-mail at ljcorder@buffalo.edu. ll'111ter 2002 II If a II Pb J sic i a I 37 �STUDENT C L U M Wisdom Shared and Gained B v SvETLANA Moving from Butler Auditorium to the hospital-the third·year experience BLITSHTEY CLASS 0 or NEVER KNEW what "CCIII" meant until a year ago, when as a third-year medical student I left the safe familiarity of Butler Auditorium and entered the unfamiliar surroundings of the hospital. Suddenly, an intricate and exciting world of clinical practice unfolded before me in a way that had been impossible to anticipate in the sheltered environment of a classroom. It was in the hospital, hidden in the white coat, blue scrubs and progress notes, that I found the meaning of CCIII"clinical clerk of the third year"and came to the realization that I occupied the lowest rank in the hierarchy of hospital titles. After two years of basic science, many students welcomed the third year, while others feared the unknown. Regardless of how anyone felt, we all knew that what lay ahead was printed on a schedule: family medicine, obstetrics/gynecology, medicine, psychiatry, pediatrics and surgery. Looking back, I wonder who could have predicted that becoming a CCIII would turn out to be one of the most memorable and fulfilling experiences in medical education? 38 luffall Physician 1\' i 11 t e r 2 0 0 2 Fam· · edicine: Deep Re elation I opened the door to the room where a patient was waiting anxiously for the doctor. She had been coughing, running a fever and feeling so fatigued that washing dishes had become an ordeal in endurance. She was expecting the doctor to uncover the mystery of her bothersome symptoms and make her feel "all better." This expectation changed abruptly when she noticed a short white coat and the phrase "medical student" in the formal introduction. "How much do you know?" she asked suspiciously. "Certainly not enough to feel confident," I thought to myself. With her permission, I dared to continue asking numerous questions and to complete a physical exam. After analyzing her history and physical findings, I suddenly realized that I was about to embark on a crucial milestone in my medical student career: my first diagnosis, a case of pneumonia. At last, the two years of basic sciences and what had, at the time, seemed like useless memorization of details were merging into a whole. The knowledge of anatomy, physiology and pathology of the respiratory system and the knowledge of microbiology and pharmacology related to pathogenesis and treatment of pneumonia were now necessary to help this patient. And so !left the room with a sense of deep revelation: I was ready. Obs et ics and Gynecolor'" Wha• oTextbook Can Teach T he evenly scheduled outpatient appointments of the family medicine practice were followed by the fast pace of obstetrics and gynecology. For the first time, I was spending more than 24 consecutive hours working in the hospital, realizing that in obstetrics and gynecology, night no longer signified a time for relaxation and sleep. The distinction between day and night was forever lost on the floors oflabor and delivery. It was there, however, that I first witnessed something beautiful, something no textbook was capable of teaching me: the birth of a child. I will never forget �standing anxiously by a woman whom I had known only since the beginning of my shift, surrounded by her family, and by nurses and residents. I, the CClll, was allowed, under the watchful eyes of the residents, to deliver a baby into this world. As I tried to hold on desperately to the small slippery body of the newborn taking its first breath, I thought to myself what a privilege it was to take part in the sanctity of this Medicine: An Introduction to the End of Life I have wondered relentlessly what it takes to become a good physician. If I memorize the names of every muscle and every nerve, if I understand the pathology of every disease, if I learn every pathogen and every medication, will I then have acquired sufficient knowledge to become a physician? While my medicine clerkship taught me the basic skills of reading EKGs, interpreting laboratory tests and recognizing emergency states, working with patients taught me the meaning of the phrase "my patient." For the first time, I felt a tremendous sense of responsibility, obligation and loyalty to those chosen among many on the ward as "the best teaching cases." I knew their every complaint, abnormal physical finding and lab value, their daily vitals and pending diagnostic procedures. I was introduced to their family members, was made aware of their occupation and hobbies, and was contacted by their numerous care providers about the status of their condition. One of my patients, a 50-year-old woman with stage IV adenocarcinoma of the lungs, was planning to undergo an experimental treatment at Roswell Park Cancer Institute. Every day she would tell me "''m a little better today," even though her condition was obviously deteriorating. Then one day during grand rounds, she could no longer contain her emotions and began crying. She knew as well as we did that she would not live to undergo the experimental therapy. Struggling to carry on a conversation, she described her feelings of desperation, hopelessness and fear of impending death. She was already grieving for herself, for her children and for her seven-year-old granddaughter, whose get-well picture posted by the bed served as a subtle reminder of a future stripped of watching her grow. I ;\lE;\lORIZE 1 HI.:. I With her permis· patient is gone." sion.l dared to continue asking Psychiatry. Compassion and Complex Ques ions ompassion in medicine is viewed not as a trait of character; it is emphasized as an essential element that defines the physician as a healer. Compassion is naturally felt toward a patient battling cancer or a severe physical disease. However, to feel this emotion for those suffering from a mental illness requires a willingness to look past the disease, as well as an encounter that may influence how one views mental illness. For me, this encounter occurred when I was asked to evaluate a 50-year-old man with chronic schizophrenia who was accompanied by his sister. Her concern was that "he just wasn' t himself lately": He acted confused and lethargic and appeared physically ill. Although his presentation was less than typical, he exhibited several signs and symptoms suggestive of acute exacerbation of schizophrenia. As a result, he was admitted to the psychiatric unit and placed temporarily in the isolation room. While I tried to convince myself that my limited experience in psychiatry precluded disagreements with the higher authorities, 1felt perplexed. There were certain aspects in the history and presentation of this patient that were inconsistent with a diagnosis of schizophrenia. Could it be that the etiology of his symptoms were rooted in a different disease? I wondered. The answer came with the results of the routine laboratory tests taken upon admission, which, fortunately, I decided to check before leaving the hospital. Printed in bold on the computer screen with the letter "C'' attached for "critical'' was a blood sugar value ten times higher than normal. Instantly, the diagnosis changed from acute exacerbation of schizophrenia to a life- threatening complication from undiagnosed and untreated diabetes mellitus. While the patient was being transported to the intensive care unit for treatment, a psychiatrist on the ward approached me. H e thanked me for A;\lES oF J:\ ER\ J\IuSCLF A. o I-.VER\ • ~::RVE, Ir PATHOLOGY OF EVERY DISEASF, IF \\'ILL her family. The next morning I was approached by one of the nurses, and for the first time I heard the words "Your C family's happiest occasion! IF I later witnessed the final hours of her life as she gasped for air, trying to maintain her strength for I I u. · o~::Rs rA numerous questions and to complete a physical exam. After analyzing her history and physical findings. I suddenly realized that I was about to embark on acrucial milestone in my medical student career: my first diagnosis. acase of pneumonia. n 1 HE lEAR.' bYFRY PATHOGL' A. 'D EVERY ;\1EDICAriO, , THE.' HAVE ACQUIRED SUFFICIE. ' T K. ' 0\\'LFDGE TO BEC0:\1£ A PHYSIUA. •? \\' irrter 2002 luffalt Pbysiciaa 39 �STUDENT COLUMN calling attention to the problem, mentioning that "the patient's life was saved" because I checked his lab results. Although I felt honored by his words, I did not feel proud. If this man had lost his life to diabetic coma, would it be because he also had a mental illness? Who would be to blame for his death? The psychiatrist whose diagnosis was confounded by the past psychiatric history? The primary care physician who never addressed the problem of hyperglycemia, IF YOU ARE A STUDENT although it had been demonstrated several OR RESIDENT INTERESTED times in the past? Or was it the patient's fault IN CONTRIBUTI G TO for being noncompliant with keeping appointTHIS COLUMN , E - MAIL BP - NOTES@BUFFALO. EDU ments and taking medications, for being unTO SUGGEST A TOPIC. able to express or comprehend the nature of his physical symptoms, for being apathetic to his health because he suffered from a mental illness? As I looked at the patients through the window of the locked doors on the psychiatric ward, I thought of others who, by the very nature of their illnesses, are incapable of being actively involved in their healthcare. All they can do is trust the people in white coats and hope that they can find the right treatment and have some compassion for their souls. Your Turn? Pediatrics: No Need for aStethoscope A s we walked through the long hospital corridors during morning rounds, I glanced at a nearby bed where a 15-year-old girl had just received a diagnosis of insulin-dependent diabetes mellitus. She sat alone in her room crying. As the team of residents and students proceeded to discuss her case- presented with an admirable degree of accuracy by a pediatric intern- the verdict was confirmed: a classic manifestation of diabetes. The treatment plan was simple and concise: administer insulin, check blood glucose and urine ketones, enroll in the diabetes teaching program and begin her on a diabetic diet. " othing exciting," the senior resident said, "just a typical case of new-onset diabetes." The team then moved to the next room where another case was waiting to be discussed. At the end of the official rounds, I decided to visit the girl. She had stopped crying and was looking out of the window, perplexed. She told me she dreamt of becoming a dancer and had been taking dance lessons since she was five. "What will my life be like?" she wondered aloud, expecting a reply. "Will I ever become a dancer, now that I have this disease?" 40 IDIIIII rhysiciaa II' 1 11 re r 2 0 0 2 As I thought of my response, I began to realize the complexity of my situation. This girl needed comfort, support and guidance. She was not interested in hearing the pathophysiology of diabetes, or the plan of treatment outlined in her chart. or was she interested in the statistics of long-term complications, or the benefits of tight glucose control. She just wanted to hear from me that she will be all right; that despite the daily insulin injections and glucose checks, despite multiple visits to doctors, emergency rooms, and even intensive care units, she will be able to reach for her dreams and lead the life she desired to have. I sat down next to her, listened to her and reassured her, and for that I did not need a stethoscope. Surgery: AFascinating and Intimidating Close here is something mysterious about the way lights shine on the operating table and the way people ' dressed in blue gowns and masks work diligently in an atmosphere of precision governed by concrete commands. The profession of surgery- and the demands imposed on those who dare to join itboth fascinates and intimidates. Surgery is the clerkship concluding the yearlong journey as CCIII. Its completion brings us to the finish line of the third year and grants us the higher status of CCIV. Six clerkships ago, the third year of medical school seemed as unattainable as a mountain that I had to climb before reaching the next destination. Looking back at the accomplishment, the height of the mountain was merely a product of heightened anticipation. Living it day by day, week by week, clerkship by clerkship was nevertheless difficult and, at times, overwhelming, but a small price to pay given the rewards. ow another class of students joins the ranks of CCI lis, wondering whether the third year will be a positive experience. Like all of us, they will be immersed in the details of rotations, hospitals, grading and exams, while becoming oblivious to the insignificance of each in shaping an overall experience. As I am nearing the completion of the year I realize, in retrospect, that the experience was about more than an education in the clinical practice of medicine and how to function in it. It was also about lessons learned from the lives of the patients, wisdom shared by those who care for them every day, and knowledge gained as a medical student and, above all, as a person. CD �Mark your calendars Sherman Waldman. MD '57 Saturday, April 27. Fo~ more information, call the Medical We're all still here! Carpe diem! We should all enjoy each other while we can. Please consider a glorious 45th reunion. Alumni Association at (7161 829-2778. The reunion classes are 1947, Sebastian S. Fasanello. Sr. MD'&2 1972, 1977, 1982, God bless America. We must maintain our traditions. I'm looking forward to seeing you in April. James F. Phillips. MD ·.n Dear Classmate, I am chairing this year's 55th reunion for our class. Please attend. The dinner will be held at the best restaurant in town: my house at 106 Depew AYenue, with Western New Yoril's best chef, my wife, Marcella. Thomas P. O'Connor. MD '&7 Congregate and celebrate 35 years of the finest profession on earth. Donald (. Miller. MD '&7 The face of medicine has changed drastically since 1967. Has yours? Let's get together and share war stories. Robert I. Baumler. MD "52 There haYe been a lot of changes in medicine during the past half century. Come to our 50-year reunion and let us fill each other In on what has been going on with us and medicine during those years. Linda I. lam. MD "72 Thirty years! Let's get together to celebrate, reminisce and renew friendships. Ileal W. Fuhr. MD '52 Start making your plans now to join those of us who remain for our sr medical school reunion. So much has happened to all of us since graduation. Come and bring us up to date oa your life in and out of medicine! Gregory (. Young. MD '77 Try to make every effort to join us as we celebrate the 'Silver AnniYersary' of our grad· uation from medical school. Come back and see how UB has changed! H • n t e r 2002 I 1 I I I I I P' 1 1 i C i 1 I 41 �Which can you afford to waste? FEATURES BENEFITS • Electronic submission of all major insurance claims • Increase your accounts receivable turnover • Follow-up of all unpaid claims and open patient accounts • Improve collection ratio and reduce bad debts • Advisement on and assistance with insurance carriers and government regulations • Optimize revenue through proper monitoring of charge master • Choice of processing options including on-line or full-service • Eliminate costs associated with computer software and maintenance • Easy start-up or conversion from present billing system • Transition smoothly and quickly while maintaining cash flow • Appointment scheduling software available on request • Improve office efficiency and patient satisfaction • Expertise on existing and new • Assure your patients' rights are corporate compliance guidelines protected • Practice management with • Gain peace of mind from professionally trained staff and knowing that your finances are experienced C.P.A.'s being managed optimally Thomas A. Maher, C.P.A. President 50 Alcona Avenue MEDICAL B ILLING S PECIALISTS Amherst, NY 14226 Tel: (716) 834-1191 Fax: (716) 834-1382 e-mail: pbs50@aol.com �Dear Fellow Alumni, ~e winds of change continue to blow through our medical school. I see these changes as signs of positive growth, and not just change for the sake of change. Following the membership vote on Spring Clinical Day, the Medical Alumni Association (MAA ) is now welcoming as members emeritus faculty, PhD graduates, residents of our affiliated teaching hospitals and postdoctoral fellows. These additions will both broaden and strengthen the interests of the association. Dean Bernardino decided that the informal working relationship between the school's offices of Alumni Affairs and Development should be formalized. Thus, late in the semester, we welcomed Mary Glenn to her first MAA board meeting in her new official role as director of constituency relations. In this capacity, Mary will serve as the school's liaison with our association. Another significant change in our association is the departure of ancy Druar on December 31, 2001. As most of you know, Nancy was secretary in the MAA's office for the past 21 years and was responsible for coordinating its day-to-day operations. In addition, she was instrumental in planning the school 's annual Spring Clinical Day and Reunion Weekend. ancy's presence and singular competence will be missed, and we wish her all the best. As we incorporate these and other changes, our association will stay true to its goal of initiating and supporting social and educational projects related to the school. These projects will no doubt be enhanced by the increased involvement of Lyn Corder, whom Dean Bernardino has named associate dean for development and alumni affairs. We welcome Lyn's interaction with all alumni and know that the merger of these two offices within our school be a "work in progress" throughout this next year. In September, the past presidents of the MAA gathered to toast our newest Distinguished Alumnus, Marshall Lichtman, MD '60. We congratulate Dr. Lichtman on receipt of this award and invite you to read more about his remarkable career and accomplishments on page 17 of this issue of Buffalo Physician. Also this past fall, the Reunion Class Chairs met for dinner to continue the planning for reunions that will be held in conjunction with Spring Clinical Day, April27, 2002. The program will take on a historical flavor this year, with the theme "Presidential Assassinations in the 20th Century." jack Fisher, MD '62, will deliver the Stockton Kimball Address. Finally, I continue to ask for your support of our alma mater through your interest, time, jOH N j. BODKIN!! , MD '7 6 President, Medical Al11mni Association �C L A 1940s Maynard Mires. MD ·46, Georgetown, DE, Preventive Medicine, writes: "! am now retired. I have N 0 T E Herbert Pirson. MD '46. Orchard Park, NY, Diagnostic Radiology, writes: "I am retired. My favorite memory was graduation." E-mail address is hsp-ecp@ worldnet. att.net. Daniel A. Phillips. MD '51. 1950s Carl R. Conrad. MD '51, Clarence, NY, Internal Medicine, writes:"! will never forget my first day with Dr. 0. P. jones." E-mail address is carldocc@cs.com. , Gen- Williamsville, Y, Radiology, writes: "My wife, having fun with special Leslie, and I have five grown children. Who fond memories of the old Medical School at 24 with Harold Levy and Ross lmburgio in the old High Street, where the worn steps, the antiquated amphitheater on High Street." fixtures and the memorials on the walls reminded me that we are all part of an ancient and honorable could forget Doc Leonard's messages to the graduates?" Alvin Volkman, MD '51, Me Cutcheon. Greenville, NC, Pathology, writes:"! have so many favorite memories MD'56. of medical school. Physical diagnosis provided our first clinical experience, but my group was not satisfying our instruc- tor Dr. john Boylan. He demanded more than we seemed capable of doing. Finally, we got it all to- am retired from a pri- McCuTCHEON vate practice in Michi- 1960s ting pretty smart.' We were on our way to being Long Beach, CA, OBI G , writes:"! am chief doctors." E-mail address is alphavic@earthlink.net. of staff at Kaiser Permanente Medical Center in Anaheim, CA. Mark A. Dentinger, MD '56, Carmichael, CA, writes: "!am retired. When I My favorite memory of medical school was carrying anatomic specimens think of medical school, I think fondly of the from Buffalo General Hospital to the medical original school on High Street." school in the trunk of my car in metal pails. I always feared I would Daphne, AL, Otolaryngology, writes:"! and kidneys thrown across the roadway." am on the GACEK 2002 Kenneth E. Bell. MD '61. be in an accident with multiple livers MD'56, IV1111er gan. Friends can e-mail me at wrenwood@ webtv.net." gether, and Dr. Boylan said in his slow stutter, 'You gentlemen are get- Richard Gacek. l uflale Physician Pittsboro, C, Internal Medicine, writes:" I assnotes tradition. My wife, Ruth, and I are pictured here with our family." 44 ries of medical school include the old building on High Street and "Doc" Leonard. Sue A. Eugene Leslie, MD '51, eral Surgery, writes: "My favorite memories include friends, and shooting dice Danny Cordova and Bob Burke." E-mail address is hospital staff at the University of South Alabama. My wife, Elaine, and I have four grown children. My favorite memo- madap@prodigy.net. Fred Schwarz. MD' 46, Williamsville, Reno, , Orthopaedic Surgery, writes: "I am retired. My favorite memories include my marriage to Mary Ann in 1949, the good friends like the late �Harold Brody. MD '61, PhD. Wayne P. Fricke. MD '66, Brody's late wife, Anne, was recently honored as one of 100 outstanding women in the history of Western ew York. A stone was placed on the Women's Walkway- Olcott, Y, Orthopedic Surgery, writes: "I am retired and enjoying life." E-mail address is frickes@attglobal.net. located at the HSBC Arena and the Waterfront-to recognize her work in helping to establish the International Committee of the Women 's Club of the State University of ew York at Buffalo. This committee has helped students, faculty, and families to adjust to living in the United States. Anne Brody also pioneered in establishing the Adult Day Care Program at the Amherst Center for Senior Services. Marino, CA, Hematology/Oncology, writes: "! am on the faculty of the University of Southern James R. Markello, MD '61, Greenville, C, Pediatrics, writes: "I am retired. One of my favorite memories is the evaluation session at the home of Mitchell Rubin, MD, professor and chair of pediatrics." E-mail address is munmark@ earthlink.net. Thomas W. Bradley, MD '66, Tonawanda, Y, Family Practice, writes: "Retired August 1, 1999." E-mail address is tomjan1936@ aol.com. Cary Presant. MD '66, San California School of Medicine as professor of Clinical Medicine and Oncology. One of my most vivid memories was being tested by 0. P jones in gross anatomy on Saturday morning, and I did not have many parties on Friday nights during that course." 1970s Jerald A. Bovino. MD '71, Aspen, CO, Ophthalmology, writes: "!remember Saturday morning anatomy questions from 0. P. jones; Dr. Megahed's kindness and teaching generosity; my good fortune in having wonderful classmates; our great parties to music of the Beatles (Sergeant Pepper's Lonely Hearts Club Ba11d)." Scott A. Kirsch, MD '71, the people in my class, but most of all the UB campus, which is where I met my wife." Richard A. Manch. MD '71. Phoenix, AZ, Internal Medicine, writes: "I am on the staff at the University of Arizona College of Medicine and the Good Samaritan Regional Medical Center. Fondest memories are gross anatomy lab with Robby Kaufman, Henry Milgrom, Mike Armani." 1980s Shirley A. Anain, MD '85, has been elected president of the medical staff at Sisters of Charity Hospital, part of the Catholic Health System, in Buffalo, NY. Anain has been a member of the hospital's medical Young B. Huh, MD '89, staff since 1992. She com- writes: "! completed a pleted her residency in general surgery and plastic surgery at the Cleveland Clinic Foundation and a fellowship in plastic gastroenterology and hepatology fellowship in 1996 at the University of Pittsburgh Medical Cen- surgery at the Hospital for Sick Children in Toronto, Canada. She will serve a one-year term. Mitch lublin. MD '88, and Mary Davitt, MD '88. re- cently moved back to Pittsburgh, PA. Mitch is chief of ultrasound at University of Pittsburgh Medical Center in the Department of Radiology. Mary plans to return to practicing general pediatrics soon. E-mail address is: tublindavitt@msn.com. ter. I have just joined Gastroenterology Associates, P.C., in Quad Cities, !A. My wife, Veronica, and I have two children: Christopher and Hannah." E-mail is kimhuh@aol.com. 1990s Deb (Delozier) D'Souza and John DeSouza. MD '94, write: "We recently celebrated the birth of our second child, john joseph, on june 12, 2001. His older sister, Irene, is four. We also recently moved to Toledo, OH, where john is practicing neuroradiology, and I plan to practice OBI Commack, Y, Family Practice, writes: "My favorite memories include GYN. Chris Wood, MD '94. writes: "! recently married julie Marz, an architect. We're living in a suburb of Chicago and I'm practicing ophthalmology." E-mail address is fenny90@hotmail.com. E-mai CD RICHARD MAN CH AND fAMILY. Wi11ter 2002 l ulfall Physician 45 �A t last year's Spring Clinical Day and Reunion Weekend, we decided to have a little fun with the Class of 1976, which was celebrating its 25th reunion. In addition to asking class member to provide us with an update on their families and careers, we also requested that they have their pictures taken. Little did they know that we also had managed to lay our hands on a 1976 issue of Iris, as evidenced below! \I ~ R Y G L E .• S D I R l C T 0 R 0 F C 0 " ST I C Y R E L A I 0 S S 0 F I C E 0 F \I E D I C A L 6, Dayton, Ohio. Chris is certified in internal 18a top medicine and gastroenterology and is chief of medicine at Dayton VA Medical Center. Susan is a consultant in allergy and respiratory medicine. They have two children, Christian and Andrew. Ch John Bodkin, MD '76, Williamsville, NY, family medicine. Bodkin is the president of Highgate Medical Group and president of the UB Medical Alumni Association. He and his wife, Maria, have four boys, Jack, Michael, Ryan and Andrew. athl n (Can ell) c er an D '76, Bethesda, MD, child psychiatry. Ackerman and her husband, Ronald, have two children, Elizabeth and Jeffrey. Kathleen writes: "My favorite memory of UB is graduating and seeing my father-an MD who graduated from UB's School of Medicine-just beaming." E-mail address is drwireman@aol.com. Christopher Brandy, MD '76, Morristown, Y, general surgery. Brandy and his wife, Linda, have three children, John, Brian and Kathryn. Friends can e-mail him at curtieb@giseo.net. GreggB o man, MD 76, Glenwood, NY, medical management, pediatrics. Broffman is a member of the governing board of the Medical Alumni Association. He and his wife, Denise, have three children, Lauren, Andi and Jake. Gregg writes: "One of my favorite memories of UB is time spent with friends at Don George's family cabin in North Java." E-mail address is lbroffman@aol.com. Paul B. Cotter Jr.. MD '76, Cohasser, MA, ophthalmology, writes: "Who can forget Dan Wild's bachelor party." Paul and his wife, Margaret, have three children, Paul. E-mail address is pbcotter@hotmail.com. lndr w artin Gage, MD. '76, Williamsville, athaniel, John and Y, general and vascular surgeon. Gage is director of the Noninvasive Diagnostic Vascular Lab in Williamsville, NY. He is married to Mary M. Burke. •6 l1ffal• Pbysici11 \V I II t e r 2 0 0 2 A L U ~~ �(married to Patrick Hayes), Dublin, OH, internal medicine, writes: "My favorite memories include study dates with Pat, lunches with special friends at the 'Tiffin Room,' and movie parties at Grant Golden's." E-mail address is karen.glasgow@ mailcity.com. Kare Patrick R. Hayes MD '76 Dublin, OH, emergency medicine, writes: "One of my favorite memories is meeting my future wife in gross anatomy!" Patrick and Karen have a son, Gavin. E-mail address is pathayes@mailcity.com. r S Buffalo, NY, diagnostic radiology. Golden is married to Deborah Goldman, and they have three children, Holly, Geoffrey, and Margaret Curtis. Golden is on the hospital staff St. Joseph's. E-mail address is old-chestnut@hotmail.com. Donald Geor e. MD '76 Jacksonville, FL, pediatrics. George is chief pediatric/nutrition at Nemours Children's Clinic. He and his wife, Linda, have four children, Sarah, Katherine, Christopher, Elizabeth. E-mail address is dgeorge@mediaone.net. n M.levitt, MD' Nashua, H, dermatology. Levitt and his wife, Deborah, have been very busy with their five children, Michelle, David, Tammy, Stephen and Scott. He is in private practice in New Hampshire. Step ShinY liongMD 76. Anaheim Hills, CA, internal medicine. Liong works in Rancho Cucamonga as a clinical physiatrist. Pa · 6. Olean, NY, surgery. Schwach and his wife, Barb, have three children, Davis, Rebecca and Catherine. E-mail address is docschwach@yahoo.com. Michael Smith. MD, '76. Reidsville, NC, family practice. Smith works in a a val Hospital in Camp LeJeune in Jacksonville. Laszlo lomas he , D' 6, Cleveland, OH, ophthalmology. Tomaschek works in Parma, OH, with his wife, Susanne. Linda Wild MD 76. Buffalo, Y, pathology. Linda Wild is an associate professor of clinical pathology at UB's School of Medicine and Biomedical Sciences. E-mail address is wil@buffalo.edu. Linda's husband, Dan Wild, MD '76, is an orthopaedic surgeon in private practice in Buffalo. They have two children, both of whom are in college, Katherine (Katey) and Michael. 4D Wi11ter 2002 l uff1le Physiciu 47 �WINTER Kenneth M. Alford, MD '37 Kenneth Alford, MD '37, a prominent member of the Buffalo medical community and a decorated Army veteran, died October 26, 2001, in his Buffalo home after a long illness. He was 89. A Buffalo native, Alford attended Lafayette High School, where he was an AllHigh basketball playerfor two years. Following graduation, he attended Colgate University, where he also played basketball. After college, he returned to Buffalo to study medicine at the University of Buffalo, graduating in 1937. Alford interned at Buffalo General Hospital and the Hospital for Sick Children in Toronto, where, from 1939to 1940, he was chief resident in to 1982 and a fellow in adolescent medicine at Harvard Medical School and Boston Children's Hospital in 1971 and 1972. He served as trustee of CHOB from 1979 to 1993 and as a director of the Cummings Foundation from 1975 to 1997. Alford is survived by his wife of 61 years, the former Joan Wendt; a son, David H. of Durango, CO; a daughter, Anne Surdam of Buffalo; four grandchildren; and a greatgrandchild. FrankT. Riforgiato, MD'39 Fran T. Rifor& ato, MD '39, died unexpectedly October 26, pediatrics. During that time he was also an instructor in pediatrics at the University of 2001, in Sisters Hospital. He Toronto Medical School. A World War II Army veteran, Alford served five years medicine on Buffalo's West Side for 46 years, was born In Buffalo in 1913 and attended elementary schools in the city. He attended Canisius High School, graduating in 1931, and then went on to Canisius College, earning a bachelor's degree in 1935. Following graduation from the then-University of Buffalo Medical School in 1939, Riforgiato interned at Sisters Hospital and com- in the 4th Medical Battalion. On D-Day, he was part of the landing force on Utah Beach and served as commanding officer at the clearing station hospital, caring for and evacuating the wounded soldiers. For his efforts, he was awarded the Bronze Star. Following the war, Alford joined the pediatric medical staff at Children's Hospital of Buffalo (CHOBI, where he was attending pediatrician from 1977 to 1982. He also was a member of the pediatric staff at Millard Fillmore and Buffalo General hospitals. At Buffalo General, he served as chief pediatrician from 1950 to 1977. 48 Alford was clinical professor of pediatrics at the University at Buffalo from 1973 lllllll Pbysicill was 87. Riforgiato, who practiced pleted his medical residency at the former E.J. Meyer Memorial Hospital in 1941. During World War II, Riforgiato served in the Army, rising to the rank of captain. He was stationed in Surinam, South America, from 1941 to 1943, and also was based at Camp Butner in North Carolina and hospitals and clinics \\ ' 1 11 t e r 2 0 0 2 in Kansas, including the Menninger Clinic. After returning to Buffalo, Riforgiato practiced general family medicine for 46 years on the lower West Side of the city, retiring just a few years ago. "He probably delivered about half the babies in Buffalo during the baby boom," says his son Francis. Besides his wife of 60 years, the former Mary Cecina Gallo, survivors include two daughters, Margaret Mary Rumunno of Conway, NH, and Mary Frances Nagel of Gilmanton, NH; three sons, Leonard of Miami, Philip of Eggertsville and Francis of the Town of Tonawanda; a brother, John of Amherst; and six grandchildren. PaulA. Cline MD'43 Paul A. Cline, MD '43, a retired Kaiser Permanente surgeon, died in Parma, OH, on June 26, 2000, at age 80. A resident of Strongsville, OH, since 1972, Cline began his ten-year tenure as chief of surgery for Kaiser Perrnanente Hospital in Parma a few months after joining the staff in 1973. He retired as a surgeon in 1989, but continued working as a consultant at Kaiser's Musculoskeletal Clinic for a few years. Born in Budapest, Hungary, Cline came to the United States at a young age. Following graduation from US's school of medicine in 1943, he interned at Massachusetts Memorial Hospital in Boston. After a three-year stint in the Army, he served residencies at former E. J. Meyer Memorial Hospital in Buffalo, NY, 2002 and at the Veterans Administration hospitals in Buffalo and Batavia, NY. For 20 years, Cline had a general surgery practice in Buffalo and was also clinical assistant professor at UB and an attending surgeon at Kenmore Mercy Hospital. He is survived by his wife of 28 years, Harriett "Hattie"; daughters, Sandra Schlerf of Columbia, SC, and Barbara Warren of Lawrenceville, GA; son, Clifford of Dallas, TX; stepdaughter, Holly MacMurray of Orchard Park, NY; stepson, Daniel Lewin of Los Altos, CA; two grandchildren; three great-grandchildren; and a brother. Earl K. Cantwell, MD'4S Earl K. Cantwell, MD '45, a former Erie County medical examiner who practiced obstetrics and gynecology for many years, died on April4, 2001, in Kenmore Mercy Hospital, Town of Tonawanda, NY, after a lengthy illness. He was 80. Born in Buffalo, NY, Cantwell graduated from Amherst Central High School in 1938 and completed his undergraduate and medical studies at the then-University of Buffalo, where he received his medical degree in 1945. After interning at the former E. J. Meyer Memorial Hospital, he joined the Army Air Forces, and in 1948 graduated from the School of Aviation Medicine. He was aviation medical examiner at Griffis Air Force Base in Rome, NY, before leaving the service with the rank of captain. After returning to Buffalo, he met Rita J. Roll, whom he married in 1950. Cantwell worked at Deaconess Hospital and maintained a general practice until 1956, when he decided to become an obstetrician-gynecologist and moved his family to Indianapolis to serve a residency at St. Vincent Hospital. After working at the Sault Ste. Marie Clinic in Michigan, Cantwell returned to Buffalo in 1963. He was county medical examiner for 15 years and Amherst town physician for five, as well as a school doctor for the Buffalo Public Schools. He also was a civilian Armed Forces examining officer for 21 years and chief medical officer at the Armed Forces entry station in Buffalo for 10 years. Cantwell maintained an OBI GYN practice in his Amherst, NY, home before retiring in 1984. "By temperament and spirit, he was a physician, and that calling defined his life," says his son, Kevin, of Amherst. "His passion for medicine inspired two of his children to become doctors as well." In addition to his wife and son, Kevin, he is survived by two daughters, Dr. K.C. Ackerman of Bethesda, MD, and Mary Beth of Buffalo, NY; two other sons, Earl K. II of Buffalo, and Dr. Michael of San Francisco, CA; and seven grandchildren. Ansel Robert Martin, MD '48 Ansel Robert Martin, MD '48, who studied dermatology under Dr. Earl Osborne, died on July 17, 2001. <Ii) �Early nineteenth century Italian tourniquet with a brass key and iron-cogged-wheel tightening mechanism. The brass frame is stamped "Giannattasi In Napoli." The tourniquet has many brass and iron decorative flourishes, including the fluting to the screw heads and the iron loop of the catch. In the ear1y 18th century, Jean Louis Petit, a French surgeon, invented the screw tourniquet to control bleeding. The device made thigh amputations possible and reduced risks associated with amputations below the knee. Tourniquets similar to the one pictured here were still in use during the American Civil War. The instrument is part of the Edgar R. McGuire Historical Medical Instrument Collection, housed in the Robert L. Brown History of Medicine Collection, Health Sciences library, Abbott Hall, on the University at Buffalo's South Campus. �CM I SC CATHY GEAqy HE~LTH p H A ] SCIE CE LI~R RY SOUTH C MPU 130 ASEOTT H ll CAr-PUS "'1 IL A UB's HISTORY OF MEDICINE COLLECTION PRESENTS PHARMACOPOEIA. Digitally reproduced prints from a pharma copoeia by Otto Karl Berg (1815 - 1866) were on display last fall in University at Buffalo's Health Sciences Library (HSL), outh Campus. The botanical show was developed by the HSL and the university' s iMedia staff and is the first in a series of "Art in the Library"' exhibits intended to promote the History of Medicine Collection through the display and sale of reproductions of selected works. F1·ed Kwiecien and Don Trainor of iMedia prepared the prints from the original art in the Berg volume, pub lished in Leipzig in 1863. Pictured is Colchicum Autumnale (Autumn Crocus). HP 0001 02 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 2002 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2002-Winter Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v36n03-2002-Winter Table Of Contents A list of subunits of the resource. Healing in the Aftermath First Impressions, Lasting Memories One Woman's Global Concern medical School Alumni Pathways Research Student column Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Copyright 2002 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/a8125407dc7b423205f6a95c526ca3db.pdf d2631d990ed32d2649e035f8361406c4 PDF Text Text �l1fhh ••ysicial LIB_R_AR_Y_ _ L - -_ _ j ASSOCIATE VICE PRESIDENT FOR UN I VERSITY COMMUN I CAT I ONS Dr. C arole S nrit/1 Petro D I RECTOR OF P ER I OD I CALS Sue Wu e tcher New Dean Named EDITOR S t ephani e A . U n ge r ART DIRECTOR/DESIGNER A lan f . Kegle r N JUNE 28,2001, University at Buffalo Provost Elizabeth D. Capaldi, PhD, announced that CONTR I BUTING W R ITER the positions of vice president for health affairs and dean of medicine would be recombined, Lois Bake r and she named Michael Bernardino, MD, MBA, to the role, effective immediately. Bernardino has been serving as vice president for health affairs at UB since the spring of PRODUCT I ON COORD I NATOR Cy nthia Todd-Flick 1998. As the new dean of the School ofMedicine and Biomedical Sciences, he succeeds John R. Wright, MD, who has served in that capacity since 1998 and as interim dean since 1997. UN I VERS I TY AT B UFFALO ScHOOL OF MED I CINE AND Before assuming that role, Wright was chair ofUB's Department of Pathology for 23 years. In citing reasons for the consolidation, Capaldi explained that "given the current period of rapid change in the field of medicine, the university has decided that leadership for the school can most effectively be provided by one individual who is responsible for its overall educational and research mission, its financial affairs and its relationship with its affiliated teaching hospitals." Capaldi also announced that Wright will continue to serve as professor of pathology in the School of Medicine and Biomedical Sciences. "We all appreciate Dr. Wright's leadership in developing the school's new curriculum and in building a support base for the school with the alumni, students and other constituencies," she said. "These contributions form a strong basis for continued excellence." Prior to coming to UB, Bernardino served as director ()f managed care with the Emory University System of Health Care, in Atlanta, and was a professor of radiology in the Emory University School of Medicine. As vice president for health affairs at UB, he has been responsible for overseeing the clinical and collaborative activities of the university's five health sciences schools: medicine and biomedical sciences, dental medicine, health related professions, nursing and pharmacy and pharmaceutical sciences. He has also been responsible for spearheading the university's relations with its affiliated teaching hospitals and for leading the healthcscience deans in planning and executing joint and cooperative B I OMED I CAL SCIENCES Dr. Mi chael Bernardino, Dcatl EDITOR I AL BOARD Dr. john Bodkin Dr. Martin Brech e r Dr. Harold Brody Dr. Linda f . C orde r Jason Hoffman, C la ss of 2004 Dr. fame s Kan ski Dr. Elizabeth Olm st ed Dr. fames R . Olson Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zeplowitz TEACH I NG H OSPITALS Erie Co unty M edi cal Ce11t er Ros well Park Ca11 ce r In stitut e Ve tera11 s Affairs W es tenr New York Health ca re Sys t em K ALEIDA H EAITII: T he Buffalo Ge11 eral Ho spital Th e CIIildre11 's Ho sp i tal of Buffa lo Mill ard Fillmo re Ga tes Hosp i tal Mi llard Fillm ore S ubu rban H ospit al CA TIIOLI(. H EALTH s )'S1"EM : M ercy Health Sys t em Sis ters of Clwrity Hospit al programs of teaching and research. Earlier this spring, it was announced that Bruce Holm, PhD, senior associate dean for research in the School of Medicine and Biomedical Sciences, has been given the additional N iagara Fa lls M emoria l M edi cal Ce 11t er title of senior associate vice president for health affairs, reporting to Bernardino. @ John Hay, PhD, Grant T. Fisher Chair of Microbiology at UB, has assumed Holm's former administrative responsibilities related to the school's graduate programs in biomedical education. Also, the position of assistant dean for alumni affairs-formerly filled by Bertram Partin, MD '53-has been discontinued, with plans under way to restructure administrative roles in the Medical Alumni Office. UNIYEISIIY l!IUIIILO. THE STilE UNIYEISITY 01 NEW YORK Letters to the Editor Bllffalo Pl1ysician is published quarterly by the University at Buffalo School of Medicine and Biomedical Sciences in cooperation with the Office of Communications. Ongoing developments at the School of Medicine and Biomedical Sciences will be addressed in messages by Dr. Bernardino in upcoming issues of Buffalo Physician, as well as in feature articles and news updates. - S . A. UNGER Letters to the Editor are welcome and can be sent c/o Buffalo Physiciall, 330 Crofts Hall, University at Buffalo, Buffa lo, NY 14260; or via e-mail to bp-notes@buffalo.cdu. The staff reserves the right to ed it a ll submissions for length and clarity. T...:.:... University at B-~~';, 1York ~ The State University OJ �VOLUME 36, NUMBER 0 p H y s c A N Features 2 'A Little Fire in the Belly' Donald Finkel, MD '51, . . p10neenng cancer researcher and founder of the Women, Infants and Children Program BY 10 S. A. UNGER Good Ways to Deliver Bad News New course teaches students how to deliver bad news in a caring, effective way BY M.D. This year'scommencement-held on May 18, 2001-marked the 155th at the University at Buffalo School of Medicine and Biomedical Sciences. Pictured above is new graduate Timothy 8. Curry, MO/PhO. KINNAMON Cov 15 Departments Merge 16 Match Day 20 CAT and NYSTAR programs announced 23 Buffalo-Niagara Medical Campus group formed 24 Graduation 26 Margaret Paroski new director of admissions 27 Beutner and Jordon receive Discovery Award 29 Robert Galpin, MD, heads pediatric orthopaedic surgery 30 Role of statins in heart disease topic of 200 l Stockton Kimball lecture by Antonio Gotto, dean of Weill Medical College, Cornell 31 Medical Alumni Achievement Awards IMAGE BY PAM f-RAN 34 Michael Baron reflects on his medical career after 30 years 35 Class reunion photographs s 38 Gifts of art beautify the school, inspire students jim Dine prints presented to school by AAMC now on display (see back cover) 40 News from your UB classmates and other alumni 43 In MemoriamClassmates remembered and their accomplishments honored �by S. A. Unger Donald Pinkel, MD '51. pioneering cancer researcher and founder ofWIC Program bout the time his Career began tO hit itS peak in the late 1960s, Donald Pinkel, MD '51, found himself at the center of two controversies, the resolution of which would help redefine standards for pediatric care during the latter half of the 20th century. The first of these controversies revolved around the fact that Pinkel insisted on the feasibility of curing childhood leukemia with agents that were then available, a stance that went in direct opposition to prominent pediatricians and hematologists at the time who felt any use of the word "cure" in this context would give false hope to parents whose children had leukemia. By the early 1970s, however, Pinkel and his colleagues had succeeded in silencing these critics by developing the first curative drug treatment for acute lymphocytic leukemia (ALL) in children. The second controversy, which grew out of the first, involved Pinkel's attempt to address the fact that many of the pediatric hematology/oncology patients he and his colleagues were treating also suffered from chronic malnutrition directly related to their socioeconomic status. As a result of this observation, Pinkel led a politically unpopular effort to develop and prove the efficacy of a public-health initiative that later came to be called "Everybody was getting the Special Supplemental Food Program for Women, Infants and Children. upset with us because we Known to health-care professionals today as WIC, this were talking about curing program has since been adopted at the federal level by the Food leukemia and they said, and utrition Service of the United States Department of 'You can't do that,' and Agriculture (USDA), which in its own literature refers to it as "one of the nation's most successful and cost-effective nutrition some people got pretty intervention programs." defensive and angry about How did this native Buffalonian and graduate of the thenthat in the early days," he University of Buffalo School of Medicine find himself on the says. "We were trying to front line of these key battles in oncologic research and publichealth policy? Pinkel-who returned to UB last September to be modest, but still alot of be honored as the 2000 Distinguished Medical Alumnusjournal editors and explains that, in retrospect, his career was stimulated in its course referees didn't like that not so much by clear direction as by disturbing voids in health kind of talk." care for children. 2 laffal1 Physiciaa S umm e r 2 001 ��inkel traces his interest in pediatric hematology/oncologyback to 1949, when, as a second-year medical student, he had the "good fortune" to take an elective in hematology with the renowned clinician David K. Miller, MD, who was head of medicine at E.). Meyer Memorial Hospital (now Erie County Medical Center). "I saw my first child leukemia patient while making rounds with Dr. Miller, and at that point I became very interested in these children. So, by the time I graduated from medical school I was, as you might say, 'into' hematology," he explains. This interest was reinforced during the first few months of Pinkel's internship at Children's Hospital of Buffalo (CHOB). "One of my first patients was a newly admitted child with all the symptoms and signs of leukemia, which I was pretty familiar with by then," he recalls, "so I made the diagnosis and was in the position of having to inform the parents that their child was going to die, because this diagnosis was like a death warrant then. "This was a very disturbing experience for a young person right out of medical school-so disturbing, in fact, that I felt l couldn't run away from it, which might be one's first impulse," he adds. Despite his strong interest in pediatric hematology/oncology, Pinkel had few role models he could look to at that time because the fields of hematology and oncology were still in their infancy, too new to recognize or support individuals with subspecialty interests. In fact, during the time he was a resident at CHOB, the hospital employed only one part-time pediatric hematologist, George Selkirk, MD, whom Pinkel remembers as being very encouraging and supportive. While serving as chief resident during his third year of training, Pinkel received a welcome boost to his aspirations when Selkirk took him aside and asked if he would like to take on a project to develop a tumor clinic at the hospital. "Dr. Selkirk had received funding from the American Cancer Society for a tumor board at Children's, so with those fundsand with the approval of Dr. Mitchell Rubin, chairman of pediatrics-he set me up with an office and a part-time secretary, and I began to review all the patients at Children's who had ever been diagnosed with cancer," he explains. Gradually, because there was no full-time hematologist/oncologist on staff at the hospital, Pinkel began to be called in to see all the children diagnosed with leukemia and other forms of cancer. "You have to understand, no one was doing much then with children who had cancer. Attitudes were negative everywhere," he emphasizes. "It was a very sad situation, so somebody had to get in there and start it." Over the course of his residency, therefore, Pinkel became that "somebody" who stepped in to fill the void. "By the time I finished my residency, I had become the [hospital's] unofficial pediatric oncologist because of my special interest in children with cancer," he says. "I also sensed that much more could be done, at least in terms of pain relief and comfort for the children and their families." lallala Phys iciaa S umm e r 2 001 "Real" Postgra~uate Training in Me~icine Having had the opportunity to see that he could, in fact, "get in there and start it," Pinkel was eager to seek greater exposure to his newly chosen field. Prior to completing his residency in June 1954, therefore, he applied for a fellowship at Memorial Sloan-Kettering Cancer Center in New York City and was accepted. Soon thereafter, however, his plans changed dramatically when he received notification that he had been activated out of his reserve unit at UB, the 338th General Hospital, which he had joined as a commissioned officer following graduation from medical school. In a twist of fate that would change his life in ways he never could have foreseen, Pinkel was assigned as head of pediatrics at the station hospital at Fort Devens, Massachusetts. There, not long after his arrival, he contracted poliomyelitis and became severely disabled, requiring hospitalization for six months at nearby Murphy Army Hospital in Waltham, Massachusetts. "I was extremely ill with it for a while, but after about six weeks I could start raising my head, and after about three or four months, I was able to ambulate some with long leg braces and crutches," Pinkel recalls. Upon discharge from Murphy Army Hospital, the 28year-old Pinkel was retired from the army on full, permanent disability. Still on long leg braces and crutches, �''Th.IS was the first curative treatment of any kind for leukemia and the first time that cancer had been cured primarily with drugs;' he notes. "It was also the first time that people who had generalized cancer were cured, so it was important in three different ways:' ------- he was transferred to a Veteran's Administration hospital outside Boston, where his rehabilitation continued for another year. Referring to this time as his "real postgraduate training in medicine," Pinkel recounts how after a year at the VA, most of which was spent in half-day outpatient physical therapy sessions, he progressed to where he was free of the wheelchair and could rely solely on short leg braces and a cane to walk. "So, after a while, I was able to move along and was very fortunate," he says. As part of his rehabilitation, Pinkel was encouraged to resume working, so the very first day he received his driver's license after relearning how to drive, he headed to Boston Children's Hospital preceded by a letter of introduction from Dr. Rubin at CHOB. The letter was addressed to Dr. Charles Janeway, who referred him to Dr. Sydney Farber, a fellow native Buffalonian and oncologist whose contributions to his field eventually led to Harvard University naming its Dana Farber Cancer Institute in his honor. "When I saw Dr. Farber, he hired me on the spot as a half-time fellow, and I began to work in the Jimmy Fund Clinic at Boston Children's Hospital. In this way I resumed my interest and my activity in hematology and cancer, especially leukemia," explains Pinkel. Back to Buffalo, and Beyond Toward the end of his first year as a fellow with Farber, Pinkel was contacted by Rubin and George Moore, MD, the new director at Roswell Park Cancer Institute (RPCI), who asked him if he would consider returning to Buffalo to establish a pediatric service at RPCI, as well as join the faculty at UB and the staff at CHOB. The answer was yes, and by April 1956, following discharge from the VA hospital, he was on his way back to Buffalo. In the five and a half years of whirlwind activity that followed, Pinkel set about organizing the new pediatric inpatient unit, clinic, laboratory and research programs at Roswell Park, while concurrently conducting his own research, teaching and seeing patients. Then, in 1961, Pinkel was asked to become the first director of St. Jude Children's Research Hospital, which was under construction in Memphis, Tennessee. As envisioned by its founder, entertainer Danny Thomas, the hospital would become the first institution in the United States devoted solely to basic and clinical pediatric research and the first racially integrated institution in that region. Pinkel accepted the offer and began preparing for his move to Memphis in October 1961. As it turned out, however, he didn't leave Buffalo without what would later prove to be a providential encounter in the airport with a former UB medical school professor, John Talbott, MD, who was also on his way out of town, having resigned as head of medicine at Buffalo General Hospital to accept the editorship of the Journal of the American Medical Association (lAMA). While in the airport, the two physicians had an opportunity to talk about their work and Talbott, sensing a future in the drug-intervention studies Pinkel was describing for pediatric malignancies, encouraged him to submit papers on S ummer 200/ l ulfale Physician 5 �his work to ]AMA. In the years ahead, both men recognized this meeting as a catalyst to Talbott's support of Pinkel's innovative studies at a time when other leaders in the medical community were skeptical. ne Controversial Cure Before Pinkel could begin building a world-class research program at St. Jude Hospital, he first had to attend to a few practical details upon his arrival at the hospital, which was still a work in progress. "I was the first person in the building," he recalls with a laugh. "I had a card table and a chair, and we strung a wire out to the telephone pole and another wire out to the electrical pole for my plugged-in heater, and I was in business!" Indeed Pinkel was in business, and over the course of the next few years, he oversaw the hiring of staff, the organization of basic and clinical research programs and the building of inpatient and outpatient clinics, while at the same time he worked to raise money needed to complete construction of the hospital in March 1962. "Shortly after we opened, it occurred to me that we actually ought to be trying to cure ALL, rather than just palliate it," Pinkel recalls. "But no one was talking about trying to cure it at that point because all attempts had been unsuccessful. Scientifically, the pessimism was justifiable because we did not know its cause or mechanism. However, a key feature of St. Jude was the integration of basic and clinical research. And the basic scientists at the hospital were adamant that there was an excellent theoretical basis for curative treatment of ALL with drug combinations." In contrast to the mute resignation that was prevalent at that time, Pinkel and his group moved into action, devising a new plan they called "total therapy," which remains the standard for treatment today. "The idea was that we would use drug combinations: one set for induction of remission, another set for intensive chemotherapy, and another set for continuation," he explains. "Then we used specific therapy aimed at the CNS [central nervous system] based on the observation that children on therapy with normal-appearing bone marrow were coming down with first relapse in the CNS because our drugs weren't getting into the cerebrospinal fluid." For the next five years, the St. Jude researchers conducted pilot studies that, while promising, were very difficult. "We encountered lots of new problems that we had not seen before because of the immunosuppression we were inducing in the children," 6 lu ffale Ph ysicin S11mmer 2001 Pinkel explains. By the time a fifth pilot study had been completed in 1968, however, Pinkel and his colleagues could see that they had something. "As it turned out later, we had reached a point where we were able to cure half the children . This was the first curative treatment of any kind for leukemia and the first time that cancer had been cured primarily with drugs," he notes. "It was also the first time that people who had generalized cancer were cured, so it was important in three different ways." Despite these milestones, Pinkel at first could not win support for the studies from some of his peers and was even "thrown out of' two leading oncology groups whose leadership disagreed with the protocols he was developing and felt strongly that the St. Jude team should not be focusing on trying to cure ALL. "Everybody was getting upset with us because we were talking about curing leukemia and they said, 'You can't do that,' and some people got pretty defensive and angry about that in the early days,'' he says. "We were trying to be modest, but still a lot of journal editors and referees didn't like that kind of talk." Talbott, who had followed Pinkel's work closely over the intervening years since their meeting in the Buffalo Airport, did like that kind of talk, and in 1971 he helped change the field of oncology forever by lending his support to publishing a paper in lAMA on Pinkel's five-year follow-up study. In fact, so confident was Talbott in the merit of the paper, he selected a special cover to highlight it and wrote an accompanying editorial to extol the work being done at St. Jude Children's Research Hospital. In recounting this historic show of support by Talbott, Pinkel says, "That was the first time the phrase 'five-year cure rate' was applied to leukemia in a medical journal. I'm not sure any other journal would have allowed that statement then." A year later, Pinkel won the Albert Lasker Award for Medical Research . Often called "America's Nobel's,'' Lasker Awards are our nation's most distinguished honor for outstanding contributions to basic and clinical medical research. rood as aPrescri~tion While Pinkel and his group could not help but savor seeing children cured of ALL, a problem that had come to light as they were conducting their studies on cancer had thrown a long shadow over their accomplishments. "We found that we were seeing children in that area [Memphis] with leukemia and other forms of cancer who in fact had two diseases: not only cancer, but malnutrition, as well," Pinkel says. "This made it very difficult to treat their �"Actually, we got into a lot of trouble for this [program];' he continues. "You have to remember this was the time of the civil rights movement and most of the youngsters we were seeing were from very poor black families, so people thought WIC was another form of civil rights agitation." cancers because they had such a low tolerance for the chemotherapy due to their poor nutrition." Realizing that the problem of malnutrition was rampant, especially among low-income African-American children in South Memphis, Pinkel began to recognize the need to address this threat to children's health at a community-wide level, not just in terms of how it was impacting those with cancer. In a move that put him well ahead of his time, Pinkel had recruited a full-time MD/PhD nutritionist, Paul Zee, when St. Jude first opened. Together they identified people in the community willing to work with them to establish clinics and a "nutrition warehouse" where food was collected for strategic dissemination to needy women and children. "In this way, we were able to tie in well-child care and prenatal care with the active-feeding program," says Pinkel. "The idea was food as treatment-food as a prescription-and that really hit home and was highly effective. "The food program the St. Jude team carried out was different from other food programs," he adds, "because we conducted a scientific study to test the effectiveness of combining food prescriptions with prenatal and preventive infant and child care. The results of the study documented not only the health-effectiveness, but also the cost-effectiveness of this combined approach to maternal and child health at a community level." As word about the success of the program spread, a local television station became interested and produced a documentary about it that ignited a political firestorm when it first aired. "Many people in Memphis didn't like it at all," Pinkel explains, referring to his nutrition program. So unpopular was it that the city's mayor felt compelled to call Pinkel and assert that he was giving the city a bad image. "When he told me this, I said, 'Wait, maybe you should look at it differently; maybe you should look at it as giving the city a good image because you are recognizing the problem and doing something about it, which is better than what other cities are doing,"' Pinkel explains. "But that didn't go over very well. "Actually, we got into a lot of trouble for this [program]," he continues. "You have to remember this was the time of the civil rights movement and most of the youngsters we were seeing were from very poor black families, so people thought WIC was another form of civil rights agitation. As a matter of fact, some of our St. Jude donors said they wouldn't contribute to the hospital anymore, which got our fund -raisers pretty upset with me." In the meantime, the television station that produced the controversial documentary had been unable to find a sponsor. As a result, they sold it to a national network called DuMont Televi- SLi mm er 200 1 Buffalo Pbysiciaa 7 �"The Ion er that I've been out of school and have taught at other medical schools, the more I appreciate the fact that the medical education we received at UB was really superb:' sion, which ran it as a late-night filler-"You know, one of those shows for insomniacs," says Pinkel. As the story goes, one such insomniac who just happened to tune into the documentary was Senator Hubert Humphrey from Minnesota. Galvanized by what he saw, Humphrey immediately became interested in the St. Jude Nutrition and Health Program and held hearings on Capitol Hill to investigate the problem of malnutrition in the country. "One of our people went to Washington and testified at the hearings," recalls Pinkel. "Senator Humphrey became very involved in this project and was responsible for getting Women, Infants and Children (WIC) legislation passed in the Congress. Before he died, he said he considered this to be his greatest achievement, and the Senate voted unanimous approval of increased funding in his honor." Pinkel, too, considers the WIC program St. Jude' s most noteworthy achievement, surpassing even the curative drug therapy for ALL. "Leukemia is a relatively rare disease, but malnutrition is the most prevalent, fatal and disabling childhood illness worldwide," he says. However, because ofthe tenor of the times and the study's revelation of widespread malnutrition in a high proportion of AfricanAmerican children in a wealthy American city, the St. Jude team was concerned that no journal would accept the study for publication, according to Pinkel. "I suggested to the senior author, Dr. Zee, that it be sent to lAMA because of Dr. Talbott's enlightened attitude and the fact that a student on our team had received an AMA Goldberger scholarship in nutrition," explains Pinkel. "Although peer review was favorable, I am convinced that, again, Dr. Talbott influenced its publication and the subsequent wide dissemination of our results. "It was this publication, plus a follow-up study in the AMA Journal of Diseases of Children, that documented remarkable im8 l uffal1 Pbysiciaa S u m m er 200 1 provement in nutrition and health from our program, convincing even the most conservative [individuals) to support WIC." Building on aProven Track Record In 1974, Pinkelleft St. Jude Hospital and embarked on a stage in his career that involved being recruited to fill a series ofleadership positions at institutions eager to capitalize on his proven track record as a researcher, administrator and teacher. The first stop was in Wisconsin, where he was professor and chair of the Department of Pediatrics at The Medical College of Wisconsin and pediatrician-in-chief at the Milwaukee Children's Hospital, and where he established the Midwest Children's Cancer Center. Fours years later, he accepted a position as chair of the Department of Pediatrics at City of Hope ational Medical Center in Duarte, California, just outside Los Angeles. There, he established pediatric inpatient and outpatient units and research laboratories in the Familian Children's Hospital. In 1982, he again pulled up stakes and moved to Philadelphia, where he assumed the chair of pediatrics at Temple University Medical School and the medical directorship of St. Christopher's Hospital for Children. "!was in Philadelphia long enough to get accomplished what I had wanted to do there, which was to make certain that a new hospital was built in the inner city rather than in a distant suburb," says Pinkel. "Then, I decided it was time to return to my research, so in 1985 I took a position at the University of Texas M. D. Anderson Cancer Center in Houston in an endowed chair in pediatric leukemia research, from which I retired in 1993." Currently, Pinkel continues to work part-time, at Driscoll Children's Hospital in Corpus Christi as a professor of pediatrics at Texas A&M College of Medicine. He also teaches, consults and chairs the Institutional Review Board [at the hospital) and is especially concerned about biomedical ethics. Challenges for the future After devoting more than 50 years of his life to helping define the frontiers of pediatric oncology, Pinkel is crystal clear when asked what he feels the major challenges are for the field today. "First," he says, "we need to find out what causes these cancers and eliminate these causes, because that's the only way to handle any pediatric disease, just as was the case with polio, diphtheria, rickets, scurvyall those terrible diseases." �them. They were also very aware of the 'art' of medicine-of looking at the whole patient, looking straight in the patient's eyes and listening. That's something many of the students today aren't learning." Pausing, he adds: "And I do think medicine is an art, and in order to be successful, it not only takes scientific discipline and integrity and devotion, but it also takes imagination, intuition and passion. You have to have a little fire in your belly." CD He also contends that researchers need to find much simpler ways of treating pediatric malignancies because the therapies being used today are too complex and expensive. "By that I mean, there can be a treatment that's 100 percent effective, but if only 20 percent of the children in need have access to it, then it's only 20 percent effective. "The treatment needs to be simple enough for a 'barefoot doctor' with an eighth-grade education to use," he continues. "One of the big problems we've had in the last 20 years is that we've been moving toward more and more sophisticated treatments that are complex and expensive-like megatherapy and stem cell transplantation. These have been a disaster as far as I'm concerned because they've moved us away from making therapy available to everyone and have separated even more the 'haves' and 'have-nots' in this world." The most promising future for pediatric oncology, Pinkel asserts, is in molecular genetics, "where we can develop therapies that work to block the expression of disease-causing genes or gene products. This is where we need to be putting our energies." Mr. Danny Thomas Paramount TV 5451 Marathon Street Hollywood, CaiHornia 90028 Carrying on the UBlradition When working with students throughout his career-whether in the laboratory, the clinic or the classroom-Pinkel says he has tried to carry on the tradition of teaching from which he benefited while a student at UB's School of Medicine. "I feel sorry for all the medical students I teach who can't go to UB," he says. "The longer that I've been out of school and have taught at other medical schools, the more I appreciate the fact that the medical education we received at UB was really superb. We had very good clinical faculty who were inspiring; they made you want to be a doctor, and they made you want to be good doctors like * Talbott was professor of medicine at the then-University of Buffalo and chief of medicine at Buffalo General Hospital from 1946 to 1959. In 1959 he left UB to assume the editorship of the Journal of the American Medical Association, a position he held unti/1971. Entertainer Danny Thomas founded St. Jude Research Hospital in 1962. 5 II Ill Ill C r 200 I luffala Pbysician 9 �ILLUSTRATION BY RANDY LYHUS �BY M.D. KINNAMON New course helps students learn essential communication skill ........... ..Haw to Bnak Bad module within the school's two· year-lang Clinical Practice of Medicine caursa Summer 2001 �'' ow TO BREAK BAD NEws," a new module within the school's two-year-long Clinical Practice of Medicine course, evolved in part from informal teaching interactions the medical school had with a local Chemotherapy Coach Program. As director of the program, Hillary Ruchlin often gave presentations to UB medical students about how best to communicate with seriously ill patients. To enhance the immediacy of her message, Ruchlin, who is now executive director of the Cancer Wellness Center in Buffalo, always brought along volunteers-«chemo coaches"who were cancer survivors. Her idea to introduce doctors- in-training to the feelings and experiences of cancer patients in a more structured environment evolved from seeing students questioning volunteers after the sessions. "I thought [the new module] would be a wonderful way to of the Standardized Patient Program, who organizes and in- help students understand just what is at stake the moment patients are told they have cancer," says Ruchlin. "It is a life- structs the patients in their real-to-life role-playing scenarios altering moment." Ruchlin approached Alan Baer, MD, UB associate professor of medicine, and they collaborated on the development of the curricular module, now referred to as the "Bad and in how to give feedback to students on the Bad News Checklist (see page 14); Diana R. Anderson, EdM, who assists with the administration of the Standardized Patient Program; and Deborah Waldrop, PhD, assistant professor in UB's School of Social Work. News Project." Their aim was to teach students how to give bad news to patients and to reinforce appropriate methods [motionally Charged Communication Issues by using a format that involves the participation of actual Dennis Nadler, MD, associate dean for academic and cur- cancer patients. ricular affairs in the Office of Medical Education, thinks To develop the curriculum, Baer looked to Dr. Robert "How to Break Bad News" is an idea whose time has come. Buckman's pioneering work on the subject as described in "This is a critical aspect of medical education, one that has his book How to Break Bad News: A Guide for Health Care Professionals (Johns Hopkins University Press, 1992). been left to on-the-job training for much too long," he says. "Actual cancer survivors Buckman, an oncologist at the Toronto-Bayview Regional are uniquely positioned to Cancer Centre (Ontario, Canada) and professor of medicine help young physicians at the University of Toronto, developed a method that learn how to do it right." with, and for me, the stresses the need for physicians to assess the patient's level of Baer thinks students encounter felt abso- understanding of the possible diagnosis. His methodology need help with these emo- lutely real because I also emphasizes the importance of using unambiguous lan- tionally charged communi- could see in their faces guage, presenting information honestly, identifying sources cation issues. "Historical- of emotional support and presenting a clear plan for therapy. ly, physicians have been In addition to Ruchlin, Baer worked to develop the mod- blamed for not doing this well," he explains. "Many ule with UB medical school faculty and staff, including Jack Freer, MD, associate professor of clinical medicine and social and preventive medicine, who teaches the first session of the class and oversees the school's palliative care elective; Karen H. Zinnerstrom, PhD, coordinator for training and evaluation 12 "For the patients I dealt I I f f a I I Pb y s i t i a I Summer 2001 they had gone through this before. One patient told me that it's almost patients have stories of how they first learned like reliving the whole about diagnoses of cancer, and often it's not very tions were authentic." experience. Her emo· �flattering to the medical profession. So now there's a protocol, a step-wise method for teaching students these skills." First taught in January 2000, the four-week-long module begins with two weeks of introductory material that includes lessons on the protocol for how to break bad news; a presentation of Buckman's video, "How to Break Bad News"; and a discussion with a panel of former cancer patients. The panelists describe their experiences, including how they were given their diagnoses, how they handled the information, how they would have preferred to have been told (if it was a bad experience), what they felt upon learning the news, and how they survived their illnesses. In the third and fourth weeks, role-playing begins. During these videotaped sessions, which take place in examination rooms of the Standardized Patient Testing Suite, students present the cancer diagnosis to "patients" using fictional case histories they've learned ahead of time. The patients, who are actual cancer survivors, are then able to give feedback on how effectively their "doctors" communicated the news. Patients complete a written evaluation checklist on the student's performance, and students are given pre- and post-tests to assess their approach to the task before and after their classroom and role-play experiences. Authentic [motions, Authentic Results In its first year the module was conducted as a research project, with Deborah Waldrop from the School of Social Work helping to design the research methodology. In October 2000, Baer presented an abstract on the project's findings at the Association of American Medical Colleges' annual meeting in Chicago. Titled "Breaking Bad News: Use of Cancer Survivors in Role-Play Teaching," the abstract described significant differences in students' approaches to breaking bad news based on the pre- and post-test results. After completing the module, Baer reported students used impersonal and technically specific language less frequently and instead adopted more personal, empathetic and reassuring phrasing. W hile many medical schools use standardized patients (scripted actors) in teaching, the use of actual cancer survivors is what makes UB's program unique. "It feels more real when you're dealing with a person who has been through it," notes Baer. "Students gain confidence and walk away feeling like what they've heard is valid and meaningful." To student Jennifer Payne, role-playing was the most valuable part of the sessions. "It made the biggest impact on all of us," she says. "For the patients I dealt with, and for me, the encounter felt absolutely real because I could see in their faces they had gone through this before. One patient told me that it's almost like reliving the whole experience. Her emotions were authentic." In order for all 140 second-year students to participate in the role-playing, each of the 12 volunteer "patients" had to hear the bad news up to six times a day in a two-hour period. Though these dedicated volunteers were eager to work with the students, it was difficult for them to relive the trauma they experienced upon learning they had cancer. Cancer survivor Ann O'Neil-Merritt, who is fully recovered from a rare cancer she was diagnosed with six years ago, says, "Participating [in the module] this year was a lot easier than last year. I'm one more year removed from the day I found out, but it's very difficult because you're trying to react honestly by putting yourself in the situation you were in and reacting like you did." Ruchlin adds, "We had volunteers 17 years removed from their [cancer diagnosis] who were still having a difficult time." Ultimately, "How to Break Bad News" is about communication and human connection. "The class helped all of us realize that you have to establish a rapport with your patient," Payne reflects. �e s" Chec list for Student reed back On Their Team to Help Them through It The experience was trying for the students as well, although in a different way. Payne explains that her confidence going into the role-playing was shaky, as was that of her peers. "All of us were exceptionally nervous. It was the most difficult thing we've had to do yet in terms of actual patient interaction," she says. "But it made me realize that this is as much a skill as is listening to a heart." Former patient O'Neil-Merritt got involved with the project "to awaken these soon-to-be doctors to the fact that we' re more than bodies. We're a whole organism, not just a set of cells." She also wanted to impart to the students the importance of paying attention. "Listen, watch and pick up clues from your patient and then react to them. Change your agenda and your protocol to meet the patient's needs because every patient will react differently. You have to be aware of what their emotions and body language are telling you," she says. 1. The student introduced him/herself. 2. The student addressed me by my proper name (i.e., did not call me by my first name). 3. The student began our conversation with a question as to my current well-being, health or state of mind. 4. The student asked me what I understood so far; about the symptoms I have been having; about my illness, or the reason for the diagnostic tests that had been performed. 5. The student asked me if I knew the results of the diagnostic tests that were performed. 6. The student asked me how much I would like to know about my illness. 7. The student checked with me several times during his/her explanation to make sure that I understood what was being said. 8. The student told me that the biopsy results were those of "cancer" (and not simply a "tumor" or "growth"). 9. The student described the possible forms of treatment that I might need. 10. The student identified sources of support for me (e.g., family, friends, community, professional). 11. The student outlined a clear plan for the future. A ccording to Baer, the medical education community is becoming increasingly interested in ways to develop the skill of communicating bad news, especially since many experienced doctors did not have this kind of training as students. "We'd love to present this program to physicians as a reminder," says Ruchlin. Associate Dean Nadler agrees, "Every health-care professional should be given this sensitivity training. This is 12. The student ended the interview with an appropriate, polite closure. Standardized patients are asked whether they "agree strongly," "agree," "do not agree or disagree," "disagree," or "disagree strongly" with the following: training that house officers and many faculty could benefit * The student appeared comfortable in his/her communication with me. * The student maintained appropriate eye contact with me throughout from, as well, not just medical students." Ultimately, "How to Break Bad News" is about communication * The student explained the results of the diagnostic test and/or my ill and human connection. "The class helped all of us realize that you have to establish a rapport with your patient," Payne reflects. "! assumed that doctors provided the information to patients and then let them go off and determine how they're going to deal with it from then on. But Dr. Buckman's protocol emphasizes that a physician should take a more active role and should be on their team to help them through it." CD the interview. ness in a language that I could easily understand. * The student facilitated the expression of my concerns and fears (e.g., possibility of impotence, need for mastectomy, fear of pain and death). * The student behaved warmly, but professionally, throughout our encounter. * The student acknowledged and responded em pathetically to my ex pressed fears, crying, tears, or other signs of emotion. * The student guided our dialogue along in a manner which made me feel comfortable. * Overall Rating: The student did an excellent job in presenting me with bad news. According to [Dr. Alan] Baer, the medical education community is becoming increas· ingly interested in ways to develop the skill of communicating bad news, especially since many experienced doctors did not have this kind of training as students. �B v S A. UNGER Department of Pathology and Anatomical Sciences formed N FOLLOW-UP TO A PLAN that was first proposed over four years ago, the Departments of Pathology to give anatomy, which is a pure basic science, a clinical base by linking it with pathology, which is both a and of Anatomy and Cell Biology in the University at clinical and a basic science," accord- Buffalo School of Medicine and Biomedical Sciences ing to Heffner. Heffner explains that yet another officially merged in March 2001 to form the Depart- factor leading to the merger was that ment of Pathology and Anatomical Sciences. The department is chaired by Reid Heffner, MD, formerly both departments had become smaller chair of the Department of Pathology. together a "critical mass" of talent to At the time of the merger, the Department of Anatomy in recent years, and the combining of faculty was viewed as a means to bring foster new research initiatives, especially in the neurosciences. ations, according to Heffner, including the fact that The proposal to merge the two departments was extensively reviewed by the Faculty Council, which established an ad hoc committee chaired by Distinguished Teaching Professor of Physiology and Biophysics Perry basic science departments, in general, are increasingly Hogan, PhD, to study its merits. After meeting with and Cell Biology, which had been without a chair since 1992, was being led by interim chair Frank Mendel, PhD. The merger was prompted by a number of consider- focused on overlapping areas of research, a trend that is particularly accentuated in the anatomical sciences and "THERE'S BEEN A MERGING OF BASIC SCIENCES IN A pathology because both disciplines are historically rooted in morphology. "There's been a merging of basic sciences in a sense that they all are now directly involved in such questions SE SE THAT THEY ALL ARE NOW DIRECTLY INVOLVED I SUCH QUESTIONS AS 'How DO GENES REGULATE CELLS? as 'How do genes regulate cells? How do they manufac- How DO THEY MANUFACTURE PROTEINS, AND HOW DO ture proteins, and how do they regulate growth?'" says Heffner. "Even though [anatomical sciences and pathol- THEY REGULATE GROWTH?'" SAYS HEFFNER. ogy] have morphology in common, we are also like a lot of the other basic science departments in that we are faculty from both departments, the committee wrote a investigating disease and cell and tissue function using report supporting the merger and making several recom - the same techniques, whether it's physiology, pharma- mendations, including that new bylaws and policies and cology, anatomy or pathology. So there's a lot ofblurring between departments; we're not as compartmentalized procedures be written for the department and that addi tional faculty be recruited. Committee members also as we used to be." A related reason for the merger is the planned imple- endorsed formation of a Division of Anatomy within the department, a step that has been taken, according to mentation in fall 200l of a new curriculum in the School Heffner. After two-thirds of the members of the Faculty of Medicine and Biomedical Sciences that will place an Council voted to approve the merger in October 2000, emphasis on the integration of all basic sciences and in the process for consideration of the proposed merger making those sciences clinically relevant to students. was reviewed and approved by the Faculty Senate, con- "One of the goals with this merger, therefore, was cluding two years of faculty input on the decision. <!:) S umm er 200 1 lufl alo Pbysiciaa 15 �MEDICAL SCHOOL N E w S Stacey Blyth, left, will stay in Buffalo and train in family practice, while friend Amy Woolever is headed for Einstein/Montefiore to train in pediatrics. ;; .. ..• L lbdelrazeq, Sonya z SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, y Obstetrics-GYJlecology Adams, Christopher Orthopaedic Surgery HIS YEAR's NATIONAL RESIDENCY MATCHING PROGRAM (NRMP) results Eve Sisser with her husband, ToddSullivan,andtheirsnen· week·old daughter Leeba, celebrate Eve's placement in psychiatryatLonglsland Jewish Hospital. were announced on March 22 by Dennis Nadler, MD, associate dean in University at Buffalo's School of Medicine and Bio· medical Sciences. Of UB's graduating medical students 80 percent of the students received their first, sec~nd or third . . choice of placements. Thirty percent will stay m Buffal~ to tram m the Graduate Medicai·Dental Education Consortium, while 45 percent will go out of state. "Competition for desirable residency positions continues to be intense," says Nadler. "We are very pleased that our students consistently match to some of the best programs in the country." Nationally, match results this year reflected a shift away from trends of recent years where new physicians showed greater interest in family practice programs and less interest for certain specialties, according to the NRMP. This year, the number of individuals entering family practice residency programs decreased by 4.9 percent. Conversely, specialties such as anesthesiology and pathology showed increases of 5.8 and 8.1 percent respectively. Despite the decline in family practice, 51 percent of graduating U.S. medical school seniors matched to a first·year residency position in one of the generalist positions. Among the UB students, 26 were placed in internal medicine, 22 in pediat· rics, 12 in family medicine, 4in medicine-pediatrics and 3in obstetrics-gynecology. Overall, 23,981 individuals participated in the match this year, a decrease from the 25,056 who participated in 2000. Of the total active applicants, 76.5 percent were matched to afirst·year position, a3.1 increase over last year. -S. A. UNGER Mayo Graduate School of Medicine ROCHESTER, MN Adamson, Jennifer Family Practice SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Amoako, Patricia Medicine-Primary North Shore University MANHASSET, NY bosso, Daniel Emergency Medicine orth Shore University MANHASSET, NY Bax·Debiaso, Sarina Ge11eral Surgery SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Bellows, Jason Medicine-Preliminary George Washington University WASHINGTON, DC Emergency Medicine George Washington University WASHINGTON, DC Benedicto, IIberto Surgery-Preliminary SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY 16 l 1llalo Physician S u 111 111 er 2 0 0 1 �Damian and Kristen Compa will train at the University Hospitals of Cleveland; he will pursue internal medicine and she, pediatrics. Azin Shahryarinejad, class of 2002. right, congratulates Eileen Lau, who is pleased to be going to the University of Southern California to train in pediatrics. Terry Thompson, who received his first choice, celebrates with his wife, Melissa, and their 14·month·old daughter, Makayla. Colletti. Richard Bergfeld, Deborah Bravin, Marina Chan. Keith Physical and Rehabilitation Medicine McGaw Medical CenterNorthwestern University CHICAGO, JL Medicine-Primary Columbia Bassett COOPERSTOWN, y Radiology-Diagnostic Bridgeport Hospital BRIDGEPORT, CT Bui. Hieu Chan, Mew Medicir1e-Preliminary Franklin Square Hospital BALTIMORE, MD Pediatrics Baystate Medical Center SPRINGFIELD, MA l11temal Medicine University Hospitals of Cleveland CLEVELAND, OH Buscaglia, Jonathan Cheung, Barbara Compa, Kristen Internal Medicine Einstein/Montefiore BRONX, y Internal Medicine St. Vincent's Hospital NEW YORK, Y Black. Thomas Pediatrics SUNY/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Blyth, Stacey Family Practice SUNY/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Psychiatry Lama Linda University LOMA LINDA, CA Compa, Damian Pediatrics University Hospitals of Clevela nd CLEVELAND, OH Conboy, Thomas Butsch, Winfield Chou, Richard Internal Medicine SU Y/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY lntemal Medicine Ohio State University Medical Center COLUMBUS, OI-l Campbell. Katrin Chow, Selwyn Transitional Akron General Hospital AKRON, OH Medicine-Preliminary Brown University PROVIDENCE, Rl Botta, Thomas Cancilla. Laura Cicero, Mark Internal Medicine New York Presbyterian Hospital NEw YoRK, Y Internal Medicine University of Rochester/Strong Memorial Hospital ROCHESTER, NY Pediatrics Eastern Virginia Medical School NoRFOLK, VA Borgoy, John Medicine- Preliminary Lankenau Hospital WYNNEWOOD, PA Emory University School of Medicine ATLANTA, GA Bourne, Ryan Internal Medicine SUNY/Buffalo Graduate MedicalDental Education Consortium BuFFALO, Y Bowman, Daniel Orthopaedic Surgery Albany Medical Center ALBANY, Y Braun, Amy Pediatrics SUNY/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Clark, Kristin Carrero, Albert Anesthesiology SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Chan, Audrey Medicine- Preliminary Pennsylvania Hospital PH ILADELPHIA, PA Ophthalmology University of Maryland BALTIMORE, MD Medici 11e-Preli m ina ry SU Y/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Radiology- Diagnostic SUNY/Buffa lo Graduate MedicalDental Education Consortium BUFFALO, NY Clementi, Jennifer Pediatrics Long Island jewish Hospital NEW HYDE PARK, NY Psychiatry Duke University Medical Center DUR II AM, c Curry, Timothy Medicine- Prelimi11ary SU Y/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Anesthesiology Mayo Graduate School of Medical ROCHESTER, MN Dalewitz, Jessica Medici11e- Preliminary Beth Israel Medical Center EW YORK, NY Neurology Albert Einstein College of Medicine BRONX, NY Den Haese, Ryan Neurological Surgery University of Maryland BALTIMORE, MD Diamantis, Pamela Pediatrics University of Texas Medical School HousTON, TX Summer 200/ l ulf1ID Physiciu 17 �M E D C A L SCHOOL N w Doran, James Figueroa, Jeanette Kallen, Dianne Family Practice Mercy Hospital PITTSBURGH, PA Family Practice SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Family Practice St. Vincent Health Center ERIE, PA Dull, Michael Dwyer, Cheri Family Practice Atlanta Medical Center ATLANTA, GA Flood, Jeremy lntemal Medicine Thomas jefferson University PHILADELPHIA, PA Kling, Christopher Pediatrics SU ¥/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Medicine-Preliminary SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Derma to logy St Louis University School of Medicine STLOUIS, MO Psychiatry Harvard Longwood BosTON, MA Emerge11cy Medici11e SU ¥/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Obstetrics-Gyr1ecology SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Galas, James Gilmore. Sasha Dwyer, James Kundu, Renita Gould, Milena /ntemal Medicine New England l'vledical Center BosToN, MA Ehrig, Debra Emergency Medicine Yale-New Haven Hospital NEw HAVEN, CT Kurtz, Stacey Pediatrics SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Greenberg, Barbra Psychiatry ew York University School of Medicine EW YoRK, NY Elliott, Frederick Pediatrics New York University School of Medicine EW YORK, y Gross, Kara Erway, Kimberly Guyer, Aaron Psychiatry University Health Center PITTSBURGH, PA Orthopaedic Surgery University of Michigan Hospitals ANN ARBOR, Ml Evanchuk, Darren Hannahoe, Brigid illtemal Medicine McGaw Medical CenterNorthwestern University CHICAGO, IL Pathology Cleveland Clinic Foundation CLEVELAND, OH Pediatrics Einstein/Montefiore BRONX, NY Facer, Jeffery Internal Medicine SU ¥/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Falvo, Mark General Surgery SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Fantuzzo, Joseph Surgery-Prelimirwry SUNY /Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY luffalo Phys i cian Kevin Mullen and his wife, Rachel, celebrate his placement in general surgery at the University of Pittsburgh's University Health Center. Kennedy, Suzette Medici11e Preliminary SUNY/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Radiatior1-0ncology University of Minnesota Medical School MINNEAPOLIS, MN 18 E Pediatrics Georgetown University Hospital WASHINGTON, DC Laprairie, Danielle Obstetrics-Gynecology University of Connecticut FARMINGTON, CT Lau, Eileen Pediatrics University of Southern California Los ANGELES, CA Lesh, Charles Lim Sabina Psychiatry Yale-New Haven Hospital NEW HAVEN, CT Maness is, Anastasios Medici11e-Pediatrics St. Vincent's Hospital NEw YoRK, NY Mazzeo, Ramona Psychiatry University of Massachusetts Medical School WoRCESTER, MA McConn, Kara Psychiatry California Pacific Medical Center SAN FRANCISCO, CA lntemal Medicine SUNY/Buffalo Graduate MedicalDental Education Consortium BuFFALO, Y Hughes, Jeffrey Medicine Preliminary SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Radiology-Diagnostic Hospital of St. Raphael NEw HAVEN, CT Family Practice St. joseph's Hospital SYRACUSE, NY Lewin, Sami General Surgery University of Chicago Hospital CHICAGO, IL Pediatrics SU ¥/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Medici11e-Prelimi11ary Winthrop-University Hospital MINEOLA, NY Radiology-Diagnostic Mt. Sinai Hospital NEW YORK, NY Jobes. Gregory Lezama, Jennifer lntemal Medicine SU ¥/Buffalo Graduate MedicalDental Education Consortium BUFFALO, y Psychiatry SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Jobes, Annmarie Summer 2001 McDonald, Amy Mezhir, James Millstein, Leah Medici11e-Pediatrics University Hospitals of Cleveland CLEVELAND, OH Miralog1u, Didem Medici 11e-Preli 111 ina ry Mary Imogene Bassett CooPERSTOwN, Y Physical and Rehabilitive Medicine Eastern Virginia Medical School NORFOLK, VA �Ndegwa Njuguna is headed for the University of Illinois College of Medicine. Ouilikon, Neva lr1temal Medici11e johns Hopkins/Sinai BALTIMORE, MD Paa, Kimberly Mallen, Kevin Gweral Surgery University Health Center PITTSBURGH, PA Morris, Eleazar TrallSitiorwl ew York Hospital/Medical Center Queens FLUSHING, Y A11esthesiology Mt. Sinai Hospital NEW YORK, NY Naik. Dhruti Pediatrics SU Y/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Njuguna, Ndegwa l11temal Medici11e University of Illinois College of Medicine CHICAGO, IL O'Brien, Kristen Family Practice Stonybrook Teaching Hospitals STONY BROOK, NY O'Connor, Thomas Medici11e-Primary University of Rochester/Strong Memorial Hospital RocHESTER, NY Odell, Barbara Medicine-Pediatrics Penn State HERSHEY, PA Ogie. Debra l11temal Medicine University of Illinois College of Medicine CHICAGO , I L Orr.Jeremy Family Practice University of Colorado School of Medicine DENVER, CO A11esthesiology SU Y/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Park, James lrttemal Medicine New York University School of Medicine EW YORK, NY Pasamba, Bernadette Medici11e-Prelimirwry Einstein/Montefiore BRONX, y Anesthesiology ew York Presbyterian Hospital EW YORK, NY Peters, Elyssa Medicine- Prclimirwry Abington Memorial Hospital ABINGTON, PA Ophthalmology Temple University PHILADELPHIA, PA Pfalzer, Aaron Plumpton, Jessica Swiencicki, James Pediatrics Wright Patterson, AFB DAYTON, OH Medicine-Primary Metrohealth Medical Center CLEVELAND, OH Rakhlin, Aleksandr Syed, Sufia Gweral Surgery Westchester Medical Center VALHALLA, NY l11temal Medici11e George Washington Universtiy WASHINGTON, DC Reynolds, Deborah Thompson, Terry l11temal Medici11e Mt. Sinai Hospital NEw YORK, Y Family Practice Lynchburg Family Practice Center LYNCHBURG, VA Salerno, Kilian Trapp, Kathleen Emergwcy Medici11e SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Family Practice SU Y/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Samanich, John Trebb, David Psychiatry Beth Israel Medical Center NEw YoRK, NY Pediatrics Brooke Army Medical Center FoRT SAM HousTON, TX Sarpel, Umut Trojan, Christopher General Surgery Mt. Sinai Hospital NEw YoRK, Y Radiology-Diagrzostic William Beaumont Hospital ROYAL OAK, Ml Medici 11e-Preli111 i 11ary SUNY/Buffalo Graduate MedicalDental Education Consortium BuFFALO, Y Radiology-Diag11ostic SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, y Setlik, Robert Yakani, Rajesh 1111emal Medici11e Brooke Army Medical Center FoRT SAM HousToN, TX Medici ne-Pedia 1rics Albany Medical Center ALBANY, NY Seelagan, Davindra Emerge11cy Medici11e SUNY/Buffalo Graduate MedicalDental Education Consortium BUFFALO, Y Shaposhnikov, Rimma Werth, Christopher l11temal Medici11e University of Southern California Los ANGELES, CA Surgery-Prelimi11ary SUNY/Buffalo Graduate MedicalDental Education Consortium BuFfALO, NY Philip, Joey Sharma, Mudit Medici11e-Prclimirwry SU Y/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Surgery-Prclimirwry Georgetown University Hospital WASHINGTON, DC Neurological Surgery Georgetown University Hospital WASHINGTON, DC Pickhardt, Donald Pediatrics SUNY/Buffalo Graduate MedicalDental Education Consortium BuFFALO, NY Pietryga, Michelle Psychiatry Harbor UCLA Medical Center TORRANCE, CA Pigos, Kevin Family Practice Williamsport Hospital WILLIAMSPORT, PA Sisser. Eve Psychiatry Long Island jewish Hospital NEW HYDE PARK, NY Steiding, Karena Pediatrics Yale- New Haven Hospital NEW HAVFN, CT Woolever, Amy Pediatrics Einstein/Montefiore BRONX, NY Wychowski, Adam Medici11e-Pediatrics Baystate Medical Center SPRINGFIELD, MA Yates, Robin Pediatrics New York University School of Medicine NEw YoRK, NY Zalar, Mona PEDIATRICS New England Medical Center BosTON, MA Summer 2 001 Bu ff 1 I o Physic i 1 n 19 �==, I CAT Program Returns to Buffalo Focus on biomedical and bioengineering technologies f lt.R 1\lF \RIY A DH. A.DF without a New York State Center for programs available to partners of such centers, Advanced Technology (CAT) program that supports industryuniversity collaborations to drive job creation and economic growth, Buffalo is once again home to a CAT, this time a joint venture between the University at Buffalo and Roswell Park explains Holm, adding, "that's why it was so important to get this formal designation." Cancer Institute (RPCI). At a press conference held on April 30, 2001, at RPCI, Governor George E. Pataki announced the new Center for Advanced Technology in Biomedical and Bioengineering Technologies along with $1 million in funding for the center. There are 14 other such centers around the state, each of which receives $1 million in funding annually. Noting that the elimination of Buffalo's CAT in the early 1990s "sent the wrong message" about UB and Western New York, Pataki said that the redesignation of the CAT program will have a tremendous impact on the people of Western New York by fostering the creation of new biotechnology start-up companies and by helping existing biomedical businesses to expand through new or im- v G The Center for Advanced Technology in Biomedical and Bioengineering Technologies will focus on developing new products and creating new jobs in Western New York from biomedical and bioengineering research conducted at UB, RPCI and Western New York companies. Robert]. Genco, DDS, PhD, SUNY Distinguished Professor and chair of the Department of Oral Biology in the School of Dental Medicine, was named director of the center. Genco explains that the Center for Advanced Technology in Biomedical and Bioengineering Technologies will fund projects that are close to the commercialization stage. Particular emphasis will be placed on two areas in which Buffalo researchers have traditionally excelled: the development of biopharmaceuticals, such as the PSA test for prostate cancer, lung-surfactant therapy-for premature infants, photodynamic-cancer therapy and interferon treatment for UB and RPCI by several years, explains Bruce Holm, PhD, senior for multiple sclerosis; and biomedical devices, such as the implantable pacemaker and the platinum coil for inoperable cranial aneurysms. According to Genco, the center will take advances like these and help ensure that they not only are developed in Western New York, but also associate vice president for health affairs. "We assumed we'd have to wait until 2004 to apply formally when the next round of com- produced and manufactured here once they are commercialized. In addition, he says that the Center for Advanced Technology in petition for a CAT becomes available," he says. "The governor's Biomedical and Bioengineering Technologies will function as the science-transfer and accelerator arm of other new centers that are fund- proved product lines. The governor's announcement shortened the formal CAT process announcement shortens the timeline by three years." The announcement also makes UB eligible for any and all state 2 0 B ELLEN 0 L 0 8 Au M 1111111 Pbysiciaa S um me r 2 0 0 1 ed in Western New York, such as the new NYSTAR center (see article, �State companies may compete for two different types of awards, Research Milestone which will be in the range of $100,000 to $200,000 per project. NYSTAR Program announced by governor opposite) and the proposed Center of Excellence in Bioinformatics. Researchers at UB and RPCI, in collaboration with ew York Discovery Awards are made for innovative projects that use a bioinformatics-type approach that allows researchers Particular emphasis will be placed on two areas in which Buffalo researchers have traditionally excelled: to "leapfrog" from a basic-science level to a develop- ~ MA'r 3,200l, GovernorGeorge Bv ment stage. Science Transfer Awards are for research E. Pataki came to the University at ELLEN that is nearly ready for commercialization. Buffalo School of Medicine and Bio- GOLDBAUM "The Discovery Awards typically will fund re- medical Sciences to announce that UB and its research search that uses a genomic or bioinformatics ap- partners have received three peer-reviewed grants total- proach," explains Genco. "Say a researcher has an idea ing $25 million from the New York State Office of Sci- for a diagnostic test or a treatment target. By asking ence, Technology and Academic Research (NYSTAR). a very practical question, and by doing very rapid Calling the funding one of the largest high- the development of throughput screening and analysis with the DNA technology/biotechnology-related investments ever biopharmaceuticals. microarray or on the computer, the scientist can very made by the state in the Buffalo area, Pataki said the quickly come up with some good candidate com- amount constituted one-fourth of the total funding awarded throughout the state under the NYSTAR program . "This new STAR center in Buffalo represents a major milestone and biomedical devices. pounds for drug targets or diagnostic tests." Science Transfer Awards will be made to research- ers who have something in late-stage development that requires additional testing. "This type of award has been the missing link for our researchers," Genco notes. "Government agencies won't fund such projects because they're not true 'discovery research' and often companies want this kind of 'proof-of-concept' work to have already been completed. The Science Transfer Award will facilitate the next step, which could be either solicitation from venture-capital companies or major funding from industry. We're particularly excited because the CAT fills that niche." in our efforts to foster the growth of high-tech and biotechnology research and economic development throughout New York State," Pataki said. "This new center-when combined with our $1 billion Centers of Excellence plan-will generate significant new research funding and spur the establishment of spin-off enterprises, bringing new jobs and economic opportunities to Western New York." The most substantial of the three competitive awards granted was $15.3 million allocated for the establishment of the new Strategically Targeted Academic Research (STAR) Center for Disease For more information on the Center for Advanced Technology Modeling and Therapy Discovery. The center is a partnership between UB, Roswell Park Cancer Institute, Hauptman-Woodward m Biomedical and Bioengineering Technologies, contact Dr. Med ical Research Institute and Ka leida Health. The corporate Genco at (716) 829-2854; or at rjgenco@buffalo.edu. CD . 0 partner is IBM Life Sciences Division, and Bruce Holm, PhD, Summer 2001 l af falt Pbys i c i aa 2 1 �senior associate vice president for health affairs at UB, is principal investigator for the award. The Center for Disease Modeling and Therapy Discovery is designed to make Western New York a world-class player in a broad range of new scientific fields made possible by the sequencing of the ew York." The strategy involves developing an academic-industry colocator facility in the vacant 50,000-square-foot Westwood Squibb Pharmaceutical building at 100 Forest Avenue in Buffalo. The co-locator will facilitate prototyping of new products and human genome. Its ultimate purpose is to discover and develop new drugs and clinical therapies using the tools made possible by the commercialization of research by providing laboratory and busi- genomics revolution and to bring them to the marketplace. An additional $8 million in NYSTAR funding was awarded to from academic and industry, as well as UB Business Alliance staff. UB's Institute for Lasers, Photonics and Biophotonics, under the direction of Paras Prasad, PhD, SUNY Distinguished Professor in locally, but throughout the state- through establishment of a "virtual collaboratory" with the IBM Life Sciences Computational the Department of Chemistry, as part of a $14 million information Biology Division. The virtual collaboratory developed and proto- technology research center awarded to Rochester Institute of typed by UB faculty members is an innovative informatics concept Technology. University at Buffalo researchers led by Robert E. Baier, that makes possible ubiquitous telecommunications between all PhD, professor of oral diagnostic sciences and director of the Industry/University Center on Biosurfaces, and George Lopos, PhD, dean of Millard Fillmore College, also received funding participating institutions. An additional economic engine for Western New York, this concept already has resulted in the forma - totaling $1.5 million as part of the New York Environmental Quality Systems Center established at Syracuse University. ness-incubation space to a multidisciplinary group of scientists The center will forge numerous links with partners-not just tion of a spin-off company, Visual Design Systems. The virtual collaboratory concept means that for the first time "It's a win-win situation for UB, its partners and the entire in Western New York, different institutions will be linked through Internet 2, the high-bandwidth portion of the Internet Western New York community, which will benefit greatly from new job creation in the biomedical field," said }aylan Turkkan, UB reserved for computationally intensive research. Already functioning on and between UB's North and South campuses, vice president for research. "Through our plans for virtual collabora- Internet 2 communications require the installation of so-called tories and academic-industry co-location, our researchers will be "dark fiber" connections, funding for which will be provided by the NYST AR award. integrated with industry in a way they never have been before." Holm noted that the awarding of the grant speaks highly of the quality of science being conducted by UB and its partners. "The fact that this gran t was awarded based on a peer-review process demon- "This will connect not only institutions in Western New York, but all across the state," said Holm. "And our experience in the past six months has been that even strates that the quality of science already being done in Western New just the possibility of having this type of connection has clearly York meets a particularly good standard," he noted. "We are opti- turned heads. To connect not only to faculty in the region, but to mistic that with this funding and with the plan that actually formu- have access to the intellectual capital all across the state has been a very strong draw." 4D lated the funded proposal, we will be able to accelerate both the 22 academic science and the corporate science in Western I u II a I o P b JS i cia n S " 111 111 er 2 0 0 I �Buffalo-Niagara Medical Campus New group formed to coordinate projects HE MAJOR PL \\ ERS IN ~1EDJCAL CARE, research, educa- Bv fruition. "In my 20 years as a volunteer in health care tion and biotechnical innovation concentrated in what has been L 0 Is around the High Street area, this is the best I have ever BAKER seen the institutions communicate and work with one termed the "High Street medical corridor" in Buffalo have formed an entity called the Buffalo-Niagara Medical Campus (B MC) to another," Beecher says. "It is encouraging to see the 'silo mentality' coordinate projects that will serve and enhance the group as a whole. disappear, which in the past has isolated individuals and groups Thomas R. Beecher, chair of the group's board of directors, announced the formation of the BNMC at a press conference held on April 30, 2001, at Roswell Park Cancer Institute (RPCI). from one another, thus making partnerships more difficult." The BNMC has adopted three goals that will drive its work in the future: Create a world-class medical campus that enhances the The members are the University at Buffalo, RPCI, Kaleida Health, already existing clinical, research and teaching excellence of the Hauptman-Woodward Medical Research Institute (HWJ) and the Buffalo Medical Group Foundation. The City ofBuffalo, Erie Coun- member institutions; create economic-development opportunities; and improve and expand the infrastructure of the current campus. ty and the adjoining neighborhoods of Allentown and the Fruit Belt The work is being funded by contributions from the Oshei Founda- are partners in the effort. The entity is governed by a 14-member tion and the five member institutions. Active since December 2000, board of directors composed of representatives from the institutions the group has a project director, Matthew K. Enstice, and has accomplished a number of tasks, including contracting with UB's Center for Computational Research to create a virtual medical campus for use in research collaborations, economic development and faculty recruitment. and partners. UB is represented by President William R. Greiner and Michael E. Bernardino, MD, MBA, vice president for health affairs and dean of the School of Medicine and Biomedical Sciences. Each institution retains its independent governance while collaborating on campus activities. They are being supported in their efforts by a loosely organized Trustee Council composed of corpora- While UB doesn't own land or structures on the medical campus, tions, businesses, government agencies and nonprofit organizations it has a major presence there through its faculty and research. UB's new Department of Structural Biology is located within HWJ, and that are asked to provide volunteer help and consultation as needed. The purpose of the B MC, according to Beecher, is to support the HWI scientists are on the department's faculty. The university and RPCI are joint operators of the DNA microarray facility, many needs of the member institutions as they work to form a world-class RPCI faculty have UB appointments, and UB's cancer research and medical campus that supports centers of excellence in research, teaching is carried out there. Moreover, Kaleida Health is UB's education and clinical care. He praised the synergy and cooperative largest medical-care teaching affiliate, and many members of the spirit of the BNMC members in bringing the collaboration to Buffalo Medical Group serve as UB clinical faculty members. Summer 200 1 . 0 CD Buffalo Physician 23 �MEDI C AL S C H 0 0 L N E w s Commencement 2001 Commencement for the University at Buffalo School of Medicine and Biomedical Sciences was held on May 18, 2001. This year, the school conferred 125 MD degrees, 2 MD/PhD degrees, one MD/MBA degree, 33 PhDs and 42 master's degrees. Pictured (1) Honored Speaker Ronald Dozoretz, MD '62 (2) Kathleen Trapp with children Will, Anne and Joseph (3) Dean John R. Wright, MD (4) Kristen A. O'Brien (5) Jeanette Figueroa and third·year student Pamela Livingston (6) Patricia lmoako (7) Timothy B. Curry, MD, PhD (B) left to right, Mark Cicero, Ndegwa Njuguna and Jennifer Lezama. The following excerpts are from the commencement speech given by this year'shonored speaker Ronald I. Dozoretz, MD '62, chief executive officer, chair and founder of FHC Health Systems. "Set your sights high-be braced and sure-footed on your journey. The possibilities before you in this remarkable time are infinite. With new technologies and understanding from initiatives like the Human Genome Project, you have the capability to make breakthroughs I could only dream of when I was in school." "And I challenge you not only to be bold and take chances in the field of medical science, but in the social sciences as well. Do not leave this very important responsibility to someone else . ... I am sure you are aware of the billions of dollars given to teaching institutions and research projects each year by local, state and especially the federal government. Be involved so you can help influence their decisions." "Few people will ever have such a magnificent opportunity to help society. You have an obligation to do so-seize it. There are many challenges that we face collectively: one in six children live in poverty in this country. There are 44 million Americans without health insurance. Public schools in most cities are in poor repair, and students have no books. AIDS in Africa threatens the future of the entire continent. "We as a nation and as a people must address these challenges. And with your expertise, society will look to you for leadership." "As you embark on your journeys in the world of medicine, research and teaching, please follow your dreams and don't be afraid to fail. Take chances. Be bold. Be passionate. Give back to your community But most important: Never give up. Never give up. Never give up." Summer 2001 ��PATHWAYS N Ews ABOUT UB' s ScHOOL oF M E DICINE AND BIOM EDICAL S c i EN CES AND I TS ALU MNI, F AC U LT Y, S T UD ENTS AND STAFF M Paroski Named Director of Admissions Margaret W. Paroski, MD '80, has been named director of admissions for University at Buffalo's School of Medicine and Biomedical Sciences. She succeeds Thomas Guttuso, MD '60, who served in this capacity at UB for 19 years. Paroski is professor of clinical neurology at UB and medical director for A RGA RE T P A R os KI Erie County Medical Center, a position she will continue to hold. She served as president of UB's Medical Alumni Association in 1996 and is president-elect of the UB Alumni Association. Currently, Paroski is a member of the Dean 's Advisory Council for the School of Medicine and Biomedical Sciences. Guttuso joined the Admissions Committee in 1977 and was named director of admissions in 1982. He has also served as acting chair of the school 's Department of Ophthalmology. - S.A . UNG ER Bojovic Selected for Medical Mission Branko Bojovic, Class of 2002, has been selected as a medical student participant on an international medical mission sponsored by Operation Smile. Medical students are chosen via a competitive application process, and Branko is the first University at Buffalo student ever selected for this prestigious opportunity. Approximately 20 medical missions are sponsored by "Op Smile" each year to over 20 countries, where free facial reconstruc- tive surgery repairs are provided to the medically needy, most of whom are children. - D E BR A STAMM Miller to Head Division of Child and Adolescent Psychiatry Following a national search, Bruce Miller, MD, associate professor of psychiatry and pediatrics in University at Buffalo 's School of Medicine and Biomedical Sciences, has been named director of the Division of Child and Adolescent Psychiatry at UB. He succeeds Gary Cohen, MD, associate professor of clinical psychiatry, who founded the division in 1978 and CA RY CO H EN has served as its director for the past 23 years. Miller, who joined UB 's faculty six years ago, is a national authority on emotional factors impacting on childhood asthma. He received his medical degree from the College of Medicine and Dentistry of New Jersey. He served as an intern in medicine at B RUC E MILLER Long Island Jewish/Hillside Medical Center in New Hyde Park, New York, and completed his residency tra ining in general psychiatry and child and adolescent psychiatry prior to completing a postdoctoral research fellowship in developmental psychobiology at the University of Colorado Health Sciences Center. Miller served MILLER, A NATIONAL AUTHORITY ON EMOTIONAL FACTORS IMPACTING ON CHILDHOOD ASTHMA, SUCCEEDS GARY COHEN, MD, ASSOCIATE PROFESSOR OF CLINICAL PSYCHIATRY, WHO FOUNDED THE DIVISION IN 26 I u If a I a Phy si c i an S umm er 1978 2 001 AND HAS SERVED AS ITS DIRECTOR FOR THE PAST 23 YEARS . �on the faculty of the University of Colorado for nine years before being named director of the Division of Child and Adolescent Psychiatry at the University of Rochester. Prior to his accepting the position of director ofUB's Division of Child and Adolescent Psychiatry, he served as the director of pediatric psychiatry at Children's Hospital of Buffalo, a position he will continue to hold. Since coming to Buffalo, Miller and his research team have been awarded over $2 million in federal grant support for government payers and patients will routinely use to make health-care decisions. "To see ECMC listed as a Top 100 Benchmark Hospital in two out of four specialized areas included in this national study is a proud achievement for our hospital," says Sheila K. Kee, chief executive officer at ECMC. "T his recognition serves as yet another confirmation of the outstanding quality care that is offered by the Western ew York region's medical center." -S.A. UNGER their research. -S.A. UNGER ECMC's Cardiovascular and ICU Services Top 100 Modern Healthcare magazine has cited the Erie County Medical Center (ECMC)-a major teaching facility for University at Buffalo-as one of the 100 top hospitals for cardiovascular and intensive care services in the United States, according to an independent study conducted by Solucient (formerly HCIA-Sachs Institute) healthcare information company. The magazine's February26, 2001, issue features Solucient's 100Top Hospitals program that examines clinical, financial and operational data from hospitals to establish benchmarks for excellence. Clark Bell, editor of Modern Healthcare, noted that the study has evolved into a legitimate tool that employers, CraigVenter Delivers 2001 Cori Lecture J. Craig Venter, PhD, president and chief scientific officer for Cetera Genomics delivered a talk on "Sequencing the Human Genome" at the 24th annual Cori Lecture at Roswell Park Cancer lnstitute (RPCI) held on May 23, 2001. Venter, who was on the faculty at the University at Buffalo School of Medicine and Biomedical Sciences and RPCl from 1982 to 1984, has been widely recognized as the scientist who led the team at Celera Genomics in sequencing the human genome. He has published more than 160 research articles and is one of the most cited scientists in biology and medicine. He has received a number of honorary degrees for his pioneering work and was selected as Man of the Year by the Financial Times. The Cori lecture honors Drs. Carl and Gerty Cori, who served on RPCl's faculty from J. CRAIG VENTER 1922 until 1933. During this time, they initiated work on the chemis- try of the glycogen-glucose cycle, research that earned them the 1947 Nobel Prize in Physiology and Medicine. With this honor, Gerty Cori became the first American woman and the third woman in the world to be awarded the Nobel Prize. -DEBORAH PETTIBONE Ceorge M. Ellis .Jr., MD '45, Receives Samuel P. Capen Award George M. Ellis Jr., MD '45, received the Samuel P. Capen Award-University at Buffalo Alumni Association's most prestigious prize-at a dinner held on April 20, 2001, in the Center for Tomorrow on the north campus. Ellis, a generous and devoted alumnus of the School of Medicine and Biomedical Sciences for half a century was presented the honor for his notable and meritorious contributions to the university and its family. Prior to his retirement, Ellis worked as a physician and surgeon in a small, semi-rural Indiana community. He established the George M. Ellis Jr., S 11 111 111 MD, Endowment Fund for Medicine at UB, and also donated a rare, first edition of De conceptu et generatione homin11s-written by Jacob Rueff and published in Zurich in 1554-to mark the university library's acquisition of its three-millionth volume. Since his graduation from medical school, Ellis has devoted countless hours to organizing annual reunions for the class of 1945 as well as to keeping his classGEORGE M. mates updated and informed about each other. Last year, at the class's 55th reunion, he compiled a book that featured a biographical sketch of each class member. "The book is a treasured piece of memorabilia for each of his classmates and the families of those no longer with us," says Mary Glenn, director of community relations for the School of Medicine and Biomedical Sciences. -S.A . ELLIS UNGER Beutner and .Jordon Honored for Research Ernst Beutner, PhD, professor emeritus of microbiology and dermatology at the University at Buffalo School of Medicine and Biomedical Sciences, and Robert E. Jordon, MD '65, chair e r 200 I ERNST H. BEuTNER Buffalo Physician 27 �PATHWAYS "THE WORK OF DRS. [ERNST H.] BEUTNER AND [ROBERT E .] JORDON ESSENTIALLY BEGAN THE MODERN ERA OF DERMATO-IMMUNOLOGY," SAYS DERMATOLOGY fOUNDATION PRESIDENT JouNI J. UITTO, MD, PHD, IN PRESENTING THE SCIENTISTS WITH THE DISCOVERY AWARD. of the Department of Dermatology at the University of Texas Medical School at Houston, were chosen as corecipients of the Dermatology Foundation's 2000 Discovery Award at the annual meeting of the foundation on March 3, 2001, in Washington. D.C. The Discovery Award was created by the Foundation's Trustees in 1991 as the specialty's highest tribute to those colleagues who embody the essence of scientific and intellectual curiosity that the foundation strives to nurture through its research awards program. Drs. Beutner and Jordon were honored for their seminal recognition of the role of autoantibodies in the pathogenesis of pemphigus vulgaris (PV). Together, they found that PV autoantibodies bind to the surface of keratinocytes in precisely the same suprabasilar location that PV bullae form, suggesting a direct pathogenic role for antibodies. "The work of Drs. Beutner and Jordon essentially began the modern era of DermatoImmunology," says Dermatology Foundation President Jouni J. Uitto, MD, PhD. "The clarity of the relationship between bullous disease manifestations and laboratory findings, first established by [them] has not only permitted important aspects of pemphigus pathogenesis to be deciphered but has helped frame the next set of research challenges." Beutner joined UB's faculty in 1956 and taught microbiology to students of medicine and dentistry until his retirement in 1994. In 1992, he became director of Beutner Laboratories in Buffalo. The UB School of Medicine and Biomedical Sciences is proud that a faculty member and alumnus are corecipients of this prestigious award. -S. A. UNGER Lema Leads State Anesthesiology Society Mark J. Lema, MD, PhD, professor and interim chair of the Department of Anesthesiology at University at Buffalo's School of Medicine and Biomedical Sciences, has been installed as president of the New York State Society of Anesthesiologists (NYSSA), a chapter of the Society of Anesthesi- ologists. Lema is also chair of the Department of Anesthesiology and Pain Management at Roswell Park Cancer Institute (RPCI) and associate research professor in the Experimental Pathology Program at RPCI. As head of NYSSA, Lema leads a community of approximately 3,000 New York State anesthesiologists and works closely with the national organization, which boasts a membership of more that 37,000 anesthesiologists. In addition to his new role with NYSSA, Lema is editor of the journal Regional Anesthesia and Pain Medicine, the American Society ofAnesthesiology Newsletter, special editor of SPHERE and associate editor of the Clinical journal of Pain. He is a member of the Cancer Pain and End -of-Life Care panels of the NationalComprehensive Cancer Network, a MARK J. LEMA member of the Cancer Pain Guidelines Panel of the American Pain Society, and serves on the New York State Commissioner of Health' s Preoperative Policy Panel. - DEB OR AH PETTIB ON E 28 lu lfal a Pb ysicin S umm er 2 001 Bakshi Named Associate Professor Rohit Bakshi, MD, has been named associate professor of neurology with tenure in the clinical-scholar track in the University at Buffalo's School of Medicine and Bio medical Sciences. A native of Buffalo, Bakshi received his medical degree from UB in 1991. As RoHIT BAK SHI an Alpha Omega Alpha scholar, he completed a neuroscience research fellowship with Alan Faden, MD, at the University of California at San Francisco, where he studied neuropharmacology and stroke. Following medical school, he served a one-year internship at the Massachusetts General Hospital and a neurology residency at the University of California at Los Angeles. He then completed a one-year MRI/CT neuro imaging fellowsh ip at the Dent Neurologic Institute in Buffalo, followed by additional training in functional imaging. Bakshi, a staff neurologist and neuroimager with Kaleida Health System, is board certified in neurology and is a diplomat of the American Society ofNeuroimaging. His research �and clinical interests include neuroimaging as it relates to neurologic diseases, especially multiple sclerosis (MS). Recently, he was awarded a threeyear $350,000, research grant from the National Institute of Neurological Disorders and Stroke to study iron deposits and atrophy in the brains of patients with MS using computer analysis of magnetic resonance imaging scans. The project is being conducted at the Buffalo euroimaging Analysis Center, part of the Jacobs Neurological Institute at Buffalo General Hospital and the UB Department of Neurology. Bakshi's previous work suggests that iron deposition is common in MS brains and that the level of iron is related to impairments in physical disability and brain atrophy. Since increased iron levels are known to cause brain injury in other diseases, his work raises the possibility of a new treatment for MS. -S. A. UNGER Robert A. Bermel Receives the C. Milton Shy Award Robert A. Bermel, a secondyear student at the University at Buffalo School of Medicine and Biomedical Sciences, has received the G. ROBERT A. BERMEL Milton Shy Galpin Heads Pediatric Orthopaedic Surgery at Kaleida OBERT D. GALPIN, MD, has been named chief of the Division of Pediatric Orthopaedic Surgery at Kaleida HeaHh System's Children's Hospital of Buffalo, and associate professor in University at Buffalo's Department of Orthopaedic Surgery. Galpin earned his medical degree from the University of Western Ontario, London, Ontario, Canada, where he also completed his orthopaedic surgery residency. Galpin brings with him over 13 years of experience in pediatric orthopaedic surgery. Prior to joining Kaleida HeaHh System and UB, he was clinical assistant professor of orthopaedic surgery and pediatrics at the University of ROBERT D. GALPIN Western Ontario. His clinical interests include the treatment of spinal deformities, limb lengthening, pediatric trauma, sports medicine and hip and foot conditions. Galpin is a diplomat of both the American Board of Orthopaedic Surgery and the National Board of Medical Examiners. He is also a member of Alpha Omega Alpha Honor Medical Society and the Pediatric Orthopaedic Society of North America. Award from the American Academy of eurology. The award, which recognizes the best essay in clinical neurology, was presented to Bermel on May 8, 2001, at the academy's annual meeting in Philadelphia, Pennsylvania. "I am honored to receive this award from the academy and am grateful to my mentors, Rohit Bakshi, MD, and Lawrence Jacobs, MD, for their guidance in my pursuit of a career in academic medicine," said Bermel. "This award is just one recognition of the world-class research which continues to go on in Buffalo in the battle against multiple sclerosis." Bermel is continuing his research on neuroimaging in MS this summer with Bakshi at the Buffalo Neuroimaging Analysis Center in Buffalo General Hospital. His work will be funded by student grants from Alpha Omega Alpha Medical Honor Society and the UB Research Foundation. -S. A. Varma Selected to Participate in Mead'-'ohnson Seminar Chelikani Varma, MD, clinical associate professor of pediatrics at the University at Buffalo School of Medicine and Biomedical Sciences, and an attending at Kaleida Health's Children's Hospital of Buffalo, was nationally selected to participate in the MeadJohnson Clinical Seminar in April2001 in Tucson, Arizona. -S.A. UNGER (I) UNGER Slimmer 200/ 1 111211 Hysiciu 29 �the 64th An (xamination of "The Healthy Heart" Diagnoses and treatment of cardiovascular disease NIVERSITY AT BUFFALO School of BY S Medicine and Biomedical Sciences' 64th A. US G E R Annual Spring Clinical Day was held April 28, 2001, at the Buffalo-Niagara Marriott. The program, sponsored by UB's Medical Alumni Association, focused on "The Healthy Heart" and featured expert speakers who presented state-of-the-art information on the diagnoses and treatment of cardiovascular disease. The program opened with a talk on "Exploring the Power of Cardiac PET in Mainstream Clinical Practice," by Michael E. Merhige, MD, UB clinical associate professor of nuclear medicine and director of the Nuclear Cardiology Fellowship Program in the Department of Nuclear Medicine. "Interventional Cardiology in the Year 2001" was the title of the next talk, delivered by John C. Corbelli, MD '79, FACC, FACP. Corbelli is the Lipid Clinic and Research Director with Buffalo Cardiology and Pulmonary Associates, P .C., and clinical instructor at UB. 30 lalfalo Pbysiciaa S 11mm er 20 0/ Following Corbelli, Paul C. Kerr, DO, FACS, UB clinical instructor in the Department of Cardiothoracic Surgery, spoke on the subject of "Minimally Invasive Heart Surgery." After a brief break, the Stockton Kimball Lecture was delivered by Antonio M. Gotto Jr., MD, DPhil, the Stephen and Suzanne Weiss Dean and Professor of Medicine at Weill Medical College of Cornell University in New York City and provost for medical affairs at Cornell University. Gotto, who is also past president of the American Heart Association, spoke on "Perspective on the Role of Statins in Health and Disease." Prior to becoming dean of the medical college at Cornell, Gotto spent over twenty years at Baylor College of Medicine in Houston, Texas, where he was professor and chair of the Department of Medicine and chief of the Internal Medicine Service �at the Methodist Hospital in Houston . During that time, he was also]. S. Abercrombie Professor Chair for Athero sclerosis and Lipoprotein Research and was the scientific director of the DeBakey Heart Center at Baylor. Gotto and his associates were the first to achieve complete synthesis of a plasma apolipoprotein (apo C-1) and also determined the complete eDNA and amino acid sequence of apo B-100, one of the largest proteins ever sequenced and a key to atherosclerosis and coronary heart disease (CHD). In addition to his research interests, which have brought him worldwide repute as a leading expert on statins, Gotto brought to his lecture his clinical expertise on the pathology of atherosclerosis and CHD. He began his talk with a historical overview of the role of statins in reducing the risk ofCHD, explaining how the drugs were subject to a "backlash" controversy following their approval by the U.S. Food and Drug Administration in 1987. As an example of this backlash, he described a cover story published in the September 1989 issue of the Atlantic Monthly in which it was contended that the prescribing of statins amounted to a "conspiracy theory." Following this introduction, Gotto described the statins currently approved for use in the United States. In addition to explaining their mechanism of action, he outlined data currently available from five major clinical trials on the effect of statin therapy on CHD, which, he said, "show a relative risk reduction over the course of the trials." Results from these trials, he added, are remarkably consistent and provide "overwhelming evidence that statins stabilize plaque," reduce levels of LDL and reduce cardiac events. Gotto also described potential new targets for statin therapy, including diabetes, osteoporosis, stroke and dementia. While the drugs' efficacy in reducing risk for these conditions has not been demonstrated in clinical trials, studies are beginning, he explained. In concluding, Gotto said that, given statins proven effectiveness in reducing risk for CHD, he believes there is a "great underuse" of the drugs. Currently, 10 million Americans take statins, he noted, adding that, in his opinion, "some 25 to 30 million would benefit from them." At the close of Gotto's lecture, the audience had an opportunity to ask questions of a panel made up of all the morning's speakers, after which attendees gathered for a luncheon, where Gotto was presented the Stockton Kimball Award by John ]. Bodkin II, MD '76, president of the UB Medical Alumni Association. Me~ical Alumni Ac~ievement Awar~s Following presentation of the Stockton Kimball Award, Bodkin introduced the four recipients of this year's Medical Alumni Achievement Awards, who were honored for "work Gotto also above and beyond the general described potential practice of medicine, whether new targets for it be teaching, research or statin therapy. national service." including diabetes, Morton A. Stenchever, osteoporosis, stroke MD '56, was professor and and dementia. While chair of the Department of the drugs' efficacy in Obstetrics and Gynecology at the University of Washing- reducing risk for ton's School of Medicine these conditions from 1977 to 1996. Prior to has not been that, he held the same position at the University of Utah demonstrated in from 1970 to 1977. clinical trials, In announcing the award, studies are Bodkin briefly reviewed Stenbeginning, he chever's career, explaining that, after graduating from explained. UB's School of Medicine, he completed his internship and residency training at the Columbia- Presbyterian Medical Center in New York City. In 1962, following two years in the United States Airforce, he joined the faculty of Case Western Reserve University where over the next eight years he served in a S umm e r 2 001 l1f12ID Pbpiciu 31 �ALUMNI number of roles prior to moving to the University of Utah. Stenchever was unable to receive his award in person due to an obligation he was fulfilling in his current capacity as professor emeritus at the University of Washington. Wende W. LoganYoung, MD '61, a Buffalo native, is the founder and director of the Elizabeth Wende Breast Clinic in Rochester, New York, and a clinical professor of diagnostic radiology at the University of Rochester. When it was established in 1976, the Elizabeth Wen de Breast Clinic was the nation's first freestanding mammography and breastimaging facility devoted to breast-disease detection. Today, it is ranked WI just want to say as one of the nation's leading breast-care centers and has that when I opened my clinic 25 years ago, I been given a grant by Blue Cross/Blue Shield to define a was almost laughed Center of Excellence. out of town. For the "Many women from the Buffalo area-patients first five years, we of mine and many doctors didn't make any here-have traveled to money, but then the Rochester to see Dr. Loganpractice took off, and Young because she would tell them right away whether we did very well. And I their mammogram was norattribute that to the mal or not; she has really fact that people born helped to bring mammography to where it is today," and raised in Buffalo said Bodkin. don't know how to Logan-Young is also a take no for an past recipient of The American Cancer Society's (ACS) answer." 3 2 lllfale Hysiciu S umm e r 2001 Hope Award and The Distinguished Alumni Award from the University at Buffalo. She is currently a member of the Medical Advisory Committee for the ACS. Following presentation of the award, Logan-Young commented: "I just want to say that when I opened myelinic 25 years ago, I was almost laughed out of town. For the first five years, we didn't make any money, but then the practice took off, and we did very well. And I attribute that to the fact that people born and raised in Buffalo don't know how to take no for an answer." Currently, she also serves as the speaker of the House of Delegates of the Medical Society of the State of New York. She has served as a trustee of the State University of New York and chief medical officer for the New York State Department of Health's Western Region. Upon receipt of the Medical Alumni Achievement Award, Nielsen stated: "I wore two pins today. One is the UB pin and the other is the emblem they gave me that I'm to wear every time I represent the AMA. I wear that for you because if UB had not given me a chance to come to medical school, I would have been who knows where, and I want to thank all of you who came before me and on whose shoulders I stand. I think of you always and every time I wear this, I honor you." Marcello Fierro, MD '66, is the chief Nancy H. Nielsen, medical examiner for the Commonwealth MD '76, PhD, assis- of Virginia and professor and chair of the tant dean for student affairs at UB's Department of Legal Medicine at the School of Medicine and Biomedical Sci- Medical College of Virginia. Only the ences and clinical associate professor of ninth woman to have been certified by the medicine, has been very American Board of active in the politics of Pathology in forenNielson. PhD. MD '7& medicine throughout her sic pathology, Fierro career, Bodkin explained. today is a Fellow of In 2000, she was elected the American Acadvice speaker of the Ameriemy of Forensic Scican Medical Association's ences and serves as policy-making House of a consultant to the Delegates, which, if tradiFederal Bureau of tion holds, places her in Investigation at the line for the presidency of National Crime Inthe AMA. An internist in vestigation Center. private practice in Buffalo, In addition, she is Nielsen has twice been chair of the Forensic elected to the AMA's Pathology CommitCouncil on Scientific Aftee for the College of fairs and sits on its execuAmerican Patholotive committee and Strategists and serves on gic Planning Task Force. the board of editors Nancy �Marcello Fierro. MD '66 of the American Journal of Forensic Medicine and Pathology. Fierro has also gained renown for inspiring the creation of mystery novelist Patricia Cornwell's protagonist, Dr. Kay Scarpetta. Cornwell has based the character of Scarpetta (the fictional chief medical examiner for Virginia)on her mentor Fierro, whom she first met in the 1980s while working as a technical writer in the Medical Examiner's Office. Cornwell has said of Fierro, "I consider her the best forensic pathologist in the world, and she has been a tremendous inspiration to me." In accepting the Medical Alumni Achievement Award, Fierro said, "Thank you all very much for this award. It's hard to accept an award for work that you love and that you are driven to do." Pausing, she quipped, "And I have one other piece of information to pass along to you: Patricia Cornwell's character is five feet tall, blonde, blue eyed and lOS pounds!" 4D Olmsted Ross Receives lucien Howe Medal Iizabeth Olmsted Ross, MD '39, has received the prestigious the award in recognition of her lifetime accomplishments in Lucien Howe Medal for outstanding achievement in ophthal- teaching, research and community service. mology. The award, presented jointly by the University at Olmsted Ross has been in private practice in Buffalo since Buffalo School of Medicine and Biomedical Sciences and 1944. She began teaching clinical ophthalmology at UB's school the Buffalo Ophthalmologic Society, is named in honor of of medicine in 1955, and in 1974 was named clinical assistant Lucien Howe, MD, who began prac- professor, a position she still holds. She tice in Buffalo in 1874 and founded received a commendation for 50 years of the Buffalo Eye and Ear Infirmary in service at Millard Fillmore Hospital and a 1876. In addition to his private prac- citation for service at Deaconess Hospi- tice, Howe served as professor of tal, where, in 1968, she was named chief ophthalmology at the then-Univer- of the Department of Ophthalmology and sity of Buffalo from 1878-1909. The chair of the residency program. Howe medal, first presented in 1928, Recently, Olmsted Ross was honored was one of a number of awards he by the Buffalo Blind Society, which established to recognize contribu- named their newly renovated area the tions in ophthalmology. Elizabeth Pierce Olmsted Educational Center, and by the Western New York "Past awardees of the Lucien Howe Medal reads like a list of who's Blind Association, which changed its who in ophthalmology," says James name to the Elizabeth Pierce Olmsted, Reynolds, MD, chair of UB's Depart- MD, Center for the Visually Impaired. A ment of Ophthalmology. Olmsted reception in honor of her receipt of the Ross, who is the 23rd recipient of Elizabeth Olmsted Ross, MD, ritflt, and James Lucien Howe Medal was held at the the medal, was selected to receive Reynolds, MD, chair of ophthalmology at UB. center on May 3, 2001. S 11 m 111 e r 2 0 0 I Buffale Physicin 33 �ALUMNI Reflections on aMedical Career Trying to practice the type of medicine UB taught me 30 years ago For all of us, it was very S I SA \1 Ot.- R Spring BY special indeed to see Clinical Day dinner and \1 CHAEI BARO'< him again. listened to my classmates \1 D ' 1 FCCP Our 30th reunion summarize their memories allowed us to rekindle old friendships as of UB and their careers, I felt proud to be their colleague. What well as get to know some of our classhigher praise can I give them mates for the first time. Medical school, except to say that I would entrust residencies and practice have been a blur my life and care (and my family's) at times. It is a treat to have occasions like these to reflect. anyone in that room. It is wonderful to practice It was an honor to be accepted to UB's School of Medicine. We were all medicine. We have the priviyoung and eager then, and with each day lege of seeing miracles unfold that passed-and with every course-the in front of our eyes. In addition enormity of our task became evident. A to witnessing people who have lifelong commitment to study, work and healed and lived when we excellence was what we pledged. By the thought they would die, sadly time we reached our clinical years, the we have seen those who should awesome responsibility of our profession have lived, pass away. MICHAEL had became clear to us. I recount daily the words of The faculty at UB were excellent and, wisdom from the internal medicine director for our class, Dr. M. S. Megahed was the during my residency. He said, "Ladies and best of the best. While he combined his gentlemen, you can't expect your patients vast knowledge of neurology, neuro- to be as concerned about their health as anatomy and internal medicine to teach you are. That's why you are the doctors." us, he taught us far more than facts and I suppose it is human nature, but I still figures with his humanity, deep religious don't understand it. I struggle every day to and family convictions, and friendship. mitigate my patients' suffering and give • was elected to sene a sec:ond tenn as president of the Medical Alu111nl Association on April 28, 2001, at Spring Clnical Day. Bodkin, a 1976 graduate of UB, Is a clinical associate professor of famiiJ medicine and president of the Hllhgate Medical Group In Wllllanmille, New YortL. • class of 1991, becomes Yice president of the Medical Alumni Association. Mattlmore Is a UB clinical Instructor of pediatrics and Is on staff at Kalelda Health's Children's Hospital and Men:, Hospital of Buffalo. 3 4 l llflil Physicin St~mmer 2001 them my best counsel. If medicine has taught me anything, it has been to keep an open mind. As knowledge expands, changes, or goes full circle, we must adapt neither too quickly nor too late. It is my hope that during my career or lifetime I can begin to see and understand the rudiments of the mindbody connection. Whether the keys will be found in biochemistry, physiology, neuroanatomy, or other fields is inconsequential. It will be our ability to harness that great life force for wellness first, and healing second. At the reunion, I sought out Philip Wels, MD '41, who initially interviewed me for a position in the School of Medicine, and I BARON thanked him for the faith he showed in me by accepting me in 1967. I have tried to repay that faith by practicing the type of medicine that UB taught me so 4D many years ago. Michael Baron is a pulmonary and critical care physician who practices with Blue Ridge Medical Specialists in Bristol, Tennessee. • class of 1982, Is the new treasurer for the association. Polack Is a UB clinical assistant professor of ophthalmolou who Is In private practice In WIUianmille, New YortL. �FIRST Row, DOKALD L. BAROI'OE, LUDWIG R. KOUKAL, ELI ENGEL.jONATHAK P. LEOPOLD, BERNARD SMOLENS, MARVII'Oj. PLESKOW, LESTER E. WOLCOTT; SECOSD ROWe AL\'1:-.1 VOLKMAN, LEO!';ARD S. DAI'OZIG, AUGUST A. BRUNO, MARK E. HEERDT, ROBERT E. PLOSS; THIRD ROW, ANTHOSY C. BAROI'OE. WILS0:-.1 W. SHAW. FRA!';Kj. BOLGAS, GERARD E. SCHULTZ; FOURTH ROW, Or> STAIRS, EDWARD :VI. ZEHL.ER.jAY B. BELSKY, EUGE.'E V. LESLIE. CARL R. CO!';RAD, AL.LEK fiRST ROW: ROBERT\\". ED,fONDS.jOSEPH T. L. GOLDFARB. AQUILI. A, :\I.~RY H BOTSFORD. GEORGE ECKH ERT; SECOS D ROW, PASQUALE A. GRECO. PHILIP B. WELS. GEORGE GENT!';ER; THIRD ROW, EUGENE.). HANAVAN. DANIEL.}. MCCUE, BRADLEY HULL. fiRST ROW : IRA \fiLLER, ROBERT E . REISMA:-.i,jOSEPH j . DARLAK, ROBERT B. CORRETORE. HERMA:-.1 R. SCHOEr>E, CARL N. SCHUELER; SECO;-."D ROW, PAUL C. RONCA,JosEPH!.. Ku:-;z.jEAN C. HAAR, ERICK REEBER, HUGH F. Oi:-.:EILL, DEK:-IIS P. IIEIMBACK, HELENE BUERGER. ED,fO:-.ID.). GICEWICZ,jORDAr> S. POPPER, GEORGE H. CHRIST, BERNARD II. SKLAR. FIRST ROW, SEATED : RICHARD \\i. MuNSCHAUER, WILLIAM P. WALSH. HAROLD.). LEVY, As;-."ABEL iRO;-."S, CHARLES D. BAUER; SECO:-.ID RO\L EDWARD F. GuDGEL, LAwRDICE H. GoLDE:-.!, FRED S. ScHWARz. CHARLES A. jOY. HARRY E. PETZI:-.IG, MAY:-.IARD H. MIRES. STANLEY j. CYRAN. CARLj. ]M PELLITIER . jOSEPH R. NAPLES, HERBERT S. PIRSON, EuGENE :\1. \1ARKS . \ummrr 2001 l1ffal1 Hysici11 35 �LEFT TO RIGHT: HAROLD f. GRUNERT. jEFFREY L. KAHLER, jAMES COUGHLIN, CARY A. PRESANT, KENNETH V. KLEMENTOWSKI, VIRGINIA RuBINSTEIN,jOHN RuBINSTEIN.jARED C. BARLOW, THOMAS W. BRADLEY, CHARLES H. MICHALKO, DAVID L. BUCHIN, MARCELLA f. FIERRO, ROGER W. SEIBEL, LOUISj. ANTONUCCI fiRST ROW· TODD A. JACOBSON, THO~IAS LANE, TI!'.IOTHY P. COOLEY, BETTY E. :--,1 EREDITH HARRIS, ROBERTA SzCZUREK; SECO'< D ROW: L. BUKOWSKI. ROBERT E. KAPLA'< \'v.ELLS, STANLEY PATRICK \\1. DIESFELD, GEORGE BANCROFT. DIASA DA.'IELA. CASTELLANI. Ross S. E. ELLIS, SIL\ERSTEIN. fiRST ROW: lLJAj. WEINRIEB, RICHARD A. MANCH, MOHA!'.IED MEGAHED,jOEL H. PAULL, ROY M. 0SWAKS, HARVEY GREENBERG. DONALD H. MARCUS: SECOND ROW: SANFORD S. DAVIDSON, MARTIN N. "JANGO, SCOTT D. KIRSCH, ASKOLD D. MOSIJCZUK. ALLEN BERLINER, NICHOLASj. CAPUA:-iA, MICHAEL B. BARON. jERALD A. BOVINO, jONATHAN S. LEVY. jEFFREY D. fLEIGEL, LEFT ROW BOTTO\! TO TOP· ROSYLN R. RO~IANOWSKI, PAUL C. HOLMWOOD. LANCE A. BESNER. SANFORD H. THOMAS G. DISESSA. l FVY, RIC HARD WILKS: RIGHT ROW THERESA TARTARONE URCIUOLI. STEPHEN URCIUOLI. ANDREW P. GIACOBBE, LEO'<ARD ). PORTOCARRERO, DA!'>iiEL ANDERSON, Wll.LIA!'.I 3& Summer 2001 fl. STEPHAN. E. �FIRST ROW SEATED. LEFT TO RIGHT: t\ILEDi D. CHANG. ROSAI.IND ~OI.AN SuL~I:>.tAN, EussA \1. BoOKNER. JENNIFER). MoM£:>~. \II CHELLE SKRET. ·y SUSCO, KATHYLYNN PIETAK SOUTHARD, LINDA LOR£l>OZANI; SECOND ROW: KATHLEEN£. BETH IN, ADRIANA OROZCO KELLERMEIER, LEliA KIRDANI RYAN, YVETTE M . .JOCKIN , jENSIFER HENKIND FERRARO, MuKESH K.jAtN, Rou.:-~o RODRIGUEZ, PRA!>.IOD K. SHARMA. jOSEPH S. VASILE. \IARY E. BONAFEDE. COLLEEN A. MATTIMORE; THIRD ROW: ERIC SCHUBERT, GREGORY\\' . BRANCH, DwiGHT D. LEWIS, EDWARD PIORTOWSKI, fiRST ROW, LEFT TO RIGHT: THOMAS K. CIESlA, WENDE W. YOU:-iG, SYLVIA R. KENNEDY, j. ANTHONY BROWN; SECOND ROW : KEr-;1\ETH E. BELL, HAROLD BRODY, RICHARD C. HATCH, RONALD H. \IATTHEWj. PHILUPS , ASTHONYR. RICOTTONE , PHlUPj. RADOS, jOHN P.jOHN. MARKj. :\1ANCUSO,jOSEPH P. BONAFEDE. USIAK, EuGENE A. CI~IINO, :'viiCHAEL MADIANOS, ROBERT \1. \10RA!';, GERALD v. ScHWARTZ, ALFRED \lEssoR E. HE. ·RY F. GoLLER, MICHAEL E. COHE .. , HOWARD C. WI LINSKY. FREDERICKS. CIESlAK. SEY~!OURj. LIBERMAN. THE REUNION PHOTOGRAPH FOR THE Cuss OF 1996 WILL BE PUBLISHED IS THE AUTUMK ISSUE OF BUFFALO PH}'S/CHS. Gifts committed to the School by those celebrating reunions this spring totaled over $170,000, the largest class fund drive ever. On behalf of the UB School of Medicine and Biomedical Sciences, I extend a very sincere thank you to the class chairs and their classmates who responded. We are fortunate to have your support and greatly appreciate your generosity. -Lyn Corder, Director of Development FIRST ROW. LEFT TO RIGHT: SUSAN H. BARDE, LINDA \1. WILD, KARE. ·A. Gu.scow, KATHLEEN C. ACKERMA!';: SECOND ROW: STEPHAN LE\ ITT, Do. 'ALD GEORGE, SHINY. l.IONG, MICHAELA. SMITH, CHRISTOPHER). BARDE. DANIEL R. WILD, jOHN.). BOOK!.', PATRICK R. HAYES. CHRISTOPHER F. BRA.'DY, GREGG BROfFMA.', ANDREW \1. GAGE, PAUL P. ScHWACH. LAZLO TOMASCHEK. GRANT GOLDEN. Summrr 2001 llffall nysicial 37 �0 E V E L 0 P M E N T E W S Gifts of Anwork Beautif Our School By Li nda J . Cor de r , Ph0, CFRE we tend to focus on the larger monetary ones of stocks, bonds, charitable unitrusts and estate plans because they have the power to transform the school. As vital as these larger gifts are, however, we also deeply value other contributions; for example, the many volunteers who give of their time. Think about the Dean's Advisory Council, Campaign Steering Committee and National Advisory Group, or the Medical Alumni Association Board, Medical Student Parents' Council and newly formed Medical Faculty Emeritus Group, all of which add to the richness of the fabric that comprises our UB Family. Then, there are the class reunion chairs, alumni who return to talk with students about their specialties, alumni lecturers and the volunteer faculty, a most important group throughout the institution's history. This past year, a group of students became interested in AT PRESENT, WE ARE COMPILING beautifying their school and put A LIST OF ALUMNI ARTISTS AND out a call to alumni for gifts of FRIENDS OF THE SCHOOL WHO artwork that could be displayed in WOULD LIKE TO MOUNT EXHIBITS classrooms, study areas and the OF THEIR WORK OR CONTRIBUTE standardized patient offices, to TO THE SCHOOL'S PERMANENT name a few venues. COLLECTION. PLEASE LET US KNOW As a result, the school is IF YOU WOULD LIKE TO BE ADDED now beautified with works of art TO THIS LIST. such as those presented by one of our alumni who works for the 38 laffal1 Physiciaa Summer 2001 Journal of the American Medical Association and who sent two prints from a show of the journal's cover art. Also, in May of this year, with the help of one of our volunteers, students hung an exhibition of photographs taken by an alumnus. Another alumnus donated a dozen prints on the history of medicine that formerly hung in his office, all of which will be exhibited in a location where they may inspire students. Many others have contributed posters and prints, including Evolution (see below) and the Herd of Buffalo, as well as depictions of plants and flowers. In addition to gifts from alumni, the school has received from the Association of American Medical Colleges a set of five signed prints by Jim Dine (see back cover) . We also have a study of ]ames Scott, Himalayan Survivor signed by both Dr. Scott and the artist, Martin Howard Boscott, a gift from philanthropists in Melbourne, Australia. At present, we are compiling a list of alumni artists and friends of the school who would like to mount exhibits of their work or contribute to the school's permanent collection. Please let us know if you would like to be added to this list. 4D Linda (Lyn) Corder is associate dean and director of development. She may be reached by phone, toll free, at 1-877-826-3246, or by e-mail, at ljcorder@buffalo. edu. �Dear Fellow Alumni, Sl' .. ;S; 0 ·~in; ~"p11e11ed tc •ne on my way to a recent alumni board meeting. Patricia Duffner, MD '72, told me she was not going to be able to serve as incoming president for our Medical Alumni Association. She had a couple of unexpected situations come up that were going to require a great deal of her time. After discussing this with Bertram Partin, MD, '53, former assistant dean for alumni affairs, I decided to offer my services to the board as president for another year. As you all know, I felt very privileged to have served in this role for the past year. I feel I already "know the ropes" and so will be able to help the school even more in my second term in office. As president of our alumni association, I will work alongside Colleen Mattimore, MD '91, and Stephen Pollack, MD '82, who were elected vice president and treasurer, respectively, for the coming year. In the months ahead, I will keep you apprised of changes in the Medical Alumni Office in follow-up to the restructuring plans recently announced for the office, as discussed on the inside front cover. Since these changes were announced as this issue of Buffalo Physician was going to press, I'm unable to provide further details at this time. However, I will do my best to give you as complete an update as possible in the fall issue of the magazine. In other news, a major change in the bylaws of the Medical Alumni Association was approved at the annual meeting held during this past April's Spring Clinical Day and Reunion Weekend. We voted to expand our membership to include emeritus professors, fellows and residents of our graduate medical education programs. These changes will enable us to continue on our course of motivating more people to become interested and involved in "giving back" to our school. Anyone who feels that they might fit into one of these groups and would like information about joining our association, is invited to contact ancy Druar in the Medical Alumni Office, at (7 16 ) 829-2778. Finally, I would be personally remiss if I did not mention our continuing effort to expand the number of alumni who hold lifetime memberships in our association. So, again, please consider supporting our school by becoming a lifetime member of the UB Medical Alumni Association. Thank you for the opportunity to serve another year. jOHN J. BODKIN II , MD President, Medical Alumni Association St~mmer 2001 Buffalo Physician 3 9 �CLASSNOTES Charles J McAllister, MD, '73, writes: "Since July 2000, I have been in the position of chief medical officer of DaVita, the second-largest dialysis company in the world. We have over 430 dialysis units in 34 states. I finally ended clinical practice last year. Very good news is that Diane and I are to be first- time grandparents this year. I maintain offices in Los Angeles, CA, and in New Port Richey, FL." E-mail address is: HKidneydoc@cs.com. Richard J. Goldberg, MD '74, writes: "I am currently professor of psychiatry and medicine at Brown University and psychiatrist-in-chief at Rhode Island Hospital and The Miriam Hospital in Providence. I graduated from the Harvard School of Public Health with a masters of science in Health Care Administration in June 2001." 1980s Michele J. Armenia, MD '86, Barrington, IL, gynecology, writes: "My husband, Robert Aki, MD, and I have three children: Maria, age three, Matthew, age two, and Laura, eight months." 4 0 I u If a I a Amherst, NY, writes: "I completed a lung transplant fellowship in Pittsburgh, PA, in 1991 and currently work in pulmonary and critical care medicine. I am married to James Houck, MD." E-mail address is: lcampbell@kaleidahealth.org. as anyone and writes about them with passion and compassion. This fine, wrenching novel chronicles the addiction of a physician with sensitivity and fearlessness. Dr. Joseph Molea has crafted a wellwritten, important, intensely engaging novel." Karin E. Choy, MD '86, Sean T. O'Brien, MD '86, writes: "Turning 40 has been anything but uneventful! I've finally returned to New York from Connecticut and have taken the position of medical director for Clinical Associates for Rehabilitation and Evaluations, Inc. I also found time to get remarried (to a non-medical UB alum) in April, and we're dividing our time between homes in the city and Long Island. Can't wait to see what's next!" E-mail address is: kcmd@worldnet.att.net. Alpharetta, GA, interventional radiology, writes: "My wife, Sandy, and I have two children: Kasey, age seven, and Jake, age four." E-mail address: styob@aol.com. Lucy A. Campbell, MD '86, 1970s Katrina Guest, MD '86, Waukee, IA, pulmonary medicine, writes: "My husband, Andrew, and I have two children: Adam, ten, and Nathan six." E-mail address is: kaguest@home.com. Joseph Molea, MD '86, will publish his first novel, Duck Blood Soup, this summer. Molea trained as Physic i a a Summer a general surgeon, has a subspecialty in addiction medicine and practices administrative medicine as the executive director of Health Care Connection of Tampa, Inc., a chemical-dependency rehabilitation facility specializing in the treatment of impaired professionals. He lives in St. Petersburg, FL, with his wife, Heidi, a school teacher, and their twin 16month-old daughters, Sophia and Abbegail, whom they adopted from Cen tral Asia last year. Heidi is expecting their third child due this fall. Duck Blood Soup is the first-person account of one physician's struggle to become a surgeon while losing his grip on reality through Demerol 2 0 0 1 addiction. Senior surgical resident Rocky Van Slyke is young, single, living in Philadelphia, at the brink of a brilliant professional career. He should be happy. He's not. Molea skillfully dovetails Rocky's memories into the present-day odyssey of the young physician's own substance abuse, and, through the character of Vincent G. Buddy, the hospital attorney, demonstrates, with alarming accuracy, how the culture of abuse is passed from one generation of physicians to the next. Acclaimed author, Dr. Michael Palmer wrote of this work: "Duck Blood Soup is a powerful, haunting story. Joseph Molea knows the inner workings of addiction as well Deborah Richter, MD '86, Montpe- Sandy and Sean O'Brien lier, VT, family practice, writes: "My husband, Terry Doran, and I have two children: Justin, age 12, and Patrick, age 11. My favorite memory of medical school were the parties at Wally Straus' house." Roslyn R. Romanowski, MD '86, E. Amherst, NY, hematology/oncology, writes; "My husband, Robert Campo, and I have one son, Richard, age three." E-mail address is: rromanow @alum.mit.edu. Alan M. Stein, MD '86, Hooksett, NH, family practice, writes: "My wife, Susan Kunkel, and �I have three children: Sarah, age 15, Kevin, age 13, and Jimmy, age 10. Theresa Tartarone, MD '86, and Stephen Urciuoli, MD'86, Westport, CT, internal medicine, write: "We have three children: Stephanie, Carmine and Anna." Valerie E. Whiteman, MD '86, Hockessin, DE, obstetrics/gynecology, completed a MFM Fellowship at the University of lllinois at Chicago in 1990-1992. E-mail address is: drvwhite @home.com. Kathleen Grisanti Lillis, MD '87, has received the 2001 Catherine McAuley Distinguished Alumna Award from the Alumnae Association of Mount Mercy Academy in Buffalo, NY. The award is presented to an alumna of the academy "who has distinguished herself as a woman of faith, knowledge, integrity and compassion; a woman whose accomplishments in all areas of her life-her family, her community, her career-reflect the legacy and mission of Catherine McAuley, the foundress of the Sisters of Mercy. Lillis is chief of the Division of Emergency Medicine and medical director of the Emergency Department at Children's Hospital of Buffalo. According to Mount Mercy Academy, she has "dedicated her life to enriching the health, safety and well being of infants and children. 1n addition to managing an emergency department that is one of the best pediatric facilities in the country, Kathleen is also the volunteer director of Mercy Flight. She is on call for the helicopter team 24 hours a day, fielding calls and directing care, all for the welfare of children. As a distinguished alumna, Dr. Lillis's life models that of Catherine McAuley in her persistence to improve the quality of life for children, in leading by example and in believing that one life can make a difference." Vasile Chief of Psychiatry at faleahh Care 1990s RohitBakshi, MD '91, neurology and neuroimaging, writes: " My wife, Lori, and I are thrilled to announce the arrival of our first child, Adam. He has added much excitement and joy to our lives. He has been welcomed enthusiastically and lovingly by his four beaming grandparents who also live in the Buf- falo area, including Dr. George Baeumler, MD '59, and Dr. Suraj Bakshi, associate professor of nuclear medicine at UB." ite medical school memories include friends, Dermatones, yearbook staff." E-mail address is: gwmbranch @aol.com. Kathleen 8ethin, MD '91, St. Louis, MO, pediatrics, writes: "I am currently working at St. Louis Hospital in Missouri. E-mail address is: beth in_k@kids. wustl.ed u. Paul A. Brill, MD '91, Anderson, SC, neurology, writes: "My wife, Sandy, and I have a son, Andrew, age nine." E-mail address is: pabrill@viafamily.com. Gregory Branch, MD '91, Baltimore, MD, internal medicine, "I have a son, Byron, age 11. My favor- assnotes Sllmme r 200 1 Aileen Chang, MD '91, Stony Brook, Y, gastroenterology, internal medicine, writes: "My favorite memories of medical school include orientation week." E-mail address is: achang@pol.net. Buff a l o Phy sic i a a 4 1 �CLASSNOTES Robert C. Dukarm, MD '91, neonatology, Buffalo, NY, writes: "My wife, Carolyn Dukarm '89, and I have two sons: Ryan, age four, and Matthew, age two." have three children: Steven, Donovan and Elaina. My favorite memory of medical school was playing pool at Chevy's Bar and Grill." John Gelinas, Jr, MD '91, Ingrid C. Helmer, MD '91, Redding, CT, child and adolescent psychiatry, writes: "My wife, Carole, and I have three children: Andrew, jackson and Emuly. My favorite memories of medical school are times with my friends. UB was a great experience!" E-mail address is: jgjrchbg @gateway. net. Lunenburg, MA, pediatrics, writes: "My husband and I have two children: Natalie and Katherine." Toby D. Goldsmith, MD '91, Gainesville, FL, psychiatry, writes: "We have a new little boy, Reid Mitchell Shapira, born in September of2000." E-mail address is: goldsmith@pol.net. Ronald Hale, MD '91, Victor, Y, public health and general preventive medicine, writes; "My wife, Cynthia, and I have two children: Madeline and Benjamin. Among many other things, I am still under active duty with the Air Force." E-mail address is: erhale@sajx.rr.com. Steven P. Harris, MD '91, Gibsonia, PA, pulmonary, critical care, writes: "My wife, jane, and I 4 2 I u If a I o La jolla, CA, ophthalmology, writes: "We have a son, Erik Willem. My favorite memory of medical school was the Follies." E-mail address is: yvette@jockin.com. Tualatin, OR, anesthesiology, writes: "My favorite memories of medical school include studying in the study hall with my friends and then wandering around campus to find different places to study when it got too crazy in the study hall-and Buffalo wings!" E-mail address is: kubota@teleport.com. Physician Summer Bethesda, MD, pediatric endocrinology, writes: "My husband, Eric Feyer, and I have a daughter, Elyssa, and a new one due in August of 2001." E-mail address is: dmerke@nih.gov. Stephen Lipsky, MD '91, Susan Y. Kubota, MD '91, Amherst, NY, internal medicine, "My wife, Erica, and I have four children, Danitra, Diandrea, Delmarie and Dwight. My favorite memory: 'Rubbish,' or brownies." E-mail address is: dlera@aol.com. Deborah Merke, MD '91, '91, Westford, MA, physical medicine and rehabilitation, writes: "My wife, Kathleen, and I have two children: Marc and Elena. My favorite memories of medical school: friendships, colleagues pulling together to help each other through difficult times; first time on the wards; acceptance and graduation." E-mail address is: pliguori@pol.net. Yvette Jockin, MD '91, Dwight Lewis, MD '91 , Paul Anthony Liguori, MD Dunwoody, GA, pediatric ophthalmology, writes: "I completed a pediatric ophthalmology fellowship in 1996 at Indiana University. My wife, Karen, and I have two children: Harrison and Alexandra." E-mail address is: thelipskys @media.one.net. '91, Loganville, GA, psychiatry, writes: "I work for a community mentalhealth organization at a crisis stabilization inpatient unit." E-mail address is: cbmorgan @medscape.com RichardS. Musialowski Jr., MD '91, Rock Hill, SC, 2 0 0 I rics, writes: "My wife, Kathleen, and I have two children: Connor james and Ryan Elizabeth. I am currently on the hospital staff at Children's Hospital of Philadelphia." E-mai Forest Hills, NY, obstetrics/gynecology, writes: "My favorite memories are brownies, anatomy lab (our group was very funny) and finishing!" E-mail address is: jabram5453@aol.com. Keene, NH, pediatrics, writes: "My husband, Dean, and I have three children: Anna, Maxwell and jonathan." E-mail address is: janmcgonagle@hitchcock.org. Kevin C. Osterhoudt, MD '91, Radnor, PA, pediat- Carol Bradley Morgan, MD Susan J. Littler, MD '91, Jan McGonagle, MD '91, help me out when I had troubles with my classes-that they stuck with me. That support meant much for me." E-mail address is: atn0623@aol.com. cardiology, writes: "My favorite memory of medical school was Friday afternoon anatomy lab that continued on to become chicken wings and darts at a local establishment." E-mail address is: musialor @rjsonline. net. Anthony T. Ng, MD '91, Brooklyn, NY, psychiatry, writes: "My favorite memory of medical school includes having really good friends to Terrence S. Peppy, MD '91, Orlando, FL, obstetrics/ gynecology, writes: "My wife, Renee, and I have three children: Christopher, Stephen and Nicholas. My favorite medical school memories include classmates and rotations." Edward S. Piotrowski, MD '91, Orchard Park, NY, general surgery/trauma/ burns/laparoscopy, writes: "I am a member of the American Burn Association. My wife, judith, and I have two children: Elizabeth and Derek. My favorite CONTINUED ON PAGE 44 �Lloyd A. Clarke, MD'38 Clinical associate professor emeritus in psychiatry Abraham%. Freudenhelm, MD'38 Paul Kendrick McKissock, MD 'SG Renowned plastic surgeon .Jerome.J. Maurlz:l, MD 'S2 Founder of Occupational Health Services Summer 2 0 0 I lllfal• nrsicia• 43 �CLASSNOTES I wife, Donna, and I have two children: Joey and Christopher. My favorite medical school memory: Thursday night Simpsons and get togethers." E-mail address is: joewmd@hotmail.com. CONTINUED FROM PACE 42 Cook at Strong Memorial medical school memories include: ( l) The 'P' dissection group in gross anatomy; and (2) When my partner in secondyear clinical asked an elderly patient, "Do you have a history of subacute bacterial endocarditis?" Residents Arif R. Alam, MD, has been Phil Rados, MD '91, Buffalo, NY, writes: "My wife, Genevieve, and I have a son, Francis ( Frano ), born on january 31, 2001." E-mail address is: amalavinica@hotmail.com. Stephanie Han, MD '96, Susan, and I have two children: )yoti and Ravi." E-mail address is: pramodksharma@aol.com. New York, NY, radiation oncology, writes: "I will join the faculty practice at ew York University Medical Center in July." E-mail address is: stephanie.han@yale.edu. Michelle (Skretny) Susco, MD '91, Clifton, VA, pedi- Eileen Reilly, MD '91, Buffalo, NY, family practice, writes: "I am married to Ray Gomez. My favorite medical school memories include finishing the first year and planning a trip Ray Gomez and across the coutry." Eileen Reilly Vicki L. Seidenberg, MD '91, New York, Y, physical medicine and rehabilitation, writes: "My husband, Mark, and I have two children: early Brooke and Leah Nicole. My favorite memorygraduating!" Pramod K. Sharma, MD '91, Ann Arbor, MI, otolaryngology/head and neck surgery, writes: "I am currently on staff at the University of Michigan. My wife, 4 4 la lf al t atrics, writes: "Among other things, I recently finished a program for 'Physicians Leading Change' at Georgetown University Medical Center." E-mail address is: jmcsusco@erols.com. Rudolph Joseph Schrot, MD '96, Sacramento, CA, Beth MacDonald, MD '96, Portland, OR, internal medicine, writes: "One of my favorite memories of medical school is Karin Selva's cabin party." E-mail address is: sqrmf@aol.com. Joseph A. Zarzour, MD '91, Wichita Falls, TX, pediatric ophthalmology. "My favorite medical school memory: The feeling of relief after a block of exams!" Paul S. Matz, MD '96, Pawtucket, RI, writes: "My primary specialty is general academic pediatrics." E-mail address is: psm9@cornell.edu. Cindy (Repicci) Romanowski, MD '94, and Marcus John S. Pulvino, MD '96, Romanowski, MD '93, Old Orchard Beach, ME, obstetrics/gynecology. E-mail address is: jpulvino@mmicservices.com. write: "We welcomed our second child, Rachel, on April13, 2001. She joins Marcus Jr, age three." Phy si c i aa children: Katherine, Michelle and Rachel. My favorite memorygraduation!" E-mail address is: kmrobillard @aol.com. Kristen Schenk Robillard, neurosurgery, writes: "I remember drawing inspiration from my colleagues during Intro to Clinical MedicineClara K., Eileen K., Brad D.-for their enthusiasm and discipline." E-mail address is: rudolph.schrot @ucdmc.ucdavis.edu. Karen Sneii-Garus, MD '96, Williamsville, NY, obstetrics/gynecology, writes: "My husband and I have two children: Mitchell, age four, and Kyle, almost two. My favorite memories: anatomy, snow, late nights in the CT room at ECMC, the Law library." MD '96, Orchard Park, NY, family medicine, writes: "My husband, Paul, and I have three Summer 2 0 0 I Joseph C. Wittmann, Jr., MD '96, Amherst, NY, pediatrics, writes: "My appointed to the Division of Blood and Marrow Transplantation in the Department of Medicine at Roswell Park Cancer Institute (RPCI). He has also been named an assistant professor of medicine at University at Buffalo's School of Medicine and Biomedical Sciences. Alam joints RPCI and UB from City of Hope National Medical Center in Duarte, California, where he completed a clinical fellowship in bone marrow transplantation. He earned his medical degree from Dow Medical College, Karachi, Pakistan, in 1991, and completed residency training in medicine at UB in 1996. A nutnber flf Clasnotes antYednwewereplag tD press wlllt IIIII Iaue "' ..,.l'llpk#MJ. Plene Witch far them In the autumn 20011aue. �- Based on F/MsM Data ttTheywere ddl sergeantsand cheerleaders~' - Frank Ste/ars/<.j, stroke rehab patient, Harris Hill H.C.F. Why do our patients have better rehab resutts compared to the national average? Maybe it's our staff ''They knew exactly how far to push me:' says Frank Stelarski.' 'But they also encouraged me every little step of the way. When you've been through what I have, that really means a lot.'' To leam more about the nationally recognized McGuire Rehabilitation 11IE ~cfNn~Il9!{ CENTE~ Centers, call 1-888-POSTACUTE or visit www.mcguire-group.com. Recognized for excellence in quality care. AUTUMN VIEW • GARDEN GATE • HARRIS "*****" HILL • NORTH GATE �y H E A R T ARTIST jiM DINE's PRINTS ON DISPLAY Heart is one of five prints by Jim Dine , a well - known modern artist. Astra USA commissioned the prints and made an initial gift of several sets to the Associ ation of American Medical Colleges (AAMC) for dis tribution to its nonproft member institutions. In 1997 , the AAMC gave set 81 / 400 to the University at Buffalo 's School of Medicine and Biomedical Sciences. The prints hang on the second floor of the Biomedical Education Building on UB ' s South Campus. Recently , Heart graced the cover of the brochure for the school's Spring Clinical Day , the theme of which was "The Healthy Heart. " liP 0001 02 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 2001 Subject The topic of the resource State University of New York at Buffalo. 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A Little Fire in the Belly' Good Ways to Deliver Bad News Medical School Pathways Spring clinical Day Alumni Development Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-14 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v36n01 Extent The size or duration of the resource. 48 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 2001 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/7bcd5093b224d6f9bc61a1aa833431f8.pdf 2289a7794b92d4331b9935dddf071114 PDF Text Text �l1ffale ••ysicial ASSOCIATE VICE PRESIDENT FOR UNIVERSITY COMMUNICATIONS D r. Ca ro le Sm ith Petro DIRECTOR OF PERIODICALS S ue Wuetcher Dear Alumni and Friends, EDITOR S tephanie A. Unger ART D I RECTOR/DESIGNER we anxiously await word from Punxatawney Phil and Dunkirk Dave, those furry little rodents who allegedly predict the end of wintry weather. eedless to say, they had differing messages this year (Phil saw his shadow, Dave did not), Alan f. Kegler CONTRIBUTING WRITER Lois Baker so apparently we now have a choice as to whom we believe. Fortunately, for those on the Campaign Committee, the Dean's Advisory Committee and/or the National Advisory PRODUCTION COORDINATOR Cyn thia Todd-Flick Group, it really didn't matter, as an early February "taste of spring" was experienced in Hilton Head, NC, where we held the annual "winter outing" for these dedicated volunteer groups. The meeting was hosted by Linda and AI Rekate, MD '40, and by Roger Farber UN I VERSITY AT BuFFALO. THE STATE UNIVERSITY OF NEW YORK. SCHOOL OF MEDICINE who, although not a UB alum, has strong family ties to this medical school. Twenty-one of AND BIOMEDICAL SCIENCES these committee/group members attended and a good deal of work was accomplished. Dr. j ohn W right, Dean After much discussion and reflection, the Buffalo Medical-Dental EDITORIAL B OARD Consortium voted to discontinue participation in the "Demonstration Project," a six-year resident-reduction program that was beginning to adversely affect the region's postgraduate educational experience. This action averted the need to reduce the resident quota to final-year levels and provided some needed flexibility to expand the pool, just a bit. The physician work force dynamics have changed dramatically since the Demonstration Project began in 1996, at which time a significant excess of specialists (by the end of the century) had been predicted. The Western ew York region Dr. Bertram Partin, Chair Dr. john Bodkin Dr. Martin Brech e r Dr. Haro ld Brody Dr. Linda f. Corder Dr. Alan f. D rinnan Dr. j a m es Ka nski Dr. Eliz abeth Olmsted Dr. Step /1 e11 Spaulding Dr. Bradley T. Trua x Dr. Franklin Zeplowitz (indeed, the entire country) is now experiencing significant shortages of anesthesiologists, radiologists, and medical oncologists, to name just a few of the specialty areas in short supply. We will continue our commitment to train physicians in the primary care disciplines but this action will allow us to more accurately respond to the real world's needs. A major financial benefit to our ailing hospital systems was yet another reason for with drawing from the project. On February 14, the Hauptman Woodward Institute (HW!) and the university announced an agreement to create a new Structural Biology Department within the School of Medicine and Biomedical Sciences, to be housed within HWI on High Street (see article on page 10). This formalizes the extensive collaboration that has evolved with HWI and Roswell Park (RPC!), and will facilitate even greater collaboration in the future. Indeed, our closer relationships with HWI and RPCI have enabled us to apply for significant new grant funding that would have been well beyond our reach had these collaborative interactions not been in place. This development also marks an important TEACHING HOSP ITALS Erie Co unty Medical Cen ter Roswell Park Cancer Institu te Ve terans Affairs W estern New Yo rk H ealth care System KALEIDA H EALTH: The Buffalo General H osp ita l The Cl1ildren 's Hospital of Buffa lo Millard Fillmore Gates Hosp ital Millard Fillm ore Suburban H ospital CATHOLIC H EALT H SYSTEM: M ercy H ealt /1 System Sisters of Charity Hospital N iagara Falls M em orial Med ical Ce nter @ UNIYEISITY IT 18fllll. THE SUTE UNIVEISIJT IF NEW YOlK step to developing the Buffalo-Niagara-High Street Medical campus, an idea that holds great promise for this community. The return of at least a portion of the medical school to High Street should engender a bit of nostalgia for some of our more "chronologicallyadvantaged" alumni. Although the planning process has generated predictable pockets of opposition and controversy, strong community support and visions of opportunity abound-not an unfamiliar path to progress here on the Niagara Frontier. ---7 ~MD Dean, Schoo l of Medicine and Biomedical Sciences Letters to the Editor Buffalo Physicim1 is published quarterly by the University at Buffalo School of Medicine and Biomedical Sciences in cooperation with the Office of Communications. Letters to the Editor are welcome and can be sent c/o Buffalo Physician, 330 Crofts Hall, University at Buffalo, Buffalo, NY 14260; or via e-mail to bp-notes@buffalo.edu. The staff reserves the right to edit all submissions for length and clarity. % University at auffalo k The State Ut~iversity ofNew Yor �VOLUME 35, NUMBER @ Features 4 Medicine Goes Molecular New fields of proteomics and bioinformatics are spurring multidisciplinary research collaborations in Buffalo BY S . A. UNGER, ELLEN GOLDBAUM AND LOIS BAKER PHOTOGRAPHY BY FRANK MILLER 12 McKinley's Assassination Surgeon and historian Jack Fisher, MD '62, revisits the the medical controversy one hundred years later The Temple of Musicat the 1901 Pan-American Exposition. here pictured at night. was the site of the assassination of President William McKinley inBuffalo, New York. DEPICTS A THREE-DIMENSIONAL STRUCTURE OF MEMBERS OF THE SHORT-CHAIN OEHYDROCENASEIREDUCTASE FAMILY, DETERMINED AT THE HAUPTMAN-WOODWARD MEDICAL RESEARCH INSTITUTE. WORK ON THE STRUCTURE RELATES TO BREAST CANCER AND THE SEARCH FOR MORE EFFECTIVE DRUGS TO TREAT THE DISEASE. 18 John Naughton, honored by AMS of ew York for distinguished service 22 jacobs study named Top 10 for 2000 by Harvard Health Letter 18 Paola Muti Emeritus Faculty Group formed 27 Robert Blake Reeves and james E. Allen remembered named first chair in family medicine at Tuft's University 23 jerome Kassirer honored by American jewish Congress studies breast cancer and the role of hormones and insulin 32 Cocaine use and heart attacks 33 Marjuana use and male infertility 34 Message from the director"Every Gift Vital to School's Future" 35 james Platt White Society 37 Edmund Hayes Society 40 ews from your UB classmates and other alumni 44 Eugene Morhous and George Alex Poda remembered �- Internal Medicine's Man T hank you for the wonderful article on James Nolan, MD, in the autumn 2000 issue of Buffalo Physician. He was an outstanding role model in internal medicine, and I am one of the legions of medical students who followed his lead into academic medicine. It has been a source of pride to watch his leadership of the American College of Physicians and his support of training of more generalists. Finally, during the time I was a minority student in Buffalo in the early 1980s, Dr. Nolan helped to shape a demanding yet inclusive and supportive environment m which excellence was expected. To me, this will be his greatest legacy. 0 - W hile scanning through the newly arrived autumn 2000 issue of Buffalo Physician, I discovered a wonderful group photo on page seven. In it are pictured the Internal Medicine House Staff, 1967, of the Buffalo General Hospital. I think the photo is wonderful because it shows Helmut G. Schrott, MD '66, my husband, in the first row, far right. However, he is identified as "Harold Schrott," an understandable mistake because everyone called him "Hal," but incorrect nevertheless. If you look in your database, I think you will find that he has long been a professor of internal medicine at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Sincerely, DavidS. Kountz, MD '85, FACP .+-J Mara J. Schrott Associate Dean for Postgraduate Education Associate Professor of Medicine Chief, Division of Primary Care UMDN]-Robert Wood Johnson Medical School I just wanted to let you know how wonderful your article on Dr. Nolan was. It was quite a tribute to a man who had an exemplary career. I remember Dr. olan as being an exceptional teacher and legendary clinician. Your superb article certainly brought that out. Congratulations on writing a real "gem." Stephen Lazoritz, MD '76 Vice President, Medical Affairs, Children's Hospital of Omaha I always enjoy reading Buffalo Physician and thought your article about Jim Nolan was very good, but I think you could have done better at identifying the people in the '67 photograph [of the internal medicine house staff]. The two women in the picture are myself-Carol Segal (not Siegel), the third from the left, front rowand Marie (Tony) Verso; I do not see Daphne [Hare] at all. Behind Tony on the end of the second row is Ron Rohe, who became chief resident after Bill [Fleming]. Kenneth Newmark is third from the left in that row. Bob Moskowitz is third &om the right, front row. Joel Schnure is the correct spelling for the resident between Dr. Calkins and Bob. Lou Wertalik is in the back row. Sincerely, Carol Segal, MD 2 luffalo Physician Spring 2001 ~--- �tion (successfully) at the Buffalo General Hospital. As far as I know, the mentoring program was accepted and carried on then for some time in the '50s. From the Buffalo Physician article, I gather that it fell on hard times and then was renewed and now apparently funding is being withdrawn from some other sources. I n regard to the unknown individuals in the photograph [of the internal medicine house staff] on page 7 in the autumn 2000 issue of Buffalo Physician, I believe I can identify the following: 1. SAMUEL ARMSTRONG 2. ORMA BERKOWITZ 3. ARTHUR COHEN 4. DAVID DANTZKER 5. DouGLAS GERSTEIN 6. LIBERATO !ANNO E 7. Ro ALD JosEPHSON 8. JOHN MENCH! I 9. DONALD MILLER 10. DouGLAS RosiNG 11. BRIA 12. JAMES STROSBERG 13. CALVIN TREGER 14. LOUIS W ERTALIK SHEEDY Sincerely yours, Douglas Gerstein, MD San Rafael, CA Primary Care Summer Externship Program I read with interest the article by Debra Stamm in the winter 2001 issue concerning the Primary Care Summer Externship Program ... and I thought you might be interested in the following story of my involvement in primary care training for Buffalo physicians. In the spring of 1950, I approached Dean Stockton Kimball to request that I be allowed to spend time in my junior/ Internal Medicine House Staff, 1967 senior year with a general practitioner, literally living with him or her and observing the practice of medicine and patient care at the level of a capable general practitioner. If I could spend my summer this way, I promised to report to Dean Kimball on my experiences and then, if approved by the faculty, the program could be offered to subsequent classes as an elective. Dean Kimball agreed and with the help of other faculty found a doctor in East Aurora, Dr. Donald E. Donovan, who was willing to be my summer mentor. I spent a fascinating month with Dr. Donovan, living at his home and answering all calls, seeing patients in his office and studying up on the subjects his patients called to my attention. During that time, I helped diagnose a coarctation of the aorta of one patient and helped to arrange for Dr. John Payne to correct that congenital condi- It is interesting how the direct care of patients has suffered in these modern times. The economics of medical care have been the most important factor, as well as the variable "prestige" of specialties. I guess "follow the money" is the American way of life, but there will always be a few romantic and selfless people who want to deal directly with patients' problems and ills. Thanks be for this. Sincerely, Robert E. Ploss, MD '51 Letters to the Editor are welcome and can be sent via e-mail to bp-notes@buffalo.edu; or by post to Buffalo Physician, 330 Crofts Hall, University at Buffalo, Buffalo, NY, 14260. Letters may be edited for length and clarity. Spring 200/ lu flllo Physicin 3 �A<; r YtAR ABOl T Tills TI~ the biomedical community was abuzz with news that the much-vaunted Human Genome By S.A. Unger nd Ellen Goldbaum Project was coming to a climax as rival international groups, both private and government-sponsored, raced toward the finish line in what is arguably one of the most important accomplishments of the 20th century. But what does it mean now that we have sequenced the full complement of DNA in the human genome, and how can these data help scientists develop advanced medical treatments? Much like when a sculptor unveils his prize work of art only to be met with a quizzical, "What is it?" scientists today are now busy explaining to a highly expectant public why the Human Genome Project is indeed a masterpiece. In essence, what they are telling us is that although the Human Genome Project was a Photos By Frank Miller .t luffalo Phys ici aa "race," it was more specifically, a relay race-and only the first leg of it has been run. Spring 2001 �PROTEOMICS A N D The baton-the decoded human genome-is today being . • D .c " handed off to a new set of sprinters who will take it a second lap, bringing scientists just one step closer to what most nonscientists consider the "real" finish line: the translation of basic science into clinical science, where it has practical applications for patients. This second lap in the relay race is today being referred to as the "post-genomic era" because scientists running it are no longer focused on mapping and sequencing genes; instead they have turned their attention to the substances genes produce: proteins. E . . ..• xperts now estimate that we humans have some 30,000 genes that are responsible for churning out thousands of different proteins. The challenge is that, in most cases, the functiOn of these genes and their proteins is a mystery. Toward the goal of unlocking the secrets of proteins, a new scientific field called proteomics has sprung into being, the aim of which is to discover the structure and interactions of all proteins in a given cell. By studying the proteomic landscape of healthy and diseased cells, researchers may better understand the complex ways in which cells communicate at a molecular level, which in turn can lead to a better understanding of our body's metabolic pathways. Once these mysteries are deduced, pharmaceutical companies can collaborate with basic scientists to develop more sophisticated diagnostic devices, as well as new drug targets. In this new world of pharmacogenetics and pharmacodynamics, scientists will attempt to identify which misguided protein needs targeting and design BIOINFORMATICS drugs that bind to it in order to turn it on or off-a form of treatment that, because of its specificity, is predicted to produce few, if any, side effects. Although scientists do not know the details surrounding how proteins function, what they do understand is that a protein's function is often tied to a protein's shape; in other words, the way in which a protein interacts with other molecules is in many cases determined by its three-dimensional architecture. In this post-genomic era, therefore, much attention and tremendous resources are being marshaled toward the goal of modeling the three-dimensional structure of as many proteins as possible. More specifically, scientists who have expertise in structural biology are seeking to devise ways to better understand, and even predict, how a gene's D A directs amino acids to fold in order to create a protein's three-dimensional shape. (Based on current knowledge, scientists estimate that there are several thousand different classes of protein folds.) The quest to sequence proteins and model their shape promises to be as thrilling a race as was the one run to decode the human genome. Over the past few decades, scientists have devised a number of laboriously painstaking techniques to determine the shape of a protein. One of these techniques is crystallography, which involves bombarding single crystals of protein molecules with X-ray beams. The beams are diffracted by the atoms of the protein molecule thereby generating the diffraction pattern. This pattern is then analyzed by computer to define the protein's molecular Spring 2001 lulfale Physician 5 �-~ PROTEOMICS AND structure. A second technique involves nuclear magnetic resonance (NMR) spectroscopy, which uses powerful magnets to determine the chemical shifts of nearly all atoms of the protein. Knowledge of these shifts enables scientists to measure distances between protons, from which protein structure can be calculated. ·ke the Human Genome Project, the success of proteomics ill depend heavily on the ability of scientists to automate [ nd greatly accelerate these and other protein-modeling techniques-as well as protein-sequencing techniquesin order to process phenomenal amounts of information embedded within all the proteins in a given species, or its proteome. Integral to this automation effort will be the tandem development of new generations of supercomputers and robotics systems. Underpinning this entire post-genomic quest is the burgeoning new field of bioinformatics, where computer scientists and biologists work side by side toward the goal of harvesting information produced by the genome and proteome projects in order to provide medical researchers with the knowledge they will need to move forward with discoveries. Center of Excellence in Bioinformatics It was with an understandable sense of pride and accomplishment, therefore, that the University at Buffalo learned in January 200 l that New York State Governor George Pataki, in his "State of the State" address, proposed that Buffalo be designated as the site for a worldclass Center of Excellence in Bioinformatics. 6 lu llale Ph ysician S pring 2 00/ -- - - - - - - -- BIOINFORMATICS In what Bruce Holm, PhD, senior associate dean in UB's School of Medicine and Biomedical Sciences, describes as "one of the biggest announcements made at this university in at least a decade," the governor detailed plans for the center, which he said would be one of three established across the state as part of an ambitious $1 billion high-technology and biotechnology plan aimed at positioning ew York State as a worldwide leader in university-based research, job creation and job development. The other two centers- one of which would be located in Albany for nanoelec- I ... Scientists who HAVE EXPERTISE I • STRUCTURAL BIOLOGY ARE SEEKI:-;'G tronics, and the other TO DEVISE WAYS TO BETTER U . DERSTAND, in Rochester for photonics and optoelec- AND EVE •• PREDICT, HOW A GENE's tronics-would, along DNA DIRECTS AMINO ACIDS TO FOLD IN with the Center of Bioinformatics, serve ORDER TO CREATE A PROTEIN's THREEto link university reDIMENSIONAL SHAPE. searchers directly with private industry as part of what Pataki referred to as "the largest high-tech economic development initiative in our state's history." Making Buffalo a dedicated research site for bioinformatics is a natural progression of the pioneering work that the proposed center's three partner institutions-University at Buffalo, Roswell Park Cancer Institute (RPCI) and Hauptman-Woodward Medical Research Institute (HWI)-have been doing for years. Holm, �PROTEOMICS . . c AND who points out that the majority of the DNA used in the Human Genome Project came from volunteers in Western ew York, courtesy of Roswell Park Cancer Institute's proficiency in creating D A libraries, says Buffalo is uniquely positioned to make a Center of Excellence in Bioinformatics possible because the scientific areas in which it excels will be critical ingredients in the bioinformatics revolution. These ingredients, as outlined by Holm and others who will be involved in the center, include the following: ·Supercomputing. UB's Center for Computational Research (CCR), which is one of the world's leading academic high-performance computing sites, has the large-scale computing and visualization capabilities and the staff expertise necessary for tackling the massive computational problems presented by the data in the human genome. CCR already serves as the computational backbone for research under a $25 million National Institutes of Health (NIH) grant in structural genomics awarded to a consortium of nine institutions, including UB and HWJ (see article on page 9). "CCR provides the computing power that is essential for any successful bioinformatics initiative," says Holm. "Without it, we wouldn't even be in the game." "Proteomics and structural biology require massive supercomputing capabilities," says Jaylan Turkkan, PhD, UB vice president for research. "There are tens of thousands of different ways that proteins can fold, so only with high-end computing are scientists going to be able to model and predict what those folds are going to look like." 8IOINFORMATICS ·Structural Biology, Genomics and Proteomics. Over the past five years, more than $17 million in key scientific awards has been received by UB's School of Medicine and Biomedical Sciences, RPCJ and HWJ to study genomics, proteomics, structural biology and neuroimaging as they pertain to disease modeling and drug discovery. ·Generation of DNA Microarrays. The DNA microarray facility, jointly operated by UB and RPCI, allows scientists to detect thousands of genes simultaneously and analyze their expression. By creating custom gene "chips," each of which can contain thousands of genes, the facility is a boon to researchers investigating which of the 30,000 human genes are active in a given cell or tissue. ·Pharmaceutical Science. Pioneering work in UB's School of Pharmacy and Pharmaceutical Sciences led to the development of the field of pharmacodynamics, and continued work by the same researchers has resulted in new techniques to find markers of pharmacological effect that can be used to optimize new drugs and therapies. A t the same time, HWI and UB are home to the developers of SnB, the molecular structure-determination software based on the algorithm developed by Nobel laureate Herbert Hauptman, PhD, UB Distinguished Professor and president ofHWI, and the Shake-and-Bake algorithm developed by George DeTitta, PhD, professor and chair of the Department of Structural Biology in UB's School of Medicine and Biomedical Sciences and HWI executive director; Charles Weeks, PhD, senior research scientist at HWI; and Russ Spring 200/ l a lla l o Ph ysici an 7 �~--- ~---- PROTEOMICS I . . AND Miller, PhD, director of CCR and professor of computer science and engineering. SnB is the structure-determination software of choice in more than 500 laboratories across the United States. s za on Also at UB is the New York State Center for Engineering Design and Industrial Innovation ( YSCEDII), which has the virtual-reality capabilities to allow scientists to visualize and interact with three-dimensional molecular structures in large, immersive environments. The current arrangement at YSCEDII allows scientists to interact with biological data through visual data-mining techniques. Planned expansion to a fully developed, six-wall (walls, floor and ceiling) "cave"-a capability now available at only one other institution in the nation-will amplify the amount of information that can be displayed by a factor of six at the very least. This new environment will make it possible to 'walk through' a compound, evaluate the fit of a series of drug leads to a particular target protein and suggest changes to drug candidates to maximize their potential efficacy. eR Co ec on We have the right collection of institutions, individuals and facilities to make this [center] happen," says CCR's Miller. "In fact, many of us have been working collaboratively for years." And while it is very early, the business community is already starting to respond. A major firm with strong ties to the area and an interest in bioinformatics has stated that it is considering an additional significant investment in resources in Buffalo, now that a Center of Excellence in Bioinformatics has been proposed. 8 luffa le Physici11 Spring 2001 ·· - - - BIOINFORMATICS olm adds that because Buffalo is a very low-overhead place to locate a business, he expects to see more firms become interested in the area as the center gets going . "Heads are turned by this kind of investment," he says. That's also likely to be the response from federal funding agencies, according to Turkkan. "The federal government wants to see that a state supports a university's activities," she says. "When we can show them that we already have a coherent plan for this center, that we have space identified and major support from Albany, all of these things will make us that much more competitive, especially because they demonstrate to the IH that recruitment of top faculty will be much easier," she adds. In addition, Turkkan notes, the participating institutions have long histories of collaboration that include formal memoranda and faculty with joint appointments, and she emphasizes that it is the nature of those institutions themselves and the capabilities they posses that also make it possible to exploit bioinformatics in its broadest sense. All over the university, and in labs throughout the world, therefore, bioinformatics is driving such collaborations. Buffalo already is making and exploiting those connections, but it is Pataki's announcement that will put the area on the map. "It's time to recognize that Buffalo has some unique strengths," says Holm. "The money for the new Center of Excellence in Bioinformatics will allow us to take those strengths and turn them into an economic engine for this area." - -- �P ROTE OMI CS A N D BI O I NFO RMATI CS ctures -Woodward resonance ( MR) spectros- Medical Research Institute copy to determine protein (HWI) and University at structures.Knowingthemo- Buffalo have received grants lecular structure of proteins totaling $3.13 million to develop new, highB speed methods to determine is essential for designing new drugs to treat, prevent L o the molecular structure of proteins. The funding is part of a y B A $25 million center grant awarded to the Northeast Structural Genomics ( ESG) I K z: 0 .... . and cure diseases. George DeTitta, S E .... .. .... R ~ professor and chair of the Department of Structural Biology in UB's School Consortium composed of researchers of Medicine and Biomedical from UB, HWI, Cornell University, Sciences and HWI executive . ...• • ...•.. Columbia University, Yale University, director and CEO, and Jo- University of Toronto, Ontario Cancer seph Luft, HWI senior re- Institute, Pacific Northwest National Laboratories and Rutgers University, search scientist, will receive $1.75 million over the next home to the principal investigator on five years for their work in crystal- will receive $1.38 million for research the project, Gaetano T. Montelione. growth methods and techniques. The institute will use a newly developed, using NMR spectroscopy to establish The consortium was established in E protein structures. Approximately $1 response to the National Institutes of high-throughput robotics laboratory million was awarded through the Health's (NIH) Protein Structure Ini- center grant for the UB work, with the ational that will allow researchers to obtain crystals for X-ray structural analysis for additional $385,000 contributed by Institute of General Medical Sciences a large number of different proteins in a the National Science Foundation. (NIGMS). The initiative aims to capital- short time. The new laboratory was es- "The center grant supports the pur- tiative, funded through the IH ize on discoveries generated by the tablished with funds from the John R. chase of a cryogenic NMR probe, which Human Genome Project. Oishei Foundation, making Hauptman- The ESG Consortium is one of seven pilot research centers in structural Woodward scientists among the first to use this method of crystal production. will increase the sensitivity of our spectrometer by a factor of three or more, thus reducing measurement time of molecular genomics, a new field dedicated to "It is projects like these that exem- determining gene function by defining plify how critical initial support can be," the protein structure encoded in a gene's DNA sequence. The goal of the NIH initiative is to target proteins from various model organisms, including the fruit fly, yeast, roundworm and certain human proteins. The consortium will use both X-ray crystallography and nuclear magnetic DeTitta says. "The funding from the Oishei Foundation provided the infrastructure for the lab and also gave us another great opportunity to work with talented colleagues, including Tom Szyperski at the University at Buffalo." Thomas Szyperski, PhD, UB associate professor of chemistry, and his team structures about tenfold," Szyperski says. "This will enable us to solve protein structures by MR in an unprecedented rapid fashion. Such investments ensure that our research group, and thus UB's highfield NMR center, will successfully participate in the leading-edge endeavor of structural genomics, which will contribute to lay the foundations of this century's biomedical research," he says. Spri11g 200 1 4D Buffalo Physician 9 �PROTEOMI C S AND 8IOINFORMATICS New Structural Biolo Department Crea ed Univers i ty at Buffalo and Hauptman-Woodward Institute to Collaborate University at Buffalo and HauptmanWoodward Medical Research Institute (HWI) have agreed to establish a UB De- tutions for groundB breaking research in I. 0 structural biology and enables UB's students to have a unique educational opportunity to study both at the research institute and university," said Greiner when the agreement was signed. "It's a win-win situation, not only for UB and HauptmanWoodward, but also for Western New York because the region is now positioned to become a leader in this exciting field," he added. "We're looking forward to a long and fruitful collaboration partment of Structural Biology at HWI, initiating a 10-year collaboration that positions Buffalo to play a lead role in this critical field. Under the agreement, which was formally signed by Christopher T. Greene, chair of the HWI board of directors, and William R. Greiner, president of UB, on February 14, 2001, HWI will remain an independent entity and will continue to conduct with the Hauptmanits own research outside of Woodward Medical projects undertaken by UB de- Research Institute." "It is extremely repartmental faculty members. The new department will be a warding to have been a unit of the UB School of Medi- part of this developing cine and Biomedical Sciences, collaboration," said and Herbert A. Hauptman, PhD, Greene. "This new HWI president and 1985 Nobel department will not laureate in chemistry, joins the only allow Hauptmandepartment as a distinguished Woodward to conprofessor. George T. DeTitta, tinue its rapid growth, PhD, HWI executive director but also adds a new and chief operating officer, is teaching element to the department chair and professor. Main and High Street In addition, 15 other HWI re- medical corridor. It's searchers assume faculty posi- positive for us, the university, the medical tions in the department. " This agreement brings corridor and all of together two outstanding insti- Western ew York." 10 l aff a lo Ph ysician S prin g 2001 In his comments, Hauptman noted that "with l ~ Hauptman- Woodward involved with some of the world's leading scientists in crystallography and structural biology, this new department will provide a unique opportunity for students to learn and train in two different research environments-both an independent research institute and a university setting. "It will allow our scientists to mentor graduate students and v teach them our methods, spurring a greater interest in our work and facilitating the development of new relationships. "It also will encourage the breaking down of walls, which all too often isolate individuals and groups from one another, thus making the diffusion of ideas more difficult. These ideas are needed to stimulate creativity in the individual scientist. Without the combined strengths of the university and Hauptman- Woodward, this Left to right: Christopher Greene, chair of the board at Hauptman· Woodward Medical Research Institute (HWI), George T. DeTitta, professor and chair of the Department of Structural Biology at the University at Buffalo and executive director and chief operating officer of HWI, and Herbert Hauptman, PhD, UB Distinguished Professor and president of HWI. �PROTEOMICS AND 8IOINFORMATICS experience would not be pos- expertise in its midst. "This ini- capabilities, as well as its exper- South Campus to complement sible," Hauptman added. John R. Wright, MD, dean of tiative is also a key element of the larger bioinformatics initia- tise in biology, biochemistry and biophysics. HWJ's facilities. The agreement calls for UB to the School of Medicine and Bio- tive that will help to drive the UB and HWI are already staff the new department imme- medical Sciences, said the new future of the Western New York working closely as members of diately with a minimum of four Department of Structural Biol- economy," he stressed. the recently formed ortheast full-time-equivalent faculty ogy "will strengthen professional interactions that already exist The field of structural biology dates to the 1930s, when scien- Structural Genomics (NESG) Consortium, a collaboration positions. Two of those positions will be filled by six current and greatly expand the opportu- tists discovered it was possible to that has resulted in a total of HWI research scientists and by nities for future collaboration. crystallize proteins and view $3.1 million in grants to scien- them in three dimensions. tists at the two institutions for hired to work exclusively in the obel genomics research. With fund- department. UB and HWI cur- prize for an innovative mathe- ing from the John R. Oishei rently are recruiting those faculty members. The faculty members "In many respects, the science at Hauptman-Woodward Hauptman received a and at the medical school is complementary and this two new faculty members to be is therefore a parti- The department wiLL BE cENTERED AT HAuPTMAN- cularly fortunate align- compensated by HWI, ment for the Western New York community," in addition to DeTitta WooDWARD INSTITuTE [HWI], WITH UB OUTFITTING he further commented. DeTitta noted that are Robert H. Blessing, ADDITIONAL LABORATORY SPACE IN ITS BIOMEDICAL "this is an exciting time for biomedical research in Western and Hauptman, PhD, professor; Vivian Cody, PhD, professor; RESEARCH BurLDING o"N" THE SouTH CAMPus TO ew York. William L. Duax, PhD, professor; and Walter COMPLEMENT HWJ's FACILITIES . Biological scientists at A. Pangborn, PhD, associate professor. UB, Roswell, Kaleida, D'Y ouville and Canisius have Eleven additional HWI sci- matical technique called "direct methods," which has enabled Foundation, HWI recently established a new robotics labora- work-with structural scientists at HWI. Today, we cement a scientists around the world to tory that will allow researchers uncompensated faculty posi- determine the three-dimensional to grow a large number of pro- tions in the department. Hold- relationship that has been 40 structure of molecules rapidly and automatically, using com- tein crystals for X-ray structural ing the rank of professor are analysis in record time. UB has Jeremy A. Bruenn, PhD, D.Y. received $1.38 million through Guo, PhD, and Charles M . worked-and will continue to years in the making. "Out of this relationship, will puter programs. come medically relevant re- The aim of structural biolo- search of importance for its im- ESG for research using Weeks, PhD. Associate profes- gists in the 21st century is to nuclear magnetic resonance sors are Jane F. Griffin, PhD, pact on our health and on our understand the operation of (NMR) spectroscopy to deter- Debashis Ghosh, PhD, David A. local economy," he predicted. biological systems at the subcellular, molecular and atomic mine the structure of proteins, adding to the department 's Langs, PhD, and G. David Smith, PhD. Assistant pro - levels by studying the threedimensional structures of D A, R A and proteins. Knowing the armamentarium. fessors are Chang I. Ban, PhD, Faculty in the new department will perform advanced L. Wayne Schultz, PhD, Yang- structure of specific proteins will research and train scientists in liang Xu, PhD. enable scientists to target new drugs to treat chronic diseases. the methods of modern structural biology. The department will be centered at HWI, with In addition, a number of fac ulty members from UB's graduate school division at Roswell UB outfitting additional labo- Park Cancer Institute and other ruce Holm, PhD, senior associate dean in the School of Medicine and Biomedical Sciences, explained that "structural biology is a scientific cornerstone in the entists are being appointed to zhou Wang, PhD, and Hong- the future of pharmaceutical The collaboration combines HWI's internationally known development, and Buffalo is for- expertise in X- ray crystallography ratory space in its Biomedical UB departments will be affiliated tunate to have such world-class with Research Building on the with the new department. ( D UB's supercomputing Spri11g 2001 Buffalo Physician 11 ��Assassination in Buffalo Time to put the medical controversy to rest? < • • . . -• . •< . .. I ~ B y J A c K F I s H E R , M D '6 2 can still remember an afternoon stroll up High Street from the Buffalo General Hospital, where I was • .•. .. z .• . • assigned as afourth·year clinical clerk in 1962. My destination was asmall bookstore at the corner of Main (I can't recall its name, but someone will likely remind me). What I do remember, however, are the nice people who worked there and my first purchase: awell· preserved copy of Selected Papers, ~ .... . -. < :> Surgical and Scientific, by Roswell Park, MD, an esteemed professor of surgery at the University of Buffalo and one of Western New York's most influential medical professionals at the close of the 19th century. As I sat down to read Park's book, which was published shortly after his death in 1914, my interest was immediately drawn to the chapter titled "Reminiscences of McKinley Week." Spring 2001 I HI IIID PbysitiiD 13 �~ - - ~- ears later, I visited the Buffalo and Erie County Historical Society and took note of a display case featuring artifacts from the events surrounding President William McKinley's assassination in Buffalo at the 1901 Pan-American Exposition. Standing before the display, I viewed the assassin's nickel-plated revolver, the unspent ammunition and a faded typescript. As I leaned closer, I saw that the document was the original draft ofPark's "Reminiscences," made available to the historical society in 1945 by his son, historian Julian Park. Several lines and paragraphs had been penciled out, leading me to wonder what Park had written that he later decided his readers must not read. As I progressed through my surgical training, I never forgot the Pan-American Exposition's Temple of Music, where President ing abdominal trauma, I came to understand what had likely McKinley stood greeting well-wishers. The assassin, 28-year-old happened to our 25th President, and why-after being shot twice Leon Czolgosz (shole-gawz), was an angry, unemployed dissident in the abdomen-his condition deteriorated so rapidly despite the very best efforts of his surgeons. Eventually, I also became aware from Cleveland, Ohio. Although Buffalo police detectives and the of the fallen image of Buffalo and its surgical community due to dent-as were several "special agents," forerunners to the Secret the perception, by laymen and professionals alike, that the Service-no one even managed to spot Czolgosz before he stepped medical treatment the President received was substandard. From a copy of Park's typescript, I learned of his concerns 73rd Coastal Artillery brigade had been assigned to guard the Presi- up, thrust a recently purchased revolver at McKinley's breast and fired twice. ever intending to escape, and fully prepared to con- about the operation that had been hastily performed on President front the inevitable consequences of his act, Czolgosz calmly sub- McKinley by a gynecologist, Matthew Mann, and about his convic- mitted to the violent blows directed at him by a furious mob. tion that abdominal drains would have made a difference in the The President barely wavered and seemed to not know if he had outcome of the case. Implicit in the remarks Park had crossed out was the belief that the President's life could have been saved-and been injured until he saw fresh blood on his shirt. Within moments, the subsequent rebuke of Buffalo's med ical community avoided- where a hastily assembled surgical team decided to operate rather he was transferred to the exposition's modest emergency hospital, if those who were making decisions about his care had waited for than await the arrival of Buffalo's acknowledged expert, Roswell Park to arrive instead of allowing the surgery by Mann to proceed. Park, who at the time was operating in Niagara Falls. Over the years, while researching my book Stolen Glory: The Examination of McKinley's wound revealed that one bullet McKinley Assassination, I have come to recognize that the prevailing had bounced off his sternum, while the other penetrated the left historical opinion of most 20th-century writers is that the surgery was upper quadrant of his abdomen. Laparotomy was performed under considerably disadvantageous conditions in that the patient botched, an opinion that can still be elicited in Buffalo from many who are aware of some of the details of the case. I believe, however, that this is a conviction that is distorted by a century-old conception 14 the sudden, sharp report of gunshots pierced the grand hall of the McKinley assassination story. With accumulated experience treat- was significantly overweight, and lighting and instrumentation were inadequate. of McKinley's injury, as well as by comparisons to modern standards evertheless, two gastric perforations were found and repaired. of how his surgery and aftercare should have been conducted. In Since no other injury was perceived (and the bullet remained undis- contrast, I contend in my book that the available evidence, when covered), the decision was made to conclude the surgery. While the carefully considered in a historical context, supports a different incision was being closed, Roswell Park appeared at the operating conclusion; namely, that members of the surgical team available to room door. He conferred briefly with Mann and then lent his hand serve McKinley's needs acquitted themselves as well as anyone in the to making arrangements for McKinley to recover in the Delaware city or in the nation could have at that time, and that McKinley's Avenue home of exposition President John G. Milburn. wound in 1901 represented a mortal injury from the outset. Stolen Glory begins with the anarchist movement and the climate Meanwhile, the assassin had been transferred to Buffalo's downtown police headquarters before a lynch-minded crowd could assert of terror that led to the assassination of six heads of state worldwide its most fervent wish. Interrogation began at once and lasted between 1894 and 1912; however, for the purpose of brevity, the story can also begin on the afternoon of September 6, 1901, when Czolgosz denied complicity with anyone, he cited as his inspiration luf f a le Ph ys i till Spri11g 2001 through the night, resulting in a signed confession. Although --~ �America's notorious anarchist orator, Emma Goldman, who was then hunted down across the nation and eventually arrested in Chicago. President McKinley awoke the morning after his surgery and asked to see the newspapers. He was not the least bit curious about his assassin; instead, he wanted to know how the world had reacted to the speech he delivered in the exposition's esplanade shortly after arriving in Buffalo. Everyone assured him that his eloquent advocacy of reduced trade barriers in the Western Hemisphere had been greeted with considerable enthusiasm. Each of his surgeons, along with Park, expressed their delight with his quick mental and physical rebound and through periodic bulletins kept reporters informed that the President was destined for a prompt recovery. Wall Street reacted enthusiastically to the news. However, any physician today presented with all the evidence available that morning would have recognized sure signs of trouble: The President's pulse remained high-in the range at 120-and his urinary output following surgery had only been 270 cc. Measurement of the blood pressure and red blood cell concentration were not available in 190 l. Had they been, progressive hypotension and a rising hematocrit would have been observed as the week passed. Instead, all trained eyes were focused on bowel activity, the prevalent fear in that day being " intestinal toxemia." Accordingly, enemas of every known variety were given incessantly. On Thursday morning, the sixth postoperative day, Mr. Charles McBurney of New York City, who had been summoned as a consultant earlier in the week, visited the President again just prior to leaving Buffalo. Meeting reporters afterward, his optimism was apparent to all. When asked about the retained bullet, he jokingly replied that it lay where it couldn't even shorten Methuselah's life .c 0 c . 0 , • by a single day. o sooner had McBurney departed Buffalo's Terrace Street Terminal than the President's condition began to deteriorate. His pulse, then 130, was becoming weaker, his oliguria had persisted, and efforts to administer saline by subcutaneous clysis had been initiated too late. Most physicians today will recognize that McKinley was in shock, not because of hemorrhage, but because of the development of a pathologic third space with several liters of fluid having Spring 2001 Bu ff al o Ph ysician 15 �accumulated deeply within an inflamed retroperitoneum. What While Emma Goldman was still being hunted down as Czolgosz's accomplice, the assassin himself was quietly arraigned in a courtroom while reporters were diverted by the President's funeral service in Buffalo, held a few hundred yards away. In a pace McKinley had needed desperately, and did not receive, was intravenous fluid in significant quantity. Unfortunately, this was a physiologic requirement that would not be defined for many more years. On Friday, a week after McKinley had been shot, the signs of progressive heart failure were apparent to all of his physicians. Every known heart stimulant was used: strychnine, digitalis of justice unimaginable today, a swift trial was followed by electrocution of Czolgosz, all within six weeks of the shooting. ""· During this same period of time, McKinley's surgeons became the targets of stinging criticism from the press as well as from their medical colleagues, whose denunciations were paraphrased by journalists. In response, the sur- and adrenal gland extract. Even brandy was '"'~. '"~~,.~~'{·~~~\\ injected subcutaneously. "''' •''"'~"tS ~ ""1.· ····~~ l\ ~~...;:•:. . More consultants hurried to Buffalo from v~\'5 .... ..: ... r--~·~: turt:,lo ([outicr. -:::_ cities as far away as Philadelphia, Washington, -:".-C\T~A! D.C., and New York. Among them was Charles ~~: .'1lKI.\'LEY IS C\T~AI McBurney, who, upon arriving home had been x:-~.. p ......,.,, -~~~" •r DEAD! ~.::-:::;~ ~Lb. """ " ' IUit ~IS TiltS It~\1\'Q ~ ........... f.'l)r ) ,,,,,,,., ,.,:•;.::;,"llv, dumbfounded to learn of the President's condition and promptly boarded another train bound for Buffalo. Their efforts were all to no avail. William McKinley, "1\11 r h /II k'k)~~;" '"' lttn,vllll. -- lli'~ 25th President of the United States, died at 2:15A.M. on Saturday, September 14, 1901. The American public was stunned, for they had been led to believe that their enormously popular President would recover completely, an outcome many associated with continued economic expansion and prosperity. Instead, Americans were faced with a different kind of leader, Theodore Roosevelt, the unlikely running mate in the 1900 election whom McKinley advisors had called "a damned cowboy!" geons sought counsel from an attorney, and a statement was later issued assuring the public that they had been of one mind throughout the time they cared for the President, a distinct stretch of the truth. Congress meanwhile debated whether or not the surgeons should be paid for their services from the McKinley estate. Eventually they did allow funds to be appropriated from the national treasury because Mann and his chosen assistants had been serving McKinley in his capacity as President. Soon after McKinley died, Roswell Park dictated his recollection of the events surrounding the President's medical care. Once he completed this exercise, he placed the transcription in a desk drawer, where it remained for several years. Shortly before he died in 1914, he edited his comments, and the revised narrative was published true to his wishes. Not until 1945 Advanced Trauma Life Support (ATLSJ protocol. One of the technicians What 11 · McKinley Were Shot Today Secret Service personnel, while another would establish whether the n this, the lOOth anniversary of President William McKinley's other would be in charge of cardiovascular resuscitation of the patient, or nurses would take a history from paramedics or, in this case, from the President's airway and breathing are intact. At the same time still an- death, I have been asked by Buffalo Physician to comment on starting large-bore catheters in each of his anns and initially running how the injured President would be treated today and how approximately two liters of fluid if he showed signs of tachycardia or surgical care has changed since 1901. I have consulted with shock. At this time, we would also perfonn a thorough physical exam- Dr. Fisher on this and am eagerly awaiting his new book. ination, from head to toe, front to back. It should be first emphasized that the care rendered to the President would be no different than that given to any other X-rays to detennine the location of the bullet and its possible course. In patient in the Trauma Center of the Erie County Medical Center; that is, the case of President McKinley-or in the case of this hypothetical the same care is rendered to all patients without regard to their status. An patient-the entrance wound in the abdomen was anterior, and the in-house trauma-call team is present in the hospital 24 hours a day to bullet lodged posteriorly. Approximately 20 to 30 minutes after arrival respond to emergencies, and all trauma team members carry special in the Emergency Room, the patient would be taken to the operating trauma pagers. If we have advance notice, a room for exploration of his abdomen. (Specialized tests such as CT scan team of surgical residents, technicians and ER and MRis are not utilized in penetrating trauma.) The surgeon would personnel is available-gowned, gloved, and make a generous midline incision and perform a thorough and complete ready to go-in the Emergency Department. When treating the patient, we use an approach that follows 16 After we ascertained that the patient was stable, we would take l1ffalo Physiciaa S prin g 20 01 exploration of the abdomen. The incision might also be extended into the chest through the sternum to gain access to the heart and lungs as �was the original draft made available for historical interpretation . A comparison of the two documents reveals an edited version that is soft in tone and reflective of the determined effort made by everyone involved in the tragedy to bring order to the chaotic events that initially surrounded it. Perhaps it also shows a mellowing of Park's estimation of events after the passing of a dozen years. The unedited draft, however, clearly displays considerable angst on the part of Park and perhaps a degree of resentment as well. In it, he raises four issues: First, the haste in which the operation was performed despite the fact that there were no signs of hemorrhage and the President appea red stable; second, the inexperience of the principal surgeon , Matthew Mann, who, although a skilled gynecologist, had no prior experience with gunshot wounds to the abdomen; third, the inadequacy of the facilities used for the surgery (Park recorded that, in h is estimation, the President should have been transferred to the newly c . " , • needed. In an exploration for trauma, the surgeon would follow resect the pancreas using a stapler. Ligation of the splenic artery and vein these priorities: would be done and the whole specimen removed in one piece. The surgeon 1. Control of hemorrhage; would place suction drains, and the abdomen would be closed quickly. 2. Control of contamination; Once the operation was completed-which a senior surgeon would 3. Identify and evaluate all of the injuries; probably do in about two hours-the patient would be taken to the 4. Debride all devitalized tissue and remove all contamination and repair ICU, where a trained team of critical care specialists would monitor his and treat all of the injuries with appropriate surgery; 5. Close the patient. care. This would include urine output, NG output, and other parameters to optimize blood pressure, pulse and fluids. The team would also support the cardiopulmonary and metabolic needs of the patient as needed. In this case, we would debride and close the wounds of the anterior In all likelihood, the President's hospital stay would be approximately and posterior portion of the stomach. If bleeding was encountered, we 7 to 10 days without complications such as pneumonia or a pancreatic would give the patient blood. leak. In all, a total of 100 to 200 physicians, nurses and technicians During surgery, the President would be monitored as if he were in an would have been either directly or indirectly involved in his hospital intensive care unit IICUJ. Using clamps, the surgeon would take down the care. Clearly, the intensity ofthis care and the resources necessary to suc- gastrocolic ligament and omentum between the stomach and colon and cessfully manage such a patient justify the need for a trauma center. explore the underside of the stomach and pancreas. (The bullet that penetrated President McKinley traversed his pancreas to the left of the Dr. Seibel is a clinical professor of surgery at the University at Buffalo School superior mesenteric artery and vein, probably damaging the pancreatic of Medicine and Biomedical Sciences and director of Surgery and Trauma duct.) After the stomach and pancreas were explored, the surgeon would Services at Erie County Medical Center in Buffalo, New York. He wishes to mobilize the spleen and tail of the pancreas towards the midline and thank Dr. john LaDuca for his assistance in editing this article. S p ri n g 2 001 IDIII I O Physiciu 17 �expanded Buffalo General Hospital); and fourth, the omission of inserting abdominal drains. The autopsy revealed that both gastric suture lines were intact and that there was no peritonitis nor any collection of pus, although cultures taken at the postmortem examination grew a mixture of organisms. A large gangrenous cavity behind the stomach was consistent with significant inflammatory damage to the pancreas and adjacent organs. Also, the heart showed severe fatty changes consistent with failure. Unfortunately, McKinley's case preceded by several decades experiments performed by Alfred Blalock and Owen Wangensteen in which they showed that surgically induced ischemia followed by inflammation could result in clinical shock in the absence of hemorrhage. Specifically, they determined that blood volume contracted as fluid was drawn from the plasma and interstitial spaces in order to support a zone of severe inflammation. Without intravenous replacement of that fluid loss, they concluded, death would likely result from a failing heart. By addressing Park's four issues from the perspective of surgery as it was practiced in 1901-together with the hindsight inevitably gained by a century-long interlude-! have drawn the following conclusions about his concerns: In 1901, McKinley appeared clinically stable to his physicians. The standard response to any penetrating injury to the abdomen What attend the event has already been asked by the Secret Service to sub- c . 0 , mit their social security numbers to permit security checks. The ad- McKinley Needed Protection Today vance team inquires about potential public demonstrations involving local or national controversies. If required, a site for these protests will be designated within sight of the President's motorcade. The Secret n 1901, the Secret Service had not been charged with the responsi- Service cannot abridge constitutional rights of assembly or protest. bility of protecting the nation's President. After the McKinley When the President arrives in Buffalo, usually by air, he is driven by assassination, Congress corrected that omission. Today, the the Secret Service to the event. His route is never revealed in advance to Secret Service's capacity and impact far the media as McKinley's itinerary was in 1901. At the Historical Society, exceeds its modest presence a century no person unknown to the Secret Service comes within range of the ago. The following excerpt from Stolen President, with one exception. A space for bystanders has been desig- Glory: The McKinley Assassination, by Jack Fisher, MD '62, (see article on page 121 considers how the Secret Service would prepare today for a presidential visit to Buffalo, New York, and how it would nated and cordoned off behind the television cameras approximately 75 feet to the side of the front entrance. After the President has fulfilled his obligations and bidden farewell to local political leaders attending the event, he departs through the respond if a similar attack were to occur. The President will be attending a series of events in Buffalo that in- Historical Society's front entrance. Surrounded by his protective de- clude an award ceremony at the Historical Society, the former New tail, he stops, turns toward the television cameras, and waves. At that York State Building for the 1901 Pan-American Exposition. The Secret moment, the unthinkable occurs! A young man standing among the Service was informed two weeks in advance of the planned visit. Special bystanders draws a revolver from his pocket, aims, and fires twice at agents in Washington coordinate with their counterparts in Buffalo, the President before he is brought down. The Secret Service agents where one of 116 field offices is located. The Protective Intelligence close in around the President, prepared to take additional bullets if they Section begins its database search of individuals in Western New York come. They quickly pile into the car and depart. who made prior threats to a President or other government official. Police had already halted traffic on Elmwood Avenue, facilitating their Meanwhile, an advance team visits Buffalo and determines the entry onto the Scajaqueda Expressway, a planned emergency departure President's actual motorcade route. The team contacts the Erie route. Inside the vehicle, a still alert President identifies fresh blood on County Highway Department to determine where construction projects his shirt. Seeing this, a special agent alerts the driver to proceed im- might impede movement. Dr. Roger Seibel, or his designate, at Erie mediately to ECMC. Their limousine enters the passing lane and acceler- County Medical Center (ECMCJ will be notified of the visit. [See "What ates. On a closed-communication system, the Trauma Center is notified If McKinley Were Shot Today," on page 16.] of their approach. They exit at Grider Street and arrive at the trauma Planning is coordinated with the Buffalo Police Department; its responsibilities will include traffic and crowd control. At the Historical receiving ramp six minutes after departing the scene of the attack. At that point, Dr. Seibel's team takes over. Society building, all doorways and spaces are checked, with the aid of 18 explosives-sniffing dogs. This will be repeated on the morning of the visit The author is grateful to the Secret Service for their assistance providing and at that time, the building will be secured. Everyone designated to archive documentation from 1901, and for reviewing this descriptio11. laffalo Phys i c i an Spring 2001 • �then-as it is today-was prompt surgical exploration. Waiting would not have helped the President. of. In 1901, gynecologists performed many more laparotomies than did general surgeons, albeit not for gunshot wounds. However, Mann had selected two surgeons to assist him who were experienced with injuries of the kind that McKinley had experienced. + In 1901, elective surgery was often performed in private homes because infection was prevalent in hospitals. + In 1901, the placement of a drain meant use of long rolls of stiffened gauze. Plastic tubes attached to wall suction were not yet imagined. Thus, I conclude that it is extremely unlikely that significant changes in the course of treatment provided to McKinley by his surgeons would have made any difference in the outcome of his case. either is it likely that Roswell Park could have saved President McKinley, as the fate he suffered resulted from errors of omission, not errors of commission. Those errors were unwitting on the part of Mann, Park and their associates, none of whom understood surgical physiology as we know it today. or did they benefit from the capability we have today of monitoring our patients' myriad life functions or from having at our disposal the intravenous fluids and pharmaceutical cornucopia for critical life support. Given a careful and thorough review of historical facts surrounding the medical treatment provided to President McKinley by Matthew Mann, Roswell Park, and their medical colleagues, I believe that events surrounding his care should no longer represent a disparaging chapter in Buffalo's history. Any reconsideration of the McKinley tragedy should be nothing less than a celebration of one hundred years of medical and surgical progress culminating in a century of achievements that Buffalo's surgical community has contributed to significantly. jack Fisher, MD '62, is an emeritus professor of surgery at the University of California at San Diego, where he is currently a master's candidate in United States history. His book, Stolen Glory, The McKinley Assassination, will be available in july 2001 by subscription. For further information, contact Alamar Books at P.O. Box 2876 La jolla, CA, 92037, or by e-mail, at Alamarbooks@aol.com. Dr. Fisher can also be contacted by e-mail at jfishermd@aol.com. �' . - -- --- - PATHWAYS N EWS ABOUT ALUMNI, FACULTY AND STAFF AT THE UNIVERSITY AT UB's School of Medicine and Bio- BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES medical Sciences, in the September 2000 issue of the New Craig Smith, Distinguished Alumnus Visitor Craig Smith, MD '72, chief executive officer of Guilford Pharmaceuticals, recently visited University at Buffalo's School of Medicine and Biomedical Sciences as a Distinguished Alumnus Visitor. During his stay, Smith met with students, members of the Dean's contains ner held on April 26, 2001, at the BCNU, or carmustine, a cancer University Club in New York City. England Journal of Medicine, has been selected by Harvard Health Letter as chemotherapy drug used in the In announcing the award, Gregory one of the top 10 health advances treatment of glioblastoma multi- L. Eastwood, MD, president of of2000. forme, a particularly virulent AMS, told that agency in over 20 years. This cal Schools (AMS) of New York at wafer, which is made of a biode- its annual Deans and Trustees din- gradable polymer, search and graduate deCRAIG SMITH partments to discuss work under way at form of brain cancer. Currently, Deans wish to recognize your long winter 2001 issue of Buffalo Physi- service to the organization, in- trials for a diagnostic test it has cluding your tenure as President, outstanding leadership you have cian, showed that early treatment with one of the drugs used to control multiple sclerosis (MS)interferon beta-1a-reduced the rate of development of clinically definite MS for these high-risk individuals by 44 percent versus provided to the treatment with placebo. developed for Parkinson's disease. during which [time) you spear- -S .A. headed a restructuring of AMS to UNGER strengthen its statewide scope. We also wish to call attention to the Naughton Receives AMS Distinguished Service Award john Naughton, MD, dean of Guilford Pharmaceuticals, which UB's School of Medicine and he helped establish in 1993 to dis- Biomedical cover and develop drugs to diag- Sciences from ew York State Consortium on Graduate Medical jacobs was the first American Education and the many other researcher, beginning in the 1970s, ways in which you have served to test a form of beta interferon, a academic medicine in New York." -S.A. UNGER the body, in the treatment of MS. naturally occurring substance in nose, treat and prevent brain can- 1975 to 1996, cer and other neurological dis- was present- eases. Guilford's leading product, ed a Distin- the GLIADEL wafer, gained Food guished Ser- .Jacob's Study Touted by Harvard Health Letter and Drug Administration approval vice Award A study published by Lawrence of beta interferon. His prior re- in 1996, becoming the first brain by the Associated Medi- jacobs, MD, Irvin and Rosemary search has shown that the drug, Smith Professor of Neurology in approved by the Federal Drug cancer treatment to be cleared by GREC.ORY L. EAsrwo<..m, MD, PREsiDENT 10 (, -,~!{VIC f ro Since that time, he has lead several joHN NAUGHTON m AMS, .ow NALGHTO MS studies using interferon beta1a, a genetically engineered form rHAT "n!E DEA. 'SWISH ro RECOG IZF YOt:R lHE ORC,A I?ATIO , INCLL DING YOCR Tf.Nl RE AS PRESIDE 'T, DURL 'G WHICH [TIME] YOU SPEAR- HEADED A RES.RLC TURI c, Or AMS ro STRENG!HEN ITS STAlFWIDE SCOPE." 20 The study, also reported in the the company is involved in clinical Advisory Council, and faculty in several re- aughton that "the LAWRENCE jAcoss l u fla la Pb ysicin Spring 200/ �Administration in 1996, slows the accumulation of physical disability and decreases the frequency of clinical flare-ups in patients with .Jehle Honored by ACEP for Teach ng Dietrich Jehle, MD, FACEP, clinical director of Emergency Services at the Erie County relapsing forms of MS. - Lots BAKER Medical Center, has received the ational Emergency Medicine Faculty Teaching Award 2000 Holm Named a Top SUNY Researcher Bruce A. Holm, PhD, professor of pediatrics, pharmacology and toxicology, and gynecology/ obstetrics at UB's School of Medicine and Biomedical Sciences, was honored as one of the SU Y system's top research scientists at a dinner held in Albany, New York, on January 22, 2001. Holm, who is also senior associate dean at the School of Medicine and Biomedical Sciences, has conducted internationally recognized research on lung surfactant and oxygen toxicity affecting alveolar cells. In his address to the evening's 21 BR UC E A. HOLM honorees, SU Y Chancellor Robert L. King said, "Each of you has distinguished yourself and our university by the body of your work. Learning of the specifics of [this] work has validated all of my from the American College of Emergency Physicians (ACEP ). Jehle, who is associate professor and vice chair of the Emergency Medicine Program at UB 's School and BiomediDtETRt C H J E HL E plays host to tremendous research initiatives and has, and will, continue to make great contributions to our state, our economy and our society." -Lots BAKER tional Institute of Allergy and ant at RPCI Infectious Diseases, National stnce Institutes of Health. - S.A. U N GER 1999, has also been appointed to BRAHM H. SE GA L the faculty position of assistant sions of Infectious Diseases and Sethi and Berenson Funded to Study Emphysema Allergy, Immunology, and Rheu- Sanjay Sethi, MD, and Charles S. professor of medicine in the Divi- matology at UB's School of Med- Berenson, MD, in the Department icine and Biomedical Sciences. of Medicine at the University at Segal earned his medical de- Buffalo, have been awarded a gree from Albert Einstein College four-year, $750,000 grant from ew York. the National Heart, Lung and He completed residency training Blood Institute of the National ew England Medical Center, Boston, CON TI NU ED ON P ACE 22 cipient of numerous awards, including the Outstanding Mentor/Teaching STUDENTS' ANNOUNCEMENT Award and the Chairman's Teaching Award from UB's Department of Emergency Medicine. Jehle is recognized for devel- tudents for Health and Human Rights (SHHR), a local offshoot of Physicians for Social Responsibility (PSR), has oping the first study of bedside several members who are interested in recycling surplus ultrasonography in abdominal and unused medical supplies from hospitals for use in trauma by emergency physicians developing countries. This type of program was first orth America. He is also co- developed at the Yale-New Haven Hospital several years ago editor of a trauma ultrasound text and has been successfully implemented in hospitals across the that will be used as an instruc- United States. in tional guide for future ACEP The program works as follows: Supplies for patients are often Trauma Ultrasound courses fol- unused, but according to law cannot be reallocated for use with lowing its publication in 200 l. - S.A. UNGER other patients in the United States. Our organization is interested in systematically recycling these supplies and sending them abroad in keeping with the Yale-New Haven Hospital model, and we are we, as a great research institution, proven that the State University in Infectious Diseases at the Na- eases consult- in internal medicine at the cal Sciences, beliefs and my vision for where can go. Your achievements have infectious dis- of Medicine, Bronx, of Medicine is the past re- Massachusetts, and a fellowship has been an interested in finding a local hospital that is willing to participate Segal Named Assistant Professor of ed"c ne in this program. We have several potential recipients in Haiti and other countries in desperate need of supplies. Brahm H. Segal, MD, has been ap- If you know of a hospital or administrator who would be willing pointed director of the Division of to assist us in this endeavor, please e-mail Christina Chang at Infectious Diseases, Department cmcll@buffalo.edu; Betsy Schneider at eas26@buffalo.edu; of Medicine, at Roswell Park or Sarah Gaughan at sgaughan@buffalo.edu. Cancer Institute (RPCI ). Segal, who S prin g 200/ Buffa l o Pb ysi c i an 21 �PATHWAYS Tm A, Iv ~ OF COST EFFECriv~, PREY~ CO I BL HAlo, , F\\ YoRK, cALLS HIMSELF A. " 1A AG£D CARF IDEOLOGuE" \\ HO sEEs "HIGH-QC'ALITY, T fiH-ORIFNTt:D M~DIUNE .•. PRACTICED BY A GROUP Of PROVIDERS \\HOARE WILLI, "G TO ,I LOl SL'I AS~FSS A D IMPROVE THEIR l.)L \lLY OF CARE" AS THE BFSr \\AY ro DELIVER HEALTH CARE . however, the CONTINUED FROM PAGE 21 Institutes of Health to study the precise role that respiratory bacteria (Haemophilus injluenzae) play in regulating immunologic mechanisms of inflammation that lead to chronic obstructive pulmonary disease or emphysema. It has long been known that inflammation is present in the air- critical care medicine-and effective therapies in the future. role that bac- Berenson-an associate professor Both Sethi and Berenson are teria play in of medicine who is board certified affiliated with Veteran Affairs decreasing in infectious diseases-will com- Western New York Health- function has bine care System's Bailey Avenue their clinical and not been ex- research interests in an effort to facility, where the research will plored. In this provide a better understanding be conducted. -S.A. UNGER study, Sethian assistant of the basic causes of emphySANJAY SETHI sema. Such an understanding professor of medicine who is may in turn provide a basis for board certified in pulmonary and designing ways of people with emphysema; novel and more Robert Dickman, MD '68, Named Chair at Tuhs University n April 5, 2001, Robert L. Dickman, MD '68, was installed as the That philosophy was the foundation of his work as director of inaugural holder of the Jaharis Family Chair in Family Medicine ambulatory services at the Buffalo General Hospital, beginning in atTufts University School of Medicine in Boston, Massachusetts. 1972, and as a faculty member at University at Buffalo's School of This is the first endowed chair of Family Medicine in Medicine and Biomedical Sciences, where he earned his New England, and one of approximately 14 others medical degree in 1968. It guided him later him as a faculty member of the in the country. Dickman formerly served as chief of Tufts' Division Family Medicine Center at Case Western University; of Family Medicine, which he came to the university helped his creation, in 1982, of a new Department of to create in 1998. This effort involved strengthening Family Medicine at Cleveland's Mt. Sinai Medical existing family medicine programs and developing Center; and informed his work as a consultant for new ones, including a required third-year clinical Meridia Health Care Systems, as well as in his estab· clerkship. Experienced in shaping new organizations, ROBERT DICKMAN Dickman in 1971 was a founding physician of the Matthew Thornton Health Plan, one of the Northeast's first health maintenance organizations. Throughout his career, Dickman has integrated the principles In 1995, Dickman took the same philosophy to Israel, where he directed managed care programs at Maccabi Health Services, Israel's second largest health fund. of family medicine and managed care in academics, practice and In addition to his interest in managed care, Dickman has pursued management. The native of Buffalo, New York, calls himself a clinical and publishing interests in geriatrics, most recently con- "managed care ideologue" who sees "high-quality, cost-effective, tributing to a major family medicine text; and medical ethics, preventive-oriented medicine ••• practiced by a group of providers especially end-of-life care issues. who are willing to continuously assess and improve their quality of care" as the best way to deliver health care. 22 lishment of a family medicine group practice in Cleveland. laffalo Phys ic ian Spring 2001 Dickman will continue to administer the Tufts' medical school family medicine programs. �Jerome Kassirer Honored by American Jewish Congress Distinguished Community Leadership Award erome Kassirer, MD '57, received the Distinguished referred to as the 'conscience of American medicine.' Kassirer's Community Leadership Award from the American reputation as the 'conscience of American medicine' was furthered Jewish Congress on February 7, 2001, at a ceremony in July 2000, when he stepped down aseditorofthe N£/Minthewake held at the Westin Copley Place Hotel in Boston, of a decision made by the journal's publisher, the Massachusetts Massachusetts. The American Jewish Congress, which Medical Society, to begin adding the tagline "publishers of the New in its own literature refers to itself as the "Attorney England Journal of Medicine" to its other publications. General for the Jewish People," is an 80-year-old After graduating magna cum organization that works around the world to pro· laude from UB's School of Medicine mote religious freedom and diversity, defend the in 1957, Kassirer trained in internal civil rights of minorities, and guarantee the consti· medicine at Buffalo General Hos· tutional rights of all Americans. pital and in nephrology at the New In presenting Kassirer with the award, the Con· England Medical Center in Boston. gress notes that "as editor-in-chief emeritus of the He joined the faculty at Tufts Uni· New England Journal of Medicine {N£/MJ [he] has versity School of Medicine in 1961, made outstanding contributions in the areas of was named professor of medicine in medical care, education, research and health policy. 1974 and was the Sara Murray He has had a distinguished career as a caring physi· Jordan Professor of Medicine from cian, outstanding educator, researcher, innovator in 1987 to 1991. From 1971 to 1991 he was associate physician-in-chief clinical reasoning, and leader in promoting profes· jEROME KAS S JRER sional values. In numerous editorial op-ed pieces and of the New England Medical Center commentaries over the past two decades, he has and vice chair of the Depart- criticized our inadequate medical care delivery system, govern· ment of Medicine at Tufts. In 1991, he became the 38th editor-in· mental interference in medical decision making and the resis· chief of the New England Journal of Medicine. tance of the gun lobby to support reasonable safety measures. Also in 1991, Kassirer was named Distinguished Alumnus of He has tirelessly promoted integrity in patient care and re· University at Buffalo's School of Medicine and Biomedical Sciences search, endorsed a stronger role for patients in medical deci· and received the Distinguished Faculty Award from Tufts University sions and been a careful observer of the role business interests School of Medicine. He now teaches at Tufts, as well as at Yale have played in our American health-care system. During his University School of Medicine. tenure at the New England Journal of Medicine, he was often - S . A. U N c E R Spring 200 1 l uffafo Physician 23 �M B v S U N A G E R E D C A L S C H 0 0 L E W S AWealth of Knowled eand (xperience N e w M e d i c a I E m e r i t u s Fa c u I t y G r o u p Fo r m e d has found its counterpart in lifelong teaching and mentoring through a new group formed at University at Buffalo's School of Medicine and Biomedical Sciences. The group-called the Medical Emeritus Faculty Group (MEFG)-was begun last year in an effort to provide retired faculty with an opportunity to continue viable, interactive relationships with the medical school once their formal academic careers have come to a close. The MEFG got its start in January 2000, when Glen Gresham, MD, emeritus professor and chair of the Department of Rehabilitation Medicine at UB, met with Dean John R. Wright, MD, to discuss the idea of creating a more uniform way in which retired faculty could continue to stay connected with the school should they choose to do so. "In the past, when medical faculty members retired but wanted to stay involved with the school, they worked out informal arrangements with their former departments, but there wasn't a uniform approach to this transition," Gresham explains. "Also, there was no place for us to get together and to feel a part of a peer group. Many of us are in Buffalo for at least part of the year, but our interactions with the school were random-anything from being on the mailing list for Buffalo Physician to being invited to a lecture or some other event. It was kind of'luck of the draw."' ln talking with Dean Wright, Gresham explained that he and a core group of his colleagues felt they were not alone in perceiving that an attempt to establish an emeritus faculty group would be well received by a significant number of their peers. "Dean Wright was very supportive of this idea and suggested that we go ahead and pursue it," says Gresham. "He gave me the names of some people he thought would be interested and to this list we added other names to form an ad hoc steering committee, which began meeting monthly in the summer of 2000." The steering committee has been meeting on an ongoing basis since then and its members have embarked on an outreach effort aimed at inviting as many of their peers as they can locate to join the MEFG. With the assistance of Mary Glenn, from the offices of Alumni and Development, whom the Dean assigned to serve as a liaison with the group, committee members have contacted retired faculty by phone and letters, as well as by word of mouth. Currently, they are preparing to send out a questionnaire to all medical emeritus faculty in the school's database, which has approximately 200 names in it. ..".. ,.. • 0: 24 lulfale Physiciaa Spring 2001 �((Many of the current emeritus faculty have been leaders within the school and have a rich sense of history due to their long tenure here. They will be respected and effective ambassadors for the school." -Dean Gresham says he was pleasantly surprised when he reviewed the database, name by name, and identified 193 emeritus faculty who still list a principal address in Western ew York. "I had no idea there were so many; I thought maybe there would be 50, " he says. "But what I found is that there are a In the long run, lot of us. " Gresham foresees a The response to invitations to join the number of other group has been extraordinary, according to Gresham, who explains that memberinterest groups ship is open to anyone who meets the forming to establish a criterion of being an emeritus professor or faculty member from UB's School of "bank of expertise" Medicine and Biomedical Sciences. that's available to "This is a first-class group, and we'd be anyone who wishes to delighted to have anyone join who ' s interested," he says. draw upon it. Since its formation, the MEFG has accomplished its initial objective, which, according to Gresham, "was to bring us together and see how well we got along and to see what we might be interested in doing. "We all worked together a long time and have much in common, and what we have found is that we do like seeing each other," he continues. "We really are a cohort; we are a group. And this has been very gratifying to confirm. " Another objective the group's members have agreed upon, is that they would like to remain an informal entity. "One of our members was very wise and said we should go slowly and not be in a hurry to become overly organized and have officers and bylaws and such things," Gresham says. "He suggested that we just 'let it grow,' so that's what we're doing." Having reached a consensus that there is indeed a place for such a group, and that its organizational style should remain informal, the MEFG has set to work planning specific events and tasks. Last fall, they began hosting bimonthly roundtable lectures featuring distinguished speakers from the medical school who John R. Wright address topics put forth by the group. In November 2000, for example, Michael Bernardino, MD, MBA, vice president for Health Affairs at UB, spoke on "What Is the Relationship between the School and the Hospitals in Buffalo? " and in January 2001, Dean Wright spoke on "Where Is the School Now and Where Is It Headed?" The roundtable format has proved conducive to discussions between the speaker and members of the group, according to Gresham. In addition to the roundtable luncheons, the MEFG has formed a sub-set of interest groups that draw upon the special expertise of its members. "There's a lot of interest in medical education among our members, particularly with regard to mentoring and tutoring, " says Gresham. "We are a group that has enormous experience in these areas and many still feel they have much to contribute." To date, two such interest groups have been formed: One, headed by jacob Steinhart, MD, an emeritus professor of pediatrics, is aimed at working with physicians-in-training to hone their interactions with patients and to cultivate "clinical wisdom"; and a second group, headed by john Robinson, MD, an emeritus professor of psychiatry, is aimed at providing support to medical students interested in learning more about post-traumatic stress disorder. In the long run, Gresham foresees a number of other interest groups forming to establish a "bank of expertise" that's available to anyone who wishes to draw upon it. "Depending on who comes forward, I anticipate a variety of interest groups that capitalize on the strengths of our members," he says. Another specific task the MEFG has set its sights on is the completion of the emeritus faculty questionnaire, which they hope will help them to better define the group's goals and potential contributions for the future. They also hope to obtain office space for headquarters that would provide them with a place for small CONT I NUE D ON PA GE 26 S prin g 2 001 11111 11 Pbys i c i11 25 �---- M E D ----- - C A L SCHOOL E W S "In the past, when medical faculty members retired but wanted to stay involved with the school, they worked out informal arrangements with their former departments, but there wasn't a uniform approach to this transition," Gresham explains. KNOWLEDGE, CONTINUED FROM PAGE 25 meetings, a phone, fax and computer. "We envision the office being staffed by volunteers who can give of their time to help us accomplish another of our goals, which is to keep a master schedule for all the fascinating medical and scientific lectures at the school and Charles Paganelli, PhD, an emeritus professor of physiology and biophysics who is also a member of the MEFG steering committee, says "It's been a pleasure to see people you've known for years and to work with them in this capacity. This is a group of senior faculty, now retired, whose members have lots of experience around the school and there's no reason why their throughout Buffalo," explains Gresham. "Right now, accumulated knowledge can't be used by the school to these events are spread all over the place and nobody keeps a master calendar that could be made available to our members and whoever else would like to avail themselves of this information." some good purpose." Gresham and his fellow members of the MEFG's steering committee know that to effectively accomplish the goals they have outlined, they must integrate the group's presence into the fabric ofUB's School ofMedi- therefore, view themselves as a resource that not only can be tapped into by others but that can reach out to the school and community. "We've had wonderful careers and we're proud to be emeritus faculty at UB," says Gresham. "Many of us are very busy with volunteer work and some of us continue to practice. So, it's not that people aren't doing things; it's just that we haven't been doing anything as a group with the school. And the response we're getting from the school is very affirming of our goal to interact in this way." "The organization of an active, informed and dedicated emeritus faculty group is good news indeed for the School ofMedicine and Biomedical Sciences and for the university community," says Dean Wright. "Many of the current emeritus faculty have been leaders within the school and have a rich sense of history due to their long tenure here. They will be respected and effective ambassadors for the school." Harold Brody, PhD, MD, emeritus professor of anatomy and cell biology, and member of the MEFG's steering committee, concurs with Wright and Gresham. "A gap has existed because there hasn't been a group like [the MEFG] in the past. Potentially, it could be a very important group because it's made up of people who care very much about the school and understand how it works," he says. 26 lalfal1 Physiciaa Spring 2001 cine and Biomedical Sciences so that when faculty members retire, they see the potential for involvement with the MEFG as just another step in a continuum of interaction with the school. Toward this end, therefore, the MEFG would like to initiate a new stage in the process whereby a faculty member retires from the school. "We now have a faculty meeting where people who are retiring receive a 'diploma' that states he or she has been promoted to the rank of professor emeritus with all its rights and privileges," says Gresham. "In addition, we'd like someone from the MEFG to immediately approach those who have retired to say, 'welcome to the Medical Emeritus Faculty Group.' "In other words, we'd like to make it a seamless and positive transition for those faculty who are interested in continuing their involvement with the school." For more information on the Medical Faculty Emeritus Group, call Mary Glenn at (716) 829-2773; or e-mail her at glenn@acsu.buffalo.edu. �..James E. Allen, assistant professor of surgery Blake Reeves, professor of physiology Sprirrg 2001 l 11fale Hysicin 27 �.... G.> ..... = ....... - ~ -= ... 2. 1111111 Pkysitill Spring 2001 ��Hormones, I n s u I n a n d B r e a s t '> she has been looking at how the blood levels of estrogens and androgens are associated with the risk of developing breast cancer. More recentlywith the support of a two-year, $238,000 grant from the United States Army Medical Research and Materiel Command-she has turned her attention to conducting the first major study of the relationship between breast-cancer risk and levels of insulin in the blood. The Influence of Diet and Exercise When breast-cancer researchers set out to explore questions such as those Muti is pondering, they begin with the recognition that breast-cancer incidence rates are about 25 percent higher in Western countries than in Africa or Asia. "Although both genetic and environmental factors may contribute to explaining this large geographic variation in incidence rates, studies on migrants who moved from countries characterized by low incidence, such as Japan, to countries at higher risk, such as the United States, have shown a significant increase in breast-cancer incidence in individuals that migrate in comparison with their peers who remain in the countries of origin," Muti explains. This evidence has led researchers to surmise that environmental factors, such as diet and lifestyle, play a dominant role in breastcancer incidence, according to Muti. "In countries with high breast-cancer incidence rates, these environmental factors are characterized by an energy-dense diet rich in total and saturated fat and refined carbohydrates, and by low physical activity," she says. In terms of what role genetics plays as a risk factor in the incidence of the disease, Muti reports that "there are connections, but, in absolute terms, genetic predisposition as it has been studied up to now accounts for only 5 percent ofbreast cancer cases. "However, it is possible that the way in which we metabolize components of the environment-metabolize diet or pollutants-may give us a different risk in comparison with people who metabolize in a different way," she adds. 3 0 I u fl a I a Physician Spring 200 1 Cancer Given that genes appear to play a lesser role in the development of the majority of breast-cancer cases, Muti emphasizes that "at this historical moment in research on this cancer, it is very important that we identify the environmental factors that are placing women in our country at such high risk in comparison to women in low-risk populations. Clearly, there are environmental factors, but we really don't understand how they work." One potential explanation of the role environmental factors play in the etiology of breast cancer is that diets rich in total and saturated fat and refined carbohydrates often lead to the development of insulin resistance and hyperinsulimia. Like hormones, insulin is an endogenous substance; in other words, it originates within the body, as opposed to exogenous factors, which arise externally. These endogenous substances, Muti says, are "big mediators between the environment and ourselves." Muti's goal in her current study, therefore, is to test the hypothesis of the linkage between serum insulin and breast cancer. "We know that insulin itself is an important mutagenic factor because it is able to induce proliferation and growth of a cell," she explains. "The mechanistic model we are working with now leads us to hypothesize that because insulin can also increase production of androgens from the ovaries, and because androgens are the precursors of estrogen, insulin is then able to produce both androgens and estrogens, which are important factors for breast-cancer etiology." F"nding Markers of Metabolic Risk To conduct her study on the role of insulin in breast cancer, Muti is building on a series of related studies she has completed over the past decade. The studies are based on data she gathered on almost 11,000 healthy women in Italy between 1987 and 1992 for an initial prospective study on breast cancer, called the HORmones and Diet in the ETiology of Breast Cancer (ORDET) study. Five and a half years after the women were recruited to this original study, 144 were found to have developed breast cancer. In the early 1990s, Muti and her colleagues went back and looked at samples of blood from the women who developed cancer and compared them with samples from women who didn't develop the disease. It was this important study, later replicated all over the world, that first provided scientists with data indicating a definitive link between the presence of high levels of estrogens and androgens in a woman's blood and the subsequent development of breast cancer. In 1998, again relying on analysis of data collected on women who took part in the ORDET study, Muti and her colleagues conducted a study in which they sought to discover whether there was a way they could determine a woman's hormonal (androgen) and insulin levels other than by analyzing her blood-in essence, to �lstrogen Metabolism linked to Breast Cancer Risk and collaborators have Researchers analyzed the found that premenopausal women show a 40 percent lower urine samples from both breast risk of developing breast cancer if their predominant path- cancer cases and controls from way of estrogen metabolism produces by-products with little the ORDET study to determine the biologic activity, rather than by-products that are highly predominant estrogen-metabolism reactive. The research is based on data from 10,786 women pathway. Results showed that the who took part in a prospective study of breast cancer in Italy premenopausal women who devel- called the Hormones and Diet in the Etiology of Breast Cancer oped breast cancer had a higher (ORDETI study (see also article, opposite). Once estrogen has performed its essential hormonal duties, it must be eliminated from the body by undergoing a process called hydroxylation. "Estrogen hydroxylation takes place at two primary sites on the estrogen molecule, designated as the C-2 position and the C-16 percentage of the highly active byproducts of estrogen metabolism (produced by the C-16 pathway), than by-products from the C-2 pathway. Women with predominately C-2 pathway by-products-those with low activity-were 40 position," Muti says. "Earlier research has shown that hydroxyla- percent less likely to have developed breast cancer during those tion at the C-2 position produces metabolites with little or no five years. estrogenic activity and thus might be associated with decreased "The way to change from one pathway to the other is through breast-cancer risk. Conversely, hydroxylation at the C-16 position changes in lifestyle. Physical activity and eating a diet low in fat produces metabolites with high estrogenic activity, and might be and high in cruciferous vegetables can shift estrogen metabolism associated with increased breast-cancer risk. We set out to deter- from high-risk to low-risk," says Muti. mine if there was an association between later development of For more information on this study, refer to the paper published invasive breast cancer and the ratio of C-2 to C-16 by-products in on it in the November 2000 issue of Epidemiology. women before cancer developed." - LOIS BAKER discover whether biological markers exist for these substances other than in the blood . To accomplish this, they assessed the women's sebum production (the output of the skin's oil-andwax-producing sebaceous glands), their body-fat distribution and amount of body hair. (The relation of excess androgen in the blood with sebum production and symptoms of excess body hair, or "hirsutism," has been recognized by researchers for many years, Muti points out. In more recent years, clinical studies on women with established non-insulin-dependent diabetes mellitus and consequent elevated insulin concentration have shown that they have higher abdominal fat.) W hat M uti found in her study was that hair and sebum production were predictors of breast cancer in older, postmenopausal women. Furthermore, the body-fat distribution that fit a more male (pear-shaped) pattern, as opposed to the female (apple-shaped) pattern, was a predictorofbreastcanceronly in premenopausal women, in particular in women who were thinner. "One of the things this told us is that the hypothetical model we have for describing the mechanism of how insulin is able to induce increased production of androgens and estrogens as <!;) precursors to breast cancer is not so simple; it's more complex than we had thought. There are factors that make insulin a relevant risk factor in younger women and there are factors that make androgen and estrogen important risk factors in older women," says Muti. "In my present study on insulin, therefore, what I am looking at is the potential determinant of why insulin is so important in young women, and why androgen and estrogen, and not insulin, is so important in postmenopausal women." To date, the results from Muti's current insulin study are "telling us that insulin and IGF-1 [insulin-like growth factor- I), when measured in the blood, are more important in premenopausal than in postmenopausal women." These findings are leading Muti and her colleagues to hypothesize "that the insulin-resistance theory is stronger, is more valid, for younger women," she reports. "In particular, what we're finding is that glucose in the blood-glycemia-is a risk factor for breast cancer in these women," she notes. Based on these findings, she says, "we are very close at this point in our research to finding markers of metabolic risk that will tell us a little bit more about the potential markers of these environmental factors for breast cancer." Spring 200/ l a fla l a Pbys i c i u 31 �E RESEARCH W S Cocaine Use and Heart Attacks One- uarter of nonfa a heart attacks among persons under the age of 45 in the United I . ..• < States can be attributed to regular cocaine use, scientists at the University at Buffalo's Toshiba Stroke Research Center have reported in a study published in the January 2001 issue of Circulation. Lead author Ad nan I. Qureshi, to Qureshi. "What we do know is that cocaine use increases the levels of the neurotransmitters norepinephrine and dopamine at nerve terminals, which in turn increases heart rate, ventricular contraction and the heart's demand for oxygen. "Cocaine may also constrict blood vessels and increase platelet aggregation. In addition, it has MD, UB assistant professor of been shown to accelerate arter- neurosurgery, and colleagues found an association between frequent cocaine use and heart attacks in this age group, but not between cocaine use and strokes. "These findings "Cocaine may ndicate that changalso constrict blood ng behavior sur- iosclerosis in young patients. Since regular, but not infrequent, use of cocaine was associated with an increased risk in our study, our results seem to support vessels and increase platelet aggregation. In addition, it has been shown to accelerate arteriosclerosis in young patients. Since regular, but not infrequent, use of cocaine was associated with an increased risk in our study, our results seem to support this rounding cocaine use-due to public awareness and education-may reduce the incidence of cardiovascular disease n younger persons," Qureshi says. Previous researchers had reported cases of heart attack and stroke in persons who had sed cocaine within latter mechanism." the previous hour. Given the increase in cocaine use among young adults in the United States, the UB researchers undertook an extensive investigation of the possible relationship. this latter mechanism," he says. In their analysis the researchers used data from the most recent National Health and Nutrition Examination Survey (NHANES 1111, which was conducted between 1988 and 1994 by the Centers for Disease Control to estimate the prevalence of chronic disease in the United States population and identify factors that put people at risk of developing chronic health problems. It involved 40,000 persons two months of age or older. For the first time since these national surveys began, participants ages 18 to 59 were asked about life· time cocaine use. For their analysis of the association with heart attack and luffalo Physician Spring stroke risk, the UB researchers limited their study population to the 18 to 45 age group, which captured all but 25 cocaine users and resulted in a study base of 10,085. The study group was divided into three user groups: never, in· frequent, and frequent. This included anyone reporting using the drug from 10 to more than 100 times. The survey also contained data on prevalence of nonfatal stroke or heart attack. Analysis showed that about one in 20 subjects, 67 percent of whom were males, reported using cocaine regularly. To estimate the impact of the drug on nonfatal heart attack or stroke, the researchers calculated the percent of populationattributable risk-the portion of disease that would be eliminated if the exposure lin this case, use of cocaine) were removed. In general, regular users of cocaine were at nearly seven times the risk of having a nonfatal heart attack than non-users, results showed. The populationattributable risk was 25 percent, indicating that in this age group, one in four nonfatal heart attacks would not have occurred if there had been no cocaine use in the group. There was no relationship between cocaine use and nonfatal stroke. Additional researchers on the study included M. Fareed K. Suri, MD; Lee R. Guterman, PhD, MD; and L. Nelson Hopkins, MD, chair of the UB Department of Neurosurgery and director of the Toshiba Stroke Research Center. lOISBAK R searc Researchers aren't sure how cocaine might increase the chances of having a nonfatal heart attack or stroke, according 32 Adnan 1. Qureshi, MD 2001 �" THESF RESULTS SUGGEST THAT NATURALE DOCA .• ABL OID-SIG"'JALI G REGl.JlArF<; SPER\1 FU CfiONS IN HUMANS, Fl. 'DI. GS WITH :\1EDI< AL IMPLICATIONS FOR HUMAN REPRODUCTIO.' AND DRUG ABUSE," SCHUEL SA Y::i . Marijuana Abuse and Fertility For about the past 40 years, re- concentrations were inhibitory, stance called anandamide was which suggests that localized "In addition, the increased differences in anandamide levels load of cannabinoids in people may regulate sperm swimming who abuse marijuana could flood found to be that chemical. searchers have hypothesized that Regulatory mechanisms that marijuana smoke may affect sperm fertility. A recent study prepare sperm to fertilize eggs in human reproductive tracts remain poorly understood. Human THC inhibit structural altera- adversely impact fertil- scientists provides compelling sperm are bathed in male repro- tions, which are required for ity," he says. "This may "Defects in evidence in support of this ductive tract secretions when they physiological acrosome reactions, explain why men who endocannabinoidsignaling may be responsible for certain headed by University at Buffalo In VIVO. Secondly, both AM-356 and natural endocannabinoid-signal systems in reproductive organs and theory by discovering that a are ejaculated into the female's over the acrosomal cap during smoke the drug have cellular-signaling system that responds to THC (the active sub- vagina, and are not immediately capable of fertilizing eggs. How- capacitation. Thirdly, AM-356 inhibited lower sperm counts than nonsmokers." stance in marijuana), as well as to ever, once removed from the tight binding of sperm to the Collaborating on anandamide (a cannabinoid-like seminal plasma and exposed for egg's zona. "Failure of sperm to the research were Drs. unexplained molecule, or endocannabinoid, several hours to secretions with- bind tightly to zonae is predic- Robert Picone and types of normally produced in the body) in the female reproductive tract, tive of fertilization failure for in Alexandros Makri- may regulate sperm functions re- sperm become "capacitated" quired for fertilization in humans. and can fertilize eggs in vivo, or vitro fertilization," says Burkman. "Defects in endocannabinoid- yannis of the University of Connecticut; The study, led by Herbert by incubation in appropriate culture media in vitro. signaling may be responsible for Jack Lippes of UB; Mary C. Schue!, PhD, professor in pathol- certain currently unexplained Mahony of Eastern Virginia ogy and anatomical sciences, and "We know that sperm capa- Medical School; and Andrea Lani Burkman PhD, assistant professor of gynecology-obstet- citation and fertilizing potential are tightly regulated within types of infertility," Schue! says. "Conversely, endocannabinoidsignaling in reproductive tracts Giuffrida and Daniele Piomelli of the University of California rics, presents the first evidence female reproductive tracts, " that anandamide exists in Burkman says. "We also know may provide potential targets for future development of novel -LO IS BAKER human seminal plasma, mid- that the cannabinoid receptor cycle oviductal fluid and follicu- found in the human brain is ex- lar fluid. Sperm are normally exposed to these fluids as they pressed in the human testis, and that anandamide is produced in travel from the vagina to the site mammalian testes and uteri." of fertilization in the oviduct. Capacitated sperm exhibit a The study also shows that human sperm contain cannabinoid re- characteristic pattern of vigorous swimming called hyperactivated ceptors, and that anandamide motility. After binding to a specific protein in the egg's surface and THC regulate the sperm's "These results suggest that coat (zona pellucida), capacitated sperm undergo the acrosome re- natural endocannabinoid signal- action, a secretory event in sperm ability to fertilize eggs in vitro. ,.' drugs for reproductive medicine. activate these receptors. A sub- ing regulates sperm functions in humans-findings with implications for human reproduction and drug abuse," Schue! says. In 1991, a cannabinoid receptor gene was cloned from a currently infertility," Schuel says. at Irvine. that releases enzymes that enable sperm to penetrate zonae during fertilization. The current study found that an anandamide analog (AM-356) and THC affect the following processes in humans. : i ..• .... First, a low concentration of human brain, which suggested that the body must produce its AM-356 stimulated hyperacti- own chemical version ofTHC to vated motility while slightly higher lani Burkman PhD, and Herbert Schuel, PhD. Spring 2 001 Bu ffalo Physici an 33 �DEVELOPMENT N E w s (ve~ G"ft Vi ato School's future By Li nda J . Co rde r. PhD. CFRE and Biomedical Sciences received $10.8 million in gifts and grants. About two-thirds of the total represented grants awarded competitively by foundations, corporations and nonprofit organizations to outstanding faculty researchers. Members of the James Platt White Society account for the vast majority of the remainder, approximately $3.7 million. This figure represents current gifts, contributions to endowments, bequests and other estate gifts. When I see the tremendous difference that these gifts make to the quality of life for those who study, teach, conduct research and see patients, saying "Thank you" seems hardly enough ... I wish you could walk the halls of our school, our affiliated hospitals, our laboratories and student study areas with me. You would recognize many signs of your philanthropy at work. "Scholarships" is the designation for many gifts. We made proTHIS FUND SUPPLE· gress this year, but increasing both MENTS SCHOLARSHIP the size and number of scholarAWARDS, PAYS ships remain a high priority. CurTRANSPORTATION rently our medical students gradCOSTS FOR STU· uate owing, on average, about DENTS TO PRESENT $80,000 in education loans. For RESEARCH RESULTS the school to enroll its most AND UNDERWRITES promising applicants, it simply RECEPTIONS FOR needs more scholarship funds. DISTINGUISHED Members of the Society underALUMNI WHO RE· wrote several lectures this year. TURN TO TALK WITH The Department of Pathology STUDENTS ABOUT launched a lecture in memory of THEIR CAREERS. Dr. Kornel Terplan. Students heard inspiring lectures dealing with the "art of medicine" during their first- and second-year orientation sessions. Surgery residents participated in the 11 th annual Winfield Butsch Lectureship with an internationally renowned surgeon. The medical student Professionalism Committee finalized the Code of Conduct. It was overwhelmingly approved by students, the Faculty Council and Dean's Executive Committee. A member of this Society underwrote costs for it to be printed on attractive stock, worthy of the content, and distributed without cost to students. The first recipient of the Frawley Resident Research Award received laboratory support for his research in cardiac pathology, cardiac cell biology and integrative physiology. He worked under the guidance of Dr. John Canty, holder of the Rekate Chair in Cardiovascular Disease, an endowed position supported by the Rekate and Boardman Endowments. Many Society members gave to the school's general fund. These contributions provide flexibility to Dean Wright to respond to opportunities that arise serendipitously. This fund supplements scholarship awards, pays transportation costs for students to present research results and underwrites receptions for distinguished alumni who return to talk with students about their careers. Faculty recruitment costs, often not fully covered by budgeted funds, may be supplemented by this fund. A small proportion of overall philanthropy, the general fund remains an important component of the budget. Please help us spread the word regarding the importance of private support. Although state-assisted, the school receives only about 12.5 percent of its budget directly from New York State. Thus, every bit of gift money is vital to our school's future. Development staff members, working in conjunction with alumni, faculty and department chairs, some emeritus faculty members, most importantly, the dean and campaign volunteers who believe in this work, are responsible for encouraging private philanthropy. We want you to know that gifts are used precisely as " DE V EL O PME NT" l 1ffala Pbysician Spring 2001 CON TI NUE D ON P AG E 4 4 �}ANUARY the 1 , 2 0 0 0 - D E c E J\1 B E R 3 1 , 2 0 0 0 Society When cumulative contributions reach $50,000 or an irrevocable deferred gift is completed for $100,000 or more, a couple or individual is granted lifetime membership in the ]ames Platt White Society. Combinations of outright and deferred gifts in appropriate proportions may also be the basis oflifetime membership. Names of Founders' Circle members are repeated in the annual category in any year that they make a new gift to the school. Founders' Circle UB's fo unders-pri maril y physicians and attorneysenvisio ned a school to trai n studen ts for service to the commun ity. The Society's Founders help to actual ize that vision by providi ng a genero us base of support fo r programs and activities that enri ch th e academi c enviro nment and enhance medical training. Dr. Willard H. Boardman '44 & Mrs. Jean E. Boardman '48 Winter Park, FL Dr. William M. Chardack Buffalo, NY Mrs. June M. Alker James Platt White, MD, (1811-18811 was instrumental in founding UB's medical school in 1846. W illiamsville, NY Charles D. Bauer MD '46 & Mrs. Mary Bauer Williamsville, NY Dr. Ralph T. Behling '43 San Mateo, CA Dr. Willard H. Bernhoft '35 & Mrs. Clarice L. Bernhoft Snyder, NY Dr. Thomas F. Frawley '44 & Mrs. Marigrace Frawley Gulfstream, FL Chesterfield, MO Dr. Joseph A. Chazan '60 & Mrs. Helen Chazan Mrs. Christine Gretschel Genner Providence, Rf Potomac, MD Mr. DuVal Cravens (deceased! & Mrs. Annette Cravens Mr. John H. Goodwin Jr. Buffalo, NY Dr. Kenneth M. Alford '37 & Mrs. Joan W. Alford Dr. Richard J. Nagel '53 & Mrs. Florence T. Nagel Mrs. Catherine Fix Martinsburg, WV Mr. Donald L. Davis & Mrs. Esther P. Davis Clarence, N Y Dr. Pasquale A. Greco '41 & Mrs. Lois J. Greco Buffa lo, NY Williamsville, NY Dr. Max Doubrava Jr. W illiamsville, NY Mrs. Marjorie B. Eckhert Dr. Thomas J. '61 and Mrs. Barbara L. Guttuso Buffalo, NY East A m herst, NY Ms. Rose M. Ellerbrock Dr. Eugene J. Hanavan Jr. '41 Willia msville, NY Buffa lo, NY Dr. George M. Ellis Jr. '45 & Mrs. Kelly Ellis Mrs. Morris Lamer Connersville, TN Mrs. Grant T. Fisher Palm Beach, FL East Aurora, NY Dr. Albert C. Rekate '40 & Mrs. Linda H. Rekate '71 William sville, NY Dr. Elizabeth P. Olmsted Ross '39 Buffa lo, NY Ms. Thelma Sanes Dr. Glen E. Gresham & Mrs. Phyllis K. Gresham '85 Las Vegas, NV Orchard Park, NY Dr. Richard B. Narins '63 & Mrs. Ellen B. Narins Williamsville, NY Dr. Robert J. Smolinski '83 & Dr. Claudia D. Fosket '85 O rchard Park, NY Dr. Janet H. Sung & Mr. John J. Sung Clarence, NY Dr. Philip B. Wels '41 & Mrs. Elayne G. Wels Williamsville, NY New York, NY Dr. Eugene R. Mindell & Mrs. June A. Mindell fOUNDERS' C IR CLE, CONT'D Buffa lo, NY Spring 200 1 Buffalo Physiciaa 35 �DEVELOPMENT just as a department chair leads a program, donors of leadership gifts in the range of $10,000 to $24,999 are given special recognition. Mrs. Mollie Holtzman Bergman Hollywood, FL Dr. & Mrs. Ernest Beutner Eggertville, NY Dr. Carl V. Granger Buffalo, NY Philip D. Morey M.D. '62 & Mrs. Colleen Morey Williamsville, NY Dr. Edward Shanbrom '51 & Mrs. Helen Shanbrom Santa Ana, CA The dean is the school's leader. Every leader depends on a small circle of associates who help bring the organization's vision into reality. Individuals or couples qualify as members in the Dean's Circle with generous gifts of $25,000 or more during the calendar year. Mr. Donald L. Davis & Mrs. Esther P. Davis Williamsville, NY Dr. Max Doubrava Jr. '59 Las Vegas, NV Dr. Lawrence Golden '46 & Mrs. Nancy Golden '48 Eggertsville, NY Dr. Albert C. Rekate '40 & Mrs. linda H. Rekate '71 Williamsville, NY Dr. Eugene J. Zygaj '50 Lancaster, NY A strong faculty is central to a great university. Likewise, central to the future of our school is the dedication of a cadre of supporters whose annual gifts range from $5,000 to $9,999. Mrs. June M. Alker Williamsville, NY Charles D. Bauer, MD '46 & Mrs. Mary A. Bauer Williamsville, NY Dr. Joseph G. Cardamone '65 & Mrs. Susan G. Cardamone Eden, NY Dr. Morton A. Stenchever '56 Mercer lsland, WA Drs. Michael and Laura Garrick Getzville, NY Dr. Martin C. Terplan '55 San Francisco, CA Dr. Waun Ki Hong Houston, TX Mr. Fred K. Kurata & Mrs. Lynn W. Kurata Santa Monica, CA 36 I u II a I o Pb ys i c i a n E w Dr. Gordon R. Lang '62 Chicago, IL PLATT SOCIETY, CONT'O Annual donors of $1,000* or more are granted membership in the james Platt White Society. Annual memberships in the appropriate circle within the james Platt White Society are granted for one year, beginning january I (for gifts received the prior calendar year). The roster of the fames Platt White Society "Class of 2000" follows. N Spring 2 0 0 1 Dr. Shedrick H. Moore '55 Costa Mesa, CA Dr. John C. Newman Lewiston, NY Dr. Charles S. Tirone '63 & Mrs. Anne R. Tirone '94 Williamsville, NY Dr. James J. White Jr. '69 Buffalo, NY Scholars· Circle One strength of outstanding institutions is the caliber of those who study there. Scholars within the james Platt White Society have made gifts to the school totaling $1,000 to $2,499 during the past year. Those marked with an asterisk (*) are young scholars, graduates of the last decade, who qualify with gifts of $500 to $999. '"'·c e Fellows within the school are recognized for added depth they bring to postgraduate study. Fellows are honored for gifts that total $2,500 to $4,999. Dr. & Mrs. Charles A. Bauda '42 Boynton Beach, FL Dr. C. John Abeyounis Williamsville, NY Dr. Kenneth M. Alford '37 & Mrs. Joan W. Alford Buffalo, NY Dr. Kenneth Z. Altshuler '52 & Mrs. Ruth Altshuler Dallas, TX Dr. Willard H. Boardman '44 & Mrs. Jean Boardman '48 Winter Park, FL Dr. Lawrence B. Bone '73 Orchard Park, NY Dr. Dennis L. Bordan '70 Port Washington, NY Dr. Suzanne F. Bradley '81 Whitmore Lake, Ml Dr. Martin '72 & Geri Brecher Amherst, NY Dr. Robert A. Brenner '59 Moravia, NY Dr. Harold Brody '61 Getzville, NY Dr. James B. Bronk '81 & Mrs. Suzanne Bronk Napa, CA Dr. August A. Bruno Sr. '51 Buffalo, NY Dr. David P. Buchanan '48 Hillsborough, CA Dr. Hossein Amani Ontario, Canada Dr. William M. Burleigh '67 Rancho Mirage, CA Dr. Melvin M. Brothman '58 Snyder, NY Dr. WilliamS. Andaloro '45 Caledonia, NY Dr. Washington Burns Ill '61 Berkeley, CA Dr. Jennifer L. Cadiz '87 Lemoyne, PA Dr. Mark Anders Buffalo, NY Dr. Charoen & Dr. Charlearmsee Chotigavanich Thailand Dr. Douglas Armstrong Buffalo, NY Dr. Evan Calkins & Dr. Virginia Calkins Hamburg, NY Dr. Robert Gillespie '74 & Mrs. Kathleen Gillespie Buffalo, NY Dr. Hak J. Ko Buffalo, NY Dr. Robert L. Malatesta '60 Warren, N] Dr. Susan V. McLeer Buffalo, NY Dr. Nancy H. Nielsen '76 Orchard Park, NY Dr. Thomas P. O'Connor '67 & Mrs. Sandra S. O'Connor East Amherst, NY Dr. Robert J. Smolinski '83 & Dr. Claudia D. Fosket '85 Orchard Park, NY Dr. J. Bradley Aust Jr. '49 San Antonio, TX Dr. George Bancroft '81 & Mrs. Susan K. Bancroft '79 Hamburg, NY Dr. Elizabeth P. Barlog '82 & Dr. Kevin Barlog '82 Amherst, NY Dr. Jared C. Barlow Sr. '66 & Mrs. Barabara Barlow Grand Island, NY Dr. Paul D. Barry '71 Arlington, VA Dr. Richard A. Berkson '72 & Mrs. Andrea Berkson Rancho Palos Verdes, CA Mr. Sheldon M. Berlow Buffalo, NY Dr. David T. Carboy '63 & Mrs. Jacqueline G. Carboy Lincroft, Nj Dr. Nicholas C. Carosella '54 Appleton, NY Dr. Yung C. Chan '73 Draper, VA Dr. Norman Chassin '45 & Mrs. Charlotte S. Chassin Williamsville, NY Dr. Charles Kwok·Chi Chow & Mrs. Patricia Chow Hong Kong Dr. Bernice S. Comfort·Tyran '58 Los Altos, CA Dr. Donald P. Copley '70 & Mrs. Andrea Copley Amherst, NY Dr. Linda J. Corder Buffalo, NY Dr. Irving Sterman '64 & Mrs. Gail K. Sterman jacksonville, FL Dr. Michael E. Bernardino & Mrs. Joan Bernardino Buffalo, NY Mr. Haskell Stovroff Buffalo, NY Dr. Beverly P. Bishop '58 Snyder, NY Dr. Julia Cullen '49 Buffalo, NY Mr. James I. Stovroff Buffalo, NY Dr. Theodore S. Bistany '60 Buffalo, NY Dr. Daniel E. Curtin '47 & Mrs. Elaine Curtin Orchard Park, NY Dr. J. Steven Cramer East Amherst, NY �E VE R Y LEADE R DEPE DS 0 HELP BR I NG T H E ORGA A SMALL CIRCLE OF ASSOC I ATES W H O I ZAT I ON ' S V I SIO I NTO R EALITY . Dr. David R. Dantzker '67 & Mrs. Sherrye Dantzker Dr. William A. Fleming '64 & Dr. Beth D. Fleming '67 Dr. John H. Hedger '75 & Mrs. Sandra Hedger Dr. Paul B. Karas '87 & Mrs. Donna Karas Dr. Mark J. Lema '76 & Mrs. Suzanne Lema Roslyn, NY Buffalo, NY Salisbury, MD Buffalo, NY East Amherst, NY Dr. Roger S. Dayer '60 & Dr. Roberta A. Dayer '72 Dr. Andrew J. Francis '84 Dr. Reid R. Heffner Jr. & Mrs. Elenora M. Heffner Dr. Julian R. Karelitz '68 & Dr. Mayenne A. Karelitz Dr. Harold J. Levy '46 & Mrs. Arlyne Levy Buffalo, NY Carson City, NV Amherst, NY Dr. William J. Hewett '61 Dr. Mahito Kawashima West Hartford, CT Japan Dr. David C. Lew & Mrs. June K. Lew Dr. Fredric M. Hirsh '73 & Mrs. Donna A. Hirsh Dr. John H. Kent '55 Buffalo, NY Coram, NY Dr. Neal W. Fuhr '52 Dr. Gerard J. Diesfeld '60 Arcade, NY Williamsville, NY Dr. Penny A. Gardner '69 Ronald I. Dozoretz M.D. '62 Falls Church, VA Dr. Robert Einhorn '72 North Brunswick, N] Dr. lillian M. EngasserRowan'45 Chatsworth, CA Dr. Domonic F. Falsetti '58 Lewiston, NY Dr. Leon E. Farhi & Mrs. Haya Farhi Eggertsville, NY Mr. Kevin Feor '80 & Mrs. Elizabeth A. Feor '78 Webster, NY *Dr. Amy E. Ferry '94 Bethlehem, PA Dr. Helen Marie Findlay '78 & Dr. Albert Schlissennan '77 Eggertsville, NY Dr. Marc S. Fineberg Williamsville, NY Dr. Susan Fischbeck '82 & Dr. Patrick T. Hurley '82 East Concord, NY Dr. Jack Fisher '62 La jolla, CA Los Altos, CA Dr. Ronald F. Garvey '53 Tyler, TX Kenneth L. Gayles, M.D. Amherst, NY Dr. Carmen D. Gelormini '50 Syrawse, NY Dr. Michael Goldhamer '64 San Diego, CA Dr. Peter H. Greenman '80 Fairfax Station, VA Dr. Glen E. Gresham & Mrs. Phyllis K. Gresham '85 Williamsville, NY Dr. Robert T. Guelcher '60 & Mrs. Elizabeth Guelcher Erie, PA Dr. Thomas J. Guttuso Sr. '60 & Mrs. Barabara Guttuso East Amherst, NY Dr. Robert Joseph Hall '48 & Mrs. Dorothy N. Hall Houston, TX Dr. Christopher Hamill '89 Buffalo, NY Dr. Donald A. Hammel '60 Ravena, OH Dr. Thomas D. Flanagan '65 & Mrs. Grace Flanagan '70 Williamsville, NY n This society honors Genera l Edmund Hayes, an in ternat io na lly reno wn ed d es igner of bridges who bequea thed nea rly $390,000 to UB in 1923. Over the years, a growing number o f friends a nd alumni o f UB's School of Medicine and Bio medical Sciences have joined the Ed m und H ayes Society by including the school in their estate plan. If you are interested in becomin g a m e m ber of th e Dr. Seymour J. Liberman '61 Buffalo, NY Dr. John M. Hodson '56 Dr. Kenneth K. Kim '65 & Mrs. Susan W. Kim Williamsville, NY Clinton, NY Mr. Paul F. Hohenschuh & Dr. Marjorie E. Winkler Dr. Francis J. Klocke '60 Burlingame, CA Dr. Hilton R. Jacobson '45 Shaker Heights, OH Dr. Marshall A. Lichtman '60 & Mrs. Alice Jo M. Lichtman Rochester, NY Chicago, IL Dr. Hing-Har Lo '74 Dr. Robert A. Klocke '62 & Mrs. Barbara Klocke Dr. Alice Challen Lo Grasso '37 Blacksburg, VA Lakewood, NY Williamsville, NY Alameda, CA Robert M. Jaeger, M.D. '47 Mr. Tetsuri Kondo Allentown, PA Japar1 Dr. Gerald L. Logue & Mrs. Joelle Logue Dr. Herbert E. Joyce '45 & Mrs. Ruth Marie Joyce Dr. Joseph M. Kowalski '93 Lockport, NY Mr. Arthur H. Judelsohn Buffalo, NY Mr. Chan Y. lung & Mrs. Sooja Y. lung East Amherst, NY Dr. Wendy A. Kaiser '85 & Dr. Roger E. Kaiser Jr. '79 Clarence, NY Dr. James R. Kanski '60 & Dr. Genevieve W. Kanski '84 Eggertsville, NY Dr. Robert E. Kaplan '81 Buffalo, NY Williamsville, NY Dr. Thomas A. Lombardo Jr. '73 & Mrs. Donna M. Lombardo East Aurora, NY Amherst, NY Dr. Kenneth Krackow Williamsville, NY Dr. Jacob S. Kriteman '67 Danvers, MA Dr. Robert B. Kroopnick '72 Pikesville, MD *Dr. David R. Ludwig '90 Williamsvillie, NY Dr. Frank A. Luzi '88 & Dr. Lori Luzi '88 Clarence, NY Dr. Ivan W. Kuhl '45 Dr. James R. Markello '61 Wimberley, TX Eden, NY Dr. Marie Leyden Kunz '58 & Dr. Joseph L. Kunz ' 56 Lockport, NY Dr. Weerachai Ladakom '91 Bangkok Dr. Andre D. Lascari '60 Poestenkill, NY Williamsville, NY T Okahumpka, FL Dr. John M. Marzo '86 Buffalo, NY Dr. Conrad May '81 Kensington, MD Dr. Brian McGrath Buffalo, NY Dr. Ronald F. Garvey Dr. Karl L. Manders Dr. John T. Cangelosi Mr. John H. Goodwin, Jr. Dr. Benjamin E. Obletz Dr. Stanley B. Clark Dr. Adele M. Gottschalk Dr. Elizabeth P. Olmsted Ross H ayes Society, you m ay con tact the Planned Giving Office at 716-645-33 12. O r, if you have made similar plans and do not see yo ur na m e o n thi s lis t, please call Mary Glenn in the UB O ffi ce o f Develo pm ent, toll -free, at 1-877826-3246 so that we may in cl ud e yo u in sp ec ia l events d uring the year and honor you in futu re recogn itio n lists. Dr. Charles A. Bauda Dr. Frances R. Abel Mrs. Grant T. Fisher Dr. linda J. Corder Dr. Pasquale A. Greco Dr. Julia Cullen Dr. Glen E. Gresham Dr. Thomas G. Cummiskey Dr. Eugene J. Hanavan, Jr. Dr. Richard A. Rahner Dr. Albert C. Rekate Dr. Myron G. Rosenbaum Mr. Edward L. Curvish, Jr. Dr. David M. Holden Dr. Leonard S. Danzig Dr. Hilliard Jason & Dr. Jane Westberg Dr. Daniel S. P. Schubert Dr. Richard F. Kaine Dr. Albert Somit Dr. J. Walter Knapp Dr. Eugene M. Teich Dr. Melvin B. Oyster Ms. Rose M. Ellerbrock Dr. George M. Ellis, Jr. Dr. Kenneth M. Alford Dr. Jack C. Fisher Mrs. June M. Alker Dr. Lance Fogan Miss Thelma Sanes Dr. Harold J. Levy Dr. Pierce Weinstein Dr. Sanford H. Levy Dr. John R. Wright Dr. Milford & Dione Maloney Dr. Wende W. Young Spring 2001 lulf alo Physiciaa 37 �DEVELOPMENT E w Dr. Margaret W. Paroski '80 Dr. David S. Schreiber '69 Dr. James C. Tibbetts '64 Buffalo, NY Westwood, MA Sturgeon Bay, WI Dr. Harry L. Metcalf '60 & Dr. Kaaren Metcalf '78 Dr. Robert J. Patterson '50 & Mrs. Patricia M. Patterson Dr. Joseph I. Schultz '57 & Mrs. Yolanda Schultz Dr. Bradley T. Truax ' 74 Williamsville, NY Snyder, NY San Pedro, CA Dr. Merrill L. Miller '71 Dr. Norman L. Paul '48 Dr. Fred S. Schwarz '46 Hamilton, NY Lexington, MA Buffalo, NY Dr. David P. Mindell & Mrs. Margaret H. Mindell Dr. John H. Peterson '55 East Aurora, NY Dr. Roy E. Seibel Sr. '39 & Mrs. Ruth Seibel SCHOLARS' CIRCLE, CONT'D Ann Arbor, MI Eggertsville, NY Lewiston, NY Dr. John A. Tuyn '60 Williamsville, NY Dr. Hugh D. VanLiew & Dr. Judith B. Van Liew Dr. Alvin Volkman '51 North Hills, NY Dr. Molly R. Seidenberg '53 Georgetown, DE Buffalo, NY Rochester, NY Dr. Arthur M. Morris '65 Dr. Matthew Phillips '91 Dr. Arthur M. Seigel ' 70 Dr. Richard D. Wasson '58 & Mrs. Janet Wasson River Forest, IL Buffalo, NY Guilford, CT Holiday, FL Dr. John A. Moscato '68 & Dr. Beth A. Moscato '96 Mr. Edwin Polokoff Dr. Elizabeth G. Serrage '64 Dr. Arnold Wax ' 76 Boca Raton, FL Cape Elizabeth, ME Hendersor1, NV Dr. Anthony V. Postoloff '39 Mr. Eugene M. Setel Williamsville, NY Buffalo, NY Dr. Charlotte C. Weiss '52 & Dr. Hyman Weiss Manhasset, NY Dr. Arthur W. Mruczek Sr. '73 Dr. Kenneth John Raczka & Mrs. Rita Raczka Medina, NY Amherst, NY Dr. Richard L. Munk '71 Ms. Katharine B. Rahn Sylvania, OH Arlington, MA Dr. Masao Nakandakari '55 Dr. John Y. Ranchoff '52 Dr. John B. Sheffer '47 Williamsville, NY Dr. Peter E. Shields '79 Tonawanda, NY Dr. Timothy S. Sievenpiper '68 & Mrs. Karen S. Sievenpiper Greenville, NC Highland Park, NJ Carlsbad, CA East Aurora, NY John B. Neeld, M.D.P.C. Dr. Bert W. Rappole '66 & Mrs. Mary Helen Rappole Dr. & Mrs. Edward H. SiiMIOIIS Williamsville, NY Dr. Richard G. Williams '80 jamestown, NY Dr. Frederic D. Regan '45 Dr. Ralph M. Obler '52 & Mrs. June M. Obler '49 Los Angeles, CA Dr. Yasuyo Ohta Japan Dr. Kathleen O'Leary '88 & Mr. Michael J. Collins '90 Buffalo, NY Dr. Albert J. Olszowka '58 & Dr. Janice S. Olszowka Boca Raton, FL Dr. Frank T. Riforgiato '39 & Mrs. Mary Cecina Riforgiato Buffalo, NY Dr. John G. Robinson '45 & Mrs. Pauline H. Robinson '67 Williamsville, NY Dr. Bernhard J. Rohrbacher '83 Getzville, NY Dr. Richard R. Romanowski '58 Buffalo, NY Dr. James M. Orr '53 Dr. Jeffrey S. Ross ' 70 Gallipolis, OH Lebanon Springs, NY Nanuet, NY Dr. Albert Somit Encinitas, CA Dr. John J. Squadrito '39 Albany, NY Dr. Philip M. Stegemann '82 Orchard Park, NY Dr. William C. Sternfeld '71 Sylvania, OH Mrs. Gloria Stulberg Orchard Park, NY Dr. John R. Wright & Mrs. Deanna P. Wright Williamsville, NY *Dr. Shih-Ping Yang '93 Dr. Edwin A. Salsitz '72 Maitland, FL New York, NY Mr. Chun-Sik Park & Mrs. Younghae K. Park Dr. Arthur Schaefer (deceased) Dr. Sylvia W. Sussman '60 Allentown, PA Hideo Suzuki Holland, NY Dr. Wende W. Young '61 Dr. Meyer lllwchun 'XI and Mrs. Ann S. Rlwchun Malden, MA Dr. Warren M. Zapol Boston, MA Dr. Franklin Zeplowitz '58 & Mrs. Piera Zeplowitz Buffalo, NY & Mrs. Elizabeth Ann Schaefer Snyder, NY Dr. Wayne C. Templer '45 Dr. Adolphe J. Schoepflin '45 Mr. Fritz Terplan Ada, OK San Francisco, CA Walnut Creek, CA Dr. Israel Ziv Williamsville, NY Ph ysici an Spring 2001 Mr.WafterMazal *Ms. Sanda Yu '95 Dr. David C. Ziegler '64 & Mrs. Susan D. Ziegler Latrobe, PA Dr. Clan A. March '07 Canandaigua, NY japan Corning, NY Ms. V'll'linia A. lames Mrs. Grace S. Mabie Carmel, IN Tonawanda, NY The following individuals left generous bequests or made arrangements for the school to receive gifts from testamentary trusts. Gifts from the individuals listed below were received during 2000. Miss Ruth v. Hewlett '30 Dr. Michael A. Sullivan '53 Williamsville, NY Williamsville, NY Taiwan Buffalo, NY Williamsville, NY Dr. Marvin Z. Kurian '64 & Mrs. Eleanor Kurian Dr. Gregory E. Young '77 & Mrs. Diane Young Buffalo, NY Dr. Paul A. Palma '73 lul f a le Lewiston, ME Dr. Robert G. Smith '49 Clearfield, PA Mr. Ralph C. Wilson Jr. Dr. Heun Y. Yune & Mrs. Kay K. Yune Dr. Albert G. Rowe '46 Dr. John S. Parker '57 & Mrs. Dorris M. Parker Dr. Richard A. Smith Orlando, FL Mr. James J. Rosso '76 & Mrs. Cheryl Rosso Dr. Charles V. Paganelli Jr. & Mrs. Barbara Paganelli Seoul, Korea Orchard Park, NY Savannah, GA Amherst, NY Dr. Marvin G. Osofsky '59 Dr. James A. Smith ' 74 Dr. John L. Butsch Buffalo, NY Dr. Gary J. Wilcox '73 Fairview Park, OH Dr. Tomoe Nishimaki Ms. Janet F. Butsch Aurora, CO Buffalo, NY Honolulu, HI Japan Dr. David W. Butsch Montpelier, VT Dr. Paul H. Wierzbieniec '74 & Ms. Ellen Wierzbieniec Dr. Charles E. Wiles '45 Atlanta, GA A few individuals and couples were granted multiyear memberships based on generous gifts made between 1989 and 1993. Dr. Robert Bernot '60 & Mrs. Carol Bernot Dr. James F. Phillips '47 & Mrs. Marcella Phillips Orchard Park, NY Special Members Barnstable, MA Dr. Maynard H. Mires Jr. '46 Dr. John D. Mountain '33 38 N Mrs. TModosia H. SlicllneJ '28 Mrs. Ethel Wlmbelty We have made every effort to ensure accuracy in these lists. If you have any questions or corrections, call Mary Glenn tollfree or or e-mail her at glenn@acsu.butfalo.edu. �Dear Fellow Alumni, was held the last weekend in April and 1 Q was a tremendous success, with over 300 University at Buffalo School of Medicine and Biomedical Sciences' alumni attending with their families. Be sure to look for a full report on the weekend's events in the summer issue of Buffalo Physician, which, among other things, will feature the four alumni chosen by the Medical Alumni Association Board to receive this year's achievement awards: Marcella F. Fierro, MD '66, Wendy W. Logan-Young, MD '61, Nancy H. ielsen, MD '76, and Morton A. Stenchever, MD '56. As my year of serving as president of the Medical Alumni Association comes to a close, I can tell you that it has been both a privilege and an honor to serve in this capacity and to have had the opportunity to meet so many interesting and outstanding members of our UB Alumni Association. At this time, I would like to thank a few people who help make this organization run as smoothly and effectively as it does. Bertram Portin, MD '53, our assistant dean for Alumni Affairs, is a tremendous source of support and information, as is Dr. Jack Richert, former associate dean for Alumni Affairs, who has served on the board this year at my request. Jack has also helped with his tremendous knowledge of the history of the organization and the medical school. Mrs. ancy Druar, who serves as our administrative assistant, is certainly the glue that holds this organization together and without Nancy's help, we wouldn't have any of the successful programs that we have today. I also would like to thank some of our fellow Alumni Association board members: Richard Collins, MD '83, who has served as past president, Patricia Duffner, MD '72, who served this year as vice-president, Colleen Mattimore, MD '91, who will be the next vice president, and Stephen Pollack, MD '82, who will be the next treasurer and secretary. I would be remiss if I did not mention one more time that we are still looking for many more lifetime members, and we hope that you, as alumni, will find it in your hearts to support our school in this manner. Once again, I thank you for allowing me to serve as your president. II , MD President, Medical Alumni Association jOHN j . BODKIN Spring 2001 luffal1 Physician 39 �CLASSNOTES 1940s William Herman Bloom, MD '48, has been elected to Who's Who in Medicine and Healthcare, as well as Who's Who in Science and Engineering and Who's Who in the World. He recently published After All, It's Only Brain Surgery (available in bookstores ISB l56167-573-3; publisher, Noble House). Michael Genco, MD '58, writes: "Ann and I are enjoying retirement. We have moved to a condo at 600 Main Street in downtown Buffalo, NY, 14202." E-mail address is: mgencobuf@aol.com. 1960s Dick Eggleston, MD '62, writes, "Hi, I retired from Ford Motors at the end of2000. We just completed a home in Hamilton, MT. I will be hiking, learning to fly fish and using my camera. In addition, I have accepted a parttime position at Marcus Daly Hospital in Hamilton." 1970s Howard R. Goldstein, MD '74, writes: "Judy and I are still living in Cherry Hill, NJ. I'm in an eightman urology practice and am very happy. Our children: Lee is a firstyear surgery resident at the Hospital of University of Pennsylvania (MD, Yale Medical School); Lauren is a the next four years. These included tours of duty in surgery, thanks to a surgi- In 1974, I was in· '46, FPCS, writes from cal residency while in the ducted as a Fellow in the Santa Barbara, CA: Philadelphia, Washington, Navy. Because of being in a Philippine College of Sur- Greetings from - of the members of the DC, the USNAS in the Phil- "goiter belt," I seemed to geons. As the years went ippines, and An- by, my role gradually short-term help to sister class of '46. In lieu of napolis before shifted to that of men· mission hospitals in tiYe Uncoln D. Nelson, MD a healthy body) but lose his soul?' Since retirement we haYe continued to glye my being able to attend discharge from tor for young Filipino foreign countries: the reunion In April, I actiYe duty in doctors. When we re- Bangladesh, Amazonas will write this note about '51. Six months tired from full-time Brazil, Togo, the Gambia our life's work. I say thereafter we duty with our Mission in West Africa and a clinic in the Ukraine. We 'our' since my life's were back in the lthe Association of partner, Lenore Butts PhHipplnes under Baptists for Wortd plan to continue doing Nelson, RN, became my a HeaYenly Com- EYangelism, Inc.) we so as long as the Lord bride in '44 and has re- mander In Chief. malned my closest friend For the next left three of these keeps us in good health. hospitals In the We are grateful for the and colleague in our 35 years, God capable hands of an training years at UB and medical missionary work enabled us to all-Filipino staff thank our mentors there. eYer since our training years In Buffalo. establish three rural major in thryoidectomies continuing the care of the We hnen't piled up mission hospitals and as- and deYeloped a technique total patient: body, soul much of this wortd's and spirit. goods, but the remu- sist in a fourth. These each of doing them under In a ciYIIIan hospital in became general hospitals regional block anesthesia. Hackensack, NJ, in '46- in which we had no choice When I last stopped count- 47, the Navy took charge but to be 'general special- of our appointments for ists,' with a major in After my Internship 4D grandfather, Tom Beahan, an Adirondack Larry Beahan, MD '55, has logger in the early 1900s. published a book, titled, "Larry describes life in a My Grampa's Woods, lumber camp in the the Adirondacks. Beahan, Adirondack woods of a physician active in 1900 in an honest and conservation efforts, intimate way," writes a has assembled a collecreviewer for Amazon. tion of colorful stories com, "so that you hear spanning the 20th centhe noise of the loggers tury. These tales of talking at breakfast, taste tragedy and death, the hot cakes covered humor and family lore with maple syrup, and stem from his family's smell the horses as they encounters in the sweat and strain at Adirondack Mountains pulling the logs across in northeast New York the snow-covered State, beginning with his forest floor." 1950s luffal 1 Phys i c i an Spring 2001 The theme plaque OYer neration is "out of this the door reads, 'For what wortd." We wouldn't ing, we had done OYer does it profit a man to gain switch jobs with any- 1,200 of them. the whole world !including body. �assnotes tion. I enjoy traveling with my wife, Carol, and our three wonderful children." E-mail is Dforster @pol.net. Michael Nancollas, MD, '85, senior at Columbia University and Daniel is a freshman at the University of Pennsylvania, where he is playing catcher for their Division 1 baseball team." E-mail is hrgmd1@home.com. Marguerite Dynski, MD '75, Rochester, Y, general surgery/breast disease, writes: ''I'm a site director of third-year students from the University of Rochester and am on faculty at RIT." E-mail address is marguerite.dynski@ viahealth.org. Claudette Robbins, MD '78, writes: ''I'm no longer at HDH, but am now a full-time radiologist at Olive View Medical Center in Sylmar, CA. E-mails are welcome: claudettemd@yahoo.com." Cavia L. Stanley, MD '78. MDiv, is listed in the 2000 (millennium) edition of Who 's Who in Medicine and Healthcare. He is the district health director of Waccamaw Public H ealth District in South Carolina. The district includes Horry Country (Myrtle Beach), Georgetown and Williamsburg counties. Stanley is a gynecologist in the U.S. Airforce reserves and a lieutenant colonel. 1980s Ellen M. Tedaldi, MD ·so. Philadelphia, PA, internal medicine, is director of the HIV Program at Temple Hospital. E-mail address is etedaldi@ unix.temple.edu. RPCI, where he is also director of the institute's Head and eck Surgical Oncology Fellowship Program. His research interests focus on respiratory epithelial injury-repair and differentiation, and his laboratory is doing novel work in bioengineering large conducting airway devices. David Forster. MD '85, Oak Hill, VA, ophthalmology, writes: ''I'm a clinical associate professor of ophthalmology at Georgetown University. I'm also vice president of the orthern Virginia Academy of Ophthalmology and president of Georgetown Ophthalmology Alumni Associa- Fayetteville, NY, hand surgery/orthopaedic surgery, writes: "I started a clinic for performing artists, so I get to practice a different type of 'sports medicine,' treating musicians in the Central ewYorkarea." E-mail address is hand.doctor@pobox.com. CO N T I NUED ON P AGE 4 2 Wigand's "Secrets through the Smoke" Wesley L. Hicks Jr. DDS, MD '84, associate profes- sor of otolaryngology/ head and neck surgery at the University at Buffalo School of Medicine md Biomedical Sciences, and attending surgeon in the Division of Head and Neck Surgery at Roswell Park Cancer Institute (RPCI ), has been invited by the American Board of Otolaryngology to serve as alternative guest exam iner for its 2001 oral examination and guest examiner for its 2002 oral examination. In 1991, Hicks joined Spri 11 g 200 1 laffala Physician 41 �CLASSNOTES CONTINUED FROM PAGE 41 Roseann Russo, MD '85, Manhasset, Y, pulmonary, critical care medicine, writes: ''I'm medical director of the respiratory care unit at orth Shore University Hospital in Manhasset. Am also the medical director of pulmonary rehabilitation for NSUH/LIJ." Lynda Stidham, MD '85, Glenwood, NY, pediatrics, writes, "Two years ago I returned to Christ the King Seminary where I am studying pastoral ministry, which is enriching my personal and professional life immensely. I'm practicing in a suburban pediatric group." 199 s Gale R. Burstein, MD '9D, Decatur, GA, pediatrics and adolescent medicine, is working as medical epidemiologist at the Centers for Disease Control and Prevention. E-mail address is gib5@cdc.gov. Pamela A. Clark, MD '90, Prospect, KY, pediatric endocrinology, writes: "I am currently chief of the Division of Endocrinology at the University of Louisville." E-mail address is paclark@pol.net. 42 l ulfal1 Pb ysiciaa Mark A. Flanzenbaum, MD Douglas P. Prevost, MD '90, '90, Glen Allen, VA, San Antonio, TX, orthopaedic surgery, writes: "I am an army staff orthopaedic surgeon, chief of joint service." E-mail address is dprevost@ gateway. net. emergency medicine and pediatric emergency medicine, writes: "I am a faculty member at the Medical College of Virginia." E-mail address is mflanz@worldnet.att.net. Eileen Schwartz Saltarelli, Robert J. Leon, MD '90, MD '90, Canton, OH, psy- ew York, NY, writes: "I live on the upper east side of Manhattan. My practice is located in NJ. I enjoy the culture of NYC and solo cardiology practice." E-mail address is rleonmd944@aol.com. chiatry, writes: "I work for a community mental health agency and consult in 12 nursing homes." E-mail address is msaltdoc@aol.com. Laura Nicholson, MD '90, Palo Alto, CA medicine, writes: "I joined Stanford University in 1997 as director of the Medical Consultation Service. I also serve as medical director of Inpatient General Medicine and associate program director of Internal Medicine Residency. On weekends, I enjoy the great outdoors of northern CA and great indoors of San Francisco." E-mail address is lnicho@leland. stanford.edu. Timur Sarac, MD '90, Orange Village, OH, vascular surgery, writes: "I have spent nine years in postgraduate education. Finally it's paying off, as I am working with my residency mentor at the Cleveland Clinic." E-mail address is saract@ccf.org. Valerie Vullo, MD '90, Clarence, NY, physical medicine and rehabilitation. "I am part of the Department of Rehabilitation Medicine at UB and a clinical assistant professor at UB's School of Medicine." Spring 200 1 surgery at the University of California at Davis in Sacramento, CA." E-mail address is rudolph.schrot@ ucdmc. ucdavis.ed u. Cynthia Leberman Jenson, MD '92, writes: ''I'm in Kenneth A. Levey, MD '97, private practice in Bangor, ME, (anesthesiology). My husband, Mark, is a stay-at-home dad with our two daughters, Alexandra, age six, and Erica, three." E-mail address is mcaejenson@ adelphia. net. writes: "I am completing both my residency in OB/GYN and my master's degree in public health this spring at the George Washington University. I will be starting this summer as assistant professor of OB/GYN at the New E-mai Jon Kemp, MD '93, writes: "Meri and I are in Portland, Oregon, and very happy. We have two little girls, Laurel and Sophie. I am practicing ophthalmology and not taking too much call." E-mail address is jkemp899@aol.com. Tara (Sosa) Paolini, MD '95, Lisa M. Nocera, MD '90, Greenville, NC, anesthesiology-pain management. I recently married, moved and started a new job! I'm as happy as I've ever been!" E-mail address is lmnocera@ hotmail.com. cal care at UPMC Passavant in Pittsburgh, PA. I look forward to retiring in 2035." York University School of Medicine." Mark L. Capener, MD '99, writes: "My practice is going very well here in Elko, NV. I also work in Ely, NV, and in Winnamucca on alternative weeks. Who woulda thought? Hello to all the gang in Buffalo!" E-mail is: capeners@elko.net. Steven P. Harris, MD '91, and Raymond V. Paolini, writes: "We are pleased to announce the birth of our third child, Elaina Anne-Marie. She is welcomed by brothers Donovan, age 4, and Steven, age 5. I am currently in private practice in pulmonary and criti- MD '90, write: "We are Thomas A. Cumbo, MD '99, happy to announce the birth of our daughter, Dora Rae, on August 14, 2000." E-mail address is tsosa@ yahoo.com. writes: "I completed my second research expedition to the epa! Himalayas last summer as a PGY-2 resident at The Johns Hopkins Rudolph Schrot, MD '96, writes: "I am currently PGY-3 in neuro - CONTINUED ON PAGE 44 �Erica (Heit) Remer pens amedical thriller Aplan for living. Hospice really is a plan for living. And the sooner you call, the sooner we can help you put that plan into action - with emotional support, pain management, in-home care anything you need to keep enjoying life . Call686-8077. THE CENTER FOR H'lSPICE& PAlllATNE CARE wwtll. hospicebtiffalo. com Spr i ng 200 1 luffalo Physiciaa 43 �C L A CON TI NU ED FR O M P AC E 4 2 University/Sinai Hospital Program in Internal Medicine. I led an eightman team from the Himalayan Rescue Association into the Langtang region of the peaks (just below Tibet) where we gathered data to test a hypothesis regarding the pathogenesis of altitude illness. We studied a Hindu pilgrim population at a sacred high altitude lake at approximately 4,500 meters. The pilgrimage is an annual event in honor of the Vedic Diety Shiva and is performed by approximately 4,000-5,000 individuals. In addition In emo N 0 T E tO COllecting data, We were in charge of providing medical care for the masses in a Third-World environment. It was an exciting mix of basic science, field research, ThirdWorld culture, backcountry medical care and religion. I plan a biannual trek to further refine our numbers and test novel hypotheses. P.S. I have a letter to the editor published about high altitude medicine in the January 2001 issue of Emergency Medicine on page 6. " each donor specifies. The UB Foundation acts as the school's banker and investment manager, charges minimal fees (much less than profitmaking financial institutions) and makes disbursements in accordance with donors' stipulations. It is the Dean, however, who leads the development program. He articulates the vision and the dreams of the school. Our office does assist with details , but it is the donors and volunteer leaders who respond that make the dreams come true. With appreciation to all of those who make philanthropy a high priority, and on behalf of the ultimate beneficiaries , I thank our increasing number of committed james Platt White Society members. You make such a crucial difference to our school. CD mda f. (h 11 Cordu may he reached, toll-j•H at 1-877-826-3246 or mad at ljCOJ derCrobuffalo.edu. CD West Virginia; and Ronald of Buffalo in 1945. A diplo- in White Sulphur Springs, Burbank, California. mate of the National board of trustees for Board of Medical Examin- Aiken County Rescue West Virginia. Morhous was Squad and chair of the Board of Internal Medicine, George Alex Poda, MD '45, died on December ers and the American Eugene J. Morhous, MD '45, died Septem- Board of Preventive Medi- South Carolina Regional was a fellow of the Ameri- 22, 2000, at Aiken Re- cine, he was the author of Blood Bank. Poda orga- gional Medical Center in numerous papers and nized the Sabin Polio certified by the American 44 tal, was a member of the staff at the Greenbrier Hotel ber 11, 2000, at his can College of Physicians home in White Sulphur and served as a member of South Carolina. He was 79. books on nuclear medi- vaccine program in Aiken Springs, West Virginia. the National Board of Medi- A native of Jamestown, NY, cine. He served as an County and Richmond A native of Palmyra, cal Examiners. He was a Poda served as a captain associate professor in the County, GA, and champi- New York, Morhous past president of the Green- in the U.S. Army Medical Department of Community oned the formation of the received his under- brier Valley Medical Society Corps, both on active Medicine at the Medical associate degree nursing graduate degree from and was a member of the duty and reserve status, College of Georgia and program at USC Aiken. St. Lawrence University. West Virginia State Medical from 1941 to 1952, and was a visiting lecturer on He is survived by his wife, Following graduation Society and the American later in the U.S. Navy occupational medicine at Anna Michele Poda; son, from the University of Medical Association. Medical Corps. the Medical University of Steven Michael Poda, Poda was a graduate of Buffalo School of Medi- Morhous, who was pre- South Carolina (USC). He Aiken, South Carolina; cine in 1945, he prac· ceded in death by his wife, Alfred University and Mount served as chair of the and daughter, Deborah ticed medicine for 35 Betty Jane, is survived by Union College and com· board of trustees of Aiken Ann Poda Lyles, Spar· years as a member of two sons: Lawrence, and his pleted his medical degree at Country Hospital and later tanburg, South Carolina. the Greenbrier Clinic wife, Carolyn, of Bluefield, the University of Aiken Community Hospi· I UII aID Ph ySiC iII Spri11g 2001 CD b~ �- Based on F/MsM Data ffTheywere drJl sergeantsand cheerleaders~' - Frank Ste/arski, stroke rehab patien~ Harris Hill H.C.F Why do our patients have better rehab results compared to the national average? Maybe it's our staff ''They knew exactly how far to push me,'' says Frank Stelarski. ''But they also encouraged me every little step of the way. When you've been through what I have, that really means a THE lot:' To leam more about the nationally recognized McGuire Rehabilitation ~~cy}Jf1fl(91'{ CENTE~ Centers, call 1-888-POSTACUTE or visrt www.mcguire-group.com. Recognized for excellence in quabty care. AUTUMN VIEW • GARDEN GATE • HARRIS H*****" HILL • Spring 2001 NORTH GATE Bu f falo Pbysicin 45 �The State University of New York A R A UB's HISTORY OF MEDICINE COLLECTION PRESENTS reproduced prints from a pharmacopoeia by Otto Karl Berg (r8rs-r866) were on display last fall in University at Buffalo's Health Sciences Library (HSL), South Campus. The botanical show was developed by the HSL and the university's iMedia staff and is the first in a series of "Art in the Library" exhibits intended to promote the His tory of Medicine Collection through the display and sale of reproductions of selected works. Fred Kwiecien and Don Trainor of iMedia prepared the prints from the original art in the Berg volume, published in Leipzig in I863. Pictured is Papaver somniferum. BP 0004 01 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 2001 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2001-Spring Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v35n04-2001-Spring Table Of Contents A list of subunits of the resource. Medicine Goes Molecular McKinley's Assassination Pathways Medical School Alumni Research Development Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Copyright 2001 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/0631d26b67e7c195cbebbec314b80cce.pdf a30bb80e02027354cbc75ce5d2d3abd1 PDF Text Text s I c I A N �lullala P~ysicial ASSOC IA TE V I CE P RES I DENT FO R lJ ' I \ ERSITY SER\ I CES Dr. Carole Smith Petro Dear Alumni and Friends, D I R E CTOR Of PERIODICALS Su e Wu etcl1er EDITOR S t ephanie A. Unge r B we will no doubt be in the grips of wi nter, which is supposed to be a bit more bracing here in Buffalo than in recent years. ,\RT DIRECTORIDESIG,;ER A lan]. Kegler evertheless, we do look forward to our predictable changes of seasons and hope CONTR I BUTING \\ RITFR that all of you have had a pleasant holiday break from the routine. The capital campaign "Generation to Generation" kickoff occurred on October 20, Lois Baker COORD I ~ATOR 2000, an event coinciding with UB Homecoming Weekend and the convening of our PRODUCT I ON Dean's Advisory Council. Our own medical school "Family Weekend" took place over the Cy nthia T odd - Fli ck two days that followed. The campaign kickoff was capped by a reception in the Center for the Arts and a marvelous presentation by the American Ballet Theater Company, 111 residence at UB during October. Based on progress to date (during the "quiet phase" of the campaign), ST~TE lJ'dVERSITY OF;\£" 'I ORK AT BurrALO ScHooL 0 F ~~ E D I C I N E A N D BIOMED I C·\L SC I ENCES Dr. j ohn W rig ht , Dean the School of Medicine and Biomedical Sciences' campaign goal has been adjusted upward to $50 million dollars. With Skip Garvey, MD '53, as our campaign committee leader, we not only expect to achieve that goal over the next three years but indeed to surpass it. Endowment means so much to a school such as ours, a fact to which I can personally attest as we manage our way through what have become very challenging times. A healthy endowment will enable many good things for the school, not the least of which will be the ability to attract the very finest student applicants and to provide them with the very best medical education experience. All this would benefit from a significant E.DITOR I AL BOARD Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. D r. Dr. Bertram Portin , Chair Mart in Brech er Har old Brody Linda]. C orde r Alan]. Drinnan ]am es Kan ski Eli za beth Olm sted S teph en Sp a ulding Bradley T. T rua x Franklin Ze plowitz increment in student scholarship availability, which has become so important in the recruitment of excellent students and, through endowed professorships, enabling us to recruit the very best faculty with whom our students can interact, learn and become inspired. As we head into completion of the fall semester, significant progress has been made on developing the new curriculum that we intend to implement in the fall of 2001. Dr. Reid Heffner (assistant dean for curriculum and chair of pathology) is coordinating this effort with the help of a team of dedicated, experienced teaching faculty. The intent is to better integrate course material into a more clinically focused formal in which repetition is intentional rather than accidental, and relevance to basic overarching biologic concepts and clinical application becomes more transparent. The curriculum will also provide more lecture-free time so students can consolidate information on their own and access modern instructional technology; for example, through the use of the computer lab. Since there will be more small-group teaching in the new formal, we arc already planning significant ex- TEACHING HOSPITALS Er ie Co un ty Med ica l Ce nt er Roswell Pa rk Ca n ca l11 stit11 t<' \'e te ra 11 s Affai rs W es te ru New Yo rk H ealt h ca re Syste m K-\11/1)-\ H fo\1 Ill : T h e B uffa lo Ge 11 era l H osp ital T h e Child re 11 's H osp ita l of Buffalo .\ I ill ard Fi llm o re Ga tes H ospilll l . I .\ I ill ard Fillm ore S ubu rba u Hosp tttl H I-\1111 Snrt.u: Me rcy H ea/t/1 Sys t em Sisters of C h ari ty H ospiw l N tagara Fa lls M e m oria l Me d ica l Ce ut er C-\riiOIH ® THE STATE UNIYEISITT Of NEW Ylll IT lUFf ILl pansion of that type of learning space to be ready in time for the implementation date. Although curriculum change is in fact a constant for most schools, this project promises to be more dramatic than any change effected in recent memory. It is unlikely to be perfect at implementation, but we think it will be a significant improvement for our students, nonetheless. Further improvements will be accomplished as experience with the new curriculum evolves. Our goal is to maintain the UB tradition of graduating physicians capable of meeting the challenges of the continually evolving world of medicine. .JOliN R. WRIGHT. MD Dean, School of Medici11e and Biomedical Sciences Letters to the Editor liu(falo l'hp1wm " pubh,hed qu.trterh h' the C nivcr>it\ at Bufl;11o School of ,\kdicinc .md BiomcdiLal Science!-. .111d the Offkc of <:ommunic.ltions. 1 etters to the h.litor arc wckomc and can be sent CIO Buflalo Phplcimz. 330 t rofh II all, L'ni,~;,i1y al Buff;,lo, Buffalo,!'\\ 14260; or ,·ia c·maillo hp-notcs •' butf.tlo.cdu. The 'laff re,crvc' the righl to edil ,,II ... ubmlssiom, for length and daritr . �VOLUME 35, Features 2 Warsaw after the War Morris Unher, MD '43, looks back on his year as a medical officer in post-war Poland PHOTOGRAPHY BY DR. MORRIS UNHER 8 Writing Code Medical students draft first -ever code of conduct for school BY DAVID FLINT. CLASS OF 2003 PHOTOGRAPHY BY FRANK MILLER Emergency medicine resident Ann Marsh competed on the U.S. Fencing Team in the 2000 Summer Olympic Games inSydney. The story of this remarkable physician·athlete begins on page 26. COVER PHOTO BY DR. MORRIS UNHER Medical School 34 Mark your 14 UB medical st udents named HHM I- IH research scholars 16 Frederick Sachs to lead international research project 20 Honors Brunch Awardees named 2000 Distinguished Medical Alumnus 26 Philip Wels selected for 1936 u.s. Olympic fencing team campaign, "Generation to Generation" 31 Lung function associated with longevity 33 Blood vessels reflect future health calendars for April 27-29, 2000, for Spring Clinical Day and Reunion Weekend Messages from Reunion Chairs 39 your UB classmates and other alumni In Memoriam Drs. Henry Morelewicz, Eugene Farber, Arthur Schaefer AP9 2 7 .- J . .J ���ter the nexpectedly, however, the dull routine came to an end when I received orders to report to the Surgeon General's Office in Washington,DC, followed by assignment as medical officer at the U.S. Embassy in Warsaw. Avivid memory 1have of my brief stay in Washington involves avisit from my parents, both native·born Russian, and asomewhat embarrassing moment when my mother asked my superior officer why it had to be hers on who was selected for this assignment. From Washington, I traveled to Camp Kilmer, ew Jersey, then on to the port of embarkation, where I boarded the USS Claymont, a "victory class" transport ship. During the boarding, I learned that I was to serve as transport surgeon for the 900 troops already on board. Fortunately, our voyage was uneventful. Our ship arrived at LeHavre, France, and from there I traveled to Paris where I spent a sleepless 36 hours enjoying the sights and sounds of that beautiful city, which was spared the destruction I was soon to encounter farther east. When it was time to leave Paris I boarded a troop train that carried me to Berlin. Along the way, I began to catch glimpses of burned-out villages. The Berlin I arrived in was a city divided between U.S., French and Russian sectors, all of which were in the throes of reconstruction following nearly complete demolition. From Berlin, I made the 400-mile flight to Warsaw on board a C-47 U.S. army transport plane that departed from Templehof Airport, a busy place with military planes taking off and arriving from many destinations. On our approach to the Warsaw Airport, I saw Russian planes sitting on the field amidst bombed-out buildings and potholed runways. When we landed we were met by a U.S. military attache's car and taken directly to the Hotel Polonia-war scarred, but still standing-and home to the U.S. Embassy while the destroyed embassy building was being reconstructed. The hotel was situated on Aleya )erozolimskie (the "Times Square" of Warsaw), across from tl1e railway station, which had been reduced to a pile of rubble. Arthur Bliss Lane was the U.S. ambassador at the time, and he and his wife and many of the embassy staff lived in the Polonia. Upon my arrival I received a very warm and friendly greeting. Soon I settled into my routine, providing medical care for employees of our embassy-American and Poles-as well as for employees of the British and Italian embassies. Rapid Immersion in "The Polish Problem" Medical facilities at my disposal were primitive. In the hotel, a oneroom dispensary had been established and stocked with medical supplies and equipment from the army medical depot in Berlin and luffale Physician Wint e r ZOO/ with occasional acquisitions from relief agencies in Warsaw. Dr. Fraczek Litwin, the Minister of Health, graciously placed the facilities of the Lecznica Ministertwo Zdrowia at our disposal and, in my year's tour of duty, scarcely a day passed without at least one staff member occupying a hospital bed there. Throughout my stay, I had neither a clerical nor medical assistant and, consequently, it was difficult to maintain adequate records. In all, it would be fair to state that my services as medical officer were utilized to capacity. In the course of performing my duties, I had the privilege of traveling extensively in Warsaw and throughout Poland, visiting many health installations, meeting members of the medical profession and observing the patterns of medical education and practice. Friendships with medical students, practicing physicians and health officials offered me much insight into the "Polish problem" as it was I will never referred to then. By the time I arrived in Warsaw, more than 500,000 Poles had drifted back to the city's ruins to live in what was left of cellars and crumbling attics. I remember observing how, in a burst of ambitious activity, the provisional government had posted one gutted building as the Ministry of Agriculture and another, as the Ministry of Health, and so on. Everywhere the individual and collective will to live and rebuild was strong, but the tasks seemed hopelessly overwhelming in scale. Despite the inevitable manpower shortage incidental to the war and enslavement, Poland was consigning an inordinately large proportion of her remaining men to serve in the armed forces that were being rapidly rebuilt. So, while platoons of singing troops marched through the streets and armed militia patrolled the ruins, old women and young students picked at the rubble. forget a young medical student telling me the harrowing tale of how, during the war, he took his third-year medical examinations by candlelight in an abandoned farmhouse while his fellow students guarded the doors and lonely road. �Warsaw'sdecimated railroad station, situated in the city's"Times Square," as seen from the rooftop of the Hotel Polonia. Physician Population and Hospitals Decimated Among the 10 million people who perished during the German occupation of Poland, 7,000 were doctors, or one-half ofPoland's physician population at the time. In addition, the country lost its most able administrators, educators and public health authorities. As a result of this grievous situation, it was a heroic, but unqualified group that assembled in the Ministry of Health's headquarters in 1945 to begin the Herculean task of rebuilding the country's health-care system. Although he held the position of minister of health, Dr. Litwin, an internist by training, had little formal public health experience. However, he possessed inexhaustible energy and a humanitarian political philosophy. In less than a year, this remarkable man reorganized the public health program in his country, efficiently integrated United Nations Relief Administration (U RA) and Red Cross aid and gave the harassed Polish people respite from the fear of epidemic diseases. In Warsaw, his ministry began the great task of rebuilding the Polish Medical Library; his laboratories began producing vaccines and serums; and his tuberculosis sanitarium began receiving patients. At the same time, Polish peasants once again began benefiting from care provided by their local public health officers. Years later, I learned that Dr. Litwin was purged in the "communist victory" of January 1947. Fearing the rise of epidemics-which fortunately never came-authorities hastily restored water purification and sewage disposal plants. Concurrently, immunization against typhoid fever was made compulsory as a prerequisite to obtaining food ration cards. Without dispute, Poland's worst enemies had by then become tuberculosis, venereal disease, malnutrition and infant mortality, which were overwhelming the resources and ingenuity of the country's health authorities. By the time my tour of duty ended, 1,000 new cases of pulmonary tuberculosis were being reported each week. Compounding the despair was the fact that Polish hospital staffs had been disintegrated, medical equipment looted and buildings destroyed. Fortunately, although there was a shortage of hospital beds immediately after the war, by the time I arrived, the recovery of hospital facilities was well under way and continued at a steady pace while I was working in the country. \V i nt e r 200 1 lulflll Physiciu 5 �--~ --- - - -- - Polish Medical Education, aSurvival Story I . . c The buildings that housed the University of Warsaw's undergraduate and medical schools were not spared in the destruction ofWarsaw. A far more irreparable loss, however, was the teaching staff, which was annihilated by German violence. In effect, the war brought to an end the education of doctors of medicine by official decree; however, I learned that surreptitious education continued in the guise of "schools of sanitation." I will never forget a young medical student telling me the harrowing tale of how, during the war, he took his third-year medical examinations by candlelight in an abandoned farmhouse while his fellow students guarded the doors and lonely road. After the war, despite the fact there were no books and instruments, classes continued to be held. In 1946, large classesthe majority of which were made up of women-were meeting in scattered clinics throughout the city. Strenuous efforts were being made to reorient the Polish clinical methods away from the German model and toward the AngloAmerican model, and the new Ministry of Health Library, which was being generously supported with U. S. contributions, was beginning to be a potent served as an associate clinical professor of force in Poland's medical education. To this day, I feel the survival of Polish medical education must be regarded as a minor miracle. View of Hotel Polonia, home to the U.S. Embassy staff and Dr. Unher while in Warsaw. Professional Integrity amid Crime and Politics In looking back on my experiences in Warsaw, I cannot conceal my unbounded admiration for the Polish physicians among whom I lived and with whom I worked. The caliber of the medical practitioners I met was extremely high and their efforts to bridge the gap of seven terrible years were commendable. Those few who were left to serve the country's 22 million people pooled their meager equipment and books and instinctively sought the urban centers. In the face of the nationalization program that had been instituted, they turned to group practice, and collective clinics comprised of 10 to 20 doctors were becoming common in Warsaw. All the physicians rallied to the task of rebuilding and restaffing hospitals. Eighteen- to 20-hour days were normal for the Polish practitioners, who often were required to walk many miles each day in shell-pocked streets, attending to this task and the many people in dire need of their services. Not surprisingly, counterinfluences sprung up that exploited the chaos surrounding efforts to rebuild the health-care system. For example, drugs were scarce and inequitably distributed; therefore, drug bootleggers who charged exorbitant prices prospered. Also during this time, the terribly reprehensible practice of replenishing the contents of discarded penicillin bottles with burnt sugar and offering them for resale was discovered. In all, I would say that the busy Polish physicians had many distractions during this troubled period. Not the least of which was the fact that the communist-dominated government was making vigorous efforts to recruit medical professionals to its ranks with offers of food and housing privileges. The vast majority resisted all attempts at conversion and so the government had no choice but to tolerate and refrain from molesting these valuable, virtually irreplaceable, members of the Polish population. �I:Jreerpta tre• • Letter He•e Days Gone by, but Never Lost During my tour of duty I traveled widely, both in Warsaw and other areas in Poland. The embassy provided me a car and I spent many hours visiting the square mile that once had been the 'Warsaw Ghetto.' I remember climbing several tall mounds of debris there to gaze in utter disbelief at the charred brick and twisted steel around me. Four hundred thousand people saw life for the last time in that ghetto, and the hot summer sun reminded those of us still alive that all the dead had not yet been buried. I also visited Krakow, Lodz, Zakopane and other places of interest and notoriety, including Auschwitz (or "Oswencin" in Polish). This terrible camp is a place I will never forget. While I was learning firsthand about these atrocities, I also became aware that a new version of the centuries' old tradition of "Jew baiting" was being practiced less than 200 miles from Warsaw, in the ravaged city of Kielce. While this deeply saddened me, it did not surprise me, as throughout my tour of duty I witnessed hundreds of miniature conflicts involving countless bitter, disillusioned and tragic people. Once I had been in Poland long enough to begin to see "the broad picture," it became clear to me that it was a country that had barely begun the long process of healing. In addition to my travels, I also had the privilege of playing host to and providing medical care for visitors to the embassy, some of whom were very memorable individuals. One such person was Dr. Fronczak, health commissioner of Erie County; Harold Stassen, a U.S. senator and then-candidate for president of the United States; Fiorella LaGuardia, former mayor of ew York City; and Franco Autori, conductor of the Buffalo Philharmonic Orchestra. Because of all these remarkable experiences-many of which still profoundly affect me today-it was with mixed feelings that I learned my odyssey in Poland was to come to an end in July 1947, at which time I boarded the Polish luxury liner the MS Batory and set sail for ew York City via Stockholm. While these are memories of a time far in the past, I was reminded just the other day that they are still close to my heart when I recalled an old tune, "Warszawa, Kochana Warszawa.'' "Warsaw, Beloved Warsaw.'' Morris \Vinter 2001 l11fal• Physiciu 1 �~ ------ On the following pages, you will read second-year student David Flint's description of how a Medical Student Code of Professional Conduct was recently developed at the University at Buffalo School of Medicine and Biomedical Sciences. The formulation of the code was largely a student-driven process, and the student participants and document architects are to be congratulated for a job well done. The creation of such a code has been periodically suggested over the years but rejected as "something better left to administration." The classes of 2000-2003 were up to the challenge, however, and the product of their collective labors has won wide, and well-deserved, acclaim. As an elegant finishing touch to this product, the code has been published as a very attractive booklet that will be distributed to each incoming class. This publication was underwritten as part of a generous unrestricted gift to the school from Dr. and Mrs. Edward Shanbrom (Class of'S!). We are indebted to the Shanbroms for this help. One might ask why such a code should be developed by students-or perhaps even developed at all. The first question can be answered in a single word: empowerment. What good is such a code if those who are obliged to follow it are not engaged in its creation? The second question might be paraphrased as "Isn't the Hippocratic Oath good enough?" As venerable as the Hippocratic Oath is, and even though we have modernized it to make it more contemporary, it still falls considerably short both for the present-day medical student and for the practitioner. When UB's medical school was founded in 1846, the states of medical knowledge and technology were such that a physician could probably get by with simply being a good and moral person endowed with a generous amount of common sense. One could occasionally do good, but the What better introduction to the rigors ofbeing a modern physician than a code ofprofessional conduct, created by students for students, which places significant responsi- ability to do harm was quite limited. Mother ature was bility on the students themselves? the great healer. In today's world, the ability to do considerable good is more than balanced by the ability to do considerable harm, with potentially devastating consequences. Decisions about when to intervene, or "merely" support, are critical and often difficult decisions for society, as well as for physicians. Ethical issues that our forefathers (and foremothers) could not have imagined now confront the practicing physician on an almost daily basis. The ability to prolong life is counterbalanced by both the finite nature of resources and the concept of quality of life. Finally, the notion of physicians being responsible for one another's behavior and mode of practice has now become a matter of law; and in jeopardy in most-if not all-states is the physician's right (license) to practice. What better introduction to the rigors ofbeing a modern physician than a code of professional conduct, created by students for students, which places significant responsibility on the students themselves? Our students have taken the challenge seriously, and although the actual code will undergo modification as a function of time and the experience of implementation, it is an excellent starting place. Again, thank you, students, for this extraordinary piece of work. John R. Wright, MD Dean, School of Medicine and Biomedical Sciences �A student's perspective on the year-long process �- - I CoDE - - - OF - -- -- - - - CoNDUCT By Dav d Fl nt, Class of 2003 , the University at Buffalo School of Medicine and Biomedical Sciences-despite its 155-year history-did not have a code of conduct While the university at large does have academic policies, our school did not have a code to address the special social and professional responsibilities of medical students. In an attempt to remedy this, Dr. john R. Wright, dean of the school, organized a committee of second -year students in the spring of 1999 and charged us with the task of drafting such a code. (In the fall , Dr. Charles Severin, assistant dean for students in the Office of Medical Education , expanded the committee by adding members of the class of2003. ) This was the start of a year-long process, the final outcome of which was the development of the first Medical Student Code of Professional Conduct for UB's School of Medicine and Biomedical Sciences. We started at the begin· ning, by asking ourselves, Why do we even need a code? On the first day of orientation to medical school and again at gradua· tion, we take an oath to our patients, peers and medicine. But what does that oath mean? Open Process Key to Consensus We started atthe beginning, by askingourselves, Why do we even need a code? On the first day of orientation to medical school and again at graduation, we take an oath to our patients, peers and medicine. But what does that oath mean? After discussing these and other questions, we decided that our goal in creating a code of professional conduct was to establish a set of common expectations for professional, social and academic behavior, and to provide a framework for discussion about our roles and responsibilities as physicians. To prepare ourselves to accomplish this goal, the committee reviewed journal articles highlighting moral and ethical dilemmas faced by students and physicians. We also reviewed do zens of honor codes from medical schools around the country, which ranged from militaristic to anarchistic, and everywhere in between. From this starting point, we then attempted to create a document that was general enough to have longevity, but specific enough to have practical application . The drafting process itself was eye-opening, as each committee member brought unique skills and perspectives to the ensuing debate about substance and form . Some of the issues raised in our discussion seemed uncontroversial; for example, there was limited disagreement over issues of academic integrity. Other areas resulted in more vigorous debate, such as, When and how is it appropriate to address issues of substance abuse among peers? Where is the line drawn between personal and professional life? In order for a document like this to be supported, there of course needs to be input from more than just eight students and a dean meeting in a conference room. Past attempts at creating a code of conduct at our school had failed , which is understandable because it is a substantial task to reach consensus between students, basic scientists, clinical faculty and administrators. To make the creation of the code an open process, therefore, we did a number of things: We held two 10 lulfalo Physiciaa 11'1 11 1er 2001 �CoDE "town meetings," which were audiotaped for those unable to attend, and we created a webpage that allowed for critiquing of the code, section-by-section. We also made a suggestion box available for anonymous comments and set up an e-mail address to receive input about the code. In addition to distributing hardcopy drafts of the code, we made copies of codes from other medical schools available for comparison. Furthermore, Dean Wright requested comments from the public, as well as from readers of Buffalo Physician. Of all these efforts, the web page was by far the most popular medium through which we received comments on drafts of the code. The page provided an easy way for students, staff and faculty to comment, and also made consolidating and reviewing comments much easier for members of the committee. (The design and maintenance of the webpage was greatly aided by staff in the Office of Medical Computing.) The debate that was made possible through open discussion encompassed a wide spectrum of issues. For example, Is it appropriate to include a portion of the Hippocratic Oath in the preamble? Should the code address the use and care of laboratory animals? Does it adequately address sexual harassment? oF CoNDUCT conflict of interest arise. ) The committee will also consist of two faculty members and one ad hoc administrative member, as chosen by Dean Wright. The dean's faculty representatives will vote, but the administrative member will not. Currently, members of the committee are working to develop a lunchtime speaker series centered around what we hope will be provocative vignettes that will serve as catalysts for debate about ethical issues. Efforts Win National Recognition In the intervening time since the code was finalized and disseminated, our efforts have been recognized by the Association of American Medical Colleges, the Medical Society of the State of ew York, and the assistant dean of Mount Sinai Medical Center, all of whom have expressed an interest in learning how we managed this process. Anyone who has ever served on a committee, whether in academia or in business, understands the hurdles that must be surmounted in order to prevent drifting deadlines and missed opportunities. The Medical Student Code of Professional Conduct for UB's School of Medicine and Biomedical Sciences could It is because the students, faculty and staff dedicated such a significant amount of time to thoughtful discussion of such issues as honor, integrity and professionalism that today we have a Medical Student Code of Professional Conduct that is a very powerful document. In April2000, after more than 1,200 hours of committee time, the student body voted to support the new code by a threefourths majority. Later that same month, the school's Faculty Council unanimously endorsed the student-approved code. It is because the students, faculty and staff dedicated such a significant amount of time to thoughtful discussion of such issues as honor, integrity and professionalism that today we have a Medical Student Code of Professional Conduct that is a very powerful document. Continuing Education and Adjudication In addition to the creation of the code itself, a legacy of this year-long process is the establishment of an institutional body that will have an unprecedented opportunity to take a leadership role in acting not only as an adjudicator, but also as a continuing educator in this area. The Committee of Professional Conduct will consist of two members from each of the four classes, who will be elected early each fall by their peers. First-year students will serve a one-year term, while second-year students will serve for the duration of their medical school careers. (One alternate will also be elected from the first-year class should a not have been created without commitment from the school's administration, most notably Dean Wright. As a committee, we received exceptional support from the Office of Medical Education, especially Dr. Severin. In addition, Dr. Dennis adler, associate dean for academic and curricular affairs, and Dr. Nancy ielsen, assistant dean for student affairs, provided amazing insight into the special issues arising in the clinical years. Finally, credit goes to Junda Woo '02, whose editing expertise helped make the code a much more readable document. D AVID FU I\T IS CURRENTLY A SECOND- YEAR STUDENT AT THE UNIVERSITY AT B UFFALO SCHOOL OF M EDICINE AND BIOMEDICAL SCIE CES. Editor'sNote: The full text of the M edical Student Code of Professional Conduct can be found at http://www. smbs. buffalo. edu/ fianlCPC. htm. Readers who do not have!nternetaccess may request a copy by calling Dr. Charles Severin at (716) 829-2802, or by writing him at the Office ofM edical Education, 40 CPS, 3435 Main St., Buffalo, NY 14214-3013. Beginning September 2000, each firstyear student entering UB's School of M edicine and Biomedical Sciences will be given a copy of the code during orientation. IV i n t e r 2 0 0 1 lulfalu Hysicin 11 �- · - -- - - ~ - ~-~ - -- Thoughts on professionalism and empathy Ro!IERT \1 LCH \ \!D Editor's Note: 011 68 \ugust 1/,2000. Robm \.,\filch,.\/[) '68, rlclnwcd the kcmott 'n rtrt at the lliPl!lal 1\ lute Coat Cercmon~ hdd for the mcolmllg class at the UmiWSlt~ at Buffalo School of ,\fcdtcmc and Biomcdiw/ ~ci<·nns. In the weeks followlllg the ceremony, Buftalo PlwsiLian recei1·ed lllllltewus calls frotll indil'iduals rcqucstmg a copy of .\Ttlch's speech and recommcruli>tg that 11 he reprinted in tht• magaztnt' (or the benefit of readers interested PI furthering dzscusston of profemonalism ilt medrwtc. \s a rc,rdt, his <pccclr i:published her<!, 111 zts e11tircty As medical dirctfor jiJr Hospice Buffalo and the Center for Hospnc a111i Palliatn·e (an in Bul)alo, ,\ttlch Ira; garnered worldwtdc recogm ticm for accomplishments 111 /m fteld. In I 989 he n:n ivd th· British Fmbassv \mhassador's Award for Contnbuttcms to the Intematzonal Hosptce ,\Towmt'ltt, and in }'}'}:; he rtCCli'Cli Cluldrcn'.; Hosptn fllltmational s I tfctllltt \chtn•emt'llt A ward. In a brief illfroductory talk at thc I l'hllt Coat Ceremony, Dean john R. II nght.•\1]), explai11ed that \filch practiced as " general surgeo11for 1;"years prior to dcudmg to pursue-full tune "a passi011 for e11d o(ltft care." He also described how \!ilch went on "to build pwgmms of national and tnterrwtWII<li rellOl\'11." /11 addillon, 1\'nght COIItmended \filch fin Ius e!jorts to l.e/p the medical school integrate the hosptcc program tnto its wmwlum "Bob zs a11 iltcreclthle tndt\'l(lua/ alllla co1•tpassi01wte pln.·sicia•t," he concluded, "and I thmk ;n 'rc l't'ry pril·t!eged to hal'c /u11r as our speahr at tl11s \\'hilt Coat Ccremo 11 - S.A.U. IT IS A PRIVILEGE TO BE PART OF THIS CEREMO Y TODAY, to witness the inception of your professional journey. The moment and the event are rife with symbolism, the temptations of metaphor and allegory irresistible. But I would like to think that we can do better than hackneyed allusions to virginity and ship launchings, and in my attempt to do so I hope that you will forgive me the politically incorrect use of the pronoun "he" in reference to all the sexes. As you know, the White Coat Ceremony is intended to emphasize the importance of both scientific excellence and compassionate care, to help "forge the contract for professionalism and empathy" between the one who wears it and those for whom he cares. In this, it is emblematic of the many dualities that henceforth will be at the center of your lives, like the caduceus with its twin serpents of knowledge and wisdom, the one useless without the other. In your first years, of course, your coats may be little more than functional accoutrements, pale tokens of the ultimate prize, a though "MD" tood for Medical Decolletage. They will become repositories for papers and pens, handbooks and broken slides, redolent of formaldehyde and the splattering of many labs. And they will continue to serve these utilitarian purposes. �These coats are like the doctor's frock coat of old, worn from morning to night in the performance of duty-a coat where he carried his instruments and upon which he wiped his hands and his chin; a coat that spoke to the distances he had traveled and the wounds he had dressed-an ensign of position long before it became a symbol of cleanliness and sterility. But the coat also carries greater symbolism, not the least of which may be that it is shorter than the professor's. Its stains are the medals of struggles against ignorance and illness and suffering. It sets you apart from the bewildering cast that populates hospitals and clinics, from other "health-care professionals" (and, I assume, health-care unprofessionals) . It draws attention to your duty, even in the face of your station. Its color speaks to the purity of your purpose and pursuit. To wear it without a sense of awe is to be a dandy-all style and no substance. It is the badge of entry into the arenas in which you have chosen to labor and to serve. It legitimizes your presence even as the least of learners. It grants you privileged access to the bedside and to the patient, and from this Delphic place the chance to glean things previously unknown. If in your first years you learned about disease, now you can learn about illness. The former occurs in organs; the latter, in people. The oracle is the patient, in all his frailty and unsightliness, whose diagnosis may be common but whose suffering is unique. If you would meet his needs, you must go beyond the mere proficiencies of your training. Listen to what you are hearing, remembering that sometimes the best way to auscultate a heart is to remove the stethoscope from your ears. Feel what you are palpating, see the world with his vision and understand his fears, for his fears are the manifestations of his needs. You must understand his values and goals and make them your own, knowing that cure is not the only legitimate outcome; if it becomes your sole focus, you are destined to be heartbroken. And you must be willing to share the power that is implicitly granted the physician, whose relationship with the patient is inherently one of inequality. Patients come to us because there is something "wrong" with them, and we have the knowledge and the skill they lack to make them whole once again. The coat, which signifies the repository of that knowledge and skill, must never become a barrier to their sharing, nor a cloak that hides beneath it an adroit but tyrannical practitioner. The struggle, then-and from your vantage point today you must accept this on faith-is to stay humane, to continue to fan the embers of compassion and empathy that lie at the heart of the instincts that brought you here. These are fires easily damped by the impetus to acquire knowledge and master skills. But while the aim may be to acquire, the goal should be to dispense, and the demonstration of those qualities of our shared humanity is every bit as valuable, if not more so, than the ability to draw blood or tie a square knot. It is reinforced by the recognition that what happens at the patient's bedside is not just a function of what you know, but of what you are. Still, you will find that the system and the Its color speaks to the process often conspire against this, and, if alpurity of your purpose lowed to, make it difficult to care. You must be and pursuit. To wear it vigilant to this and find ways to renew yourwithout asense of awe is to be adandy-all style selves by nurturing your own body, mind and and no substance. spirit as you would those whom you serve. There is a world ofbeauty outside medicine, and we do neither ourselves nor our patients justice by slighting our involvement with it. Music resonates with our inner harmonies; art gives us fresh views of life. Read uland and Selzer and Schweitzer, as well as the New England Journal ofMedicine. Their science may not be as exact, but their lessons are longer lasting and their contributions probably greater. The physicians truly worth emulating did not have a monochromatic vision of life, and their wisdom was enriched by the arts and their avocations as they gained insight into themselves, as well as into their patients. Let your coats remind you of this, especially when you take them off. Thoughtful men have written that the physician must also be a priest. This is not to confuse him with the gods at whose altars he works, or with the rituals he observes. Rather, it speaks to the summons to heal the soul as he would the body, and, in so doing, find the full richness of his calling. It is fitting, then, that today you don the first metaphorical raiment of priesthood. Today they are those of an acolyte, but other robes await. 4D �- - M B S v A E D C A ------ L E SCHOOL W S Cloister Program Opens New Vistas Three UB medical students selected as Research Scholars t{~ ) BLII \ 0 \ s( 0 () \1 Dll and Biomedical Sciences' students Margo McKenna and janice Sung, Class of 2003, and Charmaine Gregory, Class of 2002, are among 40 medical students selected nationwide for entrance into the prestigious Howard Hughes Medical Institute-National Institutes of Health (HHMI- !H) Research Scholars Program for the 2000-2001 academic year. the direct mentorship of a preceptor whom they select from over 1,100 tenured or tenure-track intramural scientists working on more than 2,600 research projects. In addition to working one-on-one with scientists, the students have an opportunity to meet and talk with accomplished investigators at weekly lectures and can attend national scientific meetings, NIH conferences and workshops. The HHMI-NIH Research Scholars Program, also known as the Cloister Program, was established in 1985 to give outstanding students at U.S. medical schools the Salaries and benefits for the research scholars, as well as administrative costs for the program, are provided opportunity to receive research training at the ational Institutes of Health in Bethesda, Maryland. Those cho- mentors, laboratory space and equipment and supplies for laboratory work. sen to participate in the program spend nine months to a year on the l H campus conducting basic research under by the HHM!. The IH, in turn, provides advisors, The UB medical school students have settled into their year of study and report that their experience in the Cloister Program, to date, is everything .. they had expected it to be. Margo McKenna has selected Leslie Ungerleider, PhD, as her preceptor and is ._,• working on a project titled "Emotion and Attention in the Human Brain: a Functional MRI Study," which is being - conducted in the Laboratory of Brain 30 and Cognition, a division of the National Institute of Mental Health. Specifically, she and her fellow researchers are looking at the amygdala, a region of the brain thought to be involved in the regulation of emotion and social behavior. The lab specializes in using functional magnetic resonance imaging (fMRI) to ask basic questions about how the brain works. "In the study, subjects are asked to perform a task while in the scanner, and the images that we collect can show which areas of the brain are most active and important for doing the task," McKenna explains. Research Scholars,leh to rigbt: Janice Sung, Charmaine Gregory and Margo McKenna. With regard to the Cloister Program, itself, McKenna says "it's an amazing 14 lalfalo Pbysiciu IVtttter 200/ �LIKE McKE. '!\'A A:--JD SU.i\G, GREGORY FEFLS 1HE CLOISTER PROGRA~I GIVES STUDL 'TS A.' EXCELLE!\'T OPPORTGNITI TO GAI:--J EXPOSURE TO BE:--JCH RESI:.ARCH I,' A U0.'IQUE E. 'VIRO. '~IE. '1. " P RES£. I"LY, l A~l • 'OT SURE IF :>!Y CAREER WILL L 'CLUDE BASIC SCIE, 'CE SOLELY OR IF IT \\'ILL SO:>lEHO\\' BE I 'TEGRAfED. H O\\EVER, THERE IS i':"O DOUBT L' :\lY :\II, 'D THAT THIS IS A 0. 'CE- I, ' - A-LifETl:\lE EXPERIL 'CE A, 'D 0. 'E THAT WILL !:>!PACT 0.' :>IY FL., TURE DECIS!O, 'S." opportunity for medical students who are thinking about incorporating research into their careers and an ideal setting for independent thought and creativity in the field of medicine." Janice Sung, who is working with Bar"In the study, subjects bara Bierer, MD, in the National Heart are asked to perform a Lung and Blood Institute on a project task while in the scanner, and the images that we collect can show which areas of the brain are most active and important titled "Effect of Gelsolin on Actin Dynamics in T Cell Signaling," concurs with McKenna. "I think the program is a wonderful opportunity to further our interests and understanding of the basic sciences that we were introduced to during the first two years of medical school," she says. "Also, living with 40 students with remarkably diverse backgrounds provides for doing the task." exposure to bench research in a unique environment. "Presently, I am not sure if my career will include basic science solely or if it will somehow be integrated. However, there is no doubt in my mind that this is a once-in-a-lifetime experience and one that will impact on my future decisions." White Family Memorial Fund Recipient B rian Bennett, Class of 2003, participated in the University at Buffalo School of Medicine and Biomedical Sciences' Primary Care Summer Externship (see article on page 22) as the first a unique environment that is fulfilling both intellectually and emotionally." Charmaine Gregory is working with preceptor Marc Reitman MD, PhD, Molecular Biology and Gene Regulation section chief in the Diabetes Branch of the ational Institute of Diabetes and Digestive and Kidney Diseases. The project they are working on, titled "The Role of PPAR alpha in the Hepatic Steatosis and Insulin Resistance of AZIP/FI Mice," utilizes transgenic mice (AZIP/Fl ), engineered in Reitman's lab, which have recipient of the White Family Memorial Fund. The fund-which memorializes Deborah A. White, MD '87, and her husband, Christopher, and son, Adam, who died in a car accident in 1999supports a summer internship for a firstor second-year student who is interested in pursuing a career in rural medicine. Bennett, who is from Bath, ew York, graduated from SU Y at Binghamton in 1998 with a bachelor a paucity of white adipose tissue and develop an insulinresistant diabetes mellitus. The lack offat cells, according of science degree in biology. "I was very pleased to have had to Gregory, leads to a sequestering of lipids in the liver and muscle. "A remarkable steatosis develops and an impressive diabetic state evolves," she explains. "One of my main goals throughout this past summer was to find out if my image of a small-town physician's life was "Peroxisome proliferator-activated receptor (PPAR) al- day-to-day basis. I am pleased to say that my experience reinforced not only how much I want to be a doctor, but also my selection of a small-town setting for practice. "I can't think of a greater distinction to begin my pha is a transcription factor that stimulates fatty acid oxidation and peroxisome proliferation in mice. I am investigating the effect PPAR alpha has on the steatosis, as well as the insulin resistant diabetes in AZIP/Fl mice." To accomplish this goal, metabolic, physiologic, and molecular studies are being conducted. Like McKenna and Sung, Gregory feels the Cloister my externship placed in Medina with Dr. Madejski," he says. representative of what a real doctor actually experiences on a professional career," he adds, "than to receive a scholarship in memory of the White family and connected with small4D town medicine." -S.A. U!-iGER Program gives students an excellent opportunity to gain IViHt e r 2001 l1ffal• Hysicin 15 �- - M - E - - D C - A . L -- -~ -·. --- - SCHOOL Kornel Terplan Memorial Lecture E W S The inaugural Kornel L. Terplan Memorial lecture was held October Sachs Leads Collaborative Project on Mechanical Sensitivity of Cells 5, 2000, in the lippshutz Room at the University at Buffalo School of !:>clcc t.il·, /ape '>u< IH< a '' I ec 1 ' o~, \fl .s Medicine and Biomedical Sciences. The lecturer was Donald L. Price, MD, professor of pathology, neurology and neurosciences at the Johns Hopkins University and president-elect of the Society of Neuroscience. Price, an internationally renowned scientist who has made major discoveries in the field of neurodegenerative disease, delivered a talk titled "Alzheimer's Disease, lessons from a has established an endowment to fund $500,000 ove r fi ve years, University at Buffa lo and th e Massachu - an annual lecture. Terplan's son, Martin setts Institute of Techn ology are th e only U.S, un ive rsities selected by the japanese Ministry for ongoi ng collabora tive projects, Terplan, MD '55, assumed a major role in falo to aHend the lecture, according to The researchers will stud y the physiological p rocess by which th e mechanical defo rmation of a cell is transfo rm ed in to elect ri cal Reid R. Heffner Jr., MD, professor and and chemi cal respo nses, For exam ple, mechani cal transductio n, chair of UB's Department of Pathology. mo re se nsitive than visio n, occurs when the movement of cells in creating the endowment and was in Buf- TERPLAN japa n Science and Tec hn ology M inistry to collabora te on a $10 m illio n resea rch p roject aimed at understanding th e m ec h- generosity of the Terplan family, which The event was made possible by the L. iop hysics researchers at Uni versity at Buffa lo's School o f Medicine and Bio m edical Sciences have been selected by th e ani ca l sensiti vity of cells, Fred eri ck Sac hs, Ph D, p rofesso r of ph ys iology a nd bi oph ysics, wi ll lead th e UB project, esti mated to in volve abo ut Genetic Approach." KoRNEL B Kornel Terplan, MD, was professor the inner ea r ge nera te nerve im pulses that res ult in th e sense of and chair of UB's Department of Pathol- hea rin g, Sachs and his collabo rato rs at UB discovered the firs t ogy from 1933-1960 and served for mechanical transducers in 1983 and, since th en, their labo ratory many years as a pathologist at Child- has bee n a wo rld ce nter for work o n biological mec han ica l ren's Hospital of Buffalo and Buffalo se nsiti vity. "In add iti o n to providin g the se nse of hearing, me- General Hospital. A 1919 medical cha nica l transdu ctio n also is in vo lved in to uch, th e measurem ent graduate of German University in of jo in t positio n, muscle tensio n, bo ne growth, blood -p ress ure Prague, Terplan was internationally regul atio n, fi lling of th e bladd er and intestines, and the regul atio n recognized for his work in childhood of cell , ti ss ue and orga nism volume an d size," Sachs explai ns. tuberculosis and brain pathology associated with chromosome anomalies of children. Through his work on the pathogenesis of "Altho ugh it is an esse nti al se nso ry process, mec hani cal transdu ctio n also ca n produ ce pa th ology. Ca rd iac fib rill atio n- was a frequent occurrence. In 1936, Terplan recruited Ernest th e un coo rdin ated co ntractio n of th e hea rt- ca n be initiated by m echani cal stress, Witebsky, MD, to the Department of Pathology. In the early 1940s and fai lure of th e Witebsky and Niels Klendshoj isolated the B-antigen found in hea rt is th e most human blood, a discovery that made blood transfusions safer. co mmo n ca use of TB, he proved that a reactivation of past cases of the disease "Dr. Terplan guided the Department of Pathology through d eat h wor ld wide. difficult times prior to and during World War II," says Heffner, U nd erstandin g th e "but his leadership was even more important during the 1950s, m ec h a ni s m s when there was considerable change and unprecedented growth mec hanical trans- in medical schools throughout the country. du cti o n w ill e n - "Not only was Dr. Terplan an eminent scholar and one of the lead- of ab le scie nt ists to rat io nal ing figures at the medical school, he was also a man with great energy deve lo p and enthusiasm who was known for his personal wannth," he adds. th erapies fo r di s- Following his retirement as chair of the Department of Pathology ease." (See related in 1960, Terplan continued a productive career for another 25 articl e o n page 3 1.) years, pursuing his lifelong interest in neuropathology. ., A. i. T he wo rk will be ca r ried o ut in collabora ti o n with 16 laflal1 Pbysiciaa IV1111er 200/ I �Kavinoky & Cook, said "Dr. Riwchun felt it was very important to give back to his alma mater and to provide training to young physicians. This desire to atUB. CD repay culminated years later in -LO IS BAKER his decision to donate part of his estate to the university, a Riwchun Endows desire that was ultimately carProfessorship of ried out by his wife's bequest." Ophthalmology Ann Riwchun was equally he University at Buffalo School of committed to the community Medicine and Biomedical Sciences has and Wisbaum praised her as received a $1 million gift to endow a pro- "a strong woman, a dedicated Masahiro Sokabe, chair of the Department of Physiology at agoya Medical School, who is heading the project and who spent a sabbatical year in Sachs' laboratory l fessorship in memory of internationally known ophthalmologist, eye surgeon and UB alumnus Meyer H. Riwchun, MD '27. mother and wife, and active civic leader." She was the first woman to Hospital and at Children's Hospital of Buf- serve as president of the Buffalo Association falo during the 1960s. Riwchun was attend- for the Blind, and was honored by many ing ophthalmologist at the then-Deaconess organizations for her civic leadership. In B 1979, the Riwchuns were Hospital and attending ophthalmologistin-chief at the former Rosa Coplon Home. The gift-a bequest from Riwchun's wife, Ann S. Riwchun, who died in 1999will fund the Meyer H. Riwchun Professorship of Ophthalmology in the " jointly named Buffalo During World War II, he was a lieutenant News Outstanding Citi- colonel assigned as chief of eye services at zens for their work with the blind. John R. Wright, MD, dean of the School of Medicine and Biomedical Sciences, hailed Riwchun as "a leader in the field of eye Walter Reed Hospital in Washington, DC. l C•~MBE Department of Ophthalmology. Ann Riwchun made the bequest to recognize and continue the work that her husband had pursued as a professor in the medical school, in his private practice and as head of eye services for the U.S. Armed Forces during World War II. "Dr. Riwchun was a highly regarded ophthalmologist and UB graduate who enjoyed a long and distinguished career in medicine, while his wife was equally dedicated to civic activities," President William R. Greiner said at the time the bequest was announced. " During their lives, they made a real difference in the quality of life for Western ew York residents and con- R I A I His patients ranged from enlisted men to such high-ranking officers as General of the Army George C. Marshall, as well as Ameri- care, whether he was using innovative surgical can and foreign diplomats, including Soviet techniques or educating medical students and Foreign Minister Andrei Gromyko. Along with maintaining a private practhe public about the issues of good eye care. tice, Riwchun taught at UB as a clinical proThis gift will allow UB to carry on that legacy fessor in surgery and ophthalmology, was ofleading-edge education in ophthalmology." chair of the Department of Ophthalmology Wright also said he expects the Riwchun and wrote numerous scientific papers on Professor to be named by September 2001. Riwchun, who died in 1998 at the age of eye disorders and eye surgery. The Riwchuns' leadership gift goes to95, earned his medical degree from UB in cialists in Austria before returning to Western ew York for a long career in medicine. wards meeting the School of Medicine and Biomedical Sciences' goal in the campaign for UB: Generation to Generation, a $250 million tinue to do so through this generous gift." The Riwchuns' long-time friend and at- He maintained a private practice from 1929- university campaign. Funds raised will be 1985, also serving as head of the departments torney Wayne Wisbaum, a senior partner at of ophthalmology at The Buffalo General used to enrich academic programs, support students and enhance university life. CD 1927, and then trained under European spe- Wint e r 2 001 l alfalt Hysiciu 17 �- - M E - D C A --- - ---- ---- -. ------- E SCHOOL L Distinguished Medical Alumnus Named Do.wld Ptt .L., ,\[/) .~ •• pct.l£... 1( vllCo!ogts. W S UB Hosts International Epidemiology Conference tures can work to improve the effectiveness of ISEE chapters in latin America , the Caribbean, Central America, Africa, and Univer- The 12th annual meeting of the Central and Eastern Europe," sity Medical School and a renowned specialist in pediatric oncology, \II) International Society for Envi- explains Vena. received the University at Buffalo's Distinguished Medical Alumnus ronmental Epidemiology (ISEE), Conference cochairs, in addi· Award from the Medical Alumni Association at a dinner September hosted by D. John Vena, PhD, of tion to Vena, were John Weiner, 28, 2000, in the Buffalo Club. the Department of Social and DrPH, and Germaine Buck, PhD. I' PROHSSOR OF Pill I ITRICS at Texas A&M A Buffalo native, Pinkel received a bachelor's degree from Preventive Medicine, was held For the full program and ab- Canisius College in 1947 and a medical degree from UB in 195 L He August 18-22, 2000, at the stracts, visit the conference web- served his residency at Children's Hospital of Buffalo, and was a Adams Mark Hotel in Buffalo, site at: http://www.phoenixwork research fellow at the Children's Cancer Research Foundation in New York. group.comlisee2000. Boston, now Dana-Farber Cancer Institute. Pinkel returned to Buffalo in 1956 to start the pediatric department at Roswell Park Cancer Institute. In 1961, he was appointed and 92 students from 45 countries attended the meeting, where the founding director of St. jude Children's Research Hospital in some 350 papers and three poster Memphis, the first institution devoted solely to basic and clinical sessions were presented on the pediatric research. theme of "Environmental Epide- ing members of the Class of miology in Pan America and the 200 I, who were recently in- Since leaving St. jude in 1973, he has accomplished a va- Left to right: Dean John R. Wright, Dr. Donald Pinkel and Dr. John Bodkin World: Building Connections." riety of tasks, including rejuve- "The purpose of the meeting scientists and students from CHRI'> TOP H E R ADA\1'. Midwest Children's Cancer around the world to exchange TH O \IA S BLA C K Center in the city; developing ideas for cutting-edge research in )OHS B O RGO \ pediatric leukemia research the field of environmental health," TH O \IA'o B OTT A programs at City of Hope says Vena, who adds that the event MARIS A BRA \ "IS Medical Center in California and was tremendously successful. The primary goals of the con- in Houston; and, as medical director, taking a key role in ference were to showcase ongoing BARB A RA GR EE SB E R(, interdisciplinary, international AAR O S GL YE R rebuilding St. Christopher's epidemiologic research and to KEI IS M O LLE:\ ELYSSA PE T ER'. facilitate more collaboration in KILl-IS S .H E RS O research and training worldwide. Award for Medical Research, the Kettering Prize for Cancer opportunity for the scientists to Research from the General Motors Cancer Research Foundation, highlight emerging global envi· the Zimmerman Prize for Cancer Research, the Biennial Winder- ronmental health issues, ex- mere Lectureship of the British Pediatric Association and the change the latest scientific Return of the Child Award from the Leukemia Society of America. findings and methodological An upcoming issue of Buffalo Physician will feature an in-depth approaches for a wide spectrum of article on Dr. Pinkel's career, including many fond memories he has environmental exposures and re- of his days in medical school at UB, as well as in training at lated health outcomes, and to talk CD Children 's Hospital of Buffalo. about ways in which organizational and administrative struc· - L O I S BAKER t c r 2 0 0 I SA SHA GIL\I ORE provide a forum to discuss how to "The meeting also provided an \\' 1 11 RYAS DFSHAE SE M.D. Anderson Cancer Center Pinkel has received many honors, including the Albert Lasker y sic i a a Alpha Omega was to bring together distinguished sor of pediatrics at the University of Texas Medical School in Houston. n ducted into Alpha this past fall. nating Milwaukee Children 's In addition to his post at Texas A&M, he currently serves as profes- I a If ale Congratulations to the follow- Hospital and establishing the Hospital for Children in its North Philadelphia neighborhood. 18 CD Approximately 400 scientists Alpha Omega Alpha is the only national medical honor society in the world. Its purpose is to recog11ize wtdergraduate medical school achievement and to perpetuate excellence in the medical profession. �A:z:odo Completes Alpha Omega Alpha Fellowship L \ C 2< 2, is the recipient of an Alpha Omega Alpha Student Research Fellowship, which provided him with $3,000 in support of a research project he completed during the fall of 2000 in the laboratory of Wesley Hicks Jr., MD '84, DDS, at Roswell Park In his research project, Azodo focused on understanding why granulomas form in the airway of cancer patients who undergo radiation therapy or have tumors surgically resected. Specifically, he worked to characterize the role of IL-l, an endogenous cytokine, in the response of tracheal respiratory epithelial cells (RECs) to injury. c I "We were trying to see how blocking IL-l or changing its concentrations affects the growth of porcine tracheal RECs, used as a model for human cells," explains Azodo. "IL-l is known to be an endogenous " result of signal transduction from membrane receptors. It also modi- .... fies the activity of several known mitogens and chemokines. In .. First-year student Diana Pratt is this year's recipient of the Univer- Cancer Institute. .. Medical Alumni Association Scholarship pyrogen and has many effects, both directly on the nucleus and as a particular, it plays a major role in the early attraction of neutrophils to the site of inflammation, which accounts for some of its destructive involvement. This investigation is complicated by the presence of two distinct sub-populations-IL-l alpha, and IL-2 beta-each with different proportions, sites of action and mechanisms of regulations." Originally from igeria, Azodo lived in Rochester, New York, for seven years prior to coming to the University at Buffalo in the fall of 1994 to begin work on a bachelor of arts degree in biology, which he completed in the spring of 1998. Currently, he has a strong interest in pursuing a career in radiology and says he would like to complete a residency somewhere in the southeast or mid-Atlantic, if he does not remain in Buffalo. "As an undergraduate, I had several opportunities to engage my talents and interests outside of the classroom, and I worried that my involvement in these activities would end when I began medical school, but I was wrong," says Azodo. "In my second year, I began a Radiology Interest Group (RIG) that has been recognized by the Polity [the medical student governing body]. The group now serves to introduce medical students in the preclinical years to this innovative and integral part of medicine as it is practiced today." In his second year, Azodo also had an opportunity to serve as vice president of the Student ational Medical Association (S MA). As the junior branch of better-known National sity at Buffalo's Medical Alumni Association Scholarship. The scholarship is made possible by the generosity of alumni through their reunion gifts designated to the Medical Alumni Association endowment fund. Recipients are selected by the admissions committee according to considerations of financial need and academic merit based on the in· coming student's applications. Pratt, a native of Buffalo, New York, graduated from UB in 1999 with a bachelor of science degree in biomedical anthropology. At this point in her education, she is .. interested in pursuing a career in c < family medicine, but plans to remain open to other possibilities, including international medicine. I -5. A. U:-.:GER Medical Association, the S MA provides an avenue for minority medical students to explore the unique contributions they can make to medicine, according to Azodo. "Through collaborative efforts with other groups during the 1999- 2000 school year, we introduced several non - .... minority students to the S MA," he says. "We also provided insight into what minorities could offer the medical community at all levels. In part, we accomplished this by discussing the prevalence of major diseases such as lupus and diabetes in the minority community and by sponsoring lectures, including one by Dr. Paresh Dandona that was well attended. "My work with the RIG and the S MA are just two examples of the kind of overall growth I have experienced and come to value during my time in Buffalo," Azodo continues. "On the whole, UB has been a wonderful place for part of my transition into adulthood." -5. A. 4D U~GER IVi11ter 2001 l 11fale Pbysiciu 19 �- - - M -- E D - C - A ----- ----- ------ SCHOOL L ------ E W S Honors Brunch Recognizes first· and Second·Year Achievements !I F A U-\I HO'\ORS BRc ( H recognizingacademicexcellenceamong Kathleen O'Donnell, '02, first- and second-year students at the University at Buffalo School of Medicine and Biomedical Sciences was held October 22, 2000. The following is a list of award recipients and a description of the awards received. .. c c I ... .. 0 s: The Department of Pathology's American Society of Clinical Pathologists Award for Academic Excellence, which is presented to the second-year student who has demonstrated high academic achievement and outstanding performance in the KATHLEEN o ·oo"<ELL Departmental Awards Kelly Gordon, '02, received The departments of the School of Medicine and Biomedical Sciences have established awards, described below, to recognize merito- the Department of Microbiology's Ernest Witebsky Award for Proficiency in rious performance in courses and outstanding achievement in wrriculum-related activities. Microbiology, which is Pharmacology and Toxicology's Edward A. given to the second-year Carr, Jr. Clinical Pharmacology pathology laboratory. Brian Maim, '02, received the Department of student achieving the Award and the DouglasS. Riggs Award. The former award is of Anatomy and Cell Biology's Gibson- highest grade in the microbiology and immu- Atwell-)ones Award, which recognizes the nology course. Dr. Witebsky was the found - achieving the highest average in student with the highest com- ing chair of the Department of Microbiology. Richard Newell, 'OJ, received the Department L received KELLY GORDO N bined average in the anatomical given to the MD/PhD student the Fundamentals of Pharmacology course, while the latter is sciences courses of gross ana - Christine Kerr, '02, received tomy, histology, neuroanatomy the Department ofMicro- and embryology. The award is presented to the second-year student with the highest average BRIAN MALM biology's Marek Zaleski in the course. Drs. Carr and Riggs were named in honor of past chairs of Award, which is presented chairs of the Department of Pharmacology the department: james A. Gibson, to the student who best Wayne ). Atwell and Oliver P. combines high standards and Toxicology. Maim also received the Department of )ones. ewell also received a McGraw-Hill Book Award, which is given of academic achievement with outstanding service to the two highest-ranking students in the to the community. The second-year class chooses the recipient. RI C HARD NEWELL first-year curriculum. Pathology's john B. Sheffer Award, which is C HRI STil\ E KERR given to the second-year student who has performed at the highest level in the laboratory portion of the courses in general and systemic pathology. Dr. john Sheffer prac- Sara Kaprove, 'OJ, received the Department of Christopher Mutty, '02, ticed pathology in Buffalo for over 35 years Biochemistry's Edward L. Curvish Award, which recognizes the student with received the Department of Pathology's Kornel and was acting chair of the Department of the highest average in the two Terplan Award, presented first-year biochemistry courses. to the student with the Kaprove also McGraw-Hill received a Book Award, in the two second-year pathology courses. Dr. Terplan was a past chair of the department. first -year curriculum. S AR A K A J>ROVE 20 II If Ill H J SiC iII \Vint er 2 001 l highest combined average which is given to the two highest-ranking students in the Pathology from 1972 to 1974. 1 C HRISTOP HER Mt:TTY �the student with the highest combined average in the two physiology courses in the first year. Dr. Rennie was a former vice president for research at UB and chair of the Department of Physiology and Biophysics. Discipline Honorary Societies A:-.; JEll GL:PT A The Association of Pathology Chairs Honor Society awardees were Christopher Mutty, Brian JI LL ALB R EC H T L AL R A C u..:S KJ Anne Wolpiuk , '02, Robyn Filipink, '02, and Maim, Kathleen O'Donnell, Jennifer Defazio, Diane Jill Albrecht '03, and Laura Cinski, '03, received Anjeli Gupta, '02, received the AstraZeneka Den Haese and Linda Cuomo, all the Class of 2002. the Evan Calkins Primary Care Achievement Cardiovascular Drug Monograph Award Award, which is given to one or two given to second-year students by the Depart- outstanding students in the Primary ment of Pharmacology and Toxicology. The Care Summer Externship Program. award is based on the quality of a mono- Calkins is a former chair of the graph written in the form of a package insert. Department of Medicine. 4:D Carlos Cedeno, '03, received the Department of Physiology and Biophysics' Donald W. Rennie Physiology Prize, which is given to J•""" •• DEFAzio Dean'sLetters of Commendation, 1999-2000 M ELII'DA K NOX Class of 2003 T ODD ) AN I C KI The Dean 's Letters of Commendation are awarded to students who D A\'ID K RAKOWSKI ) or'EL B ALLARD SARA K APRO\'E achieve 75 percent of available honors points in each year. Two honors points are earned for each credit hour ofhonors performance C H RI STOPHER A DA~IS M ARll'>A B RA\'1:-1 B ARBRA G REE:-.'BERG Class of 2002 VI CTOR A MODEO G ARRICK A PPLEBEE S L'Z IE A RIY ARATANA E LIZABETH B OLRKE ) E,.N I FER K ORZEN B RI Al'> M AL~! ) AMES B onE ) A~IES LI N ATAS H A M A"ES A "THO" Y M ATO CARLOS CEDEl->0 C H RISTOPHER M LTT\' KI T C HENG RI CH ARD K AT H LEEN O ' D oNNELL C H RI ST INA CLAR K ) EFFREY ) El->NIFER D EF AZ I O CARYN O RR D AN IELLE D oRsA:-.Eo T IMOTHY P ARDEE D IANE D E. · H AESE P HILLIP S EEREI TER L ISA E sLER E LIZABETH P ENDER M ELISSA D ESANTI S S ANDES H S ING H E sME F INLAY E RIC SCHAEFER K EELY D WYER- M ATZ KY ) ON \THAN S IUTA D A\'ID F l"TAK D A\ ID S CHLESINGER M ELANIE FI ORELLA ) ULI E V OGEL while one point is earned per credit for high satisfactory. Class of 2001 CHRI STOPHER L OGUE EWELL ORTH K ARA G ROSS M ARC. A UERBACH R OBYN F IUPI:-.' K AIM EE STA" I SLAWSK I A ARON G uYER SHALEE~ B ELA'! CHRISTOPHER F ORESTO A NDREI\' SWAN D A\'ID F LINT B oBBI W Ax K E\'1' M oLLEt< LI LY B ELFI A LICIA G ITTLEMAN A NDREW Sn1oNs A LFRED F RONTERA L YNDSAY WIL LMOTT- E LYSSA P ETERS S\'ETLAl'>A B LITSHTEY~ K ELLY G oRDON E ~11 LY T ENNEY ) ULIE G A\' I N LI SA G ELMAN KI LIAN SALERNO VI TO B RL'NETTI G REGO RY ) ANIS M ATTHEW T RAUGOTT ) ERR\' CHANG K YLE K ATO~A ) ULIANE T HuRLOW D A\'ID G RAY L INDA CuoMo D A\' I D K IM K ARES W EISS H OWARD H AO B ARTOS R oss Y APLE STEVEN W E I TZ~IA:-.' l l Honors Brune 1V i11 t er 200/ l 1 flal• Hp i c i ll 21 �---- M E D C A L --- SCHOOL -·-- -- E W --~- S The Primary Care Summer [xternship Program " Truly taught me what it takes to be a fine physician " 0 s p I \Is, ( Summer Externship Program has offered first- and second-year students a paid six-week experience during the summer months. Through the program, medical Through the Eyes of Students ... The following comments were made by students who participated in the 2000 Primary Care Summer Externship Program. students are placed in the offices of generalist physicians across Western ew York, where they enjoy varying degrees of interaction with patients, including taking histories and performing physicals. The externship experience clearly has a positive im- .lennifer K. Kor:z:en, Class of 2003 P Rl c F PTO RS: pact on student participants. In reviewing results of the program over the last three years, we found that 96 percent of externs "agreed" or "strongly agreed" that their clinical teachers improved their understanding of clinical "I am now only beginning to grasp all that I really learned practice (such as physical exams, medical decision making, treatment options, etc.). We were also pleased with this summer. Whether it was on the pathophysiology of the results of comparing pre- and post-externship surveys. how limiting HMO drug formularies can be, or how Twenty-seven percent of students felt that prior to the externship they had a broad or very broad much some patients really need reassurance from their doctors, I know my time at Geneva B. Scruggs Health exposure to career opportunities in primary care Care Center has been one of the best learning experiences We found that 96 percent of externs "agreed" or "strongly agreed" that their clinical teachers improved their type II diabetes, how to comfort a patient who has HlV, compared to 64 percent, post-externship. Since of my medical school career thus far. I do not think I will the program's inception in I 993, 67 percent of ever really be able to thank Dr. Gbadamosi, Dr. Lewis, or primary-care externs have entered generalist Susan [Ba ran ] enough for being able to watch them and residency programs, compared to 48 percent of the entire University at Buffalo graduating class work alongside them this past summer, for they have truly taught me what it takes to be a fine physician." during those years. We are grateful for the support of the various understanding of program sponsors, including the clinical practice. tion (whose significant three-year grant ended this past summer) and the Robert Wood Johnson Foun- ulpeper Founda- dation (whose Generalist Physician Initiative grant also ment of Health, the Western .leffrey Conklin, Class of 2002 PRECIPT OR: Fra11k C. Mezzadri, MD "One of the nice things about working for a large group ew York State Depart- practice like Quaker Medical Associates (QMA) was the ew York Rural Area Health chance to see different styles of dealing with patients and ended). Other sponsors include the Education Center and the White Family Memorial Fund. In addition to foundation and institutional support, hearing various perspectives on medical topics ranging from the diagnosis and treatment of patients to managed care. I the Primary Care Summer Externship Program welcomes left each day with at least one new insight that will help me a support from individuals; for example, Evan Calkins, MD, great deal once I get into practice. has established a special endowment fund to develop a confirmed my desire to work in the primary care setting and Externing at QMA more consistent funding source for the program. For more to treat both adults and children, and it also gave me a sense information about the program or giving opportunities, that I would really enjoy working in a group practice, assum- contact the Office of Medical Education at (7 16) 829-2802. ing I have the opportunity to choose my career path." -DFBRA STA~tM, 22 Fatai Gbadamosi, MD, Dwight Lewis, MD, a11d Susn11 Barnn, PA, Geneva B. Scruggs Health Care Center laflal1 Hysiciaa \\'t11tcr 200/ DirectorofStudelll Services �Student Preceptor Speciality MAL'REES GROSSI Drs. Colleen Mattimore & Mary Schamann Pediatrics MARK HAG(,ERTY Dr. Edward). Graber Internal Medicine KESSETH HALLI\\"ELL Dr. Sanford Levy lttternal Medicine CHRIS "CARL" RE\SOLDS Dr. Richard Castaldo Internal Medicine Scon HoRs Dr. Richard Castaldo Internal Medicine STE\"ES KA\1 Dr. Donald Robinson Family Medicine pediatrics and my desire to pursue this field, but also taught me a ILSTIS KA:<ALEY Dr. Raphael Wang Pediatrics wealth of information about how to be a good clinician and communicator with both children and their parents." )EsstFER KoRZE:-< Drs. Dwight Lewis Family Medicine .Justin Kanaley, Class of 2003 PRECEPTOR: Raphael Wang, MD, Williamsville Pediatrics "Beyond the one-on-one teaching that I received from Dr. Wang, I was able to become part of a team of health-care providers who made the office run very smoothly. Every nurse, nurse practitioner, secretary and doctor at Williamsville Pediatrics went out of his or her way to make me feel comfortable in the office. When my sixweek externship was finished, I didn't want to leave, for I truly felt that I had become a part of their team. The experience that I gained from this summer program not only emphasized my love of & Fatai Gbadamosi ROSA'" LASA Dr. Theresita Dolojan OB/GYN ALEXASDER LERSER Dr. john Fudyma Internal Medicine he Primary Care Summer Externship Program wishes to MARA Ltsscon Dr.) . Thomas Reagan Family Medicitte extend a sincere thank you to all the preceptors, listed CrsTHIA MARTISEZ -CAPOLI:-<0 Dr. Ellis Gomez Family Medicitte MATTHE\\ McKES. 'A Dr. Gregory Snyder Family Medicine MORCOS MORCOS Dr. Khalid 1ahran lttternal Medicitte/ Nepltrology HEATHER MoRGASTI Dr. Lawrence Me ally Pediatrics MICHELE 0DROBISA Drs. john Brewer, Roberta Gebhard & Kim Griswold Family Medicine THANK You, PRECEPTORS . . . . T below, who continue to make this program a success. Many of these physicians volunteer their time year after yea r to ensure that students experience the true practice of medicine early in their careers. Student Preceptor )ILL ALBRECHT Dr. M. jane Parmington Pediatrics DA:-<IELLE A:-<<.,LI\1 Drs. Russell Vaughan & Lorie Leonard Pediatrics SL SIL BAS SAL Dr. john Thompson Family Medicine LL'CIA PHROSE-Gtuo Dr. Mark Swetz Family Medicine Dr. Thomas) . Madejski Internal Medicine/ Geriatric Medicine )ES'\IFER PAYSE Dr. Arnold A. Abramo Pediatrics Drs. Thomas R. Gerbasi Pediatrics MICHAEL CHILLSGL' Dr. jack P. Freer Internal Medicine L•LRA Ct:-<SKI Dr. Sharon L. Ziegler Family Medicine )EFFREY CosKus Dr. Frank C. Mezzadri Medicine/Pediatrics LtsDA CL'0\10 Dr. Thomas S. Scanlon Internal Medicine Dr. Howard Sperry Internal Medicine AIRANI SATHASATHA'\ Drs. Catherine O'Neilt & Janet Sundquist Intemal Medicine )E:-<SIFER DEFAZIO BETH DmiARACKI Dr. David james Family Medicilte RACHEL SCH\IITT Dr. William Kuehnling Family Medicine DASIELLE DoRSASEO Dr. Peter Kowalski Family Medicine )OS ATHAN Stl'TA Dr. Peter Winkelstein Pediatrics MOLLY E.nos Dr. Rodney Logan Family Medicine STEPHES TL'RKO\KH Dr. Mark R. Klocke Pediatrics GEOR<,E FtuL"EROA Dr. Anthony C. Sorge Internal Medicine/ Pediatrics SHA\\S VAISIO Dr. Frederick Downs Family Medicine MtCH"\EL WHITESIDE Dr. David Milling Intemal Medicine Dwm Ft:-<TAK Dr. Medicine/Pediatrics Intemal Medicitte Dr. G. jay Bishop l111emal Medicitte LYSDSAY \\'tLL\tOTT -BARTOS Dr. Charles Hershey SEAS GARY!. CHRISTISA GRACZYK Dr. Michael) . Aronica Medicine/Pediatrics Tt:<A WL' Dr. Lorne Campbell Family Medicine Speciality A\tY PLZIO icholas Aquino & Shawn Ferguson )A\IISOS RIDGELEY Dr. Anthony 0. Bartholomew Itttemal Medicine ELENA SALKO\"SKY Dr. Ashok OB!GYN ll'i11ter aik 2001 1 1 11 111 Hysic i aa 23 �- - - --- - - - - M E D C A L -- - -- SCHOOL Mini-Medical School Thrives Gift from Davises supports school and new office . -- - E -- - - W S free to high school students enrolled in the Buffalo, Lockport, West Seneca and Williamsville school districts. Students are presented a curriculum focusing on the real-life applications of the sciences, which they in turn share with lOth graders at their school after completing the semester-long program. Retired business executive and community leader In addition, the Mini-Medical School hosts a Donald L. Davis and his wife, Esther, have made a Mini-Veterinary School, now in its third year, which $600,000 gift to the University at Buffalo's MiniMedical School, a highly popular, public-service medicine and pet health care. Also, in the spring of program presented by B , f D offers a five-week slate of courses in veterinary l \\ the School of Medicine R 5 2000, in collaboration with the UB Law School, a K program based upon a series of medical-legal and Biomedical Sciences. vignettes and specifically targeted to the legal profes- Long-time benefactors of sion was launched. Graduates of both the medical and veterinary the university, the Davises have reached the $1 million mark in their support of UB with their most recent gift. "The Mini-Medical School fits our guidelines for Esther and Donald L. Dnis benefiting the community and the university," says Esther Davis. "It has a very good format, builds on the strengths of the university and extends that knowledge to the community." "The university is the greatest thing that has happened to our area," Don Davis adds. "We wanted to do something that would benefit the entire community." In addition to guaranteeing support for the Mini-Medical School for the next I 0 years, the Davises' donation has also helped fund a new public-access office for the Mini-Medical School at 101 Farber Hall, directly across from Butler Auditorium where the school's programs are conducted. During a ribbon-cutting ceremony held on September 26, 2000, for the new office, Harry Sultz, DDS, MPH, director of the Mini-Medical School, welcomed and thanked the Davises, whom he referred to as "among the most generous, public-spirited citizens we have in Western ew York." The Mini-Medical School- which was started by Sultz and his associate Alan Reynard, PhD, in I997 as "a shoestring operation"- programs are eligible for membership in the MiniMedical School Alumni Association-the first of its kind in the nation-which provides additional science-related programs, clinics and tours, as well as discount enrollment for future programs with the school. Musicians, artists, dancers, actors, athletes, scholars ... we all love Nichols. • State of the art visual and performing arts center • Exceptional college placement record • Challenging curriculum with 17 advanced placement courses has been a highly successful endeavor by all measures. To date, • Comprehensive community service program over 2,000 participants have attended its programs, making it one • More than 60 sports teams of the most popular and far-reaching community services at the • Average class size of 15 • Financial aid available university. In March 2000, the success of the school was formally recognized by Business First, Western ew York's business journal, when it named Sultz a "Health-Care Hero." On!v one invesrment lase; a liferime In its core program, the Mini-Medical School provides a series of lectures dealing with subjects traditionally covered in medical Coeducational grades 5·12 875-8212 school, but geared to helping the public understand the science 1250 Amherst Street Buffalo. NY 14216 www.nicholsnet.net behind the medicine, according to Sultz, who is also dean emeritus of UB's School of Health Related Professions and professor emeritus in the Department of Social and Preventive Medicine. Building on the success of this format, the Mini-Medical School has expanded its offerings to include the High School Science Enrichment Program, which was begun in the fall of 1999 and is 24 c::J:) II f f If I Pb J SiC iII \Vi11t er 2 001 NICHOLS SCHOOL Acceptance granted to qualified students Without regard to race, color, religion or national origm. �D E V E L 0 P M E N T N E w s Gifts for Generations to Come By Li nda J . Cor de r , Ph0, CFRE 0? 1\l l \L 'Cl ) Campaign for DB-Generation to Generation was exciting. The Dean's Advisory Council and Campaign Steering Committee were on hand for special meetings with Dean Wright, a luncheon hosted by President Greiner and a universitywide reception. Our school is poised to top its original goal ($40 million ) shortly, due in part to grants its outstanding faculty receive from nonprofit organizations and private foundations. Thus, the committee agreed to raise the goal to $50 million. Gifts from individuals are increasing as more people realize the small percentage of the budget that comes from state appropriations (about 12 percent). What a tremendous difference philanthropy m akes to an institution like UB! Best of all, there are ways to give that benefit donors as much as their contributions enrich the school. After the kickoff, I was asked several questions regarding charitable trusts. While continuing to respond personally to requests, this column also provides a way to share some quotations about unitrusts that one of our alumni wrote to some of his friends. He warned me that including it here might signal the end of the long-running bull market. However, with the market's constant ups and downs in recent months, neither of us could be blamed for a change in its direction. He begins: "Eat your cake, have more of it and benefit UB Med," and continues: If you are a UB graduate in your fifties or older, there's an excellent chance that your kids are educated to the hilt, off on their own and doing well. There 's also a possibility that you may have bought stock that has gone up tenfold or more. If this applies, read on ... The Charitable Remainder Unitrust is a nifty invention. You not only get out of the tax you would owe if you sold it in value of the original stock purchase. The older y ou are, the larger the deduction , because you have less time left, less time to do something nice. Here's another feature: The winner that you select probably pays a skimpy dividend-or none. The charitable unitrust will pay you five percent [possibly more]. This may come at a time when you GI FTS FROM I:<DIVIDUALS ARE would like to have more money INCREASING AS MORE PEOPLE because of cutting back on your REALIZE TH E S~I ALL PERCENT income-or the inroads of AGE OF THE BUDGET THAT managed care. COMES FRO~t STATE Is a charitable remainder APPROPRIATIONS (ABOUT 12 trust complicated to set up? Will PERCENT) . WH AT A you have to go to a lawyer (which you hate to do )? Heck no. It's DIFF ERENCE PH ILA NTH ROPY pretty much an off-the-shelf, fillMAKES TO A:< INSTITUTI ON in-the-blanks product. UB will LIK E UB! help. So will I, a retired simple B EST O F ALL , TH ERE ARE WAYS country doctor who started on TO GIVE THAT BENEF IT DONORS the path at the noble building AS M uC H AS T HEIR CONTRI BU on High Street . . . TI ONS ENR IC H He ends with: Tell me about T HE SC H OO L. your big winner, brag about your class and I'll brag about mine . .. " I agreed to pass along letters if anyone wants to write to our "Dr. Feelgood. " This campaign provides opportunities for making gifts that will enhance the academic environment for this generation of students and those in the future. If you would like to find out more about the school's dreams or perhaps see an example of how a unitrust, or other charitable trusts, might benefit you and those you love, give me a call. The cam- [the appreciated stock], but you 'll be rewarded with a de- paign will continue through 2003 . Your benefits could last a lifetime; your legacy to the school would last forever. duction for your upcoming income tax return (s). The Linda]. Corder, associate dean, can be reached toll free at amount of the write-off is a generous portion of the increase 1-877-826-3246, or e-mail her at ljcorder@buffalo.edu. W i nt e r 2 00 1 la fl a l1 Hysiciu 25 �OLYMPIC FENCING COMPETITION ~-ent B v S C 0 T T THOMAS UB intern competes on Olympic fencing team NN MARSH WENT TO THE OLYMPICS last September and almost brought back the most rare of souvenirs. An emergency medicine intern in University at Buffalo's Residency Consortium, Marsh was one of three members of the U.S. fencing team that placed fourth in the 2000 Summer Games' team competition in Sydney, Australia. After their comefrom-behind win over fourth-seeded Hungary in the quarterfinals, the Americans lost an oh-so-close bronze-medal match to Germany, 45-42. It was the U.S. team's first-ever medal-round appearance in Olympic competition. "We would really have liked to have won a medal," says Marsh, who was participating in her third Olympic competition. "But we had a very good result. It was a big step for us to beat Hungary-the biggest win we've fitting exit from a sport she has pursued with a passion since the eighth grade in her native Michigan. Fencing's ever had." For the U.S., this win also represented a giant step toward legitimacy in the sport of fencing, which has long been dominated by Europeans. In fact, Marsh and with muscles," though Marsh dismisses that with a laugh-"more like high-speed checkers," she quips. "You're really trying to fake out your opponent," she says of the sport's mental aspects. "Are they really her teammates-sisters Iris and Felicia Zimmerman of Rochester, New York-left Sydney knowing that their going to be smart enough to try that move, or are they just trying to make you think they'll try it?" performance had won the sport new respect in the Fencers wear wire-mesh protective gear and scoring is kept by electronically registering "touches" that are made with the point of the foil. In individual competition, bouts are to I 5 points. United States. Marsh also placed I 6th in the individual foil competition. (The foil, a light, flexible weapon with a rectangular blade, is one of three weapons used in the sport.) If these Olympic games were Marsh's last-as she says they probably were-then she certainly made a 26 laffalo Pbysiciu Wi11t e r 2001 demands are many: quickness, agility, strength, balance and mental dexterity. The sport has been called "chess Team contests, in turn, are relay affairs in which each of the opposing teams' three fencers goes against one another. It can be grueling both physically and �emotionally, and Marsh says she gets sore during competitions from the tension. A competitor who is known for her always-attacking style, Marsh admits to having no patience with the careful parrying of some fencers. ''I'm pretty aggressive," she states. "I kind of overpower people. But I've been working on my defense a lot more, too." The showing in Sydney was even more impressive because Marsh, who had been rather busy adapting to her new life as an intern, didn't do a great deal of train- I .. • .. ing. She lifted weights, did some running and watched videotapes of potential opponents, but there just wasn't time to do the intensive training she's done in past years. "Maybe my attack isn't quite as strong anymore because I haven't had time to train as I once did, due to medical school and residency," she notes, "but I have more strategies and more of a well-rounded game." Once the competition was finally under way in Sydney, however, Marsh's veteran savvy kicked in, making the quarterfinal match against Hungary a drama worthy of its Olympic billing. "We were ahead throughout the beginning of the match," Marsh explains. "But in the middle they had a couple of good bouts, and they started catching up. I was feeling like the tide was turning and they were gaining on us. But our comeback was really dramatic, too. Iris won to get us back ahead, and I was last, against Hungary's top fencer. She's really strongone of the top 10 women in the world- and Acompetitor who is known for her always·attacking style, Marsh admits to having no patience with the careful parrying of some fencers. "I'm pretty aggressive," she states. "I kind of overpower people. But I've been working on my defense alot more, too." I always have trouble with her. But I just tried to focus and not get too nervous. "I felt a lot of pressure initially. She has some moves that always catch me off guard, so I tried to really keep that in mind when I was starting, and it worked for me. I beat her S-2." Match to the Americans. Adding to the piquancy of the victory was the fact that members of the Chinese and Cuban fencing teams watched from the stands, as did Chelsea Clinton, a friend of the Zimmerman sisters at Stanford University. After the foil was put away, the Olympics held other pleasures for Marsh. H er parents redeemed a slew of frequent-flier miles to be there, and the three of them toured the Great Barrier Reef. Also, the fencing team CONTINUED ON P AGE 29 Winter 200 / lulfal1 Hysiciaa 27 �OLYMPI C F E N C ING COMPETITION E PERSO FOLLOW ING Ann Marsh's Olympic efforts with a keen interest was Philip B. Wels, MD '41, professor emeritus in surgery at University at Buffalo School of Medicine and Biomedical Sciences and chair emeritus of the University at Buffalo Council. He had good reason: An outstanding fencer in his youth, Wels was himself once named to the U.S. Olympic team. But fate intervened. The year was 1936, and the Olympics were to be held in Berlin under the oppressive sway of Adolf Hitler. The United States boycotted the games, and Wels' Olympic team never competed. B 5 C then go to tournaments on Saturday and Sunday," he recalls. "I was pretty serious Y 0 T T THOMAS "I was a very, very unorthodox fencer. I didn ' t stick to the positions they taught me. My style was aggressive. 1 tried to use a more decep- Wels says that the missed opportunity was of course disappointing, but adds that the Olympic experience in the 1930s wasn ' t like it is now, with athletes devoting tive type of attack than forceful. J was a bouncing type of guy, all over the place." years entirely to training for the Games. The main focus then was intercollegiate competition, years and even for a time in medical school. After Philip I . Wels. MD '41. professor emeritus in surrery at the University at luflalo was inducted in the Ul Athletic Hall of Fame in 1965 for his fencin£ prowess. Wels pursued the sport through his undergraduate and Wels says he has plenty of great medical school, he served in the Army in the Pacific memories in that arena. In college at UB, he fenced with all three weap- during World War ll and when he returned to UB to complete his residency, he coached the UB team for a ons- a rarity- and placed fourth in couple of years, but "then just kind of faded out of it," the United States in foil. Wels also notes with pride that the he says. "It's a strenuous sport. 1n intercollegiate competitions, r fought both team and individual bouts, and UB fencing team he founded was more I would lose 10 pounds in two day of fencing." successful than most of the school's Wei 's remarkable accomplishments in this rigorous discipline were not forgotten, however, as in I 965 athletic teams, explaining that one year the wrestlers were 0- 6 and the basketball team was 0- 13, while the fencers went 6- 2. "I used to practice five days a week, he became an original inductee into the UB Athletic Hall of Fame. Former fencer Philip Wels, 'MD 41, a knowing observer 28 about it, and it kept me in great shape. l•flalo Hysician Wi11t e r 2 001 �METTLE, CONTINUED FROM PAGE 27 shared a house in Olympic Village with the U.S. women's judo team, giving the athletes a chance to compare notes on their sports. "That was a good opportunity for us; we really enjoyed talking to them and learning about their sport," Marsh says. "Fencing and judo are both martial arts, so there are some interesting similarities." Back in Buffalo after a nine-week leave of absence, Marsh quickly settled into her medical training, refocusing her energy and talents on emergency medicine. She recalls with enthusiasm an opportunity she had to help treat a 19-year-old man with four bullet wounds. "You definitely see people at their worst in the emergency room," she says. "But you have the ability to have a big impact." Since her return, Marsh has also been sharing the story of her Olympic experience with others. Her fellow residents had followed the competition closely and there's little doubt this group of doctors-in-training knows more about fencing than most. (Earlier in the year, in response to numerous requests, Marsh demonstrated the sport in a lecture hall at Buffalo General Hospital, fencing with a friend from Rochester. "People are always so impressed when they see it," she says.) But there's no fencing club in Buffalo and little free time in the life of a medical resident. So lately, for fun, Marsh has been playing tennis and learning the guitar. She says she'd like to eventually get married and have children. And she's realistic about competing against younger, bettertrained fencers. "What I don't want to be is the older woman who's still trying to compete at this level," she says. While her career as an Olympic athlete may be behind her, Marsh can certainly look forward to taking her gifts of agility, strength, balance and mental dexterity into the arena of emergency medicine, where no doubt they will serve her- and her patients- well. 4D Wint e r 20 01 luff1l1 Pbysiciu 29 �R E E A R C E H W Drug Delays Symptoms of Multiple Sclerosis LAURENCEjACOBS, 30 1111111 Physic i 11 Wi11ter 2001 MD �Medicinal Properties of Venom Examined the scientists found that the 20 Biophysicists at the University gan were more than twice as likely at Buffa lo h ave identified a component of venom from a to have died during follow-up C hilean tarantula that blocks tion. Women in the lowest group .... the action of ion channels re- were more than one and a half 0 percent of men with the poorest lung function when the study be· than men with the best lung func- sponsible for cellul ar mechani- times more likely to have died. th e . .. "This observation suggests cal responses-specificall y, the cell 's ability to feel. that those with lower lung- These channels or pores in the cell 0 function levels may need to pay membran e-called mechanics , sa ys Frederick acti vated ch annels also pl ay a causes them to open and close- Sach s, PhD, UB professor of role in th e successful tran sition have been implicated in func- ph ysiology and biophysics, and of newborns from th e placental tions as diverse as the se nses of senior researcher on the project. oxygen suppl y to using their touch and hearing, muscle con- " For example , cells swell traction and coordination, and during congestive heart failure, blood pressure regulation. This is the first report o f a and this peptide interferes with own lungs." The next re sea rch phase , Sachs says, will in vo lve identi - th at process," Sachs explain s. fying other biological actions of substance (in this case, a small " We al so know from earlier protein ) that specificall y blocks work that stretching the heart can initiate fibrillation. If we stretch -activated chann els. Until now, it has been difficult to associate these channels with can block the stretch-activated channels, we ma y be able to particular function s beca use block fibrillation , a cause of there were no chemical com- death following heart attacks." pound s known specificall y to Addressi ng another area , Sachs notes that tumor inva- the peptide and findin g a drug compan y to turn th e peptide into clinically useful drugs. 4D - L O I S BAKER on their lungs, " says Holger Schiinemann, MD, research assistant professor in the Department of Social and Preventive Medicine, who led the investigation. Schiinemann and colleagues analyzed data from the Buffalo Blood Pressure/Erie "It is important to note that the risk of death was increased for participants with moderately impaired lung function, not just those in the lower quintile." County Air PollutionPulmonary Function Study collected during 1960 and 1961. Lung Function Associated with Longevity The original study enrolled 2,273 women and men between the ages of 15 and 96 from whom How well your lungs function may information on lifestyle factors predict how long you live. This and health status , including pul- finding is the result of a nearly monary function , was collected. 30-year follow-up study conducted In 1990, a follow-up study deter- by University at Buffalo research- mined which participants had ers on the association between died and their cause of death. from the Universit y of Vir- sion of brain tissue produces a deformation of the surrounding norm al cells, causing them ginia, Michigan State University to release growth fa ctors that and NPS Ph a rma ce uticalsappears in the May 2000 issue of may fac ilitate or accelerate tumor growth . Stretch-activated th e ]oumal ofG eneraLPhysiology. channels may be the signal for impaired pulmonary function The newl y identified peptide no rm al cells to release growth and all causes of mortality. collaboration with· scientists ative effects, such as smoking, says. "Stretch - cause stretching the membrane block them . Re sults of the research-a particular attention to avoid neg- tumor s," h e stretch- activated channels be- toxin could have several clinical facto rs. "Th is peptide blocks In the study, published in the applic a tions re late d to ce ll those channels and may aid in September 2000 issue of Chest, The purpose of the current study was to investigate the I C O NT IN U ED ON PA G E 3 2 "foR EXAMPLE . CELLS SWELL DURIKG CO:SGESTIVE HEART FAILURE, A:\'D THIS PEPTIDE INTERFERES WITH THAT PROCESS." SACHS EXPLAL'S. F BR d C ~SE \T 0 . IF \1' "V\'E \LSO K 0\1 F~0\1 EARl ER \\ORK C \.BLOCK fHE STRE.Ct:-\Cfi\ATED C lA. H\f STREfU l G fHE HEARI (A l 'lTl-\TE ElS, \IE \1\1 BE \BLE TO BlOCK FIBRIL:..Ar"O A \1 ]OR OF DE \iH FOl:..0\1" (, Ht-\Rf ATTACKS. \Vint e r 2001 l1flal1 Hysician 31 �assistant professor, and between iron levels and risk of Maurizio Trevisan, MD, death from an y cause. professor and chair, De- .... .. public-health recommendations Preventive Medicine; must be based on reasonabl y solid Brydon Grant, MD, pro- evidence that what is being rec- fessor of medicine and ommended is both safe and effec- physiology, and War- tive," says Christopher Sempos, ren Winkelstein, MD, PhD, associate professor of social formerly of UB, now professor emeritus of and preventive medicine and lead author o n the stud y. the School of Public "Currently available data do Health, University of CONT I NUED FROM PAGE 31 Schiinemann says, noting that "Sound clinical guidance and partment of Social and California-Berkeley. not support radical changes in dietary recommendations for increased risk is found in per- The National Heart, lung and iron intake or screening b y association between pulmonary sons who never smoked, as well Blood Institute and the German ph ysician s to detect hi gh- function as among smokers. "The lung is Research Foundation (DFGJ sup- and mortality for periods that extended past 25 a primary defense organism ported the study. years, the limit of previous against environmental toxins. It - LO IS BAKER studies. Schiinemann could be that impaired pulmo- It is surprising and colleagues also nary function could lead to that this simple wanted to determine decreased tolerance against measurement for how long pulmo- these toxins. Researchers also has not nary function is a sig- gained more nificant predictor of mortality. derlie an increase in oxidative importance as a normal levels o f serum ferritin, " states Sempos . " Nor do th ey support the need for large-scale, randomized trials of dietar y Iron, Heart Disease Link Debunked restriction or phlebotom y as a means of lowering iron stores. " There have been more than have speculated that decreased The que stion of wh ether too two dozen studies conducted in pulmonary function could un- much iron increases the risk of dying from heart di sease has received another " no" an - recent years on the association general health- Results showed that stress from free radicals, and we assessment lung function was in know that oxidative stress plays tool. fact a significant pre- a role in the development of dictor of mortality in many diseases." swer via a populationbased, long-term , fol low-up study con - the whole group for the full 29 Schiinemann says the fact that ducted b y Uni- years of follow-up. "It is impor- a relationship does exist between versity at Buffalo tant to note that the risk of death lung function and risk of death researchers. was increased for participants should motivate physicians to The stud y, ap- with moderately impaired lung screen patients for pulmonary pearing in the function, not just those in the function, even if more research is October 2000 issue needed to determine why. "It is of A nnals of Epi- lowest quintile," Schiinemann CD says. "This suggests that increas- surprising that this simple mea- demiology, found no ed risk isn't confined to a small surement has not gained more a ss ociation fraction of the population with importance as a general health- " high-norm al" iron stores severely impaired lung function." assessment tool," he notes. and risk of death due to car- The reasons lung function may Also participating in the re- predict mortality are not clear, search were Joan Dorn, PhD, between diovascular disease, coronary heart disease or heart attack, or "RESULTS FRO\! THIS STUDY ARE CO "SISTE "T WITH OTHERS I:--; SHOWI;-.;G THAT IRO;:o.; DOES. "OT APPEAR TO PLAY A DIRECT ROLE I;:o.; fHE DEVELOP\!E. T OF CORO. ARY HEART DISEASE . ..\10RE RESEARCH STUDY THIS ISSUE I.' V.O\IF..· A."D \11:--;0RITIFS." 32 l1ffale Physicin \Vi11ter 2001 "EEDS TO BE DO;:o.;E TO �Blood Vessels Reflect Future Health Trevisan notes. "These were non- history of myocardial infarction, invasive, direct measurements of was conducted by Trevisan and vessel structure and function. colleagues in Italy. Forty healthy which showed positive findings, Researchers can see the future Our findings showed thickening subjects between ages six and 30 Sempos notes. Still, the subject years with a parental history of between diseases of the heart and circulatory system, and measures of body iron stores, only a few of in the blood vessels of children in the interior layers of the remains controversial. The current study was based with a parent who has had a pre- carotid artery and a malfunction premature heart attack were mature heart attack, and the of the endothelium, the lining of compared with 40 persons with on data collected from partici- picture is not pretty. the vessel. Both these abnor· no family history of heart disease, malities are indicators of 'pre- matched for age and gender. pants in the second National Health and ' utrition Examina- A study published in the New Trevisan says few stud- England Journal of Medicine tion Survey (NHANES II) between 1976 and 1980, and an (Vol. 343, No. 121 ies have looked at by University at the association analysis of death records through Buffalo research- between family December 31 , 1992. The study ers reports that ul- history of heart sample consisted of 1,604 per- trasound images disease and sons-128 men and 100 black showed structural both and functional ab· vessel struc- women; 658 white men and 718 white women- between the ages of45 and 74. "Results from this study are consistent with others in showing that iron does not appear to play a direct role in the development of to lead to atherosclerosis in children as young as was already reflected in Other researchers on the study included Anne C. Looker, .. results could • have important '" be further explored so we can better under- Trevisan, MD, senior author on clinical disease,' disease that the study and professor and chair doesn't yet have symptoms." in the Department of Social and Preventive Medicine. It has been known for some time that persons with a parental stand the causes and disease path of coronary-heart disease and plan early-intervention strategies," he adds. history of premature coronary A team of physicians from pants with a parent who had a disease are themselves at high the A. Cardarelli Hospital, heart attack before the age of 60 risk. This research set out to Federico II University and S. had vessel layers that were 11 determine if it was possible to Maria di Loreto Hospital in Disease Control and Preven - percent thicker and vessels that see structural and functional Naples, Italy; and M. Gene Bond, tion, and Daniel L. McGee of were 55 percent less reactive changes in the arteries of these director of the Division of Vascu- Loyola University Stritch School than blood vessels in children persons at an early age. lar Ultrasound Research at Wake of Medicine. with no parental history of heart The study, which involved re- Forest University Baptist Medi- attack. "This was not a measure- cruitment of children and young cal Center, were major contribu- ment of clinical disease," adults with and without parental tors to this study. Richard F. Gillum, Cuong V. Vuong and Clifford L. johnson, all of the ational Center for Health Statistics, Centers for -LOIS BAKER Results showed that partici· .. tions and need to "The parent's Ml their kids," says Maurizio ; clinical implica- six years. coronary heart disease," Sempos needs to be done to study this issue in women and minorities." ture and tunction. "These normalities known says, adding that " more research blood- CD LOI'i BAK~R searc 1Vi11ter 2001 laflale Hysiciaa 33 �-- ---- - --- --- --- -Mark vour calendars " Edmond J. Gicewicz In nineteen hundred and fifty-six we tried to learn to heal the sick. In the year of two thousand one let's get together and have some fun. Howard C. Wilinsky Here's what your reunion chairs have to sa The 40th reunion approaches. So much to do. So little time. Join the celebration! Louis J. Antonucci let's toast the new millennium together. After Jared C. Barlow all, it's over one·haH a century since we gradu· Thirty-five years-boy, have there been changes ated. See you in Buffalo. in all our lives. Come share and reminisce with your old classmates. Transit Valley Country Club, April 28, 2001. Allen L. Goldfarb Joel H. Paull Thirty years is a long time. let's definitely make sure we get together this year. We'll be in touch Robert E. Ploss let us all get together for our 50th and remi· with the details. nisce about our good years in medicine. looking forward to renewing old friendships and "re-living" some of our most fonnative years. See you there!-R. Ploss Linda Wild Don't put off-now is the time to decide to aHend our 25th reunion. Come back, renew old friendships and catch up on everything new in Buffalo and at the medical school. II f fIll PI J I i C iII i~ 1 n I cr 2 0 f) 1 �Sta•I•J L. l•llewslll £11011111-' ........,. c- ..... ...... _....a ............... ,.. .......... ....... ,.. ...... 15111 ....... ......,, . ., .... ..t I • rs Cell••• I. attl ere .l•••lfer H••lll•ll Ferrare , .............. . _ _ . . . . . . . . . .1... I •• I ...., Ul'. 1............ . . to a...r'IL- ,_.lllllllll,. lta""\1_....._.,..... 11,..._ S.•ferll H. LeYJ , ••• c......... ' -'-.;..);...._j , . . . , . . . . . . . . . . , . . ............. . . . . , . . ... ... ...., .. ......., c- ............... cllldl ., ................. s.e,.. ..... .... ........ - lrla .1. ll•t•l ...... ,....c..,_ ..... ., ...... .......... A plan for living. Hospice really is a plan for living. And the sooner you call, the sooner we can help you put that plan into action - with emotional support, pain management, in-home care anything you need to keep enjoying life. Call 686-8077. T H E CEKTE R FOR H1SPICE& PAlLIATIVE CARE www.hospicebuffulo.com ltffah Urslclu II �- - -- --- - - - ~-- - --- --- . - -- Dear Fellow Alumni, Fl' \ l \K.S AGO, I \PI'ROACHI D DR. JAc K RICHFk (then- associate dean for alumni affairs ) and asked him about my doing some work in the medical school. Jack and I had been friends for a number of years, but even he was curious as to why I needed "another job. " He knew I was very busy with my practice and my wife and four sons at home. I told jack that after years of being on hospital committees and attending insurance company meetings and other medically related events, I needed a change. By joining the Medical Alumni Association, I felt I could learn a little about what was going on in the school and see if I wanted to do more. Indeed, my tenure with the Medical Alumni Association has been a very fulfilling experience. In today's world, especially in New York, most of the medical establishments are in turmoil. It seems almost everyone is loosing money, suing someone or is being bought and sold. There are constantly new rules, new players and outrageous situations with which to deal. The one constant for all UB graduates is the medical school. The Medical Alumni Association is our fraternity; the school, our house; and all the alumni , our "brothers and sisters." Sure, the school has its problems, but it will always be here and it is one place we are alwa ys welcome. With various opportunities in every department, there are many avenues to develop an ongoing relationship with our school, something we all need to do. Anyone wishing for more information, please call the Medical Alumni Association Office at (716) 829-2778. So, remember to support your school. join the Medical Alumni Association; become a lifetime member. Be healthy and happy. jOHN 31 p~ JS i Ci I I 1\!irrter 2 0 0 0 j . BODKIN II . MD President, Medical Alumni Association �C L A S S 0 T E S 1950s 1960s Robert A. Benninger, MD Franklin Glockner, MD '60, '50. Cape Coral, FL, orthopaedic surgery, "I am acting my age; no more flying or sailing. Assistant Pastor at Calvary Wesleyan Church." Truno, MA, orthopaedic surgery. "I retired as chief of orthopaedics, Albany, VA, 1998." E-mail is: glockner @medicine. net. Alfred E. Falcone, MD '50. Francis J. Klocke, MD '60, Jamesville, NY, plastic surgery, "Love you all! Retired!" E-mail is aefalcone@aol.com. Chicago, IL, internal medicine and cardiology, writes: "I work for Northwestern University Medical School, where I am a professor of medicine and director of the Feinberg Cardiov cular Institute. My wife and I have five children ranging from 30 to 39 years of age." E-mail is: fklocke@northwestern.edu. Eugene J. Zygaj, MD '50, Lancaster, Y, OB/GY "I play softball four mornings a week. Our group consists of90-!00 men over 60. Great exercise and fun." Irving Joffe, MD '55, Boynton Beach, FL, radiology. "I am partially retired, working part time for the Palm Beach Health Department, State of Florida. Also doing volunteer work in several clinics." John H. Paterson, MD '55, East Aurora, NY, OBI GYN. "I retired in 1998, and am working part time for a rural hospital in Bath, NY-lowpressure position. I have a cottage on Keuka Lake." Leonard R. Schaer, MD '55, Alamo, CA. "I am retired." E-mail address is nanapop@hotcoco.infi.net. Pathologist Fierro, an Author's Inspiration experiences as the chief of a Statewide Medical Examiner System, the State factual errors. She is also the inspiration behind the fictional medic Kay Scarpetta, characterized in many of Cromwell's books. Andre D. Lascari, MD '60, Poestemkill, NY, pediatric hematology/ oncology. "I retired in Aprill999." Lance Fogan, MD '65, Edwin R. Lamm, MD '60, Lakeland, FL, general surgery, general practice, nursing home care. "I am vice president for Medical Affairs for Genesis Eldercare; my wife, Rosemary, obtained a PhD and teaches nursing. I have certification as a medical director from the American Medical Directors Association and am a member of the board of directors for the Florida Medical Directors Association; president, Central Florida Physicians Alliance," E-mail is: rslamm 1@aol.com Valenc ia, CA, neurology, writes: "I retired in 1997. I'm teaching UCLA neurology residents two months a year. I fill in occasionally when needed at my former med group offices, take classes, travel. I haven't been bored yet!" E-mail is: lfogan@aol.com. Dean Orman, MD '65, Clarence, NY, internal medicine/ gastroen tero 1ogy, writes: "My wife, Donna, graduated from UB medical school in 1984 and practiced with an HMO for II years. Both daughters graduated from UB medical school and are practicing pediatrics. Whitney married a classmate, Andrew Feinberg, whose father and I were also classmates (Mike Feinberg)!" 1970s James M. Baker, MD '70, Poulsbo, WA, family practice, writes: "I worked in small towns all these years but have been forced financially to join a large group where I work less and make more. My youngest is graduating from college this year. My wife and I are active in church and enjoy the childless phase of life." E-mail is: baker poulsbo@pol.net Carl Ellison, MD '70, Tulsa, OK, Pediatrics, writes: "I retired from the U.S. Public Health Service in 1998 after 21 years. I am working for the Cherokee Nation as a primary care pediatrician." Email is: carlellison @gateway.net. Alan J. Fink, MD '70, Wilmington, DE, neurology, writes: "I am still married to Phyllis after 31 years. Our oldest son, Greg, is in his second year of dental school at the University of Pennsylvania, and our younger son is attending I CoNTINUED or.; PAGE 38 assnotes \\'i11ter 2001 I a fla il H J Si c i I I 37 �~-- -- CLASS COr-.iT I~ UED F RO M P AC E 37 Washington and Lee University. " E-mail is drafink@aol.com. John D. Foley. MD ' 70, El Paso, TX, pediatrics, adolescent medicine, writes: " I retired from the U.S. Army with 22 years of active duty in I 995. I am currently on the fu ll -time faculty at Texas Tech University H ealth Science Center, as an asssociate professor of pediatrics and the director of adolescent medicine." E-mail address is john52l6 @aol.com. - -- ----- - --- -------- I NOTES Jan M. Novak. MD '70. Williamsville, Y, gastroenterology, writes: "My son David is a graduate ofUB Medical School ( 1997 ) and son joshua is a UB Medical Student (2003 }. Our daughter judith is a graduate of UB 's English department and is now a graduate student in Health Care Policy at American University in Washington, DC. " Hug11 A. Sampson. MD ' 75. Larchmont, Y, pediatric allergy and Immunology, writes: " My wife, Anne, and I have three children, ranging Terence Chorba, MD '79 from 13 to I 8 years of age. I am currently a professor of pediatrics and biomedical sciences, the chief of ICEP Leaders~ip Award pediatric allergy and immunology, the Kurt Hirshhorn Chair in pediatrics and the director of General Clin ical Research Center at Mount Sinai School of Medicine." E-mail is: hasampson @aol.com. 1980s Christopher S. Walsh. MD '85. medical director of the Cancer Center of Virginia, in Fredericksburg, VA, has developed studying the association between HIV and other opportunistic illnesses. Terence Chorba, MD national Center for HIV, The Project is based in ' 79, writes: "Over the STD, and TB Prevention. the Infectious Diseases years, I have had an Project Retro-CI is an Ward of the Centre enjoyable career in the epidemiologic, labora· Hospitalier Universitaire U.S. Public Health Ser· tory and clinical de Treichville, the larg- vice with several unique research collaboration est public hospital in assignments. We used between the Ministry of Abidjan, and currently to live in Kazakhstan, Health (MOH) of Cote has a full-time staff of where I started an office d' lvoire, the Institute of 140 persons. My wife, for the U.S. Centers for Tropical Medicine in Lindy, is a nurse practi· Disease Control and Pre- Antwerp, and CDC . It tioner working at the vention (CDC) to address serves as CDC's primary U.S. Embassy. Our three infectious disease issues research center for the children are busy learn- in all five Central Asian study of HIV infection in ing French and are pa- Republics of the former Africa. The work is fo· tient with our efforts to Soviet Union. Currently, cused on preventing HIV keep up their Russian. If we live in Abidjan, Cote in uninfected persons; any classmates come to d' lvoire, where I direct preventing HIV disease in West Africa, I would be Project Retro-CI on persons already infected glad to meet them and assignment from the with HIV; assisting the reminisce about old International Activities MOH in monitoring the times." E-mail address is Branch of CDC's HIV/AIDS epidemic; and chorba457@hotmail.com. the VEEBAAT TM System, which debuted at the American Society for Therapeutic Radiology and Oncology 2000 exposition (ASTRO 2000 } in Boston , MA, on October 22-25, 2000 . VEEBAAT-which is an acronym for Verify Event Entries Before and After Task-is a new electronic decision support system designed to he lp reduce the risk of error in the radiation oncology treatment process. Walsh developed the system because he found that the new sophisticated digital technologies susbstantial ly improved automation, but none maintained the human cross-check process in a manner �that enabled efficient manual recovery to safe mode of operation, or what he calls "Symmetric Recovery TM." For more information on the new system, go to www.veebaat.com, or call VEEBAA T Medical Technologies, Inc., at (540) 785-4488. Michael Rokaw, MD '88, writes: "I'm in private practice nephrology in Shreveport, LA. I' m enjoying the change from academic medicine. While at the University of Pittsburgh, I received a National Kidney Foundation Young Investigator grant, a Paul Teschan DC! research grant and a National Institutes of Health First Award for sodium channel regulation. I authored seven papers and over 20 abstracts. My daughter, Sarah, is four years old (in K4) and enjoys swim class, dance class and gymnastics. My wife, Amy (we celebrated our ninth anniversary in April 2000) and I are loving southern living. Miss my classmates, and think of them often." E-mai 1990s Joseph Accurso, MD '92, writes: "! completed a five-year radiology/ nuclear medicine residency at UB after my three years in the U.S. avy. I spent one year in Antarctica, providing medical care to the U.S. researchers. I have been married for almost five years (no children yet) and am now with the Mayo Health System at the Austin Medical Center in Austin, M . E-mail address is: accurso. joseph@mayo.edu. Cynthia L. Jenson, MD '92, writes from Bangor, ME: ''I'm in my second year of private practice in anesthesiology. We are finally settled after a long first year. Alexandra is five and a half and is in kindergarten, and Erica is two and a half. Mark is staying home and loving it." E-mail address is: cjenson@prodigy.net Henry V. Morelewlcz, MD '38 champion of children with dl-bUity \V in t er 200 1 1 111111 Pbpiciaa �Eugene M. Farber, MD '43, Internationally known dermatologist Arthur .,J. Schaefer, MD '47, pioneer In oculoplastlc surgery 1111111 npiciu \\ ' ~J te r 2 00 I �- Based on FIM " Data drill ttTheywere sergeantsand cheerleaders.'' -Frank Stelarski, stroke rehab patient, Harris Hill H.C.F Why do our patients have better rehab resutts compared to the national average? Maybe it's our staff ''They knew exactly how far to push me.'' says Frank Stelarski. ''But they also encouraged me every little step of the way. When you've been through what I have, that really means a THE lot." To leam more about the nationally recognized McGuire Rehabilitation ~cJNn~l(91'{_ CENTE~ Centers, call 1-888-POSTACUTE or visit www.mcguire-group.com. * *" AUTUMN VIEW • GARDEN GATE • HARRIS HILL \\ ' 1 11 1 c • r 200 I NORTH GATE I I I I I I I Pb J s i c i 1 n 4 ~ �p H A R M A c 0 p 0 E I A UB s !IJSfORY 0~ \IEDIC.INE COILECTIO"< PRF~L·rs I'I!ARMACOPOEI \ Digitally reproduced prints from a pharmacopoeia by Otto Karl Bei·g (I8IS· 1866) were on display last fall in University at Buffalo's Health SCiences Librai)' (HSL), South Campus. The botamcal show "as developed by the HSL and the umversity's i \1edia staff and is the fir;t in a senes of "Art in the Libi·ary" exhibits intended to promote the History of \1edicine Collection through the display and sale of reproductions of selected works. Fred Kwiecien and Don Tramoi· of i\1edia prepared the prints from the original art in the Berg volume. pub lished 1n Leipzig 111 1863. Pictured is Picea excel sa. H P OliO\ 0 I � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 2001 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2001- Winter Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v35n03-2001-Winter Table Of Contents A list of subunits of the resource. Warsaw after the War Writing Code Medical School Alumni Development Research Reunion Weekend Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-14 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v35n03 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 2001 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/bcfff00ba3583dc294146c7b6185cfe0.pdf 52d832f26d014dd5c84fc1dd31f911f0 PDF Text Text �l1ffale P~ysicial ASSOCIATE VICE PRESIDENT FOR UN I \ ERSITY SERVICES Dr. C a role S mi t h Petro Dear Alumni and Friends, DIRECTOR OF PERIODICALS Sue Wue t cher EDITOR S t eplwnie A. Unger )I (, ! , the fi rst of the new millennium (depending, of course, o n how o ne defines the start date of a new millennium). We have just completed another highly successful orientatio n week for inco ming freshmen, which concluded wi th the now-traditio nal White Coat Ceremo ny. Dr. Robert A. Milch, MD '68, ART DIRECTOR/DESIGNER A lan ]. Kegler AssiSTANT DESIGNER Lynda Dona t i directo r of the Center fo r Hospice and Palliati ve Ca re in Buffalo, delivered an inspiring message to the first-year class and their parents, spo uses and friends. Dr. Do n Pachuta, MD '66, addressed the second -yea r students, focusing his comments on the humanistic philosophy that sho uld- must-underpin the physician's approach to learning and to practicing medicine. Do n is in the process of creating an endowmen t that will suppo rt an a nnual lectureship on the "humanism" underpinnings of medici ne. Students also received a copy of the new Code of Professional Conduct, published in an elegant booklet. Printing expenses for the booklets were underwritten by a generous unrestricted gift from Dr. and Mrs. Edward Shanbrom (Ed is an MD '51 alumnus who now resides in California). A special article on the code and how it was developed by our students last year will be presented in the winter issue of Buffalo Physician, which will also feature the complete text of Dr. Milch's talk. All in all, it has been an excellent start to the new academic year. This is the time of year fo r new arrivals to the uni versity. Dr. John Yeh joined us ea rlier in the spring as chair of Gynecology-Obstetrics. Even during this short period of time, the departm ent has undergone remarkable rejuvenatio n. In addition to four new faculty PRODUCTIO!'i COORDINATOR Cynthia Todd-Flick STATE l.JNI\ ERSITY OF NEW YORK AT BuFFALO ScHOOL OF MEDIC INE ~ND BIOMEDICAL SCIENCES Dr. / o lm Wrigh t , Dean EDITORIAL BOARD D r. B e rt ra m Portin, Chair Dr. Martin Brech e r Dr. H a ro ld Brod y Dr. Linda f . Co rde r D r. A lan f . D ri nnan D r. fam es Ka n ski Dr. Eliz abeth Olms t ed D r. S t eph e n Spa ulding Dr. Bradley T . T ru ax M s./ en n ife r Wiler Dr. Franklin Zeplowitz (besides Dr. Yeh}, the teaching programs at both the resident and medical student levels TEACHING HOSPITALS have received new life and there is an air of optimism and enthusiasm in the department. Erie Co unty .\fedica/ Ce nter Roswell Park Cancer In stitute Vetera ns Affairs Western New York Hea lthcare System Dr. Ken Blumenthal arrived in early August to assume the chair of Biochemistry. We are confident that he will grea tly strengthen this department, in terms of bo th its program and its wo rking relationships, and we all look fo rward to wo rking with him as he remolds this esse ntial basic-science department. In ea rly July, Dr. Elizabeth Capaldi joined the university as o ur new provost. For us, in the medical school, this is an extremely impo rtant positio n beca use it represents not o nly overall academic program leadershi p fo r the university, but also for the School of Medicine and Bio medical Sciences. This is a particularly critical period for the medical school as we attempt to remain current in teaching and resea rch yet accomm odate the buffeting fo rces that are all aro und us in the clinical enviro nment. One of the majo r tasks of the fall semester will be to fashion a durable affiliatio n KHHDA HI:A.IIII: T he Buffalo General Hospital Th e Ch ildren's Hospital of Buffalo Millard Fillmore Gates Hospi tal Milla rd Fillmore S ubu rban Hospi tal CATHOliC H fAITif Sr.\TF.\1: Mercy Hea lth System S ist ers of Charity Hospi tal N iagara Fa lls Me m orial M edical Cen ter ® THE STATE INIYUSIIY Of NEW YllliJIUIFlll agreement with Kaleida Health System (the merged Buffa lo General, Child ren's, Millard Fillmo re and DeG raff hospitals) . Central SUNY administratio n and community leadership will be very much involved in the process, which will likely chart the future directio n of o ur school and its clinical programs. No doubt it will be a fea tu red article in an upcoming Buffa lo Physician. We will certainly keep you posted. j OHN R. WRI GHT. MD D ean, Schoo l of M edicin e and Biom edical Scie n ces Buffalo Physician is published quarterly by the State Uni1·ersity of New York at Bujjalo School of Afedicit~e and Biomedical Scieuces and the Office of Pu/JiicatioiiS. It is sent, free of charge, to alumtll, facultj·, students, resiLICtJts, and friends. The staff rcscn'es the right to etfit all ropy aud submissions arrcpted for publiwtwn. T~ at Buffalo -:.:=:s University Tire State University ofNew York �VO L UME 35, p H y c s A Features 2 Internal Medicine's Man James P. alan's extraordinary contributions to his field and UB's Department of Medicine BY S .A . UNGER PHOTOGRAPHY 12 BY FRANK MILLER Eschewing Viewing Obese children learn to replace television with other activities BY S. A. UNGER PHOTOGRAPHY BY MARK DELLAS UB professor of pediatrics and psychology Leonard H. Epstein, PhD, has conducted pioneering research on childhood obesity for the past two decades. On page 12 begins astory about his current work aimed at teaching obese children to choose active behaviors over sedentary ones. COVER 16 Annual Faculty Awards 17 McAloon receives 2000 Humanism Award 18 Nielsen elected AMA's vice speaker 26 "Lonely for a 20 Auerbach wins jacob )avits Award 21 Hypertension redefined 23 Colon polyps unaffected by healthy diet Sciences Career Day a success White Coat Ceremony 25 Professors Albini and Gabrieli remembered Calling of My Own"-Umut Sarpel, class of2001, finds clinical rotations include an exercise in introspection PHOTO 29 Endowments crucial to chool's future 30 Listing of current endowments BY FRANK MILLER your UB classmates and other alumni N ��alkins certainly had this far-reaching goal in mind when he called • ' olan, but what he couldn't haw known at the time was that he was setting in motion a successful recruitment effort that would bring to the L'niversity at Buffalo a future chair of its Department of ~1edicine, and a man, who along with himself, would lead the department for a combined total of 3-l years. :\ot only would :\olan go on to work with Calkins to oYersee the growth of UB's Department of ~lediLine from approximateh- 50 faculty to more than 150, but he would also pia~· a leading role nationalh· in academic medicine, eventually serYing as president of the Association of Professors of ~1edicine and chair of the Board of Regents for the American College of Physicians. \\'ith his "official'' retirement from the State of, ' ew York in July 1999, • 'ohm brought to a dose a career in medicine that would have to be considered exemplary by any standard. Contributing to his stature is the fact that man\' of his colleagues and former students feel strongly that he will be remembered not so much for his long list of accomplishments as for his distinctly artful style of leadership-a stYle that could perhaps serYe as a model for any physician-leader today whose goal is to bring out the best in others under the most difficult of cirwmstanct>s. �The Early Years hen Calkins first approached Nolan about returning to UB, the university was still in the throes of adjusting to the enormous change it had undergone in 1962, when the University of Buffalo-a medium·sized private college founded as a medical school in 1846-was incorporated into the State University of New York (SUNY) system to form SUNY at Buffalo or, more simply, the University at Buffalo. Once the realities of this transition began to take shape, it soon became evident to everyone involved that the state was not just absorbing the buildings, faculty and staff of the University of Buffalo; it was also absorbing its remarkable history and ethos dating back 116 years to when the school was founded by such men as Millard Fillmore, James Platt White, Austin Flint and Frank Hastings Hamilton, all of whom went on to make their mark in the annals of American medicine. Added to this stir of proud history and state incorporation were the sweeping changes taking place in academic medicine at the national level. In large part, these changes were fueled by an unprecedented influx of dollars from the National Institutes of Health into the nation's medical schools, with the goal of promoting the growth and development of academic departments capable of fostering excellence in research. If a medical school were to compete nationally with the lulfalo Hpicin Autum11 2000 rush to develop sound academic departments that boasted the best and brightest in clinical and research faculty, then the best and the brightest it must recruit. At the time Calkins first contacted him, Nolan had just completed a clinical fellowship in medicine in the Liver Study Unit at Yale University's School of Medicine and was finishing up as chief resident in medicine, all the while contemplating the likelihood that he would set up practice in ew Haven, Connecticut. During his internship a few years earlier, he had met Christa, a student from Sweden who was studying microbiology at the university, and the two had married and begun a family. Returning to Buffalo was not in the picture. Calkins himself had come to Buffalo from Harvard University in 1960, when he was chosen to succeed the eminent internist John Talbott, MD, who had left UB to accept the editorship of the journal of the American Medical Association. While at Harvard, Calkins had become acquainted with Dr. Paul Beeson, professor and chair of medicine at Yale, whom he had talked with on several occasions about career opportunities. When Calkins was first offered the job as head of medicine at Buffalo General Hospital, he turned to Beeson for advice about whether or not he should accept the position. "Dr. Beeson had some connection with Buffalo," Calkins recalls. "I think his wife was from here. When I asked him what he thought about my coming here he said, 'Absolutely! It's going to be a great �The establishment of the division of endocrinology marked the stan of abuilding program that would continue for the next 17 years as 13 major divisions were gradually formed within the Oepanment of Medicine. opportunity and challenge. You get up there and get things going and then we'll exchange residents. ' "Well, what more terrific confidence could you give any young man coming into a program by saying on behalf of one of the major departments in the country that the chair would exchange residents?" asks Calkins. CE I B UFFALO, Calkins set to work identifying potential areas of growth and concomitant recruitment needs. At the time, the Department of Medicine for the university was cochaired by the heads of medicine at Buffalo General Hospital and Edward ]. Meyer Memorial Hospital (now the Erie County Medical Center). Calkins's counterpart at E. ]. Meyer Hospital was the legendary clinician David K. Miller, MD, the first full-time faculty member in medicine at UB, who had been head of medicine at the hospital since 1940. For many years, the two hospital-based departments operated largely independently; however, with the arrival of Calkins and the incorporation of UB into the SUNY system, the two heads of medicine began to acknowledge the necessity of working more closely to develop a university-wide department. In 1968, Miller volunteered to step down as cochair of the department. Following a national search, Calkins was chosen to lead the department, with the aim of developing it as a unified entity. From the time of his arrival at UB eight years earlier, Calkins had aggressively taken the lead in recruiting new faculty for his group at Buffalo General Hospital, which had a good base of clinically oriented faculty but a very limited number of research-oriented faculty, as was also the case at the E. ]. Meyer Hospital. "We were in a new era of medicine, where the emphasis was on integrating clinical and basic-science approaches," recalls Calkins. "We identified several areas where we thought if we put all our strength and energy into building in-depth, we would be able to develop programs that could be nationally competitive and attract major funding from the NIH, as well as set the standard for quality of care and for the teaching of students and house staff. " At the time, Calkins estimates that there were only about three or four facult y members in the Department of Medicine who were involved in focused research efforts. The first area that was identified as having a strong basic-science foundation upon which to build was endocrinology. Because the researchers in this group-most notably Dr. John Plager-were located at Roswell Park Cancer Institute, Calkins led an effort to bring them into the Department of Medicine at UB and give them faculty titles. He then recruited Dr. Keith Vance to head the new division. The establishment ofthe division of endocrinology marked the start of a building Alltllmn 2000 luffal1 Physician 5 �- -- - --------------------------------------------~~=---~~- program that would continue for the next 17 years as 13 major divisions were gradually formed within the Department of Medicine. medical school's teaching programs and faculty are disbursed among Buffalo's major community hospitals. For the Department of Medicine, this meant faculty would continue to be located in three hospitals: Buffalo General Hospital, Erie County Medical Center and the Department of Veteran's Affairs Medical Center. "On balance, I think that a university hospital is a tremendous advantage," says Nolan. "And I have always pushed for one, as did Evan Calkins before me. I never made it a secret that I thought that was the way we ought to go. But, early on--in the early 1970s--it was clear it wasn't going to occur, so then one had to accept it and make the best of it, and I think we did." Time to Bring the Talent Home EVERAL YEARS INTO THIS EFFORT, Calkins says he and Vance "got pretty lonely in coordinating the broad teaching responsibilities designed to integrate the basic sciences with clinical medicine." Thinking it time to bring someone on board who could help them with this work, Calkins again turned for advice to Yale's Paul Beeson, who recommended olan, his former chief resident. In the years ahead, olan and Calkins would fondlyand humorously--remember the recruitment effort that ensued. "We didn 't have much money back then and nobody would give us departmental funds for this type of thing, so when Jim came to Buffalo, we took him to a restaurant in the Southtowns where, for something like $3. 75, you stood in line and got your own food. Years later, when Jim and I were actively recruiting somebody and were trying to pull out all the stops, we took the person out for a nice dinner. Later, in an attempt to describe the dinner to someone, Jim joked, 'You know, it was the kind where you get waited on,"' Calkins recalls with a laugh. Smorgasbord dinner aside, Nolan found himself swayed by Calkins and soon he and his family were on their way to Buffalo, where he had accepted a dual position as associate professor of medicine at UB and clinical associate in medicine at Buffalo General Hospital. "Evan Calkins is a very dynamic recruiter," says Nolan, adding that the early 1960s were "very heady times for the university. SUNY at Buffalo was to be the flagship campus--the 'Berkeley of ew York State'--and it was a timeoftremendous growth." olan further explains that one of the great attractions that drew him back to Buffalo was the plan to build a new university/county hospital on the South Campus, at Bailey and Winspear, but recounts how, over the years, that idea--as well as a whole series of plans to relocate the medical school--was scuttled. It wasn't until the early 1970s that administrators finally made the decision not to build a university hospital and instead put into place the still extant affiliated-hospital model whereby the 6 lulfala Physician A 11t11 11111 2000 A Cool Head on the Hot Seat " AKI G TH E BEST OF IT," according to Calkins, involved putting Nolan to work using a special talent he was discovered to have soon after his arrival at UB. "We didn't have the power structure to work with that's in place today; we had to be on the various hospital committees and win by persuasion, by political savvy, in a sense," Calkins explains. And, as luck would have it, he and others soon recognized that olan had a remarkable talent for sitting on these committees and effectively lobbying for the needs of the Department of Medicine. "Jim is easily the best committee man that I have ever, ever seen," Calkins says. "We knew that if we put him on a committee, we could be certain that it would come out exactly the way the Department of Medicine wanted. Jim would sit down with all these senior people and he would represent our position by using his personal interdynamics, by taking a modest, friendly approach, never overemphasizing anything, not getting purple in the face and not pounding the table. This is just who he is and everybody liked and respected him very much and would, in large part, agree with the steps he proposed." As time went on, according to Calkins, olan grew increasingly practiced with committee work, and his skills became invaluable to the department and to the school of medicine. "He of course got better at it because we were always giving him the hot seat," Calkins recalls with a chuckle. "We didn' t waste him on the obvious [committees]. We put him on the ones where the whole future of the department would hinge. He was always much better at this work than I was because I would come in and be much more confrontational, more demanding, more un yielding. "This talent of Jim 's was a lead feature for him throughout his career," he adds, "and I know the dean on several occasions appointed him to chair very tricky committees involving subtle areas of great importance �" Making the best of it," according to Calkins, involved putting Nolan to work using aspecial talent he was discovered to have soon after his arrival at UB. to the school. Also, when he became involved with the American College of Physicians and the Association of Professors of Medicine he was able to do the same kind of work wonderfully well." Building on Buswell Fellowships Y THE LATE 1960s, the Department of Medicine faculty at Buffalo General Hospital had grown out of proportion to the needs or scope of care at the facility. "We were really bulging at the seams. We must have had at least 25 well-established young scientific doctors who had achieved national recognition and were getting major grants," recalls Calkins. At the same time, the county hospital was struggling financially and its faculty in medicine remained primarily clinically focused. Given this situation and the resignation of D. K. Miller as cochair of the department, the time was right, according to Calkins, to begin to bring the county's faculty into the new model for the department. To accomplish this complex transition, Calkins decided it was necessary to move a third of the department's fulltime faculty over to the county hospital. Also at this time, the decision was made to move the department's administrative offices to the hospital, where they remain today. A key factor that made it possible for the Department of Medicine to continue to grow over the next decade was the availability of Buswell Fellowships through the school of medicine. "One of the main reasons why the timing was right for what we were trying to do is that we had about 15 of these faculty fellowships at the assistant professor level, which were given on the condition that the faculty coming in spend 90 percent of their time on research during their first two years," explains Calkins. "So we figured that, in time, the financial support would begin to grow as these scientists became more clinically oriented, got more Autumn 2000 11 flail n y sic i a1 1 �patients coming in, developed as teachers and won recognition for their research activities." The plan, therefore, was to make full use of the Buswell Fellowships to recruit future division heads who would "get their feet on the ground while Jim and I were carrying out the core work of the department," Calkins recalls. In addition to olan, Calkins was working closely with Dr. Thomas Tomasi, who had joined the department in the early 1960s as head of immunology and was instrumental in recruiting key faculty to the department. "Tom Tomasi was a major colleague of ours for eight years. He played a very, very important role in the department during those early years because he helped us identify the key frontiers of scientific medicine and the people we should try to bring into the department," says Calkins. In all, the effort of these and other leaders in the department met with extraordinary success, and today both Calkins and olan proudly point out that of the core group of faculty brought into the department during their combined tenure, some 25 have gone on to chair departments or hold similar appointments elsewhere around the world (see list on page 10). Another area in which great strides were made involved the recruitment of talented residents, according to Calkins. "Dr. olan and Vance and I made a tremendous effort to recruit top-notch house staff in these early years because we recognized that some of the most effective teaching of medical students is carried out by these individuals, who also serve as role models for the students," he explains "So at a time when internal medicine occupied a particularly strong place in the eyes of medical students and house staff, we succeeded in attracting an exceptionally strong group of graduates from UB, as well as from such schools as Harvard, New York University, Temple, johns Hopkins and the University of orth Carolina," he adds. The Heart and Science of Medicine 1969, OLA WAS appointed professor of medicine in the department, and in addition to his growing administrative and teaching duties, he also continued to lead an active research program in liver disease and the effects of endotoxins. In the 1970s, he and his group made key discoveries that led to a better understanding of the role these toxins play in liver disease when the liver is affected by alcoholism and hepatitis. They also determined that antibiotics can worsen some liver diseases by increasing endotoxins. olan had also by this time established a stellar reputation as a teacher and clinician. "Jim is one of the most informed internists I know," say Robert Internal Medicine House Staff, 1976. A complete listing of those pictured here is not available; Klocke, MD '62, current chair of the Department however, the following individuals have been identified: Susan Arbuck, Thomas Avery, Raymond W. Bergenstock Jr., James Cirbus, Richard Curran, Richard Dolinar, Helen Findlay, Geraldine Kelley, of Medicine, who came to UB in 1970 when the Steve Lanse, Alan Leibowitz, Trudy Masters, Nancy Nielsen, James P. Nolan, MaHhew J. O'Brien Jr., department was just beginning to be more inRichard Rosenfield, Marilyn Telon, Henri T. Woodman, AntoineHe Wozniak. volved with the county hospital and who, in 19 78, was named head of the Pulmonary Division there. "He knows a lot about everything, not just his specialty of liver disease, and he is an excellent teacher. "I think the students who really appreciated him the most over the years were the residents, who benefited from his impromptu teaching at the bedside," Klocke adds. "He has such vast knowledge and yet organizes material very well when teaching. Also, because he doesn 't just focus on one thing and then another, he is able to see the big picture." "What's been important to me about teaching, in addition to the content itself," says olan, "is that, hopefully, you can mold individuals into compassionate physicians. And I have always tried to stress this when dealing with patients and with students-the idea of professionalism, of compassion and empathy." olan's gift for teaching both the "heart and science" of medicine resulted in his being twice chosen by residents to receive UB's coveted White Coat Award, which honors "excellence in teaching 8 Buffalo Hpician A utum tz 2 0 00 �and outstanding contributions to the education of house staff." Today, olan says he considers these awards to be among his most prized honors at UB. Creative Funding and Support for Faculty KEEP! G WITH HIS GROW! G stature as a teacher, researcher and administrator, Nolan was named vice chair of the Department of Medicine in 1973 and acting chair in 1978, when Calkins retired from that role. A year later, he was appointed chair of the department, a position he held until1995. "The first few years as chair of a big department like that are tough because you have to prove yourself, but then, over time, you gain confidence," says olan. "But the major thing I had going for me from the start was that I had good division heads and clinical directors, so after a while I was in a position to delegate and to do other things as well. Really, I was blessed with very, very good associates who took on major roles in both the educational and the research aspects of the department." While the department's faculty were exceptional, olan admits that their being housed in three hospitals did pose an ever-present challenge for him. "With the resources of a full-time faculty spread throughout three community hospitals, it's difficult to achieve a critical mass in any one location," he says. "This is especially true for the smaller divisions. It was also difficult to obtain the laboratory space that was needed for the department." An even larger dilemma for Nolan throughout his tenure as chair, however, was the chronic shortage of funds brought about by severe cutbacks from the state and Medicare, in combination with new fiscal austerities imposed by managed care. "Throughout the 1980s and '90s, the hospitals in Buffalo were very badly squeezed-as were hospitals everywhere," explains Nolan, and this directly impacted the medical school and Buffalo's entire health-care community in ways that hadn't been felt before, he contends. "There were times in the '60s and '70s and even into the early '80s, when the hospitals would get into some financial trouble and the university would just pick up their lines, and there were times when the university would get into trouble and the hospitals would step in. Nobody's helping out now; everybody's having to look out for themselves, and over the past 10 years it's become a tremendously competitive environment. "Even though we are a state school, the percentage of our budget that comes from the state for salary purposes is only about 15 percent; that's not a lot," he continues." owadays, over 50 percent of the compensation for the full-time faculty, even in a big department like medicine, comes from practice dollars, and those dollars are increasingly hard to come by." olan explains that these and other funding pressures have in turn "greatly impeded our ability to teach medical students in an ambulatory setting because the practicing physicians, who have always been supportive of teaching students in their offices, are having increasing difficulty doing this because they are under such tremendous pressure to process patients at a rapid rate." Given the pervasive funding shortages olan had to confront as chair, Klocke says it's a tribute to him that the department continued to grow-albeit not at the earlier pace-and that the faculty, for the most part, functioned as a cooperative and cohesive group. "Jim was very creative when it came to finding funding," he says with a smile. "He would go around and sell people on an idea, and then get a piece of funding from here and a piece from there and put together all the little pieces. I was able to recruit an excellent person from Yale-Jamson Lwebuga-Mukasa, who's at Buffalo General now-because Jim helped convince the hospital and the dean to make an investment. He was always very supportive in this way. "Too, Jim has a knack for making people feel wanted, and he is very good at acknowledging people's contributions in a quiet way," Klocke explains. "Actually, everything he does is done in such a low-key, gentlemanly way," he adds. "I have heard people who did not agree with him, but I've never heard anybody say he wasn't a nice person. Even when he had to make tough decisions that somebody didn't like, you knew it was never personal. "So even though there were huge cutbacks from the state and lots of financial and administrative problems when he was chair, he kept everybody going, and our department actually continued to Aut um 11 2000 II f f If I H JS i C iII 9 �grow. And thereally nice thing for me is that I inherited from him a happy and extremely cooperative department." When asked what he consider to be highlights of his tenure as chair, olan says he is in many ways most proud of the research efforts of the department. "At one time, we had more IH dollars than any other department in the four [SUNY] schools," he says, "and that was a source of great pride for our department-that we were able to attract people of that stature. And I think, as such, we developed a very good national reputation for the department as a place for young faculty to work. And during my time, as well as Evan's, we exported some very good people to other very good schools." In addition to this, olan says that he is also proud of the work he did in support of affirmative action during the 17 years he was Former Faculty Members chair. "We were all involved in affirmative action at that time in the sense that we made a real effort to attract medical students from the minority population who were superb," he explains. "Buffalo did extremely well in terms of percentages in this --area~he add,-'' and I'm proud of that." A Mentor and a Model N THE EARLY 1990s NOLA became an increasingly visible leader in academic medicine in his role as president of the Association of Professors of Medicine, a group comprising chairs of medicine across the nation, and as chair of the Board of Regents for the American College of Physicians. Both organizations provided a forum for him to address a central concern he had at that time: the trend toward specialization in internal medicine; in particular, the fact that 70 percent of all medical-school graduates were going into the specialties and only 30 percent into primary care areas. Many people feel that the energy and attention Nolan dedicated to this problem while a leader with both these organizations contributed significantly to the reversal of this trend by the close of the decade. "If you look at his writings from the '90s, you'll see he was writing very frequently in the Annals of Internal Medicine and other journals, talking about the value of the internist," says Klocke. "And as president of the Association of Professors of director, Fogarty Robert A. Murgita, chair and pro· International Center and associate fessor, Department of Microbioi· Gerald Keusch, T HE FOLLOW! G IS A LIST of former fac u lty members in Un iversity at Buffalo's Department of Medicine who hold or have held positions of chair (o r comparable positions). James C. Allen, chair, Department David R. Dantzker, president, Long of Medicine, University of South Island Jewish Medical Center, New Carolina; subsequently, vice presi· Hyde Park, New York director, International Research, ogy and Immunology, McGill Uni· National Institutes of Health, versity, Montreal, Quebec Bethesda, Maryland James P. Nolan, chair, Department Frances J. Klocke, director, of Medicine, State University of New Feinberg Cardiovascular Research York at Buffalo, Buffalo, New York Institute, Northwestern University Medical School, Chicago, Illinois dentfor medical affairs, Roper Hos· Medicine, Albany Medical College, Michael A. Apicella, chair, Depart· Albany, New York ment of Microbiology, University of Iowa College of Medicine, Iowa Robin DeAndrade, ment of Physical Medicine and Re· of Medicine, Atlanta, Georgia president, McMaster University 10 professor of medicine, Tufts-New ment of Medicine, State University England Medical Center, Boston, of New York at Buffalo, Buffalo, Massachusetts Thomas Provost, ment of Medicine, University of HamiHon, Ontario Illinois, Chicago, Illinois A!II!IIIITI 2000 chair, Depart· Albert F. LoBuglio, medical direc· ment of Dermatology, Johns Hopkins tor and professor, Comprehensive University, BaHimore, Maryland Cancer Unit, University of Alabama, Birmingham, Alabama Lawrence Frohman, chair, Depart· fessor, McMaster University, luffllo Hysicin chair, Depart· chair, Depart· habilitation, Emory University School Medical Center; currently, pro· Robert A. Klocke, New York City, Iowa John Bienenstock, dean and vice director, Digestive Disease Research Center and Paul J. Davis, chair, Department of pital, Charleston, South Carolina Andrew Plaut, �Medicine, which is a small but very influential group, he certainly played a major role in shaping the approach that chairs of medicine in this country took in terms of teaching primary care and what roles the departments of medicine were to play in this." Through the American College of Physicians, olan also participated in the national debate taking place in the early 1990s over President Clinton's proposed health-care plan. "This was a very exciting time on several points," he says. "One was the issue of needing to train more general internists, and the other was the whole question of universal health care. And this [latter] issue is one the college has always been in favor of; we believe everyone should be insured, so while I was chair of the Board [of Regents] we had meetings at the White House. I think many of us, myself included, were very disappointed that we didn't get something out of that," he says. Klocke feels that Nolan's national visibility as a leader in academic medicine has been invaluable to UB faculty, not only because it has "opened a lot of doors," but because it has provided a model of public service for others to emulate. "When I was offered the position of editor of the American journal of Respiratory and Critical Care Medicine in 1989, Jim was entirely supportive of my taking on this responsibility, even though it took up an enormous amount of my time for five years," says Klocke. "He felt it was important for my career, as well as for the university, and he was happy for my success, just as he always was for others." Since his retirement from the state in July 1999, Nolan has continued to write and see patients on a consulting basis. At Klocke's request, he is also helping with recruitment for the department and has agreed to continue serving as acting head of the Division of General Medicine until that position-which was vacated two years ago-is filled. Klocke says Nolan has been extremely supportive of him since he became chair of the department but, at the same time, has been careful not to exert his influence on the day-to-day operations of the department. "Jim has been very helpful to me since I became chair, yet he purposely moved his office to another floor so he wouldn't be around, wouldn't be in a position to second-guess me," says Klocke. "However, when I need advice, he's there for me. And on a couple of occasions, he's just stopped by and said to me, 'I know people don't come in to tell you that you're doing a good job, but I just wanted to let you know that things have gone well.' "That's been very heart Special thanks to University warming," says Klocke. Archives, Dr. Evan Calkins But coming from the "best and Dr. \Villiam A. Fleming committee man ever"-and for their assistance in locating a gentleman-certainly not photographs for this article. very surprising. 4D chair, David Schmidt, chair, Department Roswell Park Cancer Institute, This list was compiled by Department of Medicine, of Family Medicine, University of Buffalo, New York, and chair, De· drawi11g on the collective University of California, Connecticut partment of Molecular Medicine, mem ories of current and San Diego. (Dr. Ranney was Farmington, Connecticut State University of New York at former members of UB's Buffalo, Buffalo, New York. Department of Medici11e, mzd Helen M. Ranney, Health Center, the first woman to chair a department of medicine in the John B. Stobo, chair, country.! of Medicine, Johns Hopkins Uni· Philip H. N. Wood, chair, Depart- to ensure its accuracy and versity. Currently, president of Uni· ment of Epidemiology, University completerzess. Corrections or Morris Reichlin, vice president for versity of Texas Medical Branch, of Manchester, England commerzts are welcome and research at Oklahoma Research Galveston, Texas. every attempt has bee11 made Department can be sent John R. Wright, chair, Department Foundation, and George via e-mail to bp-notes@buffalo.edu; or by Lynn Cross Distinguish· Thomas Tomasi, chair, Department of Pathology, State University of writing to editor, Buffa lo ed Professor, University of Immunology, Mayo Clinic/Medi· New York at Buffalo. Currently, Phys icia n, 330 Crofts Hall, of Oklahoma, Norman, cal School, Rochester, Minnesota dean of SUNY at Buffalo's School U11 iversity at Buffalo, Buffalo, Oklahoma (the first department of immunol· of Medicine and Biomedical Sci- NY 14260. ogy in the country I. Subsequently, ences. (Dr. Wright was a Buswell David Sackett, chair, Department director, Cancer Center, University Fellow, working on amyloidosis of Epidemiology, McMaster Univer· of New Mexico; chair, Department with Dr. Evan Calkins from 1965-1967.1 sity, Hamilton, Ontario. Currently, of Cell Biology, University of New chair of the Department of Epide- Mexico, Albuquerque, New Mexico; miology, Oxford University, England. president/chief executive officer, Alllllmll 2000 4D l t ffa le Hys i c i u 11 �ST 0 R Y By S. A . UNGER • Obese children learn to turn off television is helping obese children learn to choose healthy behaviors. �high-calorie foods are red and should be eaten rarely; moderatecalorie foods are yellow and can be eaten in moderation; and low-calorie foods are green and can be eaten freely. According to Epstein, obesity carries the same risks for children as it does for adults: an increase in health problems that include diabetes mellitus, hypertension and high cholesterol. In addition, obese children are at higher risk of remaining so as adults. "Obese children who become obese adults have a very difficult time losing weight and maintaining a normal weight; only a very small percentage are successful over the long run," he says. "So most researchers feel the best hope is to catch kids early and try to prevent them from becoming overweight adults." As part of their ongoing effort to devise ways to "catch kids early," Epstein and his group are currently conducting a study aimed at better understanding how sedentary behaviors can be modified to treat and prevent obesity in children. In work funded by a 1,050,688 grant from the ational Institute of Child Health and Human Development ( ICHHD) of the IH, the researchers are specifically interested in discovering ways to modify a constellation of sedentary behaviors that are especially popular among today's children: watching television, playing video games and surfing the Internet. Sedentary Behaviors Move to the Foreground I n describing the stair-step approach he and his group have taken over the past 20 years to arrive at their current focus on sedentary behaviors, Epstein explains that their first studies- begun in the early 1980s at the University of Pittsburgh-demonstrated the efficacy of treating a child and his or her family together, versus just treating the child separately. From there, Epstein's group focused their attention on trying to understand the role of physical activity in treating obesity. "We started off with a review of the literature on activity, and it suggested that lots of people who begin exercise programs do not maintain them," he says. As a result, his group developed the idea of "lifestyle exercise." Instead of trying to get people to adhere to a very high-intensity exercise program, lifestyle exercise encourages changes in everyday behaviors; for example, parking farther from a store entrance and walking. In the early 1980s, Epstein's group completed the first randomized study done on a lifestyle exercise program and demonstrated that this approach toweightlossworks better than a traditional exercise program. Bythemid-1980s, therefore, Epstein's research had resulted in the establishment of innovative exercise and diet models specifically geared to treating obesity in the pediatric population. "About that time, however, we started to recognize that even though lifestyle exercise and diet were very useful, lots of kids still preferred being sedentary, so then we started to look at the competition-and the competition, of course, was television," recounts Epstein. THE RESEARCHERS ARE SPECIFICALLY INTERESTED IN DISCOVER! TO MODIFY A CONSTELLATIO POPULAR AMO OF SEDE G TODAY'S CHILDRE GAMES A TARY BEHAVIORS THAT ARE ESPECIALLY :WATCH! D SURF! G WAYS G TELEVISION, PLAY! G VIDEO G THE INTERNET. A utum" 2 000 l 1ffal1 Pbysician 13 �This realization was based on pioneering work being conducted at that time by two Harvard researchers, William H. Dietz Jr., MD, PhD, and Steven L. Gortmaker, PhD, who "were the first to effectively argue that sedentary behaviors-television viewing, in particular-were a risk factor in the development of obesity," according to Epstein. They did this, he says, by conducting studies that showed that sedentary behaviors replace high-energy activities while at the same time promoting increased caloric intake in response to commercials for food. B Behavior of Choice ased on Dietz and Gortmaker's studies, Epstein became interested in the idea ofbehavior-choice theory, and in the early 1990s he and his group began a series of studies aimed at better understanding how sedentary behaviors can be modified within the context of this theory to treat and prevent childhood obesity. Again, the sedentary behavior they were particularly interested in studying was television viewing because "it is estimated that by the time children today graduate from high school, they will have spent more time watching television than they spent in class," says Epstein. "Behavioral-choice theory recognizes that kids have a choice between two incompatible behaviors-they can either be active, or they can be sedentary," explains Epstein. "Therefore, we started to look at understanding how people allocate choicehow they decide to do things-and in working with behavioralchoice theory, one of the obvious things suggested by it is that if two things are incompatible, you can either reinforce the one you want, or you can reduce access to it." Subsequently, Epstein set up a study comparing weight loss between three groups: one reinforced for an increase in exercise; 1 .. Buffa a Pbysicia1 A ut11m11 2 000 a second, for a decrease in sedentary activity; and a third, for a combined approach. To reinforce behavior, contracts were set up between the children and their parents that enabled the children to earn points toward rewards that were activity based, as opposed to money or food; for example, going to the zoo with their parents. The results of the study, published in Health Psychology in 1995, showed that the children who were reinforced for being less sedentary- e.g., less television and fewer computer games- had a bigger weight loss than the children who were reinforced for increasing their physical activity. They also had equal fitness changes and a better adherence to the diet prescribed to all study participants. This study, which was the first to manipulate access to television, suggested "that at least this was an alternative approach to trying to work on getting kids to be more active," says Epstein. In an effort to replicate these findings and better understand how the children made their choices, Epstein and his UB group recently completed a study titled "Exercise in the Long-Term Control of Childhood Obesity," which was funded by a $1,073,213 grant from the NICHHD. Participants in this study were randomized to either increase physical activity or reduce sedentary behavior and, in addition to keeping a log on their exercise and food intake, they wore a beeper-size device called an accelerometer that provided the researchers with data about caloric expenditure. "Again, we found that the group that reduced sedentary behavior had substantial decreases in weight loss and improvements in fitness that were maintained over the two years we followed them," reports Epstein. "We also found that in the kids who reduced their sedentary behavior, about one-third of the time they substituted the behavior with physical activity, which �is exactly what we wanted. The other two-thirds of the time, they substituted it with other sedentary behaviors." Epstein emphasizes that the children were not being told what they had to do; instead, they were being rewarded for choices that freed up time for them to fill any way they chose. "Everybody likes to choose what they're going to do, and they are much more likely to change a behavior if they think it's their choice," he says. In 1997, Epstein and his group conducted a laboratory study that confirmed this supposition: "We got much better results for reinforcing children's behavior than restricting it," he says. Two years ago, with these preliminary results in hand, they began their current study, the goal of which is to look at different ways to reduce television that translates into different kinds of outcomes. "We know that reducing a broad constellation of sedentary behaviors-especially TV-is useful in treating obesity," says Epstein. "The study we're currently conducting is designed to identify specific techniques we might use to do that." 4D Musicians, artists, dancers, actors, athletes, scholars ... we all love Nichols. • State of the art visual and performing arts center • Exceptional college placement record • Challenging curriculum with 17 advanced placement courses • Comprehensive community service program • More than 60 sports teams • Average class size of 15 • Financial aid available Only one investment last; a liferirne Coeducational grades 5-12 875-8212 1250 Amherst Street Buffalo, NY 14216 www.nicholsnet.net NICHOLS SCHOOL Acceptance granted to qualified students without regard to race, color, religion or national origin. �PATHWAYS THE Louis A. and Ruth Siegel Teaching Awards FOLLOWING The Louis A. and Ruth Siegel Awards are presented annually in order to AWARDS recognize the importance of superior teaching in the clinical and preclinical were presented years, as well as to encourage or1going teaching excellence. Recipients of the at the Univer- awards are chosen by students through a nomination process, with final input from a committee comprising representatives from each of the sity at Buffalo school's four classes. Louis A. Siegel, MD '23, served as an assistant School of professor in obstetrics and gynecology at the University at Buffalo School of Medicine and Biomedical Sciences for 21 years. In 1977, he and his wife, Medicine and Ruth, erJdowed the Siegel Excellence in Teaching A wards. Biomedical Sciences' Annual Faculty Meeting, held onMay 24, 2000, in Butler oversees and manages the school's House Staff and Special Awards entire research operation and Marsilia Seiwell, MD, GY lOB graduate training program," said Francis Whalen, MD, medicine Dean Wright. "In addition to his Pierre Giglio, MD, neurology many other activities, Bruce is our Gul Dadlani, MD, pediatrics essential liaison with the provost's Dilip Dan, MD, surgery office, as well as with government Dinesh Arab, MD, medicine and industry." Auditorium, Anthony Mato, Class of 2002 Farber Hall. Timothy Pardee, Class of2001 Stockton Kimball Award Dean's Award ors a faculty member for academic The Stockton Kimball Award honThe Dean's Award is given zn accomplishment and worldwide special recognition of extraordinary recop1ition as an investigator and service to the School researcher. Stockton Kimball, MD '29, was dean of the University at MD, professor of medicine and medical Sciences. Buffalo School of Medicine from chief of the Infectious Diseases Wright presented the award to Bruce Holm , PhD, senior associate dean, in recognition l uffall Hysician 1946 to 1958, and his Division at Buffalo Veter- contributions to the ans Affairs Medical Cen- training ofphysicians at ter. Murphy was honored UB spanned more than for being an outstanding a quarter of a cent!lry. scientific investigator in of his many contributions to the The recipient of school. " ot only does Bruce this year's Stockton maintain an extremely well-funded Kimball research program, but he also 16 Autumn 2000 Preclinical Award, Peter T. Ostrow, MD. associate professor of pathology and neurology (left); Volunteer Award, Howard E. Sperry, MD, clinical assistant professor of medicine (right); and Clinical Award, RichardT. Sarkin, MD, associate professor of clinical pediatrics (seated). of Medicine and Bio- This year, Dean H s Timothy Award IS Murphy, the field of microbial pathogenesis who hy has received notable recognition �for his development of vaccine he has developed protocols for antigens for ear and respiratory antibiotic usage and has emerged tract infections. In addition to asaleadingadvocateinNewYork his work at UB, Murphy has for the appropriate management served on numerous national of infections. study sections, review panels and international committees. In recent years, Brass has developed a strong interest in the use of computers in support of Berkson Memorial Award evidence-based medicine and has generously given of his time to The Robert S. Berkson, MD, Memorial Award is presented nn111Wily to honor the values nnd ideals epitomized by Dr. Berkson, who wns nn esteemed family physician in Buffalo. Patient wre wns his forte; competence, compassion, patience nnd dediwtion to teaching were his virwes. His expertise in the "nrtofmedicine" is teach residents how to research information online. For the past 10 years, Dr. in this nwnrd. Margaret McAloon, MD, associate professor of clinical medicine and pediatrics, was presented the University at Buffalo School of Medicine and Biomedical Sciences' Humanism Award at this year's White Coat Ceremony (see also page 24). Nominations for the award are made by directors of the thirdand fourth-year clerkships. McAloon's nominator stated: Robert Kalb has served as a "I cannot think member of the school's volunteer of another faculty faculty, integrating an active member I have private practice with an intensive teaching schedule. Throughout his career, Kalb has demonstrated a remarkable knowledge meant to be perpetuated 2000 Humanism Award worked with who has so gracefully exhibited all the of clinical and investiga- characteristics tive dermatology, which typically demon- The 2000 Berkson he has used to provide strated by the Memorial Award was exceptional patient care. recipients of this presented this year to During the year, he award Corstiaan Brass, MD, generously shares [Dr. McAloon is] lb clinical associate professor of medicine, and this knowledge by conducting week- Robert E. Kalb, MD, clinical asso- ly dermatology conferences, ciate professor of dermatology. supervising residents and students • able to treat people with sincere com- MARGARET MCALOON. MD passion, determine their physical, emotional and social needs, all while Brass has been a model physi- in dermatology clinics and giving cian who willingly volunteers his fourth-year students exposure to teaching a large team of health-care professionals. Her style time to teach at all levels of medi- the practice of dermatology seems effortless and is completely inspiring. She is also a cine, a dedication that has won through his office setting. <Ii) fantastic clinician because she has retained treatment modali- him the respect of students and -NANCY DRUAR ties that may have been forgotten by most, but which consis- colleagues alike. Over the years, tently work for her patients. At the same time, she is completely up to date on the newest proven treatment options. She is one BRASS HAS BEE A ~10DEL PHYSICIAN WHO WILL- INGLY VOLUNTEERS HIS TIME TO TEACH AT ALL LEVELS OF MEDIC INE , A DEDICATION THAT HAS of those special people I hope to emulate as a physician, teacher and mentor." Support for the Humanism Award is provided by the Healthcare Foundation of New Jersey. <Ii) WON HIM THE RESPECT OF STUDENTS AND COLLEAGUES ALIKE . A ll t II Ill tl 2 0 00 luf f al • Phy si c i an 11 �PATHWAY of the board of the ew York State sionary work in Botswana and - LOIS BAKER South Africa. Children's Names CoChiefs for Pediatric Gastroenterology Robert D. Baker, MD, and Susan S. Baker, MD, from Medical University of South Carolina, have been appointed co-chiefs of the Division of Pediatric Gastroenterology, Hepatology and u- trition at the Children's Hospital Chelikani V. P. Varma, MD {leh), has received the 2000 Pediatric Teaching Award from the Pediatric Residents Association of Kaleida Health's Children'sHospital of Buffalo. Varma, aclinical associate professor of pediatrics at the University at Buffalo School of Medicine and Biomedical Sciences, maintains aprivate practiceD.L.C. Pediatrics-in Depew, New York. Pictured with Varma is Dawn M. Simon, MD '98, president of the Pediatric Residents Association at Children'sHospital. of Buffalo and professors of atric gastroenterology and have served as instructors in pediatrics at Harvard Medical School. Among their responsibilities at Children's are the administration and developm of the hospital's Gastroenterol- Buffalo School of Medicine and ogy Laboratory, as well as Biomedical Sciences. The husband-and-wife team earned their medical degrees from Medicine and doctorate degrees elected to the AMA's Council on from Massachusetts Institute of Scientific Affairs and sits on its ex- Technology. They completed in- research on cell gastrointestinal tract in pediatric patients. Their clinical interests include nutrition, dysmotil- ielsen, MD '76, PhD, ecutive committee and Strategic ternships in pediatrics at the assistant dean for student affairs Planning Task Force. She also cur- Children's Hospital of Buffalo in medicine and infec- at the University at Buffalo School rently serves the AMA on the la- 1973, after which they spent three tious disease. of Medicine and Biomedical tional Patient Safety Foundation Sciences and a clinical associate Board of Directors and the Com- professor of medicine, has been mission for the Prevention of elected vice speaker of the Amer- Youth Violence. In the past, she ker has served on the AMA 's Medical Imaging Team Wins Top Pri:ze tion's policy-making Ad Hoc Committee on A University at Buffalo team who received a doctorate in ra- House of Delegates. Structure, Governance won the prestigious Blue diation physics from UB this ican Medical Associa- If tradition holds, the election places and Operations. iel- Currently, ielsen Ribbon Award at the SPIE year. Other members of the International Symposium on team were Stephen Rudin , MD, sen in line for the presi - serves as the speaker of Medical Imaging held in june co-director of the Toshiba dency of the AMA, the House of Delegates 2000. The group received the Stroke Research Center and according to an of the Medical Society of award for a research presenta- director of the Division of AMA spokesper- the State of ew York. tion describing a new medical- Radiation Physics, and Daniel son who explained She has served as a trustee of the imaging technique developed R. Bednarek, PhD, associate that, in the past, State University of ew York at UB that could lead to im- professor of radiology and the vice speaker has assumed and chief medical officer for the proved diagnostic imaging us- research associate professor of ew York State Department of ing lower doses of radiation. neurosurgery and physiology Health's Western Region, and is a Primaryauthorofthestudywas and biophysics. Nielsen, an internist in private fellow of the American College of Parinaz Massoumzadeh, PhD, practice in Buffalo, has twice been Physicians and a former member the speaker's role, and the speaker has been elected president. l•lfal• Hysiciu Alltlllllll 2 000 ker function within the ity, complementary Nancy II. t 8 Both are board certified in pediatrics and pedi- pediatrics at the University at Temple University School of Nielsen Elected Vice Speaker of AMA years performing hospital mis- Society of Internal Medicine. fD j �McKinley Assassination [xamine~ By J a c k C. Fi sher , MD '6 2 VERY PRESIDENTIAL ASSASSINATIO ~ .; = ~ ~ = ~ % .. u r .. ~ - -; . . = ~ ! u c :: m United ballistic advisory, I have relied primarily on my uncle, Jack States history has prompted its own conspiracy theory and led Anthony, a retired engineer with a lifelong interest in historic to public rebuke of the physicians who tried to save their firearms. His theory was a "short load," which means that the patient. Indeed, following President McKinley's murder in 1901 cartridge was deficient of gunpowder and never reached its full the public was skeptical that any individual could act alone to speed or force. His suggestion was to weigh the residual ammuundertake such an anarchical deed, and the late president's nition retrieved from Czolgosz's weapon. Other cartridges might also be short of their gunpowder load . surgeons were eventually censured by CzoLGosz ONLY GOT Two With the cooperation of William Seiner laymen and professionals alike. SHOTS OFF BEFORE HE WAS and William Mayer at the Buffalo and Erie o evidence of a conspiracy was ever SUBDUED. HIS WEAPON County Historical Society, the unexpended found; like so many assassins, Leon Czolgosz WAS DOUBLE ACTION, AND cartridges from the assassin's revolver, acted as a solitary influence on history. HE SHOULD HAVE BEEN together with the two fired cartridge cases Whether or not the surgeons deserved the ABLE TO EMPTY HIS GU:--: IN and the deflected bullet, pictured below, were criticism they received is the principal issue THREE TO FIVE SECONDS. taken to the laboratory of Bruce that I will deal with in a forthcoming book Actual gun used in \NHY DIDN'T HE? Holm, PhD, senior associate dean about the McKinley assassination (Stolen the assassination in the School of Medicine and Glory, due out in the spring of 2001 ). of President Other questions have arisen during my research. Czolgosz Biomedical Sciences. Weights were recorded on a gram McKinley; held in patterned his attack on the 1900 assassination of Italy's King scale accurate to four decimal points. the collection of the The results clearly showed that one of the unused Humbert. He purchased at a Buffalo hardware store a weapon Buffalo and Erie identical to the one used against Humbert, a 5-shot .32-caliber cartridges was short of its full load of gunpowder, lending County Historical Iver-Johnson revolver. Whereas King Humbert's assailant was support to the theory that one of the two spent cartridges Society. able to fire four times, - r I .. Czolgosz got only two shots off before he was subdued. His weapon was double action, and he should have been able to empty his gun in three to five seconds. Why didn 't he? Furthermore, only one of the two bullets penetrated the body; the other bounced off the breastbone, resulting only in a superficial contusion of the skin. A .32-caliber revolver in 1901 could develop a bullet velocity of 700 feet per second and a muzzle force of 100 foot-pounds, more than enough to pierce the sternum and inflict serious damage to the chest cavity. Why didn't that happen? Shortly after the attack, a Buffalo police officer suggested to a reporter that one bullet likely failed because it was defective. For was also defective. Presumably, Czolgosz had purchased ammunition with significant manufacturing variations. One can speculate that if the assassin had emptied his revolver into McKinley's body, only three of five bullets would have penetrated. Why weren't all five shots fired? The best guess of experts I have polled is that the revolver's external hammer became entangled in the handkerchief that Czolgosz used to conceal his weapon. As the assassin went down, his right hand still held the revolver aimed at McKinley, but no more shots were heard. 4D Jack Fisher, MD '62-who will write a more extensive article on this subject for an upcoming issue of Buffalo Physician-is an emeritus professor of surgery at the University of Califomia at San Diego, where he is wrrently a master's candidate in U.S. history. Readers with questions or comments can e-maillzim at jfishermd@aol.com. �R 20 IUffliD E Pbp i c i ln E A R C H Autumr~ N 2000 E w �Hypertension Redefined hypertension is the most prevalent risk factor in heart failure, inversely related to cardiovascular risk." mutations due to exposure to X-ray or to anything potentially joseph Izzo, MD, University at stroke and kidney failure," he Additional authors on the Buffalo professor of medicine and pharmacology and vice chair of explains. "It is clear that lowering systolic pressure is associated with better outcomes in cardiovascu- study were Daniel Levy, director of the Framingham Heart Study carcinogenic that mimics X-ray damage, such as many chemicals research for the Department of Medicine, was lead author of a National Institutes of Healthsponsored clinical advisory statement released in May stating .. that systolic blood pressure is the important factor in lar and renal disease. "Systolic hypertension interacts with other major risk factors, such as high cholesterol and diabetes, which also increase with age, to amplify the age-re- of the National Heart, Lung and Blood Institute, and Henry R. Black, Roberts Professor and chair of the Department of Preventive Medicine, and associate vice president for research at RushPresbyterian-St. Luke's Medical Center in Chicago. 4D -LOIS BAKER BloodTest Measures Radiation Damage determining whether a person has hypertension-not diastolic blood pres- lated risk of cardiovascular events," he adds. Isola ted systolic hyperten- Scientists from the University at Buffalo have developed and patented a simple blood test that can measure accumulated cell sure, as traditionally thought. Making systolic blood pres- sion-defined as systolic pressure damage from ionizing radiation at or above 140 mm/Hg and dias- long before any physical signs sure the major criterion for diag- tolic under 90 mm/Hg-is the are evident. nosis, staging and therapeutic most common form of hypertension and is present in about management of hypertension, particularly in middle-aged and older Americans, represents "a major paradigm shift," the advisory states. It also calls for more vigorous control efforts and for abolishing the use of ageadjusted blood-pressure targets. "This shift affects 25 million people in the United States whose lives can be improved by the change," says Izzo, who adds that much evidence points to systolic pressure as the critical factor in determining the risk of heart disease. "For example, systolic two-thirds of people over the age of 60 with diagnosed high blood pressure, according to Izzo. Using diastolic blood pressure to define hypertension in persons middle-aged and older actually misrepresents the risk of potential heart problems, he notes. "Systolic blood pressure increases steadily with age in industrialized Western societies, whereas diastolic blood pressure increases until about age 55 and then declines. So in older persons, diastolic blood pressure is The testcalled the Transferrin Receptor Red Cell Assay, or "E-Trassay" -was developed by used in the microchip industry. "This test provides a way to measure damage before the first sign of cancer appears," Gong explains. "It also can determine if cell mutations from ionizing radiation are increasing over time. If so, an indi- The test-which vidual can take steps to requires adrop of stop the increase, per- blood and about two hours for analysis-can be taken as often as desired, SO subsequent blood tests can monitor any increase or patients who have redecrease in cell ceived radiation treatdamage. haps through a change in job, diet or environment. It gives people more control over their health." Potentially, the test could also allow cancer ment to reconstruct their past radiation doses, as well as project the amount of residual injury that will exist in the future, Gong adds. It could also be useful for determining exposure to ionizing radia- Joseph K. Gong, PhD, as- tion emitted by cellular phones, sociate professor emeritus of oral diagnostic sciences and chair of UB's Radioisotope Safety Committee. Using a specific biomarker, it reveals the extent of stem cell microwave ovens and computer screens. CONTINUED ON PAGE 22 SCIENTISTS FROM THE UNIVERSITY AT BUFFALO HAVE DEVELOPED AND PATENTED A SIMPLE BLOOD TEST THAT CAN MEASURE ACCUMULATED CELL DAMAGE FROM IONIZING RADIATION LONG BEFORE A Y PHYSICAL SIGNS ARE EVIDENT. Autumn 2000 I u f f al o Physic i a a 21 �RESEAR ~NTIN U ED FR O M PA G E 2 1 Gong and his co-investigator, Chester A. Glomski, MD, PhD, professor of anatomy and cell biology, were able to show that radiation exposure causes stem cells to express an excess of erythrocytes that bear receptors for the protein transferrin on their surface membrane. Knowing this cause and effect, it then became possible to use the number of red blood cells with transferrin receptors as a biomarker for radiation exposure. The test0 .." .. which requ ires a drop of blood and about two hours for analysis-can be taken as often as des ired, so subsequent blood tests can monitor any increase or decrease in cell damage. Also par t icipating in the research was Yuqing Guo, biophysicist and research scientist at Biomira USA, Inc., in Cranbury, ew Jersey. 4D -LOIS BAKER Another Piece to Insulin Pu:z::z:le In addition to enabling cells to absorb sugars, insulin is also known to dilate blood vessels, an action that is a boon to the heart because it allows blood to flow more easily and under less pressure. Precisely how this vasodilation occurs is a puule. But researchers have shown that when insulin comes into con- C N H E w s tact with cells in the blood-vessel lining, it induces the release of rise above baseline in the amount of enzyme. nitric oxide, a known blood- In addition to providing new wider application than previously thought, new research by University at Buffalo faculty has shown. information on the mechanism un- Thomas S. Mang, PhD, UB Endocrinologists from UB have derlying insulin's vasodilatory ef- clinical associate professor of oral vessel dilator. now supplied a new piece to this fect, these findings give insight and maxillofacial surgery, has puule by showing for the first time into the relationship between hard· found that by manipulating the that insulin causes cells in the ening of the arteries and insulin amount of a light-sensitive drug blood-vessel lining to increase se- resistance/diabetes, conditions and the intensity of the laser beam cretion of nitric oxide synthase, that often exist in tandem. "The that activates it, he can successfully the enzyme responsible for nitric oxide produc- lack of insulin or resistance to the action of insu- treat cancer cells deeply embedded lin will cause ing surrounding normal tissue. In tion. "This in the chest wall without damag- the vessel a study recently completed by new ob- constriction Mang and Ronald R. Allison, MD, servation and increase UB associate professor of clinical is impor- aggregation radiation oncology, this low-dose tant be- cause of it platelets PDT approach resulted in com- known to occur plete healing in nearly 90 percent provides in diabetes mel· of 102 recurrent breast-cancer the molecu- litus," Dandona lesions found in nine women who lar basis for the known vasodilatory explains. "Fur- had undergone surgery, fulldose radiation and chemotherapy. effects of insulin," says Paresh thermore, the fact that nitric oxide also may reduce the Dandona, MD, UB professor of expression of adhesion molecules proof of the ability to lower drug concentrat ions and raise light "These results offer further medicine, who conducted the re- on the surface of cells lining blood search in collaboration with gradu- vessels may prevent cells from intensity to successfully treat ate student Ahmad Alijada. adhering to the vessel lining. This certain difficult tumors, " says By introducing insulin into aor- adhesion is one of the initial Man g. " It allows broader applica- tic cell cultures in increasing con- events in arterial hardening tion of this therapy in patients centrations from 25 to 1,000 and blockage." who can truly benefit from it. " microunits per milliliter for a total -LOIS BAKER of six days-amounts similar to what would occur normally and in patients with obesity and type 2 diabetes-the researchers showed that nitric oxide synthase increased as the amount of insulin increased, with the highest concentration of PDT, which was developed at Roswell Park Cancer Institute, the site of UB 's basic cancer research New Light on Cancer Therapy Pho todynamic therapy, or PDT, one of the most promising new cancer treatments, may have much insulin resulting in a 250 percent programs, exploits the propensity of cancer cells to absorb higher than normal concentrations of photosensitive drugs. When exposed to light via lasers, these drugs become toxic and destroy the malignant tissue. Since normal tissue searc 22 luflalo Phys i c i u Autumn 2 000 surrounding tumors also absorbs a certain amount of the drug, the goal of researchers and clinicians is to find a drug-to-light ratio for each tumor type that will kill the �most tumor cells while sparing the Medi- Cancer Center; veys, restaurant-employment most normal tissue. cine ..-:::::::;;;;;;;;ii~~[FI!iljl=::;:;;;;'==-':::~:§::; University of statistics and complaint reports . In the current study involving t h a t Pittsburgh; A review of taxable sales breast-cancer lesions that had there University of showed no effect on sales from "'0 formed on the chest wall, Mang was no dif- Utah; Wake smoking restrictions in restau- ,. lowered the standard 2.0 mglkg ference in there- Forest rants in dozens of communities dose of the photosensitive drug to currence of pol- School in New York, California, Colo- of 0.8 mglkg. "If we used the standard yps between the Medicine; Walter rado, Massachusetts, Arizona, drug dose, we never would have diet intervention group and a con- Reed Army Medical Center; Veterans and Texas, he found. In addition, been able to use a light dose that trol group that didn't change diets. Administration Medical Center (Hines, bar revenues in California in- would reach deep enough to kill Peter Lance, MD, associate Ill; and Kaiser Foundation Research creased 6 percent 12 months the tumor cells without destroying professor of medicine and physiol- Institute (Oakland, CA). normal tissue," he explains. ogy, and principal investigator on -LOIS BAKER "By lowering the drug dose, <D was disappointed but not alto- normal tissue bleaches out before it does any damage, and by gether surprised by the negative results. "The study is consistent after smoking was restricted . Consumer surveys conducted in New York City at five months UB's portion of the trial, says he the small amount of the drug in and 18 months after passage of the Smoke-free Restaurants, Healthy Restaurants delivering more light, we can with the findings of previous reach deeper into tumors where smaller trials and of another large Restricting smoking in restaurants the drug concentration is still trial-the Wheat Bran Fiber has not been a recipe for econo- high enough to kill cancer cells. Study-published in the same mic disaster for the restaurant "These results offer a glimpse of issue. Clearly, dietary change does business, despite predictions to the parameters one might be able not make you less likely to develop the contrary, a University at Buf- to use for treating whole fields of new polyps after you've had all falo epidemiologist has found disease with little normal tissue existing polyps removed. following review of existing data. ew York City Clean Air Act indicated that "Studies showing adverse conse· the vast majority of quences typically consumers dined out are flawed, relying as often after the law on survey data or as before. "Analyses of anecdotal repons. restaurant-employment Our analysis shows statistics indicated that that the restaurant more restaurant jobs business remains were added in New healthy after smoke· York City two years free dining policies after the law went into are implemented." damage," Mang says. "It gives us "What the study does not ad- "Virtually all" published stud- good local control of disease." <D dress-and was not designed to ies on the issue show no adverse address-is what the environment effect in restaurants, hotels and of the colon should be to reduce bars, regardless of the study effect than the rest of ew York State where smoking the likelihood that small, innocent method used, says Andrew was still permitted," Hyland polyps will grow to become can- Hyland, PhD, research assistant reports. In Erie County, cers," he notes. professor of social and preventive per-capita restaurant employ- -LOIS BAKER Polyps Unaffected by Healthy Diet Y, Adopting a diet low in fat and high The researchers also noted medicine, who recently presented ment increased faster than in six in fruits and vegetables may have thatdespitetheirfindings, the idea his findings at the International of seven surrounding counties many health benefits, but lowering that a healthy diet may lower the Society for Environmental Epi- where smoking was permitted, 12 the risk of developing recurrent risk of colon cancer should not be demiology meeting. "Studies months after a county law went colon polyps-precursors of colon entirely discarded. Several fac- showing adverse consequences into effect. "Also, few people are cancer--does not appear to be tors, including study length and one of them. potential reporting errors, could typically are flawed, relying on survey data or anecdotal reports. Our analysis shows that the res- complaining about the law," Hyland notes. taurant business remains healthy after smoke-free dining policies are implemented." public health issue," says Hyland. Investigators from the Univer- have influenced this study's re- sity at Buffalo's School of Medicine sults, Lance says. In addition, such and Biomedical Sciences and the a diet is known to have a favor- seven other centers involved in the able impact on cardiovascular dis- : "Secondhand smoke is a serious "Policymakers need to understand that adverse economic claims five-year national Polyp Prevention ease and other chronic conditions. Hyland examined published Trial reported in the April20, 2000, Other sites involved in the study studies examining taxable sales, tion are unsubstantiated." issue of The New England Journal of were Memorial Sloan-Kettering consumer and restaurateur sur- -LOIS BAKER A11t11mn resulting from smoke-free legisla- 2000 <D l 1ffaf1 Hysiciu 23 �M E D C A L ScHOOL E W S First Biomedical Sciences Career Day G R ADUATE STUDENTS FROM and faculty, as well as from rep- Health, Schering Plough, Ros- the University at Buffalo School resentatives from the law firm well Park Cancer Institute. of Medicine and Biomedical of Hodgson, Ross, Andrews, Sciences, the Departments of The program included a key- an opportunity for one-on-one interactions. Roundtable discussions on specific career paths Woods and Goodyear, the note address by Claire Lathers, were also held with panelists Oral Biology and Pharmaceutics, and Centers for Disease PhD '74, FCP, director of the Ranjana Kadle, PhD, JD; Gary Control, DuPont Office of New Animal Drug Giovino, PhD; Sarita Chauhan, Roswell Park Cancer Central Research Evaluation, Center for Veteri- PhD; John Simich, PhD; Lyn Institute attended and Development, nary Medicine, U.S. Food and Oyster, PhD; Wilson Great- the First Biomedical Erie County Central Drug Administration. Her lec- Sciences Career Day Police Services For- ture was followed by a series of batch; Mark Connors, MA; jacques Berlin, PhD; Michael on May 31, 2000, at ensics Laboratory, the Food and Drug Administration, Gen short talks by Robert Genco, DDS, PhD; Allen Barnett, PhD; Vladutiu, PhD; and james David McCann, PhD; and Hernandez, PhD. The day end- learned about successful strate- Cyte, LLC, the National lnsti- Wade Sigurdson, PhD. During ed with a reception that includ- gies for career development and tute on Drug Abuse, the ew lunch, students were seated ed more networking with the management from UB alumni York State Department of with the invited guests to foster invited presenters. the Buffalo/ iagara Marriott. Students CLAIRE LATHERS Morales, PhD; Georgirene 4D Wh"te Coat Ceremony MEGAN MOORE OF P ITTSFORD, Y, being "cloaked" at this year's White Coat Ceremony by Daniel C. Kozera , MD '59, a board member of the Medical Alumni Association . The annual ceremony-a symbolic rite of passage for beginning medical students to help them establish a ps ychological contract for professionalism and empath y in the pra ctice of . ... . medicine-is sponsored by the Medical Alumni Association a nd The Medical L School Parents' Council. 0 The keynote speaker at the August 11 event was Robert Milch, MD, director for z the Center for Hospice and Palliative Care in Buffalo, whose talk will be featured In the winter issue of Buffalo Physicia11. Following Dr. Milch 's lecture, Margaret McAloon , MD , class is 23 . Their average science grade point average is 3.53 and was presented the " Humanism in Medicine Award " (see page mean MCAT, 9.60. Fifty-seven of the students are male and 79, 17 ) by Charles Severin, MD, PhD, assistant dean for students. female. Ten hold master's degrees and 113 were science majors. Seventy-five are from Western New York. -S. A. Ur-;cE R Thomas Guttuso, MD, assistant dean of admissions, then introduced each of the students while they were being cloaked. 24 For the Class of 2004, there were 1,987 applicants; of those, 463 were interviewed and 136 accepted. The average age of the l a lfa le Ph ysi c i aa Alltllmll 2000 �I AUTUMN 2000 llorls Albini, profe-r of microbiology Elmer ......._11, medical computlntfpl.....r A1<tumn 2000 1111111 ,.pic l u Z5 �S B U S T U y M U T AR P E L D E N C T 0 L U M lonely for aCalling of My Own Clinical r otations i nc l ude an exercise i n int r ospect i on OR MOST MEDICAL stu- dents, the clinical experience of the third year is like a carrot held out to entice them through the heavily didactic first two years. their conviction, I also realized I was lonely for a calling of my own. Gradually, my fear of third year began to mingle with a sense of anticipation for the opportunity I would have to experience each medical field. I decided that the best way to make peace with what lay ahead was to view it as a sort of exercise in introspection. I would fully immerse myself in each of the six rotations: internal medicine, psychiatry, pediatrics, surgery, family medicine, and obstetrics/ gynecology. I would try on every hat and see which one fit. Surely only one would flatter me, and the rest would look obviously ridiculous. But I quietly dreaded the A Possible Cure , but No Patient transition. After all, with almost 20 years of experience sitting behind a de k, I was good at being a student. I had become quite comfortable in Butler Auditorium, twothirds of the way back, slightly left of middle. I loved all the zebra diagnoses and esoteric nuggets of information and could not imagine what lured people from the top of this ivory tower to the bottom of the hospital totem pole. Furthermore, I still wasn't sure which specialty I wanted to pursue, and this ambiguity added to my sense of unease. I envied (and frankly distrusted) those characters who knew they were fated to be urologists or neurosurgeons. As much as I doubted 26 luffall Pbysicill A utumn 2 000 I showed up for the first day of internal medicine dressed sharply, not yet realizing the perils of uncomfortable shoes. My short white coat was brilliantly clean. To give the illusion of experience, I had forced in a few wrinkles and had stuffed the pockets with trusty reference books. My memory of the first week of internal medicine is a disconnected series of flashbacks. There was a lot of wading through lab results- random numbers that I knew were supposed to mean something to me. I couldn't have told you the cause of my patient's microcytic anemia, but I at least made sure that I knew his TIBC by heart. Did medicine really consist of merely juggling consults and labs? This was not the glorious career I had had in mind when I wrote my application essay for medical school. One of my new patients had a concerning set of symptoms: night sweats, weight loss, documented daily fever spikes and anemia. The team was "working him up"-a phrase that, at the time, seemed so aggressive to me. He had already had a history and physical, and although it seemed pointless, I knew I would have to repeat them. I dutifully palpated the thyroid, assessed the trachea for mobility and checked for tactile fremitusjust as I had learned in Butler Auditorium. On and on �fURTHERMORE, I STILL WASN'T SURE WHICH SPECIALTY AMBIGUITY ADDED TO MY SENSE OF UNEASE. I I WANTED TO PURSUE, AND THIS ENVIED (AND FRANKLY DISTRUSTED) THOSE CHARACTERS WHO KNEW THEY WERE FATED TO BE UROLOGISTS OR NEUROSURGEONS. AS I DOUBTED THEIR CONVICTION, I ALSO REALIZED I went with the esoteric details of the physical exam, feeling for epitrochlear lymph nodes and frustrated by the amount of time I was wasting. Then, much to my surprise, I felt something in my patient's axilla. Yikes, a 4 x 5 em axillary lymph node. (At least I thought it was a lymph node, since I had never actually felt one before.) "Sir, you seem to have a lump here. Have you noticed it before?" I proudly reported back to the team that I had found the lymph node-not the attending, not my resident, not my intern, but me, the lowly third-year. So this was medicine! As I arranged for the needle aspiration, I thought about how we were going to get to the bottom of his symptoms, discover his diagnosis and cure him. When we told the patient that we wanted to stick a needle into him, he promptly left the hospital against medical advice. I couldn't believe the team would let a seriously ill person just walk away. "He'll be back," they said. Medicine was not all brilliant diagnosis and glorious cure after all. The Missing Glasses P sychiatry was quite a change. Every day I faithfully rounded up the latest Jab values, but my reports on anemia were always met with statements like, "Yes, yes, but how has he been sleeping?" I was surprised by how much effort it took to detach myself from the numbers and actually pay attention to the patient. When had I gotten so comfortable with labs? What struck me about my psych rotation was the malleability of the human mind. Until I had spent seven weeks in a locked psychiatry wing, I had always assumed that one's personality was a fixed thing. I had friends who were moody, others who were cheery, and that was just how they were. But I was amazed by the phenomenon of the "titrateable" personality and marveled at watching rational minds emerge from once fully psychotic people. I WAS LONELY FOR A CALLING OF I especially remember one of my patients, who arrived in a comatose state. I thought he must have been suffering from a hopeless neurological disability, but we kept on with the medications. One morning I walked in and saw him eating breakfast, and the nurse told me he had been asking for his glasses. For the first time, I saw that some diagnoses take time to emerge and cannot be elicited by strictly objective measurements. As MUCH MY OWN. I would fully immerse myself in each of the six rotations: internal medicine, psychiatry, pediatrics. surgery. An "Old Hand" Draws Blood N ext on the Jist was my pediatrics rotation, where I met a five-year-old boy named Alex (not his real name) who was already in the hospital when I arrived and remained there throughout my inpatient rotation. After a while it seemed totally normal to see Alex playing in the conference area during afternoon rounds, and we all took turns wheeling him around the floor in his wagon. Somehow, the oddity of his continuous presence wore off, and I grew to think he was a normal boy who just happened to live at Children's Hospital. One day, Alex wanted to play a new game. Someone had given him a needleless syringe, and he said, "Let's pretend I'm gonna draw your blood!" A little macabre, I thought, but why not? Alex tied a tourniquet around my arm, and I winced at the squeeze. "It's gotta be tight!" he said in a mock adult voice. Next, uncoached, he expertly wiped down my forearm with an alcohol pad, then began slapping my arm to bring out a vein. "There's a good one!" he said in his doctorvoice, while pressing the syringe up against my arm and directing, "Hold still, I don't have enough yet." I couldn't help but laugh at this parody, but underneath I was horrified by his impression of the medical field. We were trying to heal Alex, but all he knew was that he had been kept away from his family for months, and every day he had blood drawn. It was disillusioning to realize that your most idealistic intentions are not always perceived as such. The last I heard, Alex was still in the hospital. Autum11 2000 family medicine. and obstetrics/gynecology. I would try on every hat and see which one fit. Surely only one would flatter me, and the rest would look obviously ridiculous. l off a le Pb ysician 27 �S l T U D E N T COLUMN WAS IN AWE AS MY ATTENDING SPOKE WITH HER. HIS COMPASSIONATE QUESTIONS ABOUT THE DEATH OF HER HUSBAND AND HER CURRENT FI ANCIAL SITUATIO WERE A TREATME T AS VALID AS ANY PILL OR SCALPEL. History in the Making H y the time I began my surgery rotation, I felt like I had figured out the routine. I had given up carrying references in my pockets, I spent all my time in comfortable scrubs and clogs, and the wrinkles in my white coat were legitimate. I also knew I could take the sleepless nights, the lack of food, and the scut work. Even though I had been duly warned by my classmates about this rotation, I was looking forward to it: Surgery was going to be great. My first days in the OR were indeed thrilling. I loved scrubbing in, and I loved pulling off the mask after we had closed up. This was Your Turn? better than watching ER! If you are a student After a while, however, the physical and emotional demands set in. One case was paror resident interested ticularly arduous: a deep abdominal procedure in contributing to this on an obese patient. I had a large Deaver retraccolumn in future tor in each hand, and my chief still couldn't get issues of Buffalo a clear look at the field. He told the circulating Physician, e·mail nurse to find a St. Mark's retractor. Why did that sound so much like a torture device from the bp·notes@buffalo.edu French Reign of Terror? The nurse handed me to suggest a topic. the oddly shaped tool and warned me that it was notoriously difficult to hold. The operation lasted six hours. As I stood holding the retractors, I tried meditating on whether it was possible to experience a higher level of pain in my arms. It was not. Mostly, I was terrified that I would contaminate the field with the proverbial bead of sweat that was working its way down my brow. At the end of the case, my chief turned to me and said, "That may be the second time in history that a medical student has held a St. Mark's retractor for so long without complaining. The first time was when I did it." Better Than a Pill or a Scalpel M oving on to family medicine after surgery was quite a shock. At first, I admit, I fought the gentle nature of the family practice appointment. It's just not humane to expect medical students to change pace so drastically. One day after I had begun to settle into my new 28 l alfale Hpiciu Autumn 2 000 routine, I went to the door of my next patient and picked up a thick chart, labeled "Volume II." After introducing myself to the patient, I tried to do a review of systems and to assess the state of each one of her many ailments, but I kept meeting with resistance. From my perspective, it seemed like she really didn't want to talk about her physical health at all. When I tried to present this patient to my attending, he smiled and said, "Let's go in and see her together." I had been told about therapeutic touch and the "art" of medicine, but nevertheless I was in awe as my attending spoke with her. His compassionate questions about the death of her husband and her current financial situation were a treatment as valid as any pill or scalpel. After we closed the door behind us, he said, "Sometimes you just have to know your patients." The Totem Pole and the Hat Rack s I write this article, I am completing my final rotation, obstetrics and gynecology. The other day, one of my classmates was talking enthusiastically about his experience in the rotation. "So, have you delivered any babies yet?" I asked. "Oh no," he replied, "but yesterday they let me deliver a placenta!" It's funny how you learn to be content with your place on the totem pole. Much to my surprise, this year that I dreaded is coming to an end. Despite what I've learned, I still don't know which field to pick. All the hats have fit, more or less. o one ever told me the choice would not be obvious, that fate would not present me with the answer as I had expected. There is an active decision-making process, and I can see now that whichever field I choose, it will involve sacrificing what I value in other fields. Lately, I've narrowed down my wardrobe to two hats. Every day I look in the mirror and try to figure out which one looks better on me. 4D A Umut Sarpel is currently a fourth-year student at the Unil'ersity at Buffalo School of Medicine and Biomedical Sciences. �DEVELOPMENT N E w s (ndowments Crucial to School's future By Li nda J . Cor de r • PhD. CFRE -- ( - - c s for the current "Campaign fo r UB: Generation to Generation" is to increase its endowment significantly. Establishing new endowed funds, adding to existing endowments and growing the principal through prudent investing-coupled with a sound spending policy-are all ways to increase the value of the overall endowment and to ensure the future of our school's mission and vision. Some of the School of Medicine and Biomedical Sciences' most cherished traditions germinated from dreams of our forebea rs whose gifts formed the core of its present endowment. With both private and public roots, our school benefits from a combined endowment that generates funds to support, in perpetuity, designated programs of the institution. One of the school's earliest endowments was a gift from Devillo W. Harrington. He was wounded during the Civil War ONE OF THE and brought to Buffalo General SC HOOL 'S EARLl Hospital, where interns from UB ES T E •oQ \VM EN TS treated his wounds. He recovered, WA S A GI FT FROM remained in Buffalo and went to D EV ILL O \V. medical school, graduating in H AR RI:-< GTO !<. H E 1871. In honor of the 25th anniWAS WOU :-<DED versary of his graduation in 1896, DURING THE CIVIL he established an endowment. For \\fAR AND more than a century, the HarringBRO UG HT TO ton Lectureship has brought outBuFF ALo G E =< ERA L standing medical scientists to H o s P 1 T AL, w H E R E Buffalo. Many others added gifts 1 NT ERN s FRoM U B to the school 's endowment, of TR EATED H 1 s which the most significant to date wo uNDs . is the Hochstetter Fund for Medical Research . Mr. Ralph Hochstetter, president of Cliff Petroleum, died in 1955, leaving UB a multimilliondollar bequest for scientific research. This endowment provides annual support for the Bertha H. and Henry Buswell Postdoctoral Fellowships, a program that underwrites up to three years of support for each of several young researchers in the biomedical sciences. Today, that endowment provides over $20 million a year-more than the original bequest. Endowment is crucial to the school's future. Thus, the development team spends a great deal of time facilitating new endowment gifts and providing information to donors of endowed funds about the programs they support and the financial status of the funds. Looking at the school's overall budget, annual gifts and endowment gifts are small, but significant- and increasingsources of income. Endowment income provides perpetual funding for either general unrestricted use by the dean (extremely important) or for specified programs established in accordance with the terms of an endowment gift. It also provides a hedge against downturns in the economy; fluctuations in the political climate in our community, region, state, nation and world; variations in the number of alumni and friends supporting the school's annual appeal; and other changes in the academic environment. Today's students and faculty benefit from the endowment gifts of previous generations. Tomorrow's school is being created by today's endowment gifts. The market value of the school's combined endowment assets was right at $145 million as of June 30, 2000. This represents an increase of nearly 10 percent since 1998, when the school's endowment was $132,161,604. During the "Campaign fo r UB: Generation to Generation," I trust the endowment will continue to show such significant increases. This will require many new endowment gifts designated for the school, in addition to the ongoing wise management of the funds already in the care of the State University of ew York and the UB Foundation. " D EVELOP M EsT" Co s T I ~UEo o s Autumn PAGE 30 2000 l alflll H y sici11 29 �-------- D - E - V E "T'Y J ~ L 0 P M E N T E W CLIN ICAL PREVENTAT I VE MEDICI NE FELLOWSHIp D flit " 'G PAGE, we list the School of Medicine and Biomedical Sciences' endowments held by both the UB Foundation and the state. Those in bold print received one or more gifts during the past fiscal year ( through 6/ 30/00 ) ; an asterisk* indicates a new endowment, established during the same time frame. Those of us who learn , teach a nd conduct research in this unique institution extend our thanks to all alumni and friends who made endowment gifts or finalized endowment agreements in the past year. If you would like information about 1n1t1ating a named endowed fund, or if you have any questions regarding the school's combin ed endowment, please Linda ( Lyn) ]. Corder, associate dean and contact me. director of development, can be reached, toll-free, at 1-877-826-3246, or via e-mail at Ijcorder@buffalo.edu. ALMON H. COOKE CHOLARSHIP PATRICK BRYANT COSTELLO MEMOR I AL CTG ONCOLOGY FUND ) AMES H. EDWARD CUMM I NGS SCHOLARSH I P L. CuRV ISH M.D . AwARD " MA X D OU BRAVA }R. S C HOLARSHIP FUND THE ELIZABETH MED ICAL AWARD DR. RoBERT M. ELLIOT ScHOLARSHIP ELEANOR FITZGERALD FAIRBA I RN ScHOLARSHIP FAMILY MED ICINE ENDOWMENT FEYLER FUND FOR R ESEARCH IN HoDGK I N's D i sEASE DR. GRANT L. T. FISHER FUND WALTER Fix M.D . '42, '43 E DOWED SCHOLARSHIP EDwARD FoGAN MEMOR I AL PRIZE FORD FOUNDAT ION FOR MEDICAL EDUCAT ION THOMAS FRAWLEY M.D . RESIDENCY RESEARCH H.W. ABRAHMMER MEMOR IAL SCHOLARSHIP THOMAS R. BEAM, ) R. MEMORIAL S I DNEY ADDLEMAN MEMORIAL DR. RoBERT BENNINGER FuND I N ORTHOPOED ICs " F uN D FOR CE LEBRATI NG PHI LANTHROPY DR. GEORGE) . ALKER FUND FOR RoBERT BERKSON MEMORIAL AwARD IN THE MARCOS GALLEGO M.D. CLINICAL NEURORADIOLOGY ART OF MEDIC I NE THEODORE & BESSIE G. ALPERT SCHOOL OF MED IC I NE SCHOLARS HI P MusEuM oF NEUROANATOMY FuND LOU IS). BEYER SCHOLARSH I P ExcELLENCE FuND RONALD GARVEY M.D. STUDENT L IFE ENRICHMENT FUND ALPHA OMEGA ALPHA ENDOWMENT PAULK. B I RTCH M.D. FUND )AMES GIBSON ANATOMICAL PR IZE ALP H A OMEGA ALPHA L I BRARY FUND " DR. W I LLARD AN D } EAN BOA RDMA N WALTERS. GOODALE AMER ICAN ACADEMY OF FAMILY PHYS IC I ANS PRESIDENT's AwARD EN DOWM ENT BOOKE FUND ANATOMICAL SCIENCES OF PEDIATR ICS GEORGE GORHAM FUND DR. BERNHARDT ANESTHES IOLOGY DEPARTMENT ENDOWMENT ANNE AND H AROLD BRODY LECTURE FUND CLAYTON MILO BROWN MEMOR IAL L. GEORGE B . BADGERO MEDICAL SCHOOL FUND VIRGIN I A BARNES ENDOWMENT . BuRWELL FuND DR. WINFIELD L. VINCENT CAPRARO LECTURESHIP FUND PH A RM ACOLOG Y - DR. CHARLES A. BAUDA AWARD IN CLAS OF I945 DR. CHARLES CARY MEMOR IAL FAM I LY MED ICINE DR. AND MRS. jOSEPH A. CHAZAN MEDICAL ScHOLARSHIP l uff lll n y sicill BUTSCH MEMORIAL LECTURE IN CLIN ICAL SURGERY * DR. ALL EN BARNET T F ELLO W S H I P I N Autumn 2000 A . CoNGER GooDYEAR PRoFESSORSHIP )AMES H. BORRELL UROLOGY FUND BACCELLI MEDICAL CLUB AWARD WALTER BARNES MEMOR IAL SCHOLARSHIP CHOLARSHIP I RENE P I NNEY GooDWIN ScHOLARSH I P DR. SoLOMON G. BooKE AND RosE YASGUR BERNHOFT- DESANTIS LIBRARY FUND FOR 30 FELLOWSHIP FUND . AND DR. SoPHIE B. GoTTLIEB AWARD * AD E LE M. G o TTSC HALK S c H O LARS HIP F uND CARL GRA GER M.D. ENDOWMENT DR. PASQUALE A. GRECO LOAN FUND THE GLEN E. GRE HAM M.D. VISITING PROFESSORSHIP DR. THOMAS). AND BARBARA ScHOLARSHIP & AwARD L. GuTTuso �GYNECOLOGY-OBSTETRICS DEPARTMENT ENDOWMENT )EAN SARAH HAHL MEMORIAL EuGENE). HANAVAN ScHOLARSHIP FLORENCE M. & SHERMAN R . HANSON FUND FOR MEDICAL EDUCATION DEVJLLO V . HARRINGTON LECTURESHIP THE HEKIMIAN FUND MICROBIOLOGY MEMORIAL FUND ELIZABETH ROSNER FUND DR . DAVID KIMBALL MILLER AWARD IRA G. Ross CHAIR oF MEDICAL INFORMATics EuGENE R. MINDELL M.D. CHAIR IN DR . SHELDON ROTH FLEISCH MEMORIAL FUND HAROLD ORTHOPAEDIC SURGERY G. NORRIS MINER M.D . MEMORIAL AWARD PHILIP D. MoREY ScHOLARSHIP PHILIPP . SANG MEMORIAL FUND RICHARD SARKARIA FAMILY ENDOWED CHAIR IN AGEL M.D . ANESTHESIOLOGY RESEARCH HEWLETT FAMILY ENRICHMENT FUND FOR PSYCHIATRY DR. ANGES RESOURCES FUND DIAGNOSTIC MEDICINE FUND s. NAPLES MEMORIAL SCHOLARSHIP THE DR. S. ROBERT CHARLES GORDON HEYD MEDICAL ARINS MEMORIAL AWARD ATIO ' AL MEDICAL AssociATION, SCHOLARSHIP FUND NAUGHTON AWARD ENDOWMENT DR. ERWIN NETER MEMORIAL * DR. S u K K1 HoN G MEMO RI AL FuN D ANTOINETTE AND LOUIS H. ABRAHAM M. HoROWITZ FuND NEUROLOGY DEPARTMENT ENDOWMENT LUCIEN HowE PRIZE FUND DR . BENJAMIN E. & LILA 0BLETZ PR IZE FUND R. R. HUMPHREY & STUART Nu SIGMA C. L. VAUGHAN u ALUMNI ScHOLARSHIP . )OHNSTON SCHOLARSHIP SUMNER )ONES LIBRARY FUND EUBECK FUND IN ORTHOPAEDIC SuRGERY DR. ELIZABETH P. OLMSTED FUND I SCHOLARSHIP OF THE PROGRESSIVE MEDICAL CLUB oF BuFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES HARRY E. AND LORETTA A . )ORDON FUND VICTOR A . PANARO MEDICAL SCHOOL FUND H. CALVIN KERCHEVAL MEMORIAL FuND F. CARTER PANNIL )R., M . D. AWARD DEAN STOCKTON KIMBALL MEMORIAL ScHOLARSHIP UNRESTRICTED ENDOWMENT FUND LILLIE S. SEEL ScHOLARSHIP IRENE SHEEHAN FuND DEWITT HALSEY SHERMAN AND )ESSICA ANTHONY SHERMAN FuND DR . L01sA . AND RUTH SIEGEL TEACHER's AWARD S . MoucHLY SMALL M.D. AwARD IN BIOCHEMISTRY josEPHINE HoYER ORTON TRUST FuND PSYCHIATRY S. MOUCHLY SMALL M.D. EDUCATION CENTER FUND IRVINE AND ROSEMARY SMITH CHAIR IN ENDOWMENT STEPHEN). PAOLINI M . D. MEMORIAL FUND APLES SARNO SC H OLA RSHIP F UND ScHAFER FuND IN CARDIOVASCULAR DISEASES EPHROLOGY RESEARCH ENDOWMENT RALPH HocHSTETTER MEDICAL RESEARCH FuND )AMES * D R. MA RI A BuFFALo CHAPTER ScHOLARSHIP FuND DR. FRANK WHITEHALL HINKEL s. SANES AND THELMA SANES MEDICAL SCHOLARSHIP NEUROLOGY FUND DR. IRVING M. SNOW FUND DEAN STOCKTON KIMBALL MEMORIAL AWARD PARKINSON RESEARCH FuND MARY RosENBLUM SoMIT ScHOLARSHIP FuND DR. )AMES E. KING POSTGRADUATE FUND )OHN PAROSKI MEMORIAL FUND MORRIS AND SADIE STEIN NEUROANATOMY PRIZE MoRRIS LAMER AND DR. ROBERT BERNOT SCHOLARSHIP DR. CHARLES ALFRED LEE ScHOLARSHIP DR. GARRA K. LESTER STUDENT LOAN RoBERT]. PATTERSON RESIDENT AwARD * j o H N AN D ) ANET SuNG Sc H OLA RSHIP FuND DR. MARK PETTRINO MEMORIAL FUND ]oH PHI CHI MEDICAL FRATERNITY TREVETT SCHOLARSHIP SCHOLARSHIP FUND H. TALBOTT VISITING ScHOLARSHIP FuND * K o R NELL L. TE RPLAN M .D . L ECTURE FuND PRIMARY CARE ACHIEVEMENT FUND RICHARD E. \VAHLE RESEARCH FUND THE LIEBERMAN AWARD PROGRESSIVE MEDICAL CLUB OF BUFFALO FUND MILDRED SLOSBERG WEINBERG ENDOWMENT HA PsYCHIATRY DEPARTMENT ENDOWMENT FuND E.). WEISENHEIMER OPHTHALMOLOGY AWARD LUPUS SCHOLARSHIP FUND DR. HERMAN RAHN MEMORIAL LECTURE DR. MARK WELCH AND BEULAH M . WELCH WILLIAM E. MABIE D . D .S. AND ALBERT AND ELIZABETH REKATE CHAIR IN LLOYD LEVE FUND s LOWENSTEIN AWARD GRACES. MABIE Fu D DR. WILLIAM H. MANSPERGER FuND CLARA MARCH MEDICAL ScHOLARSHIP CARDIOVASCULAR DISEASE ALBERT C. REKATE REHABILITATION MEDICINE LIBRARY FUND MEDICAL ALUMNI ENDOWED ScHOLARSHIP DONALD RENNIE PRIZE IN PHYSIOLOGY ANNUAL PARTICIPATING FUND FOR MEDICAL DouGLAS RIGGs AwARD IN PHARMACOLOGY AND EDUCATION ENDOWMENT THERAPEUTICS ScHOLARSHIP )AMES PLATT WHITE SOCIETY ENDOWME T WILLIAMS/BLOOM MEDICAL RESEARCH FUND DR . MARVIN N . WINER FUND FOR DERMATOLOGICAL RESEARCH WITEBSKY FUND FOR IMMUNOLOGY DR. ERNEST WITEBSKY MEMORIAL FUND MEDICAL SCHOOL LECTURESHIP FUND THE RING MEMORIAL FUND FARNEY R. WuRLJTZER FuND MEDICAL ScHOOL CLASS oF 1957 ScHOLARSHIP MEYER H. RIWCHUN PROFESSORSHIP IN DR . MARK ZALESKI AWARD MEDICAL SCHOOL CLASS OF 1958 SCHOLARSHIP OPHTHALMOLOGY FUND MEDICAL SCHOOL CLASS OF 1963 SCHOLARSHIP EMILE RODENBERG MEMORIAL AWARD MEDICAL SCHOOL CLASS OF 1973 SCHOLARSHIP THOMAS A. RODENBERG AND EMILE DAVIS MARIAN MELLEN FuND HERMAN AND RosE ZINKE MEMORIAL SCHOLARSHIP RODENBERG SCHOLARSHIP FUND Autumn 2000 luffal1 Hysici11 31 �Dear Fellow Alumni, 'GI"\ :-.IY YEAR AS PRESIDE:-\T OF THE MEDICAL ALU\1 ' I AssOCIA'I'lO, ' , I am looking at a well-run, hard-working volunteer organization. Our organization has two major objectives. The first one is to promote and encourage alumni interest and activity in the School ofMedicine and Biomedical Sciences. This is done through our Spring Clinical Day and Reunion Weekend, countrywide meetings, awards dinners, luncheons and various other activities. The second objective is to help the medical students-from orientation through graduation-to assimilate into our profession, to grow as doctors and as human beings and to have some fun in the process. The Medical Alumni Association sponsors events at orientation. Along with the White Coat Ceremony for the incoming students, we have a Physician-Student Mentoring Program, which has received excellent feedback. Our Community Physician Program allows first- and second-year students to meet area doctors and talk about their specialties. We also organize a senior reception and a Match Day luncheon, and entertain requests from the student government. So, what's wrong with the picture? Here's where I start to sound like a guy on public television. Our organization, like most volunteer groups, relies on support from its constituents. Our school has about 6,000 living graduates, but we only average about 1,500 dues-paying members each year. We need your help! I would like to issue a challenge (again, just like public television). A lifetime membership in the Medical Alumni Association costs $750. This is a bargain for younger doctors and a great way for the "mature" doctors to support our school. In order to continue to increase all the association's activities each year for our school, its students and alumni, we need 200 new lifetime members by May 200 I. Anyone who joins the Medical Alumni Association as a new lifetime member between September 2000 and May 2001 will receive a free copy of our new University at Buffalo School ofMedicineand Biomedical Scie11ces Alumni Directory, which will be published in May 2001. As our pulmonary colleagues would say, "Come on, cough it up!" Please help your school-join the Medical Alumni Association now! jOHN I .... j. BODKIN II, MD President, Medical Alumni Association Pbysici11 A11t1111111 2 000 �CLASSNOTES 1940s 1950s Eugene J. Hanavan, MD '41 , Roland Anthone, MD '50, an associate clinical professor of orthopaedic surgery at VB, retired from practice February 29, 2000 and resides in Buffalo, Y. Buffalo, NY, "Did surgery and renal transplantation surgery for 50 years and am now enjoying retirement, although still doing some parttime work with BGH. Spend time with my wife playing tennis and golf." William E. Maloney, MD '41 , writes, "I retired to York Harbor, ME, after years of anesthesia practice in New York. I am married with three children and three grandchildren. My health is not too good. Broken hip, etc. Age 82. Anyone still alive of 194!s? Edward M. Tracy, MD '43, writes: ''I'll be 82 soon, but still practice internal medicine six days a week with a group of physicians I formed last year. I continue to be involved with students at the Medical University here [in South Carolina] and do the same in China. Chick (most of you know her) and I have been married 57 years and have 7 children, 17 grandchildren and 2 great grandchildren. I am in excellent health and enjoy my dog and horse." John G. Allen, MD '46, writes: "I am looking forward to my 55th reunion in spring 2001." E-mail is jallenl391 @aol. Sidney Anthone, MD '50, Buffalo, NY, surgery, "Am currently director ofU YTS." Robert E. Bergner, MD '50, Colden, Y, internal medicine: "Married 50 years and still happy. We have five children and eight grandchildren. I retired after 43 years in private practice. Still playing cello in the Orchard Park Symphony Orchestra and am singing in the church choir." Adelmo P. Dunghe, MD '50, Highland Beach, FL, family medicine: "! recently retired from the U.S. Army; happily retired since 1989; happily married since 1948." James C. Dunn, MD '50, Tucson, AZ, general surgery: "! have been on the faculty at the University of Arizona's College of Representatives of Bernard C. Harris Publishing Company, Inc., will start phoning alumni for the verification phase of our Unirerslty ilf Buffalo School at MedH:ine and BiomedH:al Sciences Alumni Direcfoty project. Much of the information to be verified on each individual's listing will be going into the directory; in particular, this includes current name, academic data, residence address and II"- number (if applicable!. The scope of this information is an indication of the comprehensive quality of the entire volume. The dlrec· tory will sort this data by name In the Medicine since 1978 in the Department of Anatomy. I was on the faculty at SU Y at Buffalo from 1957-1978, in the Department of Anatomy," E-mail is azcacti@acol.com. Yale Solomon, MD '50, Brightwaters, , ophthalmology, recently authored a book for laymen, titled Overcoming Macular Degeneration: A Guide to Seeing Beyond the Clouds, Avon Books. E-mail address is ysolomon@earthlink.net. James Youker, MD '54, was elected president of the alphabetical division, and by class year, and geographical location in separate sections of the book. There will also be a special message from the Alumni Office as well as photos and information about the school. Soon, locating fellow alumni will be as easy as turning a page in the Univer· sity ilf Buffalo School at MedH:ine and BiomedH:al Sciences Alumni Directory. You may resene your personal copy when your Harris representative phones, but don't delay because only pre-publication orders received at that tiRM will be guaranteed. American Board of Medical Specialties (ABMS) in March 2000. In this capacity, he will work closely with Steve Scheiber, MD '64, executive vice president of the American Board of Psychiatry and eurology, who is active on a number of committees of the ABMS. E-mail address is jyouker@mcw.edu Laurence J. Beahan, MD '55, Snyder, NY, psychia- try. "!am chair of the Sierra Club iagara Group 2000 and am publishing a book titled My Grampa's Woods: The Adirondacks. Am on the Public Health Committee Medical Society County of Erie." E-mail address is larry_beahan@adelphia.net. Leonard R. Schaer, MD '55, Alamo, CA. "I am retired." E-mail address is nanapop@hotcoco.infi.net. William J. Sullivan, MD ' 55. writes: "I am practicing half time at the present as the medical director of a group doing forensic psychiatry. I have stopped my psychoanalysis and psychotherapy. I hope and expect to continue to practice for a number of years more." I CONTINUED ON PAGE 34 assnotes Autumn 2000 l uff al1 Physician 33 �~ --- --- - - - -- - - CLASSNOTES CO NTI NU ED FR O M P AC E 33 the hospital will be named in their honor. Barbara YonSchmidt, MD '55, Oakland, CA, pa- thology. "I retired December 31, 1991, after working 35 years at Children 's Hospital of Oakland. " Jacques Lipson, MD '58, and his wife, Dawn, received the john Whitbeck, MD, Medal of Philanthropy for the Year 2000. This was awarded by the Rochester General Hospital Foundation. The newly constructed cancer and blood disorder center at 1960s William E. Abramson, MD '60, writes: "I enjoyed reading the Buffalo Physician summer 2000 issue. Also enjoyed seeing 30 of my classmatesstill vertical-at our reunion dinner on April 29, 2000. How come the Class of 1950 got the attendance trophy with 24 attendees, when we had 31 ?" {Editor's note: In re- sponse to Dr. Abramson's question, the Medical Alumni Association Office '11 who is chai~ explains that the attendallce trophy is determined by proportional represe11tatio11; i.e., the percentage of surviving members who attended. ] of the Department of Oral Diagnostic Sciences in the School of Dental Naomi leiter, MD '60, New York, Y, adult and child psychiatry. " I live near Lincoln Center and would love if my classmates visited with me. My eldest son is a "professor" at the ew School. My youngest son is starting his own theater company called Imbalance as director and artistic director. " E-mail is nl7012 @aol.com. Paullessler, MD '63, has been named director of Pain Management at University of Southern California's orris Comprehensive Cancer Institute in Los Angeles, CA. J. Richard Gunderman, MD '65, writes: " In 1999, I published a book, Raisi11g Your ChildA Love Story, on how to raise children. " E-mail address is: dickgund @aol.com. louis Trachtman, MD '65, writes: "Buffalo Physician is always enjoyable, but I was especially moved by Dr. Bean's article in the spring issue. It reminded me of the teaching methods of our professor of pathology at UB, Dr. Samuel Sanes, who taught the natural course 34 IU II I II rh JS I CI ID A11111mll 2 000 of diseases from the patient's perspective. P. S., I recently .....:t.:....,.L.:...;;;;....J had two articles published in our state medical society's journal, highlighting public health." E-mail: trachman@dhh.sta te.la. us. Andre D. lascari, MD '60, Poestemkill, NY, pediatric hematology/oncology. "I retired in April 1999. William G. Wolff, MD '69, is president of the New York State Radiological Society; councilor of the American College of Radiology; Advisory Committee on Radiological Health to New York State Department of Health. He is chair of the Department of Radiology at The ew York Hospital Medical Center of Queens, Flushing Hospital Medical Center, Coler-Goldwater Memorial Hospital; clinical associate professor of the Weill Medical College of Cornell University; and senior member of the American Institute of Ultrasound in Medicine and member of the Executive Committee of ew York Medical Imaging. 1970s John E. Knipp, MD '72, has been elected chief of medi- cine at St. Luke's Hospital m ewburgh, NY. Eric J. Russell, MD '74, Dr. Russell 's corrected E-mail address is e-russell@nwu.edu. Nancy A. Cunningham, PhD '78 and '80, has been a p- pointed medical library administrator in the Department of Educational Affairs at Roswell Park Cancer Center (RPCI ). In this role, she will supervise and direct personnel, fiscal and budgetary planning and operations of the Dr. Edwin A. Mirand Library and implement and coordinate library marketing and outreach activities. Peter Condro Jr. MD '79. Dr. Condro's corrected E-mail address is crrtfo ra rf@cs. com. 1980s Edward J. Rockwood, MD '80, writes: "My wife, joann Agnello Rockwood, died of breast cancer on july 29, 2000. She worked in the Medical Education Office at Millard Fillmore Hospital from 1977 to 1983, first with Dr. Harry Alvis and then with Dr. Luther Musselman. We have four daughters: Tiffany, 13, Delena, 12, Ashley, �In Memoriam school, Ihrig, who retired attended SUNY at Buffalo, editors of national and professor at Hershey in 1991, was on the staffs where he earned his un- local news media. He is Medical Center from 36 years at 71 North of Buffalo General, dergraduate and medical survived by his wife of 1972-1995. Yahn was Street in Buffalo, NY, died Children's and the former degrees. Klein co-founded over 30 years, the former a native of Olean, NY July 7, 2000, at age 71. A Lafayette General hospi- Williamsville Obstetrics Lois ("Cookie") Joseph and a graduate of St. native of Chicago, Ihrig tals for many years, as and Gynecology, where he Cominsky, three stepchil· Bonaventure University. graduated from the then- well as the Erie County practiced for over 30 dren and three children He was a Navy veteran, University of Buffalo in Medical Center. Survivors years. In addition, he was from his previous mar- a fellow of the Ameri· 1953, with honors. Follow- include his wife, the a clinical assistant pro- riage to Shirley Gerring. ing medical school, he former Jeanette S. Latona; fessor of OB/GYN at UB completed his internship two sons, four daughters, and an active member of Arthur E. Yahn Ill, MD at Bexar County Hospital and a brother. the American Medical As- '65, died at his orne n of Anesthesiology and sociation and the Ameri· Har• sburg, PA, on May the National Board of John J. Ihrig, MD '57, ho practiced dermatology for in San Antonio, TX, and can College of Anesthesiologists, a Diplomate of the American Board served three years in the Morton Paul Klein, MD can College of Obstetrics 15,2000,afteralong Medical Examiners. Air Force, where he rose to '62, died April 5. 2000 and Gynecology. An avid battle with spindle cell Surviving are his wife, the rank of captain. He in Delray Beach, FL, of recreational bicyclist, fibro sarcoma. He was Mary Ann Krastell then returned to Buffalo complications following a world and RV traveler and 60. Yahn had been on Yahn; three daughters, and began his practice in bicycle accident. He was gourmand, Klein was also staff at Harrisburg three sons, his mother, 1965 after completing his 68. A native of Union City, an active supporter of Jew- Hospital since 1971 and two sisters, and a brother. residency in dermatology NY, Klein served in the ish community activities in director of anesthesiology at UB. In addition to serv- U. S. Navy as a medical Western New York and a services there from ing as a volunteer faculty corpsman during the frequently published con- 1975-1977. He was also member at UB's medical Korean War. He then tributor of letters to the an assistant clinical 10, and Amanda, 5. I am a staff ophthalmologist at the Cleveland Clinic Foundation, subspecializing in glaucoma. » E-mail address is: edwardrockwood@aolcom. Steven R. Goodman, MD '84, practices physical and rehabilitation medicine in Federal Way, WA. He is a clinical associate professor at the University of Washington's Multidisciplinary Pain Center, where he teaches intramuscular stimulation for the treatment of neuropathic-myofascial pain syndromes. E-mail address is srgood@home.com. Francis Whalen, MD 'B7, writes: "I have just completed an internal medicine residency and will start a pulmonary critical care fellowship in July at Pittsburgh." E-mail address is fwhalen@adelphia .net. Thomas E. Kowalski. MD 'BB, has been named medical director of gastrointestinal endoscopy in the Division of Gastroenterology and Hepatology, Department of Medicine, at Thomas Jefferson University Hospital in Philadelphia. He is also associate professor of medicine at Jefferson Medical College of Thomas Jefferson University. 1990s Rohit Bakshi, MD '91, has been awarded a threeyear, $300,000 grant from the JH-Nl DS to study MRI findings in multiple sclerosis. The work will be carried out in the Department of eurology at Kaleida Health System's Buffalo General Hospital, where Dr. Bakshi is a neuroimager and MS specialist. E-mail address is rbakshi@buffalo.edu. Mary (Cappuccino) Bonafede and Joseph P. Bonafede, MDs '91. write: "We are happy to announce the arrival of our third child, Andrew Joseph, on February 1, 2000. Andrew joins his big brother, Sam, age 4, and his sister, Ella, age 3. Joe and 1 are both enjoy- A u t u mn 20 00 CD ing private practice (otolaryngology and pedia tries) on the eastern shores of Long Island. E-mail address is Mbon.465050@aol.com." Philomena Mufalli Behar, MD '92, writes: "My hus- band, Jerry, and I would like to announce the birth of our daughter, Julia Fay, on June 25, 2000. She weighed five pounds, 12 ounces, and was 18 inches long." E-mail address is: pmbehar@aol.com. C ON T IN U E D ON P AG E 36 1 1 If al• n ysic ian 35 �CLASS I CON TIN UED FR O \~ ~ 35 Warren Scherer, MD/PhD '92, writes: " I served as the ophthalmic surgeon for a medical mission to El Salvador in August 2000. I am currently in private practice in ew Port Richey, FL." E- mail address is warren scherer@hotmail.com. E-mai NOTES Michael Aronica MD '93, writes: "I am proud to announce the birth of our third child, Marykate. Meghan and Madeline just love their little sister. Mary and I are doing well in Buffalo, NY. I am enjoying my job with the Division of Internal Medicine and Pediatrics at the U Buffalo School of Medicine. My clini- cal duties are based at the Elmwood Health Center and Children's Hospital of Buffalo." Alissa Shulman, MD '93, writes: "I am pleased to announce I have recently joined a wonderful and busy plastic surgery practice- Plastic urgery, P. C.- in South Bend, IN. An additional note: I have continued with my artistic endeavors, both personally and professionally. Life is good!" E-mail address is: doctoral issa@aol.com. Donna (Sinensky) Ferrero, MD '94, writes: "I recently joined a large multispecialty private practice in orth Andover, MA- ew England eurological Associates, P. C. I am practicing physiatry. I am also happy to announce that my husband and I are expecting our first child in March 2001." Babak Parwar, MD '96, and Bobbie Parwar, MD '97. Babak writes: "I am in my fourth year of head and neck surgery at UCLA Medical Center. My wife, Bobbie, is in her second year of ophthalmology at the Jules Stein Eye Institute in Los Angeles." Kristin Larsen, PhD '97, writes: "It's been a good year for me. I got married in September 1999 and was recently promoted to junior faculty in the Department of eurology at Columbia University. My research angle is alternative therapies and preventions for Parkinson's disease." E-mail address is kell4@columbia.edu. A plan for livllg. Hospice really is a plan for living ... one that we can make together. With treatment options from you, plus emotional support, symptom I plan to keep going. management and in-home care from Hospice, we can help your patients make the most of their time with family and friends. Call 686-8077. T H E C E;>.;TER F O R H1)SPICE& PALLIATIVE CARE www.lzospicebtiffo lo. com 36 l•flale Pbysiciaa A utu m" 2000 �- Based on F/Mst-1 Data dnJl ffTheywere sergeantsand cheerleaders:' - Fronk Stelarski, stroke rehab patient Harris Hill H.C.F. Why do our patients have better rehab resuh:s compared to the national average? Maybe ~·s our staff ''They knew exactly how far to push me,'' says Frank Stelarski. ''But they also encouraged me every lfttle step of the way. When you've been through what I have, that really means a lot.'' To leam more about the nationally recognized McGuire THE Rehabil~tion ~~ry}Jfl.I(9!{ Centers, call 1-888-POSTACUTE or vis~ www.mcguire-group.com. Recognized for excellence in quality· care. CEN1E~ tf*****" AUTUMN VIEW • GARDEN GATE • HARRIS HILL • NORTH GATE �p H A R M A c 0 p 0 E I A GB's HISTORY OF MED!Clr-iE COLLECTIO:-i PRF.SE . . TS PHARMACOPOEIA Digitally reproduced prints from a pharma copoeia by Otto Karl Berg (1815-1866) are on display this fall in University at Buffalo's Health Sciences Library (HSL), South Campus. The botanical show was developed by the HSL and the university's iMedia staff and is the first in a series of "Art in the Library" exhibits intended to promote the History of Medicine Collection through the display and sale of reproductions of selected works. Fred Kwiecien and Don Trainor of iMedia prepared the prints from the original art in the Berg volume , published in Leipzig in 1863. Pictu red is Iris Florentina. RP 00 02 01 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Autumn 2000 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2000-Autumn Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v35n02-2000-Autumn Table Of Contents A list of subunits of the resource. Internal Medicine's Man Eschewing Viewing Pathways Research Medical School Student column Development Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-14 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v35n02 Extent The size or duration of the resource. 40 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 2000 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/fb8a399d09f5525f5ef63efb48ff9171.pdf c8e4cd065beb7b044517e2ea752b6e79 PDF Text Text �l1ffale P~ysicial A SSOC IATE V I C E PRE S I DE T FO R U NIVERSI T Y SERVI C E S Dr. Ca role Smith Petro Dear Alumni and Friends, DIRE CTO R O F P U BLI C ATI ONS Kathryn A. Sawner EDI TO R Stephanie A. Unger ~\ RITI '(,, nn I·~D 01 Till \( ADF\11( n \R is upon us and both freshme n and sophomores are in the m idst of fina l examinations. Although the newly created study space ART DIRE cT 0 RIDE s I G N E R Alan]. Kegler is as yet un furnished (the furniture is on order), we have made some makeshift arrangements for students du ring their finals and for national board preparation. We hope to have this important student resource fully functional shortly. On another positive note, we hope to upgrade the computer lab during this next year, as the present computers are three years old and their warranties are about to expire. The newer machines (and redistribution of the o lder ones) will be helpful to the new curriculum A SS I STA N T DE S I GN ER Lynda Donati PR O D UCT I O N COO RDIN ATO R Cynthia Todd - Flick STATE UN I V ERSIT Y OF NE W as it begins to u nfold a year from now. Some of the o lder pentium computers will be YORK AT B u FFALO S c H oOL relocated to the Standardized Patient Project, which, as many of you know, is a project OF M E DI C I N E AND through which Buffalo has taken a leadership role in the development of BI O M E DI C A L S C IE NCES Dr. fohn Wright, Dean modules for the national board, as well as in the development of E DI TO RIAL B O ARD standardized testing. In collaboration with the national board, our own computer group, under the leadership of Dr. Ray Dannenhoffer, has devised a system to computerize studen t-"patient" interactions for reporting direct ly to the board. Using industry standard hardware and software wi th customized programming scripts, a pilot project was so successful that we have been asked to provide the computer support for each of the board's present test sites at the University of California at Irvine, Mercer University, Tulane University, the University of Massachusetts, East Carolina University, St. Lou is Un iversity and, of course, UB. We will configure the servers and workstations here and ship them to each of the participating schools. Our staff will then complete hardware and software installation on site and train loca l personnel on program operation. Since the standardized patient will soon be part of national board testing, our school's involvement in the process is something to brag about. Speaking of"bragging rights," our Mini Medical School has a few of its own. Through this innovative progra m , Harry Sultz and Alan Reynard have developed a remarkable community resource. The Mini Medica l School recently received a welcome "shot in the arm" through a generous gift from Esther and Don Davis. This support will provide muchneeded financial stability as the project branches out in both subject area and community coverage. We have already been alerted to a need in the Southtowns, and the facu lty are looking into telemedicine venues in order to reach an even broader community. This, of course, has implications for a range of programs at UB, includ ingCME and GM E possibilities. Finally, Dr. john Yeh, from the University of Minnesota, joined the Department of Dr. Bertram Portin, C hai r Dr. Martin Brecher Dr. Haro ld Brody Dr. Linda f. Corder Dr. Alan]. Drin nan Dr. fames Kanski Dr. Elizabeth O lmste d Dr. Steph e n Spau lding Dr. Bradley T. Tru ax Ms.fennifer Wiler Dr. Franklin Zeplowitz TEA C HIN G H O SPITALS Erie County M edica l Ceuter Roswell Park Cancer Institute Vet erans Affairs Western N ew York Healthcare System K A U :IDA Hf: A l_ J fl: Th e Buffalo General Hospital The Children 's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillm ore Suburban Hospital C ATH OLIC H f. A l TH SY<Tf.\1: Mercy Health System Sisters of Charity Hospital Niagara Falls Mem orial Medical Center ® TIE STITI IIIYIISITY If lEI Till AT II HALO Ob-Gyn as chair on May I. He has recruited four new facu lty and is working on a fifth . And we look forward to the arrival of Dr. Kenneth Blumen thal, from the University of Cincinnati, who will begin leading the Department of Biochemistry around the first of August. Greetings to you all, and best wishes for a very pleasan t and relaxing summer. 7 ( / ~</~ R. WRIGHT, MD Dean, Sch oo l of Medicine and Bio m edica l Scien ces jOHN Buffalo Physician is published quarterly by the State University of N ew York at Buffalo School of M ediciue aud Biomedical Sciences aud the Office of Publications. It is seut, free of charge, to a/umui, faculty, students, restdents, aud frieuds . The staff reserves the rig/It to edit all copy and submissions accepted for publication. T...:l:... University at suffal;rk -:.=:s Tiu>State University ofNew �V 0 L U M E 35, NUMBER 0 H Special 2 group helps first-year students 14 Match Day 18 Graduation N Concussion in sports: new guidelines call for "time-out" BY S.A. UNGER MILLER Wake·up Call Difficult decisions for a gifted young athlete S. A. BY UNGER Carl Lindros, left, father of hockey stars Brett and Eric Lindros, has teamed up with University at Buffalo professor Barry Willer, PhD, right, to institute back·to·play guidelines following concussion in amateur sports. The story of their successful international effort begins on page 2. Baseline Scoring UB professor's neurocognitive test used by FL and NHL BY S. A . UNGER 21 Professor 13 New tutorial A Safe and Sound COVER prospective students an in-depth preview c s eport PHOTOGRAPHY BY FRANK 8 10 y Theodore Bronk remembered 22 New faculty 23 Nancy Druar wins Naughton Award ILLUSTRATION BY WHITNEY SHERMAN 25 Maxine Hayes returns to UB to deliver Stockton Kimball lecture 27 Medical Alum ni Lifetime Achievement Awards 29 Reunion classes traditions begin today your classmates and other UB alum ni 36 First Minority Alumn i Reunion held 40 Medical Alumn i Association officers elected reception October 29 in Chicago 41 Photographs from Spring Clinical Day and Reunion Weekend gatherings �or ort by S. I. Unger Photos by Frank Miller -Carl ,, lin~ros �Due to concussion. Brett Lindros, right, was forced to withdraw from the National Hockey League in 1996 at the age of 19. His injuries served as an impetus for his father, Carl other young athletes from experiencing what his son-former professional hockey player Brett Lindros-experienced that led Carl Lindros four years ago to seek out Barry Willer, PhD, an expert in traumatic brain injury and a professor of psychology at the University at Buffalo School of Medicine and Biomedical Sciences. Since that time- due in large part to Lindros's inspiration- Wilier has become a highly visible leader in international efforts to establish return-to-play guidelines following concussion in amateur sports. The pivotal event that allied Willer and Lindros in their efforts to prevent concussions in sports took place in Buffalo on ovember 24, 1995, during a ational Hockey League (NHL) game between the New York Islanders and the Buffalo Sabres. During that game, while his father watched from the stands, Brett, a second-year player with the Islanders, sustained a concussion that not only changed his life forever but, indirectly, impacted the world of amateur sports, as well. Lindros. to work with University at Buffalo professor Barry "While watching Willer to develop guidelines aimed at keeping young athletes the game, I rememout of sporting events for asafe period of time following a ber seeing Brett check an opposing player in concussion. Pictured with Brett is his older brother Eric. of open ice late in the the Philadelphia Flyers. who today is fighting his own first period," Lindros well·publicized battle with concussion. recalls. "He wasn't hit in the head, but the deceleration from the contact caused him to be concussed." When Brett didn't come back on the ice at the start of the second period, Lindros became concerned and went to the locker room to look for him. There he saw something he says he will never forget. " I found Brett sitting alone, trembling. And right away r could see he wasn't himself," explains Lindros. "He was very disoriented-one moment he was coherent and the next moment, incoherent; he was fading in and out. l could see that it was a serious issue." S 11mm er 2000 Bu ffalo Physician 3 �he next morning, having returned home to Toronto, Lindros went to the public library to discover what he could about concussions. It was through his research in the weeks that followed that he first learned about the Ontario Brain Injury Association (OBIA), an organization that Willer-a native of Canada-has been affiliated with as avolunteer for more than ten years. "In my search of the literature, I found a lot of current " He'd go 'in and out,' and there were noticeable changes in his behavior. He was anxious and jittery-like he had too much papers on severe traumatic brain injury, but hardly anything about repeated mild traumatic brain injury, and it's these caffeine-so he couldn ' t focus on anything for very long." Over several months, Brett's symptoms gradually abated; types of injuries-concussions-that are the most preventable," says Lindros. "What I did find about concussions tended however, in the interim he sought the opinion of three promito be published in the last 10 years, but the theories they nent neurologists, each of whom recommended that he not play discussed were often contradictory, and they confused me hockey again. As a result, on April 15, 1996, at age 19, Brett because I was looking for clear direction," he adds. formally announced his withdrawal from the sport. Despite the dearth of published research on concussions, Knowing what he now knows about concussions, Lindros is Lindros did discover startling statistics about the scope of the thankful that his son was not hurt worse than he was. "Brett's problem, including the fact that an estimated 30 percent of all concussion [in November 1995] was his second in an eight-day youth in the U.S. and Canada will experience a concussion period. What I realize now is that he was probably playing in a before they leave high school and that, of these cases, only concussed mode that night." about one-fourth will be seen by a physician. In hindsight, Lindros also realizes that Brett might have been As long as there is only one minor concussion, the symptoms playing in a concussed mode earlier in the session, as well. are, for the most part, reversible, and the brain recovers within "For example, l remember on one occasion Brett's coach about five days. However, when there are multiple minor conasked him what he was doing during a shift, and he couldn't cussions, particularly if these concussions occur tell him because he couldn't remember. close in time, the probability of irreversible brain damage "Clearly, Brett could have been seriously and permanently rises dramatically. injured in Buffalo. If he had had a significant direct blow to his More worrisome still is the fact that if a young athlete is head that night, there's no telling where he'd be today. There 's allowed to return to play too soon following a concussion and no doubt he was playing when he should not have been. " sustains a second, even minor, blow to the head, he or she can experience a rare, but lethal, condition called secondimpact syndrome. On March 12, 1997, the American AcademyofNeurology (AA The more Lindros learned about concusheld a news conference in New York City for the purpose of sions in the weeks following Brett's injury, announcing return-to-play guidelines it had established. In the more concerned response to an invitation from the AAN, Brett attended the news he became for his son, whose symptoms were debilitating. "He ut of this discussion evolved the guidelines that were adopted in 1998, which, couldn ' t dial a digital phone, he couldn't according to Willer. have been worded in such a way that they "not only make sense read, he couldn't drive, medically. but are presented in a format that enables mom·the·team·trainer to readily and what was really frustrating was that his understand them-mom, that is, whose occupation may be accounting, not medicine." symptoms weren't consistent," says Li ndros. 4 Butt a I o Physician S 11111111 er 20 0 0 �-~ - - - - -- ~~--~-------------------~------------- conference and participated in a panel discussion on the guidelines and their role in attempting to prevent concussion in sports. Soon after this event, the Lindroses were contacted by the OBIA and asked if they would lend their support to the organization's fund-raising efforts, which they agreed to do with the stipulation that a portion of the proceeds raised go to disseminating information about the AAN's guidelines. In response to this request, the president of the OBIA initiated preliminary discussions with the Canadian Hockey Association (CHA) in an attempt to get the association to agree to adapt the AA 's guidelines. It was when these discussions came to an impasse in the summer of 1997 that Lindros asked Wilier-whom he had met at an OBIA event-if he would help get the stalled negotiations with the CHA back on track. W iller agreed to collaborate with Lindros on the project, as well as on a myriad of other preventive strategies aimed at keeping young athletes out of sporting events for a safe period of time following a head injury. On January 1, 1998, their efforts came to fruition when the CHA formally adopted return-to-play guidelines that had been painstakingly crafted by Willer with the assistance of John Leddy, MD, a UB associate professor of clinical orthopaedics and associate director of the university's Sports Medicine Institute. Getting the return-to-play guidelines adopted by the CHA was a very significant step forward, according to Willer, because "the association governs all amateur hockey in Canada, which makes it the first bona fide sports organization to have adopted guidelines regarding concussion." Willer, who has been involved with hockey as a player and coach for most of his life, says he agreed to focus his efforts on hockey not only because he loves the sport, but because he felt it would be an effective conduit for introducing return-to-play guidelines in other amateur sports, which in fact it adopted them on an informal basis, with formal adoption expected to take place sometime this year. When this happens, the guidelines will apply to all international hockey events, including Olympic hockey. Furthermore, if other, alternative guidelines aren't adopted [by the Olympics], the return-to-play guidelines of the International Ice Hockey Federation will apply, by default, to all Olympic events." Willer reiterates that the initial impetus for establishing return-to-play guidelines came from the AA but emphasizes that these guidelines, while groundbreaking, do not translate well to the realities of amateur athletics. " Prior to the AA announcing their guidelines and publishing them in the journal ofNeurology, there were no really authoritative guidelines anywhere. The problem, however, was that the AAN guidelines were basically written for professional sports or other environments where a qualified trainer is on-site and the athletes' histories of concussion are available; in other words, they assume that there is someone on the bench-either a physician or a professional trainer-who can immediately appraise an athlete's condition and determine if he or she can return to play at that time or not." has been. "Hockey was born and bred in Canada, so the international sporting community still looks to Canada and the CHA for leadership," he notes. "Because the CHA adopted the guidelines, the International Ice Hockey Federation also recently S 11 111 111 e r 2 0 0 0 Bu II a I o Physician 5 �when you 'sprain your brain' it's a bigger deal than spraining your knee ing your knee or ankle. If you play on abum knee or live with abum knee, that's one or ankle. If you play on a bum knee or live with a thing. But if you don't come back fully from abrain injury, it's different. You may be bum knee, that's one left with asignificant decline in mental functioning." thing. But if you don't come back fully from a brain injury, it's different. You may be left with a When Lindros suggested to Willer that the UB professor apply functioning." significant decline in mental his expertise and influence toward helping establish guidelines of tell the players. when you 'sprain your brain' it's abigger deal than sprain· a similar nature in amateur sports, Willer and his collaborators began by going to the CHA to meet with the individuals within the association who develop educational programs for trainers. "What ensued was a debate that centered on the questions, 'What can we realistically expect from the volunteer trainer/ coach on the sideline who is just somebody's mom or dad and who has little or no medical background? What kinds of decisions can we expect him or her to make about a player's condition?"' explains Willer. Out of this discussion evolved the guidelines that were adopted in 1998, which, according to Willer, have been worded in such a way that they "not only make sense medically, but are presented in a format that enables mom-the-team-trainer to readily understand them-mom, that is, whose occupation may be accounting, not medicine. " (See guidelines on page 7.) Essentially, the guidelines adopted by the CHA involve three basic modifications to the AAN guidelines. In addition to providing wording that better helps inexperienced trainers identify a concussion when it occurs, they recommend that all concussed athletes be asked to see their physician before they return to play. "Also, given the substantial increase in risk for irreversible damage due to repeated concussions, if an athlete has three concussions in the same year, it is recommended that he or she rest away from the sport for the remainder of the playing season," explains Willer. "These guidelines help make sure nobody goes back to playing sports until they've fully recovered from symptoms of a head injury," emphasizes Leddy, who, as a team physician for intercollegiate athletics at UB, knows firsthand about the dangers of concussive injuries in amateur competition. "I tell the players, 6 8 u f fa I o Physician S llllllll cr 2 000 Despite the apparent simplicity of the modifications made to the AAN guidelines, they required a long series of discussions with the CHA, with final wording changes taking place as late as December of 1999. Lindros feels Willer's role was crucial to making the project a success. "Due to his scientific expertise and credibility, he [Willer] was able to facilitate the whole process and gain the complete support of Canadian amateur hockey through the CHA. He brought order and cohesion to the effort." Physicians' Role aKey to Success Because the guidelines recommend that players see their physician before returning to play, Willer and Leddy have also been working to provide physicians with educational material about concussion in an effort to help them better assess when it's �safe to allow a child to return to playing sports. "Most family doctors, internists and pediatricians probably don 't see enough of these head injuries to really be very comfortable with treating them, and it's not something they' re taught about in medical school," notes Leddy. " 1 think most physicians need more education about how to identify when a concussion has occurred, as well as how to identify and treat symptoms of postconcussive syndrome." F urthermore, he cautions, "These injuries can be difficult to diagnose, at best. There are a lot of symptoms that mimic other things; also, athletes are prone to minimizing symptoms or downright denying them to the doctor. " Toward the goal of educating physicians, Willer is developing an educational package that includes the return-to-play guidelines, information on symptoms of concussion, and assessment procedures for concussed athletes. Through his affiliation with the OBIA, he is also working to organize a medical advisory committee on concussions that, in addition Management e .o eyes; or if eyes open, cannot s Guidelines Following Concussion 1. Remove from the contest. 2. Monitor symptoms (con- Developed by the Ontario Brain Injury Association and approved by the Canadian Hockey Association. fusion, headache, etc.). If they persist longer than 15 minutes from the time of injury, the athlete should be referred to a physician immediately. The injury should then be treated as a Second-Degree/ Complex Concussion. 3. Always check for a possible neck injury. 4. Notify parent or guardian and do not administer any medication. 5. Cannot return to play without approval of a physician and at least 24 hours of symptom-free rest. First-Degree/Simple 1. Confusion, also defined as an altered state of consciousness, that lasts for less than 15 minutes (e.g., asks the same question repeatedly, such as "What happened?" or does not know simple facts, like who the opponent is or what the score is). 2. No loss of consciousness. 3. Dizziness, headaches, nausea, lethargy; may have some memory loss. to establishing a consensus on post-concussive symptoms, will sponsor educational conferences for health-care professionals. " In the long run," he says, " the goal is to help physicians be a little more astute at picking up symptoms and a little more aware of the long-term consequences of concussions themselves." Lindros commends this comprehensive approach to education because he fe els it can lead to protection for all children, not just those involved in sports. "These guidelines, and the awareness they help create, apply to everyone, including parents who see their child fall off the swing set and hit their head. They aren ' t just for sports, but for life in general. What they remind all of us is that the clock doesn't start ticking-a child or an athlete doesn ' t go back to play-until he or she is symptom-free at rest and with exertion for an appropriate period of time. " Essentially what we' re saying is, 'Let's have greater respect for the body and things we do to the head. ' When the body isn ' t treated with respect, a minor concussion can lead to significant, long-lasting problems. " CD Second-Degree/Complex seem to focus, does not answer to name, may be limp). 2. Loss of consciousness may only last seconds but is still serious and must result in removal of the player from the contest. Management ec m aos 1. Always check for injury to the neck. 2. Remove from contest and disallow return that day. 3. If unconscious, or condition deteriorates, stabilize the head and neck and activate the Emergency Action Plan, including transfer by ambulance. 4.Cannot return to play without approval of a physician and at least one week of symptom-free rest. after any concussion requires a physician 's approval. In order to make the most informed decision, the physician must be made aware of the history of concussions and symptoms experienced by the athlete. Another important aspect of these guidelines is that the only known cure for concussion is rest. It takes time for brain cells to recover. When there is more than one concussion in the same season, a physician may recommend a much longer period of rest from sports. If an athlete has three concussions in the same year, the physician may recommend rest away from the sport for the remainder of the playing season. For more information, call 1. Confusion that lasts longer than 15 minutes, or a loss of consciousness (does not open More than One Concussion S· S o An essential aspect of these guidelines is that return to play S 11 mmer the Ontario Brain Injury Association pt 1-800-2635404, or visit their website at www.obia.on.ca. 2000 B u II a I o P h y s i c i a n 7 �by S. I. Unger Wake· Difficult decisions for agifted young athlete ) C) was quite sure hockey would be a big part of his life for as long as he wanted it to be. Today, however, the 17-year-old from Kenmore, New York, isn't quite so certain. That's because Dan recently suffered two debilitating concussions that have left him with a decidedly new appreciation for what it means to have a healthy brain. "Hockey has pretty much been my life. I started playing when I was four, and since the seventh grade I've played on teams yearround," he explains. And Dan hasn't been the only one enjoying the sport. "Hockey is a bonding experience for our family," says his father, Tom. His mother, Bonnie, says, "If you ever get to watch Dan play, the joy is in seeing him skate; he's just such a beautiful skater." john Mickler, Dan's coach at St. joseph's Collegiate Institute, also gives Dan high marks for his prowess on the ice. "Dan has been on the varsity since he was a sophomore. He's a very good player. He's fast and aggressive and plays with great enthusiasm, with a love of life." Dan experienced his first concussion in September 1998, while playing with an independent travel team, the Buffalo Saints, at a tournament in Toronto, Ontario. "I was skating up the middle of the ice and was hit behind with a cross-check," he recalls. "He didn't know where he was. He was disoriented, his eyes were dilated, and we knew he had to come off the ice," explains Tom, who was in the stands when the injury occurred and felt confused himself. "I know what needs to happen when a player breaks his arm, but I didn't have any idea what to do when Dan had his concussion," he says. Despite his initial uncertainty, Tom had the paramedics at the rink look at Dan. "They told us he had a head trauma, and that we needed to watch him pretty carefully," he remembers. The next day, the tournament was in full swing and Dan's team was scheduled to play again. When Dan got up in the morning, his father asked him how he felt, and he said he felt pretty good, that he didn't have a headache and wasn't disoriented anymore. ''I'm not proud of this, but when he asked me if he could play in the game that day, I said yes," explains Tom. In looking back on that decision, Tom now knows how 8 Buffalo Physician S11mmer 2000 fortunate he and his family were that day. "It was a very rough tournament. And while Dan didn't get hurt in the game, his closest friend experienced a concussion in it." The week following the tournament was the first week of school for Dan. "I didn't know why I was there or what I was supposed to be doing," he says. "I figure I'd had concussions before-maybe from playing football in the neighborhoodbut nothing ever stopped me before like this. I was startled." Over the following weeks, Dan's symptoms cleared up and he was again able to immerse himself in the sport he loved. A year went by, and Dan's concussion seemed a thing of the past. Then, on October 24, 1999, at the close of his season with the Buffalo Saints, he suffered a second, even more serious, concussion. The incident occurred at a tournament in Cleveland, Ohio, where Dan had traveled with the parents of a friend on the team. Despite the severity of his injury, no one seems certain about what actually happened. "It was the third game of the tournament, and I remember playing really hard and scoring a goal. After the game, we had free time on the ice, but I remember going over to the bench and just sitting down," says Dan. "I thought maybe I was super tired." Later, in the locker room, Dan's coach came in to talk to the team, but Dan couldn't understand him."[ didn't know what he was saying. I was lightheaded and dizzy, and I began to wonder what I was doing there and where my parents were. I almost got kind of panicky. I didn't even know what day it was." Although scared, Dan didn't tell his coach what he was feeling. ''I'm not a big guy," he explains. 'Tm only about 5' 8", and I didn't want to complain, but I was so tired I couldn't stand up." When his teammates dressed and left the locker room, Dan stayed behind. "The parents of Dan's friend waited in the lobby and became alarmed when he didn't come out," recalls Tom. "When the father finally went to look for him, he found Dan in the locker room alone, sitting on the bench. He didn't know what was going on or what had happened." All Dan remembers about the remainder of that road trip is that he slept in the car during the entire drive back to Buffalo. Bonnie Sanderson called Dan's pediatrician, who told her Dan had to stay off the ice for two weeks. Tryouts for the school �because l wasn't in shape, that maybe I had heat exhaustion," he says. Dan didn't try to skate again until the week ofThanksgiving, at which time he traveled with the team to Detroit and played in a game, the first since his concussion. Again, he felt as though he were suffering from heat exhaustion. "After that, I knew l needed to go to the doctor again; I just wasn't getting better," he says. The following Monday, Bonnie called a friend of theirs who is a neurologist, and he told her to bring her son in immediately. "He gave Dan an MRI and a complete examination and told us he couldn't be on the ice for another two or three weeks, or until his symptoms went away," says Bonnie. On December 15, 1999, Dan returned to play and has not reinjured himself since. "This last concussion was our wake-up call," says Tom, who accepts that Dan's playing days may be numbered. Dan, too, knows there may be difficult decisions to make in the future, but says he no longer looks at hockey in the same way. "Alii have to do is remember those couple of months when I couldn't think in math class and had to ask everyone to repeat things they Normally,l'm agood student, but I couldn't sit still in class for five minutes. I wanted to said to me four times. What's happened to me has brought me down to thinking about what get up and walk out. I just had no ambition to be there," says Dan. "I slept a lot, had a I really want to do. I'm starting to think about headache all the time, was dizzy, and my head felt foggy.l didn't want to do anything." the pros and cons of continuing to play." As he helps his son grapple with the potential long-term implications of his injuries, Tom also ponders whether better Bonnie Sanderson also decisions about Dan's health could have noticed big changes in her been made from the outset. "As parents, I son. "Dan is usually on top think we needed a little more training and of things, both at school guidance. We need more information so we and at home. But many can all be on the same page when a player times when I would talk to gets a concussion. It would have been helpful him, I'd literally have to if we had had more explicit instructions say, 'Dan, are you with me?' about what to look for, what to do." He wasn't himself. He was Bonnie sees the problem in an even larger acting very goofy; that's the "I feel it's really a disservice when you context. best way I can describe it." read in the paper that a pro player has had a While Dan didn' t play concussion on Sunday and then is back at prachockey, he did go to his tice on Thursday and back playing in a game team's practice sessions, that next week. The media treats concussions where he'd watch from the like a broken leg. They make it out to be nobench. "I wanted to stand thing, so it's been hard to know what to think." on the bench to watch, but Like Tom, Bonnie feels different decimy balance wasn't good sions would have been made had she known enough to do that, so I rein September 1998 what she knows today. "I member I had to stand on would never have a child of mine go back out the floor instead." on the ice if I knew it would endanger his On November 17, Dan health," she says. "Yes, hockey is important to played in a scrimmage, but us as a family, but, as I tell Dan, 'I like you didn't feel well afterwards, just the way you are."' 4D he says. "I thought it was team were coming up, but since Dan had made the team the year before, Coach Mickler suggested he take some extra time off in addition to the two weeks. Unlike what happened after his first concussion, however, Dan's symptoms didn't go away, so Bonnie took him to see their pediatrician, who told her Dan couldn't return to play until his headaches subsided. "Normally, I'm a good student, but I couldn't sit still in class for five minutes.! wanted to get up and walkout. I just had no ambition to be there," says Dan. "I slept a lot, had a headache all the time, was dizzy, and my head felt foggy. I didn't want to do anything. "I really began to wonder what was wrong with me, what was happening to me," he adds. "It would have been easier if there had been a clear-cut blow to my head that caused my concussion, but we watched film from the game later, and even though I could see I was hit in the head a few times, nothing stood out as the hit that caused my concussion." 5 " 111 111 er 200 0 Buffalo Physician 9 �I I by S . A. Unger ne of the reasons why many experts feel concussion is such an overlooked problem-even a "hidden epidemic"-is because the affected organ is itself hidden from view. "Yet, when a brain is concussed, if you look at it on a microscopic or cellular level, there's a whole cascade of events taking place, including changes in blood flow and glucose and electrolyte metabolism," explains John Leddy, MD, UB associate professor of clinical orthopaedics and associate director of the university's Sports Medicine Institute. While physicians still don't understand all the physiological changes a brain undergoes when con cussed, what they do know is that concussions cause deficits in neurocognitive abilities, especially when more than one concussion is suffered within a short period of time. Due to recent advances in neuropsychology, neurocognitive tests are now available that measure these deficits more precisely than ever before. When used in conjunction with a standard neurological examination, they become powerful tools for assessing whether an individual has recovered from a concussion. Neurocognitive tests and the data they provide are of particular interest to professional sports organizations, which today are experiencing increased pressure from players' unions and insurance companies to adopt return-to-play guidelines that better protect athletes from preventable, career-ending head injuries. (See article on return-to-play guidelines established in 1997 by the American Academy of Neurology, page 2.) Several years ago, in response to these pressures, both the National Hockey League (NHL) and the National Football League ( FL) began participating in the HL!NFL Players' Association Concussion Testing Project, developed by Mark Lovell, PhD, a neuropsychologist at Henry Ford Hospital, in Detroit, Michigan. (Participation in the project is mandatory for NHL teams and voluntary for NFL teams. Currently, about 85 percent of the FL teams participate, not including the Buffalo Bills.) As part of the project, no athlete can practice or play with a team until he undergoes a baseline neuropsychological examination. In the event of a head injury, he is reexamined and the data are then compared to the "healthy" baseline as a means to measure the severity of his injury and his progress toward recovery. In 1997, Lovell contacted Ralph Benedict, PhD, a neu ropsychologist at the University at Buffalo School of Medicine and Biomedical Sciences, and asked if he could incorporate in the Concussion Testing Project a neurocognitive test Benedict had developed called the BriefVisuospatial Memory Test. As a result, Benedict's test is now a key component in the professional sporting world's attempt to keep players from returning to play too soon following a concussion. Also used in the project is a test called the Hopkins Verbal Learning Test. While completing his postdoctoral training and residency at the Johns Hopkins University, Benedict took a lead role in revising this test, which was originally developed by Dr. Jason Brandt. In addition to providing the Concussion Testing Project with the tools it needs to test the players, Benedict is also serving as a consultant with the project. In this capacity, he is available on an on-call basis should an NHL or NFL player be concussed while playing in Buffalo and require neurocognitive evaluation. Benedict's Brief Visuospatial Memory Test is also widely used outside of professional sports to evaluate cognitive function in individuals affected by brain injuries or disease. 4D �------------------------------------------------------------ ------- UB Selected as Site for High School Pilot Program n a related development, the University at Buffalo was informed in May 2000 that it has been selected as one of three national test sites for a new computer-based neurocognitive assessment program for high school athletes. (The other two sites are the Mayo Clinic and Henry Ford Hospital.) Developed by the same researchers at Henry Ford Hospital who developed the NHL/NFL Players' Association Concussion Testing Project, the new program involves giving high school students an abbreviated version of the professional-level test that can be administered by computer in 15 to 20 minutes. The UB effort--led by Barry Willer, PhD, UB professor of psychology, in collaboration with the Ontario Brain Injury Association and Brock University-will involve high school students in Buffalo, New York, and Niagara, Ontario. Significance of Cong·term ncuss·suotie)effects: "At minimum, parttopating schools are expected to assess every student involved in sports. What would be ideal, however, would be for all students to be assessed, since organized sports-while they do constitute high-risk activities-account for only about 15 percent of all concussions in this population," explains Willer. "Participation in this project to assess the feasibility and validity of the brief assessment procedure could be a major factor in the prevention of cognitive disabilities in young people," he adds. For more information on the HLINFL Players' Association Concussion Testing Project, e-mail Dr. Benedict at benedict@acsu.buffalo.edu. For more information on the new high school testing project, e-mail Dr. Willer at bswiller@ acsu.buffalo.edu. The Impact of Concussions on Youth •:• One-third of youth experience a concussion before the end of high school. •:• One-half of all concussions are accompanied by loss of consciousness. •:• Average age of concussion is age 10. •:• For children who experience more than one concussion, there is an increased likelihood that the problems described above will remain long term. •:• Children with protracted problems stemming from concussion are less likely to attend college. •:• Children who return to play too soon after concussion may experience very serious consequences, including secondimpact syndrome, which can result in death. CD •:• Ringing in the ears •:• Change in appetite •:• Loss of taste/smell Behavioral •:• Irritable/ Agitated •:• Quick temper •:• Can ' t sit still/ ervous •:• Moody/ Depressed/ Tearful •:• Sleep problems Cognitive •:• Mentally "foggy" •:• Memory difficulties •:• Poor concentration/ attention •:• Poor judgment •:• Fatigue •:• Difficulty finding words Physical •:• Headache •:• Dizziness •:• Fatigue/ Drowsiness •:• Blurry/ Double vision •:• Light/Noise sensitivity S 11 m 111 e r 2 0 0 0 Buff a I o Physician . . ~ .. 11 �M B M E D C A L ScHOOL N E w s y Second·look Day D KINNAMON ln · depth preview for prospective students \ 40 ~ D the first spective students could talk to first-year students. One University at Buffalo School of Medicine and popular session was the student question-and-answer l Biomedical Sciences "Second-Look Day" on panel, which included six students in different phases of April 29, 2000. The event was planned to give their medical education at UB. Topics ranged from the accepted students more interaction with cur- MD/MBA dual-degree program to long-distance rela- rent medical students and another chance to tionships, what day-to-day life is like, and opportunities see where they might be spending the next available during the clinical years. For julie Baker, a UB four years. undergraduate, the day was invaluable. "It helped me feel The idea came to first-year students Laura Cinski, )ill Albrecht and Steve more comfortable about my decision to continue at UB." Turkovich as they discussed their Inter- First·year student Lisa Reaves talking with Jim Krygowski, a biology major from Grove City College in Pennsylvannia. view Day experiences. The students felt continued to get acquainted at dinner so focused on interviewing that they and then enjoyed a night on the town weren ' t able to properly evaluate what with their new friends. "I was a bit UB had to offer them. They also thought nervous to meet my future class- Interview Day didn't offer enough mates," says Joe Kita, a St. student contact. Bonaventure student, "but I found Albrecht had attended a similar type that we have the same career goals of event at another school last spring and dreams. l felt like I could connect and felt it would be an ideal model for UB. "Second- to so many people and became excited Look Day lets the school sell itself," she says. "We want about the next four years." people to make an informed decision and to be happy here. The best way to ensure this is to give them lots of information about what UB's medical school is like from a student's perspective." The inaugural SecondLook Day at UB included mini-lectures in anatomy and L physiology presented by . Charles Severin, MD, PhD, z and Perry Hogan, PhD; smallgroup problem-based learning sessions with Murray Ettinger, PhD; student-led tours of facilities; and breakfast and lunch meetings where pro- 12 I u f fa I o Physician Afterwards, a group of the prospective students who had been corresponding by e-mail S 11mm e r 2 000 CD First·year student Joanna Shaw, below left, talks with prospective students. left to right. Joyce Yan Li of Yale University, Julie Baker of the University at Buffalo, and Penny Lawson of the University of Rochester. �The An of New tutor i al group helps first·year students lutorin Science Hi· "l;J , >O " experience gained by some second-year students in the University at Buffalo refer them to a better information source," says Mato. School of Medicine and Biomedical Sciences is now In addition to giving tutors the helping first-year students master their medical school opportunity to serve the school, coursework. The Buffalo Medical Tutorial Group, the tutorial program gives them launched in january 2000, consists of second-year the chance to review for board ex- students who volunteer to share not only their prior ams and to learn how to effectively knowledge of physiology, anatomy, biochemistry and communicate scientific ideas. It's the other first-year subjects, but also their insights on how best to learn them and have a successful first year. and foster camaraderie among The tutorial group is the brainchild of second-year student Anthony Mato, who, while an undergraduate at Cornell University, tutored biochemistry and organic and general chemistry in its Learning Skills Center. Inspired by that program, Mato approached former UB assistant dean Thomas D. Flanagan in October 1999 with the idea of starting a tutorial program at UB. "Our goal is to offer students help during evening hours when professors aren't around," says Mato. "We wanted to create a resource for students studying at night who otherwise couldn't get questions answered until their professor is available." While the group en- ~I K I courages students to consult their professors first, sometimes students are more comfortable talking to their peers, Mato says. "Some first-year students are intimidated by the faculty, and the idea ofcallinga professor at home is a big deal to them. That's why we're here." Four nights a week students can go to Sherman Hall also an excellent way to introduce first- and second-year students. The group, which attracted 22 student volunteers its first year, First·year student Lily Belli, /efr. being tutored by Anthony Mato. enjoys strong faculty support. Mato met with each of the first -yea r professors individually to discuss how the program would work with their courses, and the group communicates regularly with professors about any changes in course material. Each department provided a complete set of their courses' required textbooks, and B y faculty members donated meeting space, a D computer and a teaching microscope. A \I 0 'I Physiology professor james T. Goldinger, PhD, is their faculty advisor. "This [first] year's class is quite successful," says Perry Hogan, PhD, professor of physiology. "They're calmer about their involvement and their progress. The tutorial group could reasonably take credit for their students' imln•eltaH tlllir pncress. De tltlriallfll. CIIN I'IISIII~Iy talll cre~it fer tlllir strints's...tller smoother progress through the medical curriculum." and drop in on a number of sessions that take place in the But the tutorial group's biggest fans are students. "I physiology department conference rooms. These infor- perform better on exams," says Amy Puzio. "Rather than mal get-togethers can take the form of one-on-one meetings, Q -and-A sessions, roundtable discussions or test staring at a textbook, talking about the material solidifies the information for me." Mato's efforts were recently reviews. "Our time is owned by whoever walks in the honored with the school's student-nominated Louis A. room. We' re there to discuss whatever the students want," and Ruth Siegel Award. He is the first student to receive says Mato. Each tutor commits to a minimum of two this award, which is traditionally presented to faculty. hours a week and teaches a subject they did well in and are "A lot of people say they go to medical school because excited about. "We might not know the answer to every they want to help people," says Mato. "This program is a question, but we answer to the best of our knowledge or true test of that." 4D Summer 2000 I u ff a I o Pb y sic ian 13 �MEDICAL ScHOOL N E w s Dorothy Adler Thomas Jefferson University Paul Bogner Pathology, University of Michigan Hospitals PHILADELPHIA, PA ANN ARBOR, Ml Tamara Alberti Anthony Bottiggi Pediatrics, Medical College of Virginia General SLirgery, University of Kentucky Medical Center RICHMOND. VA LEXINGTON, KY Benjamin Alderfer Psychiatry, University of Colorado School of Medicine George Boucher DENVER, CO Graduate Medical-Dental Education Consortium Family Practice, his year's National Residency Matching Program (NRMP) results were announced on March 16 by Dennis Nadler, MD, associate dean in University at Buffalo's School of Medicine and Biomedical Sciences. Of UB's graduating medical students, 58 percent were placed in primary care residencies. Eighty·one percent of the students received their first, second or BUFFALO, Y BUFFALO, Y Mathijs Brentjens Internal Medicine, Emory University School of Medicine ATLANTA, CA third choice of placements. Twenty· nine AkkiiAii Internal Medici11e, Suzanne Burke percent will stay in Buffalo to train in University of Florida Health Science Center Emergency Medicine, SUNY/ the Graduate Medical Dental Education jACKSONVILLE, FL Consortium, while 52 percent will go Steven Ambrusko Pediatrics, SUNY/Buffalo Graduate Medical-Dental Education Consortium out of state. In the primary care specialties, 34 BUFFALO, NY students were placed in internal medicine, 15 in pediatrics, 12 in family medicine, 9in medicine/ pediatrics and 5in obstetrics/gynecology. "Our students do consistently well in the NRMP with placements in some of the top programs in the country," says Nadler. "Our record in 'early' subspecialty match is equally impressive. We are extraordinarily proud of our students' achievements." Nationwide, 51 percent-or 6,931 graduating U.S. medical Jeffrey Amodeo General SLirgery, SUNY/ Buffalo Graduate Medical-Dental Education Consortium Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Anthony Caprio Internal Medicine, University of Rochester/Strong Memorial Hospital ROCHESTER, NY Thomas Caprio Internal Medicine, University of Rochester/Strong Memorial Hospital ROCHESTER, NY BUFFALO, NY Daniel Carl Lisa Apfel Intemal Medicine, General SLirgery, SUNY/Buffalo Medical College of Virginia Graduate Medical-Dental Education Consortium RICHMOND, VA BUFFALO. NY Hope Cawdery Internal Medicine, Duke University Michael Banas Medical Center school seniors-matched to afirst·year residency position in Internal Medicine, SUNY/Buffalo DURHAM, NC one of the generalist disciplines. This is the lowest generalist Graduate Medical-Dental Education Consortium Leslie Chamberlain specialty match rate since 1995, when seniors also matched at BUFFALO, Y AmyBeuler 51 percent. According to the NRMP, 25,056 individuals participated in Family Practice, SUNY/Buffalo Graduate Medical-Dental Education Consortium Medicine/Pediatrics, Ohio State University Medical Center COLUMBUS, OH Julie Cheng Pediatrics, the match this year, aslight decrease from the 26,462 who BUFFALO, NY participated in 1999. Of the total active applicants, 73.4 percent Howard Blumstein Loma Linda University were matched, a4percent increase over last year. Internal Medicine, UMDNJNew Jersey Medical School CA -S.A . UNGER 14 Ramune Alexander Family Practice, SU Y/Buffalo Graduate Medical-Dental Education Consortium Medicine/Physical Medicine and Rehabilitation, SU Y/B uffalo Buffal o Ph ysici an Summer 2000 PISCATAWAY, Nj �James Chevalier Internal Medicine, ew York Presbyterian Hospital-Cornell Christopher Di Maio Internal Medici11e, Thomas jefferson University Michelle Ehrlich Dermatology, Cleveland Clinic Foundation NEw YORK, NY PHILADELPHIA, PA CLEVELAND, OH Frederic Chi Orthopedic Surgery, University of Rochester/ Strong Memorial Hospital Louis Domenico Medicine (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium Catherine Falkner Obstetrics/Gynecology, SU Y Upstate Medical Center ROCHESTER. Y Michael D'Angelo Internal Medicine, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Y: Diagnostic nadiology, Penn State Geisinger HERSHEY, PA James Doran Undecided Jaimie De Rosa Surgery (Prelim), Boston Medical Center Holly Drexler Family Practice, Williamsport Hospital BOSTON, MA; WILLIAMSPORT, PA BOSTON, MA Todd Duggan Internal Medicine, Medical College of Virginia James De Santis Surgery (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium Kimberly Dumoff Pathology, University of Pennsylvania BUFFALO, NY PHILADELPHIA, PA Sorabh Dhar Medicine/Pediatrics, SU Y/ Buffalo Graduate MedicalDental Education Consortium Zeynep Ebcioglu lntemal Medicine, Thomas Jefferson University BUFFALO, Margaret Eberl Family Practice, SUNY/Buffalo Graduate Medical-Dental Education Consortium Y Kenneth Harris Pathology, Massachusetts General Hospital SYRACUSE, NY Ani Fleisig Gweral Surgery, Georgetown University Hospital BOSTON, MA Nishi Harvey Medicine (Prelim), St. joseph's Hospital WASHINGTON, DC BUFFALO, NY Otolaryngology, Boston Medical Center Steven Lo. 26. and his fiancee and classmate Reshma Katira, 25. were pleased-and relieved -to discover they will both be going to Chicago. RICHMOND, VA PHILADELPHIA, PA BUFFALO. NY Scott Frank Surgery (Prelim), Mercy Hospital of Pittsburgh ANN ARBOR, Ml PITTSBURGH, PA Bret Gelder Surgery (Prelim), SU Y/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY SumanGona Transitional, St Vincent's Hospital NEW YORK, Y: Ophthalmology, Mt . Sinai School of Medicine Aram Hezel Intemal Medicine, Beth Israel Deaconess Medical Center BOSTON, MA Michael Hochberg Surgery (Prelim), Mt. Sinai School of Medicine NEW YORK, Charles Howarth Medici11e, Columbia Bassett COOPERSTOWN, Y AllysonHowe Family Practice, Travis Air Force Base Fairfield, CA NEW YORK. NY Niels G•thgen General Surgery, Hospital of St. Raphael EW HAVEN, CT Shirley Huang Pediatrics, University of orth Caro lina Hospital Rose Graham Pediatrics, Children's Hospital of Philadelphia c CHAPEL HILL, PHILADELPHIA, PA Madhuri Guntupalli Surgery (Prelim), RushPresbyterian-St. Luke's Hospita l CHICAGO. IL; Ophthalmology, RushPresbyterian-51 Luke's Hospital CHICAGO, IL Alissa Huston lntemal Medicine, University of Rochester/Strong Memo rial Hospital ROCHESTER, NY Adriana Kaczaraj Internal Medicine, Mt. Sinai Hospital NEW YORK, John Hannibal Law School Y Y Kevin Stanley, 25. of Oswego. NY, vociferously shares his results. On his right is Madhuri Guntupalli and to his left. Andrew Stone. . .• L ... z . .c L S 11 111 111 er 2 00 0 Buffalo Ph ysician 15 �M E D C A L N ScHOOL E Second·year student Sandy Singh and his sister. Abhilasha (Abby) Singh, 25. below. await news about her match results. w Jennifer Kam Brian Klagges William Lighthart Medicine (Prelim), SUNY/Buffalo General Surgery, Surgery (Prelim), Graduate Medical-Dental Education Consortium BUFFALO, NY: Diagnostic Radiology, Rochester General Hospital ROCHESTER, NY HeyJooKang Obstetrics/Gynecology, New York Presbyterian Hospital-Cornell NEW YORK, Y Reshma Katira Surgery (Prelim), RushPresbyterian-St. Luke's Hospital CHICAGO, IL: Ophthalmology, RushPresbyterian-St. Luke's Hospital CHICAGO, IL Mark Kenyon Pediatrics, Children's Memorial Hospital CHICAGO, IL ew England Medical Center BALTIMORE, MD Marta Kolthoff Jennifer Lin Obstetrics/Gynecology, University Health Center General Surgery, University of North Carolina Hospital PITTSBURGH, PA CHAPEL HILL, Matthew Krauza Steven Lo Internal Medicine, SU Y/Buffalo Medicine (Prelim), University Graduate Medical-Dental Education Consortium of Illinois College of Medicine BUFFALO, Neurology, University of Chicago CHICAGO, Y CHICAGO, Sharmeela Kuperan Medicine (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY HasitMehta Diagnostic Radiology, University of Texas Southwestern Medical School DALLAS, TX IL; IL Melinda Mesmer Medicine, Yale-New Haven Hospital NEW HAVEN, CT Alka Patel Todd Loftus Psychiatry, New York Presbyterian Hospital-Cornell Medicine/Pediatrics, University Hospital of Cincinnati CINCINNATI, OH Darshan Patel Justin Kwan Michael Logue Family Practice, Pinnacle Health- Medicine (Prelim), Intemal Medicine, New York Harrisburg Hospital Long Island jewish Hospital Presbyterian Hospital-Cornell HARRISBURG, PA NEW HYDE PARK, NY; NEW YORK, Neurology, Baylor College of Medicine General Surgery, SU Y/Buffalo Graduate Medical-Dental Education Consortium HOUSTON, TX Y c EW YORK, NY Eric Kirker BUFFALO, Union Memorial Hospital BOSTON, MA Y Penn State Geisinger DANVILLE, PA BUFFALO, NY Dionysia Mamais Jesenia Peiia Medicine/Pediatrics, Family Practice, SU Y/Buffalo Graduate Medical-Dental Education Consortium Emergency Medicine, Jason Lake Internal Medicine, Walter Reed Army Medical Center WASHINGTON, DC St. Vincent's Hospital Charles Lau NEW YORK, Medicine (Prelim), Brigham & Women's Hospital BOSTON, MA; Diagnostic Radiology, Hospital Y Rosemarie Mannino Everett Porter Medical College of Virginia Internal Medicine, University of Rochester/Strong Memorial Hospital of the University of Pennsylvania Andrew Mayer PHILADELPHIA, PA Internal Medicine, BUFFALO, Y Medicine/ Pedia tries, Mt Sinai Hospital EW YORK, Cedars-Sinai Medical Center Los ANGELES, CA Donald McDonald Y Graduate Medical-Dental Education Consortium y Daniel McKenna Pediatrics, SU Y/Buffalo Graduate Medical-Dental Education Consortium Robert Lewis BUFFALO, Internal Medicine, Talia McNamara Psychiatry, University of California at Los AngelesSan Fernando Valley Lenox Hill Hospital NEw YORK, NY ROCHESTER, Y Erin Reardon Emergency Medicine, Morristown Memorial Hospital MORRISTOWN, NJ Internal Medicine, SUNY/Buffalo BUFFALO, Jennifer Lee BUFFALO, NY Intemal Medicine, RICHMOND, VA Lynn Lawrence Pediatrics, SUNY/ Buffalo Graduate Medical-Dental Education Consortium Donna Peace Family Practice, SU Y/Buffalo Graduate Medical-Dental Education Consortium Jason Lorenc Y SEPULVEDA, CA Tara Reimer Pediatrics, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY Gretchen Schueckler. 32, from Buffalo. NY. on the phone to spread the news while receiving ahug from Catherine (Kate) Falkner, 25. �-------------- - - - - - - - - - - - - - - - - - - - -- -- ---------- ----- NehaSheth Richard Telesco Pediatrics, Pediatrics, Priya Wagner Pediatrics, University of Connecticut FARMINGTON, CT University Hospitals of Cleveland Medical College of Virginia CLEVELAND, OH RICHMOND. VA Phaelon Silva Felicia Tenedios Melissa Reyes Obstetrics/Gy!Iecology, lntemal Medicine, New York Hospitals of C leveland Family Leave Madigan Army Medical Center Presbyterian Hospital-Cornell CLEVELAND, OH TACOMA, WA NEW YORK, NY Abhilasha Singh Michael Tinnesz Emergency Medicine, McGaw Medical Center-Northwestern University Emergency Medicine, SUNY/Buffalo Graduate Medical-Dental Education Consortium David Rice lntemal Medicine, Wright Patterson Air Force Base DAYTON. OH CHICAGO, IL Walter Walek Surgery (Prelim), University BUFFALO, NY CamiRiley Intemal Medicine, SU Y/Buffalo Graduate Medical-Dental Education Consortium Graduate Medical-Dental Education Consortium Medicine (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium Medical Center Hospital St. joseph's Hospital Medicine/Pediatrics, Albany ALBANY, NY CHICAGO, IL Y, NY Lirim Tonuzi Graduate Medical-Dental Educatio n Consortium Medicine (Prelim), SU Y/Buffalo BUFFALO, Y Matthew Smith iiiternal Medici11e, SUNY/Buffa lo Graduate Medical-Dental Education Consortium Graduate Medical-Dental Education Consortium BUFFALO, NY; Neurology, SU Y/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, BUFFALO, NY Graduate Medical-Dental Education Consortium BUFFALO. NY MEMPHIS, T Christopher Santangelo Andrew Stone Psychiatry, Internal Medicine, ew England Medical Center WASHINGTON. DC BOSTON, MA Gretchen Schueckler Internal Medicine, Brown University Jason Stopyra Emergency Medicine, Wake Forest University Baptist Medical Center Michelle Watson Surgery (Prelim), SU Y/Buffalo Psychiatry, SU Y/Buffalo Kevin Stanley Orthopedic Surgery, Un iversity of Tennessee College of Medicine Georgetown University Hospital Medical Center Hospital ALBA BUFFALO, NY; Diagnostic Radiology, SUNY/Buffalo Robert Wang Rommel Tolentino BUFFALO, NY Samuel S'doia ANN ARBOR, Ml Transitional, Catholic Health- Beth Smith Family Practice, SUNY/Buffalo Stephen Wampler Family Practice, University of Michigan Hospitals Medici11e/Pediatrics, Albany Igor Sirotkin BUFFALO, NY Lynne Ross y Graduate Medical-Dental Education Consortium BUFFALO, NY Theresa Wendel General Surgery, RushPresbyterian-St. Luke's Hospital CHICAGO, IL Michael White Judith Toski Emerge11cy Medicine, Eastern Virginia Medical School Emergency Medicine, SU Y/Buffalo Graduate Medical-Dental Education Consortium Melissa Wolf BUFFALO, NY Family Practice, University ORFOLK, VA Hospitals of Cleve land Amy Van de Water Medicine/Pediatrics, University of CLEVELAND, OH Minnesota Medical School Emily Wong MINNEAPOLIS, M lntemal Medici11e, University of Michigan Hospitals Rosalia Viterbo General Surgery, SUNY/Buffalo ANN ARBOR, Ml WINSTON-SALEM, NC Graduate Medical-Dental Education Consortium Nora Yip Transitional, Mercy Hospital Marisa Stumpf BUFFALO. NY Un iversity of Connecticut PITTSBURGH, PA Obstetrics/Gy!Iecology, PROVIDENCE. Rl Bryan Scott ew England Medical Center Tracey Shanahan Pediatrics, Ohio State University/Chi ldren 's Hospital COLUMBUS, OH Kathryn Shanks Emergency Medicine, SU Y/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, y -- BOSTON, MA Britta Svoren Pediatrics, Boston Combined Pediatric Residency BOSTON. MA FARMINGTON, CT Roy Vongtama Medici11e (Prelim), Vladimir Zelenko Graduate Hospital Rabbinic Educatio11 PHILADELPHIA, PA; Radiation Oncology, University of California at Los Angeles JamaiZohur LOS ANGELES, CA Buffalo Graduate MedicalDental Education Co nsortium Cheryl Taurassi Eric Waffner Pediatrics, l11temal Medicine, SUNY/Buffa lo Long Island jewish Hospital Graduate Medical-Dental Education Consortium EW HYDE PARK, NY Ge11eral Surgery, BUFFALO, Medicine/Pediatrics, SU Y/ BUFFALO, Y Y S11mmer 2000 luflalo Physician 17 �M E D C A L SCHOOL E W . . ... c L �S ummer 20 00 luffalo Physician 19 �M E C D A L E SCHOOL W S Songs Give S1 Million to School p and his wife, Janet H. Sung, MD, \1 founder and president of four radiological practices in Western New York, including Windsong Radiology, P.C., are giving a $1 million cash scholarship gift to the University at Buffalo's School of Medicine and Biomedical Sciences. "What better way to show our gratitude and appreciad tion," says John Sung, "than to provide scholarships for UB CFO ) \\ Children's Health for Kids medical school students who have good grades, need the money and demonstrate soundness of character, including a genuine, caring attitude, generosity of spirit and leadership potential?" Janet Sung concurs that the gift to the university "has made us very happy because my husband is finally realizing a dream that began when he was a college student in Korea, working his way through "What better way to show our gratitude and appreciation." -John Sung school and depending also on scholarships." The Sungs' story began in Korea, where both were born and attended college. They moved to the United States as a newly married couple in 1972, arriving in New Jersey with only $200. While Janet Sung completed her residency, John Sung earned his MBA from Seton Hall University and completed his CPA training. In 1977, they moved to Buffalo, where janet Sung held positions in radiology with area hospitals. John Sung worked first for the accounting firm Peat Marwick Mitchell, then taught at Daemen College before working full time with his wife. In 1987, the Sungs opened Harlem Radiology, P.C., in a converted Pizza Hut. Today they operate Windsong Radiology, which employs over 120 people and is the only free-standing clinic in Western New York with full diagnostic accreditation from the American College ofRadiology. -SUZANNE CHAMBERLAIN Frawley Establishes Fellowship Award , .\ LJ 1 made the first presentation of the "Frawley Fellowship Award" to V. Uma Valeti, MD, who is currently completing his residency training in internal medicine at the University at Buffalo School of Medicine and Biomedical Sciences. Frawley established the fund this year to support "worthy medical/surgical residents for whom medical research represents a primary personal interest and passion." Valeti, whose goal is to pursue an academic career in cardiology, has completed cardiovascular research in the laboratory of Dr. John Canty. Receipt of the Frawley Fellowship will make it possible for him to continue his research on ischemic cardiomyopathy and hibernating myocardium. Frawley began his own research career with the study of adrenal physiology at UB and then at Harvard University. He continued research on the adrenal cortex and also in carbohydrate metabolism at the National Institute of Arthritis and Metabolic Diseases in Washington, D.C. From there he went on to become professor and chair of I .. internal medicine and director of the first Division of Endocrinology < and Metabolism at St. Louis University School of Medicine. ... 20 -S. luffalo Hysician A. CD UN G ER S umm e r 2 000 Compiled by Pamela M. Rose, MLS, Health Scie11ces Library, U11i1•ersity at Buffalo, 3435 ,\1aill St., Buffalo, .''JY 14214-3002; (716) 829-3900, ext. 129; pmrose@acsu.buffalo.edu. �PATHWAYS Click Appointed to Ped"a r·c Surgery Po t Following a national search, Philip L. Glick, MD, has been In Memoriam appointed surgeon-in-chief at Kaleida Health's Children 's Hospital of Buffalo, clinical director of the Department of Pediatric Surgical Services at Kaleida and division head of pediatric surgery in the Department of General Surgery at the University at Buffalo's School of Medicine and Biomedical Sciences. Glick, a staff member at Children's Hospital since 1988, is a professor of surgery, pediatrics and obstetrics/gynecology at UB, where he also serves as vice chair of surgery for research, and training director for the Pediatric Surgery Residency Program. A Los Angeles native, Glick completed his undergraduate T. BRONK education at the University of California at Berkeley. He graduated from medical school at the University of California at San Francisco, where he also completed residencies in general surgery and fetal surgery and served as chief resident in general surgery. He was a senior resident and chief resident in pediatric surgery at the University of Washington and at the Children 's Hospital and Regional Medical Center in Seattle. - S. A. UNGER Summer 2000 Buffalo Ph ysi ci an 21 �PATHWAYS EDITOR's NOTE: 1 tH;. JVUVH'J.If.g are brief introductions to faculty Scott Coffey, PhD Marc S. Fineberg, MD 1ssi<tatlt Pr.Jte<sc r Amsta•Jt ( timcal Professor Depart•nent of Orthopaedic Surgery c·r.iver<ity at Buffalo Sports \1edi:i JC Institute who have recently joined the Universztv at Buffalo School of Coffey joined UB's faculty in November 1999 as an assistant professor in the Department of Psychiatry and is affiliated with the Community Mental Health Center at Kaleida Health's Buffalo General Hospital. He earned his bachelor of science degree in psychology at Medicine and Arizona State University in 1988, Biomedical his master's degree from the Uni- SCiences. his PhD from the University of versity of North Texas in 1992 and Mississippi in 1996. Coffey completed his training at the National Crime Victims Research and Treatment Center and was a National Institute on Drug Abuse research fellow at the Medical University of South Carolina. Prior to coming to UB, he was a research associate in the Department of Rehabilitation Sciences in the College of Health Professions at the Medical UniversityofSouth Carolina. His research interests include drug craving and impulsivity in substance-dependent individuals and the treatment of trauma victims with a comorbid substance use diagnosis. Fineberg joined UB's faculty as an Fineberg's current research thopaedic surgery in August 1999. interests include procedural He is affiliated with the UB Sports advancements in anterior cruci- Medicine Institute, with active ate ligament reconstruction surgical time spent at Kaleida through the Cadaveric Arthro- Health's Buffalo General Hospi- scopy Teaching Lab; and mag- tal and Millard Ambulatory Sur- netic resonance arthrogram gery Center, and at Erie County active (MRAA), a new test de- Medical Center. Fineberg earned signed to increase diagnostic a bachelor of science degree in sensitivity for occult soft-tissue biology, cum laude, from Syra- injuries of the shoulder. cuse University in 1989, and a medical degree from Northwest- Paola Muti, MD ern University Medica l School in 4ssocia te Professor VepartmetJt of Son a/ and Preventive .\ledicJtJe Senior Associate Research Snentist Research ltJstJtutc 011 4ddJctions 1993. He completed a general surgery internship at New York University/Bellevue Hospital Center in 1994, and a residency in In july 1999, Muti was appointed pediatric orthopaedic surgery at as an associate professor in UB's Shriner's Hospital for Crippled Department of Social and Preven- Children in Tampa, Florida, from tive Medicine, where from 1995 to March to April1995 and january 1999 she had served as a research to February 1997. He was execu- assistant professor. Currently, she tive chief resident in orthopaedic also serves as a senior associate surgery at New York University/ research scientist in UB's Research Hospital for joint Diseases from Institute on Addictions, a position july 1997 to june 1998, and a clini- she has held since 1995. Muti earned a medical degree from Mun wAs APPOL 1TED AS A • A~sociATE PROFESSOR IN 22 l 1 1fa l o Ph ysici an Summer ment of Orthopaedic Surgery from August 1998 to july 1999. assistant clinical professor of or- cal fellow in sports medicine at TIVE MFDICI E, WHFRF FROM Massachusetts General Hospital! Harvard Medical School's Depart- UB's DEPARTMENT oF SociAL AND PREVEN- 1995 TO 1999 SHE HAD SERVED AS A RESEARCH ASS ISTANT PROFESSOR. 2000 �University of Pisa in 1984 and a master of science in epidemiology Druar Named Recipient of Naughton Award Christopher T. Sempos,PhD ship in UB 's Department of Social \ssocrate Professor Director ot Graduate Stud. Department of Sacral and Pn" P>Jt'"p \1 .,, · and Preventive Medicine. Her Sempos joined UB's faculty in No- from UB in 1993. From 1996 to 1999, she served a Buswell Fellow- 5 named the first recipient of the Naughton research interests are in cancer vember 1999 as an associate profes- epidemiology, specifically hor- sor and director of graduate studies monally related cancers, such as in the Department of Social and breast and prostate; and in research Preventive Medicine. He earned a methodology and biomarkers. bachelor of arts degree in anthropology from the University of M. Matthew Phillips, MD Wisconsin, Milwaukee, in 1973, and Cllllrcal Assistant Professor Department of Ortlropocd•cs master of science degrees in nutritional services and preventive med- Phillips joined UB 's facu lty as a icine/epidemiology at the Univer- clinical assistant professor of or- sityofWisconsin, Madison, in 1979 thopaedics in july 1997 and is and 1982, respectively. He completed affiliated with Erie a doctorate in nutrition sciences at County Medical Center and Kaleida Wisconsin in 1982. For more than Health ' s Buffalo Federal Civil Service as a health stat- General Hospital istician, during which time he was (BGH ). He earned project officer for the Framingham his bachelor of sci- and jackson heart studies at the PHILLIPS 15 years, Sempos worked in the ence degree, cum National Heart, Lung and Blood laude, in chemistry Institute. He also served as chief of from St. Lawrence retary for the Medical Alumni Association Nancy Druar, the longitudinal studies branch for University, in Canton, New York, the National Health and in 1987 and his medical degree Examination Surveys, and assistant utrition Award, as announced by dean John R. Wright, MD, on April29, 2000, at this year's Spring Clinical Day and Reunion Week· end. The new award, established by John Naughton, MD, dean of the University at Buffalo School of Medicine and Biomedical Sci· ences from 1976 to 1996, recognizes a nonfaculty individual who has made signifi· cant contribu· tions to the school. Such an individual, the award acknowl· edges, is one who "day in and day out, in his or her NA NC Y DRUAR own quiet way, makes our school, with its affiliated teaching hospitals, a stronger, healthier and happier place for the rest of us to learn, work, conduct research, provide patient care and teach." Druar, who has served in her current role since 1980, is responsible for I . from UB in 1991. He completed to the head for the World Health coordinating the day-to-day operations of the Medical Alumni an internship in general surgery Organization Collaborating Centre Association office, including communications, dues manage- at UB in 1992 and residency for Health and Nutrition Examina- training in orthopaedic surgery tion Surveys. His current research ment, financial reporting and budget preparation. In addi· tion, for the past 19 years she has taken a lead role in planning at the university in 1996. He focuses on the relationship of then served a fellowship in joint body iron stores to risk of cardio- replacement and lower-extrem- vascular disease. "ambassador for the school" and an individual who through Krackow, MD, at BGH from 1996 Barbara Stefanick, MD "kept the vital machinery of the alumni office moving, to 1997. His clinical interests in- \ssistant Professor of Clilllcal Pc,thologr Dcpartmmt of Patholo " advancing the school's mission in ways immeasurable." clude hip and knee replacements, ity reconstruction under Kenneth failed or revised hip and knee Nomination letters on Druar's behalf referred to her as an her "intelligence, pleasantness and diligence to her task" has replacements, lower-extremity deformity and knee orthoscopy. the school's annual Spring Clinical Day and Reunion Weekend. Stefanick, who joined UB 's faculty Druar received the award at the Annual Faculty Meeting on May 26, 2000. Other awards presented at the me be reported on in the fall issue of Buffalo Physiciat CD in july 1999, is an attending pathologist at Kaleida Health 's S umm e r 2 000 Buffalo Pbys i c i an 23 �PATHWAY Buffalo General Hospital. She earned her bachelor of science Bianca WeinstockCuttman,MD degree, magna cum laude, in biology from UB in 1990 and her medical degree, cum laude, from the university in 1994. She then completed her residency training in anatomic and clinical pathology at UB, where she served as cochief resident from 1998 to 1999. Stefanick is board certified in anatomic and clinical pathology, and her clinical interests focus on renal pathology. Weinstock-Guttman joined UB's faculty in November 1998 as an assistant professor of neurology. Her clinical affiliations are with Kaleida Health 's Buffalo General Hospital and Baird Multiple Sclerosis Center at Millard Fillmore Gates Hospital. WeinstockGuttman earned her medical degree at the University of Foundation, where he then served Bucharest in Romania in 1983. She an EEG/epilepsy fellowship from completed a rotating internship at 1996 to 1997. In june I998, he Carmel Hospital in Haifa, Israel, completed a pediatric residency in 1986 and a neurology residency at Rainbow Babies and Children at Sapir Medical Center, Hospital in Cleveland . Wein- Meir General Hospital, stock's primary research interest Kfar-Saba, Tel Aviv Uni- is in epilepsy, EEG and neuro- versity, in Israel, in 1992. physiology. At the Mildred In 1996, she completed a )assoy Long-Term Monitoring three-year Neuroimmun- Unit, he and his colleagues are ology Fellowship at the assessing whether patients could Mellen Center for Mul- benefit from epilepsy surgery. tiple Sclerosis Treatment and Research at the Cleveland Clinic Foundation. At UB, her research and clinical focus continues to be MS. Musicians, artists, dancers, actors, athletes, scholars ... we all love Nichols. • State of the art visual and performing arts center • Exceptional college placement record Prot s >r p a d '\/ ,r 'PI ~' '-'' I a t n Wilkinson, who joined UB's Department of Social and Preventive Medicine in May 1998, also serves as a professor in UB's Department of Oral Diagnostic Sciences, Weinstock joined UB's faculty in in the School of Dental Medicine. August 1998 as an assistant pro- Prior to coming to UB, he was an fessor in neurology and director adjunct professor in the Depart- of pediatric epilepsy and neuro- ment ofEpidem iology at the School physiology. He is affiliated with of Kaleida Health's Children's Hos- at Albany. Wilkinson earned his • Comprehensive community service program pital of Buffalo, where he is bachelor's degree in 1969, his director of the Mildred jassoy master's degree in 1971 and his • More than 60 sports teams Long-Term Monitoring Unit. PhD in 1973, all from UB. He com- • Average class size of 15 Weinstock completed a rotating pleted a postdoctoral research • Financial aid available internship at Carmel Hospital in training fellowship at Duke Uni - Haifa, Israel, in 1986, and a pedi - versity Medical Center in Durham, atric residency at Hasharon North Carolina. At UB, his research Coeducational grades 5·12 875-8212 1250 Amherst Street Buffalo, NY 14216 www.nicholsnet.net Acceptance granted to qualified students without regard to race, color, religion or national origin. laffalo Pbysician \/(flit I r ct r Jfl'ctlu, r1c tp1 rotcs<" JCpartmcllt • Challenging curriculum with 17 advanced placement courses Only one inveslrnenl lasrs a lifetime 24 Arie L. Weinstock, MD Cregg S. Wilkinson, PhD 5 u 111 m e r 2 0 0 0 Public Health, SUNY Hospital and Tel-Aviv interests include the ef- University, from 1987 to fects of low-dose radia- 1992. From 1993 to 1996, tion, and cancer induc- he served a pediatric tion related to environ - neurology fellowship at mental and occupational the Cleveland Clinic exposures. CD �- - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - --~ -- ~- -- the 63rd April29 2000 ACall to Physicians to Lend Their Voices Children's health in the new millennium BY jENNIFER LEWANDOWSKI AND s. A. UNGER Opportunities and Challenges," at the University at Buffalo's 63rd annual Spring Clinical Day held April 29, 2000, at the Buffalo-Niagara Marriott in Amherst, New York. The weekend event, which explored the theme "Children's Health Issues," was sponsored by the UB Medical Alumni Association. Hayes, the assistant secretary of Community and Family Health for the Washington State Department of Health, urged physicians to view the advent of a new decade and new millennium as an auspicious time to more proactively advocate for an improvement in children's health in our country. " It begins with a fresh commitment from each Pictured, letr. Maxine Hayes. MD '73. delivered Stockton Kimball Lecture. of us as individuals, wherever we are stationed, to be willing to move out of our comfort zone and get involved as advocates for children and their families," Hayes implored. "It might start with a small gesture: a telephone call to a powerful political figure, a letter to the editor of a newspaper, a talk at a PTA group, a testimony before a health committee ..• . I MAGINE A NATION in which the child poverty rate is the highest in the industrialized world . Imagine a nation in which social conditions are bringing about a rapid increase in youth depression, a nation in which children as young as preschool-age are being of a state legislature, a contribution to a child advocacy group, or through mentorship of a medical student. "We can all find ways to use the clout we have as physicians and stand up for children," she added, stressing that now is the time to reflect and focus on children, as "they do beautifully symbolize the promise of the 21st century." prescribed such antidepressants as Prozacand such stimulants as Ritalin. Imagine a nation in which youth in the fastest growing segments of the population are at the greatest risk for Hayes began her overview of the status of children's poor health status and care. The nation is the United States, and the challenges are health by presenting a historical survey of the development of medicine over the past millennium, highlight- growing exponentially, according to Maxine Hayes, ing the many strides made in health care, especially in the MD '73, who delivered the keynote lecture titled "The area of public health. From there, she turned her atten- Future of Children's Health in the New Millennium: tion to issues prevalent in the 21st century that threaten S 11mm e r 2 000 I u f fa I o Physician 25 �A L U M N our children, and ways in which physicians can take a leadership role function of America's families are also directly impacting children's in confronting these issues. Because chronic disease has supplanted acute illness as the pri- substantially more likely to have a family income below poverty than health. "Children who live in a household with one parent are mary threat to children's health, physicians who treat children today children with two parents," she reported. "In 1998, nearly 25 percent are faced with different challenges than were their counterparts in of children lived only with their mother and, today, more children the recent past, Hayes explained. Referencing data from the National live in step, blended, sequential or foster families, and many more Health Interview Survey on Disability, she reported that 15 to 18 are homeless." In all, "child poverty in the United States has nearly doubled since the 1960s," she stated. percent of all children today have "ongoing developmental, physical or mental problems that affect their functioning or that require compensatory services for maintenance of a functional level." These To this mix of social changes affecting our children must be added the fact that racial and ethnic diversity has grown dramatically in the conditions, she explained, range from such common diagnoses as United States over the past 30 years, noted Hayes, who predicted that, attention deficit hyperactivity disorder to severe psychiatric disor- after the 2000 census, "we will see a continuation of this trend." ders. "Assuring children's mental health and emotional well-being According to the Children's Defense Fund, Hayes said, minority children now make up 30 percent o f t h e populatiOn . under age 19, will challenge us in the new millennium," she said. Of special concern, she noted, is a rise in the reported incidence and by the year 2020, racial and ethnic minority children will make of depression in children, an increase she attributed to up 40 percent of the population under age 19. "Because minority "fHF BO.rOM the many "rapidly changing social conditions" encoun- chtldren are more likely to be poor than their non-Hispanic, white L,'<E IS "!HAT tered by today's youth. Hayes described a recent study of8,000 Americans 15 counterparts, they are often at risk of poor health status" she said. "And these children ca 11 no t b e ·tgnore d , as t h ey are fast becommg ' . the . PHYSIC lA "''>DO to 54 years of age in which only 2 percent of those age 45 HAVF ( lOl T. to 54 reported symptoms of clinical depression by their emergmg maJ·ority upon wh'IC h th.ts natiOns · , contmumg . . prospenty . and future will rest." late teens, while among 15- to 24-year-olds, 23 percent THE PROBLE~I reported serious depression before age 20. Furthermore, roo she said, teachers and pediatricians are documenting I<; fHAT more depressed youngsters than in the past. MANY 0~ U 1-AI ... lO l <;tIT." Among the "rapidly changing social conditions" that contribute to depression, Hayes said, are alterations in family structure, increased mobility of families and un- stinting exposure to global violence and unrest through television and the Internet. "With the click of a mouse, children can view graphic worldwide calamity and suffering," which causes increased levels of anxiety and Physicians today , Hayes sat·d , can h e1p counter these dtsturbmg . . trends in children's he a lth b Yb ecommg · .mvolved tn . one or more of the following four are nas.. po 1·tcy, practice, . research, and educatton . and training . . · With regard to po 1·tcy, s h e sat'd" strong mvestments 111 . preventton are key to assuring child health," emphasizing that "these mvestments are no 1anger a 1uxury or even a chotce." . . An example of such an mvestment 1·11 preventiOn, · . ts . the Chtldren's . s h e satd, Health Insurance Progran1 , w h.IC h sh e encouraged phystctans .. to become Compounding the problem of overexposure to calamitous news aware of and supp or t tn · t h etr · respecttve . states. In terms of practice and education, Hayes candidly told her audtence that "changt'ngde mograp h.tcs means we must d'tverst·ry our is the fact that many children today aren't provided with "the provider work force. We need practicing providers who are not only depression, she said. "As citizens of a global village, they are far less protected from worrying than children were in years past." anchors, the emotional support, they used to have growing up," tram~d 111 technical skills but culturally competent, as well." ow is divorce currently affects more than 1 million children in the U.S., the time, she said, for us to address the "- isms" in medicine-the "racism and se xtsm · th at create barners . to mutual respect and understand'mg. "Reterencmg c · the February 25 New England Journal and, at any one time in our country, some 500,000 children are in of Medicine editorial that addressed this problem in medicine as it foster homes, circumstances that further erode their emotional relates to gross inequities in the distribution of care, she added, "As support base and contribute significantly to depression. physicians, we need to acknowledge the role we ourselves play in closmg the gap in health disparities." Hayes explained. This is because children aren't spending nearly as much time with their parents as they did three decades ago. Also, Children are less "anchored" not only in a figurative sense, but in a literal sense, as well, because their families are relocating more fre- ln concluding, Hayes reiterated that, "As physicians, we have a quently, according to Hayes. Thirty years ago, children lived in one place umque opportunity today to make a difference for our children and for future gener a t"tons. sorne o f you may say ' I don ' t take care o f for an average of 21 years, a number that today has shrunk to seven. Hayes further explained that rapid changes in the structure and 26 The Badly Needed Clout of Physicians B u If a I o Physician S 11 111 m e r 2 0 0 0 CONTINUED ON PACE 28 �Medical Alumni lifetime Achievement Awards Honoring alumni for their outstand i ng contributions ach year at Spring Clinical Day and Reunion Weekend, medical alumni achievement awards are presented to graduates of the University at Buffalo's School of Med1cme and Biomedical Sciences who have made significant contributions to their fields. Recipients are nominated by their fellow alumni, with final selections made by the governing board of the Medical Alumni Association. This year's recipients are as follow: Richard H. Adler, MD '45 D . ..Jackson Coleman, MD 'GO ISO .. J.:c.ltl~wana ac<"CP _d 1 / Dr GcoriC Ellis For Dr. Richard H. Adler, former director of the Cardiothoracic Surgery Residency Program at UB's School of Medicine and Biomedical Sciences, receiving the Medical Alumni Lifetime Achievement Award represented "a valued gift from this fine medical institution" that launched and helped foster Adler's medical career, said Dr. George Ellis, who spoke of his friend's achievements and character. It was through his education at UB that Adler was given the opportunity to build on his medical knowledge at various institutions throughout the country and world, experience that prepared him for his return in 1949 to UB, where he served on the faculty until 1986, Ellis said. Perhaps the most notable experience for Adler, who also served as head of the Division of Thoracic Surgery at Buffalo General Hospital until 1986, was working in conjunction with his students and house physicians, who continuously stimulated his growth in medicine, Ellis said, adding that it was through his tenure at UB that Adler has been able to influence the next generation of UB students. In 1982-83, this service was recognized at UB, when Adler received the Louis and Ruth A. Siegel Distinguished Teaching Award with Honors. In all his work, he has been a staunch advocate of the clinician fulfilling the role of a caring provider, something he encourages his " Calling Dr. D. jackson Coleman a pioneer in ultrasonography and " ophthalmology, Dr. Thomas). Guttuso credited Coleman with discoveries that have increased the ability of ophthalmologists to ana- • lyze previously undiscovered diseases. "He is now a professor and chairman of ophthalmology at Cornell Medical College," Guttuso said. "He has won nine national awards and fellowships and he is credited with six inventions," he added, including an ultrasonically vibrated surgical knife, an apparatus for medicinally spraying an eyeball and a method for enhancing ultrasonic image data. In addition, Coleman has written some 56 book chapters, as well as a book titled Ultrasonography of the Eye and Orbit. He has also authored 120 publications, in 70 of which he is the first author, Guttuso said. As a visiting professor, Coleman has presented 16lectures throughout the United States and Canada, largely on the subject of ocular trauma. Coleman serves on the editorial boards oftheA11nals ofOphthal- mology and RETINA. In addition to being a diplomate of the American Board of Ophthalmology, he is a fellow of the American College of Surgeons and of the American Academy of Ophthalmol- younger colleagues to emulate, Ellis said. Adler believes wholeheartedly that "being a caring clinician and earning the trust and respect of a patient, is a cherished gift," Ellis concluded. CoNTINUED ON PAGE 2s S u 111 111 er 2 00 0 Buff a I o Physician 21 �A L U M N ogy. He also has served as president of the ew York Hospital Medical Board and on the Executive Faculty Committee at Cornell University Medical College. "He has contributed significantly, not only to his field, but to the knowledge of medicine everywhere," Guttuso said. "He is certainly the star of our class." Anil B. Mukherjee, MD '75 [.... vducec. Wl<. l.Ccep.cJ !J/ Dr. /urw s,ztbenlwrd A friend of Dr. A nil B. Mukherjee's since their early days of medical school in 1972, Dr. john Stubenbord explained that, after graduation from the UniversityofCalcutta in 1962, Mukherjee came to the United States, where he completed master's and doctoral degrees at the University of Utah. He then earned his medical degree from the N . Lynn Eckhert, MD '70 University at Buffalo 1975. After medical school, Mukherjee completed his residency training Jmnd ta t b; her broclnr, Dr. Kenneth H. Eckhert in internal medicine at Georgetown University, and in neonatal and "It's a privilege and honor to present this award to my sister," said Dr. a Kenneth H. Eckhert, who chronicled Dr. N. Lynn • pediatric medicine at the National Institute of Child Health and Human Development and at the ational Insti- Eckhert's achievements as a medical practitioner. After finishing medical school, Dr. Lynn Eckhert tutes of Health's Clinical Center in Bethesda, MD. Serving first as the senior investigator of the In all his work, pregnancy research branch of the NICHD and completed an internship at the Cleveland Clinic, said has been astaunch the NIH, then as chief of the section on molecu- advocate of the clinician lar and developmental genetics in the pregnancy her brother, himself a 1968 fulfilling the role of acaring branch, Mukherjee is currently chief of the sec- provider, something he tion on developmental genetics in the human graduate of UB. Shortly thereafter, she was married "to a wonderful physician encourages his younger genetics branch of the TCHD. Mukherjee, who served a brief stint as an who was studying at colleagues to emulate, Ellis assistant professor of pediatrics and human ge- Children's Hospital of said. Alder believes whole· netics at UB in the late 1960s and early 1970s, has Buffalo" and whose work heartedly that "being a also written hundreds of papers on genetics, with the Peace Corps took them to Oklahoma. "Lynn then took a residency in pediatrics at the University of Oklahoma, and from there she went "most of which I couldn't possibly understand," caring clinician and earning joked Stubenbord. the trust and respect of a Concluding, Stubenbord said he was hon- patient is acherished gift." ored to speak on behalf ofM ukherjee. "Ani! is a on to johns Hopkins University, where she became good friend, and I feel privileged to accept the I a Robert Wood johnson Clinical Scholar and re- award for him," he said. ceived her second master's degree-a master's in public health-in 1973," he said. Seven years later, she completed a doctoral degree in public health from johns Hopkins University. "A CALL TO PHYSICIANS" FROM PAGE 26 In 1984, she was named chair of the Department of Family and children,' or 'I am retired,' or ' I take care of children, but my practice Community Medicine at the University of Massachusetts Medical doesn 't involve children who are disadvantaged.' Others might say, 'I Center and, in 1991, codirector of the MPH Program at the am empathetic ... but I don't think I can do anythingaboutanyofthis.' university's Amherst School of Public Health. In the early 1990s, she served for one year as a visiting professor that too many of us fail to use it. It is true that most children in our "The bottom line is that physicians do have clout. The problem is in the Department of Community Medicine at the University of nation are in good health and have loving parents who tend diligently Zimbabwe and another year as visiting professor in the Department to their physical, intellectual and spiritual needs. But we live in an of Pediatrics at the University of Capetown. In 1994, she was named interdependent world and our destiny ... depends as much on Project HOPE's first William Walsh International Health chair. youngsters who are unhealthy, poor and alienated as on those who are cellor and dean of the International and Public Health Programs at more advantaged. "We can all find ways to use the clout we have and to stand up for the University of Massachusetts Medical Center. children," Hayes concluded. "They are depending on our voices. In 1997, she was appointed to her current position of vice chan- They are depending on us." 28 CONTINUED I u If a I o Ph ysici an Summer 2000 4D �I ----- ~~-- ~ ------------+~~---- FIRST ROW: ROBERT j. PATTERSON. V\ILLIAM S. WEBSTER, LEO ~~~NNING, ADELMO 0UNGHE, HELEN f. SIKORSKI: SECOND ROW: GEORGE TAYLOR, ROY '\<\'.ROBINSON, CARLA. CECILIA, RICHARD.). LEBERER, HY\IA:-1 TETEWSKY. ROBERT BERG.'ER, KARL MANDERS, WILLIA\1 STEIN. YALE SOLO\!ON, ROLAND ANTHONE: THIRD ROW: HENRY L. PECH, SIDNEY ANTHON E. ROBERT,'. Ku.·G. RICHARD LYONS ROBERT BENNINGER, GUYS. ALFANO, EuGENE.). LEFT TO RIGHT: ALBERT C. REKATE lYGAJ. jAMES Du.·N. Do:-~ALD THO\I~S. WARREN R. \!0:-<TGOMERY, jOHN G. 7.0LL, WILLIA\1 HILDEBRAND, j HIES P. SCHAUS. FIRST ROW: WINIFRED MERXA:-1, CLEORA K. KEELEY, jOHN H. PETERSON, C. DANIEL FAGERSTROM: SECOND ROW: S. JOSEPH LA\1ANCUSA, LAWRENCE f. BEAHAN . .)OHX H. KENT, fRANK.). GAZZO, ALBERT A. FRANCO. RAY G. SCHIFERLE, jOHN B. BAKER. FIRST ROW: HERBERT E. JOYCE, A. ARTHUR GRABAU, GE:O.:EVIEVE G. HOWEN. EARL K. CANTWELL ROBINSON, CHARLES E. JOHN G. WILES; SECOND ROW: "lORMAN GHASSIN, JOHN f. HARTMAN. WILLIA'.I S. ANDALORO, WAYNE G. Tn!PLER, IvAN W. KuHL, WILLIAM'\. MciNTOSH: THIRD ROW: K. jOSEPH SHEEDY. GEORGE M. ELLIS. jACOB S1 EINHART: FOURTH ROW: ROBERT l.AGLIA. GEORGE THORNGATE. IV. C. .\1. SCHOPP, \'ITO P. Summer 2000 laffala Physician 29 �SuMMER 2000 FIRST ROW : IRWIN STEINBERG, WILLIAM E. ABRAMSON; SECOND ROW : jOSEPH A. CHAZAN, EDWARDj. GRABER, fRANKLIN GLOCKNER. jAMES R. KANSKI, ROGERS. DAYER, SYLVIA SussMAN, HARRIS C. fAIGEL: THIRD ROW : jOSEPH C. >\NTKOWIAK, DANIEL A. GOLDBERG, H ARR I S ~.KENNER, L. LEITER, MARSHALL A. LICHT\IAN. ANDRE D. LASCAR!, NAOMI ALGIRDAS CAMZIUKAS, DONALDj. DONIUS. WILLIAMj. STEIN, DO!'iALD A. HA\O.IEL, D. jACKSON COLEMAN' GERALD DIESFIELD, EDWIN R. LAMM, EUGENE T. PARTRIDGE; FOURTH ROW : fRANCISj. KLOCKE. HARRY L. METCALF. DANIEL T. GIA!'o<TURCO. THO\I ASj. GUTTUSO, THEODORE S. BISTANY, ROBERT T. GUELCHER. ROBERT L. ~ALATESTA, DAV I D'\. FIRST ROW : SULAH MEGAHED, ALAN M. PODOSEK, STEVEN V. GRAB I EC, ALANj. f i NK, N. LYNN ECKHERT, LAURENCE :-...1. LESSER, WILLIAM f. BALISTRER I , D.H'IDj. ROSSMAN, AGNES \ I ESCHES. V. SZEKERES, DONALD SECOND ROW: HENRY L. P. COPLEY, jOHN D. fOLEY; WHITED, ARTHUR R. GOSHIN. THOMAS A. O'CONNOR, SHAFIC Y . TWAL, WILLIAM j. fiDEN, \ I ICHAEL FIRST ROW : ARTHUR M. L. LIPPMAN!'i, jA:-i ~-NOVAK. MORRIS, LANCE fOGAN, IRA HINDEN, SECOND ROW : jOSEPH G. CARDA~IONE, GEORGE B. ~OORE, GARY H. JEFFERY, GEORGES. STRAUSS, H. ELLIOTT LARSON, BENJAMIN j. WHERLEY. !1-frCHAEL S. FEINBERG. AUGUST J. D'ALESSANDRO. FIRST ROW: DAVID KLUG, LEO R. ~UIDO, \1ARY ELIZABETH ROEHMHOLDT, ~ ARGUERITE DYNSKI, LYKNE HOCHBERG PACE, BRENDAN C. BRADY; SECOND ROW: PAUL D. TRAUTMAN, HENRY P. TOMIAK, DENNIS C. WHITEHEAD, LAWRESCE C. MILLHOFER, WILLIAM I. COHEN, LUDWIG LICCIARDI, jACK CUKIERMAN, ~ARC 30 lullalt Hysician SummL'r 2000 F. P. fREER, jACK COLMA!>, jOHN H. HEDGER, jOHN C. STUBENBORD, jOHN LOVECCHIO. �----- ----- ----~~~~~------------ ---~ - - - - - ~-- FIRST ROW : MATTHEW G . SALTARELLI. MARC K. KLEME~TOWSKI. GALE BURSTEIN BL00\1, ~1ICHAEL B. MARINO, !\'IZA:\1 RAZACK, ANN RIZZO; SECOND ROW : PETER BLOOM. LIDIA V. WENZ, NGOZI 0SUAGWU, EILEEN M. SALTARELLI, VALERIE VULLO SAENGER, MICHAEL LICATA, RAYMOND V. PAOLINI. LAURA PANEBIANCO, jOYCE jANICE E. N. J. NICHOLSON. STEPHEN M. PATERSON, ALICE PIEN MILGROM. ERRICK, SHOBHINA G. CHHEDA. SuzzETTE N. ROBINSO'I, STEVEN j. HOWARD. DENISE ALOISIO, VIRGINIA FIRST ROW : BARRY A. CLARK, ROBERT SHALWITZ. PETER H. GREENMAN. MARK S. BORER, EvA KLO~OWSKI, LYNN \1. E. ROBERTSON; TH IRD ROW : PETER WINKELSTEIN. EDWARD F. KOWALSKI, ROBERT j. LEON. SEAN CAO, RAGHU RAM, l. STEINBRENNER, fRANK W. SANCHEZ, THOMAS DOUGHERTY; HOWARD SECOND ROW: ~! ARGARET W. PAROSK I , CONSTANCE B. LIVERPOOL. GREGORY D. SA:>.!BUCHI . RA:-.:JAN BHAYAI'<A. STOLL, MICHAEL HAYMAN, STEVEN F. LE:-.:Tz, THERESA STEPHAN HAil'S, EDWARDj. ROCKWOOD. LEFT T O RIGH T: KAREN E. DULL, TRACIE DIMARCO, MARTIN C. :v!AHONEY. TARA SOSA PAOLINI. PATRICIA A. KREBS. STEVEN M. FINKELSTEIN, GARY j. 'l!ELAN, DANIELLE NOTEBAERT FEELEY, ARAVIND HERLE, KATE GUERNSEY ACKERMAN. MIROSLAV P. BOBEK. GREGORY A. MCDANIEL. F I RST ROW : ELIZABETH l. MAHER. C. ADRIANA ALVAREZ, LUCIE A. DIMAGG I O, ELIZABETH SPATOLA; SECOND ROW : LOU ANI\ GART:-;ER,jOSEPH A. ZIZZI, RAYMONDj. MEEKS, CAROL HAMMER FORSTER, MARGARET E. REIDY, SHIRLEY V. GALUCKI, BARBARA P. UPPAL. ELAI:o.;E SCHAAF, LAUREL A. \1. STIDHAM; THIRD ROW : THOMAS B. ~1ICHAEL P. NANCOLLAS. CARLj. TURTSS I !\1. PFEIL. LY:\DA COWAN, IRA S. HANDLER, jACK F. COYNE, DAVIDj. FoRSTER. DoNALD TINGLEY. jOHN LEDDY, jAMES M. ESSER. jOHN R. FUDYMAN, M I CHAEL LAHOOD, DALE W. SPONAUGLE. Spri11g 2000 lufl al 1 Physicia n 31 �0 E V E L 0 P M E N T N E s w Tomorrow's Traditions Be ·nToda By Li nda J . Cor de r , Ph0, CFRE of memory and hope. region, joined with the medical school as official spon- extends back through the generations to a small group of sors of the Mini-Medical School for the next ten years. Buffalo citizens, primarily physicians and attorneys, who This is the third year that UB has participated in the founded the University in 1846. Their dreams included White Coat Ceremony. One ofouralumni, Don Pachuta, awarding degrees in all fields, being nonsectarian in governance, and training professionals to serve their region. History of Medicine at the University of Maryland, real- Ourcommunitynowextends to all states and throughout the world, where physicians, surgeons and scientists minds and hearts of future doctors, so initiated an en- institutions-labor in hope, providing tools for lifelong learning, nurturing curiosity and humanity. inaugural lecture himself. Both events reinforce that medicine is an art and that healing often has more to do The mission of the development staff is to serve as a with authentic communication between human beings catalyst to deepen and expand this noble endeavor. Our work complements that of faculty and administrators and than with the latest technology or complex equipment. In the fall, the Pathology Department will initiate a lecture in memory of Dr. Kornel Terplan, who earned an international reputation for his research in the areas professors and to express their appreciation for the educa- of tuberculosis and neonatal neuropathology. •.. \I E ll I C I -.; I much as possible about the dreams and priorities for the sons initiated the endowment, with the reminder that \1 0 R E T 0 ~ T IC B E T \\" E E :\ \\"\T\1 32 0 F T I \: \) 0 school's future. "although educational content and educational tools We listen to will change from century to century, the need to the stories of develop healthy minds, healthy bodies and a healthy alumni and environment will not change. We will always require friends, seeking disciplined scholarship, hard work, honesty, humility, C 0 .\1 \I L '.; I C. AT I 0 I A"\ EST C 0 \t P L E X I u I I a I o Phys ician ~ T II ·\ :"' TEl 11:-:01E Q L I P \I 1- ;-,: T . S11mmer humor and skepticism of the unproven . .. " On a final note, the first annual aughton Award to help the school realize was presented at the annual faculty meeting on its vision. Then, we en- May 24, 2000. This endowed award-established by Dr. john aughton for the "unsung heroes" of our This spring, Dr. Harry RT II A S \1 I T H H U :\t A ;\ B F I ' (, S TilE 0 R ~ I S A :-; H \· A I I :-; <; Dr. Terplan served our school and that department as chair for over three decades, and even those of us who never met him feel his presence in our community. His able them to "just do it." 0 GY Physician." This August, Dr. Pachuta will deliver the and friends an opportunity to "give back," to honor former finding those who want L T H I dowment to ensure that the tradition will be ongoing. He enhances the students' experiences. It also provides alumni common threads, ~ ized the personal importance of this ceremony in the also made provision for a special lecture for returning second-year students, with the theme "Dear and Glorious Development officers are matchmakers. We learn as :-; ll who served for many years as professor of Ethics and the use skills and knowledge they learned in Buffalo. Our immediate community, those who study, conduct research, guide grand rounds, and otherwise work within the school's walls-and in its network of affiliated tion and opportunities they received from the school. .~ known for their support of activities that enrich our Our community transcends both time and distance. It school-is described in detail on page 23. Sultz, founder of our Thus do the values in the school's collective memory Mini-Medical School, become the foundation of its future hope. Together, mem- was honored in a special bers of our unique community facilitate that process. 4D "Health Care Heroes" issue of Business First. At about the same time, Don and Esther Davis, Lyn Corder is associate dean and director of development. Slzemaybereachedbyplwne, tollfree,at l-877-826-3246,or by e-mail at ljcorder@buffalo.edu. 2000 �Dear Fellow Alumni, F\\t>lhiiJT T!H ~ A ""r)r I\ rrn \Jfri)(Af A11 I would first like to thank our outgoing president, Dr. Richard L. Collins, for the outstanding job he has done in leading our organization. Dr. Collins was successful in solidifying two wonderful programs during his tenure: The first was the Physician-Student Mento ring Program, which has become a huge success. The second was the White Coat Ceremony, in which first-year students are given their clinical white coats on the first day of their orientation to medical school; this is done in the presence of their families and many of the faculty members. On April 29, 2000, we held our annual Spring Clinical Day at the BuffaloNiagara Marriott. The program was titled "Children 's Health Issues," and our keynote lecture, delivered by Maxine Hayes, MD '73, addressed the future of children's health in the new millennium. For a report on this insightful and informative lecture, l refer you to page 25 of this issue of Buffalo Physician. This year, we plan on continuing all of the programs that have been offered to both the alumni and the medical students in the past. I would, however, like to focus on membership in the Medical Alumni Association. I know how valuable a physician's time is. Nevertheless, l do feel that as our university continues to make great strides in the medical community, our alumni association should be matching those strides step for step. We need to have a strong base of alumni-not only our older graduates, but also our recent graduates-to support the school in every way possible. We offer a lifetime membership that is very economical, especially for younger doctors who plan on being in the alumni association for the next two to 30 years. Our lifetime membership is also a way for older physicians who are in a more stable situation to support the alumni association and its programs. You 'll be hearing more from me in the fall about increasing our membership and the percentage of alumni who become lifetime members. If any alumni have ideas they wish to share or would like to volunteer their time to help with the association, please contact me at (716) 829-2778. !look forward to this upcoming year as one in which our association will grow and prosper. President, Medical Alumni Association 5 11 111 111 er 2 00 0 Bu If a I o Physician 33 �CLASS 1940s Edward Tracy, MD '43, writes: "I enjoy Buffalo Physician. It's good to hear about classmates, etc. I have been married 57 years to the same "Chick" (that's her nickname!) and we have seven children, all of whom are married. Two graduated from West Point Military Academy and two from The Citadel. Three of my daughters were educated in France. We have 15 grandchildren and one great-grandchild. I am still very active in private practice-internal medicine-and teach, pro bono, at the Medical University of South Carolina. The best to all of you, especially my classmates." 1960s Joseph A.Chazan, MD '&D. received Univer- sity at Buffalo's Distinguished Alumni Award at the Alumni Association's annual awards dinner on April 7, 2000. Chazen is founder of the Rhode Island Di- NOTES active in many civic, religious and arts organizations. He has served for nearly a decade on the UB School of Medicine and Biomedical Sciences alumni board and is a former chairman of UB's general alumni fund drive. Michael E. Cohen, MD '61, received the Samuel Capan Award at UB's annual Alumni Association's awards dinner on April 7, 2000. Cohen is professor of pediatrics and neurology and former chair of the UB's Department of eurology, received the Samuel P. Capen Award-the alumni association's most prestigious prizeon April 7, 2000. The award is presented for notable and meritorious contributions to the university and its family. Director of pediatric neurology at Kaleida Health System's Children's Hospital of Buffalo since 1978, Cohen and his UB colleague, Patricia Duffner, MD, coauthored the alysis Program and medical director of the Rhode Island Artificial Kidney Centers. He has made significant contributions to his community and is 34 lu ffalo Pbysician Wels Receives Chancellor Charles Norton Medal Philip B. Wels, MD '41, visionary and dedicated Biomedical Sciences, received the Chancellor benefactors of time, the Medical Alumni Charles P. Norton energy, ideas and Association's Medal-University at key funding. A uni- Achievement Buffalo's highest versity Founder and Award and the honor-on May 14, trustee of the UB Chancellor Capen Award. In 1997, 2000, during UB's 154th Foundation, Inc., general commencement. Wels has been the he was awarded Wels, who is Professor recipient of many the President's Emeritus of Surgery and awards from UB, Chair Emeritus of the including the Distin- than 60 years of ongo- Medal for more University at Buffalo guished Alumni Award, ing service to the UB Council, has long served the Dean's Award in the community. UB as one of its most School of Medicine and highly regarded textbook Brain Tumors in ties, including chair of the Tissue Committee and Representative of Private Practice to the Executive Committee. He is also a clinical associate professor of surgery at UB's School of Medicine and Western ew York for 25 years and is currently a member of Advanced Cardiac Surgical Associates, PLLC, a Buffalo-based practice group. Biomedical Sciences. 1970s Children: Principles of Diagnosis and Treatment, now in its second edition. A member of the medical-school faculty since I 968, Cohen also serves on the Dean's Advisory Council. Joseph R. Gerbasi, MD '62, was honored by the Erie County Medical Center's (ECMC) Lifeline Foundation at its Springfest 2000 annual black-tie dinner on April 15. Gerbasi has been the surgical director of transplantation at ECMC since 1969 and has served the medical center in many capaci- BP Areta Kowai·Yern, MD '72, Ross L. Guarino, MD '66, was installed as the new president of the Medical Society of the County of Erie on May 9, 2000. Guarino, who succeeds Datta G. Wagle, MD, has practiced cardiovascular and thoracic surgery in writes:"[ have taken a position as burn research director and tissue bank director at Cook County Hospital, Department of Trauma, Burn Center, Chicago, IL." Gordon Avery. MD '74. McLean, VA, Orthopedic Surgery. "I have been an FL team physician for the past five years with the Washington assnotes S " '" m e r 2 0 0 0 �Redskins. I am past president of the County Medical Society." the Community Workshop. Please say 'hi' to everyone for us." John and Kathleen Braico, MD '74, Queensbury, NY, Richard J. Goldberg, MD '74, writes: "I'm cur- Pediatrics. "We have been happily married for nearly 28 years and have built a successful group practice (five pediatricians and two nurse practitioners). John does general pediatrics as well as neurodevelopmental evaluations for kids with learning disabilities and has greatly helped their educational success. We are raising two healthy boys. Besides our prac- rently professor of psychiatry and medicine at Brown University, and psychiatrist-in-chief at Rhode Island Hospital and The Miriam Hospital. Recent new events include starting as editor of the Brown Geriatric Psychopharmacology Update. Also, I'm halfway through a two year master's degree program in medical management at Harvard University." rjgoldberg@lifespan.org E-mai nity Health of the University of Massachusetts Medical School, Worcester, MA. l have a clinical practice at a community health center in Worcester." E-mail address is Lasserd@ummhc.org Eric Russell, MD '74, Chi- cago, !L, Neuroradiology. "I was elected president of the American Society of Neuroradiology, 19992000. I am professor of radiology at orthwestern University Medical School and director of neuroradiology at Northwestern Memorial Hospital. l have published over 100 scientific publications/ book chapters." erussell@nwu.edu ~NTIN U ED ON PAGE 37 J. Manzella, MD '74, York, PA, Internal Medicine. "We take care of approximately 250 HIV patients." lf-jmanzella@ AGenerous Gift of Suppon yorkhospital.edu Diane Matuszak. MD '74, Columbia, MD, Preventive Medicine. "!have served as a local health officer ( 1982-1984) and as a state public health official for the past 14 years in the Maryland Department of Health and Mental Hygiene." Summerr@compuserve.com will provide a renewable tuition scholarship for at least one student in each Sanford Pleskow, MD '74, tice, we are both instructors for neonatal resuscitation. Kathy is a pediatric advanced life support instructor, and for six years she has been medical director of the Hole in the Woods Ranch camp for children with serious and chronic illnesses. She participates in an annual medical mission to Gua temala. John has been on the board of Head Start for 20 years, and Kathy is on the board of Howard Goldstein. MD '74. Cherry Hill, NJ, Adult and Pediatric Urology. "Children: Lee is a junior at Yale Medical School; Lauren is a sophomore at Columbia University; and Daniel is a junior at Cherry Hill High School." Daniel Lasser, MD '74, eedham, MA, Family Practice. "My current position is chair of Department of Family Medicine and Commu- Williamsville, NY, Internal Medicine."! have been happily married for 29 years (same person). Hobbies are travel, hiking, tennis and exercise. I have a daughter who is applying to medical school." says she worked hard to earn John Rowlingson, MD '74, he~ education during a period when state schools awarded scholarships Earlysville, VA, Anesthesiology. "My years of practice have taught me the importance of making pain management a priority. When the case is beyond your skillsget help. Remember, we can't help patients who won't help themselves." Jcr3t@virginia.edu While in medical school, she earned scholarships and summer jobs covering the costs of books and room and board. After completing training, GoHschalk practiced general surgery witli S limm er 200 0 B u If a I o Physician 35 �C L A N 0 T E he first Minority Alumni Reunion of the University at Buffalo School of Medicine and Biomedical Sciences was held April 7-9, 2000, at the University Inn and Conference Center in Amherst, NY. "Coming Together for the New Millennium" was the theme for the event, which included social gatherings and an educational program that focused on advances in the prevention and treatment of common health problems encountered in minority communities. The keynote address for the reunion was delivered by Kevin Greenidge, MD '77, who spoke on "Health Care Access without Health Care: A Minority Dilemma." Greenidge is professor and chair of the Department of Ophthalmology at the SUNY Health Science Center at Brooklyn. The following Classnotes were submit· ted by several attendees of the reunion: JOSEPH OE.JAMES, 36 8 u I I a I o Physician S11mmer 2000 \10 '96 KEV IN GREEN IDGE , \10 '77 �William Sperling, MD '66, Honored William Sperling, MD '66, has been named that meet monthly, bringing together pulmo- the "Dale Daniel, MD, Memorial Partner of nary physicians and thoracic surgeons from the Year" by the Southern California Kaiser Permanente, Balboa Naval Hospital Permanente Medical Group (SCPMG), a and UCSD to learn from one another and to partnership of SOO physicians who care for improve the care of patients. County Pulmonary Society and has worked health maintenance organization. Sperling joined SCPMG in 1974, when Kaiser with the San Diego County Lung Association Permanente was only seven years old in to help establish a Better Breathing Club for San Diego. He is credited with establishing William Sperling, MD '66 an ongoing relationship between SCPMG's chronic pulmonary disease patients. He has also chaired the Tobacco Free 2000 Commit- Internal Medicine Department and the tee for the San Diego County Medical Society and helped to residency program at the University of California at eliminate smoking in the local sports stadium and airport San Diego (UCSD). before state law required it. Sperling is a clinical professor of medicine at UCSD patients, understand their fears, reassure them and give addition to teaching at the university, he has actively them the best care possible," says Maurice Alfaro, a promoted pulmonary medicine educational programs colleague of Sperling's at SCPMG. Wynnewood, PA, Neurology. "I am very involved in a professional organization in the area of headache, and I Inc. I am spending my summers in Zimbabwe, Africa. BonniDutcher, PhD'7B. Amherst, NY, Orthope- Hoffman Estates, IL. "I am working as a medical science liaison for Genentech in Chicago. I set up the clinical trials with antibodies for cancer dies. "I am current chair of Credentials for Kaleida treatment. l would love to hear from old friends. " Health, president of orthtown Orthopedics, Bonnllll@yahoo.com and medical director of the Millard Fillmore Ambulatory Surgery Center. " Bennett Yogelman. MD '78. lecture extensively." Eschul6641 @home.com Paul Wierzbieniec, MD '74, Center for Women's Health and Women's Health Research, as well as the named recipient of the jean Manchester Biddick Professor of Women's Health Research. Their son, Paul, will start as a freshman at the University of Wisconsin this fall, and their daughter, Lindsey, will begin high school. Molly and Bennett have fond memories of medical 4:D trator of Brandeis University's business/ management graduate program from which I graduated in 1995." Magjersam@aol.com Philip Anson, MD '79, Scarborough, ME, Orthopedic Surgery. "After 14 years in a large subspecialty orthopedic practice, I took a twomonth summer sabbatical (as a Teaching Fellow ottingham, England) 111 and Molly Carnes, MD '78. school, where they met and are very grateful to continue to thrive in Leonard Katz, who Madison, WI. Both steered them to UW for are professors in the Department of Medicine their residencies. Phoenix, AZ. "I am retired from medicine and am now a rancher in Arizona, working for at the University of Wisconsin. Bennett is the associate chair for Robin Adair. MD '79, the Bitter Creek Land and Cattle Company, education and Molly is practice for the time (referee) for both men's director of the UW being to be an adminis- and women's lacrosse. Richard Zeschke, MD '76. eedham, MA, Pediatrics. "I've left clinical hotmail.com Snyder, NY, Internal Medicine. "I am currently professor of medicine and associate chief of the Division of Cardiology at UB." Canty@buffalo.edu Allen Carl, MD '79, "Lastly, he's never been too busy to listen to his and has been active in the pulmonary service there. In Elliott Schulman, MD '74, and spine) through AO-ASIF." Psalax@ John Canty Jr., MD '79, Sperling is past president of the San Diego patients in Kaiser Health Plan, a nonprofit I am also an oral examiner for the American Board of Orthopedic Surgery and a lecturer/ instructor (in trauma in I996 and opened a solo private practice on my return. I am team Slingerlands, Y. "I am professor of orthopedic surgery at Albany Medical College. My research involves spinal cord injury and scoliosis. In 1997 I had a traveling fellowship with the Scoliosis Research Society." Alscar@nyca p. rr .com Terence Chorba. MD '79, Atlanta, GA, Internal Medicine. "Buffalo is a great place to go to medical school and you were great classmates to be with." Tlc2@cdc.gov Peter Condro, MD '79, Richmond, VA, Nephrology. "Since 1985 I have lived in Richmond, Virginia, practicing with Richmond Nephrology." E-mail address is: physician for the U.S. Soccer Federation, on the los4441154@::ompuserv.com board of directors of the Margaret Garrisi, MD '79, Maine Lacrosse Foun- Scarsdale, dation and an official ductive Endocrinology S 11 m 111 e r 2 0 0 0 Y, Repro- CONTINUED ON PACE 38 Bu ffa l o Ph ysi c ian 37 �CLASS I CONTINUED FROM PAGE 37 and Infertility. Mjgraf@ mail.med.cornell.edu 98 Subhabrata Chakraborti, PhD '84, Tuscaloosa, AL, "!am working at the University of Alabama in the Department of NOTES Management Science and Statististics and am a professor of statistics. Published over 30 research articles and am associate editor of two statistics journals." Michael Mercado, MD '84, Windermere, FL, Family Medicine. "I've com- pleted 18 marathons since I graduated in 1984. I'm medical director at West Orange Family Medical Care (group practice) and Health Central Park (nursing home); and in-structor in Tang Soo Do Karate at the Traditional Martial Arts Center." A reception for alumni of the University at Buffalo School of Medicine and Biomedical Sciences will be held in conjunction with the Association of American Medical College's annual -.tlng October 27-November 2, 2000, in Chlcaco. Chlcaco MarrioH Kimberly Norris. MD '84, Middleville, Ml, Ophthalmology, and husband, Mike Nosanov, MD '84, Otolaryngology/ Head and Neck Surgery. "We practice together in our own practice, eye and E. .T. specialists, in Hastings, Michigan. l [Kimberly] am actively involved in childhood vision screening research and program development." Mnosanov@voyager.net William Reichman, MD '84, Princeton, N), Psychiatry. "I am director of the Division of Geriatric Psychiatry at the Robert Wood Johnson Medical School and vice chair of the Deptartment of Psychiatry. I am also COO of our university's Behavioral Health System." Reich man@u md nj.ed u Kevin Rosteing, MD '84, Green Bay, WI, Internal Medicine. "We live in Green Bay, a 'cool' beautiful place on the Great Lakes. We own a boat and spend some wonderful time on the water with our children." Kevinr@gbonline.com 38 Buffalo P bysician S 11111111 C r 2 000 Look for more information at the conference, or contact Mary Glenn at I 877) 826-3246; e-mail glenn@acsu.buffalo.cdu. Randall Solomon, MD '84, and Susan Abbott, MD '84, Setauket, NY, Psychiatry. Randall writes, "My wife, Susan, and I are both in private practice of psychiatry. Susan is medical director of]. T Mathe Hospital's adolescent inpatient psychiatric unit." Rsdomon3@bigfoot.com Michelle Stram, MD '84, Chalfont, PA, Internal Medicine. "I've been in a very successful, busy cardiology group practice. I am the managing partner of our office that employs a staff of 25. Michael Kaplan (internal medicine and endocrinology resident and fellow at UB) and I have two wonderful children David, 6, and Sara, 4. Mstram@worldnet.att.net John Oyster, MD '84, Lewiston, NY, Family Medicine. "I am assistant director of Niagara Falls Memorial Medical Center Family Practice Residency and a member of the medical school's Admissions Committee." David Crandell, MD '89, Needham, MA, Physical Medicine and Rehabilitation. " I am team physician for the Ballet Theatre of Boston. Team physician, U.S. Disabled Sports Team, Athletics World Championships, 1994, 1998." Carol DeCosta, MD '89, Brooklyn, NY, Physical Medicine and Rehabili tation. "I worked as a physician for the 1996 Olympic Games in Atlanta. Recently I started a private practice in rehabilitation and sports medicine in Brooklyn Heights, New York. Cdale2810@aol.com �Anna Hart, MD '89, Ports- mouth, VA, Otolaryngology/Head and Neck Surgery. "I was a U.S. aval Flight Surgeon for more than five years, stationed in Florida, then Washington State. I resumed my residency in otolaryngology/head and neck surgery in 1995 and will start as chief this summer. I have presented papers at several meetings, including the Academy of Otolaryngology/Head and eck Surgery and have also wife, Stacey, and l have an 18-month-old son, Ian, and are living in Westchester County, New York. Silberj@ rockvax. rockefeller.ed u Stuart Varon, MD '89, Baltimore, MD, Child Psychiatry. "I am medical director of child psychiatry at Sinai Hospital of Baltimore and an instructor at johns Hopkins University School of Medicine." Svaron@sinai-balt.com In Memoriam Thomas A. March, MD psychology at the VA Cen- South Buffalo for about '31. tral Office in Washington, 50 years and was on the age 96. March D. C., and as the director staff of Mercy Hospital was born in New Castle, of the VA Hospital at for 42 years. From 1957 PA. In 1946, after earn- American Lake, WA, to 1997, he served as ing his medical degree where he retired in 1973. associate medical direc- from UB, he completed In May of that year, in tor and later medical postgraduate training honor of his contributions director fo the Buffalo neurology and psychiatry to psychiatry, March was Chapter of the Blood at Columbia Unaversity. elected a Ufe Fellow by Collection Program of He entered the U.S. Army the American Psychiatric the American Red Cross. Air Force Medical Corps Association. He is sur- He was also a clinical in 1942 and became a vived by his wife, Rorie; instructor at UB for more flight and group surgeon daughter, Peggy Ander· than 40 years. In addition for the 8th Air Force son; son Thomas D. to his wife, Eleanor, he is published three papers. I am on the editorial 1990s Squadron based in En- March; and stepsons survived by five daugh- review panel for our academy's (Oto/H S) journal, which keeps me busy as well." Email is: Toddandkristina@msn.com Lyn M. Oyster, PhD '90, gland. He achieved the Richard and Greg Nace. ters and three sons. received University at Buffalo's Distinguished Alumni Award at the Alumni Association's rank of Lt. Colonel and Elton Rock, MD '59, 1947, March joined the Edward L. Valentine, MD '45, ent died Febru- Veterans Administration ary 25, 2000, at age 80. Alzheimer's Disease. Department of Medicme A World War II veteran, Rock started the Depart- in Pittsburgh, PA. During Valentine served in ment of Gastroenterology his VA career, he served Batavia, New Orleans and at Sisters Hospital in as the director of the VA Asheville/Black Mountain, 1970 and headed It until Hospital at Bedford, MA, NC, as a Navy medical illness forced h Oyster is a founder and as the deputy director of officer. He had private retire in 199 president of GenCyte, LLC, a microbiology company that patents genetic markers for breast cancer. The company will leverage its skill base in molecular biology, microbiology and cell culture to perform biologic laboratory services. It also plans to develop cellculture products for sale psychiatry, neurology and practices in Elma and Andrea Messina, MD '89, Wayzata, M , Obstetrics/Gynecology. "Hugh eeson and I work in the same large multispecialty group with over 350 physicians in Minneapolis. I never thought a neuroradiologist and OB/ Gyn would work for the same group; it's supposedly the shape of things to come." Jeffrey Silberzweig, MD '89, Elmsford, NY, Internal Medicine. "I am currently the medical director of the Rogosin Institute's Queens Dialysis Center annual awards dinner on April?, 2000. Cornell University Medical College. My American Academy of Orthopaedic Surgeons during ceremonies at the academy's 67th annual meeting in Orlando, FL, on March 15, 2000. after a long battle with CD Maxillofacial radiology child. We are moving at Virginia Commonwealth University School into our first home, in Rockville, Maryland. I of Dentistry, MCV campus, effective am presently an assistant clinical professor at George Washington August l, 2000. Elissa (Jaffe) Bookner, MD '91, see Scott Bookner, Richard Safeer, MD '93, writes: "After finishing University and the associate program director of the Family Practice MD '89. my residency in Ba ltimore, I married a won- Residency Program there. I am really enjoying teaching and, in to niche markets. Laurie Carter, DDS '83, PhD Glen M. Ginsburg, MD '90, derful woman. A year '93, has been appointed of Omaha, NE, was in- and a half later, we are associate professor and ducted as a fellow of the pregnant with our first director of oral and and an assistant professor of medicine at served in the Air Force Reserves untii19S3. In 5 11 111 111 e r 2 0 00 I CONTINUED ON PAGE 40 Bullalo Phys i c i an 39 �CLASSNOTES particular, I have had a chance to do some writing and lecturing on the topic of cholesterol management." New Alumni Association Sarah Finnegan, MD/PhD '94, has received a Electe Alumni Association. Duffner is a UB professor of neurology and pediatrics and a physician in the Depart=- John J. Bodkin, II, MD, was elected presi- ment of Neurology at Children's dent of the Medical Alumni Association on Hospital of Buffalo. April 29, 2000, at Spring Clinical Day. $10,300 grant from Fight for Sight, the research division of Prevent Blindness America, to conduct a study titled "Human Photoreceptors in Culture: Growth Factor Requirements and Potential Gene Therapies." <I;) Bodkin, a 1976 graduate of UB, is Colleen Mattimore, MD, class of 1991, is a clinical associate professor of the new treasurer for the association. family medicine and president Mattimore, a UB clinical instructor of of the Highgate Medical Group in pediatrics, is on staff at Williamsville, NY. Kaleida Health's Children's Hospital and Mercy Hospital Patricia K. Duffner, MD, class of 1972, of Buffalo. becomes vice president of the Medical A plan for living. Hospice really is a plan for living. And the sooner you call, the sooner we can help you put that plan into action - with emotional support, pain management, in-home care anythjng you need to keep enjoying life. Ca/1686-8077. TilE CE:-..:TER FOR H"')SPICE& PALLIATIVE CARE www. hospiceb1!{folo. com 40 luffalo Physician S11mmer 2000 ��- Based on FIMsM Data t t They were drJl sergeants- and cheerleaders~' - Frank Stelarski, stroke rehab patient, Harris Hill H.C.F Why do our patients have better rehab resuh:s compared to the national average? Maybe rt's our staff. ''They knew exactly how far to push me,' ' says Frank Stelarski.''But they also encouraged me every little step of the way. When you've been through what I have, that really means a lot.'' To leam more about the nationally recognized McGuire Rehabilrt:ation THE UJ1CGUIRE ~HABILITATll91'{ CENTE~ Centers, call 1-888-POSTACUTE or visrt: www.mcguire-group.com. 1\ccognizcd ror excellence in guality care. AUTUMN BP 000 1 0 1 VIEW • GARDEN GATE • HARRIS "*****" HILL • NORTH GATE � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 2000 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 2000-Summer Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v35n01-2000-Summer Table Of Contents A list of subunits of the resource. Safe and Sound Wake·up Call Baseline Scoring Medical School Pathways Spring Clinical Day Development Classnotes Alumni Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-14 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v35n01 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 2000 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/ccab49be147472dcc459717ee4d7dd5e.pdf a6913708f10bcf62f46ae02019168081 PDF Text Text �l1ffale P'ysiciaa ASS OC I ATE V IC E PRESID ENT F OR UNI V ERSITY SERV I C ES Dr. Carole Smith Petro Dear Alumni and Friends, DIRE C T O R OF P U BLI C AT I O N S Kathryn A. Sawner E DI TO R Stephanie A. Unger I l 5° I N 01 :51 - • f" 'Sl 1' At this writing, we have AR T DIRE C TOR/DESI GNE R just returned from our Dean's Advisory Committee meeting in Las Vegas, ably hosted by Alan]. Kegler joan and Max Doubrava (Class of '59). Max also arranged a mini-reunion of the Class of '59, and I am happy to report that class spirit is very much alive and well. Next month ASSISTA NT DESIGNER Lynda Donati we will be in La jolla to meet with another group of alumni. I have good news to report on the recruitment front: On May 1, 2000, Dr. john Yeh will be joining us as chair of the Department of Obstetrics and Gynecology. Also, on August 1, PROD UC TION COORDI N ATOR Cynthia Todd- Flick 2000, Dr. Kenneth Blumenthal will be joining us as chair of the Department ofBiochemistry STATE UN IVER S ITY O F (see pages 26-28 for details). Our next major challenge will be to shore up the Department YORK AT B U FFALO S C HOOL of Surgery, an essential medical school department that urgently needs some help. By now many of you have probably heard of the federal audit under EW OF MEDICINE AND BIOMEDI C A L SCIEN C ES Dr. fohn Wright, Dean way in Buffalo, involving the medical school and a number of its affiliated hospitals. This type of audit has been experienced by almost one-third of the medical schools in the country and has caused considerable concern at each location. In our very distributed system, it has been very difficult to monitor the practice plans as closely as would be ideal. But the bright side is that, once this is all over, we might achieve a more consolidated system. Similar audits are going on at Stony Brook and Downstate, but we don't have too many details yet as to where our own particular audit is headed. I just wanted to let you know firsthand in case you were to hear about it secondhand. Our medical students are putting the finishing touches on a "Professionalism Program," the centerpiece of which will be a student-generated code of conduct and student involvement in implementation. This has been a much hoped-for student-initiative for some time; thankfully-particularly in this increasingly difficult environment-our students have taken on the challenge. If you care to monitor progress, you can visit the students' website at http://www.smbs.buffalo.edu/CPCx.html. I am certain they would welcome your comments and input. We will be instituting several other facets of this important program at the resident and faculty levels, so stay tuned. We also plan to provide opportunities for input at Spring Clinical Day events. The Mini-Med School, directed by Harry Sultz and Alan Reynard, is a continuing success, and ours is the first in the nation to have a full-fledged "Mini-Med School Alumni Association." More than 2,000 participants have attended the program since its inception EDI TO RIAL BOARD Dr. Bertram Partin, Chair Dr. Martin Brecher Dr. Harold Brody Dr. Linda]. Corder Dr. Alan]. Drinnan Dr. ]ames Kanski Dr. Elizabeth Olmsted Dr. Stephen Spaulding Dr. Bradley T . Truax Ms.]ennifer Wiler Dr. Franklin Zeplowitz TEA C HIN G HOSPITALS Erie County Medical Center Roswell Park Cancer Institute Veterans Affa irs Western N ew York Healthcare System K ALEIDA H EAL TH: The Buffalo General Hospital Til e Children 's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital C ATHOLIC H EALT H SYSTEM: Mercy Health System Sisters of Charity Hospital Niagara Falls Memorial M edical Center in 1997, and Harry has received recognition for it from the community on a number of instances. just recently, he was recognized as a "Health Care Hero" by Business First, @TIE STITIINIYEISITJ I I lEI Ylll U lllllLD Western New York's business newspaper. In collaboration with the UB Law School, a program based upon a series of medical-legal vignettes and specifically targeted to the legal profession was launched on March 2, 2000. There is a lot going on here- some of it admittedly bordering on the unpleasant, but much more of it progressive and frankly uplifting. ~ ~C/~ ~ jn~:"N R. WRIGHT , Buffalo Physician is p ublished quarterly by the S tate University of New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It is sent, free of charge, to alum ni, facu lty, students, residen ts, and frie nds. The staff reserves the right to edit all copy and submissions accepted for publica tion. MD Dean, School of Medicine and Biomedical Sciences T...=.:.. University at Buffalo -:a=:s The State University ofNt'w York �V 0 L U M E 34 , N U M B E R G) p s y H c A N HEALTH SCIENCES AUG 1 4 2000 Features 2 Rehabbing from Within A doctor's tale of trauma, and the long road back BY jONATHAN BEAN , 8 14 MD ' 89 Little Ears, Big Infections Vaccine developed for treating otitis media and COPD BY S. A. UNGER In 1989, soon after beginning his internship, Jonathan Bean, MD, was severely injured when hit by acar while crllSsing the street. Beginning on page 2, Bean, aphysiatrist, tells of his journey back to health. Brain Drain New clues to how alcohol affects the aging brain BY LOIS BAKER ABOUT THE COVER RODS A~D jONATHAN BEAN HOLDS THE SCREWS IMPLANTED IN HIS PELVIS AND LEG AFTER THE ACCIDENT. CovER 12 Michael White, Class of 2000, returns to his adopted homeland of Brazil to complete an infectious disease rotation 18 Program to help students gain entrance to medical school 20 New institute established 21 Grant supports development of two new centers 26 Kenneth Blumenthal named chair of Biochemistry 28 John Yeh, MD, named chair of Obstetrics and Gynecology 30 A salute to the Class of 1945 31James Platt White Society Annual Listing PHOTO 36 News from your classmates and other UB alumni 39 Stuart Collins and Peter julian remembered BY j o s H LEVINE 41 Deborah, Christopher and Adam White Memorial Fund established �Photos by Josh Levine • ................. W-IIIIIIIHI(ast- aftlrllllltllh.,lar ............. ,llhl. I 1111111 ••r•lcl•• ��IKETHEINCANDESCENTBARRELOF ASHOTGUN, the two headlights bore down. There was no turning back. I took two running steps and dove for the sidewalk. In that instant, I recalled afootball game from my youth. After intercepting apass, I was able to dive over the goal line before the tacklers stopped my momentum. I had the elated sense that I would triumph again. Apiercing crack and the sudden sensation of being forcefully twisted through the air jolted such thoughts away. As I carne to rest, 10 yards down the sidewalk, the smell of concrete dust permeated my nostrils. I instinctively attempted to stand, but it became evident I could not control my legs. Blood and torn flesh covered my right thigh. As I untwisted to lie back down, an exquisite raw pain enveloped my pelvis. I cried out for help. No one answered. I cried out again, but in response heard only the receding sound of screeching wheels in the distance. Eventually, assistance arrived. In the ambulance, with the siren blaring, I considered what would occur next. I could see the paramedic's watch on his wrist. Ironically, I would arrive at work on time. Survey of the Damage Twelve hours later, in a clouded state, I awoke in the surgical intensive care unit. There was a lattice of metal rods screwed into my pelvis and a full-length cast encasing my right leg. Surgery had been lengthy. My pelvis had been fractured in two places and my leg in three. More surgery was scheduled for the coming days. The nurse pointed to a button near my hand, explaining that I could control the morphine dose myself. She suggested that I get some rest. Pain ran up and down my body. I gave a press and fell to sleep. When I next awoke, I was in a private room. Dr. M., one of the • l 1 1f a l e Hysiei11 Spr in g 2 000 most respected members of the medical staff, smiled down at me. He explained that I was under his group's care, that my surgery had been 36 hours earlier and that my anesthesia was still wearing off. With some hesitation, he asked, "You're going into physical medicine and rehabilitation aren't you?" "Yeah," I said, "at Tufts." He shook his head in disbelief and said, "Well, I guess you're going to learn rehab from the inside." He pointed to the morphine pump. "These PCA pumps are new. I'm not so sure they' re a good thing." Turning to leave, he patted my cast and said, "Get some more rest. You'll need it." I looked around the room. A half-eaten sandwich and my sister's coat were lying on the chair at the foot of my bed. Still unable to stay awake, I closed my eyes. Occasionally, I awakened to see the faces of my concerned family or a nurse changing my IV, but each time I sank back into oblivion, my sleep deepening. Finally, I fell into a sleep that was profound; blissful, even. But in the distance I could hear someone calling my name. His voice became louder and increasingly urgent. I was being yanked from the comfort of my dreams. I felt him slapping my arm, and then a sharp stab at my wrist. Opening my eyes, I saw Rick, one of my fellow interns, drawing a blood gas. I had never seen him so frightened. He clamped an oxygen mask on my face and told me I was being transferred to the Intensive Care Unit. Later that day, with the overwhelming sensation that I was breathing through a straw, I underwent the obligatory workup. I had suffered a fat embolism. �Long Road Back Pain Mismanagement After an extensive debate, the physicians decided not to intubate me. Though the respiratory distress was a consequence of emboli released from the fractured bone marrow, they still felt that my use of the morphine pump was to blame. Today, I know better; nevertheless, for the rest of my hospitalization I was labeled as someone for whom narcotics should be minimized. Over the course of the next month, I learned firsthand many of the pain-management principles that would later be a part of my physiatry training. For example, I learned that pain medications with a half-life of four hours should not be prescribed every six, and that it takes 15 minutes for a nurse to deliver a prn medication and an additional half hour before it takes effect. I learned about the difference between bone pain and neuropathic pain, and that narcotics do little to quell the latter. Most notably, for the next nine weeks I came to know the unrelenting tedium, frustration and helplessness of pain mismanaged. An important topic in every physical medicine and rehabilitation text is the medical consequences of bed rest and immobility. Bed rest affects every organ system. As a consultant, I am familiar with the facts: Hemoglobin and blood volume decrease; muscle strength weakens l to 3 percent per day; and heart rate elevates one beat for every two days in bed. Conditions like constipation, postural hypotension and contracture often occur. I experienced these and other complications. Upon discharge from the acute-care hospital, my resting heart rate had elevated from 60 to 85, and my weight had fallen from 155 to lOS pounds. Once I was allowed to bear weight in my eighth week of hospitalization, the postural hypotension was so severe that it took 10 days of tilt-table training before I could stand without passing out. Coupled with the narcotics, the constipation became so bad that enemas and manual disimpaction were commonplace. B Devoted Friendship, the Best Medicine esides all of these issues, lying in bed for nine weeks was both boring and depressing. My concentration was clouded, so reading was very difficult. I became far too acquainted with the emptiness of daytime television. Evenings were the best times because my girlfriend, Melissa, would visit. She brought a VCR and we watched rented movies until visiting hours ended. Nights were very hard. Minus daytime distractions, my pain escalated, and the night nurses were always slower about delivering medications. Lying in the darkness, only partially able to turn side to side, I listened to the sounds of the hospital, wondering ifl would ever walk again. The worst times, however, were the mornings. In my dreams I was always healthy-swimming, climbing mountains or just running with reckless abandon. Waking to the cold truth of the hospital room and my broken body was like being hit by a car all over again. Importantly, for three straight weeks, I was distracted by the sound of snoring. Reclined in the chair at my bedside was Dave Blaustein, a fellow intern and one of my best friends from medical school. After completing his night-float shift, he visited me rather than going home to sleep. Unshaven, with his rumpled lab coat draped askew, he often had a fresh banana peel lying on his -Jonathan Bean today chest. (My family kept the bedside stocked with fresh fruit and juice.) with his wife, Melissa, and long· Upon waking, I'd nudge Dave with time friend and DB alumus my long-handled reacher, and for the next 20 minutes we'd talk like David Blaustein, MD '89, right. we always had, joking about the doctors who took themselves too seriously and cursing the nurses who had given us a hard time. We also talked about sports and politics and shared stories of past escapades. He always left time to hear how I was doing and to validate my frustrations. As much as anything else, he helped me to feel as if things were normal, even if circumstances were not. He taught me about healingthat there are times when devoted friendship is the strongest medicine of all. Spring 2000 l1ffala Pbysic i u 5 �A The Group of Four fter nine weeks of lying in bed fulfilling the typical passive role of a patient in an acute-care hospital, I was transferred to Magee Rehabilitation Hospital. Inpatient rehabilitation requires a patient to function as independently as possible. Patients often wear street clothes, signifying a sense of normal life. For most patients, however, it feels more like boot camp. Given my anxious and disoriented look, it was clear to all those around me that I was a new admission. After having gone through the multiple initial evaluations by nursing, physiatry and social work, I was told to make my way down to the cafeteria for dinner. Now that the external fixeter had been removed from my pelvis, I was able to sit upright and independently propel my loaner wheelchair. Staff helped me when asked, but otherwise tended to those with greater needs. The other patients observed me, though no one initiated conversation and most avoided eye contact. This was particularly true for a group of four youngadult paraplegics of diverse racial background who wore fingerless black leather gloves and were unified by their reliance on lightweight custom wheelchairs. They joked together, darting glances in my direction during pauses in their conversation. Over the next few days, this group of four seemed to follow me around. They often hovered closely, be it in the cafeteria or the therapy gyms. Despite this progress, it took Like a group of adolescent skateboarders, they practiced pulling four more surgeries and five more years wheelies and jumping curbs. of rehabilitation before I considered They observed with knowing curiosity as I strengthened my myself substantially recovered. atrophied arms and shoulders. Though nearby, they never approached or outwardly addressed the fear I felt inside. Then on the fourth day, my physical therapist announced that it was time for me to use the stationary bike. Despite the fractures and nerve injury, the healthcare team agreed that with the return of strength, I would walk again . Initially I was concerned about pain or falling, but I felt more confident with each minute of riding. As my legs became more comfortable, I increased the pace. Closing my eyes, I soaked in the long-missed exhilaration of exercise. Eventually, I became aware that the group of four was parked around me. They had mystified looks on their faces. One spoke, "So, you can use your legs." "Yes," I said with a selfish pride, ''I'll start walking with crutches tomorrow." "Wow, that will be great for you," he said, with a mixture of generosity and sadness. 6 l affal1 Hysicin Spring 2000 I sensed the awkwardness of the moment and struggled with a response. He spared me the discomfort by asking about my injuries. He shared that he had suffered a lower-cervical spinal cord injury as an interscholastic wrestler. The others had suffered injuries from a motor vehicle accident, a gunshot wound and a diving accident. They wished me the best and then slowly wheeled away in separate directions. Framed by wheelchairs, with their narrow legs folded neatly beneath the seats, they suddenly looked young and vulnerable. At that moment, I realized that I had been undergoing a rite of passage, an initiation into the world of spinal cord injury (SCI). Once it was clear that my spinal cord was spared, the process suddenly ended. I became a spectator, not an insider. As a physiatrist, my training has taught me that in SCI almost all body systems are altered. The adjustments to the many social and emotional changes are even more challenging. It can be a very difficult and lonely transition. Throughout the rest of my hospitalization, I rarely saw any of those four again, though they always greeted me with kindness when I did. I Imaginary Finish Line n late January 1990, after three months ofhospitalization, I was discharged to home. In March, I returned to work. Despite this progress, it took four more surgeries and five more years of rehabilitation before I considered myself substantially recovered. Exercise and patience were my daily medications. Most of the feeling has returned in my leg, and every once in a while I go for a long run. At last year's Spring Clinical Day and Reunion Weekend-which included a reunion for the Class of 1989-I returned to one of my favorite places in Buffalo, Delaware Park. Running around the familiar path, my thoughts sifted through the last 10 years. With my asymmetric gait, I sprinted the last half-mile as if it were the end of an important race. As I passed the imaginary finish line, no one cheered or celebrated. The victory was a private one. My experiences did not dramatically change my goals, nor did they lead to some sort of religious epiphany. They have been woven into the fabric of my life. Ultimately, illness is a solitary experience of adjustments that are only partially shared with others. In recognition, as a physiatrist, I lend a hand, assisting my patients to feel intact again. 4D �Spring 2000 luffal1 Hysiciaa 7 �BY s. A. UNGER PHOTO BY K.C. KRATT Little Ears, Big Iiifections vaccines to prevent ear and respiratory tract infections lF YOU WANT TO GET the attention of parents with young children, just tell them that scientists are making significant strides toward developing a vaccine to prevent recurrent ear infections. A leader in this endeavor is Timothy F. Murphy, MD, a University at Buffalo professor of medicine and microbiology whose research is currently funded by a five-year, $1 million grant from the National Institutes of Health (NIH). The vaccine Murphy is developing targets a bacterium called non typeable Haemophilus influenzae (NTHI), which not only is the second most common cause of ear infections (otitis media) in children, but also is a leading cause of recurrent infections in patients with chronic obstructive pulmonary disease, or CO PD. A vaccine against THI is especially promising because it would be effective in both populations of patients. 8 l•ffale Plysicial S p ri n g 2 000 ��I LITTLE EARS, BIG INFECTIONS EDIA and COPD are enormous national health problems in terms of human suffering and cost," rphy, whose work in this area has been continuously funded by the NIH since 1983. "About 80 of children have a least one episode of otitis media by age three, and it is the most common reason £ rvisi s to pediatricians. Recurrent otitis media is painful and because it impairs hearing, it is associated with d lays speech and language development, as well as with learning problems in children as they reach school PD, which includes chronic bronchitis and emphysema, is the fourth leading cause of death in the States, with infections being the most common singie identifiable cause of these deaths." der for a vaccine to be effective against recurrent ear .._........-~,ions, it must work within the first months of a child's life, according to Murphy. This is because if a child's throat becomes colonized with NTHI during his first year of life-even in the absence of an ear infection- he may then be prone to ear infections throughout childhood. "Some vaccines do not induce an immune response in children under age two. It will be critical to develop a vaccine for ear infections that is effective in infancy because it will be important to immunize early to prevent recurrent infections, which are the real problem," he explains. To that end, Murphy's work focuses on two proteins on the outer membrane surface ofNTHI-P2 and P6-each of which has the appealing feature of being able to generate antibodies in infants. "P2 makes up 50 percent of the protein content of the outer membrane and is an immunodominant protein, which means it induces the human host to make antibodies to it," says Murphy. "And what's interesting about it is that if we look at its amino acid sequence among strains, it's different, particularly the parts of it called 'loops' that stick out." It turns out that these heterogeneous loops of P2 were key to answering a crucial question driving vaccine research in this area: Why do children with normal immune systems get recurrent ear infections? Itwas Murphy, working in collaboration with Howard Fadden, MD, at Kaleida Health's Children's Hospital ofBuffalo, who played a leading role in answering this question. "We now have reason to believe that it's because these children with otherwise healthy immune systems are making strain-specific antibodies to these so-called antigenically heterogeneous loops on P2, which leaves them susceptible to reinfection with the heterologous strains," Murphy explains. The fact that the strains are varied "outlines the challenge we face in trying to make a vaccine to prevent these recurrent infec- .. .. .. 10 laffal1 Pbysiciae Sp rin g 2 00 0 tions," he says. "So, the approach we've taken is to try and identify the proteins on the surface of the organism that are the same from strain to strain, or what we call 'antigenically conserved."' In his current study, Murphy has fully explored this approach and he and his team have successfully identified conserved loops on the P2 molecule. "In fact, we can now generate antibodies to these loops, and they kill multiple strains of the organism," he reports. The other protein Murphy is focusing on in tandem with P2 is P6. Since discovering this protein 15 years ago, Murphy has learned much about it, including the fact that Astrategy to present the it is antigenically conserved; in other words, it is identical in amino acid P& molecule for destruction, sequence from strain to strain. In with the goal being to produce addition, he has made several other discoveries that suggest that P6 would a"lethal mutation" in the make a good vaccine antigen. First, he targeted bacterium. determined that the protein is on the surface of the organism, so antibodies can easily bind to it. Second, studies he conducted on human serum-and confirmed by animal studies in other labs-indicate that antibodies to P6 will protect the host by killing the organism. Finally, he has demonstrated that P6 is critical to the viability of the organism; it can't live without it. This latter feature is noteworthy, according to Murphy, because bacteria, like all microbes, can shut off production of surface antigens if they are targeted for destruction, a trick scientists term "phase variation." "P6 is critical to the organism, so it can't shut it off," he says. "In fact we've actually attempted to make a mutant of NTHI that lacks P6 and have been unable to. The organism won't survive without it; it's a lethal mutation." The downside ofP6, however, is that it makes up only 5 percent of the surface of the protein, so in effect it is "hidden" by the organism. "What remains to be determined, therefore, is whether there's enough of a target there for the vaccine to work," Murphy explains. An answer to this question will begin to unfold in the years ahead, as UB has signed a licensing agreement with a pharma- �MURPHY IS ACTIVELY EXPLORING ANOTHER INTRIGUING POSSIBILITY: DEVELOPING A VACCINE THAT CONTAINS MULTIPLE ANTIGENS HOMING IN ON MULTIPLE TARGETS. ceu tical company, Wyeth-Led erie, in Rochester, New York, which is currently testing in humans a P6 vaccine based on Murphy's research. "What my lab has done is identify and characterize vaccine antigens and perform initial studies supporting the potential viability of the vaccine; it's up to the pharmaceutical companies to produce large amounts of the vaccine antigen for testing, which is now happening," says Murphy, who holds multiple patents on the P6 molecule pertaining to its gene and protein sequences and purification and diagnostic methods. C urrently, Murphy is dedicating his research efforts to continuing to learn as much as possible about the P6 molecule and the human response to it. "In particular, I want to know what parts of the molecule they [vaccinated individuals] are making antibodies to. Recently, we've done a lot of work on the antigenic structure of the P6 molecule, looking at how this protein is arranged in the outer membrane. Now we want to identify the specific parts of the molecule that are protective." Murphy is also actively exploring another intriguing possibility: developing a vaccine that contains multiple antigens homing in on multiple targets. Given the fact that P2 is so antigenically appealing, he posits, "Why not splice out its immunodominant loop-loop five, which is very heterogeneous from strain to strain, and people love to make antibodies to it-and put in there an important part ofP6? In other words, why not make P2 a vaccine-delivery system?" By developing a P2-P6 hybrid molecule, he says, "We'd be taking advantage of the immunodominant observation-that humans love to make antibodies to P2. But then we'd manipulate the molecule by putting in the P6 we want the host to make antibodies to. In essence, we'd be using the 'juicy' part ofP2 to rev up the immune system to kill p 6, which SanjaySethi,MD, collaborates will have a bactericidal effect. So we wouldn't be focusing exclusively on either P2 or P6. We'd be taking both routes." CD S p ring 2000 with Murphy on clinical studies. l11fal• Hysiciu 11 �S B MI W C H T U D E N T COLUMN Brazil Redox v HAEL I T E Mi chael White , MD ' 00 , Returns to Hi s Adopted Homeland ERY QUICKLY l REALIZED that my infectious disease rotation in Brazil was going to be a novel experience when, on my very first day at the Hospital Ferreira Machada, our group of 20 medical students was led by our professor into a room where a fouryear-old girl lay suffering on a cot. I .. .. c 12 l•ffal• nysicia• She was feverish and very jaundiced, and her abdomen was distended. As the doctor approached the child to perform an exam, she cried out with anticipatory pain. Very calmly and gently, the physician examined the wary child. It was obvious that every nerve ending was hypersensitive and that each touch sent bolts of pain through her tiny body. To give us further insight, the parents recounted the story of their child's illness. Approximately 10 days earlier, she had complained of abdominal discomfort and fatigue, which had progressed to nausea and vomiting. She then refused to eat, began to look yellowish and developed a fever. The physician took her parents aside to describe the gravity of the situation to them, explaining that their child's liver was not working well, which was why her skin tone was yellow and her abdomen was Spring 2 0 00 enlarged. Of even greater concern, he explained, was the fact that the minerals in her blood were not being maintained at appropriate levels. The child, he added, was also at a high risk of bleeding because her platelets were low. Unfortunately, the parents refused to have her placed in the ICU because their visitation time would be markedly reduced. During this exchange, we also learned that the family was very poor and unable to pay to have a sample of the girl's blood sent to Rio de Janeiro for etiologic determination of hepatitis. As a result, the students decided to pay for the test themselves. The next morning, we learned that the child had died. A week later the lab report arrived, confirming the infectious agent as hepatitis A. This shocking initiation into the Brazilian healthcare system was distressing, yet educational and very beneficial. Compared to the health-care system in the United States, the Brazilian system appears to be much simpler and more direct. As I soon discovered, however, it has an acute yet broad pathology of its own: Despite the fact that many of the country's health-care facilities possess all the amenities of American facilities, the Brazilian public is far too poor to access them. I also learned that in Brazil treatment regimens are frequently engendered without a definitive, formal diagnosis; for example, the child with hepatitis was treated with corticosteroids based solely on history and prior to etiologic delineation of her illness. Furthermore, I was very surprised to discover that clinical impression and physical diagnosis play the primary role in diagnosis and treatment in Brazil, whereas in the United States, a physician's interpretation is used as a startingpointand is characteristically implemented only after diverse and diagnostic laboratory tests are performed. This approach to diagnosis and treatment, although discussed frequently during medical school, had previously struck me as fraught with error and unreliable for practical application. However, my Brazilian experience taught me the merit of a methodical approach to the ill patient that �ALTHOUGH MY FOREIGN LANGUAGE STUDIES CONSISTED ONLY OF A SEMESTER OF EIGHTH-GRADE LATIN, l WAS A BOLD 18-YEAR-OLD WHO JUMPED AT THE CHANCE FOR SUCH AN ADVENTURE. UNDEltSTANI)ABtY, MY PAREN'f-5 WERE ANXIOUS ABOUT THEIR SON MOVING MORE THAN 5,000 MILES AWAY, BUT THEY WERE VERY SUPPORTIVE. includes a thorough and well-planned history and physical examination, as well as a fundamental understanding of disease processes and a faith in one's own medical judgment. In contrast, when working in a health-care system where frequent laboratory studies are the exception, fundamental understanding and application of basic medicine is the rule. In the following years, I often dreamed of returning to Brazil, and once I entered medical school, the idea of setting up a rotation there intrigued me. Not only would such an experience allow me to revisit that beautiful country, it would give me an opportunity to practice the new love of my life, medicine. Just Another Brazilian Medical Student A Homecoming of Sorts 1 hese experiences and powerful impressions were a stimulating introduction to the month-long infectious disease rotation I undertook late in the summer of 1999 as part of my fourth year of medical school. While the rotation was the source of many new and exciting insights, my visit to Brazil itself was not a novel experience; in fact, it was a homecoming of sorts, a sequel to a year-long visit I made to the country in 1990 while a senior at Portville Central School near Olean, New York. While in high school I had met a Brazilian exchange student, and we quickly became friends. As his visit drew to a close, he invited me to return to Brazil with him and live with his family. Although my foreignlanguage studies consisted only of a semester of eighthgrade Latin, I was a bold 18-year-old who jumped at the chance for such an adventure. Understandably, my parents were anxious about their son moving more than 5,000 miles away, but they were very supportive. My first few months in Brazil were among the most challenging of my life. I battled through various illnesses, a completely new diet, an inability to speak the language, and initiation into a very different culture. I attended a local public school, met more Brazilians, joined a basketball league and found a teacher who was willing to tutor me in Portuguese. Slowly, I learned. Through charades and common sense, I began to acquire a vocabulary and an understanding of the culture. My peers taught me how to speak basic Portuguese, including the slang terms, and my teacher taught me formal Portuguese, as well as how to read and write the language. By the time I returned to the United States in 1991, I was very proud of the fact that I could be mistaken for a Brazilian teenager due to my fluency in Portuguese. I n the fall of 1998, I began to contact friends in Brazil.to he.lp me arrange a rotatiOn 1n Campos, a city of 500,000 people located three hours north of Rio de Janeiro. Its economy is dependent upon sugarcane plantations and the factories that produce sugar granules, drinking alcohol and alcohol for use as fuel in cars. As residents of a plantation town, many Campistas are poor and uneducated; few study beyond high school. With the help of my Brazilian friends, I obtained contacts at a private hospital (Hospital Geral Doctor Beda) and a large public hospital (Hospital Ferreira Machada). Through these contacts, arrangements were made for my rotation. Prior to my departure, I spoke with Dr. Nelia Artiles Freitas, head of infectious diseases at Hospital Ferreira Machada. We outlined my responsibilities, agreeing that, throughout my stay, I would be treated as one of the Brazilian students from the local medical school (faculdade de medicina de Campos) studying infectious diseases. As a result, immediately upon my arrival in early August, I assumed the same hospital schedule as the other students; I also researched diseases, attended classes and took exams. Over the course of my rotation, I saw numerous infectious disease cases at various stages, including but not limited to lepromatous leprosy, leptospirosis, herpes encephalitis, tetanus with sorriso sardonicus, pulmonary varicella, ascaris, gonorrheal meningitis, disseminated TB, various fungal infections, HIV and I CONT I NUED ON P AGE While in Brazil, White was hosted by the Fusco family. Pictured above, is 11·year·old Gregory Arenari Fusco Soares, learning how to use a stethoscope by listening to his ownhean. 4 0 S pri ng 2000 luffale Pbpician 13 �14 �BY LOIS BAKER Alcohol' effect on the aging brain PHOTO BY K. KR TT Does drinking really kill brain cells? If not, what oes happen, and h w? Is the damage permanent? oes chronic alcohol abuse in late adulthood increase the deficits caused by aging? For 16 years Roberta J. Pentney, PhD, U professor of anatomy and cell biology, has pondered these basic questions concerning chronic alcohol abuse and brain function. Spri11g 2000 Blff311 Pbysiciu 15 �C ELL MORPHOMETRY-the quantitative study of the form and structure of cells-is Pentney's field, and her painstaking work with neurons in the cerebellum, the control center for movement, coordination and equilibrium, has yielded striking and unexpected answers to difficult questions. For example: Q: Does alcohol kill brain cells in adults? Not in the cerebellum. Q: What does happen? Alcohol damages dendrites, reducing message traffic between neurons. Q: Is the damage permanent? No, it's mostly reversible; however, neuronal structure is changed in the process. Q: Does alcohol abuse make people age faster? No. Age and alcohol appear to act on neurons in different ways. Why is this information important? "It shows that we are moving toward finding out how alcoholism damages the brain , information that eventually could lead to treatments or prevention of the destructive effects of alcohol on brain function in humans," Pentney says. "For a long time, people were looking at cell loss as the real measure of alcohol's effects," she says. "What we've seen through this research is that you don't have to lose entire neurons to disrupt brain function. All you need is damage, and we have developed a model for that kind of change with alcohol. "Damage to the brain caused by alcohol, we now think, is probably similar to the way alcohol affects the liver: There is dam age and repair. Alcohol acts on a 16 1111111 Pbpiciu Sp r ing 2000 number of molecules that interact with each other. Just getting to the point where we can look at a specific part of a cell that is involved is a big step forward. " Identifying that particular part of the neuron affected by alcohol-a structure called the smooth endoplasmic reticulum, or SER-has been accomplished with the aid of $1.4 million in grants from the National Institute on Alcohol Abuse and Alcoholism , including a current grant for $645,000. Pentney's research and that of her coinvestigator, Cynthia A. Dlugos, PhD, UB research scientist in anatomy and cell biology, concentrates on a condition called lateonset alcoholism. "Everybody else has been interested in dealing with alcoholism in the early also bears a striking resemblance stages of life," PenThe Purkinje neuron with full to a tree, and in scientific partney says. ''I'm looklance its branches are called, acing at a span during dendritic arbor; a magnification cordingly, the dendritic arbor. maturity that applies of (A) terminal segments and Pentney and colleagues are to human alcoholism, and at the com(B) loss of a terminal segment. on intimate terms with these arbors . They have examined bined conditions of thousands of light-microscope images aging and alcoholism." The object of her attention is a specific and electron micrographs-photos type of brain cell in the cerebellum called a taken with an electron microscopePurkinje neuron. Pentney considers this looking for changes in shape and signs neuron one of the most spectacular in the of thinning, and counting dendritic brain. Under the microscope it resembles a branches and segments and measuring vast riverine system with branching den- their length s. They have al so determined drites forming the tributaries. The neuron the total number of synapses, the sites �on the ends of branches that receive nerve impulses. Conducting this kind of research with humans is clearly out of the question. Pentney has been working with Fisher 344 rats, whose 22- to 27-month life span has been fully studied and documented. To mimic the neuronal responses of a middleaged human, she begins her interventions with rats that are 11 to 12 months old. In all investigations, Pentney and colleagues used long-term study periods, usually 40 to 48 weeks, to mimic human chronic alcohol intake. One group of middle-aged rats received a liquid diet containing ethanol. A control group of the same age received the same liquid diet with the same number of calories but without the alcohol, and a second age-matched control group received a standard rat-chow-andwater diet. The researchers examined and compared the structure of Purkinje neuron dendritic arbors from aU groups. Over the years a picture emerged of the of synapses. "This was a hopeful note," Pentney says. "Every change we saw was a reversible phenomenon. The brain was repairing itself after alcohol damage." That was good news, but it came with a cautionary note: While the number of terminal segments and synapses had returned to normal, the researchers knew from experience that their placement on the dendritic arbor most likely would be different than before treatment. Pentney's results supported the hypothesis that Purkinje neurons were changed after recovery. "The implications here are clear," she says. "The branching pattern in Purkinje neurons after recovery is not identical to that before recovery; you don't end up with the same arrangement. There is a fair amount of recovery, but the neurons may not function in the same way. A different branching pattern would result in a change in message transmission, which would change the way that part of the brain works. channels, they discovered that the channels were dilated in alcohol-fed rats. This change in neurons, Pentney says, is usually associated with the entry of excess calcium into the cell. o dilation was found in the control animals. "Calcium turns things on in cells," Pentney says. "Too much calcium stimulates too much activity and can kill cells. The SER sequesters calcium within the cell until it is needed. We're thinking that in the case of the Purkinje neuron, localized dilation of the SER is causing the loss of dendritic terminal segments but is not killing the whole cell." Knowing that alcohol-fed rats recouped their synapses after recovery, the researchers expected to see the SER function return to normal also, but it did not. At some point during alcohol recovery, aging began to have its own effect, independently producing dilation of the SER membrane. Finding out when in the life cycle this phenomenon occurs is important, Pentney says, because "THE BRANCHING PATTERN IN PURKINJE NEURONS AFTER RECOVERY IS NOT IDE TICAL TO THAT BEFORE RECOVERY; YOU DON'T END UP WITH THE SAME ARRANGEMENT." effects of alcohol on these neurons. The researchers observed a significant thinning of arbors in alcohol-fed rats, compared to controls. Next, they showed that this thinning resulted from the loss of terminal segments-those at the periphery of the arbors- at the point where they branch from the parent shaft. Because synapses are located on terminal segments, losing some of these segments would result in fewer synapses and, therefore, a reduction in message traffic between neurons in this part of the brain. According to Pentney, these findings may relate to some of the abnormal movements often seen in alcoholics, such as unsteady gait, tremors and Jack of coordination. Turning to examining the damage to Purkinje neurons after recovery from alcohol treatment, the researchers were in for a surprise: Expecting to see thin arbors and a Joss of synapses, they found instead lush dendritic arbors and the normal number "We now had a model that might apply to what is happening in recovering alcoholics," she says. "Most of their motor functioning returns to normal, but some does not." Having determined that parts ofPurkinje neurons disappeared in alcohol-fed rats, the questions now to be answered were, Why and how are these segments being eliminated? Pentney and colleagues considered the possibility that the segments had atrophied from lack of stimulation from interconnecting nerve cells in the cerebellum, which may have been killed by alcohol. That turned out not to be the case. They found instead a completely different mechanism at work. They were able to show that the cellular structure responsible for regulating the flow of calcium within the neuron- the smooth endoplasmic reticulum- was being disrupted in the alcohol-fed rats. Measuring the diameter of these calcium it will help define how alcohol and aging impair brain function-information that is relevant to recovering human alcoholics. "This information tells us that alcohol and aging may act on the brain independently," she says. "It also indicates that these two conditions are disrupting control of calcium in different ways, only one of which leads to deletion of dendritic segments and, by extension, to impairments of normal brain function." Next, the researchers hope to determine exactly what part of the SER membrane is being disrupted. "We are moving toward a mechanism of alcohol's effect on the aging brain," Pentney says. "This research allows us to look at particular components of neurons and understand how their function is related to structure. Maybe if something is missing, we can supply it. Maybe all we need is a single change to prevent these alcohol-induced impairments." <D Spri n g 20 00 lu ffaf• Hysic i aa 17 �MEDICAL B B E SCHOOL N E w s y T s y SAWYER Support for economically and academically disadvantaged students HE AMS PosT-BACCALAUREATE P ROGRAM takes potential medical students who have been impeded by special circumstances in their application to medical school and helps them prepare to try again. Cosponsored by the Associated Medical Schools (AMS) of New York and the University at Buffalo, the program was started in 1991 to promote minority enrollment in the state's medical schools. Currently, it enrolls 14-20 economically disadvantaged or minority students each year. "The Post-Baccalaureate Program is a well-coordinated, structured program of courses, counseling, tutorials and support that provides students with the opportunity to gain requisite skills for entry into medical school," says Carolyn Hamilton, EdD, assistant dean for minority affairs at the University at Buffalo School of Medicine and Biomedical Sciences. "It was designed for applicants who have been denied admission to medical school, to assist them in improving their performance in academic areas where they have shown weakness." Qualities of Character Enrollment in the program is by invitation, with admissions directors at eight participating AMS institutions referring students based on their positive showing during preadmission interviews. Once students gain entrance into the program and successfully complete all of its requirements, they are guaranteed acceptance into the medical school that recommended them . "These applicants represent a diverse cross section of the state's minority population," Hamilton says. "The chief thing they have in common is that they're talented, but they may be lacking in one area or another. The admitting school refers them to the Post-Baccalaureate Program because they show great potential, and because the school recognizes that if they had had that certain 'missing piece,' they would have been accepted." The program allows students to demonstrate abilities that may not be highlighted during a typical medical school admissions interview, says Adrian Jones, PostBaccalaureate Program coordinator at UB. 18 1 1 11111 Pb ysicin Spring 2000 Jones believes that because there are so many highquality applicants vying for a limited number of medical school slots, the interview process is geared to exclude rather than recruit students. This approach, he says, tends to work against economically disadvantaged candidates, who may be highly competent but may not have had exposure to the types of experiences and opportunities available to more affluent applicants. "Every person in th is program has had to deal with difficult circumstances and challenges,'' Jones says. "The fact that they've been able to function and to perform so well academically demonstrates qualities of character that can't always be measured in a one-hour interview." c c .c " �AChance to Thrive ow in his second year at UB's medical school, George Figueroa typifies the sort of person for whom the PostBaccalaureate Program was designed. As the youngest member of a large, close-knit family, Figueroa has carried the primary responsibility of financing his own education. With the aid of vari ous grants and loans, and sometimes two jobs at a time, Figueroa man aged to put him self through school at Rochester Institute of Technology. As undergraduates, he and his wife, Carol, planned a future that would include a family medical practice for him and a network analyst's career for her. Figueroa concentrated on maintaining a record of solid academic achievement while keeping his family afloat financially. Every spare moment was consumed by school, work and the prerequisite hours of community service so necessary to distinguish applicants in the eyes of medical school admissions officials. For the Figueroas, the Second·year student George Figueroa dream was well worth the sacrifice. works with Carolyn Figueroa's first application to mediHamilton, EdD, to cal school was declined because his provide other Medical College Admission Test students with the (MCAT) scores were not competitive. support he knows will Determined to succeed, he enrolled in make adifference. an MCAT preparation course and repeated the test. Although he was able to improve his score, the application period had passed by the time he completed the course, forcing him to wait another year. Figueroa's second attempt was only slightly more successful, garnering interviews by interested admis- sions officials but still no acceptance letters. "They say that every time you apply to medical school and get turned down , your odds of acceptance diminish," he says. "At the time, I was doing customer support for a cellular company and I was miserable. When my second try didn 't pan out, l was very discouraged." Growing increasingly anxious, Figueroa began researching other options, including a year-long graduate program in medical science at Hahnemann University in Philadelphia. While enrollment in the program offered a chance at medical school admission, there were no guarantees. Moreover, financial constraints on the famil y meant that Figueroa would have to leave his wife and two young sons behind in Rochester while he moved to Philadelphia for the year. Despite the drawbacks, he decided to go for it. "Being away from the famil y was the most difficult part," Figueroa says. "Philadelphia was a 14-hour bus trip from Rochester, and I couldn 't go home very often-only about once every four to six weeks. Our youngest wasn't even a year old when I started the program, and every time I'd come home he'd be bigger, taller and heavier. " Though grueling, the experience deepened Figueroa's resolve to achieve his goal. After completing the program in Philadelphia, he was ready to try again. This time he was placed on several medical schools' waiting lists, and most important, although his application was declined by UB, the university invited him to enroll in the Post-Baccalaureate Program. " It was an opportunity I couldn't refuse," Figueroa says. Although the program would require him to spend another year in preparation, he was assured of admission to the UB School ofMedicine and Biomedical Sciences if he successfully completed all program requirements. "The [Post-Baccalaureate] Program helped me immensely," he says, in retrospect. "I can see that if I'd gotten into medical school without the coursework, I'd have been like a guppy in a sea of sharks. All the pre-work gave me a much stronger foundation and has made the current work much easier. For one thing, I don 't have to spend so much time focusing on the minutia, so I can concentrate on some of the more difficult concepts. " In addition to keeping up with his hefty class schedule, family life and part-time job, Figueroa is committed to helping others navigate the path to medical school. CONTINUED ON PAGE ...... ......... "EEIIJ..- --.......... 1'111 ....... .......... ...... mlrllniJ . -.......... ..... 22 Spring 2000 l 1f f al1 Pb ysici a 1 19 �M B E L L E D C A L SCHOOL E w s y E New Institute for lasers, Photonics and Biophotonics N GoLDBAUM he University at Buffalo has established a new multidisciplinary institute to conduct research designed to harness the power oflight in a broad spectrum of applications and potential products, ranging from cancer therapy to telecommunications. The idea behind the formation of the Institute for Lasers, Photonics and Biophotonics is to foster economic growth in Western New York by tapping into UB's strengths in lasers, biotechnology and photonics (the use of photons, instead of electrons, as a medium for processing information). "The medical school is very excited about the institute," says Bruce A. Holm, PhD, the school's senior associate dean, and professor of pharmacology and toxicology and gynecology-obstetrics. "Our interest is twofold, related to the development of new therapeutic modalities for the treatment of conditions ranging from cancer to skin disease, and to the opportunity to use the institute as a mechanism for establishing a true biomedical engineering program that will expand our current activities in other areas." "Nanoclinics" aBillionth of aMeter in Size The Institute for Lasers, Photonics and Biophotonics- which will be headed by Paras Prasad, PhD, SUNY Distinguished Professor in the departments of chemistry and physics and Samuel P. Capen Chair in the Department of Chemistry- has its roots in UB's Photonics Research Laboratory (PRL), established in 1990 and considered one of the most advanced and comprehensive facilities for photonics research in the United States. One of the most promising technologies 20 N l affall nysicial Sprin g 2 000 developed by institute researchers is the nanoclinic, described by Prasad as "the world's smallest clinic." This tiny nanobubble-about a billionth of a meter in size- is designed to perform any one of a number of varied diagnostic or therapeutic tasks by carrying a chemical treatment or diagnostic tool to a specific site in the body. In cell-culture experiments, the group has already developed one formulation of the nanoclinic that selectively destroys cancer cells without the use of chemotherapy. "The entire purpose of this is to take the therapy inside the cancer cell," says E. J. Bergey, PhD, research associate professor of chemistry at UB. "The advantage of the nanoclinic concept is that we can target specific cancers and effect the therapy from within the cancerous tissue or cell, minimizing collateral damage to the healthy cells. The size of the nanoclinic is critical to allowing for efficient distribution throughout the body." The nanoclinics have the potential to be remarkably versatile in carrying optical probes, drugs, genes, inorganic compounds, controlledrelease substances and other diagnostic and therapeutic agents. In addition, hormones, antibodies or other appropriate chemical agents can be attached to the surface to selectively target specific types of cells, according to Bergey. "The nanoclinics can be of SUNY Distinguished Professor Paras Prasad, PhD, heads new institute. 'I tremendous benefit in the noninvasive treatment of early-stage cancer and infectious disease, as well as in gene therapy and oxygenation of damaged tissues," he says. To date, the institute has developed a working prototype and samples of the nanobubble material, both of which are available for testing. The Big Picture In the years ahead, the Institute for Lasers, Photonics and Biophotonics will build on its existing network of partnerships with both industry and research. Within the university, it already has ongoing relationships with other photonics research programs in the School of Dental Medicine, the School of Engineering and Applied Sciences, and the Department of Physics. In addition to I~ NTINUEO ON PAGE 22 • .." < ... �Support for Two New Centers an~ \ $3 . 8 million gr ant from Howard Hughes Medical Institute f B v L o I S four-year, $3.8 million award Medicine and Biomedical from the Howard Hughes Sciences. "It reflects well B A K E R Medical Institute has been not only on the quality of granted to University at Buffalo ' s Bruce Holm's proposal, but also on School of Medicine and Biomedical the university and its reputation. Sciences to speed development of two "In making the award to VB, new research centers. the Howard Hughes Medical InstiThe award will fund research sup- tute reviewers cited a number of port for five new faculty members and strengths," Wright notes. capital equipment for a new Center for "In addition to the quality of the Single-Molecule Biophysics, as well as proposal itself, UB's commitment to facilities for that center and a new Center the two centers was specifically noted, as was the school's recent growth in for Genomics and Proteomics. extramural grant support. The institute In recent years, UB has invested nearly $9 million in building renovations and citing VB as 'an institution rapidly on the equipment purchases that are vital to the two new centers, in addition to providing more than $2 million annually in salary to faculty members associated with the programs. The review of UB's grant request to the institute noted that "the institution has undergone recent growth, and extramural (external ) grant support has increased significantly-evidence that this is an institution rapidly on the rise. " Forty-one medical schools were selected for funding through the institute's Biomedical Research Support Program for Medical Schools from 105 that submitted proposals. UB's award is the second largest in the program. Only UCLA School of Medicine, the University of Michigan Medical School and Yale University School of Medicine-which each received $4 million-were granted more funding. Bruce Holm, PhD, senior associate dean in the medical school and author of the grant proposal, will serve as the project director. "This is no ordinary grant award," says John Wright, MD, dean of the School of rise' are encouraging words, indeed. We congratulate Dr. Holm and the faculty for this outstanding achievement." The Center for Genomics and Proteomics will be a joint effort with senior investigators located at Roswell Park Cancer Institute and at the Hauptman-Woodward Medical Research Institute. This state-of-the-art center will enhance existing expertise in the areas of human , mouse and microbial genomics. Capabilities will include microarray and mass spectroscopic analyses of genes and proteins that will enhance understanding of cancer biology, microbial pathogenesis and human-disease genes. The Center for Single-Molecule Biophysics will emphasize work on computational chemistry, structural biology and molecular biology. Five new faculty members will be hired to further develop this area. The goal, Holm says, is to study proteins and other macromolecules in space and time. Results from such research will provide insights into protein structure-function relationships that can solve clinical problems. ... • L Bruce Holm PhD, senior associate dean in the School of Medicine and Biomedical Sciences, will serve as the project director. Current work in this area is being applied to cardiac function, synaptic transmission, electrolyte secretion and tumor suppression. Anthony Auerbach, PhD, and Frederick Sachs, PhD, both proTHE REVIEW OF UB's fessors of physiology and biophysics, will GRA T REQUEST TO THE codirect this center. INSTITUTE NOTED THAT The work will be "THE INSTITUTION HAS overseen by an adviUNDERGONE RECENT sory board composed GROWTH, AND EXTRAof Holm; Wright; MURAL (EXTERNAL) John Hay, PhD, associate provost for reGRANT SUPPORT HAS search and chair of INCREASED SIGNIFIthe Department of CANTLY-EVIDENCE Microbiology; Harold Strauss, MD , chair of THAT THIS IS AN the Department of INSTITUTION RAPIDLY Physiology and BioON THE RISE." physics; David Hohn, MD, director of the Roswell Park Cancer Institute; as well as the codirectors of the two centers. S prin g 20 0 0 lufl a l 1 H ysi c iu 21 �M E C D A ~uvenile L N SCHOOL Arthritis Study reported on a study being led by Nadine Fisher, EdD, which, to date, has shown that children with juvenile arthritis who take part in an individualized program of resistance exercise experience significant improvement in their ability to function. The article inadvertently omitted Fisher's coinvestigators: Kathleen M. O'Neil, MD, a University at Buffalo associate professor of clinical pediatrics affiliated with Kaleida Health System's Children's Hospital of Buffalo; and Vylma Velazquez, MD, pediatric fellow. Fisher, who designed the exercise program, is an assistant professor of occupational therapy and rehabilitation at UB. 4D OF SU CC E SS, CO NT INUED FROM w s students' previous training and prepare them for the rigors of medical school." Students begin the program with a six-week summer THE W I NTER 2000 ISSUE of Buffalo Physician DE C REE E PA C E 19 Somehow, he finds time to tutor anatomy students enrolled in the Post- Baccalaureate Program and to function as treasurer of the Student National Medical Association. With other members of the association, he is involved in an effort to introduce a peer-mentoring program into UB's medical school. This informal program would link local undergraduates with medical students, who would answer questions and offer insight into various aspects of medical school admission and campus life. enrichment program in math and science. Continuing through the academic year, each student is placed in a 14-credit course of study tailored to meet his or her specific needs. The curriculum also includes daily tutorial sessions and a summer program of prematriculation studies offered on the campuses of each referring school. Participating institutions include Albany Medical College, Albert Einstein College of Medicine, New York Medical College, SUNY at Buffalo School of Medicine and Biomedical Sciences, SUNY Health Science Center at Brooklyn, SUNY Health Science Center at Syracuse, SUNY Health Sciences Center at Stony Brook and the University of Rochester. In most cases, tuition and fees are waived for students accepted into the program. Additionally, students are provided with monthly stipends for room and board and books. "The Post-Baccalaureate Program is proving to be very effective in helping underrepresented students get into medical school," Hamilton says. "Of the 127 to participate during the first eight years of the program, 115 subsequently gained admission. "The program provides the mechanism, but it's really up to the students to benefit from this opportunity. To succeed, they have to be motivated and focused." 4D The AMS Post-Baccalaureate Program is supported by the Josiah Macy ]r. Foundation and the New York State DepartmentofHealth. For additional information, contact Carolyn Hamilton, EdD, director, or Adrian ]ones, coordinator, at (716) 829-2802. Filling in the Gaps The Post-Baccalaureate Program at UB offers a comprehensive curriculum ofbiology, physics, chemistry, mathematics and English, as well as a variety of electives and instruction in organizational and study skills. "Individual coursework varies, depending on the student," says Hamilton. "All of these students are highly qualified, but each needs strengthening in certain areas. One student may need extra attention in chemistry, while another may need to improve performance on the MCAT. Still another may sign up for an elective course on the Greek and Latin roots of scientific terminology. The goal is to fill in gaps in the 22 laffale Plysicin Spring 2000 NEw INSTITUTE , C ONTINUED FROM PACE 2 0 giving its partners access to a broad range of scientific instruments and technologies and world-class testing and research facilities, the institute will offer technical expertise, joint efforts to develop new products, short courses on innovative technologies, and training and recruitment opportunities. For the university, the institute will offer an interdisciplinary graduate program of study, postdoctoral training, visiting-faculty programs, summer programs, and international collaborations and exchange programs. 4J:) �1111111 nraJclu 11 �MEDI C AL S C HOOL N S. Mouchly Small Education Center AN EDUCATION CENTER in honor of S. Mouchly Small, MD, has been opened in the Department of Psychiatry at Erie County Medical Center. Small, who died in 1996, was an internationall y known ps ychiatrist and educator who chaired the Universityat Buffalo's Department of Psychiatry from 1951 to 1978. Under his leadership, the department grew from a handful of faculty members into a major national training and research center of more than 150 profes- sionals. In the early 1950s, Small founded the Muscular Dystrophy Association and served as its national president from 1980 to 1989 and as chair of its executive com mittee until hi s death. In the mid1950s, he wa s in strumental in organizing the Erie County Mental Health Board and was its first director. In this capacity, he helped obtain funding for Buffal o General Hospital's Community Mental Health Center and played an integral role in estab- Musicians, artists, dancers, actors, athletes, scholars ... we all love Nichols. E w s lishing the State Alcoholism Research Center in Buffalo. Small published extensively and was author of A Handbook of Psychiatry, a 1943 book that was widely viewed as an authoritative guide to ps ychiatric theory and practice. In recognition of his outstanding contributions to his field , Small received the E. B. Bowis Gold Medal from the American College of Psychiatrists, the Distinguished Service Citation from the American Psychiatric Association and UB's Stockton Kimball Award. In May 1997, UB 's Medical Alumni Association posthumously presented Small with the Walter P. Cooke Award. The award, given to nonalumn i, recognizes notable and meritorious contributions to the university that influence its growth and improvement. The 3, 000- squa re-foot S. Mouchly Small Education Center includes a conference room and library, administrative offices for the residency-training program and teaching space for clinical services. Included in the center is an area for journals and textbooks, as well as online computer services. The center, which was established through benefactors and donors, was formall y dedicated on October 29, 1999. Speaking at th e ceremon y were Su san McLeer, chair of the Department of Psychiatry, and John Wright, dean of the School of Medicine and Biomedical Sciences. In attendance to cut the ribbon during the ceremony was Small's widow, Mrs. Sophie Small. <:t) Rosenfeld Receives Distinguished Service Award • State of the art visual and performing arts center George Rosenfeld, MD, clinical associate professor of pediatrics at the • Exceptional college placement record University at Buffalo School of Medicine and Biomedical Sciences, has • Challenging curriculum with 17 advanced placement courses at Kaleida Health System's • Comprehensive community ~~~~_.~"'· service program • More than 60 sports teams been presented with a Distinguished Service Award from the medical staff Children's Hospital of Buffalo. Rosenfeld, a member of the staff at Children's for 48 years, has been a stalwart in • Average class size of 15 the hospital's teaching pro- • Financial aid available gram and has served as chair Only one investment lasts a lifetime Coeducational grades 5-12 875-8212 1250 Amherst Street Buffalo, NY 14216 www.nicholsnet.net of its Lab Committee for the past 25 years. In addition, he and his wife established the George and Harriet Rosenfeld ' leh to right: Theodore I. Putnam, MD, George Rosenfeld, MD, Mrs. Harriet Rosenfeld, and Bernard Eisenberg, MD. Award and Grant, which honors the outstanding laboratory accomplishments of an individual on staff at Children's and offers a grant on a competitive basis to physicians interested in research. "George is a fine example of what we would want our resident physi- Acceptance granted to qualified students without regard to race, color, religion or national origin. 24 l1ffal1 Hysicia1 Spring 2000 cians to emulate," says Theodore I. Putnam, MD, chief of the Division of General Pediatrics. "This award is presented to him for his long and faithful service to Children's Hospital." 4D �New Online Catalog for Libraries ONCILL provides integrated access to medical resources medical practitioners at the forefront ofthe digital revolution is the mission of the Library Consortium of Health Institutions in Buffalo (LCHIB). In 1993, electronic access to medical information in our community was forever redefined when the consortium unveiled HUBNET (Hospitals and University at Buffalo Network). Today, an expanded HUB ET delivers such resources as MEDLINE, QMR, selected full-text journals, reference texts, drug information and consumer resources directly to homes, offices and clinical and hospital sites. The newest component of HUBNET is a Today, anyone with a shared electronic online library catalog that web browser and replaces the outdated card catalogs. The sysconnection to the tem-named 0 CALL for the Online Catalog Internet can search of LCHIB Libraries-was first implemented at EEPING WESTERN NEW YORK the library catalogs of any of the LCHIB participating hospital libraries, 24 hours aday, by visiting the ONCILL web site. Kaleida Health System libraries with support provided by a $200,000 grant from the National Library of Medicine (NLM). In 1998, LCHIB received a second grant from the NLM for $298,000 to include the card catalogs of the libraries at Roswell Park Cancer Institute, Erie County Medical Center, Kaleida Health System's Children's Hospital of Buffalo and the Catholic Health System's Sisters of Charity Hospital, Mercy Hospital and Kenmore Mercy Hospital. Today, anyone with a web browser and connection to the Internet can search the library catalogs of any of the LCHIB participating hospital libraries, 24 hours a day, by visiting the ONCALL website at http://oncall.buffalo.edu. The Library Consortium of Health Institutions in Buffalo is comprised of most of the medical libraries in Buffalo, as well as the UB Health Sciences Library. To learn more about the consortium's HUB ET and ONCALL services, contact Martin E. Mutka, director of the LCHIB at (716) 829-3900, ext. 143, or e-mail him at mmutka@acsu.buffalo.edu. -PAT PRIOR �PATHWAYS EDITOR's NOTE: The following are brief introductions to faculty who have recently joined the University at Buffalo School of Medicine and Biomedical Sciences. Additional profiles will be published in future issues ofBuffalo Physician. Chair, Department of Biochemzstry Professor, Department of Social and Prn·entive Medicine .loseph De.lames, MD Donahue joined UB's faculty as a biochemistry in 1974. While Clinical Assistant Professor, Department of Family Medzmze Social and Preventive Medicine in in Florida, he was also on the Dejames joined the University at july 1997. He earned a bachelor of staff of the C.V. Whitney Marine Buffalo's Department of Family science degree in biology from as assistant professor of KennethM. Blumenthal, PhD Richard Donahue, PhD, MPH professor in the Department of Medicine in August 1999. In Providence College, Providence, professor of molecular genetics, Blumenthal became assistant addition to practicing at Niagara RI, in 1976 and a master's in public biochemistry and microbiology professor of biological chemistry Family Health Center, he is work- health from the University of at the University at Cincinnati, Michigan in Ann Arbor, MI, in Kenneth M. Blumenthal, PhD, Research laboratory. at the University of Cincinnati ing with UB's Family Medicine has been named chair College of Medicine in Residency Program, teaching 1981. In 1983, he completed a doc- of the UB Department 1976 and was promot- residents, conducting research torate in epidemiology at the Uni- of Biochemistry, effec- ed to full professor in and serving as associate coordina- versity of Pittsburgh, Pittsburgh, tive August 1, 2000. 1986. While there he tor for the Clinical Practice of PA. Prior to joining the faculty at A specialist in the was honored for out- Medicine course for first-year UB, Donahue was a professor of study of protein struc- standing teaching for medical students. De)ames triple epidemiology and public health tures, Blumenthal is three consecutive years. majored in biology, philosophy at the University of Miami School currently At the time of his de- and African-American Studies at of Medicine in Miami, FL. His parture, he was chair ofthe medical school's Boston College, where he gradu- research interests include the epi- ated in 1990. In 1992, he earned a demiology of insulin resistance, National Institutes of Health Committee on Basic Research and master of arts degree in American/ coronary heart disease and diabe- (NIH) grant to investigate the associate director of the Ohio Puerto Rican Studies at UB. He tes; primary prevention of diabetes interaction of peptide blockers Center for Computer-Aided completed his medical degree at in youth; and coronary heart dis- with gastric chloride channels. Molecular Design, which is UB in 1996 and in 1999 served his ease in people with Type 1 diabetes. Blumenthal earned a bach- housed at the university. He family medicine residency at the elor of science degree in chem- also served three terms on the university, where he was chief istry from the University of university-wide research council. resident in 1998-1999. His clin- Wisconsin in 1967 and a PhD Blumenthal is a member of ical/academic interests include in biochemistry from the Uni- NIH site-visit teams and a past underserved populations, the principal investigator on a K. four-year $596,000 BLUMENTHAL Sarah C. Finnegan, MD, PhD Assistant Researc/z Professor, Department of Neurology Department of Pharmacology and Toxicology versity of Chicago in 1971. He member of three NIH study sec- impact of lower socioeconomic completed a three-year NIH tions. He serves on the editorial status on health, and teaching postdoctoral fellowship in bio- board of the Journal of Biological clinical skills to medical students. logical chemistry at the Univer- Chemistry and has authored July 1999 as an assistant research professor and Buswell Fellowship Finnegan joined UB's faculty in sity of California at los Angles or coauthored 50 papers in School of Medicine before join- refereed journals and five recipient in the Department of ing the faculty of the University book chapters. CD Neurology. She also holds a sec- of Florida College of Medicine L o r s BA K E R ondary appointment in the Department of Pharmacology and JoHN YEH, MD, WILL JOIN UB AS CHAIR OF OBSTETRICS AND GYNECOLOGY oN MAY 1, AND KENNETH BLUMENTHAL, PHD, WILL BEGIN AS CHAIR OF BIOCHEMISTRY ON AUGUST 1. 2 .. 26 1111111 Hysiciu Spring 20 00 �Toxicology, where she works with Psychiatry, Faculty of Medicine Dennis Higgins, PhD . Finnegan since 1971 , joined the Department earned a bachelor of science de- of Family Medicine in Ma y 1999. gree in chemistry at His clinical affiliation is with Erie SU Y at Binghamton County Medical Center' s Divi- in 1984, after which sion of Chemical Dependency. she earned MD/PhD Giordano completed his under- (physiology) degrees graduate premed studies at UB in at UB in 1994. She 1954, after which he earned his Chair, Department of Radiatwn Medicine Roswell Park Cancer lnstit11te interned in internal medical degree from the Univer- Prior to joining the University at human cervical cells by ionizing medicin e at Millard sity of Padua, in Padova, Italy, in Buffalo and Roswell Park Cancer radiation; in vitro screening Fillmore Ho s pital 1960. He completed his residency Institute in August of potential chemo- from 1994-1995 and in psychiatry at Buffalo State Hos- 1999, Kuettel served as preventive completed residency training in pital in 1964. From 1976 to 1991 , associate professor of using human prostate neurology at UB, serving as chief he served as chief of psychiatry at radiation medicine and epithelial cells; and resident in 1998. She then com- Mercy Hospital in Buffalo, and anatomy and cell biol- investigations of a new pleted pediatric residency train- from 1993 until May 1999, as ogy in the Department tumor suppressor gene ing, also at UB, in 1999. Finnegan, medical director of Addiction of Radiation Oncology in prostate cancer. who practices at Kaleida Health 's Medicine at Sisters Hospital, also at Georgetown Univer- Children 's Hospital of Buffalo, is in Buffalo. S . FI NN EGAN Michael R. Kuettel, MD, MBA, PhD of the National Board of Medical Examiners and the Professor and Chair, Department of Radwtion Oncology University at Buffalo American Board of Radiology (radiation oncology). Kuettel's research interests include the molecular mechanisms of neoplastic transformation of human prostate and At Roswell Park Can- interested in caring for children sity in Washington, D.C. M . K u Kuettel received his with neurological disorders, in- medical degree from Northwest· cluding those with developmental disabilities related to perinatal brain injury. Her research inter- Kenneth Hoffman, PhD Associate Professor, Department of Neurosurgery Toshiba Stroke Research Center ests involve elucidation of factors promoting the survival and regeneration of adult human neurons that may hold implications for degenerative disease processes. Hoffman, who joined UB 's faculty in September 1999, earned his bachelor of arts degree in physics, summa cum agents ET T E L cer Institute, Kuettel heads the Department of Radiation Medicine, a referral ern University Medical School in and resource center to health· Chicago, ll, and completed his care facilities across the country residency training in radiation and Canada that offers cancer oncology at The Johns Hopkins patients comprehensive care and Hospital, Baltimore, MD. He then innovative treatments such as the earned a PhD in anatomy and cell gamma knife, photodynamic biology from the Medical College therapy and brachytherapy. <L;) of Wisconsin. He is a Diplomate DEBORAH PETTIBO~E laude, from St. Louis Univer- P•ul B. Qlord•no, MD sity, St. Louis, Assistant Professor, Clinical Family Medicwe Department of Family Medzc111e MO, in 1976, Waltham, MA, in 1984. Prior to tomographic images, or temporal and a PhD in coming to UB, he was an associate 3D data sets, with a focus on vascu - physics from professor in the Department of lar or luminal structures. Specifi- Giordano, a clinical assistant pro- Brandeis Radiology at the University of cally, he is interested in determina- fessor in UB ' s Depa rtment of University in K. H o FFMA N Chicago. Hi s research interests tion of 3D vascular structures include developing ways to ana- from two or more views, quanti - lyze and present radiographic im- tative analysis of these structures age data, either projection images, and alignment of them with their projections. He is al so interested in the segmentation and quantitation of bone, vascular structures and the colon from CT data sets. Currently, he is funded by Spring 2000 lu ffalo Pbysici11 21 �PATHWAY .JohnYeh,MD 1983. Following a residency at research and strategic planning. study the role of growth factors Chair, Department of Obstetrics and Gynecology Beth Israel Hospital in Boston, He also served as executive in human fetal ova development he completed a fellowship in director John Yeh, MD, professor and fertility and reproductive endo- Women's Health Pro- vice-chair of the Department of crinology at Boston's Brigham gram at Regions Hos- Yeh is coauthor of a Obstetrics and Gynecology at the and Women's Hospital. pital in Minneapolis 1991 book, Legal Aspects the and has grants pending for cervical cancer research. University of Minnesota, has In 1987, Yehjoinedthefaculty and was director of of lnferlility, and is writing been named chair of the UB of Harvard Medical School, where the residency pro- a book on growth factors in reproductive medicine. He Department of Gynecology and he spent years conducting re- gram in obstetrics Obstetrics, effective May 1, 2000. search in the field of reproductive and gynecology. Yeh earned an AB degree endocrinology, teaching and from Harvard University in 1979 treating patients. In 1997, he has been funded by and a medical degree from the took the position at the University the National Institutes of Health University of California at San of Minnesota, where he was since 1989. Currently, he is prin- Diego School of Medicine in responsible for the department's cipal investigator on a grant to also has published many Yeh's research J · Y research abstracts, book EH chapters and scientific studies in professional journals. Lo s BAKER ests include the regulation of neu- his PharmD Stanley H. Kim, MD to study methods to improve rotransmitter release and produc- degree at the radiologic colon polyp detection. tion in the nervous system; regula- University of Clinical Asszstant Professor, Department of Neurosurgery tion of cytokine production and Arizona Col- Kim, who practices at Kaleida the National Institutes of Health release from cells of the nervous lege of Phar- Health System's Millard Fil- Tracey Ignatowski, PhD and and macy in Tuc- lmore Gates Hospital, joined interactions among proinflam- son, AZ, in UB's faculty as an assistant Research Assistant Professor, Department of Pathology matory cytokines, adrenergic re- Ignatowski joined UB's Department of Pathology as a research assistant professor in May 1999 and has served in a similar capacity in the Department of Anesthe- immune systems; sponses and opioid responses earned a bachelor of T. I G NATOWSKI M. KALSMAN 1991 and his professor of neurosurgery in medical de- July 1999. A specialist in inter- gree from the ventional neuroradiology, Kim during antidepressant drug ad- University of Arizona College of earned his bachelor of science ministration, providing possible Medicine, also in Tucson, in 1995. degree at the University of mechanisms of action for antide- He completed his family practice Michigan in Ann Arbor, MI, in pressants in the treatment of de- residency in Salt Lake City, UT, at 1986 and his medi- the University of Utah, serving as cal chief resident in 1997-1998. He Wayne State Uni- then completed a rural medicine versity in Detroit in during persistent pain, as well as pression and chronic pain states. siology since 1997. She degree from fellowship in Tacoma, WA, in 1999. 1990. He served his science degree in bio- Michael Kalsman, MD, PharmD logical sciences at UB Clllltcal Associate Professor, Department of Family Medicine His primary interest is in rural residency training medicine with an emphasis on in neurosurgery at obstetrics. He is also interested in Wayne State Uni- researching the use of the Internet versity from 19911993 and at The in 1990 and a PhD in 28 of pathology at the university in Kalsman joined the University at 1995. From 1995-1997 she was a Buffalo's Department of Family postdoctoral fellow at the Univer- Medicine in September 1999. He Ohio sity of Rochester in the Depart- practices at the University Pri- Columbus, OH, from 1995-1999. ment of Pharmacology and Physi- mary Clinic and is affiliated with In addition to interventional ology. Ignatowski's research inter- Olean General Hospital. He earned neuroradiology, Kim's clinical luflale Pbysiciaa Spring 2000 as a medical resource. State STANLEY KIM University in �idency Pro- NewYork,NY. He received a medi- pita!. Her interests include patient complex spine surgery and mini- gram and as- cal degree from George Washing- education and training medical mally invasive spine surgery. sistant professor in the De- ton University School of Medicine students and residents. in Washington, D.C., and com- partment of pleted residency training in sur- Susan Y. Kim, MD Social and gery and plastic surgery at St. Daniel Rifkin, MD Asststant Professor, Departmerzt of Radtation Oncology University at Buffalo Preventive Luke's/Roosevelt Hospital Center. Assistant Professor, Department of Neurology and research interests include Department of Radtation Medicine Roswell Park Cancer Institute Kim rejoined Roswell Park Cancer Institute (RPCI)and UB as an assistant professor of radiation medicine LI He then served a fellowship in Medical Director, Sleep Disorder CerJter of Western New York head and neck oncology and sur- bachelor of science degree in bioi- gery at Memorial Sloan-Kettering ogy, magna cum laude, at the Uni- Cancer Center in New York, NY. versity of Southern California in Loree is board certified by the Los Angeles, CA, in 1979 and American Board of Plastic Surgery his medical degree at St. Louis and the American Board of Sur- University School of Medicine gery. His research interests include in St. Louis, MO, in 1984. He thyroid cancer, microsurgery and then completed a master of pub- in Rifkin joined the UB's faculty in August 1998 and serves as medical directorofthe Sleep Disorder Center of Western lard Fillmore Hospital. Rifkin earned a bachelor of arts degree, free-tissue transfer. cum laude, in religion from Ham- ilton College, Clinton, NY, in 1988, sity of Michigan in Ann Arbor, SUSAN KIM gist, she is a graduate of the University of MI, in 1989. Li's research interests Nilsa M. Martinez:, MD and a medical degree from are preventive medicine, public Clinical Assistant Professor, Department of Family Medictne Dartmouth Medical School, health and chronic disease. Vermont School of Medicine in Burlington, VT. She completed her residency at St. Luke's Medical Center in Chicago, IL, and is board certified by the American Board of Radiology. Most recently, she founded and headed the stereotac- Thom R. Loree, MD C!tief, Divtsion of Head and Neck Surgtcal Oncology/Plastic and Reconstructive Surgery Department of Surgery Roswell Park Cancer Jnstttute Israel Medical Center in New York Assistant Professor, Departmertt of Surgery University at Buffalo City. At RPCI, she is practicing tic radiosurgery program at Beth ew York, located at Kaleida Health System's Mil- lic health degree at the Univer- September 1999. A radiation oncoJo- Medicine. He earned his Hanover, NH, in 1992. He served Martinez joined the his residency in neurology University Buf- at Strong Memorial Hos- falo Family Medicine pital, Rochester, NY, where Faculty Associates in he was chief resident in at She 1996. In 1997, practices at the Univer- he completed a October 1999. sity Primary Clinic in postdoctoral Houghton, NY, and is clinical and re- affiliated with Olean Hospital. General . MARTINEZ search fellowship in sleep Loree was appointed chief of the Martinez earned her bachelor of medicine and clinical neuro-oncology, including gamma Division of Head and Neck Surgi- science degree in neurosciences at neurophysiology at the knife radiosurgery. cal Oncology/Plastic and Recon- the University of Rochester in University of Mich- Rochester, NY, in 1990 and her igan Medical Center Carl LI,MD structive Surgery at Roswell Park Cancer Institute (RPCI) in Janu- medical degree at Boston Univer- in Ann Arbor, MI. His ary 2000. Loree, sity School of Medicine in Bos- clinical research inter- who is also an ton, MA, in 1994. She completed ests include all aspects assistant pro- her family practice residency at of sleep disorders fessor of sur- St. Joseph's Hospital Health Cen- medicine, with a pri- gery Associate Director, General Preventtve Medicine Residency Program Assistant Professor, Department of Social and Preventive Medicine Li joined UB's faculty in March 1999 as associate director of the General Preventive Medicine Res- Rifkin is medical director of the Sleep Disorder Center of Western New York. His clinical research interests include all aspects of sleep disorders medicine, with a primary focus on the effects of hypoxia on the brain. UB, ter in Syracuse, NY, in 1997. Prior mary focus on the ef- came to RPCI to coming to UB, Martinez was fects of hypoxia (often associated from St. Luke's! affiliated with the Hospital Inter- Roosevelt Hos- nists Group at St. Joseph's Hos- with obstructive sleep apnea) on the brain. <!;) at pital Center in T. LoREE Spring 2000 I DIIII O Pbys i c i 10 29 �DEVELOPMENT N E w s Salute to the Class of 194~ By Li nda J . Cor de r , PhD. CFRE \S_ \'1 lN OF r 1, I Sin) \J.G~I 1 11· H 'l\\ \II. Shortly after arriving, I switched on the rental car's radio and heard a narrator describing the USS Arizona in its underwater tomb at Pearl Harbor, barely a mile from Honolulu's airport. Then I realized the date was December 7th. The broadcast, from Washington, D.C., was a retrospective on the 1941 surprise attack that catapulted our nation into the Second World War. For me, that war was just a chapter in my history book, as vague as Vietnam is to our current students. I decided to visit the memorial, to imagine what medical students of that era might have felt as they tried to come to terms with the brutality of war while dedicating themselves to becoming physicians. Members of the Class of 1945 were UB's first to enroll after the U.S. entered the war. Seven months to the day of that bombing-July 7, 1942-they began their medical education at 24 High Street. They were on a fast track-three short years. All their youthful energy was bent toward learning the skills of healing, knowing that their most crucial tests might come under battlefield conditions far from home. The class bonded in a way that, from this vantage point, appears unique in the annals of the school. It may have been due to the attitude prevalent in the nation, or perhaps it was something within the walls of the school. I can't explain it; I 1945 lHE VAST MAJORITY just know it's there. THE SC HOOL's STUDENTS A look through WERE IN UNI~ORM. their 1945 yearbook shows the majority of students in uniform. Most went directly into active duty following graduation and picked up formal residencies following stints in the service. Thus, their paths took a variety of war-influenced turns, both before and following their training. Some became career military doctors. Many returned to Buffalo or practiced in 30 l •ttal• nysiein Spring 2000 small towns fanning out from Western New York into America's heartland and westward. Collectively, they have done a tremendous amount for the school. Some served on the admissions committee, as voluntary faculty members, and as mentors for students and residents. Others are generous with their resources, establishing endowments, supporting scholarships and the school's general fund (many of their names are in this year's Honor Roll, which follows). As a tribute to them and to the interweaving of their lives with World War II, we are working with volunteers to compile a memory book, for them, for the school, for those of us enriched by their stories. Every five years, like clockwork, they reunite in Buffalo to exchange stories and catch up on each other's lives. With each passing cycle, the group gets a bit smaller. Since their 50th anniversary, a hearty core has met every fall "in case they didn't all make it to their 55th." I have a feeling they will extend these annual conclaves as long as there are volunteers to handle the details. In addition to my ruminations on the Class of 1945, what did I learn from my visit to the USS Arizona? That war really is hell. That understanding that particular war simply is not possible for those of us born in its wake. That most people seem to feel genuine sorrow for the inhumanity of it all, when seen from nearly 60 years' perspective. (Flowers sent to mark the anniversary were from groups like the Japanese-American Friendship Association, and most of the visitors on my early-morning sojourn spoke Japanese.) So, I come down on the side of Anne Frank, believing both that most people are good at heart, and also that we need to find better ways to resolve our differences. A war worse than "The Big One" is too awful to contemplate. Or, as our friends in the Class of 1945 would attest, it's better to bind up wounds than to inflict them. Lyn Corder is associate dean and director of develoment. If you would like a copy of the 1945 reunion booklet, call the Development Office toll free, at 1-877-826-3246, or E-mail Lyn at ljcorder@buffalo.edu. �the Lifetime Members When cumulative contributions reach $50,000 or an irrevocable deferred gift is completed for $100,000 or more, a couple or individual is granted lifetime membership in the James Platt White Society. Combinations of outright and deferred gifts in appropriate proportions may also be the basis of lifetime membership. Names of Founders-Lifetime Members-are repeated in an annual category in any year that they make a new gift to the school. ntal in founding UB's medical school in 1846. F nde s' c· le Dr. Joseph Chazan '60 and Mrs. Helene Chazan Dr. Kenneth M. AHord '37 and Mrs. Joan W. AHord Buffalo, NY Williamsville, NY primarily physicians and attorneys, envisioned a school to train students for service to the community. The society's Founders help to actualize that vision by providing a generous base of support for programs and activities that enrich the academic environment and enhance medical training. Dr. Williard Bernhoft '35 and Mrs. Clarice Bemhoft Snyder, NY Dr. Kenneth H. Eckhert '35* and Mrs. Majorie Eckhert Buffalo, NY Ms. Rose Ellerbrock Dr. Willard Boardman ' 44 and Mrs. Jean Boardman '48 Winter Park, FL Amherst, NY Dr. George M. Ellis '45 and Mrs. Kelly Ellis Connersville, IN Dr. William Chardack Gulfstream, FL Spring Mr. DuVal Cravens and Mrs. Annette Cravens Buffalo, NY Mrs. June M. Alker DB's Founders, Providence, RI Mrs. Grant Fisher Lakeview, NY 2000 1111a11 Pkysiciu 31 �DEVELOPMENT fOUNDERS CIRCLE CO!"T·o Mrs. Catherine Fix Martinsburg, WV Dr. Thomas F. Frawley '44 and Mrs. Marigrace Frawley Chesterfield, MO Mrs. Christian Gretschel Genner Potomac, MD Mr. John Goodwin Williamsville, NY Dr. Pasquale A. Greco '41 and Mrs. Joan Greco Buffalo, N Y Dr. Glen E. Gresham and Mrs. Phyllis K. Gresham Snyder, NY Dr. Thomas J. Guttuso '60 and Mrs. Barbara L. Guttuso East Amherst, NY Dr. Eugene J. Hanavan Jr. '41 Buffalo, NY Mrs. Morris Lamer New York, NY Dr. Eugene R. and Mrs. June A. Mindell Buffalo, NY Dr. Richard J. Nagel '53 and Mrs. Forence Nagel E W S Annual Memberships Chairs' Circle Dr. and Mrs. Paul H. Wierzbieniec '74 Scholars' Circle Annual memberships, in the appropriate circle, are granted for one year, beginning January 1, for gifts received during the prior calendar year. The roster of the James Platt White Society "Class of 1999" follows. Just as a department chair leads a program, donors of leadersh ip gifts in this range of $10,000 to $24,999 are given special recognition. Amherst, NY One strength of an outstanding institution is the caliber of students who study there. Scholars in the James Platt White Society h ave made gifts to the school totaling $1,000 to $2,499 during the past year. Those marked with (**) are young scholars, graduates of the last decade, who qualify with gifts of $500 to $999. Dr. Hilliard Jason '61 Boulder, CO Mr. and Mrs. Wilson Greatbatch Dean'sCircle Akron, NY The dean is the school's leader. Every leader depends on a small circle of associates who help bring the organization's vision into reality. Individuals or couples qualify as members in the Dean's Circle with generous gifts of $25,000 or more during the calendar year. Orchard Park, NY Dr. Richard B. Narins '63 and Mrs. Ellen B. Narins Dr. Willard H. Boardman '44 East Aurora, NY Winter Park, FL Dr. Albert C. Rekate '40 and Mrs. Linda Rekate '71 Max Doubrava Jr., M.D. '59 Hilton H ead, N C Anonymous Las Vegas, NV Philip D. Morey M.D. '62 Williamsville, NY Dr. Syeda Fazila Zafar and Dr. lsmaial Zafar East Amherst, NY Fellows' Circle Fellows in the school are recognized for the added depth they bring to postgraduate study. Within the society, Fellows are honored for gifts that total $2,500 to $4,999. Dr. Maria Naples Sarno '34 Syracuse, NY Marie Rose Sarno Syracuse, NY Dr. Charles A. Baud a '42 Boynton Beach, FL Mr. Sheldon M. Berlow Buffalo, NY Buffalo, NY Professors' Circle Dr. and Mrs. Harold Brody '61 Getzville, NY Dr. Kenneth Z. AHshuler '52 and Mrs. Ruth AHshuler A strong faculty is central to a great university. Likewise, central to the future of our school is the dedication of a cadre of supporte rs whose annual gifts ra nge from $5,000 to $9,999. Dr. Melvin M. Brothman '58 Dallas, TX Snyder, NY Darcy Steinhart Amiel and Jack J. Amiel Dr. Allen Barnett '65 Pine Brook, NJ Dr. Elizabeth P. Olmsted Ross'39 Dr. Janet Sung and Mr. John Sung Dr. Charles D. Bauer '46, and Mrs. Mary A. Bauer Buffalo, NY Clarence, NY Williamsville, NY Dr. and Mrs. Robert J. Gillespie Buffalo, NY Caledonia, NY Dr. Philip S. Anson '79 Mr. Arthur H. Judelsohn Scarborough, ME Buffalo, NY Dr. J. Bradley Aust Jr. '49 Dr. Hak J. Ko San Antonio, TX Buffalo, NY Dr. George R. Baeumler '59 Dr. Susan V. Mcleer Kenmore, NY Buffalo, NY Dr. George Bancroft '81 and Mrs. Susan Bancroft '79 Dr. Richard B. Narins '63 and Mrs. Ellen B. Narins East Aurora, NY Dr. Dan Miller '48 Scarsdale, NY Dr. Claudia D. Fosket '85 and Dr. Robert J. Smolinski '83 Dr. John C. Newman Lewiston, NY Dr. John Parker ' 57 and Mrs. Dorris Parker Orchard Park, NY Dr. Charles S. Tirone '63 and Mrs. Anne Tirone '94 Latrobe, PA Williamsville, NY Dr. Edward D. Simmons Jr. Dr. Salvador M. Udagawa Dr. Phillip B. Wels '41 and Mrs. Elayne Wels Lakeview, NY Buffalo, NY Dr. and Mrs. James J. White Jr. '69 *deceased Dr. Nancy H. Nielsen '76 Orchard Park, NY Buffalo, NY Dr. Robert G. Smith '49 32 l1ff al o Hys ici an Sp r i n g 20 00 Drs. Elizabeth and Kevin Barlog'82 Amherst, NY Dr. Jared C. Bartow Sr. '66 and Mrs. Barbara Bartow '64 Grand Island, NY Dr. Paul D. Barry '71 Bethesda, MD Dr. Ralph T. Behling '43 San Mateo, CA Dr. Irving Sterman '64 Dr. Richard A. Berkson '72 and Mrs. Andrea Berkson Boynton Beach, FL THE CALIBER OF STUDENTS WHO STUDY THERE. Hamburg, NY Savannah, GA and Mrs. Gail Sterman ONE STRENGTH OF AN OUTSTANDI, G INSTITUTION I S Dr. WilliamS. Andaloro '45 Bradford, PA Williamsville, NY Clarence, NY Encino, CA Dr. Anita J. Herbert '63 Miss Thelma Sanes Dr. Janet and Mr. John Sung Dr. Kenneth Alford '37 and Mrs. Joan Alford Rancho Palos Verdes, CA Mr. Haskell Stovroff Dr. and Mrs. Michael E. Bernardino Buffalo, NY Buffalo, NY Mr. James I. Stovroff Dr. Joel M. Bernstein '75 Buffalo, NY Williamsville, NY �EVERY LEADER DEPENDS ON A SMALL CIRCLE OF ASSOC I ATES WHO HELP BRI 'G THE ORGANIZATION'S VISION INTO REALITY. Dr. Kathleen O'leary '88 and Mr. Michael J. Collins '90 Dr. Susan Fischbeck '82 and Dr. Patrick Hurley '82 Buffalo, NY East Concord, NY Dr. Suzanne F. Bradley '81 Dr. Mark R. Comaratta '85 and Mrs. Kathleen Comaratta Whitmore Lake, MI East Amherst, NY Dr. Theodore S. Bistany '60 Buffalo, NY Dr. Dennis l. Bordan '70 Port Washington, NY Dr. Martin Brecher '72 and Mrs. Geri Brecher Dr. Bernice S. ComfortTyran '58 Amherst, NY Los Altos, CA Dr. James B. Bronk '81 and Mrs. Suzanne Bronk Napa, CA Dr. linda J. Corder Buffalo, NY Dr. August A. Bruno Sr. '51 Dr. James J. Creighton Jr. '79 Amherst, NY Indianapolis, IN Clarence, NY Dr. Edwin J. Manning '61 Dr. Jack C. Fisher '62 Dr. Herbert E. Joyce '45 and Mrs. Ruth Joyce La Jolla, CA Lockport, NY Dr. Thomas D. Aanagan '65 and Mrs. Grace Flanagan '60 Dr. Wendy Kaiser '85 and Dr. Roger E. Kaiser Jr. '79 Williamsville, NY Clarence, NY Dr. Claudia D. Fosket '85 and Dr. Robert J. Smolinski '83 Orchard Park, NY Dr. Kyoichi Kano Williamsville, NY Tokyo, Japan Dr. Merrilll. Miller '71 Dr. Genievieve Kanski '58 and Dr. James R. Kanski '60 Coram, NY Eggertsville, NY Dr. Reiji Kasukawa Ann Arbor, MI Williamsville, NY Fukushima, Japan Dr. Kenneth Kim '65 and Mrs. Susan Kim Dr. Eugene l. Gaier Buffalo, NY Dr. Daniel E. Curtin '47 and Mrs. Elaine Curtin Dr. Penny A. Gardner '69 Mr. Michael T. Bukowski Orchard Park, NY Los Altos, CA Dr. David R. Dantzker '67 and Sherrye Dantzker Dr. Ronald F. Garvey '53 Roslyn, NY Dr. lawrence Golden '46 and Mrs. Nancy Golden '48 Dr. William M. Burleigh '67 Rancho Mirage, CA Dr. Jennifer l. Cadiz '87 Mechanicsburg, PA Drs. Virginia and Evan Calkins Dr. Roberta Dayer '72 and Dr. RogerS. Dayer '60 Williamsville, NY Tyler, TX Eggertsville, NY Buffalo, NY Dr. Michael Goldhamer '64 Dr. Philip C. Dennen '49 San Diego, CA Southbury, CT Dr. and Mrs. Glen E. Gresham Dr. Gerard J. Diesfeld '60 Arcade, NY Williamsville, NY Hambu rg, NY Dr. Frederick R. Downs '70 Dr. Kim Griswold '94** Dr. David T. Carboy '63 and Mrs. Jacqueline Carboy Attica, NY Buffalo, NY Ronald I. Dozoretz, M.D. '62 Lincroft, NJ Washington, DC Dr. Robert T. Guelcher '60 and Mrs. Elizabeth Guelcher Dr. Joseph G. Cardamone '65 and Mrs. Susan Cardamone Mrs. Ruth H. Dugan '65 Eden, NY Dr. Melvin B. Oyster '52 Dr. Nicholas C. Carosella '54 and Mrs. Mary Carosella Appleton, NY Hamburg, NY Niagara Falls, NY Dr. Robert Einhorn '72 North Brunswick, NJ Erie, PA Mrs. Gilda l. Hansen '44 Williamsville, NY Dr. John H. Hedger '75 and Mrs. Sandra Hedger Salisbury, MD Dr. Yung C. Chan '73 Dr. George M. Erickson '49 Dr. and Mrs. Reid R. Heffner Jr. Draper, VA Deland, FL Buffalo, NY Dr. Norman Chassin '45 and Mrs. Charlotte Chassin Buffalo, NY Dr. Yong Baek Chi Lockport, NY Dr. Prem K. Chopra West Seneca, NY Dr. and Mrs. Charles KwokChi Chow Dr. Joseph M. Failla '82 Dr. William J. Hewett '61 Bloomfield Hills, MI West Hartford, CT Dr. Domonic F. Falsetti '58 Dr. Fredric M. Hirsh '73 and Mrs. Donna Hirsch '75 Lewiston, NY Dr. and Mrs. leon E. Farhi Williamsville, NY Dr. Maynard H. Mires Jr. '46 Georgetown, DE Dr. Joseph F. Monte '59 Clinton, NY Buffalo, NY Dr. Robert A. Klocke '62 and Mrs. Barbara Klocke Williamsville, NY Dr. John F. Montroy '39 and Mrs. Catherine Montroy Bella Vista, AR Dr. Richard Kozak '94** Eugene, OR Dr. Daniel C. Kozera '59 and Mrs. Delphine Kozera Lackawanna, NY Dr. Beth Moscato '96 and Dr. John A. Moscato '68 Orchard Park, NY Dr. John D. Mountain '33 Manhasset, NY Drs. Marie Kunz '58 and Joseph l. Kunz '56 Lockport, NY Dr. Arthur W. Mruczek Sr. '73 Medina, NY Dr. Weerachai ladakom '91 Bangkok, Thailand Dr. Richard l. Munk '71 Sylvania, OH Dr. Andre D. lascari '60 Poestenkill, NY Dr. Masao Nakandakari '55 Honolulu, HI Dr. Thomas J. lawley '72 Atlanta, GA Dr. Tomoe Nishimaki Fukushima, japan Dr. Jack lemann Jr. '54 and Mrs. Mary MacDonaldlemann Dr. Thomas P. O'Connor '67 East Amherst, NY New Orleans, LA Dr. James M. Orr '53 Dr. Eugene V. leslie '51 and Mrs. Faith leslie Dr. Marvin G. Osofsky '59 Gallipolis, OH Williamsville, NY Nanuet, NY Dr. laurence M. lesser '70 Dr. Margaret Paroski '80 Atlanta, GA Buffalo, NY Dr. Harold J. levy '46 and Mrs. Arlene levy Drs. Jacqueline Paroski '49 and Paul A. Paroski DDS '45 Amherst, NY North Tonawanda, NY Eggertsville, NY Dr. John M. Hodson '56 Mr. Kevin Feor '80 and Mrs. Elizabeth Feor '78 Williamsville, NY Alice Jo Lichtman '58 and Marshall A. Lichtman, M.D. '60 Mr. Harold Housler Rochester, NY Webster, NY Rochester, NY Dr. Hing-Har lo '74 Snyder, NY Hong Kong Dr. Amy Ferry '94** Robert M. Jaeger, M.D. '47 Blacksburg, VA Bethlehem, PA Allentown, PA Dr. and Mrs. Gerald l. Logue Dr. Carlos R. Jaen '89** Williamsville, NY Dr. Michael E. Cohen '61 and Mrs. Joan Cohen Dr. Helen Marie Findlay '77 and Dr. Albert Schlisserman '77 Buffalo, NY Williamsville, NY Eggertsville, NY Dr. Thomas A. Lombardo Jr. '73 and Mrs. Donna Lombardo Lexington, MA East Aurora, NY Spring Dr. Robert J. Patterson 'SO and Mrs. Patricia Patterson '48 Dr. Norman l. Paul '48 Dr. Eugene E. Cisek Buffalo, NY Hamilton, NY Dr. Neal W. Fuhr '52 Dr. Julia Cullen '49 Eggertsville, NY Buffalo, NY Dr. Kaaren Metcalf '78 and Dr. Harry l. MetcaH '60 Dr. and Mrs. David P. Mind ell Buffalo, NY Dr. Stanley l. Bukowski '81 and Mrs. Romana Bukowski Buffalo, NY Dr. John Marzo Dr. Andrew J. Francis '84 Mount Dora, FL Washington, DC Dr. Frank A. luzi '88 La Jolla, CA Dr. Paul T. Buerger '49 Ms. Mary J. Bukowski Schutz Irene and Frank Jellinek '40 2000 Dr. Clayton A. Peimer and Mrs. Susan Peimer Eggertsville, NY Mr. Edwin Polokoff Boca Raton, FL laffa l1 Physician 33 �D E V E ~--------- SCHOLARS' CIRCLE, CONT'D Dr. Charles W. Pruet Williamsville, NY L 0 P M E Dr. Hiroshi Yoshida Fukushima, japan Dr. Roy E. Seibel Sr. '39 and Mrs. Ruth Seibel Dr. Wayne C. Templer '45 Dr. Gregory E. Young '77 and Mrs. Diane Young Dr. Molly R. Seidenberg '53 Dr. Arthur M. Seigel '70 Guilford, CT Dr. Bert W. Rappole '66 and Mrs. Mary Helen Rappole '97 Dr. Elizabeth G. Serrage '64 jamestown, NY Mr. Eugene M. Setel Boca Raton, FL Buffalo, NY Dr. Richard R. Romanowski '58 Cape Elizabeth, ME Buffalo, NY Corning, NY Dr. Henry A. Thiede '49 Pittsford, NY Dr. James C. Tibbetts '64 Sturgeon Bay, WI Dr. George Toufexis '76 Williamsville, NY Dr. Bradley T. Truax '74 Lewiston, NY Dr. Edward Shanbrom '51 and Mrs. Helen Shanbrom Santa Ana, CA Dr. John T. Sharp '49 and Mrs. Susan Sharp Lancaster, NY Dr. Thomas F. Varecka '74 Minneapolis, MN Dr. Alvin Volkman '51 Holmes Beach, FL Greenville, NC Dr. John B. Sheffer '47 Dr. Richard D. Wasson '58 and Mrs. Janet Wasson Williamsville, NY Dr. Charles H. Rosenberg '44 Stamford, CT Dr. Peter E. Shields '79 Williamsville, NY Dr. Arnold Wax '76 Dr. Elizabeth P. Olmsted Ross'39 Dr. Timothy S. Sievenpiper '68 and Mrs. Karen Sievenpiper '66 Dr. Pierce Weinstein '49 Dr. Jeffrey S. Ross '70 Holland, NY Dr. Wende W. Young '61 Canandaigua, NY Dr. Franklin Zeplowitz '58 and Mrs. Piera Zeplowitz Buffalo, NY Dr. David Ziegler '64 and Mrs. Susan Ziegler '61 Walnut Creek, CA Mr. James J. Trzaska Buffalo, NY Buffalo, NY East Aurora, NY Holiday, FL Special Members A few individuals and coup les were gra n ted multiyear memberships based on generous gifts made between 1989-1993. Henderson, NV West Palm Beach, FL Drs. Charlotte Weiss '52 and Dr. Hyman Weiss '52 Lebanon Springs, NY Edward H. Simmons, M.D. Mr. James J. Rosso '76 and Mrs. Cheryl Rosso Williamsville, NY Highland Park, Nj Dr. James A. Smith '74 Dr. Gary J. Wilcox '73 Buffalo, NY Orchard Park, NY Carlsbad, CA Dr. Albert G. Rowe '46 Dr. Albert Somit Dr. Charles E. Wiles '45 Tonawanda, NY Aurora, Co Dr. David W. Butsch Montpelier, VT Dr. John l. Butsch Buffalo, NY Dr. Marvin Z. Kurian '64 and Mrs. Eleanor Kurian Carbondale, JL Orlando, FL Dr. John J. Squadrito '39 Dr. Richard G. Williams '80 New York, NY Sarasota, FL Clearfield, PA Buffalo, NY Dr. Pina Sanelli '94** Dr. David D. Stahl '79 Mr. Ralph C. Wilson Jr. M edina, NY Orchard Park, NY Mrs. Marvin (Helen) Winer Boston, MA Dr. William C. Sternfeld '71 Dr. Stuart Alan Wolman '74 Sylvania, OH Beverly Hills, CA Snyder, NY Dr. louise M. Stomierowski '74 Dr. and Mrs. John R. Wright Dr. Stephen C. Scheiber '64 and Ms. Mary Ann Scheiber Garrett Park, MD Glenview, IL Dr. James N. Schmitt '52 Kenmore, NY •• Clln lllrcll •• ..,.. . . . . . '%1 ..... ........... ........ ....... s. Williamsville, NY Dr. John Naughton Sarasota, FL We have made every effort to en ure accuracy tn these hsts If ou ha e questio or corrections, please call Mary Glenn, toll free at Williamsville, NY Dr. Michael A. Sullivan '53 Williamsville, NY Dr. lin-lan Tang '84 Warren, N] Dr. Max A. Schneider ' 49 U B's Orange, CA Robert N. Schnitzler, M.D. '65 f OUNDERS, PRIMARILY PHYSICIANS AND ATTORNEYS, ENVISIONED A SCHOOL TO TRAIN STUDENTS FOR SERVICE TO THE COMMU, 'ITY. San Antonio, TX Dr. Adolphe J. Schoepflin '45 Ada, OK Dr. David S. Schreiber '69 Westwood, MA Dr. Joseph I.SchuHz'57 San Pedro, CA l 1 1f a lo Hys ieia n The following indi viduals left gen erous bequests or made arrangements for the school to recetve gtfts from testamentary trusts Gtfts from those listed were received dunng 1999. . . . . . . . . '15 Ms. Janet Butsch Dr. Edwin A. Salsitz '72 Dr. Arthur J. Schaefer '47 and Mrs. Elizabeth Ann Schaefer 34 w s Columbus, OH Rochester, NY Dr. Frank T. Riforgiato '39 and Mrs. Mary Cecina Riforgiato '37 E Dr. Michael Taxier '75 Amherst, NY Dr. Frederic D. Regan '45 N Dr. Fred S. Schwarz '46 Eggertsville, NY Fairview Park, OH T Buffalo, NY Dr. Kenneth J. Raczka '72 and Mrs. Rita Raczka Dr. John Y. Ranchoff '52 N S prin g 2 000 �Dear Fellow Alumni, NOW! R SUCCESSFUL S PRING C LINICAL D AY has recently come and gone. For those of you who missed this event-organized by Colleen A. Matti more, MD '91, and featuring the theme of "Children's Health"-be sure to look for coverage of it in the summer issue of Buffalo Physician. Prior to Spring Clinical Day, the Medical Alumni Association Board met and chose the following four alumni from reunion classes to receive achievement awards at Spring Clinical Day: Richard H. Alder, MD '45; D. Jackson Coleman, MD '60; N. Lynn Eckhert, PhD, MD '70; and Ani! B. Mukherjee, PhD/MD '75. The board also met to discuss nominations for the Berkson Award, which is given to the outstanding teacher among our faculty, and approved nominations of Robert Kalb, MD, and Corstiaan Brass, MD, to receive this year's honor. In addition to Spring Clinical Day, I am pleased to report that this year's Medical Alumni Association programs have all been successful. The Physician-Student Mentoring Program-in which first-year students are paired up with attending physicians in the Buffalo area-has had enthusiatic reviews from both the students and the physician-mentors. I encourage any of you in the Western New York area who would like to become involved in the program to contact the Medical Alumni Association office at the number listed below so that a student can be paired with you in August. The Community Physicians Program for first- and second-year students continues to meet with success, as well. The Alumni Association, under the chairmanship of Anthony Markello, MD '62, organizes speakers for these noontime meetings, which also include lunch for attendees. On February 2, 2000, Jack Cudmore, MD '62, and Daniel Kozera, MD '59, talked about their careers in medicine. For more information about any of these events, or other matters, please feel free to call the Medical Alumni Association office at (716) 829-2778. RICHARD L. COLLINS , MD President, Medical A lumni Association Spring 2000 luffal e Pb ysici ao 35 �CLASSNOTES 1940s Samuel Cassara, MD '44, writes from Rochester, NY: "I retired in 1997. I am a board certified pediatrician and was in the navy twice. The rest of the time I spent in private practice. I have three children: my oldest, my daugher, works in public relations for a private company; my son is an oral surgeon and my youngest is a social worker. Arthur J. Schaefer, MD '47, attended the American Academy of Ophthalmology's annual meeting in Orlando, FL, where he gave a threehour course on the surgical correction of malpositions of the eyelids. The meeting was held in conjunction with the PanAmerican Society of Ophthalmology and was attended by over 25,000 ophthalmologists from the United States and around the world. 1950s Richard Lyons, MD '50, writes: "I retired july 1, 1999, after 36 years of practice in anesthesiology; assistant clinical professor of anesthesiology at the University of Illinois; director of anesthesiology at Ravenwood Hospital Medical Center in Chicago, IL. Also retired from sailing, skiing and SCUBA. Widowed 36 l 11fala H ysieian since September 1998. Maintain homes in Evanston, IL, and Holmes Beach, FL. Looking forward to our 50th reunion." Ernest H. Meese, MD '54, received the American Cancer Society's (ACS) prestigious National St. George Medal in November 1999 at the Ohio Division's annual state meeting in Columbus, OH. The St. George Medal is presented annually to an outstanding division volunteer. Meese, who practices cardiathoracic surgery in Cincinnati, has been a dedicated volunteer for the ACS for 36 years and has served as president of the board of trustees for both the local Hamilton County Unit and the Ohio Division. He has also given many lectures in support of antismoking ordinance efforts and has seen the positive results of the ACS's work in his region. Currently, Meese serves as a lifetime member of the Hamilton County Unit Board of Trustees and as chair of the Tobacco Committee. Philip Brunell, MD '57, writes: "I retired from NIH a few months ago S prin g 2 000 but I am off to England to Great Ormond Street Children's Hospital as a visiting professor for three months in the spring. I still go into work at the NIH occasionally, edit Infectious Diseases in Children and serve as secretary of the World Society for Pediatric Infectious Diseases. Most of all, I enjoy my four grandchildren." E-mail address is: pbrunell@niaid.nih.gov Jacob Krieger, MD '59, Daniel Kozera, MD '59, Sandra Leininger, MD '59, Lackawanna, NY, Obstetrics/Gynecology. "I have been on the Board of Health for Erie County for over 15 years and have served as president. Due to heart disease, I left private practice of ob-gyn in 1986. Since then, I have worked parttime at the Erie County Health Department as a consultant in ob- gyn. I also consulted for the NYS Health Department and I am past president of Buffalo Gyn-Ob Society and past chief of ob-gyn at Buffalo Mercy and OLV hospitals." Danville, CA, Pediatrics. ''I'm healthy and happy!" Rochester, NY, Anesthesiology. "I was chief of anesthesia at Genesee Hospital in Rochester, NY, from 1969-1977; chief of anesthesia at Rochester General Hospital, Rochester, NY, 1984-1989; clinical assistant professor of anesthesiology at the University of Rochester School of Medicine from 1969-present." E-mail is: j mdkrieger@aol.com Richard Musgnug, MD '59, Medford Lakes, NJ, Dermatology. "I have learned over the years, as I am sure you all have too, life is too short and unpredictable to waste on things that don't have any real meaning in your life. If you can contribute something to a meeting, a committee, a board, etc., do it; if not, move on." E-mail is: Rcmus@aol.com E-mai 1960s Roberta Gilbert, MD '62, writes: "Just published Connecting with Our Children, Guiding Principles for Parents in a Troubled World. Wiley, NY, publishers." Robert W. Hamilton, MD '63, writes, "I was promoted to Professor Emeritus of medicine at the Medical College of Ohio on January 1, 2000. I have retired from the practice of medicine, but still teach parttime. I remain active in my church and with the Ohio Chapter of the American College of Physicians as vice president of the chapter. I am also learning to play the Great Highland bagpipes. E- mail address is: rhamilton@core.com Walter Ceranski, MD '64, Phoenix, AZ, Family Practice. "I became a grandfather six months ago." E-mail address is: 72772.137@compuserve.com Joseph DiPoala Sr, MD '64, Rochester, NY, Internal Medicine. "I am medical director and owner of the Doctor's Wellness Weight Loss Center to assist patients in achieving better health, physical fitness and weight loss. Plus rehabilitation exercise for elderly and those with osteoarthritis." E- mail address is: )dipoalasr@pol.net �__, !"'}' development and Medi· caid managed care, he Thomas C. Rosenthal, practice in the rural MD '75, professor and Western New chair of the Department York community Area Health Educa· of Family Medicine in the of Perry. Over tion Center, which he directs. For his also led efforts to create the New York State thalmology. It's still new and exciting and one of the most fun things in my life, along with hiking and kayaking and learning other 'new' things." University at Buffalo the next eight School of Medicine and years, he re- ongoing efforts in Irving Sterman, MD '64, Biomedical Sciences, has cruited and built the field of rural been named editor of the practice into health services, he The Journal of Rural a stable group was presented with Health, the peer-reviewed model. Boynton Beach, FL. "I was widowed in 1993 and remarried in 1995 and moved to FL. I am now working parttime doing disability evaluations, mostly for worker compensation cases in Syracuse, Y. I am enjoying traveling." E-mail address is: Turkyii@aol.com publication of the Rosenthal returned to National Rural Health his alma mater in 1986, Association INRHAJ. establishing the Office of A longtime contributor to the journal, Rosenthal the NRHA's Distinguished Educator Award in 1992. Rosenthal plans to broaden the journal's Rural Health at UB and audience and impact by leading the New York expanding its traditional focus on health-services has served on the Rural Health Research publication's editorial Center. Committed to research to include more board since 1997. His improving health care in articles on clinical issues interest in rural health underserved rural areas and social issues of rural began in the late 1970s, through research into health. when he opened a solo such issues as health professional workforce Michael Feinstein, MD '64, Scottsdale, AZ. "I retired on July 31, 1998, from my hematology-oncology practice on Long Island after 26 years. I am working parttime in a consultation practice in hematology-oncology in Phoenix." E-mail is: linmic@msn.com John Hazeltine, MD '64, Brainerd, MN, Otolaryngology. "I retired in October 1998. We are planning to live in Jack- sonville, OR, and will move this summer, nearer to our children in San Francisco. Retirement is terrific; I should have done it sooner." Stephen C. Scheiber, MD '64, writes from Deerfield, IL: "I am beginning my 15th year as the executive vice president of the American Board of Psychiatry and Neurology and I am currently - MARY BETH SP I NA for the Advancement of Psychiatry and the treasurer for the American College of Psychiatrists. I continue to be active on a number of committees of the American Board of Medical Specialties and participate in national meetings of many of the psychiatry and neurology specialty and subspecialty organizations." Elizabeth Serrage, MD '64, Cape Elizabeth, ME, Ophthalmology. "I still love practicing medicine C1aS'SiiOteS SPRING 2000 J. Michael Taylor, MD '64, Portland, ME. "I have developed a four-person dermatology practice in Portland, ME. I encounter Liz (Goering) and John Serrage regularly, both professionally and socially." E-mail: m.and. w.taylor@worldnet.att.net James Tibbetts, MD "64, Neurological Surgery. "We retired December 31, 1997, and are enjoying it and each other." Shorepeace@dcwis.com David Ziegler, MD '64, Walnut Creek, CA, Neurology. ''I'm retired and spend March in Phoenix- spring training (baseball)." E-mail is: Davidz@pc-systems. net Stuart H. Shapiro, MD '68. After graduation and board certification in radiology, nuclear medi- Spring 2000 cine, and public health, Shapiro turned his attention to the interface of politics, business and medicine. After staffing the U.S. Senate Health Subcommittee Committee, he became Health Commissioner for the City of Philadelphia and joined the faculty at Wharton School of Business at the University of Pennsylvania. He then moved into the private health-care financing at a large bank, then became senior vice president of a multinational nutrition company. Later he was named CEO of a publicly traded company that provides health care to prisoners across America. In 1997 he was recruited to be CEO of the President's Summit for America's Future with Presidents Clinton and Bush as active honorary chair and General [Colin] Powell as the chair. Shapiro continues to work with General Powell and to do private investing and consulting for for-profit and not-for-profit businesses. He feels he certainly may have the youngest children of anyone in the class- a daughter four and a son 11 months. E-mail'- - - address is: shapirostu@aol.com lu lf1l1 Hysieiu 37 �CLASSNOTES James Cavalieri, MD '69, Williamsville, NY, Pediatrics. "I am past president of the Buffalo Pediatric Society; past member of the board of trustees for Children's Hospital; and past board member of Independent Practice Associates. I am a founding member of Community Pediatric Associates ofWNY LLC. 1994 Pediatrician of the Year." E-mail address is: Jimkatec@aol.com John Fisk, MD '69, Springfield, IL. "I am professor of surgery at Southern Illinois University School of Medicine." E-mail address is: Jfisk@siumed.edu William Major Jr, MD '69, Orchard Park, NY, Thoracic Surgery. "I am executive director, IPA/ WNY, January 1999current." E-mail is: Wmajor@buf.adelphia.net William E. Stempsey, MD '78, SJ, has recently published a book titled Disease and Diagnosis, Value-Dependent Realism. Stempsey, a member of the Jesuit Community, currently is an assistant professor in the Department of Philosophy at the FACP, FAC, writes: "I retired from active solo practice of medicineinternal medicine and cardiology- in March 1999, not by choice but due to health reasons. In College of Holy Cross in Worcester, MA. In 1988, ten years after earning his medical degree at UB, Stempsey completed a master of arts degree in philosophy at Loyola University Chicago, after which he earned a master of divinity degree from the Jesuit School of Theology at the Uni versity of California at Berkeley. In 1996, he completed his doctorate in philosophy at Georgetown University. The book's publishers, Kluwer Academic, state that Stempsey's book "will be of interest to 1111111 Hysici11 Sprin g 1970s Russell P. Massaro, MD '70, lives in Elmhurst, IL, and is currently executive vice president for accreditation operations at JCAHO. Ashesh K. Maulik, MD '72, 38 May 1998, I was discovered to have pituitary macroadenoma. I underwent a craniotomy, followed by radiation therapy. Due to weakness and failing vision, I could not practice. Moved to Las Vegas, NV, to be near family. I miss Western New York and all the CME courses in Buffalo." 2 000 philosophers of medicine, value theorists, bioethicists, and physicians" because it "situates the practice of diagnosis in a new vision of how values permeate the world of disease and medical practice." More information on Disease and Diagnosis can be obtained by calling Kluwer Academic Publishers at (781) 871-6600; E-mail: kluwer@wkap.com Avery It Ellis, MD '77. PhD '79 has been appointed physician executive at the Department of Veterans Affairs Western New York Healthcare System. As clinical head of the veterans' facility, Ellis supervises the operation of both the Buffalo and Batavia sites, as well as community based outpatient clinics in Jamestown, Dunkirk, Niagara Falls, Lockport and Warsaw. Ellis received his undergraduate degree from Cornell University and his medi cal degree from UB, where he also received his PhD in physiology. He completed a medical residency and cardiology fellowship at Stanford University Hospital. In October 1999, he received an MBA from Duke University. At UB, Ellis is an associate professor of medicine and physiology, as well as director of the Cardiology Fellowship Program. A Fellow in the American College of Cardiology, he also holds membership in the American Heart Association, the American Society of Echocardiography and the New York Sate Cardiologic Society. of Andover [Maryland] and is medical director of two nursing facilities in the area and a local college. He has also been a mentor to family practice students and residents. - Terence Chorba, MD '79, writes: "After working on infectious disease issues in Kazakstan and central Asia for the Centers for Disease Control for four years, I am now working in Cote d'Ivoire [Ivory Coast] as director of Project Retro-CI, a collaborative AIDS/TB/ STD research activity of the Ministry of Health and the CDC." 1980s David Bristol, PhD '82, lives in Ann Arbor, MI, and is currently director of biometrics at ParkeDavis Pharmaceutical Research, where he provides guidance for development of treatment for cardiovascular diseases. Wesley L. Hicks, Jr. DDS, MD '84, FACS, has been ap- pointed director of the Fellowship Program in the Division of Head and Neck Surgical Oncology/ Plastic and Reconstructive Surgery at Roswell Park Cancer Institute (RPCI). In this capacity, he is responsible for the national accreditation and development of education and research programs at RPCI through the American Head and Neck Society. He will also continue to serve as associate professor in UB's Department of Otolaryngology. Anthony E. Turiano, MD '83, has been listed in the Guide to Top Doctors, a state-by-state listing of 15,000 doctors in 30 specialties nationwide who are most highly recommended by their peers. Turiano is chief of family practice at Suburban Health Care Andrew M. Knoll, MD '84, FACP, and Maritza Alvarado, MD '85, write: "Andrew has received a chancellor's scholarship at Syracuse University College of Law and graduates in August 2000." �In Memoriam Stuan Y. Collins, MD' 40, died on April 16, 1999. After being discharged from the Army Medical Corp, in 1946, Collins practiced medicine in Elmira, NY. Following his retirement in 1975, he resided in Tequesta, FL, with his wife, Marian, who survives him and who currently resides at 113 Cool View Drive, Noma Roberson, PhD '86, of Amherst, NY, recently published a book, titled Year 2000 and Beyond, which offers information about the potential impact of the year 2000; a checklist for personal information, housing, money, supplies, communications, transportation and personal computers; and spiritual guidance and devotion. Roberson is president/ CEO of a newly formed consulting company, Roberson Consulting Internationa!, the mission of which is to provide consultation to universities, Seneca, SC, 29672-2302. nity Hospital in Julian, named Julian was well known as Collins is also survived by Jersey City, NJ, a diplomate of a chef and culinary advi· three children and four after which he the American sor who frequently grandchildren. returned to But- Board of Ob- cooked in his home for Peter J. Julian, MD '47, falo to complete stetrics and Dallas restaurant chefs. his residency Gynecology in Besides his wife, Ruth Gray Julian, he is a Dallas, TX, obstetrician! training at Dea- 1954, moved gynecologist who practiced coness Hospital to Dallas with survived by a son, in Buffalo from 1951- in 1951. He then his family in nationally-known 1960, died of a heart entered private 1960 to start neoexpressionist artist attack in June 1999 at his practice on his own prac- Peter Julian, of New Dallas home. He was 74. A Humboldt Parkway with tice. He served as a clinical York, NY; a daughter, native of Buffalo, Julian Dr. W. Herbert Burwig, who professor at the University Linda Julian Richie of also completed his under· had the largest obstetrical of Texas Southwestern Dallas; a sister, Mildred graduate studies at UB. practice in Buffalo and Medical Center at Dallas, Nicholas of PA; and Following graduation from developed the city's first from 1960 to his retirement a granddaugbter. medical school, he interned group practice in obstetrics. in 1998. In addition to his at Margaret Hague Mater- (Burwig died in 1992.) reputation as a physician, foundations and government agencies that conduct health research and services for public education. Peggy Stager, MD '88, Dlufowobi Gbadebo, MD '91, writes: "My husband, Dick, and I welcomed our second son, Benjamin, on Superbowl Sunday, January 31 , 2000. Dick is certain that Ben's birthday is a sure sign that he will be a professional football player!" writes: "Buffalo Physician is sure a good way to keep in touch with events and developments within the University at Buffalo and the affiliated hospitals. As an alumnus of the Medical Department, I look forward to each edition of the magazine. Although my practive here in central Wisconsin is busy and rewarding, reading about my colleagues in Buffalo makes me homesick." Anhur Weissman, MD '86, writes: "I am a general surgeon at Tri County Memorial Hospital, in Gowanda, NY, and have a busy solo rural practice. I'm fortunate to be surrounded by excellent nurses and support staff and grateful to be alive and well, working and enjoying operating and office practice. Watching my kids grow up (Katie is 13-going on 35-and Zack is almost 9). Pat and I are planning our 20th anniversary trip to Paris. My best to all." E-mail is: arthursurg@aol.com 1990s Sean Cao, MD '90, was recently appointed associate chief, Division of Transplantation, Department of Surgery, at the University of California at Irvine's Medical Center. His address is UCI Medical Center, Bldg 26, Room 1001, Route 81, Orange, CA 92868-3298; his telephone number is (714) 456-8441. David J. Rodman, MD '91 , writes: "I have received an appointment in SUNY at Buffalo's Department of Chemistry as a research assistant professor and have joined the Biophotonics Institute [see related S prin g 2000 CD article on page 20 ]. I will be working on joint collaborative projects, including solid-state lasers and new drugdelivery systems. " Rosalind Nolan Sulaiman, MD '91, writes: "Rosalind Nolan Sulaiman and Adel Sulaimen are pleased to announce the birth of their second son, Kyle, last spring. Big brother, Cass, is now four." Daniel Pitterman, MD '92, writes: "I am an assistant professor of anesthesiology at Loyola University Medical Center in Chicago. My wife, Corrine, and I are expecting our first child in March." I~NT I NUEO ON PAGE + 0 l affale Pbysician 39 �CLASS NOTES BRAZIL REDUX Do you have a favorite memory, anecdote or inspirational moment that you associate with your medical education? How about a favorite professor, mentor or classmate you'd like to tell about? Buffalo Physician is putting out a call for stories about your past, which we will publish in future issues of the magazine. Here are some ways you can submit your story• •. bp-notes@buffalo.edu 716-645-2313 Editor, Buffalo Physician, 330 Crofts Hall, Buffalo, NY 14260. Be sure to include your name and a phone number or address where you can be reached. Your fellow alumni look forward to reading about your storied past! CONTINUED FROM PA GE 13 toxoplasmosis. Again, most of the diagnoses were based on history and physical exam, and I did learn how to perform a thorough medical examination and how to more efficiently use the history and presentation of the patient. I feel that this experience raised my skills to a new level and certainly deepened my appreciation for medicine. l Day-and Month-To Remember Joseph M. Kowlaksi, MD '93, has been appointed to the medical staff at the Erie County Medical Center (ECMC) Healthcare etwork. An orthopaedic physician/ surgeon, he will join the current team of specialists at ECMC's Spine Center. Kowalski earned his medical degree summa cum laude from UB, where he also completed his residency. He then completed a fellowship in spine surgery at Emory University in Decatur, GA. Prior to medical school, he earned a doctor of chiropractic degree from the National College of Chiropractic in Chicago, IL. Kowalski is a diplomate of both the National Board of Medical Examiners and Chiropractic Examiners. He is a member of the Alpha Omega Alpha Honor Medical Society and the orth American Spine Society. l1flal• Hysiciu Mansour V. Shirbacheh, MD '93, PhD, writes: "After obtaining my MD, I started general surgery training in Long Island, NY. However, in 1996, I decided to leave clinical training and join plastic surgery research in Louisville, KY. My research and many others culminated in the first hand transplant in the U.S. I also applied my research to my PhD dissertation. I received my PhD in physiology last May. I am currently training in plastic and reconstructive surgery in Louisville and will graduate in June 2001." Carollnn Killian, MD '94, Thomas Burnette, MD '94, write: "We are pleased to announce the birth of our second daughter, Lauren Killian Burnette, on November 24, 1999 (7lbs., 11 oz.). Big sister, Kristen, is now 19 months old and is adjusting well! Tom continues to practice internal Spri n g 2000 medicine and Carol Ann, emergency medicine, in NY. Catherine (Costello) Skae, MD '97, writes: "My hus- band, John, and I proudly announce the birth of our daughter, Anya Bernadette, who was born on January 21, 2000-9 pounds, 7 ounces. I am a third-year pediatrics resident at the Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, where I will be the pediatrics chief resident starting in July 2000." Paul Guttuso, MD '97, writes: "I will be starting a fellowship in sports medicine in July 2000. My wife, Trinia, an occupational therapist, just passed licensure for certified hand therapy. We are so proud!" Paul Rosen, MD '97, writes: "I will graduate from Mt. Sinai's Department of Pediatrics and start a fellowship in pediatric rheumatology at Children's Hospital of Cincinnati in July 2000." M y last day at the hospital is one I will always remember, as that's when I completed my most difficult assignment. Weeks earlier, a professor had asked me if I would be interested in giving a talk on hepatitis A. He gave me articles to read, as well as suggestions on what I should cover. He also recommended that I generate a handout for the students. So, on that last day-in front of my classmates, professors, nurses and hospital administrators! gave a 20-minute presentation in Portuguese. Although I was anxious about having to present such technical information in a foreign language, it went very well. I did have difficulty pronouncing certain medical words without a strong accent; however, the audience was responsive and helpful. After I finished, I realized that I had learned a lot about myself, my work ethic and my presentation skills. Having overcome such a challenging situation, I now feel I would be comfortable speaking in front of any group. Looking back on my experience in Campos, I can see that every facet of my education was enhanced, as I learned a tremendous amount about medicine- and myself. In short, I feel that my month in Brazil was a high point in my medical education, to date, and one that further affirmed for me that medicine is my career of choice. CD Michael White is a fourth-year student at the University at Buffalo School of Medicine and Biomedical Sciences. This summer he begins residency training in emergency medicine at Eastern Virginia Medical School, Sentara General Hospital, in Norfolk, Virginia. �HEN DEBORAH A. WHITE, MD '87, her husband, Christopher, and their four-year-old son, Adam, were killed m an automobile accident in February 1999, a number of people at the University at Buffalo School of Medicine and Biomedical Sciences felt a desire to bring together alumni, faculty, staff and friends with the goal of memorializing the Whites. Instrumental in this effort has been Dr. Gail Willsky, associate professor of biochemistry, who knew Deborah as a student and friend and remains close to her family. As a result of the efforts of Dr. Willsky and others over the past year, the medical school's Office of Development has established the Deborah, Christopher and Adam White Memorial Fund. Proceeds from this fund will support a summer internship for a first- or second-year medical student at UB who is interested in pursuing rural medicine as a career. As many of you know, Deborah was a native of Western New York and grew up on a dairy farm in Eden. Three years after earning her medical degree at UB, she joined a busy internal medicine practice in Middleport, a town of approximately 2,000 people several miles west of Medina, where she was on staff at Medina Memorial Hospital. The same year Deborah began her practice in Middleport, Christopher-who earned bachelor's and master's degrees in biology from UB-chose to give up his position as a cellular and molecular biologist at Roswell Park Cancer Institute to become a stay-athome parent. Today, the White's surviving children, Andrew, 10, and Elizabeth, 7, live with Christopher's sister, Mrs. Sue White Chiddy, in Elba. Mrs. Chiddy says the children are doing well and both show an interest in science. (Andrew says he'd like to be a veterinarian.) Friends and colleagues who knew of Deborah's dedication to rural medicine felt that an endowment supporting education and training in this area of health care would be the best way to honor her life as a physician. In the future, a student whose training is supported through the memorial fund will be expected to complete a summer internship in a rural setting, preferably in the Deborah and Medina area. In addition to supporting a rural internship, it is hoped that the fund Christopher White, will provide two additional awards: one to a with Andrew, Adam student graduating in the biological sciand Elizabeth. ences, and another to a student graduating Today, Andrew and in biochemistry, thereby honoring both Elizabeth live with Deborah's and Christopher's accomplishChristopher's ments in these fields. sister, Mrs. Susan For more information about the Chiddy, in Elba, NY. Deborah, Christopher and Adam White Memorial Fund and its support of students interested in pursuing careers in rural medicine and biological sciences, please contact Mary Glenn in the medical school's development office by calling (toll free) 1-877-826-3246; e-mailing glenn@acsu.buffalo.edu; or writing to: Office of Development, School of Medicine and Biomedical Sciences, University at Buffalo, 102 Cary Hall, 3435 Main St., Bldg. 23, Buffalo, NY 14214-3005. �We Get Rehab Results! Our Superior~ Improvement Vs. National and Northeastetn Regional Subacute Facilities Hve Star Care The McGuire Rehabilitation Centers achieve a 34% GREATER FIMsM increase vs. the national average for all admissions. • Pain Management Stroke • Medically Complex • Orthopedic • Infections Cardiac • Cancer • Joint Replacement • Amputee Our facilities were rated outstanding in the community with five stars out of five, according to the Inside Guide to America's Nursing Homes for long-term care. 0 ***** 0 The McGuire learn. ofExperts The McGuire Rehabilitation Centers employ a team of over 30 licensed Physical and Occupational Therapists, specially trained support staff, and an on-staff Physiatrist/ Gerontologist. Together they ensure the highest level of individualized medical and restorative care. Cost Effective! 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This tool is known as FIMsM© improvement, discharge to home, and cost effectiveness. Instrument; Functional Independence Measure, developed ,.,... Our successful rehab program delivers results by the UB School of Medicine along with the Center for ~ ~ because of our superior staff, state-of-the-art equipment, Functional Assessment Research. It's used and specialized rehab facilities. Choose The along with the Uniform Data System for McGuire Rehabilitation Centers for five-star Medical Rehabilitation (UDSMRsM) rehabilitation services. to establish rehab outcomes that DTT ~JI'T""T""J\T Call l-888-POSTACUTE. can be measured and calculated .& ~~ ~\7~ c:MCGUL1?E ""J;'pU Jl W .J.L'1J '-.. -:::::U=Dom-i<MQ}!JJ:!!!j§UBF~--~ ~. Al rifFm =<d. Autumn View • Garden Gate • Harris Hill• Northgate BP 0004-00 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 2000 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/cc869a60ddb94d9ea3a6c4035b92b899.pdf d5254410ff1823e31a6597ef6f13dfdf PDF Text Text �1111111 ••rsici•• ASSOCIATE VICE PRESIDE T FOR UNIVERSITY SERVICES Dr. Carole Smith Petro Dear Alumni and Friends, DIRECTOR OF PUBLICATIO Kathryn A. Sawner EDITOR As you can see, the magazine has a new look. With the beginning of the new millennium, its Editorial Board and staff decided now was a good time to update the publication's eight-year-old design and give it a Stephanie A. Unger ART D I RECTOR/DES 1 G N E R Alan]. Kegler "cleaner," more contemporary appearance. Most notable are the new cover masthead, designed to allow more room for the photo image, and the new typefaces inside, chosen ASSISTANT DESIGNER Lynda Harmel for easier readability. Also, the articles themselves are formatted in a more varied way in order to invigorate content and better convey the stories about our medical community. As always, your feedback is important and we hope you will e-mail, call, or write us with your comments. PRODUCTION CooRDINATOR Cindy Todd STATE UNIVERSITY OF One aspect of Buffalo Physician that hasn't changed is its goal of keeping its readers apprised of developments affecting our school. As we enter the new millennium, one topic that will be closely followed is the fact that EW YoRK AT BuFFALO ScHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr. john Wright, Dean stewardship of increasingly scarce resources continues to represent our most significant and pressing challenge, a situation that will no doubt extend well into the years ahead. Superimposed upon significantly reduced state financial support (related to negotiated, but as yet unfunded, state salary increases) and significant reductions in hospital support (GME and Part A funding), we are headed for some difficult times indeed. In addition to the effects of managed care and the reduced hospital funding related to the 1997 Balanced Budget Act, we have yet to feel the effects of the pending, much publicized, GME-funding "reform"- a particularly critical issue for New York State. Those of you associated with other academic medical centers around the country are no doubt experiencing similar challenges. Despite all the gloomy financial projections, however, life does go on. A number of positive accomplishments over the past year are beginning to have effects. While work on the new curriculum is still in progress, some physical improvements have already been accomplished. Refurbishing G26 and Butler, our two major lecture halls, has been extremely well received and by late spring we hope to have renovated more appropriate student study space and offices for key student organizations. In addition, planning has begun for the redesign of Farber 144, our most challenging lecture room rehabilitation project thus far. When completed, the physical facilities available for medical education on the South Campus will not only be attractive but more functional and up to date. Finally, through their own initiatives, our students continue to inspire and motivate EDITORIAL BOARD Dr. Bertram Portin, Chair Dr. Martin Brecher Dr. Harold Brody Dr. Linda]. Corder Dr. Alan]. Drinnan Dr. ]ames Kanski Dr. Elizabeth Olmsted Dr. Stephen Spaulding Dr. Bradley T. Truax Ms.]ennifer Wiler Dr. Franklin Zeplowitz TEACHING HOSPITALS Erie County Medical Center KA.L£/OA HEALTH: Tire Buffalo General Hospital The Children's Hospital of Buffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital Roswell Park Cancer Institute Veterans Affairs Western New York Healthcare System CATI-IOLIC HEALTH S'iSTE.\1: Mercy Health System Sisters of Charity Hospital Niagara Falls Memorial Medical Center us all. Of particular note is their willingness (perhaps a more appropriate term would be "eagerness") to help one another. In addition to the Students Offering Support (S.O.S.) Program described in this issue of Buffalo Physician, student-run tutorials have cropped up at a variety of levels, in particular those involving sophomores helping freshmen. Although. faculty supervision is provided, it is really the students who drive these programs.! think you will agree that whatever this new millennium has in store for us, our graduates will continue to play a major role in shaping the future of medicine. 7 ~~ MD Dean, School of Medicine and Biomedical Sciences @TIE SUI£ IIIYIISITT IF 1£11 Tlllllllfflll Buffalo Physician is published quarterly by the State University of New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It rs sent, free of rharge, to alumni, faculty, students, resitients, and friends. The staff reserves the right to edit all copy and submissions accepted for publicatio11. S �VOLUME 34, NUMBER 0 p H y s c A Features The 'Insider' Steps Out Jeffrey Wigand, PhD '73, takes on the tobacco industry BY NICOLE PERADOTTO Back into Shape Help for osteoporotic compression fractures of vertebrae BY S. A. UNGER The Edge of Possibility Russell Crowe portrays Jeffrey Wigand in a.scene from The Insider. The film dramatizes the UB graduate'slife-shattering ordeal with the tobacco industry. Irwin Ginsberg, MD '44, otologist and inventor BY S. A. UNGER COVER PHOTO 20 New Roles for Dr. Carlos Pato and Dr. Mary Anne Rokitka 21 Dr. Charles Severin and Debra Stamm join OME 22 Students form rock band 25 Melatonin linked to bone growth 26 Research Institute on Addictions joins UB 27 $4.2 million NIH grant to study bipolar disorder 28 Han a Choe, Class of 2002, describes how new S.O.S. peer-support group was formed in response to survey of firstand second-year students 17 Robert E. Alumnus 31 Mark your calendars for Spring Clinical Day and Reunion Weekend 2000! 3D Thomas Frawley, MD '44, recalls faculty support; establishes endowment for research BY WILSON BAKER 35 Saar A. Porrath, MD '61, remembered JAN2 8 LIUuatif N ���First Whiff of Smoke copy of the minutes-one that had been cut down, the scientist says, to "two and a half pages of vanilla." In 1989, Wigand-who earned his doctorate in biochemistry at the University at Buffalo School of Medicine and Biomedical Sciences in 1973-accepted the most lucrative job of his career: a $300,000a-year position as vice president for research and development at Brown & Williamson, a subsidiary of British-American Tobacco. Presiding over 243 employees and a $30 million budget, Wigand was the senior scientist at the world's second-largest tobacco company, manufacturer of Kool, Viceroy and Capri cigarettes. To his former colleagues, it must have seemed like Wigand was sleeping with the enemy. After all, he had spent more than two "Missing were concepts and discussions that were very controversial and contentious-concepts that could prove an embarrassment during litigation. And I had no choice in the matter. I had to [sign off]."(A Brown & Williamson attorney has denied that documents were improperly altered.) Wigand was stunned: A lawyer telling him how to think about science? "That bothered me immensely," he recalls. But things got stranger still. According to Wigand, after the Vancouver conference the company held a "Caution in Writing" seminar, offering decades in health care, working as a director of corporate development for Pfizer, director of WIGAND REFERS TO THIS TIME-CHRONICLED IN THE marketing for Ortho Diagnostics Systems (a division of}ohnson & Johnson) and senior vice MOVIE THE iNSIDER-AS fHE PERIOD WHEN "ALL HELL president of marketing for Technicon, a company that sells blood-analysis equipment. BROKE LOOSE."H IS MARRIAGE WAS FALLING APART, Tobacco? "!thought I was going to be using my skills HE FEARED FOR HIS LIFE, A• D CBS HAD HIRED FORMER to make a difference-to make an intrinsically SECRET SERVICE AGENTS TO ESCORT HIS DAUGHTERS unsafe product safer for those who had to smoke. I thought I could do something that would TO SCHOOL. make a difference socially," says Wigand, who also holds a bachelor's degree in chemistry and a master's degree in biochemistry from UB. Ten months into his tenure at Brown & Williamson, howparticipants advice on "how to write, what not to write, who gets ever, Wigand caught his first whiff of smoke. Attending a meetcopies of what, who communicates with whom. A system was ing in Vancouver, British Columbia, he and other scientists created by which information was controlled and edited and vetted from British-American Tobacco's subsidiaries discussed possiby lawyers," he contends. bilities for safer cigarettes. Following the five-day meeting, At company parties, Wigand began overhearing colleagues Wigand returned to Brown & Williamson's Louisville, Kenusing code words: "Zephyr," for example, meant "cancer"; "Ariel" tucky, headquarters and enthusiastically circulated a 22-page and "Project 16" referred to smoking research Brown & Williamson summary of the meeting's minutes to his colleagues. A few days conducted during the 1970s. "These were documents I couldn't read. later, a company lawyer asked Wigand to sign off on a revised I was the senior scientific officer for the second-largest tobacco !I I l uffal• Pb pici11 W1nter 2000 �company in the world, and I couldn't get access to research documents," he says. By this time, Wigand had grown increasingly unsettled about his company's practices. It wasn't only the fact that his daughters, who learned about the dangers of smoking in school, were asking him, "Why do you do what you do?" He was also starting to grapple with that question himself. And yet, Wigand stayed. He stayed, he says, even after he realized that the company was not committed to a safer cigarette. He stayed even after repeatedly dashing with the company's thenpresident, Thomas Sandefur. The more questions he asked, the more isolated he became. Wigand says he felt like everyone was watching him and describes how his office was moved from a remote section of the building to an area adjoining the offices of the senior executives. Then, in March 1993, Wigand was fired. "I was between a rock and a hard place," he says, explaining why he didn't leave until forced out. "I had relocated my family, and I guess I just didn'twant to create havoc for them. "Don't mistake me," he adds. "I was looking for a job. But leaving the health-care industry to work in the tobacco industry and then trying to get back into health care is not a simple task." Wigand says he was fired after he objected to the use of the additive coumarin in pipe tobacco. After reading a study showing that the vanilla-like flavoring causes tumors in mice, he urged Sandefur to remove it from Brown & Williamson's products. "I felt that was enough to warrant that we take it out immediately. But I was told to mind my own business and to keep searching for another replacement. I took a stand and was fired two months later." (Brown & Williamson spokesmen have said that the company used safe levels of coumarin and that it does not use the additive anymore.) ix months after Wigand was fired, Brown & Williamson sued him for reportedly violating his confidentiality agreement by discussing his salary and health-care benefits with a former colleague. The company interrupted his severance and health-care benefits, which he especially needed for his daughter Rachel, who had been diagnosed with spina bifida. In order to have the suit dropped, Wigand reluctantly agreed to an onerous confidentiality agreement-one he would ultimately break. Couldn't Keep Silent Any Longer Jeffrey Wigand might have gone down as just another former tobacco executive- one of hundreds who leave the industry quietlyand take company secrets to the grave. "All I wanted when I left was what I was entitled to-my severance pay and retirement benefits," Wigand says. But when company executives decided to sue him, "it came back to haunt them," he adds. Winter 2000 l 1flal• Hysicin 5 �In early 1994, Wigand agreed to help Lowell Bergman, a producer for 60 Minutes, analyze documents from Philip Morris about that company's research into fire-safe cigarettes. "They code-named it 'Project Hamlet: To Burn or otto Burn,"' Wigand remembers. As it turns out, Wigand wasn't the only one worried about lawsuits. CBS executives feared that Brown & Williamson would charge them with "tortious interference," claiming that they had induced Wigand to break his confidentiality pact. In an unprecedented and embarrassing move by the network, CBS shelved the interview in the fall of 1995. she poured through the documents, his anger mounted. "The industry has always said [a fire-safe cigarette] was a technical impossibility. And then I read in those papersproduced by Philip Morris in 1985 and 1986-that they had developed a fire-safe cigarette and had tested it against their leading product, Marlboro, and had found it equal to Marlboro. But they elected not to put it into the marketplace because there was no legislation that forced them to." (A Philip Morris spokesman has said in previous published reports that the company has been unsuccessful in creating a fire-safe cigarette, but that research on Wigand refers to this time-chronicled in the movie The Insider-as the period when "all hell broke loose." His marriage was falling apart, he feared for his life. CBS had hired former Secret Service agents to escort his daughters to school. He kept a gun in his house. When he traveled, he used assumed names and unmarked entrances. I it continues.) Bergman quickly came to realize that Wigand had more to offer than his work as a paid scientific consultant. He had a story to tell-one that no one had told before. Unaware that Wigand had signed a confidentiality agreement, Bergman began pushing him to go public. Meanwhile, Wigand's name began making the rounds within the antitobacco crowd. He became an advisor to the Food and Drug Administrationusing the code name "Research"-and served as a witness in several federal inquiries into the Out There. Naked. After the 60 Minutes debacle, Wigand's name was leaked to the press, along with lengthy excerpts from his interview with Mike Wallace. Four days after the story broke, Brown & Williamson sued Wigand, with the company's lawyers instructing him to appear in a Kentucky court for violating his confidentiality agreement. Defying the Kentucky order, Wigand traveled to Mississippi. Facing possible contempt proceedings, he went ahead and testified in that state's massive lawsuit against tobacco companies to recoup Medicaid money paid out for smoking-related illnesses. "I didn't go to jail," Wigand says. "But the threat was very real." «HAD IT NOT BEEN FOR JEFF WIGAND AND tobacco industry. INDIVIDUALS LIKE HIM COMING FORWARD A. D Then, on April 14, 1994, the CEOs of seven BASICALLY DRAWING ATTENTION TO THE TOBACCO tobacco companies sat before the House SubcomINDUSTRY, WE WOULDN ' T HAVE HAD THE TOBACCO mittee on Health and the Environment and testified under oath that they did not believe nicotine SETTLEMENT." -K. MICHAEL CUMMINGS, MD was addictive. As Wigand watched his ex-boss, Sandefur, raise his right hand, something in him snapped. "That's when I knew that if I kept silent any longer I would be just as culpable asanyofthe men on TV. !just After Wigand testified in Mississippi, a reporter with the Wall couldn't live with my conscience anymore. Somebody had to do Street journal obtained the sealed deposition and reproduced excerpts it," he says. from Wigand's allegations of company misdeeds. (It was Within weeks, a man called his house twice, warning Wigand to keep an eye on his daughters. Confidentiality Disagreement In August of 1995, Wigand agreed to a 60 Minutes interview. Yes, he would discuss what he knew of Brown & Williamson's use of coumarin. Yes, he would discuss how the documents about safer cigarettes had been cut. Yes, he would say that he believed Sandefur perjured himself when he said he believed nicotine wasn't addictive-but only if CBS promised to cover his legal costs in the likely event that Brown & Williamson sued him. 6 lulfalt Pbysiciu Winter 2000 only then that CBS aired the interview- a bowdlerized version on the network's evening news and the complete version on 60 Minutes.) Less than a week later, the Wall Street journal reported on another story related to Wigand-a 500-page dossier prepared by his former employer titled "The Misconduct of JeffreyS. Wigand Available in the Public Record." In an attempt to discredit him, investigators working for Brown & Williamson combed through Wigand's past. They read his PhD dissertation for possible plagiarism and searched his resume for misstatements. They even looked into his demands that an airline reimburse him for a cleaning bill after his luggage was returned wet. �is "an American hero." "There have been many people who got out of the industry and have insider information, but very few who have spoken out. He spoke out against the industry, causing great disruption in his life," says Cummings, adding that Wigand is today serving as a consultant on a Roswell Park project to determine a protocol for testing nicotine During production of The Insider, Jeffrey Wigand, left, meets his film counterpart Russell Crowe (second from the left) and lowell Bergman (rigbt) meets AI Pacino (second from the rigbt), who portrays him in the film. delivery devices. "Had it not been for Jeff Wigand and individuals like him coming forward and basically drawing attention to the tobacco industry, we wouldn't have had the tobacco settlement," Cummings points out. " ... .. .. . .• ® .. . . ... ....• In its article on the contents of the dossier, the Wall Street Journal concluded: "A close look at this file, and independent research by this paper into WIGAJ. D WAS STUNNED: A LAWYER TELLING HIM HOW key claims, indicate that many of the serious TO THINK ABOUT science? ((THAT BOTHERED ME allegations against Mr. Wigand are backed by scant or contradictory evidence .... Some of the IMMENSELY." BUT THINGS GOT STRA. •GER STILL. charges ... are demonstrably untrue." I had people inspecting every aspect of my life," Wigand recalls. "And they took it all out of "Jeff Wigand showed just what price you are going to pay if context. Because I went after somebody because my luggage was defect," adds Joe Cherner, president of Smoke-Free you ruined in transit doesn't mean I falsified a claim. In the end, I must Educational Services. say that it backfired on them. But that was a hard place to be. Out Wigand doesn't want to discuss the most severe price he paid by there. aked . speaking out-his marriage, which collapsed under the pressure "It was a terrifying time in my life. This wasn't for the faintof that period. And yet, if he had to do it over again, he says he hearted. Many people would not have given me good odds of wouldn't hesitate. surviving, much less succeeding." "I have no regrets about what I did. I would do it again ifl had to. Hopefully, history will reflect what I did as something that was No Regrets honorable-something others will take as a lesson. ' ' I n June of 1997 the proposed multibillion-dollar settlement "I take no small satisfaction in the role I played-no small of the Medicaid suit that originated in Mississippi was held satisfaction," he adds. "I continue to spread the word. And I will up by one sticking point: Brown & Williamson's lawsuit not stop spreading the word." 4D against Jeffrey Wigand. After a series of closed-door meetings, company executives finally agreed to drop the suit, allowing the settlement to proceed and Wigand to get on with his life . Today he's a high school teacher in Charleston, South Carolina, and the head of Smoke-Free Kids, an organization he founded that educates children about the perils of smoking. "I use actual industry documents and experiments and examples from the silver screen and advertising to help them make healthy and educated choices," he explains. To K. Michael Cummings, MD, director of cancer prevention at Roswell Park Cancer Institute, Wigand Winter 2000 I I If Ill n J SiC iII 7 ��I New treatment for osteoporotic compression fractures of the venebra BY PHOTO BY JosH LEVI S. A . u GER E Winter 2000 ltffal1 Pbrsicial 9 �lee Guterman, PhD, MD THE PAST, when an osteoporotic compression fracture occurred, there wasn't much physicians could do for their patients. More often than not, standard treatment included pain < T medication, bracing and bed rest. Today, however, the outlook for treatment of these fractures is considerably brighter due to the introduction of a new procedure called percutaneous vertebroplasty, the goal of which is to strengthen injured vertebral bodies by filling them with a type of bone cement traditionally used by orthopedic surgeons to affix prosthetic implants. Currently, this investigational procedure is being performed by only a small number of physicians in the United States, one of whom is Lee Guterman, PhD, MD '89, assistant professor of neurosurgery at the University at Buffalo's School of Medicine and Biomedical Sciences. According to Guterman, percutaneous vertebroplasty was developed by a group of physicians in France in the mid-1980s and popularized in the United States in the mid-1990s by colleagues of his at the University ofVirginia in Charlottesville-Jacques Dion, MD, and Mary Lee Jensen, MD-both of whom are radiologists. In the past year, Guterman, who practices at Kaleida Health's Millard Fillmore Gates Hospital, has completed more than 20 percutaneous vertebroplasties. Dedicated to teaching the procedure to other specialists around the country, in May 1999 he taught a course at the American Association of eurological Surgeons in New Orleans, and in October he traveled to Boston, where he taught a course at the Congress of Neurological Surgeons. Recently, he served as a member of a committee that developed standards of practice guidelines for percutaneous vertebroplasty. * Needle Placement with fluoroscopic Guidance Patients undergoing percutaneous vertebroplasty receive local sedation and are awake throughout the procedure. A needle similar to that used for bone marrow biopsies is used to penetrate the injured vertebra. Precise placement of the needle is accomplished using fluoroscopy, a form of real-time X-ray that enables the surgeon to visualize the needle tip and follow its progression in three dimensions. The cement-called methyl methacrylate-is injected via the syringe into the fractured vertebra and must be mixed with carefully timed precision because it begins to harden in minutes. Before the cement is prepared, however, surgeons first must perform vertebral venography, which accomplishes several things: It helps confirm needle placement within the bony trabeculae, 10 lu ff a le Plysici11 Winter 2000 clarifies definition of the fractures in the bony cortex and, most importantly, according to Guterman, outlines the venous drainage pattern. "The vertebral body is made up not only of bone, but it's also made up of veins that drain into the vena cava," he says. "So the first thing we do is inject a contrast medium to see what the venous drainage pattern is. If it is very fast-flowing, there's a chance the cement will enter the vena cava and be carried up to the heart and into the lungs." According to Guterman, if a fistula, or direct connection, is found between the vertebral body and vena cava, the surgeon has several options. "To shut off that connection," he says, "you can take cement that is at a stage where it is ready to solidify and inject it more slowly, which closes off the pathway. Then you can approach from the opposite side and fill up the vertebral body from there. I also sometimes use small sponges made of collagen foam to seal the passageway, then go ahead and insert the cement." Once the venograph has confirmed placement of the Left is an X-ray of a vertebra prior to percutaneous needle and a safe vertebroplasy, and right is an image of the same venous drainage pat- vertebra filled with the methyl methacrylate material. Once the procedure is completed. tern, the surgeons mix patients can ambulate after two hours bed rest. �Vertebral bodies are strengthened by filling them with a quick·setting bone cement. the ingredients of the cement until a "toothpaste" or "cake glaze" consistency is reached, at which time it's ready for insertion. Because the material is not sufficiently radiopaque, chemical compounds containing either barium or tungsten powder are added to it at this time. "By doing this, we opacify the cement, which means it will scatter X-rays, so when we inject the material we can view it much like you would view an angiogram," Guterman says. In general, complications for percutaneous vertebroplasty are rare. One important reason why surgeons need to view the cement as closely as they do, however, is to avoid the procedure's most serious potential complication-epidural overflow with spinal cord compression. ormally, the procedure takes approximately one hour, depending on how many vertebrae are treated. Guterman says he routinely treats two levels per session, and sometimes up to three. Once the vertebroplasty is completed, the patients rest in bed for a minimum of two hours in order to assure that the cement sets properly. After that, they are free to ambulate and resume normal activities. Vertebroplasty'sFuture: AWork in Progress uterman reports that 70-80 percent of the patients he has treated with vertebroplasty have experienced improvement in symptoms; he also notes that Drs. Jensen and Dion at the University of Virginia recently completed a study on 100 patients in which they demonstrated a decrease in pain, a decrease in patients' use of narcotics and improved ambulation. The procedure is currently not approved by the Food and Drug Administration; however, clinical trials are planned, and Guterman anticipates participating in a controlled study at UB in the near future. While percutaneous vertebroplasty has proven to be effective for a growing number of patients, Guterman emphasizes that the procedure is not for everyone and that proper screening of patients is essential to success. "People have back pain for a lot of reasons, and often they have multiple complaints, especially if they are older," he says. "They could have osteoporotic compression fractures, but they could also have degenerative disease or a herniated disc. However, if they can identify one spot in particular that is painful and you take an X-ray and find there's a fracture, then there's a reasonable certainty- maybe 80 percent- that vertebroplasty is going to work. It's not going to cure them of osteoporosis and it's probably not going to take away all their pain, but it will very likely take care of the pain that's due to that fracture. " In looking to the future, Guterman predicts a day when percutaneous vertebroplasty will be used preventively, with significant savings in health-care costs. "I can see the dayand this is conjecture on my part-where imaging technology will be used to identify high-risk patients who are then treated prophylactically with the type of bone cements we are using today or yetto-be developed materials that either regenerate bone or bolster it so fractures don't occur in the first place," he says. "The savings in the area of rehabilitation alone would be huge because patients with multiple osteoporotic compression fractures usually never recover full function. " In addition to osteoporotic compression fractures, percutaneous vertebroplasty is also being used for malignant tumors of the bony portion of the spine, according to Guterman. "This does not cure the tumor, of course, but if a patient is experiencing significant pain and can't ambulate because of structural problems, vertebroplasty is one method for dealing with this limitation." Guterman has already seen notable improvements made to the way vertebroplasty is performed and reports that "a company called Parallax Medical has devised a new method for delivering the cement, which is extremely helpful; it changes the whole procedure and, in my opinion, makes it much easier." Teaching other neurosurgeons about vertebroplasty is a priority for Guterman. " eurosurgeons are very well suited for vertebroplasty because they typically operate on the spine and are able to understand radiographic anatomy of the spine," he says. "Also, they have to use the same trajectory to put the needle in that they would use to introduce a pedicle screw for spine fusion, so it's just another step to instruct them in how to properly insert the cement." While few physicians in the United States are currently trained to perform percutaneous vertebroplasty, Guterman anticipates that this will change as ongoing studies confirm its benefit to patients suffering from osteoporotic compression fracture or malignant spinal tumors. "We're finding this to be a very effective procedure," he concludes. "It works." CD *The standards ofpractice guidelines were developed under the auspices of the American Society of Neuroradiology, the American Society of Interventional and Therapeutic Neuroradiology, and the American Society of Spine Radiology. The committee on which Dr. Guterman served was co-chaired by john D. Barr, MD, and fohn M. Mathis, MD. W i11 t e r 2000 1 111111 nysiciu 11 �p H B y F R A 0 T 0 S S T 0 ~ K R y By S. A. 12 L' �Working at the Despite the fact that his field has developed at such a brisk pace over the course ofhis career, Ginsberg was not a man to be left behind. By the time he retired from active practice in 1997, he was widely regarded as one of Buffalo's finest ear surgeons. A hugely extroverted man with a flair for energetic joke telling, Ginsberg is also known for his warm bedside manner, his generous mentoring of students, his quick mastery of basic science and his downright uncanny ability to understand and engineer biomedical devices and instruments. Given that he is now planning to bring to market a state-of-the-art device he invented for the removal ofear wax, the question perhaps is not whether Irwin Ginsberg has kept up with technology, but whether technology has kept up with Irwin. leci~ilf u lee••• a lutu It was through Ginsberg's love of the automobile that his talent for science and engineering first became evident. Some of his earliest memories are of refusing to go to sleep at night until Otologist Irwin Ginsberg, MD '44-surgeon, educator, researcher and inventor-reflects his mother let him play with a set of toy cars with which he was infatuated. As an adult, this interest translated into a fascination with owning and renovating vintage automobiles, and by mid-career he was full tilt into amassing what was to become one of the best classic-car collections in the world. But it wasn't Ginsberg's innate technical abilities that drew him to medicine and surgery; it was the near death of his mother when he was six years old. "She had a ruptured appendix, was riddled with peritonitis and was admitted to Buffalo General Hospital under the care of Dr. Marshall Clinton," the 78-year-old Ginsberg recalls. ''I'll never forget it. I can still see the room: It was on Michael Corridor on the third floor. Every time I walked down that corridor when I was an intern and a doctor, I remembered the time my mother was a patient in that room." Ginsberg especially remembers going to the hospital one day with his father and overhearing Dr. Clinton say, ''I've done all I can do. All I can tell you is to go home and pray. It doesn't look very good." "I heard that and if affected me deeply," Ginsberg says. "As it turned out, she was on death's door for three weeks and then suddenly went through some sort of crisis and recovered. I remember the day Dr. Clinton put his arm around my dad's shoulder and told him we could take her home in a few days. I knew right then and there that's what I wanted to be-a doctor. on fifty years of change. II r 11 t er 2 0 0 0 1111a11 nrsicin �I just figured you had to be something really great if you could do that for somebody; if you could help a boy get his mom back." T a·ning at Home and Abroad Upon graduation from Bennett High School in 1938, Ginsberg entered premedical studies at the then-University of Buffalo. By 1941 he had earned a degree in chemistry and was admitted to the university's School of Medicine. "We finished in three years at that time because doctors were wanted for the war, so they put us all through an accelerated program, which meant we went to school during the summer, too," Ginsberg says. "I was only 22 when I received my medical degree, and I had gotten married just a year earlier," he adds, explaining that this was a time of great change in his life. Following his graduation in 1944, Ginsberg completed his internship at Buffalo General Hospital, after which he served in the navy for several years. Upon discharge from the service, he moved to ew York City to pursue studies in surgical pathology and research at Columbia Presbyterian Medical Center. He completed his residency in surgery at Mount Sinai Hospital in 1948 and the following year returned to Columbia Presbyterian Medical Center to begin a residency in otolaryngology, training under Edmund Fowler, MD, whom he considers to be one of his foremost mentors. Asked why he chose to specialize in otolaryngology, Ginsberg explains, "When I was rotating through the head and neck department during my general surgery training, I fell in love with the ear, just pure and simple, because of the beauty of it. And I'm still in love with it; it's never tired me out because when you work with the ear, you're often working at the edge of possibility and so that has been a great challenge for me." Ginsberg's appreciation for "working at the edge of possibility" and his aptitude for engineering merged in a fortuitous way while he was completing his residency in otolaryngology and was strapped for funds. During this time, he became aware of a research project at the medical center in which investigators were l alfal1 Plysici11 Wi11ter 2000 measuring the electrical potentials for the stomach in an effort to develop a method for early detection of stomach cancer. In order to do this, they needed to place a silver-silver chloride electrode in one lumen of a Miller-Abbott tube, a task that was proving difficult because the electrode had to be housed in a tiny piece of Lucite machined out of a Lucite rod. "They couldn't get anybody to make those pieces because they were so small, and they drove people mad," Ginsberg recalls with a chuckle. "So I said I could make them. I went down to Canal Street and bought a wrecked jeweler's lathe for eight dollars, put new bearings in it, got a pair of Zeiss twopowered magnifying glasses and developed a technique for making the electrodes," he says. "They worked pretty well, and they helped me get through my residency and support my wife and two children." When Ginsberg completed his training in otolaryngology, his professors declared him "a good technician" and recommended that he go to Europe for further training. "In those days, they'd say they were sending you to Europe to 'get polished,"' Ginsberg recalls. He spent 18 months abroad and completed a fellowship at Guys Hospital in London, where he trained with Robert J. Cann and Sir Victor egus, as well as with other surgeons of repute in Switzerland, Sweden, Scotland and Denmark. The Golden Da so C OS ge Once his training was completed, Ginsberg decided to return to Buffalo, despite having offers to join practices in London and New York City. "I like Buffalo as a city, and my family was here, so I decided to return here to live," he says. "I opened up an office at 333 Linwood, a building that had many E T men in it at the time, and I did very well." So well, in fact, that in 1968 he built his own office building at 897 Delaware Avenue, which today remains one of four locations for the Buffalo Otolaryngology Group. It was during those first years when Ginsberg was in private practice-in the early 1950s-that stapedectomy came to be standard surgical procedure for the treatment of otosclerosis, a �IN ]UNE 198J, DAVID RADLIN, AGE 10, TOOK A RIDE WITH DR. lRWL GINSBERG IN HIS VI 'TAGE PACKARD. DAVID's FATHER, BARRY RADLI ',REMEMBERS THIS RIDE WITH FO 'D. ESS BECAUSE, WHILE E.' ROL'TE, DAVID HAD A TALK WITH DR. GI. 'SBERG A 'D DECIDED HE WOULD WEAR HIS HEARING AIDS AT SCHOOL, DFSPITE THE I-ACT THAT HE WAS BEl TG TEASED BY HIS CLASSMATES. I T 1996 DAVID GRADUATED FROM SYRACUSE UNIVI:.RSITY WITH A DEGREE L' RETAIL AND MANAGE 1E T AND HASSI. TCE EMBARKED ON A CAREFR IN VISUAL DISPLAY. hereditary ear disorder that causes deafness due to growth of excess bone in the middle ear. Ironically, stapedectomy was the first medical procedure in which microsurgery was utilized, and in mastering this technique, Ginsberg couldn't help but recall his early work making electrodes with the aid of Zeiss magnifying glasses. "The golden days for microsurgery were when stapedectomy was perfected," he recalls, "but the most dramatic thing for a surgeon was realizing you could help someone who was deafhear. The operation was done under sedation, so while the patients were still on the operating table, they'd say, 'Oh, it's wonderful, doctor. I can hear!' I tell you, that was a great feeling." ot so great, however, are his memories of the patients no surgical intervention could help. "When a mother would bring her new baby to me and say, 'I wonder if my child can hear or not,' and I knew very quickly he couldn't, sometimes I'd have to walk out of the office to compose myself before I could talk with the mother and tell her her baby was deaf, with all that such a diagnosis entails. It's an awful sentence to give someone." Ginsberg says that children who are deaf or hard of hearing are in special need of support and encouragement. He recalls fondly a case of a 10-year-old boy, David Radlin, who resolutely refused to wear his hearing aids because he was teased mercilessly at school. In desperation, his father, Barry, brought him to see Ginsberg. "I took him for a ride in my Packard with the top down, and afterward he decided he'd wear the hearing aids," Ginsberg remembers with a laugh, adding, "You have to support them all, support them like mad!" P onee ng Coc ea Imp an s In 1968 Ginsberg hired Thomas P. White, MA, MBA, as his audiologist, and the two have worked together ever since. White, who holds a joint appointment as an assistant professor in the Wir~ter 2000 l1ffale Hysiciu 15 �WORKING A T T H E E Department of Communicative Disorders and Sciences at the University at Buffalo, worked with Ginsberg in the early 1980s to develop the first comprehensive cochlear implant program in Buffalo. "Our group always prided itself on being up on state-ofthe-art developments, so we had kept our eye on the implants for a number of years as the procedure was going through its early stages of experimentation," he says. In 1984, Ginsberg decided it was time to move ahead with learning the procedure himself, so he took White to Europe, where they traveled to England, Germany, Switzerland and Austria to talk to and observe surgeons performing the implantations. In Vienna they met with electrical engineers Erwin and Ingeborg Hochmaier, who had designed a cochlear implant called the Vienna Device. "Dr. Ginsberg liked this device best because it had a special application in that the electrode that did the stimulation didn't enter the inner ear," White explains. "And he felt this was an important difference because the inner ear is a very delicate structure, very small, and he didn't want to ram a wire in there. Too, he didn't want to rule out the possibility of future developments." Upon returning to Buffalo, Ginsberg was anxious to begin performing cochlear implantations, but the Vienna Device, which was being manufactured in the U.S. by the 3M Corporation, was still in the process of being tested by the Food and Drug Administration (FDA) and was only available through 10 clinical trial sites, all of which had already been set up. Through persistent efforts and a little good luck, Ginsberg's practice was eventually named a test site when one of the original investigators dropped out of the trial. In 1985, therefore, he began performing the procedure according to the strict FDA guidelines. "We did about 10 patients at the start, and it was a very emotional experience for all of us," White says. "You wait about a month for healing to take place, and then you stimulate the device with the external equipment. When a person tells you that he's hearing something for the first time in his life, it evokes very strong feelings. And often the patients cry." g Researc ing n en g White says Ginsberg contributed greatly to the education of audiologists in Buffalo by teaching at UB and opening his practice to students. "When I was hired, Dr. Ginsberg agreed to make his office accessible to audiology students from the university. Anybody who wanted to could come down to his office and, under supervision, get experience testing in a real environment. And I 16 l1ffaf• Hysicin Wi11ter 2000 D G E 0 F POSSIBILITY think his professional commitment to the emerging field of audiology has been exceptional. It has really made a difference for the students." In addition, Ginsberg volunteered his time to teach a seminar at UB called Clinical Otology for the Audiologist. "Throughout his career, he always treated audiologists as colleagues," says White. "And he always supported our field because he felt audiologists helped him to find better ways to treat patients." In the late 1980s, Ginsberg founded an Ear Research Laboratory to study temporal bone anatomy. Although the laboratory is no longer in existence, scientists at UB today acknowledge that Ginsberg's laboratory was in many ways a precursor to presentday laboratories at the university that focus on basic science inquiries into hearing and deafness. One such scientist is Richard Salvi, PhD, professor of communicative disorders and sciences in the College of Arts and Sciences, clinical professor of otolaryngology and neurology in the School of Medicine and Biomedical Sciences and co-director of UB's Center for Hearing and Deafness. "Dr. Ginsberg has been one of Buffalo's best ear surgeons for many years, and he's made significant contributions to the field of otology in this city. Recently I invited him to come and give a lecture to my students, and he brought along with him a device called the Earigator that he has invented to remove ear wax," says Salvi, who agreed to let Ginsberg demonstrate it on him before the class. "The device is incredibly well designed; he's worked all sorts of clever features into it that are really remarkable, and it works very well." Ginsberg is pleased with his new device, too, and says that it's in the process of being commercialized. But the Earigator is just one of many ongoing projects for this protean ear surgeon, who insists he's only "semi-retired." Recently, he passed an important personal milestone in his life when he auctioned off his beloved classic-car collection. "It was sort of a heartbreak to sell, but what do you do with things like that in my stage oflife?" he asks. "I drove in a Mille Miglia [a 1,000mile race along the coast of California] about six years ago, but that was stretching it. I was in my 70s, and I decided I didn't want to spin out anymore." Ginsberg may not be spinning out in auto races anymore, but he's also not sitting back in the slow lane, watching the world go by. As Salvi observes, "Dr. Ginsberg's at an age when most people would be lying on the beach, relaxing, but he's sharper than ever, and he's still contributing to his field." CD �MEDICAL S C H 0 0 L E W S 1999 Distinguished Medical Alumnus Named Nationally Recognized Allergist and Immunologist RoBERT E. REISMAN, MD '56 clinical pro- and aside from his exceptional professional fessor of medicine and pediatrics, received expertise-for which he is sought after by the Distinguished Medical Alumnus Award physicians and patients all over the Westfrom the University at Buffalo School of ern ewYork area-he is one of the genMedicine and Biomedical Sciences at a din- tlest, kindest and most thoughtful doctors ner held in his honor on September 23, I have ever encountered. He is one of a 1999, at the Buffalo Club. small cadre of physicians who always A 1956 graduate of the medical school, listens to his patients' Reisman is an attending physician and complaints." allergist at Kaleida Health's Buffalo Although Reisman General Hospital (BGH) and Children's has been a full-time Hospital. In addition, he served as co- practitioner throughdirector of the Allergy Research Labora- out his career, he has tory at BGH, in the Department of also managed to Medicine at UB from 1970 to 1990. conduct a superb Over the past four decades, Reisman research program in has integrated into his career the varied allergic diseases, pursuits of clinical medicine, research, according to Kasteaching and dedication to the allergy- sirer. "With Dr. Carl immunology discipline. He has authored Arbesman, he eluciover 200 articles, papers and book chap- dated many fundaters, many of which address clinically mental aspects of allergic diseases, relevant issues in anaphylaxis, asthma, especially the mechanisms of insect drug allergy and stinging insect allergy. He allergies," he explains. is co-editor of the allergy-immunology text Reisman's service to his field includes Expert Guide to Allergy and Immunology, the presidency of the American Academy which was published in 1999 by the of Allergy, Asthma and Immunology; American College of Physicians. In addi- chair of the American Board of Allergy tion, he has played a major role in the and Immunology; a member of the Ameritraining of allergy-immunology specialists, can Board oflnternal Medicine; and chair as well as students, residents and other of the Residency Review Committee of the practicing physicians. American Medical Association for Allergy Jerome P. Kassirer, MD '57, former and Immunology. In 1993, he received the editor-in-chiefofthe New England journal prestigious honor of being awarded the of Medicine, nominated Reisman for the Mastership in the American College of award. "Dr. Reisman was a year ahead of Physicians, one of only 15-20 such awards me in medical school in Buffalo and was bestowed by the college each year. CD my resident at Buffalo General Hospital _ s . A . u N 0 E R when I was an intern there nearly four decades ago," he says. "''ve followed his career closely since that time, and he is one of the most impressive physicians I have known. He has become one of the most highly respected practitioners in Buffalo, Wint e r 2 000 Lett to right: Jerome Kassirer, MD. Rena Reisman. and Hoben Hersman, MD l affale Hysiciu 17 �MEDICAL SCHOOL N E w s he Primary Care Summer bternship Program wishes to extend a heartfelt thank you to all the preceptors who continue to make this program a success. Many of these physicians volunteer their time year after year to ensure that students experience the true practice of medicine early in their careers. The program, which has just concluded its seventh year, offers first- and second-year medical students a paid six-week externship during the summer months. Students are placed in the offices of generalist physicians throughout Western New York, where they enjoy varying degrees of interaction with patients, incl uding taking histories and performing physicals, while participating in the daily operation of an office. Jennifer Paglino Adamson Richard Ruh. MD Mark Swetz, MD Steve Lana, MD Antoinette Alonzo Thomas R. Gerbasi, MD Victoria Amodeo Angela Ferguson, MD Amy Braun Chester Fox. MD Audrey Chan G. Jay lishop, MD Kristin Clark Andrea Manyon. MD Ellen Rich, MD Jennifer Clementi Anthony 0. Jesse Cone Bartholomew, MD Jeffrey Conklin Thomas S. Scanlon. MD John Brewer, MD Neu Daley J. Thomas Reagan, MD Cheri Dwyer Keely Dwyer Dawid Holmes, MD Kimberly Erway Colleen Mattimore. MD Mary Schamann. MD George Figueroa John Thompson. MD James Galas Gaurang Sheth, MD Anjeli Gupta Nicholas Aquino. MD Aaron Guyer Brad Truax. MD Mark Haggerty Ann Marie Hedges Gregory Jobes Michael Kader Steven Kam Brian Kenjarski 18 l l l l al• Hys iciu Family Medicine Pediatrics Pediatrics Family Medicine Internal Medicine Family Medicine Internal Medicine Internal Medicine Internal Medicine Family Medicine Family Medicine Family Medicine Pediatrics Family Medicine Pediatrics Medicine /Pediatrics Independent Health Administration Independent Health Brad Truax. MD Administration Jane M. Parmington. MD Pediatrics Internal Medicine Dnid Milling, MD Internal Medicine Jack P. Freer, MD Independent Health Brad Truax, MD Administration Independent Health lrad Truax. MD Administration Wi11t e r 2 000 The externship program is currently supported by anumber ofsources, including the Charles E. Culpeper Foundation, the Independent Health Foundation, the Lake Plains Community Care etwork, and the New York State Department of Health. There is also an opportunity for individuals to support the program; for example, a special endowment fund has been established by Evan Calkins, MD, to develop a more consistent funding source in this age of decreasing capital. For more information about the Primary Care Summer Externship Program or giving opportunities, please contact Susan Orrange at (716) 829-2917/2012 or e-mail her at sorrange@buffalo.edu. c:D Duid Kim Ellis Gomez. MD John Sauret, MD Danielle LaPrairie Ashok Naik, MD John Jaeger. MD Eileen Lau Chelikani Y.P. Varma, MD G. Lawrence McNally, MD Sabina Lim Frank C. Menadri, MD Leah Millstein Dwight Lewis. MD Morcos Morcos Howard Sperry, MD Dhruti Naik Michael Ndegwa Njuguna Richard Castaldo, MD lrenda Perez lrad Truax. MD Sara Ponkow Rebecca Puchalski Karena Steiding Andrew Swan Juliane Thurlow Steven Weitzman larbara Stouter, MD Catherine O'Neil, MD Janet Sundquist, MD Theodore Putnam. MD Peter Kowalski. MD Harry Metcalf, MD Donald Robinson. MD Charles Hershey, MD Frederick Downs. MD Ashok Naik, MD John Jaeger. MD Peter Winkelstein. MD Sanford Levy, MD Mark R. Klocke, MD Michael J. Aronica. MD Debra Wojtanik Robert Wong Adam Wychowski Dana Yip Jack F. Coyne, MD Raphael Wang, MD Gregory Snyder. MD John Fudyma. MD Robert Ramsdell Laura lendano Teresa Russell Dnindra Seelagan Robert Setlik Jonathan Siuta Kristen Smini Family Medicine 01/GYN Pediatrics Pediatrics Medicine/Pediatrics Family Medicine Internal Medicine Internal Medicine Independent Health Administration Pediatrics Internal Medicine Pediatrics Family Medicine Family Medicine Family Medicine Internal Medicine Family Medicine 01/CYN Pediatrics Internal Medicine Pediatrics Medicine/ Pediatrics Pediatrics Pediatrics Family Medicine Internal Medicine �Through the (yes of aStudent I I I Neva Daley , Class of 2001 Preceptor: John Brewer, MD, Upper West Side Family Health Center Public Heahh \ externship at the Upper WestSide Family Health Center with much anticipation. I was unsure what to expect, but I knew I would enjoy the diversity that family medicine has to offer. As the externship progressed, I began to realize that the benefit of being an extern in this particular clinic went far beyond practicing clinical skills. Yes, I was receiving fine clinical teaching from the various physicians and nurse practitioners, and I was also getting an introduction to the complexities of practicing medicine in an underserved community. The patients were primarily African American and Hispanic of low socioeconomic status. I learned the importance of having just as much respect for patients in poor economic situations as I would for those from a suburban middle class environment. I observed how the physicians addressed the components of the lives of each of their patients with thoroughness and sensitivity. Issues prevalent in this underserved population included affordability of medication or physical therapy if not covered by insurance, transportation costs to a referred physician, lack of compliance for follow-up visits, abuse of (even the sale of) pain medications, poor family planning and contraceptive use, and domestic violence. A significant proportion of the patients also were refugees from Eastern Europe, the Middle East, Vietnam, and Africa. Due to the large number of refugees treated at the clinic, I had to use an AT&T Translator Service with several patients. During the course of the summer, I was able to help deliver care to three members of a family who were among the first wave of refugees from Kosovo. One had been severely beaten by Serbian soldiers before his arrival to the United States. I was humbled to be able to help those who had endured such hardships and brutality. Each of the refugees I saw this summer expressed so much gratitude for the care they were given, and I felt deep satisfaction. It amazed me that I had reached a stage in my medical education where I could help the poor in this manner and have a true impact on the lives of others. !twas as if my childhood dreams of maybe one day serving in an international capacity were slowly unfolding- right here in Buffalo. CD Winter 2000 lallale ••rsiclu 11 �M E D C A L SCHOOL E W S Mary Rosenblum Somit Scholar hip a he Assisting undergraduates in the School of Medicine and Biomedical Sciences UNIVERSITY AT BUFFALO SENIOR Diana Pratt, who volunteered this summer to help deliver needed medical services to villagers in remote areas of the Himalayas, is the first recipient of a Mary Rosenblum Somit Scholarship. The award, made possible by an endowment established by former UB executive vice president Albert Somit, provides Pratt with a $1,800 scholarship for the 1999-2000 academic year. Somit, who served as the university's acting president in 1977, says he established the endowment "to honor my mother, who like so many others of her generation, left family, friends and all that was familiar in Russia to seek a better life for themselves and their children." Widowed when Somit was four, Mary Rosenblum Somit continued to work hard at several low-paying jobs to ensure that her son would be able to attend a good college. Somit initiated the scholarship fund through a $75,000 bequest commitment to benefit "hard-working and deserving undergraduate students" in the UB School of Medicine and Biomedical Science . Deciding he wanted to see immediate results, Somit has given additional gifts so he could activate the fund and meet the needs of students like Pratt, who he says is "precisely the sort of student I had in mind. " Pratt, whose goal is a career in medicine, was part of a group that recently returned from a 28-day trek to India led by UB professor of medicine Richard Lee, MD. Currently, she is pursuing a bachelor of science degree in medical anthropology and special studies and expects to graduate in May 2000. Pratt notes that although her journey to the Himalayas was exhausting and demanding due to precarious trails and high CARLOS P ATO, MD, associate professor of psychiatry and adjunct associate professor of pharmacology and toxicology, has been appointed associate dean for clinical affairs in the School of Medicine and Biomedical Sciences. Pato will work directly with John Wright, MD, dean of the School of Medicine and Biomedical Sciences, and Bruce Holm, PhD, senior associate dean, on matters relating to university faculty and programs within UB's affiliated clinical sites, including clinical research and space allocation issues within all ofUB's health-care affiliates. A UB faculty member since 1996, Pato also serves as codirector of the UB Laboratory of Psychiatric and Molecular Genetics. The lab's research program focuses on the genetics of psychiatric disorders and substance-use disorders. The program is funded by the ational Institute of Mental Health ( IMH ) to study the genetics of schizophrenia and bipolar disorder, and has pilot projects in obsessive compulsive disorder, alcoholism and substance-use disorder. In November 1999, it was announced that Pato and his wife, Michele T. Pato, MD, received a $4.2 million grant from the IMH to search for a gene(s) that may be linked to bipolar disorder (see page 27 for more information. ) Pato has received many awards, including a National Research Service Award and a Young Investigator Award from the ational Alliance for Research on Schizophrenia and Depression. He has also published numerous scholarly articles, conference proceedings and - LOIS BAKER Medical Alumni Association Scholarship altitudes, the knowledge she gained about the health-care challenges faced by the region's villagers gave her newfound "wisdom and on, a -ye· student at he University at Buffalo School of endowment fund. Recipients are selected by the admissions commiHee according to considerations of financial need and academic merit based on the incoming appreciation for both cultural and medical diversity." While at UB, Pratt has been a volunteer tutor with UB's Learning Medicine and Biomedical Sciences, Center and has worked for the past three years in the Office of CD Disability Services. is this year's recipient of the Originally from Lockport, New Medical Alumni Association Schol- York, Eaton is a graduate of Case ATTENTION STUDENTS Look for these upcoming events ... AMA/AMSA Physician-Medical Student Golf Tournament, Spring 2000 AMSllnnual Residency Fair.lpril2000 More information to come! 20 CD book chapters. 1 111111 nysiciu Wi11ter 2000 students' applications. arship. The scholarship is made Western Reserve University, where possible by the she earned a bachelor of science generosity of degree in chemistry. She says her alumni through their reunion long-termgoal is to return to Lockport CD :ticem .. gifts - S. A. desig- nated to the edical Alumni Association UNGER �Sever"n ,Jo"ns 0 E asAss"stant Dean CHARLES SEVERIN, MD '97, PHD, has been named assistant dean of student and curricular affairs for years one and two at the University at Buffalo School of Medicine and Biomedical Sciences. Severin, who is a clinical associate professor of anatomy, came to UB in 1981 to serve as assistant professor of anatomy. Since joining the faculty, he has been consistently recognized for his service to students and teaching excellence, having received the Seigel Award as Outstanding Teacher in Basic Sciences for five years (1982, 1991, 1993, 1994 and 1998). In 1999, he won the award for residency teaching. In 1993, at age 46, Severin decided to enter UB's medical school in addition to maintaining his teaching responsibilities in anatomy. "I went to medical school to improve my teaching. I felt if I had the clinical background I could insert this experience in my lectures," he says. "Also, I was serving on a number of committees in which student issues were being discussed in depth and I wanted to better understand what the students were experiencing-to be able to better relate to them," he adds. "Dr. Severin was chosen for this position because of his extraordinary record as a teacher and as a student advocate," says Dennis adler, MD, associate dean for academic and curricular affairs and head of the Office of Medical Education (OME). "He is enormously respected and loved by students, as evidenced by his having been named recipient of the Seigel Award as many years as he has." Originally from Youngstown, Ohio, Severin earned his AB degree in biology in 1970 from St. Louis University, where he also completed his MSCR degree in anatomy in 1972 and his PhD in 1975. Prior to coming to UB, he was assistant professor of anatomy at the University of Texas Medical Branch at Galveston. 4D Rokitka Named Assistant Dean MARY ANNE ROKITKA, PHD, clinical associate professor of physiology and biophysics, has been appointed assistant dean for biomedical undergraduate education in the School of Medicine and Biomedical Sci- ences. She will continue to have primary responsibility within the school for developing and overseeing education programs for undergraduate students potentially interested in careers in the biomedical sciences. A faculty member since 1975, her research involves comparative environmental, animal and hyperbaric physiology. New Director of Student Services dean for academic and curricular affairs and head of the Office of Medical Education. In particular, of student services in the Office of he adds, "we wanted to designate 'Jiedical Education lOME) in the somebody who is not directly in the School of Medicine and Biomedical promotion pathway to advocate for Sciences. She is the first to hold students and to provide them with his position, which was created to assistance and support." Stamm earned a bachelor of provide improved support and arts degree in psychology at the services to students. In her role, Stamm serves as a State University of New York at student advocate and acts as a Geneseo in 1992 and a master of "aison between the student body education degree in college coun- and administration. She also is avail- seling and student personnel ad- able as a resource person for stu- ministration at UB in 1995. Prior to lent clubs and organizations rec- joining the staff in OME, she was ognized by Polity.In addition, Stamm admissions ill be coordinating the Primary coordinator in Care Externship Program (see re- the Offices of ated article on page 181 and will be Admission orting to implement a new pro- and Financial gram called MedCAREERS, a four- Aid at Har- ear career planning program cre- vard Medical School ated by the Association of American Medical Colleges and the American in Boston, Massachusetts. Medical Association to assist medi- Stamm is available to students cal students in selecting a specialty. on a walk-in or appointment basis. "Our goal in establishing this She can be reached by phone at new position in OME was to upgrade (7161 829-2802; or by e-mail at theservicesweprovidetostudents," says Dennis Nadler, MD, associate In 1993, she received the Chancellor's Award for Excellence in Teaching and has been named an honorary member of the Mortar Board and Golden Key national honor societies. She also received the o.edu. Charles W. Shilling Award from the Undersea and Hyperbaric Medical Society in 1991 and the first annual Dr. Mary Anne Rokitka Award from the Great Lakes Chapter for the Undersea and Hyperbaric Medical Society in 1990. Rokitka, who has an impressive record of university and community service, holds two master's degrees and a doctoral degree from UB. - LO IS \V i 11t er 4D - S . A. U N a E R 2000 BAKER l1ffale Hysici11 21 �M E D C A L SCHOOL B v 5 C 0 T E W S 2002: Sta eOd sse T THOMAS Second·year students form rock band District, they rehearse in the basement of a rented house on Callodine Avenue. There, in a litter of pizza boxes, beer bottles and backpacks-with a wa her and dryer for ambience- the members of the rock band Super-RelateD work out the details of their highenergy contemporary sound. A Marshall amplifier the size of a filing cabinet blasts out the music as lead vocalist Andy Swan lets fly with an original song called "Original Song." You got to see there isn't a need to get excited I'm the least of burdens but I hold on, should move on, That's what I gotta do. This is medical school? Well, no. And for the four University at Buffalo medical school students who make up SuperRelateD, that's the whole point. "Most people in class are completely wrapped up in school," says Mike Campoli, the group's bass player. "I can't deal with that." "You can get involved in the clubs and stuff, but they're still attached to the school," says Rich Oh, the band's lead guitarist. "This is something that's totally unrelated." Which is why these four members of the Class of 2002- the fourth is drummer Dave Krakowski- are manhandling their schedules to make time every Friday afternoon to work on their music. They play cover versions of pop hits originally recorded by the likes of Mathew Sweet and eil Young, but they' re also developing a roster of original songs, actively seeking to play more nightclubs, hoping to release a CD by the end of the academic year- in short, putting a lot of nonmedical energy into the rock-star dream. Yet it was at school that the idea for SuperRelateD was conceived, almost by accident. The band members got together for the first time in January 1998 to perform at the student talent show, which promised to be 22 1 11fal1 Hysitill Wrnt er 2 0 00 a successful debut except for the fact that they didn't have a drummer. Krakowski, a bassist by training but quick to pick up other instruments, was nudged into the breach. "I was elected," he says. "Literally, on the day of the show, Mike and I went to the music store and bought a drum set, and I watched an instructional video that came with it." That night, SuperRelateD closed the show with a brief set of power rock tunes: cover versions of Radiohead's " Bends" and Guns' ' Roses' "Patience." Big dreams were born. Final exams and the summer break separated the band for a while, but this academic year they've taken up the cause with a vengeance. They've recorded a demo tape, shopped it around to various nightclubs, and played a live gig at a newly opened club in iagara Falls. (It wasn' t exactly Madison Square Garden, they discovered: The owners had put a new roof on the building and that evening were testing it by dumping water on it. The roofing job wasn' t great, apparently, as the ceiling sporadically leaked water over the band as they played, inches from megawatts of microphones, amps and speakers. They survived.) For each member of SuperRelateD, their dream requires an investment of scarce time, not to mention money. Besides the $600 drum set, they've spent more than $3,000 on amps and other equipment. "Every time you get something new, you discover something else you need," Swan says. But as an antidote to the rigors of anatomy class and hospital rounds, the band is something they're only too happy to pursue. One of their more pleasant challenges is accommodating each performer's tastes in music, and they're not all that similar. Among their influences, Campoli cites Captain Beefheart, Lynyrd Skynyrd and Led Zeppelin; Krakowski listens to AC/DC, Pearl Jam and modern electronica; Oh is into current British pop like Stone Roses and the Posies; and Swan loves Pink Floyd, Queen and the Black Crowes. SuperRelateD includes, left to right, Rich Oh. Mike Campoli. Andy Swan and Dave Krakowski. Opposite, Andy Swan. normally lead smger on guitar. takes a turn on drums. �The band members As befits a rock band, the musicians are a varied, eclectic bunch. Swan grew up in the Southern Tier of ew York, sang in a small a cappella group at Cornell University, and spent a year after college on the beaches ofVenezuela. Oh, from Buffalo, played in various bands in high school and at the University of Chicago. Krakowski, a ew York City native who'd never played in a band before, graduated from the State University of New York at Geneseo, after which he migrated to Antarctica, where he spent three months doing research. Campoli played in a band called French Toast at Rutgers University in his home state of ew Jersey. But fate brought them together in Buffalo, and only time will tell how far Super RelateD will go. Two people who are working to make as much happen as possible for the band are Charlton Byun, another second-year medical student, who helps out with sound and equipment; and Dan Yoon, a third-year student in UB's joint MD/ MBA program. Yoon, a versatile musician himself who has a studio set up in his Amherst home, is acting as the band's manager and giving advice on technical aspects of performing, as well as how to approach club owners and how to construct a crowd-pleasing set of songs. "They have a very high-energy stage show," Yoon says. "The songs they choose and the way they play them is really exciting. They know how to get people going." Yoon is studying marketing and other management topics this year, which has played right into his efforts to develop the band. "I would base a Jot of their marketability on the fact that they're just excellent musicians," he says, "which, by the way, is actually pretty common among medical professionals. "These guys all love it like I do," he adds, "to the point where we're all finding the time to approach medical school from the perspective that although medicine is going to be our profession, we still need to make time to do other things we love. And I really think they actually have a shot. In my opinion, they're as good as any band I've heard in Buffalo." Oh, yes, and the name? "The current name, SuperRelateD, was thought up by Rich during a class on immunology," Swan says. "And we all agreed it sounded cool. Originally, we were Val Salva, but we switched it because we didn't want it to be a medschool pun." And make no mistake, the band is no joke; its members are proud of what they're doing and are seriously devoted to developing their talent in this creative realm. Says Mike Campoli of their planned CD: "I want it to happen for us so that someday when I have kids and they ask, 'Who's this band?' I can tell them, 'We're the band!"' Winte r 2000 got together for the first time in January 1998 to perform at the student talent show, which promised to be a successful debut except they didn't haye adrummer. l• ff a l • n rsi c i u 23 �RESEARCH ms N E w s the liver than full-term infants. president and chief medical This deficiency could leave them officer of TRC. Robert A. Klocke, MD, susceptible to infection because of the immaturity of their professor and chair of the UB million grant from the Institute immune system." Vivien Carrion, MD, and Department of Medicine, says for Child Health and Human De- Linda Duffy, PhD, both of the the grant "provides a solid base for us to continue and even to UB expand our ongoing research in University at Buffalo pediatric researchers have received a $1.2 Work are collaborating with renal disease." Upstate New York Transplant Services, Inc., (U YTS) on a cal trial of vitamin A's potential to bolster the immune systems of Hospital, Brian M. Murray, MD, UB associate professor of medicine, develop ways to increase organ very premature babies, an action -LOIS BAKER Department of Pediatrics are co-principal investigators on the study. CD antibody response to the hepatitis B vaccine, adminis- who has received early funding donation in the African American community. studying the role of growth fac- The grant is part of a $13 million effort funded by the Rocco C. Venuto, MD, pro- tered to all infants at about three-year, $180,000 grant to through this grant is currently tors in the progression of kidney disease, differentiating between those that are beneficial and toxic. The researchers will use .. Related Professions and Social and Kaleida Health's Children's ational Institutes of that could help prevent poten- .JIIII.if!"!'l'!'!~"'"!'!f'l!'l~~!!!!ll~'--'!lr"!!lii tially deadly infections. 0 The UB Schools of Medicine and Biomedical Sciences, Health Health, to conduct the first clini- velopment, .." .. Organ Donation Among Minorities Studied organ donation across all one month of age, as an indi- fessor cator of vitamin A's immune- second UB researcher who has boosting potential. Mark received TRC grant money, tor of UNYTS, will be principal Ballow, MD, UB professor is conducting ongoing, collab- investigator on the grant. Judith of pediatrics and chief of orative research in the area of Tamburlin, PhD, UB assistant the Division of Allergy and blood-pressure control during research professor of clinical Immunology and Pediatric pregnancy, a topic he has been laboratory sciences and anatomy direct the study. Vitamin A's role as a modula- segments of the population. Mark Simon, executive direc- exploring for nearly 25 years. and cell biology, will be project Nephrology Rese rch Endowe "If we can understand the role of the kidney in controlling blood director and coinvestigator. The UNYTS-UB collabora- Rheumatology at Kaleida Health's Children'sHospital of Buffalo, will of medicine and a National Organ and Tissue Donation Initiative to increase Total Renal Care, Inc., (TRC) has pressure, then we can become tion in the first year of the grant tor of the immune function has donated $500,000 to the Univer- better at avoiding hypertension will be aimed specifically at the been studied in both animals and sity at Buffalo School ofMedicine and perhaps at saving the lives of humans, and results have shown and Biomedical Sciences to es- pregnant women and preventing that it is essential for supporting tablish the Nephrology Research premature births," he says. the immune system against infec- Endowment Fund to partner with Total Renal Care Holdings, Inc., headquartered in Torrance, tion, according to Ballow. UB in the battle against kidney "Despite many improvements in disease. "We are proud to sup- California, is a provider of inte- recent years in treating very-low- port the endeavors of our partner grated dialysis services for patients birthweight preterm infants, institutions like UB, which was suffering from chronic kidney infection remains a major problem," he says. "Preterm infants chosen because of the strength of its academic program and its failure, also known as end-stage CD renal disease. have lower levels of vitamin A in excellent research," says Stan M. - SUZANNE their blood and lower reserves in Lindenfeld , MD, senior vice "IF WF CAN UNDERSTAND THE ROLE OF THE KIDNEY L CHAMBERLAIN CONTROLLING BLOOD PRESSURE, THEN WF CAN BECOME BETTER AT AVOIDING HYPERTENSION AND PERHAPS AT SAVING THE LIVES OF PREGNA ••T WOMEN AND PREVE 'TING PREMATURE BIRTHS." l 1 1f al1 Hysicin Wi11ter 2000 �African American community. years of the grant, the emphasis biology in the UB School of Dental Medicine. By exposing mouse will be on increasing organ pre·osteoblasts and fully During the second and third donation in the Western ew York Hispanic and Native American communities, respectively. Statistics compiled by U YTS show that in Buffalo, 50 percent of patients needing organ transplants are African Americans, while the consent rate for donation from this ethnic group is only 14 percent. This low donation rate poses problems on two accounts: It limits the number of organs available in general to a population in which the need is great; and it decreases the possibility of obtaining a compatible match. Rejection rates for African Americans are higher when the organ is from a donor of another race. 4D -LOIS BAKER Melatonin Linked to Bone Crowth University at Buffalo researchers have shown for the first time that melatonin may play an important role in promoting bone growth. The study was conducted by Jerome A. Roth, PhD, professor of pharmacology and toxicology in the UB School of Medicine and Biomedical Sciences, and Moon·ll Cho, PhD, professor of oral differentiated rat osteoblasts to melatonin, the researchers were able to show that normal body levels of the hormone sped up the transformation of pre-osteoblasts to fully differentiated osteoblasts and induced both types of cells to produce increased amounts of several bone matrix proteins responsible for bone formation. "After binding to its receptor on the cell surface, melatonin signals the cell to produce and mineralize bone matrix proteins," Roth says. ''This has not been shown before, and we are now investigat· ing what cellular events are taking place to make this happen." "We know melatonin decreases with age and that bone loss, which can lead to osteoporosis, is an inevitable part of aging, especially among women," Cho says. "Can melatonin help prevent osteoporosis? Our research indicates it may have that potential." Under standard growth conditions in vitro, mouse pre· osteoblasts undergo cell differentiation to osteoblasts and mineralization in 21 days. Roth and Cho showed that in the presence of melatonin, cell differentiation was completed by day 12 and was Exercise a Cood Workout for ..Ju enile t ew research on the effects of exercise on juvenile arthritis indicates it is OK-advantageous, in fact-for these kids to be kids. Children with juvenile arthritis who took part in an eight-week individualized program of resistance exercise at the University at Buffalo significantly improved their ability to function, some by equivalent or greater at that point than cells grown for 21 days. Most significantly, says Roth further experiments showed that the mouse pre-osteoblasts responded to normal body levels o melatonin, but the cells needed to undergo five to seven days of differentiation before they were capable of responding to melatonin at that level. "These findings place melatonin with a select handful of other agents-includingglucocorticoids, bone morphogenic proteins and vitamin D-that are known to stimulate mineralization in osteoblasts," says Roth. "Because melatonin levels decrease during the aging process, the possibility must be considered that melatonin may have a significant influence on the rate of synthesis and maintenance of bone in the elde ly. -LOIS as much as 200 percent, as shown in preliminary results of the study. Equally important, their pain, disability and use of medications decreased significantly. The research was conducted by adine Fisher, EdD, assistant professor of occupational therapy and rehabilitation medicine, with support from the ational Institute on Disability and Rehabilitation Research. In ovember 1999, she presented results of eexpected to see achange in the disease with exercise, but we didn't expect to ee so much," says Fisher. Everybody showed tremendous hysiological ·mprovement.'' the study in Boston, MA, at a joint meeting of the American College of Rheumatology and the Association of Rheumatology Health Professionals. "We expected to see a change in the disease with exercise, but we didn't expect to see so much," BAKER says Fisher. "Everybody showed tremendous physiological improvement-better strength, endurance and even better aerobic capacity, although these exercises weren't designed for that. Everyone had less pain. ~NTINUED Winter 2000 ON PAGE 26 1111111 Hysicill 25 �N RESEARCH .... .. E w s Res arch Institute on Add"ctions "oins UB sion of hepatitis C. RIA scientist! The Research Institute on Addic- addictive gambling, one involvin tions (RIAl, formerly a component a nationwide survey of gamblin .. I~N TI N UEO behavior and alcohol use, and the Alcoholism and Substance Abuse second evaluating coping skills in Services (OASASI, became part of individuals who have partners who University at Buffalo on November are pathological gamblers. PA G E 25 at the institute at 1021 Main Street in Buffalo, New York. lished at UB in 1968 by the state Department of Mental Hygiene to ally for its research on the develop- conduct research into alcoholisn " Some kids showed 200percent improvement," she adds. "That's pretty exciting." Fisher designed the exercise ment of substance-abuse problems and potential treatments. Cedric and the prevention and treatment Smith, MD, UB professor of phar of substance abuse. The institute macology and toxicology (see be umps $8.1 million a year in exter- low), was RIA's first director, serv program and has shown its al research funding into the local ing unti11979. Through a series of conomy, in addition to expending changes in administration, both at benefits in previous studies of elderly patients with osteoarthritis. However, until now, an individualized resis - The sho examined t nature. prevalenc and consequence of complete memory lapsesso-cane tance exercise program had never been tried with children. a state budget of $3.1 million. other researchers around the country-have found to be a relatively common occurrence. Specifically, Smith was asked to describe the results of studies he has carried out in collaboration with Cynthia Pristach, MD, clinical associate professor in UB's Department of Psychiatry, in which they examined the effects of blackouts on subsequent drinking in both moderate drinkers and alcoholic patients. under the administrative jurisdiction of OASAS, although the two Characteristically, indjviduals ill retain its identity and remain institutions maintained close re- experiencing blackouts don't realize they have had memory loss until hours or days after n its present location. Gerard J. searc c ional ties. 4D - LOIS BAKER research professor of psychology, said of the transition: "We are delighted with our merger with the niversity and are excited about he new opportunities that will re- 20,20 Features Cedric Smith as Exp rt on Alcoholic ultfor both RIA and UB." Connors id the institute will continue to ocus its research on alcohol and other substance use and abuse and that it has expanded it emphasis to include compulsiv inflammatory compounds. infant development in alcoholi - families; ways of reducing DWI rc ambling. Current RIA researcl ·ncludes investigating alcohol us in early marriage; parenting an cidivism; skills training for parent of adolescent drug abusers; an heavydrinking,druguseand blood to-blood transmission betwee1 lllfall nysieiu least 10- 20 percent of the population. The interest in blackouts stems in part from apparent skepticism on the part of the public regarding what Smith and his colleagues-as well as RIA will function as a free-stand- controls at baseline and that the exercise program significantly decreased these cytokines and increased production of anti- LOIS BAKER UB and at the state level, RIA moved particularly interested in establishing that blackouts not only do occur, but are experienced by at ing research institute within UB and onnors, RIA director and UB An accompanying investigation conducted by )aya Venkatraman, PhD, associate profes~blackouts"­ sor of nutrition, found that can occ that children with with alcohol juvenile arthritis had higher concentrations of pro-inflammatory cytokines in their blood than normal 26 The merger brings RIA back to its roots. The institute was estab RIA is recognized intemation· FROM recently began two projects or of the New York State Office of 18, 1999, during ceremonies held • sexual partners in the transmis Wi11t e r 2 000 The October 18, 1999, edition of the ABC television news program 20/20featured Cedric Smith, MD, professor in the Department of Pharmacology and Toxicology, as an expert on memory disturbances produced by alcoholic beverages. The show examined the nature, prevalence and consequences of complete memory lapses- so-called "blackouts"that can occur with alcohol consumption. Smith was interviewed by Cynthia McFadden, who was recovery from the intoxication, according to Smith. Furthermore, although alcoholic patients (approximately 70 percent) often suffer repeatedly from blackouts, the episodes are not limited to alcoholic individuals. "The particularly puzzling and frightening �aspect of blackouts is the fact that a $2.6 million project also funded the individuals appear to have an intact memory and can act 'nor- by the IH, now entering its third year. "Although a genetic linkage has been presumed to underlie bipolar disease in many individu- mally' during the time period that they subsequently can't remember," says Smith. "Fortunately, some individuals appear less susceptible to blackouts than others." Currently, Smith and his colleagues are preparing to publish new data they have gathered from their studies on alcohol-induced blackouts. CD -S.A. UNGER $4.2 Million Crant to Study Cenetics of Bipolar Disorder Carlos . Pato, MD, and Michele T. Pato, MD, associate professors of psychiatry and co-directors of the Laboratory of Psychiatric and Molecular Genetics at the University at Buffalo School of Medicine and Biomedical Sciences, have received a $4.2 million grant from the ational Institutes ofHealth to search for a gene or genes that may be linked . .... .. to bipolar disorder. Identifying the molecular basis of such a linkage could lead to advances in diagnosis and treatmentofthe disorder, which affects millions of people worldwide . The husband-and-wife team are conducting their research with the relatively homogeneous population of the Azores, Portuguese islands located in the North Atlantic about 1,000 miles off the coast of the Iberian Peninsula. This same population forms the study base for their search forgenetic markers for schizophrenia, als, this research promises to reveal the molecular basis of that linkage, and may well lead to important diagnostic and therapeutic advances," says months. Persons in the manic Pato explains. "In addition, the Azores have a centralized health system, and alllO psychiatrists on phase of the disorder can be psy- the islands are collaborating on chotic, are easily distracted, experience exaggerated feelings of well being, exhibit inflated the project." The researchers will look for hereditary pathways of the disease using a variety ofapproaches. "We will select genetic markers be cyclic, with sufferers remaining manic or depressive for self-esteem and may indulge extravagantly in irrational activities. In the depressive phase, persons ex- and look at how the markers behave in well families, compared to a family where the illness shows up several times," Patosays. "We'll perience inertia, loss of self-esteem, withdrawal, also look to see if illness and Biomedical sadness and may even be we'll develop a description of each suspect gene and determine Sciences. Carlos suicidal. Present how often it occurs with illness." An important aspect of the study will be a haplotype relativerisk analysis. Using this approach, researchers John Wright, MD, dean of the School of Medicine and Pato, principal investigator on this research project and associate dean for clinical affairs in the medical school, says bipolar disordercommonly referred to as manic depression-affects about 0. 7 percent of the worldwide population, with a large percentage having a possible genetic component. "The most consistent and signifi- treatments for bipolar disorder focus on managing these symptoms. The Patos say they hope that uncovering the genetic etiology of these disorders will be an important step in developing improved treatments and, possibly, specific cures. Through a pilot study, the researchers already have identified 25 families with 84 affected mem- cant risk for developing bipolar disorder or schizophrenia is bers. That population will be expanded in the newly funded being related to a person suffering from the same illness," he says. "Though it is likely that five-year investigation to include 225 persons with bipolar disorder and their parents. A third study group will be composed of all other Azoreans with the disorder. "The Azores are ideal for a nongenetic factors play an important role in the expression of these illnesses, a significant portion or risk must be genetic." Bipolar disorder is characterized by dramatic mood swings between mania and depression. The mood swings develop and subside spontaneously and may genetic analysis because the islands are geographically isolated and the population has remained relatively homogeneous, with most inhabitants descended from a few families," Winter genetic markers co-exist and analyze genetic patterns from ill person to ill person. In addition, Mllthough a 11enetic linkage as been resumed to derlie bipolar sease in many ividuals, this will analyze the set of esearch promises genes from a patient's oreveal the parents that were not olecular basis of passed on to that that linkage, and patient, with the nonay well lead to inherited set then nponant acting as a control. iagnostic and Both researchers therapeutic hold adjunct appoint- advances." ments with the Center for euroscience at the UniversityofCoimbra in Portugal, which is collaborating on the project. The Whitehead/MIT Center for Genome Research will perform a genome-wide scan and collaboCD rate on all data analysis. -LOIS BAKER 2 000 laffale Hysicin 27 �S T U D E N T COLUMN Sendin Out an S.O.S. BY H A N A C H 0 E Students Offer i ng Support Peer Group Established yet I stared at the clock as if it were alien to me. I just wanted it to stop bothering me so I tried willing it to be silent. Finally, itsincessantnagging forced me to drag myself across the room to turn it off. I had classes. .... 28 l11falt Hysiciu Though the morning sun streamed through the window blinds heralding a new day, I convinced myself that it would probably be too cold, or classes would be boring, or that I could read and study on my own and, oh, that I wasn't feeling too well either. This day was just not a good day. I crawled back into bed, relieved that I had been able to rationalize my way out of going to school. Perhaps I was getting sick; it was winter in Buffalo, ew York, after all. Maybe I had hypothyroidism; hadn't we just learned about Hashimoto's thyroiditis and the concomitant lethargy? Surely, there was a physiological explanation. Yet, in the back of my mind, in my heart of hearts, I knew it was something else: I was depressed. But how could I be? I had always been a proactive, strong, independent soul with high ambitions and strict control over all aspects of my life. While at Columbia University as an undergraduate, I had been vice president of my senior class and felt I had a bright future. Following graduation, I took time off to Winter 2000 prepare for medical school, get some experience in the work force, and earn a master's degree in biology at ew York University, to boot. Accomplishment, scholarship and leadership had not been foreign to me. But now I felt trapped in a futile struggle against apathy towards school, career, life. And in the vicious cycle of life's quirks, the less I cared, the worse I performed in school and the worse the situation progressed. It was as if I had been performing all along and, now, I could not muster the energy or desire to go back on stage anymore. I needed help, but did not know where to turn. Approaching a dean seemed intimidating, and friends seemed to be having some of the same problems. We did not have advisors, and I wondered, "Did UB have counselors specifically for medical students?" Because several of my fellow students had similar questions and concerns, we began a quest to find answers and forge solutions. We decided to get a consensus ofhow many students were suffering doubts, fears and emotional stress. Therefore, in March 1999, we conducted a survey of the classes of 2002 and 2001. Some sobering facts were revealed: 62.1 percent of the 120 students of the class of 2002 and 69.7 percent of the 85 second year students in the class of 2001 who responded said they had experienced a period of significant psychological and emotional distress at least once since attending medical school. These statistics confirm the trend that during medical school training, while students are taught to empathize with, diagnose and treat patients, our own physical, mental and emotional health suffers. We further found that almost a third of the class of 2002 (43 students) and a quarter of the class of2001 (31 students) were distressed enough to need help or counseling. More disturbing is the fact that these medical students-typically characterized as bright and intelligent, motivated and achievement oriented-did not know where to turn for help. What will medicine be like in the next millennium if medical students today cannot obtain help to maintain their own health and happiness? The reality is that �A RECENT ARTICLE IN NEWSWEEK ... TITLED «THE SILENT A1 GUISH OF THE HEALERS" ADDRESSES THIS CYCLE THAT EVENTUALLY MANIFESTS ITSELF IN THI:. DETERIORATION OF THE PHYSICIAN-PATIENT RELATIONSHIP AND, INCREASINGLY, IN MALPRACTICE LITIGATION. the problem stems not from a lack of coping abilities, but because there is often a stigma attached to medical students and physicians who admit they need help; it's as if we were admitting a weakness. The awesome responsibility of caring for the people in our community and the fiduciary expectations placed on physicians can be not only intimidating but debilitating, especially when shouldered by clinically naive medical students. However, to concede that we cannot handle adversity not only forces us to relinquish control of a situation, but exposes a fallibility that is not allowed. Hence, it is safer to assume the pretense of unyielding strength and flawless competency. Moreover, the Marcus Welby phenomenon traps us and transforms us into demigods in the eyes of our families, friends and communities. How then can we possibly admit we need help? It is one thing to cope with the vicissitudes of life in our own personal lives; it is quite another to be defined by our career and to play a role that is immune to doubts, fears and tragedy. Physicians may become captives of the emotional and psychological duress associated with caring for the health of entire communities, which involves confronting pain and death at every step. Ironically, as administrators of health care, we are trained to recognize the signs that a patient's health is compromised, yet we ignore these same signs in ourselves. Would it make us too vulnerable if we remembered that we are in fact only human? If we do not tend to ourselves, we cannot fully and sincerely attend to our patients. A recent article in Newsweek (September 13, 1999) titled "The Silent Anguish of the Healers" addresses this cycle that eventually manifests itself in the deterioration of the physician-patient relationship and, increasingly, in malpractice litigation. My peers and I refuse to accept this state of affairs and are endeavoring to change it. As a result, in April 1999, we established a student-run peer support group called S.O.S., for Students Offering Support. Through sheer determination and dedication we have initiated a program-the first of its kind at UB-that will promote the health of the medical student body. Though our group is still in its infancy, its mission is centuries old and found throughout the animal kingdom: We must take care of our own if we expect to survive. If we medical students and future doctors are to work together on the wards, in teams and in group practices, we must work together to preserve the sanctity of our collective well being. Therefore, S.O.S. reaches out to students by offering education and peer support on four levels. The first level of support includes a resource center that provides information on service agencies in the community and a lecture series that addresses issues such as stress reduction, family planning and seasonal affective disorder. With prevention as the trend in health care for the millennium, our responsibility is to educate not only our patients, but ourselves and our peers. The second level of support is a pager service offered daily for direct and immediate peer support and referrals. As one S.O.S. member states, "I believe that an S.O.S. volunteer can demonstrate the same personal attention and compassion on the phone that a physician would show during a face-to-face visit." It's inspiring that students are concerned enough for fellow students that they will take time out of their busy schedules to be on call for others. The third level of support maximizes the benefits of group discussions to further examine issues like maintaining relationships and exploring spirituality throughout a medical career. Finally, the fourth level is the bridge to professional therapists and psychiatrists. By matching medical students with psychiatrists in the community, we are encouraging them to seek help when they have problems. And now, almost a year has passed since that morning I lay in bed, willing my alarm to cease its noise. I admit I am still anxious about the challenges ahead. However, I do know there is strength in numbers; I will support and be supported by my peers. I encourage 4D you to do the same by sending out an S.O.S. For more information on S.O.S., visit the group's website at http://www.smbs.buffalo.edu/polity/sos. What will medicine be like in the next millennium if medical students today cannot obtain help to maintain their own health an happiness? The reality is that the problem stems not from alack of coping abilities, but because there is often astigma attached to medical students and physicians who admit they need help: it's as if we were admitting aweakness. {ana Choe zs a second-year student at the Uni~erstty at Buffalo School of Medicme and Biomedical Sciences. Wi11ter 2000 1111111 Plysicill 29 �N E w s "Can You B • By Li nda J . Cor de r , PhD, CFRE on my birthday, about a decade ago. His eyes were intense but kind as he welcomed me to his kingdom, the Department of Medicine at St. Louis University's School of Medicine. Obviously a benign monarch, he offered me heartshaped cookies baked by one of the office staff for Valentine's Day. While he went to find coffee, I explored the landscape of his office, noting that the walls were covered with a lifetime of honors. These included a citation of appreciation for his term as president of the American College of Physicians, hung not far from his UB diploma. Tom was also in charge of graduate medical education. On a tour of St. John's Mercy Medical Center, everyone we met grinned in response to his quiet greeting. Along the way, he indulged my obviously nascent knowledge of the field of medicine by explaining the various stages of medical education and training. Tom also fervently extolled the virtues of music, literature, art and "living life." We ended our sojourn in the library, where a large oil painting of him was propped against a set of shelves. "When you next visit," he said shyly, "that will be hanging; the library was recently named for me." Over the intervening years, Tom shared more stories about his life. I learned that he is a spouse, a dad, and a man deeply involved in his community. He also plays the piano, reads widely and enjoys excelling at golf. Driving down Buffalo's "memory lanes" a few years ago, Tom described to me his UB days, which were spent mostly at the hospital because he lived in a house in Allentown where the heat seldom made it to his third-floor room. As a result, the residents dubbed him "that student who hangs around." One night, he recalls, a woman was brought into the ERin a coma and he was encouraged to observe as an "amber-colored fluid" was injected into a vein. The patient immediately awoke and asked where she was. "To a kid, this seemed like magic, or a true miracle," Tom remembers. Later, he learned that the woman had been in Addisonian crisis. 30 l 1 fla l1 H ysi c i11 Winter 2000 Tom was in the hospital that night because his room was freezing, a fortuitous circumstance that changed his life, as he made up his mind then and there to dedicate his energies to the study of Addison's disease. When he completed his residency, Tom's dream was to conduct research with George Thorn, a UB graduate known for his seminal work in endocrinology. After interviewing Tom in Boston, Dr. Thorn decided he would be a welcome addition to his lab; however, due to funding, he had to delay offering him a fellowship for a year. Fearful that a dream deferred would never come to pass, Tom returned to Buffalo broken-hearted. A group of faculty-Jed by Dr. John Talbott-told Tom, "We will finance your first year of research until Thorn can provide fellowship funds." Recalling this offer, Tom asked me with unmitigated awe, "Can you believe that?" The UB faculty encouraged Tom to "learn and return" but didn't hold him to an agreement when he was offered "a rank and salary UB simply couldn't match." His mentor said, "We want what is best for you, so take it." Again Tom said to me, "Can you believe that?" Recently, Dr. and Mrs. Frawley completed funding an endowment that will enable other young physicians interested in research to pursue their dream. This story is not just about the Thomas Frawley, M. D. Residency Research Fellowship Fund, although it will make a difference to the school forever. What strikes me as amazing is the aspect of Tom's story that pertains to his decision to embark upon a career in medical research and how dedicated professors and an outstanding UB alumnus worked together to effect a remarkable outcome. It also shows how "serendipitous" can become "likely" when people and resources are dedicated to students and to creating an academic environment that exceeds expectations. Lyn Corder is associate dean and director of development. She may be reached by phone, toll free, at 1-877-826-3246, or by e-mail at ljcorder@buffalo.edu. �Spring Clinical Day and e nion Weekend 2000 Mark your calendars I Cass of 1955 t's not too early to plan for the 2000 Spring Clinical Day and Reunion Weekend. John H. Peterson A cocktail reception will be held Friday, April28, 2000. The Ray Schiferle 63rd Spring Clinical Day and Reunion Dinners will be on Saturday, April 29. For more information, call the Medical Alumni Association at (7161 829-2778. John H. Peterson The reunion classes are 1945, 1950, 1955, 1960, 1965, 1970, 1975, 1980, 1985, 1990 and 1995. Here's what your reunion chairs have to say . . . Admit it, you've stayed away too long! Come enjoy Spring Clinical Day activities and our 45th reunion. The clock is ticking, so plan to attend. Details very soon. -Ray Class of 1945 Herbert Joyce Herbert Joyce Ray Schiferle We encourage all of those of the Class of' 45 who are still able to come to attend our 55th reunion. The festivities will be the grandest yet for the double nickel on 4/29/2000. Class of 1950 Class of 1960 James Kanski RogerDayer ]ames Kanski Sidney Anthone Save thedatesApri128 and 29,2000. It's our 50-year class reunion and great plans are being made to make it a monumental event. You will be hearing from us about further details. Call your closest classmates and start planning to share the event. Please let us know of any ideas you may have to make the occasion even more special. Plan now for our May 2000 reunion. It's time to renew old friendships, reminisce and share a few laughs. -James Hope everyone will join us for our Can-Am celebration of our 40th. -Roger Bob Patterson Sidney Anthone In '95 we had a great time with 20 classmates. Let's try and double that for our 45th. You wouldn't believe all the tales traded about. Please try and make it. -John Roger Dayer Bob Patterson Wi11ter 2000 1111111 Plysiciu 31 �S P R. I G C IC'AL Ll DAY AND REU 10 WEEKEND c sso 5 2000 985 Beth Maher Joe Cardamone Jack Coyne Joe Cardamone It really has been 35 years since graduation. Let's all get reacquainted. I look forward to seeing you at our reunion weekend April 28-30, 2000. Come and join us in the "City of Light" in the spring of the new millennium. Beth Maher 970 Don Copley Don Copley Be sure to reserve the dates for our 30th medical school reunion in April. Andrea and I look forward to seeing you. If you attended our last reunion, you'll recall the fun we had reminiscing, comparing career twists and reviewing life's little adventures. And don't forget to bring along some belly laughs! Jack Coyne s 990 Ray Paolini Ray Paolini John C. Stubenbord John C. Stubenbord On April 29, 2000, we will be celebrating our ten-year reunion. Please mark your new 2000 calendars now and share with your classmates some fond memories of good times. It's been 25 years since we were all together in Buffalo. Come on home to the place of our medical beginnings. Hope that you all can return for April 29, 2000. 95 Martin Mahoney Tara Sosa Paolini Margaret W. Paroski Martin Mahoney Let's begin the new millennium by renewing old friendships. Margaret W. Paroski Tara Sosa Paolil1i 3 2 l 1ffal1 Hysicin Wtnter 2000 Let's get together to catch up! Plan to join us for our five-year reunion .... Hope you can attend. �Dear Fellow Alumni, I have been privileged to participate in many interesting and exciting events over the past few months. In mid-September, Dr. john Bodkin, vice president of the Medical Alumni Association, chaired the reunion chairs' dinner, held at the Transit Valley Country Club. Dean Wright spoke, and we had a chance to meet with the chairs of the individual reunion classes that will be held in April 2000. It was a welcome opportunity for us to meet these volunteers and show our appreciation for their stepping forward to chair their respective reunion dinners. Later in September, the past presidents' dinner was held at the Buffalo Club in downtown Buffalo. At this event, we were pleased to present the Distinguished Medical Alumnus Award to Dr. Robert Reisman in honor of his many contributions to allergy and immunology and to our medical school. In accepting the award, Dr. Reisman gave a wonderful talk about his career and his thoughts on the past, present and future of medicine. On October 9, 1999, I was privileged to speak before the Parents' Guild during Parents' Week for the first-year medical students. The Parents' Guild is an impressive organization that has been established to try to improve aspects of the medical education experience. This was a well-organized day that gave the parents an opportunity to visit the classrooms, meet the professors and see where their children are learning the basic sciences. The Physician-Student Mentoring Program got off to a rousing start this year under the direction of Dr. Stephen Pollack, who was successful in matching 140 physicians one-on-one with medical students. The goal of this program is to provide students with a nonacademic advisor who can be available on an informal basis to answer any personal or professional questions they may have. Dr. Anthony Markello has volunteered to chair the Community Physicians Speakers Program. In this program, the Medical Alumni Association arranges for physicians in the community to come and speak to first- and second-year classes to help acquaint them with the hours and dedication needed for the various fields of medicine. We have begun to plan our fourth-year medical student reception, held each spring and sponsored by the Medical Alumni Association. The reception, which will be chaired this year by Dr. Bodkin, is a splendid annual event in which the fourth-year students and their significant others come and celebrate the close of their medical school experience. Finally, plans for Spring Clinical Day 2000 are beginning to take shape. The theme for the day will be "Children's Health," and our Stockton Kimball lecturer, as announced in the last issue of Buffalo Physician, will be Maxine Hayes, MD '73, assistant secretary of community and family health for the Washington State Department of Health. Dr. Bruce Rogers, head of the Division of Maternal-Fetal Medicine at Kaleida Health's Children's Hospital, has also accepted Dr. Colleen Mattimore's invitation to participate in the program. Other speakers have been invited, and we are awaiting their response. This is an exciting time to be on the Medical Alumni Association's board. If you are interested in joining our board, please drop me a line through the Medical Alumni Association office at 101 Cary Hall, or call the office at (716) 829-2778. RICHARD L. COLLINS , MD President, Medical Alumni Association Winter 2000 l11fale Hysicin 33 �CLASS 1940s Ralph T. Behling, MD '43, My wife, Rita Clancy Behling, died in July 1998. I remarried in August 1999 to California widow with five children. Jacqueline Paroski, MD '49, North Tonawanda, Y, Pediatrics. "Julie Cullen and I were the first women interns at the Millard Fillmore Hospital. We were also among the first women physicians in the U.S. Navy. I was the first woman president of the medical staff of the DeGraff Memorial Hospital and first woman to be head of pediatrics at DeGraff." John Sharp, MD '49, Holmes Beach, FL, Internal Medicine. "From 1959 to 1987 I was chief of cardiopulmonary medicine at Hines VA Hospital near Chicago, IL. I was also professor of medicine at the University of Illinois and Loyola University in Chicago. I did research in cardiorespiratory physiology and was associate editor of the fota- nal of Applied Physiology in the 1980s for five years." jacksue@gte.net 34 NOTES rics/gynecology at the University of Mississippi from 1967-1974; assistant/associate dean of Academic Affairs at the University of Mississippi from 1970-1974; and chair of obstetrics/ gynecology at the University of Rochester (NY) from 1974-1995. I am now retired." thiede@rochester.rr.com Irma Waldo, MD '49, Hillsdale, NY, Pediatrics/ Primary Care. "I have skied for 40 years and am serving on the ski patrol at the Catamount ski area in Hillsdale, NY. In addition to private solo practice, I have always done school health, and with the County Health Department held well-baby and immunization clinics. In semi-retirement. I was attending MD and medical director of our county nursing home and Twin County Alcohol and Substance Abuse Services of Columbia and Greene counties." 1950s Eugene Beltrami, MD '54, Williamsville, NY, Obstetrics/Gynecology. "I am director of Medical Legal Affairs for the Department ofVeteran's Affairs nationwide." Henry Thiede, MD '49, Jacob Lemann Jr., MD '54, Pittsford, Y, OB/GY "I was chair of obstet- ew Orleans, LA, Internal Medicine. "I was an l tffal• Hysici11 Winter 2000 instructor in medicine at Boston University School of Medicine from 1961-1963; assistant/ associate professor of medicine at Marquette University School of Medicine in Milwaukee, WI, from 1963-1968; associate professor and chief of Nephrology Division at Boston University School of Medicine from 19681970; professor of medicine and chief of nephrology at the Medical College of Wisconsin from 1970-1990; clinical professor of medicine (part-time), Tulane University School of Medicine in New Orleans, LA, from 1995-present." J]emannla@aol.com Ernest Meese, MD '54, Cincinnati, OH, Cardiothoracic Surgery. "My first wife, Marge, was killed in auto accident in 1984 (32 years of marriage). I remarried Rockell Dombar in 1985 and in 1992 had twins Matthew and Donyel, now seven years old. I am still actively practicing thoracic surgery in Cincinnati, where I have lived for 34 years. I am active in state and local American Cancer Society and am a lifetime board member." Thaddeus Reszel, MD '54, Robert Dshrin, MD '54, Buffalo, NY. "I am with Buffalo Amherst Allergy Associates, Department of Internal Medicine, Rheumatology and Hepatology and senior partner of a fivephysician allergy/ immunology practice. Also, president of the ew York State Society of Allergy and Immunology from (1997-1999). orth Tonawanda, NY. "I am in part-time office practice at Reszel Family Practice." John Kent, MD '55, Hackettstown, NJ, Obstetrics/Gynecology. "I have been golfing, traveling, reading, relaxing for the past 13 and a half years of retired life." Joshrin@worldnet.att.net Robert Pletman, MD '54, Schenectedy, NY, Urology. "I am president of Schenectady Urologic Associates. I served 18 years as chief of urology and five years as chief of staff at St. Clares Hospital. I am active as a hospital trustee." E-mail BernardS. Shapiro, MD '57, writes: "I was forced to retire from general surgery due to a knee injury, and moved to ashua, NH, to live closer to our four grandchildren and their parents. I've done some teaching of medical ethics to seniors at an institute of learning in retirement. I also work CONTlNUED ON PAGE 36 �In Memoriam Kenneth H. Eckhert, Sr. MD '35, a member of the School of Medicine and James E. Long, MD '31, a fonner faculty member in the School of Medi· cine and Biomedical Sciences, died November 10, 1999, one day before his 93rd birthday, in Buffalo General Hospi· tal after a brief illness. Long, who joined the UB faculty in 1946, received a bachelor's degree from UB in 1924 and gradu· ated from the UB medi· cal school in 1931. During his career, he established a private general-medicine prac· tice on Parkside Avenue in Buffalo and also was affiliated with Buffalo General Hospital as an associate physician. When he retired in 1977, he was awarded a Citation of Professional Medicine by the UB medical school. A vet· eran of World War II, Biomedical Sciences' clini· cal faculty for more than 40 years, died November 26, 1999, in his Buffalo was boarded in radiology, radiation therapy and can Cancer Society and berg earned bachelor's and nuclear medicine and was working to build a master's degrees from the quality assurance. His network of patient advo· University of Buffalo before passion was for making a cacy centers around the difference in the treat· country. He had been . entering the Anny in 1942. After the war, he briefly ment of breast disease honored by Los Angeles studied psychology at the and, to this end, he County and the cities of Los Angeles and Santa University of Chicago before helped introduce the use He was 88. A native of returning to UB to study of noninvasive needle Monica, among others, Buffalo, Eckhert graduated medicine. He graduated biopsies of the breast and for his contributions to home after a long illness. from the University of Buf· falo in 1931 and from the university's medical school in 1935. He served on the medical school faculty from 1940 to 1981, retiring as a clinical instructor emeritus. He received the Dean's Award from the medical school in 1968. During his long medical career, Eckhert was chief of sur· gery at Deaconess Hospital and senior cancer research surgeon at what is now Roswell Park Cancer lnsti· tute. Among his survivors is his son, Kenneth H. Eckhert, Jr., MD '68, clinical assistant professor of surgery in the UB medical school. Long joined the Anny in 1942 and served as a Committee of the Ameri· Williamsville home. He was 80. A Buffalo native, Stul· Gardner Cox II, MD '48, died major in the 20th Gen· in June 1999 at age 76 in eral Hospital, University Holyoke, MA. from the School of Medicine other organs in the Los health care. He was au· and Biomedical Sciences in Angeles area. In 1975, he thor of a book titled The 1952. After receiving train· opened one of the first Multimodality Approach centers exclusively dedi· to Breast Imaging and . Harvard University and Mas· cated to breast diagnos· consuHed and lectured sachuseHs General Hospital, tics. Called the Women's internationally on breast . ing in child psychiatry at Stulberg returned to disease, patient· Buffalo and entered centered disease private practice. He state management . served as director of and patient advo· · the Child and Adoles· cacy. In addition, he cent Clinic on three worked successfully · occasions and was with national, state : honored by the clinic andlocalheaHhcare policymakers on for 37 years of ser· · vice. He joined the of Pennsylvania, Unit. Breast Center, this facility women under age 50, and : also worked with the psy· became a medical blue· the allocation of tax . chology department, in· print and effective busi· revenues from the sale of cigarettes for use in structing clinical students in ness model for other such group therapy. Stulberg had centers that were estab· breast cancer research. been a life fellow of the lished across the nation Porrath is survived by his American Psychiatric Asso· in the following decades. wife, Toni Bernay, PhD, ciation since 1967. Porrath served as presi· and his three children: Bunna-lndia Theater clinical associate professor and, while stationed in emeritus of psychiatry, died India, was awarded a November 24, 1999, in commendation for Millard Fillmore Hospital research in malaria after becoming ill in his dent of The American So· Mitchell Bernay of Dallas, ciety of Breast Disease, TX, Ellen Lord of Buffalo, The National Consortium NY, Laura Chalfin of Los . at his home in Beverly Hills, of Breast Centers, and Angeles, CA; and his sis· · CA. A pioneer in medical vice president and trea· ter, Hedria Lunken, and . diagnosis and treatment of surer of the International mother, Tibey Porrath, · women's heaHh, Porrath Society of Senology. He both of Buffalo, NY. died September 12, 1999, Burton Stulberg, MD '52, to mammograms for : UB medical school · clinical faculty in 1989. He · Saar l. Porrath, MD '61, He served in the China· legislation pertaining Saar A. Porrath, MD '&1 was a Fellow of the Ameri· was a member of the can College of Radiology AHernative Medicine treatment. Winter 2000 l1ffall Hysitill 35 �CLASSNOTES parttime now at the VAMC in Manchester, NH, doing GI endoscopy and small surgeries two days a week. I would love to hear from my classmates. n bernshap@aol.com Constantine Cretekos, MD '59, Pi ttburgh, PA, Child and Adolescent Psychiatry. "I have worked at the same agency for 30 years and have loved it." James Doyle, MD '59, Dana Point, CA, General Practice-Anesthesiology. "I am now retired. Recently I was visited by Dr. Ron Hoyt and his wife, Susan. He's a retired Air Force colonel. I also had dinner recently with Jay Stevens and Dorothy Rasinski and talked to Bob Wilbee and Larry Way on the phone. All are in good health." Seymour Grauer, MD '59, Syosset, Y, General Surgery. "I am director of surgery at orth Shore University Hospital in Syosset. I am happily married, actively practicing surgery, doing some administrative work and studying for a master's in medical management at ew School University. I am also traveling. Regards to all!" tgrauer@liu.edu 36 1111111 Hpici11 Dorothy Rasinski Gregory, MD '59, Long Beach, CA, Internal Medicine. "I served with the President's Commission on Ethics in Medicine and Biomedical and Behavioral Research and currently am on the VA's National Bioethics Advisory Committee." Eli Isaacs, MD '59, West Bloomfield, MI, Obstetrics/Gynecology. "I am still working, but not out of necessity." Isaacs l23@aol.com 1950s 1960s Barry Weinstein, MD '69, (R-Amherst) Erie County Legislator, 15th District was re-elected in the ovember 1999 elections. He ran unopposed. 970s Allen L. Carl, MD '79, has been elected to the American Orthopaedic Association (AOA), an international organization with a mission to enhance the quality of musculoskeletal health. Membership in AOA is achieved by those who have made a significant contribution to education, research and the practice of orthopaedic surgery. Carl is professor Winter 2000 of surgery and pediatrics in the Division of Orthopaedic Surgery at Albany Medical College. He specializes in the treatment of spinal injuries and disorders in children and adults. 1980s Thomas Pullano, MD '8D, writes: "Since completing my fellowship in neonatal medicine at the University of Colorado, I have been working in Dallas. I am now medical director of the eo natal Intensive Care Unit at Presbyterian Hospital Dallas and a member of Magella Medical Associates. !ina]" article in the Greenville Magazine. Hollins is medical director/administrator for the Roger C. Peace Rehabilitation Hospital, which is part of the Greenville Hospital System. He is the first African American to ever hold such a post in the hospital system. Hollins began practicing in Greenville in 1991, following completion of his residency training in Buffalo in Physical Medicine and Rehabilitation. His wife, Suzette, earned an advanced graduate certificate in information and library sciences from UB in 1988. They are raising their three daughters in Greer, SC. 1990s Tina Marie Gardner, MD '87, Donato Borrillo, writes from Stamford, NY: "I am extremely busy in a hospital-owned outpatient practice. I also teach reading to atrisk kids, serve as a Cub Scout leader and am an attending at a nursing home. In my abundant free time, I camp with my husband, Joe, and our two sons, Jake (9), and Luke ( 4). MS, MD '90, JD, Dennis C. Hollins, MD '87, PhD, was recently selected for inclusion in the annual "Best Doctors in Greenville [South Caro- writes: "! married Christine Wells of Cleveland, OH, and have a ninemonth-old baby girl, Jessica. After graduating from UB medical school, I went on to obtain my law degree from Case Western Reserve University and am licensed to practice law in Ohio. In addition, I completed an aerospace medicine residency at Wright State University (board certified) and have a commercial multi-engine instrument-rated pilot's license. Currently, my family lives in England, where I practice as a flight surgeon for the 352nd Air Force Special Operations squadron at RAF Mildenhall. Cheers! William Palmer, MD '90, and his wife, Stephanie, announce the birth of Jayson William Palmer on September 6, 1999. He joins his sisters, Janee, 9, and Jilian, 7. Palmer is currently in an office-based physical medicine and rehabilitation group practice, Rehabilitation Associates of Indiana, in Indianapolis, I Krista M. ( Prigg) Kozacki, MD '91 , writes: "Life is wonderful in Florence, S.C. We had our third child, Emily Marie, on July 9. She weighed 7 pounds. Her twin brothers Stefan and Jacob (age 6) think she is their little princess. I more than ever advocate breast feeding to my patients now! I am loving my private practice more and more every day. It has been five years. I also get to interact residents. Call if anyone gets this way." EDITOR'S OTE: Due to space limitations, several Classnotes submissions were held for the following issue of Buffalo Physician. �Your stock may pay more dividends than you thought possible You dabbled in the market long before it became a fad and your hunches paid off. But now you need income, and your shares are only producing low annual dividends. so how can you make the most of your securities and still achieve your personal and financial goals? Give your stock to the University at Buffalo. With careful planning, your gift may provide you with income fOr life, a charitable deduction and reduce or eliminate taxes. And fOr UB it can mean more scholarships, research funds or the realization of your own personal vision and goal fOr the University. To learn how your gifts of stock can benefit you and the University at Buffalo, please call the Office of Gift Planning at !716l 645-3312. T~ University at Buffalo ':t=:::l The State University ofNew York University at Buffalo • Office of Gift Planning • 103 Center for Tomorrow • Buffalo, New York 14260-7400 • 716-645-3312 �l•ffale Pllyslcla• State IIIYirslty If lew Yerk at l1ffal1 M35 •ail St. 1111c. zz l1ffale lew Yerk 1U1•·3113 Non Prof I Org U S Postage PAID Buffo o NY Per I No 311 We Get Rehab Results! Our Superior ~M Improvement Vs. National and Northeast-em Regional Subacute Facillties Hve Star Care The McGuire Rehabilitation Centers achieve a 34% GREATER FIM5 M increase vs. the national average for all admissions. • Stroke • Pain Management • Medically Complex • Orthopedic • Infections • Cardiac • Cancer • Joint Replacement Eatll'lg • Amputee Our facilities were rated outstanding in the community with five stars out of five, according to the Inside Guide to America's Nursing Homes for long-term care. **** The McGuire Team ofExperts The McGuire Rehabilitation Centers employ a team of over 30 licensed Physical and Occupational Therapists, specially trained support staff, and an on-staff Physiatrist/ Gerontologist. Together they ensure the highest level of individualized medical and restorative care. Cost Effective! =Inpatient Admissions The McGuire Rehabilitation Centers' average charge per case is more than 35% WWER than other facilities in the nation, according to statistics from The Wall Street Journal and the American Health Care Association. I = Inpatient Discharge I = Outpatient Follow-Up Our case mix is consistent with the Northeas t and national subacute region. Our average s tatistics are: length of stay - 25 days; age - 78; admission FIM score 72.5; discharge F"JM score - 97.6 ; FIM change- 25 .1 points; length of stay efficiency 1.40; onset time - 17; discharge disposition - 80% to community. Based on 12 months ending March 31 , 1998. The McGuire Rehabilitation Centers rely on the national The results are in. The McGuire Rehabilitation Centers have leading measurement tool for documenting patients' the clear advantage over other regional facilities based on F!Ms"' rehabilitative outcomes. This tool is !mown as FIMSM< improvement, discharge to home, and cost effectiveness. lnstJument; Functional Independence Measure, developed Our successful rehab program delivers results by the UB School of Medicine along with the Center for j because of our superior staff, state-of-the-art equipment, Functional Assessment Research. It's used and specialized rehab facilities. Choose The along with the Uniform Data System for McGuire Rehabilitation Centers for five-star Medical Rehabilitation (UDSMRs"') rehabilitation services. to establish rehab outcomes that ~~"DU FJ"'JI'T"T~J\J Call 1-888-POSTACUTE. can be measured and calculated ~.L.U.J. ~\7~ "F"'H£ .1 c:/J'fCGULRE Jl DTT to document successful results. 1' .J.I1J CENTEP<B Copyright 1998 Uniform Data System for Medical Rehabilitation, a divisio: f ~ '-.. U8 Foundation Activities, lnc. All rights reserved. Autumn View • Garden Gate • Banis ffill • Northgate B P 0 003 00 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 2000 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Copyright 2000 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/921ef24ffa18e8c64e5a98f93dc13604.pdf 3e2931c9565d3a095daa32c35adcbc26 PDF Text Text State University of New York at Buffalo School of Medicine and Biomedical Sciences, Autumn 1999 �neaP Alumni and FPiends, On the first day of orientation week, incoming students, parents, spouses, family and friends participated in the second BUFFALO PHYSICIAN \10lumc 34 umber 2 annual White Coat Ceremony, held this year in the Center for the Arts. (See article on page l2 of this issue of Buffalo Physician.) This event-based on an idea generated and ASSOCIATE VICE PRESIDENT FOR UNIVERSITY SERVICES brought to fruition by Assistant Dean Tom Flanagan-will no doubt represent one of ~mnh the more memorable experiences for our students and, quite frankly , for everyone Dr Ctrolc Petro DIRECTOR OF PUBLICATIONS Kathryn A Sawner EDITOR ~tephame A Unger ART DIRECTOR/DESIGNER \Lm J Kegler PRODUCTION C.mdy lodd STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr john\\ nght Dean EDITORIAL BOARD Dr Benram P<>rtm. Charr Dr Martin Brecher Dr Hawld Brody Dr lmda J Corder Dr Alan J Dnnnan Dr James Kanskt Dr I Iizabeth Olmsted Dr Stephen Spauldmg Dr Bradley f Truax 'vis. Jenmfer \\tier Dr f rankhn Zeplu" nz TEACHING HOSPITALS f-ne County MediCal Center Kaleida Health-Ihc Buffalo General Hospttal fhe Chtldren's llospnalufBuffalo Mtllard ftllmore Gates Hospttal \1tllard hllmore ~uburhan llospnal Ros\\ell Park Cancer lnsUtute \eteransAffatrsWestern. ·e" )ork I kalthcarc S} stem Catholic Health S"tem\1ercy Health System SISters of Chanty Hospttal ·,agara I ails Memorial Medical Center ©The State universny of ew York at Buffalo Buffalo Ph1 sinan is published quarter!} hy the State UniverSI!) of :--:ew York at Buffalo School of \kdicme and Biomedtcal Sciences and the Oil ice of Publications. It ts sent, free of charge. to alumm, facultv students, reSidents. and friend~. rbe staff reserves the nght to edit all copy and submtssions accepted for publication. else involved. This being the second incoming class to have participated in the White Coat Ceremony, it dawned on some of our third-year students that they might have "missed something. " Therefore, at their request, a similar White Coat Ceremony was held a week later, on their first day of classes. Again, this event, like the first, was made possible by the generous support of the Medical Alumni Association, the Parents' Council, the james Platt White Society and our other generous student supporters. Incoming students were also treated to another form of welcome: a completely renovated Butler Auditorium and G26 classroom. During my student lunches last year, one of the most recurrent complaints about the medical student experience here was related to the "dismal" classrooms and the condition of the student lounge. Although Butler has been our best classroom, it lacked the most current educational technology suitable for computer presentations, and the carpet had seen better days. Those renovations, plus a new screen, are now in place. G26 was a slightly different story and over the summer was completely gutted and refurbished. Finally, with help from the Parents' Council and Polity, the student lounge has also been refurbished and now represents a more hospitable refuge for the students. Our plans for the coming year include completely refurbishing Farber 144 and establishing a new, more spacious and suitable student study-space and lockerroom facilities. Other projects are on the drawing board and will be implemented once the necessary planning and funding processes have been completed. It is our conviction that a good learning environment includes physical accouterments as well as all of the more intangible essentials. Our students also experienced another "first" this year as the United States Medical Licensing Examination (formerly the ational Boards) was offered via computer only. (See article on page 8 of this issue of Buffalo Physician .) Although one of the advantages appeared to be almost instantaneous feedback, the "spread out" nature of administration actually delayed the reporting of results. These standardized tests must be subjected to statistical analysis and therefore require completion by all candidates before validation is possible. So much for progress! A final note: Dr. Tom Flanagan really has retired, having completed the initial two years of his planned "retirement" as an assistant dean in the Office of Medical Education. We are all indebted to Tom for making this invaluable contribution to the school and look forward to his continuing participation in school events, even if on a less formal or frequent basis. In the meantime, we wish him and Grace all the best as they enjoy a well-deserved bona fide retirement. John R. Wright, MD Dean, School of Medicine and Biomedical Sciences �VOLUME 34 , NUMBER 2 .-----------------~ AUTUMN 8 On the Trail of Schistosomiasis Electronic Testing Makes Its Mark 2 14 1999 ARevolutionary Look at Medicine SCIENTISTS HUNT FOR MEDICAL LICENSING EXAM .JOSEPH GAGLIARD I GENES IMPLICATED IN NOW TAKEN BY COMPUTER, ASSUMES PERSONA OF THE DEADLY DISEASE REPLACING PAPER- AND- REVOLUTIONARY WAR by S. A. Unger PENCIL COUNTERPART Doc TO TEACH HISTORY photography by Frank Miller by Corrine Streich Hospital News and Philip LoVerde Photography by John Consoli CHANGES COME TO REGION'S VETERANS ADMINISTRATION SYSTEM Research • POTATOES DELIVER Medical School HEPATITIS 8 • • VACCINE Classnotes HARRY L . MOUSE CALLS METCALF , GALLSTONESMD ' 60, RECEIVES • LIFESTYLE LINK "THE SURFACTANT BERKSON AWARD STORY"- -AN UPDATE • GUM DISEASE AND • WHITE COAT CEREMONY STROKE RELATIONSHIP • FACULTY MEMBERS HONORED Alumni • THOMAS FLANAGAN , PHD ' 6 5 , RETIRES AFTER Student Perspective LONG AND DISTINGUISHED HEALTH - CARE POLICY: CAREER AT UNIVERSITY TO TREAT OR NOT TO TREAT-POLITICS Is AN ANSWER by Joseph S. Ross CC'VER ILL T RAT I Bv '> r HA E C~RTER THE (LASs oF 2003--White Coat Ceremony on September 9, 1999, Initiates First-Year Students �The FORGE S IMPLICATED in Schistosonriasis I T's OT DIFFICULT to understand why a sense of urgency underlies The S. monsoni efforts to find a cure for schistosomiasis. Victims of the disease are infected species of schistoso· miasis looms large in with parasitic flatworms that flourish in their blood vessels, discharging Dr. Philip LoVerde's eggs that cause debilitating, often deadly, damage to their tissue and vital life. As coordinator for the World Health organs. Currently, some 200 million people-the majority of whom are Organization's children-have schistosomiasis, making it the world's second most serious Schistosomiasis Genome Project, the University at Buffalo professor and parasitic infection, next to malaria. According to the World Health Organization (WHO), about 10 percent of these cases are severe, resulting in an associate chair of estimated one million deaths each year. Compounding the problem is the microbiology, fact that only one drug is effective in treating schistosomiasis, and the pidured right, is parasite is rapidly developing resistance to it (see article on page 4). determined to out smart the deadly flatworm. PHoros 0 Bl FR:\'\K MILLER Buffoto A . o PHILIP LoVERDE Physician Autumn 1 9 9 9 �GE ETIC EPIDE~liOLOG\ STL D\ T\KES l~B SCIE TISTS TO BY S. A. UNGER BH \ZIL �PHILIP LoVERDE, PHD, professor and associate chair of microbiology at University at Buffalo's School of Medicine and Biomedical Sciences, is a scientist who knows firsthand about the urgent concerns that drive the search to find a cure for schistosomiasis. Widely regarded as a leading international expert on the disease, LoVerde has spent the majority of his career attempting to gain a better understanding of schistosomiasis and ways to treat its victims. Currently, he is coordinator for WHO's Schistosomiasis Genome Project and is a member of the organization's Expert Panel on Parasitic Diseases. In 1998, he completed a term as chair of the ationalinstitutes of Health's Tropical Medicine and Parasitology Study Section and today is president-elect of the American Society of Parisitology. In an effort to move schistosomiasis research in a direction that utilizes the new tools and technologies growing out of the Human Genome Project and other related endeavors, LoVerde has embarked on an ambitious genetic epidemiology study aimed at identifying and localizing specific genes influencing schistosomiasis infection and its clinical course. "Our goal is to improve our understanding of the underlying genetic determinants of resistance to reinfection and disease progression," LoVerde explains. This understanding, in the long term, may contribute to the development of vaccines or other interventions, he adds. In order to complete the study, which is funded by a five-year, $1.25 million grant from the ational Institute for Allergy and Infectious Diseases, LoVerde and his collaborators have traveled to Minas Gerais, a state in Brazil where schistosomiasis is endemic. \11DI<I L \I r111 \lou:ctL\H LL\LL According to LoVerde, there are three components that play a role in the transmission of infectious disease: (l ) the environment where the agent is being transmitted, (2) the �c. c. Om goal is to improve our understanding of the nnderlying genetic detenninants of resista11ce to reinfection and disease progression.·") infectious agent's genes that control its virulence and how it infects an individual, and (3) the host and the host immune system and genes that regulate the immune response to the infectious agent. For years, scientists have studied the environment and the genes of infectious agents (in this case, parasites); however, until recently, they haven't had the sophisticated molecular and mathematical (epidemiological) tools necessary to study the contribution of host genetics to hostparasite interactions. LoVerde and his group are interested in exploring this latter component with the aid of these tools. Specifically, they are interested in what happens to an individual when exposed to the 5. mansoni species of schistosomiasis and , following that exposure, how the immune system responds in terms of eliminating the parasite, something scientists call protective immunity. By studying endemic populations, they are trying to identify phenotypes , combinations of genes in individuals that imbue them with a specific trait. In this case, the scientists are looking for immunologic phenotypes that confer on individuals the ability to: (1) become resistant to schistosomiasis , (2) prevent reinfection, and (3) avoid development of severe hepatosplenetic disease (enlargement of the liver and spleen, which can cause death). Once this phenotype is developed, the scientists will use genetic epidemiology tools (e.g., quantitative genetic analysis , including variance components methods) to discover and test the relative contributions of genes and environment to the variation of a given trait. After the role of host genetics is clarified, they will use a gene-hunting technique called linkage analysis to home in on where the genes implicated ducted. in the phenotype are located on a I B u f f a l o Physician Autumn 1 9 9 9 �c.c. We've been able to show for the first tin1e that inclivicluab \\'ithin the san1e fa1nil~ all respond in a sitnilar fashion to an antigen-they sho\\T the san1e pheno~1)es. in1n1unologically. to the infection. specific chromosome. If specific genes are identified, scientists can then study their complex interactions with the immune system and develop a much clearer understanding of how to devise interventions at the molecular level. completed, involves treating everyone in the village and taking blood samples in order to extract serum, which contains antibodies. (Antibodies are protein molecules produced by the immune system in response to substances called antigens. An antigen is any foreign FII Ll) lh . . , I \ H( II pH()\ II) I . . , K L' D \ 1'\ substance that, when introduced into the body, is recogTo accomplish this complex task, the UB scientists are nized by the immune system and targeted for destrucstudying the population of a village called tion.) The third procedure involves Melquiades, where they have conducted studying the response of antibodies to demographic and genealogic analyses to schistosomiasis antigens , which enables determine who lives there and who is scientists to begin piecing together the related to whom. With the assistance of exact way a person's immune system Brazilian physicians, they have also mounts an attack and then , from that, performed stool exams and completed construct a phenotype. ultrasounds to ascertain who is infected, The immunologic phenotype the UB the level of intensity for infection and the team is interested in identifying pertains clinical stage of disease. "We determine to how T cells respond to antigens by intensity of infection by counting the numreleasing molecules called cytokines. "In ber of worm eggs per gram of feces, " particular, we are interested in a sub-type explains LoVerde. "An infection of 100 ofT cells called Th 1 because they produce interferon gamma, a potent cytokine that eggs per gram and over is pretty severe, marking the point between clinical and promotes the response of macrophages, subclinical. " The results of these tests have which can kill schistosomiasis parasites," revealed that 68 percent of the says LoVerde. Other cytokines village population is infected they are interested in tracking and that the mean egg-perare T F alpha, the overgram feces ratio is over 200. expression of which correlates Once prevalence and with severe hepatosplenetic intensity were determined , the disease, and Th 2-type research team set out cytokines, which produce an to identify phenotypes , a antibody called IgE that has process that involves three been shown to be important procedures. First, they used in protective immunity against their genealogic data to build schistosomiasis. "So these rea family tree called a pedisponses are phenotypes, and gree. " The pedigree in we can measure them, " Melquiades is made up of over 2,000 explains LoVerde. "And if there is in fact a Schistosomiasis is people, of whom 800 are still alive. And it genetic basis for these immunologic phenoendemic in the turns out that the area we're studying is types, we would expect to find familial Brazilian state of one huge pedigree. ow, that's really aggregation of them. As it turns out, this is Minas Gerais. significant because we can perform matches the case. We've been able to show for the first statistically and can look for the identifitime that individuals within the same family cation of genes or associations of traits that result in all respond in a similar fashion to an antigen-they show certain phenotypes we're measuring," explains LoVerde. the same phenotypes, immunologically, to the infection. " The next procedure , which is currently being This is extremely important, LoVerde points out, 0 B u f f a l a Physic i an Autumn 1 9 9 9 �Parasitic flatworms of the Schistoso- person's skin, they can penetrate matidae family are responsible for unbroken tissue and eventually the three main species of schistoso- enter the bloodstream, where they miosis found worldwide (primarily in feed and grow. The worms then Asia, South America, Africa, the migrate to the circulation of the Middle East and the West Indies). intestine or bladder, where they de- Depending on the species of worm, posit eggs that are discharged in the the female flushes out 300 to 3,500 feces or urine. Thus, the cycle begins eggs daily. Eggs that come in contact anew-but often not before the with freshwater hatch, releasing ciliated larvae that go in search of a snail host to infect and grow within. Over time, microscopic worm larvae leave Pictured above is study collaborator Fred Lewis, PhD, of the Biomedical the snail and swim about in fresh-water. If they come in contact with a Research Institute in Rockville, Maryland. "because we know that in people with severe hepatosplenetic disease, the number of parasites is an important indicator of how well they do; yet we also know that in people with the same high number of parasites, some go on to develop severe disease, while others don't. So, it's something besides just the number of parasites, and we think it's host genes." for genes believed to be implicated in the immunologic phenotype. "In humans, there's a major locus on chromosome 5 called q3l-33 , which correlates with resistance to reinfection of schistosomiasis and, lo and behold, what we find is that there are genes that produce cytokines that behave a lot like lL-4, which controls lgE production. This means that the level of expression of lL-4 by T cells is determining in part whether or not somebody is going to be resistant or susceptible to reinfection, and so this major locus seems to be controlling the host-genetic response," explains LoVerde. "Once we identify the genes, this will give us insight, at the molecular level, into the immunological mechanisms that account for either disease resistance or disease progression. And then what we can do is intervene, because we will know what the target is and we will know what we have to focus our vaccines on, as well as ways to manipulate those vaccines." + TIIIIIL IIOHCI L'-, With an immunologic phenotype established, the researchers are using genetic epidemiologic methods described earlier to quantify the relative importance of genes , environment and gene-environment interaction for determining a given phenotype. According to LoVerde, current results point to genetics accounting for as much as 45 percent of the host's response . In the final stage of their study, they are using the powerful statistical technique of variance components analysis combined with linkage analysis to search B parasite has left a trail of devastation within its human host. u f f a l o Physician Autumn 1 9 9 9 0 �BY NICOLE PERADOTTO Medic Ilice • 1111 Cl hat's because last spring, the Class of 200 1-collectively they represent some 17,000 students nationwide-became the first to take the computerized version of the Step One exam. By this fall, all three steps will be offered only on computer, following the decision by the ational Board of Medical Examiners ( BME) to replace the USMLE paper test with its high-tech "e-test" counterpart. That's right: The sharpened No. 2 pencil has at last given way to the mouse. And such a change can trigger exam anxiety even among children of the computer age . "There was definitely a lot of concern about the test-more so than in years past, I'm surebecause the game was changing completely, and we were the first to play by the new rules ," Adams says. In fact, the NBME first began considering a change to computer-assisted testing 22 years ago, although they didn't start working toward that goal until 1996. The new format follows a national trend at century's end that has seen standardized test takers at various educational levels go from shading in ovals in neat rows to pointing and clicking their way 0 B u t t a l o through exams. In addition to the USMLE, such standardized tests as the Graduate Record Examination (taken annually by 400,000 people) and the Graduate Management Admission Test (taken annually by 200,000 people) are now computerized. In most countries, the Test of English as a Foreign Language is also offered electronically. "The biggest reason we went this way was security," explains BME president Tom Bowles, MD. "It's very hard to steal exams that have been administered electronically. " Another improvement over the conventional format is convenience, as the step exams can Physician Autumn • 1 9 9 9 �ILLUSTRATION BY now be taken throughout the year rather than just biannually on set dates. ' omputerizing the exam will allow much greater scheduling flexibility and convenience than in years past," says Frank Schimpfhauser, PhD, assistant dean for educational evaluation and research at UB's School of Medicine and Biomedical Sciences. "Students can arrange to take the test based on their own study needs and academic schedule. Also, those who have had to change their test date-either for illness or for another reason-are finding the new format much more accommodating to their needs." Since it emerged on the scene more than a . B u f f a l o Phys ici an STEPHANIE CARTER decade ago, computerized testing has not received universal passing marks however. One concern has been that with so many test dates available, opportunities for cheating will abound. Other critics worry that the tests are unfair to students who are not computer literate and question whether e-testing is worth the hike in exam fees that typically come as part of the new package. "The computer doesn't magically transform a test into a better test," notes Robert Schaeffer, director of the ational Center for Fair and Open Testing, in Cambridge, Massachusetts. "But it seems inevitable that once you have the technology, people want to use it. So you have these multiple-choice Autumn l 9 9 9 0 �(·Testing "There was definitely a lot of concern about the test-more so than in years past, I'm sure-because the game was changing completely, and we Were the first tO play by the neW rules." - Christopher Adams, Class of 2001 marathons whose existing flaws may only be reinforced on computer." Furthermore, he points out, computer tests end up costing students more on two fronts. First, the price tag for the test increases, which will be the case for medical students starting in 2000. Second, whenever the format of a test is altered, students tend to invest in updated preparatory classes, such as Princeton Review and Kaplan Preparatory Classes. nd then there's the dreaded "black screen of death," when computers craSh beroreor during an exam. That happened to a group of students taking Step One exams thispastsummer, acknowledges Bowles of the BME. However, he adds, the affected students in this case were accommodated with "fairly rapid re-testing. " "With the paper-and-pencil exam, we had disruptions caused by hurricanes, exploding boilers, bomb threats and so forth," he continues. "If you take the total number of examinees who experienced disruptions this time around, it's not a whole lot different from the previous era." 'Tm sure the students who are affected by the glitches think it's not good, but when you look at the total picture, it's been very smooth," says - Alice Wooden Kelly, director of administration at the BME. She feels students will appreciate the many benefits of e-testing, including receiving their results faster, more than they will mind some of the drawbacks to the new format, such as paying a little more for the test. ® B Beyond having been transferred to the computer, other aspects of the step exams have changed dramatically. The Step-One exam, for example, has been reduced from a 700-question, two-day test, to a 350-question, one-day test. The Step Three exam, which will be offered for the first time this fall, incorporates sophisticated case simulations into the 14-hour exam. Test takers will be presented with "virtual" patients, and will be expected to take a history, order lab tests and so forth. As the test progresses, the patient's condition will change based on the student's decisions. "The case ~.J<. simulation is virtually impossible on a paper, , and-pencilexam,"Bowles f• ·~ says. "We think it challenges the examinee to a higher level of clinical reasoning. " As he watched the Class of 2001 ready itself for e-testing, Schimpfhauser, too, noticed severe test dread hitting the student body. "Everyone was extremely nervous because it was a new situation," he says. "For many, the computer testing is perceived as an improvement in the examination procedure, but some students thought that it would compromise their ability to show what they know." Danielle LaPrairie counts herself in the latter group. She excels at standardized tests-the kind that involve filling in hundreds of digitype bubbles with a o. 2 pencil. She worried that staring at a computer screen for seven hours would strain her eyes. She wondered how she would adjust to taking notes with a marker on a dry-erase board rather than working through problems on scratch paper. In short, c u f f a l a she feared that any change in the formula she knew so well might adversely affect her score. Then she practiced for the exam on the CD-ROM she received with her registration materials. "After that, I felt much better about taking the test on the computer. It brought it back down to being worried about what type of questions would be asked," she says. And how did she like the exam? "I had never sat in front of a computer for that long. I was very nervous about that. It was forcing me to change the way I take tests. But looking back on it now, I don't think it had that much of an effect on how I did." Overall, UB students had few complaints about the new Step One exam and tended to prefer it to the paper-andpencil test. While some worried that an abridged exam would mean broader questions (which it didn't), their pretest anxiety was somewhat assuaged by the fact that the exam had been cut back to one day. While taking the USMLE at Sylvan Learning Centers, where the exam is administered locally, Michael Duff didn't miss his o. 2 pencil for a minute. "It was just so simple," he saysreferring to the format; that is, not the questions. And Duff doesn't consider himself among the most computer literate of his generation. He was a physics major as an undergraduate, so his calculator was his best friend. But as an instructor of an MCAT prep course, Duff recognizes that one of the biggest mistakes students make in a paper-and-pencil test is answering questions in the wrong order. "I liked this test because I didn't have to go back and forth between a test booklet and an answer sheet. The questions I Physician E · TESTING CONTINUED ON PAGE 29 Autumn l 9 9 9 �The Smfactant StoiY-An Update INFASURF G_OES TO MARKET WESTERN NEW YORK HEALTH RESOURCES WESTERN NEW YORK HEALTH DATABASE FULL TEXT REPORTS SECTION FACILITIES , ORGANIZATIONS , AND AGENCIES OTHER SOURCES OF INFORMATION HE SPRI G 1999 ISSGE of Buffalo Physician featured a Special Report titled "The Surfactant Story," which chronicled pioneering contributions made to the field of surfactant therapy by University at Buffalo scientists and physicians over the past four decades. Prominent among those profiled in the article was Edmund "Ted" Egan, MD , UB professor of pediatrics and physiology and president and chief operating officer of 0 Y, Inc. , a company he founded in 1985 to manufacture and distribute Infasurf, an exogenous surfactant product that he and his colleagues had developed for the treatment of neonates with respiratory distress syndrome (RDS) . At the time that issue of Buffalo Physician went to press in May, 0 Y, Inc., was unable to commercialize Infasurf due to a legal challenge from one of its competitors, Abbott Laboratories, which in 1994 claimed Infasurf infringed on the patents of its surfactant drug, Survanta. In September 1998, a jury in District Court in Buffalo ruled in favor of Abbott Laboratories, but a final judgment had not been entered. Onjune 23 , 1999,Judge Richard]. Arcara ruled that Abbott Laboratories failed to prove 0 Y, Inc. , had infringed on its paten I.. The judge also issued an "estoppel," which prevents Abbott Laboratories from claiming infringement based on a principle-of-fairness doctrine. "We're jubilant here, " says Egan . "This is the culmination of a 14-year odyssey. That's how long we've been working on this project." The decision will allow 0 Y, Inc., to proceed with manufacturing Infasurf at its facility in the Baird Research Park on Sweet Home Road in Amherst, New York. "We will also be able to hire more employees and to rehire employees who were laid off after the decision that came out last year,"says Egan. In addition to being used a:u~ treatment for neonates with RDS , Infasurf is also currently being studied in clinical trials involving pediatric patients who receive the drug for a wide spectrum of respiratory disorders. In a study published in january 1999 in Critical Care Medicine (Vol. 27, o. 1), it was shown that these patients experienced rapid improvement in oxygenation and , on average, were extubated 32 percent sooner and spent 30 percent less time in the pediatric intensive care unit than control patients. As a result, larger, blinded, controlled studies are planned. + �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [1] ~ I Lifelong Cultivation of Character WHITE COAT CEREMONY I NITIATES C L ASS OF 2003 '\1 ALGl-ST 9, 1999, the Univer- sity at Buffalo's School of Medicine and Biomedical Sciences welcomed its Class of 2003 at the second annual White Coat Ceremony, held in the Center for the Arts on the orth Campus. The ceremony is now a rite of passage for first-year medical students , who are reminded of their responsibility to "care" as well as "cure" patients by endorsing a psychological contract of professionalism and empathy at the start of their medical careers. To formalize this commitment, they are officially "cloaked" with their first white coats; then, as a group, they recite the Physician's Oath, a modern Sean Garvin, left, and Micheline Lubin, above, proudly "cloaked" with their new white coots. version of the ancient Hippocratic Oath. Opening remarks were made by medical school deanjohn R. Wright, MD, who highlighted the fact that the Class of 2003 is the last class entering the school this millennium. The Physician's Oath, he added, was "specially designed for our school because the ethical basis of medicine is an evolutionary process" and one that requires updating to reflect current issues." Number of applicants: 2,200 (440 of whom were interviewed) The students were Class size: 13B (plus 4 MD/PhD students) then addressed by Where they call home: 69 of the students ore from Western New York, Wesley L Hicks, 21 from the "extended" Western New York region, 13 from upstate New DDS, MD '84, an asYork, 33 from downstate New York, and 2 from out-of-stole. sociate professor of Female-Male ratio: 76 women and 62 men otolaryngology at Undergraduate degree institutions: 2B of the students graduated UB, who implored from the University at Buffalo, 19 from Cornell University, 9 from Conisius them never to forCollege, and Bfrom the University of Rochester; other institutions get that "you are not represented include SUNY at Binghamton, Yale University, Johns Hopkins here only because of University and Rochester Institute of Technology your grade point Average science grade point average: 3.6 (overage overall GPA, 3.6) average and MCAT Average MCAT score: 9.B scores ... but you A"Class" Profile -2003 are here today because your letters of recommendation and your interviews revealed you as having character. "In my view, character is a sense of integrity, noble purpose, thoughtful determination, intellectual curiosity and generosity of spirit," he added. "As I think of my colleagues, teachers and mentors whom I admire and respect, I know this to be true." Hicks also reminded the students that "learning histology is a semester's challenge; it's finite. Integrating honesty, determination and wisdom into your practice of medicine is a lifetime's commitment. If you remember nothing else from our conversation today, remember this: What translates the mechanics of medicine into the art of healing is the character we bring and communicate at our patients' bedsides." In concluding Hicks noted, "But to live your lives and apply to your practice of medicine the highest standards of character requires individual effort, introspection and, at times, emotional angst. Above all, it requires your giving yourselves to something outside of self." + - 5 . A . UNGER ® B u f f a 1 a Physician A. u t u m n 1 9 9 9 �Two Faculty Members Honored MARK YOUR CALENDARS r \CGLT't \1[\,1BERS 1 THE SCHOOL OF MEDICI E and Biomedical Sciences were honored this summer at the school's annual faculty meeting. BRUCE A. HoLM, PHD, professor of pharmacology and toxicology and of gynecology-obstetrics, and associate dean for research and graduate studies, received the George Thorn "Young Investigator" Award. This award recognizes investigators under age 45 who have demonstrated outstanding scientific achievement and the potential for continued contributions to the academic programs and creative environment of the School of Medicine and Biomedical Sciences. Holm, whose work has attracted millions of dollars in grant awards to UB , won the award for his research on lung surfactant and oxygen toxicity affecting alveolar cells. He was also recognized for his exemplary commitment to UB students and academic programs. George Thorn, MD '29, is one ofUB's most distinguished alumni. In 1939, in recognition of his research on Addison's disease , he received the highest honor that can be bestowed upon a medical scientist in the United States-the Gold Medal , awarded by the Bruce A. Holm, PhD American Medical Association. In 194 2, he accepted the Hersey Professor of Theory and Practice of Physics at the Harvard Medical School, which began his long association with that institution. Later in his career, Thorn was named president of the Howard Hughes Medical Institute, and in 1984 he was appointed chair of its board of trustees. ·MAURIZIO TREVISAN, MD, professor and chair of the Department of Social and Preventive Medicine, received the 1999 Stockton Kimball Award, honoring a faculty member for academic accomplishment and worldwide recognition as an investigator and researcher. Trevisan is known internationally for his research into cardiovascular disease risk factors. He is primarily responsible for establishing the Women's Health Initiative at UB through a $10 million grant M . . T . MD aunz1o reviSan, from the ational Institutes of Health. Stockton Kimball, MD '29 , was dean of UB's School of Medicine from 1946 to 1958. Dr. Kimball's contributions to the training of physicians in Buffalo spanned more than a quarter of a century. Under his dedicated leadership as dean , the medical school attained new heights of recognition. + \\0 B u f f a l o Phys i c i an Autumn 1 9 9 Our Health Care Industry at the Crossroads, What Lies in the Future? Location: Date: Time: Keynote Speakers: Adams Mark Hotel Wednesday, November 17, 1999 8 a.m.-5 p.m. Nancy Snyderman, MD Medical Correspondent on ABC's Good Morning America George Will Columnist, Washington Post Present Michael Millenson Author of Demanding Medical Excellence Panel Discussi Physicia Panelists Community and business leaders Health-care provider, CEOs, Insurers l. N. "Nick" Hopkins, MD Irene S. Snow, MD Allyn Michael Norman, DO Registration Fee: $80 For more information, call Independent Health Foundation at 635-4959. @ Minority Alumni Reunion University at Buffalo School of Medicine and Biomedical Sciences "Coming Together in the New Millennium" Date: April 7-9, 2000 Place: University Inn, Buffalo, New York For more information, contact Dr Carolyn Hamilton, assistant dean for Mmonty Affairs. Phone: (716) 829-2802; fax: (716) 829-2798; or e-mail, cah7@acsu.buffalo.edu In the summer issue of Buffalo Physician a graduation picture of Maria LoTempio and John Carter was published in the table of contents. In the photograph, Carter was incorrect~ identified as Patrick D'Abbracci. Match Day /Northwestern University Under the Match Day listings in the same issue, McGaw Medical Center of Northwestern University was incorrectly listed as McGaw Medical Center Northwest or W under the names james Flaherty, Henry Lee and Amy Weinstein. Peak Experience The normal pulse oximetry rate is approximately 96-100 percent, depending on the altitude of the patient. It is not 90-100 percent as stated in the article "Peak Experience," published in the summer 1999 issue of Buffalo Physician. <D 9 �JOSEPH GAGLIARDI' MD '7 9' TEACHES KIDS WHAT PHYSICIANS USED TO DO FOR A LIVI~G SLOUCHED IN CLASSROOM SEATS, the seventh and eighth graders wear the guarded, "what's-this-guy-tryingto-pull?" expression of adolescents when their teacher introduces Dr. Alexander Dobbs. Authentically dressed as a regimental physician and surgeon in General George Washington's army, Dr. Dobbs (aka joseph Gagliardi, MD, Class of 1979, family physician and addictionologist in Columbia, Maryland) jumps directly into his monologue. "Despite the victories at Trenton, Princeton and Saratoga, the war for independence is floundering. The small, poorly fed and ill-equipped Continental Army suffers from many maladies," he says in the present tense, with just a shading of colonial syntax and mannerisms. ��When he [Dr. Dobbs} tells the students that he washes his instruments in plain water between operations, some are appalled and others refute it. Even junior high school students understand the necessity of sterilization, but they have little understanding that there was life before ER and Chicago Hope. welcome lecturer at local schools, historical societies and medical conferences, Gagliardi delights teachers with the unique learning experience he brings to their classrooms. However, media-sophisticated kids who have grown up with Mortal Kombat and MTV music videos are not an easy audience for a serious guy in a funny suit. So Dr. Dobbs starts slowly, commenting on the boys' strange attire , at the rips in their jeans. He asks the girls why they are there (girls often did not have an opportunity to go to school in colonial times). Then he gets all of the children out of their sedentary slouches, and teaches the girls to curtsy and the boys to bow. ow they are amused. He talks about himself. Like Benjamin Franklin , Dr. Dobbs is one of 17 children. He was told at the age of 10 that his father could no longer afford to keep him, and he was apprenticed to a physician. "Before I could begin my medical studies, I had to learn to read ," Dobbs says. ow the kids start asking questions , and he gives them an anecdotal but accurate overview of the rigors of daily life and the social mores of colonial times. After nine years of honing his presentation skills, Gagliardi knows just how gory to make the medical details of his lecture, and when to ask for volunteers. Using reproductions of colonial surgical instruments , he simulates a leg amputation in a military hospital during a Revolutionary War battle. By introducing them to medical practices of the past, Gagliardi hopes to broaden their understanding of modern medicine and to teach students that what happens in a doctor's office today isn't so bad. "Maybe they won ' t scream bloody murder if the doctor wants to take a P throat culture, now that they know that in Dr. Dobbs's day he'd have bled their necks to cure a sore throat. " Gagliardi started speaking publicly in 1990, when his son's social studies teacher asked if there were parents with special interests who would come to class to talk about them. An avid student of the history of medicine, Gagliardiplaying himself- gave an overview of practices from the American Revolution to the Civil War. The students were impressed. Some even told their parents that something of interest had actually happened at school that day and they related grisly details about how legs were once chopped off without anesthesia or the sterilization of instruments. After he had given several more lectures as himself, Gagliardi decided that a more dynamic approach would be to allow students to interact with a physician from the colonial period. The transition, he figured, would "give me a chance to get out of the 20th century completely and play around in the 18th." But he wasn't altogether confident. Lecturing came easily to him , but could he be convincing as Dr. Dobbs? To make his characterization as authentic as possible, Gagliardi read in depth about late-18th century American life, concentrating not only on general history but also on the subjects of dress, social customs, medicine and science. He also traveled repeatedly to colonial Williamsburg to observe the authentically dressed impersonators of aristocracy and tradesmen at work. Although he admired their skill and the physical beauty of the reconstruction , he thought that visitors should be given a truer picture of life in colonial times. hysician Autumn 1 9 9 9 �o emphasize the contrast between the life of a child today and that of one 250 years ago, Gagliardi decided to stress details of Dobbs's own childhood. For Dobbs, not having any schooling was not nearly as bad as having no time to play. To survive, average families worked together from dawn until dark every day except Sunday-which was spent praying in church and doing other "quiet" activities. One Sunday, the young Alexander Dobbs was seen running and playing, which led to Dobbs's father being fined by the church warden. Because the fine was much more than his father could afford, the boy was sent from home to work as a physician's apprentice. On the eve of every public appearance, Gagliardi goes to bed thinking B u f f a l o about these details, as well as other aspects of Dobbs's life. In the morning he puts on his long coat, one-size-fits-all breeches (with a knotted string as a belt), a three-cornered hat, and riding gloves. On the way to school he plays tapes of colonial music on the car stereo. "When I step out of my car, I go into the school office and introduce myself as Dr. Alexander Dobbs," explains Gagliardi. 'Tve never had any acting experience, so this helps keep me in character." The more convincing he is as Dr. Dobbs, the more curious the students become about women's roles, disease causation, and other issues they can learn about from their 18th-century visitor. The combination of medicine and social sciences in Gagliardi's outreach to students is a logical progression of his educational background and interests. Physician Autumn l 9 9 9 As an undergraduate at the University of otre Dame, he studied sociology and education, intending to become a social studies teacher. During his senior year, a course on the sociology of medicine sparked his interest in the science. He entered medical school at the State University of New York at Buffalo in 1975 and completed his family practice residency at the University of Maryland in 1982. While in medical school, Gagliardi started the Mad-Med newspaper and, in conjunction with classmate Peter Condra, MD '79, founded the Mad Med Choir. He also established the Mad-Med Talent Show, the forerunner of the school's current talent show. Today, he practices with Patuxent Medical Group in Columbia, Maryland, where he lives with his wife, Diane, who works in early childhood education, his 17-year-old son, ] oe, and 14-year-old �"May be they won't scream bloody murder if the doctor wants to take a throat culture, now that they know that in Dr. Dobbs's day he'd have bled their necks to cure a sore throat. " daughter, Christine. He also serves as an invited to the Universal Studios in Or- from Vermont to Alabama. associate professor of psychiatry at the lando, Florida, where he appeared on a Predictably, when he speaks before University of Maryland, training third- live show called "Ask the Family youngsters, there are always a few who year medical students in addiction Doctor," which airs on America's Health try to trick Gagliardi into admitting that issues; and as a clinical instructor, work- Network. In addition, he has lectured to he drives a car and gives his patients ing with students who rotate through his numerous medical organizations, aspirin. Once while demonstrating a leg practice in four-week intervals. amputation in a lOth-grade Since first donning the garb history class, he saw a boy slip and persona of Dr. Dobbs, out of his chair onto the floor. "I Gagliardi estimates that he has thought, 'There's a comedian reached more than 10,000 stuhere,' and waited a few seconds dents across Maryland. (All perfor him to get up. When he didn't, formances are done in his free I went over, saw he had fainted, time and without charge to and helped him come around." schools and historical organizaGagliardi later learned that the tions throughout the state.) In boy passes out whenever he hears recent years, he has also spoken discussions about blood and before the American Academy of gore. That was the only time Family Practitioners at its annual Dr. Gagliardi has had to stand in conference in Boston and was Mock amputation elicits strong reaction from a captured audience. for Dr. Dobbs. + ® B u f f a l a Phys i cian Autumn 1 9 9 9 \ I �HIS FALL, THOMAS D. fLA AGAN, PHD, announced his retirement from the University at Buffalo School of Medicine and Biomedical Sciences after a long and distinguished career. As Dean Wright explains in his message in this issue of Buffalo Physician (see inside front cover), Flanagan retired as professor emeritus of microbiology in August 1997, but agreed to remain at the university to serve for two years as assistant dean for student and curricular affairs in the Office of Medical Education (OME). Flanagan, who received the Dean's Award for Distinguished Service this year, came to UB in 1962 to begin work on his PhD. Following graduation, he completed a postdoctoral fellowship in what was then the Department of Bacteriology and Immunology, where he studied under Almen Barron and Ernest Witebsky. In 1966, he was named an instructor in the Department of Microbiology. In 1973-1974, Flanagan was a guest research worker in the Department of Tumor Biology at the Karolinska Institute in Stockholm, Sweden, and visiting professor of microbiology at the University of Linkoping, also in Sweden. Two years after returning to UB, he was named professor in the Department of Microbiology. In 1982, he again took a leave from UB to serve as a guest research worker at the ational Institutes of Health in Bethesda, Maryland. In 1986, Flanagan was appointed acting chair of the Department of Microbiology at UB, and in 1987 he was named chair, a position he held until1990. "Tom served as acting chair of the Department of Microbiology during a tumultuous period in the department's history and served as chair during an equally challenging time," says Wright. "For over two decades he directed the sophomore Medical Microbiology course and, for much of that period, I was his counterpart in Pathology. Through this long relationship , I developed enormous respect for Tom, particularly for his dedication to students." \ I B u f f a I o Phys i c i an According to Wright, Flanagan's major research interest was virology and for much of his career he headed the Virology Laboratory both at Erie County Medical Center and at UB. In addition to many other school-wide activities, he promoted student research and chaired the school's student research fellowship committee for almost 20 years. "When I was appointed Interim Dean and needed someone to help out in the Office of Medical Education-in particular, to address the needs of first- and second-year students-! looked to Tom Flanagan for help," says Wright. "Then·, in September 1997, we took advantage of the fact that he was willing to continue his part-time work in OME, even though he had just assumed emeritus status in the Department of Microbiology." Although the position was officially part-time, according to Wright, "Tom not only exceeded any mythical time commitment limitation previously established, but he brought his wisdom, years of experience with students and his enormous compassion to that office. We are greatly indebted to him, not only for his years of service as a faculty member and leader within the Department of Microbiology, but for the many important contributions he has made to OME over the past two years." In commenting on his years of service at UB, Flanagan says, "One of the things that's been very exciting about working here is that there's been a lot of change, ferment and energy towards growth and increase in stature for the university, and this is something I see continuing." Teaching, he adds, has been an especially rewarding endeavor: "It's been frosting on the cake to be able to teach-to interact everyday with young people who are well motivated in a balanced way, who retain their idealism and who know what they want to accomplish. It's very energizing for everybody involved." Retirement, says Flanagan, will involve "anything that can fit around playing golf. " He adds that he and his wife, Grace, plan to spend about five months each year at their home in South Carolina. + Autumn 1 9 9 9 �s ········· · ········ · ················· · ····· · ···························· · ················· · BY SCOTT THOMAS Change Comes to the Veterans Affairs Healthcare System WESTERN NEW YORK FACILITIES RETOOL AND RESTRUCTURE YO E CASTING A WARY EYE line would have to be pleased with what's been going on within Editor's note: he following the Department of Veterans Affairs (VA) Western New York ltuUt IStlltWS(InQ hrce-pmt senes Healthcare System. highlighting t han~cs 111 the A series of reorganizational moves and the establishment of ealth-t are deliver} ~} ster11.s in Western several community-based clinics are enabling the VA to deliver C\\ health services more conveniently, more effectively and less Yorll. Pre\ to us articles gtl\ C (Ill 0\ ei\IIC\\ on the federal government's bottom expensively than ever before. And because the system has been oj ( hanges that resulted m the retooled to emphasize primary and preventive care, the VA has onnatwn of the Kalc1da become a more well-rounded health-care delivery system, not just lealth S\ stem (Bufblo a place where veterans go for acute and emergency treatment. Ph\ siCian, Summer 1998) c nd in the reconj1guring of rhe Callwlu Health .'>}stem (Buffalo Physician, Spring 1999). 11 ® historic 11-story Buffalo facility on Bailey Avenue was integrated organizationally with the VA's Batavia facility, creating what is now a single management structure that allows more resources to be directed toward patient care. Goals of the integration have included the establishment of patient-privacy projects, purchase of high-tech equipment and upgrades in patient amenities. In addition to patient-care concerns, changes in the VA Western ew York Healthcare System have been spurred by the twin necessities of every healthcare delivery system today: competitive pressures and cost containment. In the 4 7-counties included in the VA Healthcare etwork of Upstate ewYork, the "Often, veterans were coming to us only when they needed emergency services," says Roger Maddigan, who, as manager of medical VA care, is responsible for overseeing the agency's community-based clinics and primarycare services. "Back in 1995-1996, we saw that we needed to change and to start providing general health services that emphasize preventive care and the treatmentofchronicdiseases-things that we see a lot of in our population," he explains. "Since then, there's been a shift to primary care. We've been telling people, 'Don't wait until you're so sick that you have to come to the emergency room."' It was also during this time-in March 1995-that administration of the Buffalo Phys i c i an Autumn 1 9 9 9 �············· · ········ · ·· · ···· · ········ · · ··· ·········· ·· ··· ···· ·········· · · ·· ····· · ······· [ i ] population of veterans is expected to shrink by 22 percent over the next 10 years, according to VA statistics, which means fewer potential patients making use of the system. Also, because many veterans obtain their care outside the VA system, the VA has recognized the need to emphasize patient services and quality of care in order to help it compete with other providers. Additionally, the system faces the challenge of a patient population sig- veterans than ever before. We find an increasing number of veterans who either opt to come here for their care, for which we receive reimbursement from their insurance company, or who come because they have no private health insurance. "We believe we provide superior health care because we concentrate on preventive health care. For example, we look very closely at smoking, hypertension and diabetes, and we have some very aggressive programs to treat these conditions." emphasized outpatient care, to the point where 75 percent of surgeries are done on an outpatient basis. During last year alone, 412,121 outpatient visits were made to VA facilities in the Western ew York system. This turn toward outpatient and clinical care is reflected in changes in the delivery ofservices at the agency's Batavia hospital, as well as in the establishment of community-based VA clinics in Jamestown, Dunkirk, iagara Falls and, most recently, Lockport. "We saw that there are veterans living in outlying areas, and it was very much a disadvantage for them to travel long distances for their primary health care," Maddigan says. "So we established clinics in outlying areas to serve these populations. We're also looking at establishing additional clinics within the City of Buffalo , particularly in South Buffalo and on the East Side. There's a population of veterans who find it difficult to travel to Bailey Avenue, even from a relatively short distance." Operation of the community-based clinics is contracted out through a bidding process. The Niagara Falls clinic, for example, is operated by Horizon Health Services, a private, not-for-profit company, which currently serves 600 to 700 veteran clients at the site, The Bailey Avenue facility is increasing outpatient services to the point where 75 percent of surgeries ore done onon outpatient basis. nificantly older than the general public. In 1998, 47 percent of all patients in the VA's upstate network were over age 65. "Some people feel that the VA is dying and going out of business. That is totally wrong," Maddigan says, adding that 18 percent of eligible veterans in the region currently seek care in VA facilities. "Last year we treated more individual B u f f a l o P hys i ~ ne notable outcome of these recent changes is that the number of beds at the VA's Bailey Avenue facility has been reduced to 167, down from approximately 500 beds a decade ago and a high of 900 when it opened in 1950. With two primary-care clinics located at the Bailey Avenue facility, however , the VA has increasingly cian A utumn 1 9 9 9 according to Jennifer Vogel, MS, Horizon's director of medical services. Before its association with the VA, she says the clinic was best-known for its mental health services, particularly for patients with substance abuse problems. With the addition of the VA contract, Horizon began providing primary care services, which now account for a significant portion of their business. �[1] . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . ... . . . :.: · · Laboratories and PFr Center Accessible to Non-Veteran Patients lung function in patients with such disorders as chronic obstructive lung disease, asthma and interstitial lung disease, as well as damage from asbestos and other irritants. t The Cardiopulmonary Exercise Laboratory, offering exercise studies that measure oxygen uptake, carbon dioxide output, heart rate and cardiac electrical activity during progressive exercise on a bicycle ergometer or treadmill, and measurements useful in a patient experiencing unexplained shortness of breath, for example, or as a training aid to serious athletes. Physicians interested in referring a patient to any of the three labs can call the VA at (716) 862-8635. Physicians may also refer patients, regardless of their veteran status, to the VA's Positron Emission Tomography (PET) Center, which is a joint venture between the Unversity at Buffalo and the VA. The center, which is directed by Alan H. Lockwood, MD, UB professor of neurology, nuclear medicine and communicative disorders and sciences, can be reached at (716) 862-8871. The Veterans AHairs Healthcare System is assigned by law to treat veterans of America's armed forces, but there are circumstances in which it accepts non-veterans as temporary patients. For example, it was recently announced that three specialized laboratories at the VA's Bailey Avenue facility will begin accepting non-veterans by referral, pending final approval. VA physician Brydon Grant, MD, a professor of medicine, physiology and biophysics at UB's School of Medicine and Biomedical Sciences, and head of the school's Division of Pulmonary and Critical Care Medicine, says the labs became accessible to the public because they're operating so efficiently that additional capacity has become available. THE LABORATORIES ARE : t The Sleep Laboratory, providing overnight polysomnography and sleep latency tests, mostly in the diagnosis of sleep apnea . t The' Pulmonary Function Testing Laboratory, using spirometry, oximetry and other measurements to gauge htPLICHIO . S FOR MEDIC \1 EDLCATIO The changes taking place in the VA system are also affecting clinical training programs at the University at Buffalo School of Medicine and Biomedical Sciences. "From the educational point of view, it's technically harder to set up teaching activities for outpatients because they come in, they're seen and they leave," says Gerald Logue, MD, vice chair for education in the school's Department of Medicine. "That's a challenge that the medical school is faced with-not just at the VA , but everywhere. Fewer and fewer numbers of patients are being admitted to the hospital these days. " Logue, who is head of the Division of Hematology in the Department of Medicine, served as chief of staff at the VA until a year ago, so has experienced many of the changes firsthand. Today, as director ofUB's residency program in internal medicine, he's finding it a challenge to give residents the kind of exposure to patients they need while in training. "Ward services have decreased and, formerly, the provision of these services was a very efficient means for teaching. You have captive patients and a team of students and interns taking care of them and making rounds to see them as many times a day as they care to. Because that has obviously changed, we're now having to find ways to get the students involved in specialty clinics and in freestanding or private offices and venues that aren't part of the hospital setting. Teaching that takes place in a clinic, however , is more labor intensive because you do a lot more one-on-one. In a hospital, one attending can work with a resident, a couple of interns and a couple of students. In a clinic you can just teach one person at a time. " D ue to logistics, such as long driving times, the teaching ofUB medical students at the VA currently takes place at the Bailey Avenue B u f f a l o location rather than at the community-based clinics, according to Logue. Many students are assigned to the facility's primary-care clinics, and "virtually all UB medical students will at one time or another have a rotation at the VA, " he says. "For example, in third-year medicine, about one-fourth of the class goes there for training. " With regard to resident training, Maddigan says , "We include the resident clinics in our primary-care services as much as we can. Our goal is to help the residents train in a way that best reflects what the real world is like, so we very strongly emphasize with them the management of chronic disease and preventive health care. "For the veteran , what they're seeing looks seamless because they have the same resident for three years," he adds. "In a way , our primary-care clinics can be thought of as group practices , with each having approxi- Physician Autumn l 9 9 9 �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [1] mately 8, 000 enrolled veterans. " And as Logue notes, despite the logistical difficulties of matching physiciansin-training with clinic staff and patients, the medicine being practiced in the clinic settings is of the highest caliber. "Generally speaking, the outpatient experiences are evolving and, I think, getting better and better," he says. "When you bring a patient into the hospital, you tend to have data overload with test results and so on. In an outpatient setting, there's much less data. You learn to depend more on the basics, on taking the patient's history, doing a clinical exam. In that sense, it's almost back to basics-it's even better." Whether it be patient care, facilities management or medical education, the challenges faced by Western New York's VA Health care System are in many ways no different from those faced by the region's other health-care systems. While each is driven by its unique mission, history and vision, the end goal for all is to discover ways to maintain the integrity of patient care in as cost-effective a way as possible. For the VA system, this difficult end goal seems best grounded in the "back-to-basics" approach noted by Logue-no doubt, familiar territory for America's veterans. + Drug May Protect Against Hearing Loss esearchers in University at Buffalo's Center for Hearing and Deafness have shown for the first time that a compound called leupeptin may help protect against the noise-induced hearing loss caused by living in noisy industrialized societies. Using an animal model, the researchers found that treating the inner ear with leupeptin before exposure to high-level noise, comparable to a jet engine, reduced the loss of sensory hair cells by 60 percent. Hair cells convert sound waves into electrical impulses that are sent to the brain. Leupeptin, however, did not protect against the damaging effects of the anti-cancer drug carboplatin that can cause deafness in treated patients. "The results are very exciting for two reasons. First, they provide clues to the cellular events that lead to sensory-cell death in the inner ear. Second, they suggest a potential drug-therapy approach to protecting the ear against sound damage," says Richard J. Salvi, PhD, lead investigator, who is a professor of communicative disorders and sciences in the College of Arts and Sciences, clinical professor of otolaryngology and neurology in the School of Medicine and Biomedical Sciences and co-director of the Center for Hearing and Deafness. Salvi and his colleagues at UB have been collaborating with Alfred Stracher and Abraham Shulman, both at the SUNY Health Sciences Center at Brooklyn, to investigate ways to protect the auditory system from damage via noise and ototoxic drugs, common causes of deafness in Western societies. Their current study-which was funded in part by a $14,000 grant from the Martha Entenm~nn Tinnitus B u f f a l o Physician Research Foundation-was based on the knowledge that, in many cases, degeneration of nerve function is caused by a cascade of events, beginning with a trauma that induces an increase of calcium in nerve cells. Excess calcium, in turn, increases the level of enzymes called calpains, which promote the breakdown of proteins and other factors critical to nerve functioning. "Drugs that inhibit the action of calpains, of which leupeptin is one, have been shown to decrease or prevent destruction of nerve functioning that results in neuromuscular atrophy in cases of trauma or genetic disorders," Stracher notes. Salvi and colleagues set out to determine if leupeptin also could protect the sensory hair cells in the ear from noise and ototoxic drugs such as carboplatin-knowing that such insults cause an increase in calpains--and thus prevent hearing loss. The researchers treated the right cochlea of chinchillas with leupeptin for 14 days. On the fifth day, some of the animals were exposed to noise, at 100 decibels or 105 decibels. The left ears of all animals served as controls. Results from the noise exposure study showed massive loss of hair cells in the ears not treated with leupeptin, while only a few hair cells were missing in the treated ear. A similar study, designed to determine if leupeptin would protect against hair-cell loss caused by carboplatin, showed leupeptin offered no protection, Salvi says. Other researchers on the study included Jain Wang and Dalian Ding, research scientists in the Center for Hearing and Deafness. For more information on this study, refer to their recent paper published in NeuroReport (Vol. 10, No. 4). Autumn l 9 9 9 �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ----~- - - - --- - - - - -~-- -- - -- ' -" . Lifestyle Underpins Gallstones he Western lifestyle of little exercise, lots of saturated fat, lots of refined sugar and little fiber is a major risk factor for the deve lopment of yet another chronic disease- gallstones- a new University at Buffalo study shows. Published in the February 1999 issue of the American journal of Clinical Nutrition, the study is one of the few popu lation-based investigations of factors affecting the development of gallbladder disease over time. Results showed that body mass index and intake of refined sugar and saturated fat were directly associated with the formation of gallstones. The relationship between saturated fat and gallstones was stronger in men than in women . Conversely, physical activity and a diet high in monounsaturated fat, dietary cholesterol and insoluble dietary fiber were protective against gallstones, results showed. "This study confirms that gallbladder disease is one of the diseases of Western civilization ," says epidemiologist Maurizio Trevisan, MD, professor and chair of UB's Department of Social and Preventive Medicine and author of the study. "It's one more message that a diet high in fat and refined sugar and a pattern of low physical activity can get you into all kinds of trouble. " The results are interesting to epidemiologists, he says, because they support the hypothesis that common pathophysiological mechanisms may underlie the chronic diseases afflicting Western populations. Gallbladder disease is increasingly common with age and affects more women than men. Twenty percent of women are ® reported to have gallstones at autopsy. The study was conducted in the small farming community of Castellana in southern Italy. In 1985 and 1986, researchers administered ultrasound scans of the gallbladder and took blood samples from 1,429 men and 1,043 women selected randomly from the population. Persons free of gallstones at that time were reexamined by ultrasound between May 1992 and June 1993; they also completed questionnaires concerning sociodemographic PARTICULARLY INTERESTING WAS THE F I ND I NG THAT SATURATED FAT I NTAKE APPEARS TO HAVE A STRONGER RELATIONSHIP TO GALLSTONE FORMATION I N MEN THAN IN WOMEN , TREVISAN SAYS . status, medical history, dietary habits and physical activity. The 55 men and 49 women who had developed gallstones during the study period then were matched with controls from the study population. To give a B u f f a l a P more complete picture of dietary intake, these participants provided information on how often they ate certain foods. Analysis of the data from new cases and controls showed that age, body mass index (an indication of obesity) and prevalence of diabetes were higher in those who developed gallstones than in those who did not, while physical activity was lower. Dieting, caffeine and smoking appeared to have little effect. Dietary analysis showed that higher monounsaturated fats and calories expended lowered the risk of gallstones, while higher consumption of refined sugars and saturated fat were directly related to gallstone formation. Particularly in- ~ teresting was the finding that saturated fat intake appears to have a stronger relationship to gallstone formation in men than in women, Trevisan says. Women had higher rates of gallstones at the first three quartiles of saturated fat consumption, but theirrisk increased slowly as consumption increased. In men , however, the risk doubled at each quartile of consumption; at the highest quartile, men were at a higher risk of developing gallstones than women. "These findings seem to suggest that other factors , such as hormones or metabolism, may be more powerful risk factors for gallstone formation among women than saturated fat intake," Trevisan says. The research team was headed by Giovanni Misciagna, chief of the laboratory of epidemiology and biostatistics at the Institute S. De Bellis in Castellana. + ~ hysician -LOI S A utumn BA KE R l 9 9 9 0 ~ �·· ···· ······ ·· · · · · ······ · ······ ··· · ·· ····· ·· · · · · · · ···· · ·· · · ··· ·· · ···· · · ··· ···· · · · ··· · · · ··· • ' ' . 0 . Potatoes Deliver Hepatitis BVaccine an eating potatoes protect humans against hepatitis B? Roswell Park Cancer Institute (RPCI) and the Boyce Thompson Institute (BTl) at Cornell University began clinical trials in July I999 at RPCI to test the safety and immunogenicity of the world's first potential oral vaccine against the hepatitis B virus. Subjects will receive the vaccine by eating potatoes genetically engineered to contain it. More than 2 billion people worldwide are affected by the hepatitis B virus , a leading cause of liver cancer and the cause of more than I million deaths annually. Although an effective vaccine is available to prevent hepatitis B, it is too expensive for developing nations to afford . The vaccine must be imported and refrigerated- at a cost of$100 to $150 per personand three injections are required over a six-month period, which prohibits mass immunization in Third World countries. The trial that began in July is the culmination of several years of collaborative preclinical work by Yasmin Thanavala , PhD , UB research assistant professor of microbiology and professor and cancer research scientist in the Department of Immunology at RPCI; Charles Arntzen , PhD , president and CEO of BTl and adjunct professor of biological sciences at Cornell University ; and Hugh Mason , PhD, BTl assistant research scientist and assistant professor of plant biology at Cornell. The program is funded primarily by the ational Institutes of B u f f a l o P hys i Allergy and Infectious Diseases, part of the ationalinstitutes of Health (NIH). In previous pilot studies, researchers inserted DNA extracted from hepatitis B virus into tobacco leaves. An immunologically important protein antigen known as HBsAG was partially purified and injected into mice, where it elicited the same immune responses as those triggered by the commercial vaccine. More recently, the researchers produced this vital protein in potatoes that are edible, making them more suitable for testing oral vaccines. In the current placebo-controlled, double-blind Phase I study, health-care workers who previously responded to a licensed injectable vaccine receive an oral booster dose delivered by a sample of transgenic potato that expresses the hepatitis B surface antigen. BTl generated the potatoes for the clinical trial with financial support provided by Axis Genetics of Cambridge, UK. The clinical trial is coordinated jointly by Thanavala and Martin Mahoney, MD '95 , PhD '88, UB assistant professor of cian Autumn 1 9 9 9 . . family medicine and director of the RPCI Employee Health Clinic, who will be responsible for conducting laboratory testing and clinical assessment. "We are very pleased to be taking the next logical step with this research, " Thanavala says. "The continued support of my basic research by the IH and the World Health Organization, along with the recent collaboration with Axis Genetics , offers us a novel way to impact public health and control hepatitis B worldwide." "This project is a wonderful example of moving research ideas from the laboratory bench to the bedside," adds Mahoney. "We are pleased to participate in this trial to bring this vaccine into a clinical setting. " Research with genetically engineered foods opens up limitless possibilities for delivering vaccines, not only for hepatitis B but also for such diseases as malaria and leprosy. There also may be a market for these "garden variety" vaccines in industrial countries. + - D EBORAH P ETTIBONE AND C ATHERINE D ONNELLY Hodgkin'sSmvivors Face Second-Cancer Risk ersons treated for Hodgkin's disease in childhood are at high risk for developing a second malignancy and should be monitored closely by their physicians throughout their lifetimes , researchers at the University at Buffalo and Roswell Park Cancer Institute (RPCI) have shown in two recent studies. > 0 f- �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ' / ' Specifically, their findings showed that persons treated for Hodgkin's disease as children were at nine times the risk of developing a second cancer, with risks of developing certain types of cancer much higher than that, compared to patients without Hodgkin's disease. The risk of developing thyroid cancer in males was especially high164 times that of controls. In addition, the relative risk for breast cancer was found to be eight times greater for females; fornon-Hodgkin's lymphoma, 15 times greater for males and 23 times greater for females; and leukemia, 19 times greater for males and 25 times greater for female. "These are big relative risks," says Daniel M. Green, UB professor of pediatrics, a specialist in pediatric oncology at RPCI and senior researcher for the studies. "These findings should alert physicians to the need for careful and continuing screening at a much earlier age than the American Cancer Society recommends for the population at large," he adds. The studies involved 182 patients treated at RPCI for Hodgkin's disease between 1960 and 1989, all of whom were less than 20 years old when their disease was diagnosed. By the time they were 30 years from diagnosis of Hodgkin's disease, 2 7 percent of the patients had developed at least one second cancer, excluding skin cancer. The second of the two studies, which reported on the incidence of skin cancer only, found that the most important variable was combined treatment with radiation and chemotherapy. Of patients who received radiation therapy alone, 3 percent developed skin cancer 20 ® years after the diagnosis of Hodgkin's disease compared to 5 percent of the patients who received combined therapy. + - L OIS BA KE R Gum Disease-Stroke Relationship Found he first national populationbased cohort study of periodontal disease and cerebrovacular disease, conducted by UB researchers, has shown that people with severe gum disease are twice as likely to have the type of stroke caused by blocked arteries than those with good oral health. The relationship of gum disease and stroke was stronger even than the link between gum disease and heart disease, says lead author Tiejian Wu , MD, PhD, research assistant professor in the Department of Social and Preven tive Medicine in the School of Medicine and Biomedical Sciences. "This is the first major study to look at this question," says Wu. "There have been a few other very limited studies, but the number of subjects was small and was drawn from restricted populations. This study also looked at subgroups- men , women , blacks and non-blacks. Periodontal disease was associated with an increased risk for cerebrovascular disease in all groups." The study cohort comprised 9,962 adults between the ages of 25- 75 who took part in the first National Health and Nutrition Examination Survey ( HA ES I) conducted from 1972 to 1974anditsfollow-up, which was completed in 1992. Respondents' oral health THE RELATIONSHIP OF GUM D ISEASE AND STROKE WAS STRONGER EVEN THAN THE LI NK BETWEEN GUM DIS EASE AND HEART DISEASE, SAY S LEAD AUTHOR TIEJ IAN W U , MD , PHD . 0 Buffa l o P hys i cian Autumn 1 9 9 9 �·· ·· · ···· ···· ······ · · ·· ······ · ··· ·· · · ········ · ···· · ······ · ·· ··· ······ · · · ···· · ········· ···· • .. . . was categorized as no periodontal disease , gingivitis, periodontitis, or toothless , based on information collected during HANES I. Cerebrovascular-disease events were confirmed in the follow-up survey through hospital records and death certificates. Results showed that periodontitis was a significant and independent risk factor for developing cerebrovascular events and for non-hemorrhagic stroke- loss of blood flow to the brain due to a blockage rather than a burst vessel. Periodontitis was associated with a twofold increase in non-hemorrhagic stroke risk . The study found no association between periodontal disease and hemorrhagic stroke or TIA. According to Wu, periodontal disease is thought to increase the risk of stroke in much the same way it increases the risk of heart attack. "Bacteria, endotoxins and other bacterial products from gum pockets enter the circulation and may promote an inflammatory response , causing cells to proliferate in the blood vessels and causing the liver to increase production of clotting factors. Bacteria may also attack the vessel lining and damage endothelial cells ," he says. "Further, several periodontal pathogens can induce platelet aggregation and may promote plaque formation that can cause blockages and clotting. " Maurizio Trevisan, MD , professor and chair of the Department of Social and Preventive Medicine and the study's coauthor, says, "While more studies are needed for a conclusive statement about the cause-and-effect association, the consistency of the findings in different gender and racial groups , and the strength of the association between two chronic conditions prevalent in the adult population, may have important implications for individual and public health. " + - B u f f a I o L OI S BA K ER Physic i WOMEN .. w iTH CERTAIN PHYS ICAL CHARACTERISTICS LI NKED TO H IGH LEVELS OF TESTOSTERONE- THE MOST ACT IVE > 0 1- ANDROGEN-MAY HAVE A GREATER 1- R ISK OF DEVELOP I NG BREAST CANCER THAN WOMEN WITHOUT THESE CHARACTER IST ICS . Breast Cancer Risk and Insulin Levels aola Muti, MD , PhD, University at Buffalo epidemiologist and assistant professor of social and preventive medicine, has received a two-year $238,000 grant from the United States Army Medical Research and Materiels Command to conduct the first major study of the relationship between breast cancer risk and levels of insulin in the blood. She also will investigate breastcancer risk and its association with levels of male sexual hormones, or androgens; female sexual hormones; and insulin-like growth factor 1 (IGF-I) , a protein that promotes changes in breast cells. Muti, who has been researching the an A utumn 1 9 9 9 role of hormones in the development of cancer, has shown in an earlier study that women with certain physical characteristics linked to high levels of testosterone- the most active androgen- ma y have a greater risk of developing breast cancer than women without these characteristics. Her current study, which builds on her previous research , aims to show that the risk of developing breast cancer is associated with the hormonal conditions of increased insulin levels in the blood; increased bioavailability of IGF-1 ; increased levels of androgens-specifically, total and free testosterone; and increased levels of estrogens-specifically, total and free estradiol. Finally, Muti hopes to show that the increased bioavailability of IGF-1 and the higher concentrations of the sexual hormones are caused by the higher insulin levels. Teresa Quattrin, MD , UB associate professor of pediatrics and director of the Diabetes Center at Children's Hospital , and the Italian ational Cancer Institute in Milan are collaborating on the study. + -LOIS B AKER ® �~ - · ·· · · · ·········· · ······ · ·· · · · ····· · · ·· · · ··· · ····· · · · ·· · ·· ·· · · ··· · · ·· · · ·· ·· · · ····· · · · ·· · lfij expected as managed-care physicians to be knowledgeable and efficient providers of health care- supplying appropriate medical services, maximizing the utility of patient contact and maintaining quality patient care. And we are expected as physicians in the community POLITICS IS AN ANSWER to be sensible and judicious members of society- remaining nonjudgmental and understanding, being sensitive to every HREE YE-\RS AGO I BEGA to have a gnawing feeling in my person's predicament and valuing the health of the community above all else. stomach. The sensation was not a pain that might lead me to a These expectations are severe by any estimation, but they are reasonable. physician's office for a checkup or to my medical texts for causal "The glory days of American medicine" is a phrase that's come to represent insight. Instead, it was a feeling of disappointment. the era where a Marcus Welby- type At the time, I was living in Tucson , of 20 years ignorant of the status of physician could practice medicine Arizona , and working on an epidemio- health care as a privileged commodity. independently, concerned only with logical project seeking to discern the The son of a pharmacist, I was raised in a the patient's best interests . While relationship between physical activity reasonably wealthy home, where health society's expectations for a primaryand chronic disease in postmenopausal care and medical information were never care or specialty-care physician were Hispanic women. The disappointment wanting. Like everyone else, I had been similar then to what they are today, began one day while I was driving back inundated with statistics detailing the they were different with respect to the from Phoenix, where I had met with the fact that 42 million people in the United community physician. state's project coordinators for the study. States (or 25 percent of the population) Free care, or care at appropriated costs, I should have felt great. I was 22 years are uninsured. Yet what I began to was both a common and anticipated old and living in one of the most beau- realize, as I thought about the women practice many doctors used to ensure tiful regions of our country. I had been enrolled in the Arizona study, was that and improve the health of the commugood health is each person's nity. In addition, prestige was inherent in accepted to medical school at the University at Buffalo greatest need and that health the practice of medicine. Physicians were and would begin classes in professionals are just as respected members of the community. responsible for the health of They were asked to serve as public six months. And I was on vacation (being away from the community as they are officials and were role models for prosschool and working on public health for that of the individual. perity in the United States. projects is certainly a vacation for me) . As medical students, we are challenged Today, however, in the era of manBut all I could think about during to meet the needs of our future patients aged care, a physician's ability to fulfill that 110-mile drive through the desert in spite of the changing U.S. health-care the community's expectations seems were the women enrolled in our study. system. We are expected as primary-care compromised. Gone are the opportuniThey did not agree to participate physicians to be diagnostic and rational ties to provide independent free care, because they were interested in further- at the first moment of patient-physician replaced by utilization review and capiing research or because they had time contact-limiting preventable disease, tation. Gone are the prestige and proson their hands. o. The majority of the reducing unnecessary distress and im- perity of medicine, replaced instead by women participating in the study were proving patient health. We are expected the business and entertainment indusdoing so because it provided them with as specialty-care physicians to be profi- tries . Gone is the physician as a role health-care services for that short span cient and expedient when consulted on model for success, replaced instead by of time. Access to health care, I was cases of advanced disease-assessing the the independent consultant or computer beginning to realize, was a privilege best plan for treatment, working in technologist. But physicians should most of them did not have. cooperation with the primary physician not be discouraged: They are still of Until that time, I had spent upwards and improving patient health. We are considerable importance to the society. Health-Care Policy: To Treat or Not to Treat ® B u f f a l a P hysician Autumn 1 9 9 9 �Last April , I attended a three-day political leadership training workshop in Washington, DC, that prepared medical students to become successful advocates for the public's health. At the Political Leadership Institute, we were taught how to design a political strategy, research an issue, write a position paper or an editorial for submission to an advocacy group or newspaper , speak in public and lobby a public official. The weekend , which was sponsored by the American Medical Student Association , was so bus y that I didn't even have time to see the sights of our nation's capital! Instead, I learned how my actions as a medical student, and eventually as a physician , can affect the health of my community. It may seem insignificant, but the dues paid to a medical organization supplement its office of legislative affairs. That organization may one day be instrumental in convincing a senator Physicians must not diminish the political power that is inherent in their profession by being nonparticipants in, or even apathetic to , health-care policy making. Their patients cannot afford it. Despite the image doctors have of being detached from politics, in reality they have always played a significant role in the political process. Five doctors signed the Declaration of Independence. Before the Civil War , there were about 20 doctors in every Congress; after the war , individual political participation dropped , but physician power stayed strong through the formation of organizations like the American Medical Association , the American Medical Student Association and the Association of American Physicians and Surgeons, all of which represent physicians in the political arena . Why have physicians always continued to participate in politics? Political affairs affect the health of the community. I E-TESTING CONTINUED FROM PAGE 10 popped up right in front of me, I clicked a button and I was done. " When Duff had finished his exam, his study partner, Christopher Adams, still had four days before he sat down to his test. "We had really been pushing each other, and the camaraderie was great," Adams says. "You couldn't sleep in because that person was waiting for you. You couldn't leave the library early because that person was counting on you . After Mike [Duff] took his exam, I felt like I hit a wall. Your jokes just aren't as funny when you're telling them to yourself. " B u f f a l o Physic i an to introduce significant tobacco reform legislation. Participating in a voterregistration drive is time consuming; however , publicizing key political issues and convincing fringe voters to cast their ballots may elect a state representative who supports universal access to health care. Writing a thoughtful and informative editorial on breast cancer for the local paper may help the community better understand, prepare for , or prevent a disease that over 184,000 women are diagnosed with each year. Similarly, lobbying a city council for increased funding for community clinics may help limit the spread of infectious disease. Three years ago, I could see no reason why so many middle-aged women were participating in an epidemiological study except for the express purpose of obtaining health-care services. I can still see no other reason, but I hope that my actions eventually will provide those women with health-care privileges. As an advocate for the public's health , my participation-every physician's participation-in legislative affairs improves the health of the public. As health professionals, we must remember that we are just as responsible for the health of the community as we are for the individual. + josLpli S. Ross is c th . -d-) a su.c L • c:. ••.• L Unhcrsil) at Buffalo ~clwol of \lcdicinc and Bwmcdical SCiences . As e-testing makes its mark on a new generation of students one thing is certain: The new format has profoundly changed the experience of taking a standardized exam. With literally hundreds of exam dates available, gone is the shared misery of hundreds of students huddled over test booklets. Gone, too , is the room monitor telling students when to take a break. Now, the computer does that for them. For his part, Adams isn't the least bit nostalgic about the old days. He'll take the mouse over the pencil any day. But in this brave new world of test taking, he may do well to ensure that his next test date coincides with his study partner's, because there's still no replacement for camaraderie. + Autumn 1 9 9 9 ® �BY L I N D A J . ATrue Story ' "I don't go out much and really can't plan to have dinner with you .... Well I guess you can come see me, so long as you promise not to talk about money ... " I had been at the University at Buffalo for less than a year and was traveling to her city for a professional meeting. I decided to meet some of our past donors and thank them for what their gifts had made possible. In her case, she and her husband (deceased) had established a modest scholarship endowment several years earlier. There was no additional information on file so I checked the current value of the endowment (credible growth), the number of students who had received scholarships, and off I went. She, her cats and I had lemonade by her pool and talked. She told me about her family-"a single and two sets of twins"; her husband and his early practice; and the vacations with five kids and a tent. She also showed me pictureschildren, grandchildren and pets, trips they had taken, and friends. She told me she volunteered at a local senior citizens' center during tax season to help others with their taxes. In her eighties, she expressed amazement that so many of those "old people" didn't know how to fill out their tax forms. When dinnertime rolled around, she smiled and said she would join me after all, if the offer were still open. At a nearby restaurant, we continued the conversation. She talked about the heartbreak of watching her beloved husband lose track of who she was and, then, who he was. She talked about her dream of seeing a day when the mysteries of Alzheimer's Disease were understood and there were options to slow or halt its progress, and preventive measures to keep it at bay. A week or two later, I sent a brochure developed by the chair of nuclear medicine, for he, too, had a dream- using marked neurons to visualize the activity of the brain. A relatively new diagnostic tool at the time, Positron Emission Tomography (PET) was used at only a few centers in the state, to study the secrets of brain physiology and to diagnose various conditions that didn't show up with other types of technology. This crazy dreamer wanted UB to build one. That was nearly ten years ago. In the intervening time, she and I developed a long-distance friendship, a definite fondness and appreciation, each for the other. During one conversation she said, "My husband and I never complained about paying taxes. He earned a good living ® Buffalo C 0 R DE R , PH D, C F R E and that's our country's way of paving the roads and providing schools for children. It was fair and we didn't mind that much. But, I don't want to give away half of our hard-earned resources when I die. My children will share the amount that's excluded from taxes. Now, help me figure out how to arrange the rest so Uncle Sam won't get any." This woman knew she had the means to make an impact "somewhere." She wanted to make a difference in the understanding of Alzheimer's Disease. She believed that UB's proposed center was a way to "light one little candle against the dark." The department chair tirelessly made enthusiastic presentations to anyone who would listen, which painted a picture of what that type of research center could be. Using PET scanners, he explained, researchers might slowly uncover the secrets of how human brains process information and what happens when they lose that ability to function. She became captivated by the convergence of those dreams. Her creative planned gift, a charitable trust that would eventually fund an endowment for the PET Center, his negotiations involving the school's partnership with the Veterans Administration, a combination of other funding sources and additional private gifts made the building of the PET Center possible. The center was completed while she was still able to maneuver easily. She was present at its grand opening, along with her oldest daughter. She helped to unveil a modest plaque commemorating her husband's life and her commitment to this center. After the dedication, her daughter made a rubbing of the plaque. It was copied for all her children and then framed and hung in her living room. Her charitable trust reached maturity this past summer. ow, there is a major endowment bearing their names that will keep her dream alive and similar research moving forward, forever. My friend died peacefully, at age 93, with her oldest daughter again by her side. Her last act of generosity was to have a vital portion of her brain removed immediately following her death and conveyed to a group of Alzheimer's researchers at one ofHarvard's affiliated hospitals. She was then buried next to her husband back home in Buffalo. What is essential lives on, in those of us who knew her and cherish her memory-and in the future research that her endowment will make possible. CONTINUED ON PAGE 31 Physician Autumn 1 9 9 9 �Endowments of the School of Medicine . di al S. 1ome c c1ences HE SCHOOL'S E DO\\.-NlENT IS COMPRISED OF DOZE. S of separate funds, many named for the individual or couple who initiated them. Collectively, they provide valuable resources that enrich the lives and academic experiences of students, faculty and staff, and the wider community in our region. They provide scholarships, annual lectures, underwrite research and travel to present research results. Endowed chairs strengthen individual departments and the school as a whole. Visiting professorships bring the students into contact with nationally known professors who spend a day or several days on campus. We have a strong endowment. We need to expand it. The difference between a great institution and one that is merely adequate is often found in the size and strength of the endowment. Listed below are the school's endowments. Those listed in bold received additional gifts this past fiscal year. Those with an asterisk (*)were established between july 1, 1998, and] une 30, 1999. Those with both an asterisk and bold lettering were initiated and at least partially funded during that time period. Gifts to the school may be designated for any existing endowed fund. New endowments that meet funding guidelines established by the university may be established at any time. Please give me a call if you have questions, notice an inaccuracy or would like to make arrangements for a new endowment in your name or in ' Linda J. Corder (lyn) is the associate dean and director of honor of somedevelopment. She may be reached toll-free at 1 (877) one you admire 826-3246. Her e-mail address is ljcorder@buffalo.edu. or love. I H.W. Abrohmmer Memorial Scholarship Sidney Addleman Memoria l Dr. and Mrs. Joseph A. Chozon Medical Scholarship Dr. George J. Alker Fund for Neurodiology Clinical Preventative Medicine Fellowship Theodore & Bessie G. Alpert School of Medicine Scholarship Almon H. Cooke Scholarship Alpha Omega Alpha Library Fund Patrick Bryant Costello Memorial Alpha Omega Alpha Endowment CTG Oncology Fund American Academy of Family Physicians President's Award James H. Cummings Scholarship Deportment of Anatomical Sciences Library Fund Edward L. Curvish M .D. Award Anesthesiology Deportment Endowment The Elizabeth Medical Award Bocceelli Medical Club Award Dr. Robert M . Elliot Scholarship L.B. Badgero Medical School Fund Eleanor Fitzgerald Fairbairn Scholarship Wolter Barnes Memorial Scholarship Family Medicine Endowment •virginia Barnes Endowment Feyler Fund for Research in Hodgkins Disease Dr. Charles A. Baudo Award in Family Medicine Dr. Grant T. Fisher Fund Thomas R. Beam, Jr. Memorial L. Wolter Fix, M.D. '42/'43 Endowed Scholarship Dr. Robert Benninger Fund in Orthopaedics Edward Fagan Memorial Prize Robert Berkson Memorial Award in the Art of Medicine Ford Foundation for Medical Education Museum of Neuroanotomy Fund (Bernhoft-DeSontis Library Thomas Frawley, M .D. Residency Research Fellowship Fund Marcos Gallego, M.D. Clinical Excellence Fund Fund Anatomy, Cell Biology and Neurobiology) B u f f a Louis J. Beyer Scholarship James G ibson Anatomical Prize Paul K. Birtch M.D. Fund Wolter S. Goodale Scholarship Dr. Solomon G. Booke and Rose Yosgur Booke Fund •trene Pinney Goodwin Scholarship James H. Borrell Urology Fund A. Conger Goodyear Professorship of Pediatrics • Anne and Harold Brody Lecture Fund George Gorham Fund Clayton Milo Memorial Dr. Bernhardt S. and Dr. Sophie B. Gottlieb Award George N . Burwell Fund • carl Granger, M.D. Endowment Dr. Winfield L. Butsch Memorial Lecture in Clinical Surgery Dr. Pasquale A. Greco Loon Fund Vincent Capraro Lectureship Fund-class of 194S The Glen E. Gresham, M.D. V isiting Professorship Dr. Charles Cory Memorial Dr. Thomas J. and Barbaro L. Guttuso Scholarship & Award l a Physic i an A. u t u m n 1 9 9 9 �c ENDOWMENTS CONTINUED FROM PAGE Omega Upsilon Phi Chi Scholarship 31 Josephine Hoyer Orton Trust Fund Victor A. Panaro Medical School Fund F. Corter Ponnil, Jr. , M.D. Award Endowment Gynecology-Obstetrics Department Endowment Stephen J. Paolini, M .D. Memorial Jean Sarah Hohl Memorial •Parkinson Research Fund •Eugene J. Honovon Scholarship John Paroski Memorial Award Florence M. & Sherman R. Hanson Fund for Robert J. Patterson Resident Award Medical Education Dr. Mark Pettrino Memorial DeVille V. Harrington Lectureship Primary Care Achievement Fund The Hekimion Fund Progressive Medical Club of Buffalo Fund Hewlett Family Enrichment Fund for Psychiatry Psychiatry Department Endowment Charles Gordon Heyd Medical Resources Fund Dr. Hermon Rohn Memorial Lecture t Dr. Fronk Whitehall Hinkel Scholarship Albert and Elizabeth Rekote Choir in Cardiovascular Disease Rolph Hochstetler Medical Research Fund Albert C. Rekote Rehabilitation Medicine Library Fund Donald Rennie Prize in Physiology Abraham M. Horowitz Fund R.R. Humphrey & Stuart L. Vaughan Scholarship James N. Johnston Scholarship Douglas Riggs Award in Pharmacology and Therapeutics The Ring Memorial Fund C. Sumner Jones Library Fund Emile Rodenberg Memorial Award Harry E. and Loretto A. Jordon Fund Thomas A. Rodenberg and Emile Davis Rodenberg H. Colvin Kercheval Memorial Scholarship Elizabeth Rosner Fund Dean Stockton Kimball Scholarship Dean Stockton Kimball Memorial Ira G. Ross Chair of Medical Informatics Dr. James E. King Postgraduate Fund Dr. Sheldon Rothfleisch Memorial Fund Morris Lamer and Dr. Robert Bernat Scholarship Harold S. Sones and Thelma Sones Medical Scholarship Dr. Charles Alfred Lee Scholarship Philip P. Song Memorial Fund Dr. Garro K. Lester Student Loon Sorkorio Family Endowed Choir in Diagnostic Medicine Fund Schafer Fund in Cardiovascular Diseases Lloyd Leve Fund The Lieberman Award Hans Lowenstein Award Scholarship of the Progressive Medical Club of Buffalo School of Medicine and Biomedical Sciences Unrestricted Lupus Scholarship Fund Endowment William E. Mabie D.D.S. and Grace S. Mabie Fund Lillie S. Seel Scholarship Dr. William H. Monsperger Fund Irene Sheehan Fund Dewitt Holsey Sherman and Jessica Anthony Sherman Fund Claro March Medical Scholarship Medical Alumni Endowed Scholarship Dr. Lois A. and Ruth Siegel Teacher' s Award Annual Participating Fund for Medical Education Endowment S. Mouchly Small, M.D. Award in Psychiatry Medical School Lectureship •s. Medical School Closs of 1957 Scholarship Mouchly Small Education Center Fund •Irvine and Rosemary Smith Chair in Neurology Fund Medical School Class of 1958 Scholarship Dr. Irving M. Snow Fund Medical School Class of 1963 Scholarship •Mary Rosenblum Somit Scholarship Medical School Closs of 1973 Scholarship Marion Mellen Fund Morris and Sadie Stein Neuroanotomy Prize John H. Talbott Visiting Scholarship •Microbiology Memorial Fund Trevett Scholarship Dr. David Kimball Miller Award Richard E. Wahle Research Fund Eugene R. Mindell, M.D. Choir in Orthopeoedic Surgery G. Norris Miner, M.D. Memorial Award Mildred Slosberg Weinberg Endowment E.J. Weisenheimer Ophthalmology Award • philip D. Morey Scholarship Dr. Mark Welch and Beulah M . Welch Scholarship Richard Nagel, M .D. Anesthesiology Research • James Platt Wh ite Society Endowment Dr. Anges S. Naples Memorial Scholarship Williams /Bloom Medical Research Fund The Dr. S. Robert Narins Memorial Award Dr. Morvin N. Winer Fund for Dermatological Research Notional Medical Association (Buffalo Chapter) Scholarship Witebsky Fund for Immunology Naughton Endowment Dr. Ernest Witebsky Memorial •Nephrology Research Endowment Forney R. Wurlitzer Fund Dr. Erwin Neier Memorial Dr. Mark Zaleski Award Antoinette and Louis H. Neubeck Fund Hermon and Rose Zinke Scholarship Neurology Deportment Endowment Dr. Benjamin E. & Lila Obletz Prize Fund in Orthopaedic Surgery l·udou·mcfztS 1 udoumem, Dr. Elizabeth P. Olmsted Fund in Biochemistry B f f a l a p h 5 c * drc nody cstJblislzcd 111 bold hav< r<"I"CIV<"d a n ~1tis 111 t fis,al year 1998- 1999 u m 9 9 �Dear Fellow Alumni, l T \\AS ~1Y HO'\OR TO SPEAI\. AT THE \.1EDICAL SCHOOL\ ORIL 'T \-:-'0 for the first-year class on October 9, 1999, in Butler Auditorium. During that time, I introduced the class to the Physician-Student Mentoring Program, in which the Medical Alumni Association pairs up each medical student with a community physician in a nonacademic advisory role. We are optimistic about this program and are pleased to announce that we received a sufficient number of physician volunteers this year to match all students. Later that day, I was also pleased to take part in the White Coat Ceremony that was planned by Dr. Tom Flanagan and reported on in this issue of Buffalo Physician (see page 12). It was a wonderful program that will be expanded next year, and I urge anyone interested to feel free to attend. In mid-September the Past Presidents' Dinner of the Medical Alumni Association was given in honor of Robert E. Reisman, MD '56, recipient of the 1999 Distinguished Medical Alumnus Award. Bob's receipt of this award, which will be reported in the next issue of Buffalo Physician, was prompted by a wonderful nomination fromjerome Kassirer, MD '57, former editor-in-chief of the New England journal of Medicine. We on the Governing Board were so pleased to be able to give Bob this award. Spring Clinical Day is being organized by Colleen Mattimore , MD '_9 1, and our Stockton Kimball lecturer will be Maxine Hayes, MD '73. Dr. Hayes is the assistant secretary of community and family health for the Washington State Department of Health, where she oversees a staff of more that 200 and manages an annual budget of over 300 million dollars. Early in the Clinton Administration , Dr. Hayes was on a short list for the Surgeon General post There was an out-of-town reception in San Francisco on October 12, 1999, at the American College of Surgeons' 85th Annual Clinical Congress. The Medical Alumni Association co-sponsored a reception in conjunction with the Department of Surgery at this meeting. All alumni attending this meeting and alumni living in the area were invited to a reception at the Renaissance Park on October 12. The Community Physicians Speakers Program will be starting up this falL This is a very well received program in which the Medical Alumni Association arranges for physicians in the community to come and speak to the first- and second-year classes during lunch to discuss the lifestyles of the various subspecialties. The Medical Alumni Association provides pizza and soft drinks for the talks. The Medical Alumni Association partially sponsored a party held for the first-year class on August 12, 1999, on the USS Little Rock. This event provided a good opportunity for Dr. John Bodkin, Dr. Bertram Portin and me to meet and welcome members of the class. Finally, we are seeking nominations for next year's Distinguished Medical Alumnus Award. (See nomination card inserted in the inside back cover of each Buffalo Physician.) As a reminder, your nominations must be received by March 1, 2000. Richard L Collins, MD President, Medical Alumni Association l 0 Physician Autumn l 9 9 9 ® �• ··········· · · · ····· ·· ··· · ························· · ········· ·· ···························· - ' JOHN E . SH I E L DS JR ., MD '68 , Ham L. Metcalf, MD '60 writes: "Relocated to Hampton Bays, Y. Wife, Bernice, has pro- Receives Berkson Memorial Award gressive MS. Prime Care of Hamptons. FAA consultant. GD consultant. Addiction medicine consultant. " arry L. Metcalf, MD '60, clinical professor Department of Family Medicine, in presenting the of family medicine at the University at award to Metcalf, noted that he has acted as an Buffalo, is the recipient of this year's advocate for continuing and comprehensive patient RobertS. Berkson, MD, Memorial Award careboththroughhispracticeandinthemedicalsystem in the Art of Medicine. Dr. Berkson was that has evolved to serve patient needs. - - - - loved by his patients, respected by colA politically active physician, Metcalf has effecleagues and students, and his special --lively implemented programs and expertise in the "Art of Medicine" is enacted initiatives for the advancement meant to be perpetuated by this award. of medical education and patient care at state and federal decision-making levels. For over thirty years, Metcalf has been committed to educating graduate The award also recognizes that Metcalf "is well respected by his physician and postgraduate students in the art and science of medicine, a commitment that colleagues and medical students and, has been enhanced by his strong role most importantly, by his patients, whom modeling as a physician and the respect he has he continues to serve in a compassionate and caring garnered for his abilities in patient care. manner that indeed elevates his practice of medicine Dr. Thomas C. Rosenthal, professor and chair of the from a science to an art." [ n 1 9 3 0 s HUBBARD K . MEYERS , MD '36 : writes: "I participate in the retired physicians journal Club, which meets biweekly in Green Valley, AZ. The club has 30 members from various states and areas of specialities, including: dermatology, internal medicine, general practice, surgery , orthopedics, anesthesia, neurology and psychiatry. 1 9 5 0 s LEONARD R.SC HAE R , MD , '55 , writes, "Since retirement in 1991, I have been involved in mostly volunteer activities. (!even volunteered for a coronary bypass in 1996.) I have been a docent at science museums, lecture to high ® school senior boys regarding testicular cancer, serve on the advisory board of Emeritus College Division of Diablo Valley College. I have taken many adult education classes as well. Latest hobby: have had supporting roles in a couple of movies, including Bicentennial Man, starring Robin Williams, and SF0-2000, starring Timothy Hutton. Both will be released near the end of the year. Mostly I enjoy my two precious granddaughters, Danielle and Talia , who live 10 minutes away! Send e-mail! nanapop@ hotcoco.infi. net B u f f o I o 1 9 6 0 1 ER IC J . 7 s 0 MD '74 , R U SS ELL, writes: "Elected president of the American Society of Neuroradiology (ASNR) for 1999- 2000; program chair for the AS R annual meeting in San Diego in May 1999, with 3,000 attending; member of the editorial boards for the American Journal of Neuroradiology and Radiology; a member of the executive council for the Society for Cardiovascular and lnterventional Radiology. I also am a regional member of the UB Medical Alumni Association board. My wife , Sandra K. Fernbach, MD, and I have two daughters: Gabrielle Robin, 16, s J OH N . J . L A MAR JR . , MD '63 , and Meredith jean, 12. writes: "Retired as of October 1, 1998. Have 2 1/ 2 grandchildren. Must visit Ft. Hood to see our 1 9 8 s 0 K EVI N FEREN TZ, MD '83 , writes: "I have been awarded the Exemplary Teaching Award for full-time faculty from theAmericanAcademy of current grandchildren and their parents. Doing lots of fishing and gardening." B E RT W . RAPPOL E, MD '66, has been elected to a two-year term as president of the Eighth District Branch of the Medical Society of the State of ew York. Rappole, a surgeon in jamestown, NY, is past officer of the District Branch Family Physicians.! received the award in Orlando, FL, at the Congress of Delegates meeting in September 1999. I've been in Buffalo several times over the last year, giving lectures on smoking cessation to practicing physicians. It's always good to come back." and a past president of the Chautauqua County Medical Society. Physician 9 A. u t u m n 1 9 9 9 �······· · ····································· · ········· · ······ · ······· · · · ············ · · · · · · • • • MARC LEVINE , MD '83, writes: P HI LOMENA MUFALLI BEHAR, "My wife, DEBBIE FELDHEIM Johnson Foundation on a sur- MD '92, writes: ')erryandibought I early 1950s, serving at Thule Air Force Base in Greenland. From [MD '84] and I recently cele- veillancesystem a home in Memphis, TN, in May 1953--1973, he practiced medicine brated our fifteenth wedding for tracking to- 1999. I completed a two-year inl.ockportand was Niagara County anniversary. We live in the bacco control pediatric otolaryngology fellow- health commissioner from 1973 Maryland suburbs of Washing- activities in the ship in Atlanta in June 1999 and until his retirement in 1983. Clifford ton, DC, with our three chil- United States. dren: Sammy,Max and Jeremy, The goal of the initiative is to am currently in private practice. Jerry works for Thomas and Betts was a fellow of the Royal Society of HealthinEnglandandoftheAmeri- age 4, 6 and 8. We both gradu- identify policies that are effective as their director of transportation. can College of Surgeons. ated from the Washington in reducing adolescent tobacco Psychoanalytic Institute several use. Prior to coming to RPCI, years ago and have private Giovino was with the Centers for practices in psychiatry and Disease Control in Atlanta, GA, psychoanalysis. In addition to where he was Chief of the Epide- time spent raising our three busy miology Branch of the Office on boys , we are active in the Smoking and Health. psychoanalytic community and 1 teach in various settings. 9 9 s 0 GALE BURSTEIN AND P ETER ROBERT LASEK AND COLETTE BLOOM , MDs '90. Gale writes: PRUEFER LASEK, MDS '84, write: "Peter and I moved to Atlanta, "We are happy to announce the GA, in June. I am a medical epide- birth of Eric Colin Lasek on April miologist at the Division of Adolescent and School Health at the 7, 1999. We left our practices at Geisinger Medical Center for op- Centers for Disease Control. Peter portunities in Plano, TX, lastJuly. is an assistant professor in the GI Hello to all our friends. Sorry we Division at Emory Medical School. couldn't make the reunion." MICHAEL K. LANDI , MD '94, and his wife, Antonietta, announce Our son, Zachary,just turned one DEBBYAND WALLACE S ALTER, MDs '85, are living in Grand Junction, CO, with their three children, Jeremy, 12, Brittany, 10, and Garrell, 8. They practice family medicine together and have started the area's first multispecialty group with family medicine, internal medicine and OB-GY -Columbine Medical Associates. the birth of their daughter, Lily Marie, on july 21, 1999. She year old in August. WeseeLAURIE BURTO N, MD '90, very fre- weighed 5 pounds, 12 ounces. Mom and baby are doing great! quently. She is a pediatric/ER doc at Egleston Hospital and assistant professor of pediatrics at Emory University." E-mail: gibs@cdc.gov IN MEMORIAM FRANCIS J . CLIFFORD, MD '42, lLANA FEI NERMAN , MD '93, professor emeritus of anatomy at UB's School of Medicine and Bio- writes: "After completing my oto- medical Sciences and a former in iagara County commissioner of Boston, MA, inJune 1998, Cary, health, died May 17, 1999, in laryngology residency Lockport, NY, after a lengthy ill- GARY GIOVINO, PHD '87, has Jeremy and I tried relocating to ew Jersey. However, we soon joined the faculty at Roswell Park realized that Massachusetts was ationfrom UB, Clifford served twice Cancer Institute (RPCI) in the more our speed and are now set- as an Army physician. During Department of Cancer Prevention, tling down in Dartmouth, MA. World War II, he was stationed in Epidemiology and Biostatistics. He is responsible for leading a project Jeremy will be five years old this October and his brother/sister will orthem Europe with the 83rd Infantry Division and was ordered funded by the Robert Wood hopefully arrive in September. to active duty again during the s m B f f a l o p c a ll. u ness. He was 86. Following gradu- n 9 9 THOMAS J. MURPHY, MD '45, died June 1, 1999, in Syracuse, Y, at age 76. Murphy was born in Binghamton, NY, and attended otre Dame University prior to attending UB's medical school. He was an internist for 40 years and a clinical professor for medical students at St. Joseph's Hospital in Syracuse. He was a past physician for Le Moyne College and a consulting staff physician at the Syracuse Developmental Center, Plaza Nursing Home and St. Joseph's Hospital. Survivors include his �• ............................................................................. .. .. . .. . ... . . I his Snyder home after a lengthy illness. He was 85. In addition to conducting a private practice , Link was chief pediatrician at Sisters Hospital, where he also was wife, Theresa M. "Hunnie," six daughters and two sons. SAMUELP . AVERSANO , MD '49 , died on May 16, 1999, in Rochester, Y. Aversano was a native of Rochester, attended Madison High School and Syracuse University, where he graduated with a BS in chemistry. He was in the U.S. Army at Pearl Harbor when president of the staff in 1967-68. Until his retirement in 1987, Link worked extensively with disabled children. He was physician-incharge at the Erie County Health Facility for Children and School it was bombed at the beginning ofWWli and he received an honorable discharge in 1945. Fol- 84, and the new School 84 was dedicated in his honor. He was clinic medical director for the lowing graduation from medical school, he completed his postgraduate training at the then E.J. Meyer Memorial Hospital in Buffa lo. He spent his professional life in Rochester, where he was in solo general practice for 15 years before becoming associate medical director of St. Ann's Home for the Aged, a position from which he retired in 1987. He is survived by his wife, Mary Aversano, and by his son, Thomas, of Baltimore, MD. ROBERT T . DEAN , JR , MD ' 55 , d ied of lung cancer on May 24, 1999. Following graduation from medical school, Dean returned to his home in Phoenix, AZ, where he interned at Good Samaritan Hospital. He practiced general medicine for five years before taking a three-year residency in psychiatry at Colorado Psychopathic Hospital (19611964). He then went into the private practice of psychiatry in Phoenix , retiring in 1995 from active practice. He continued as a consultant until his death. He is survived by his wife, janet, and four children: Patricia Lewis, Robert T. Dean, Ill, j. Richard Class of 1994 during Spring Clinical Day and Reunion Weekend First row, left to right: Ted Szarzanowicz, Michelle Penque, Carol Killian, Patricia Geil, Maya Srivastava, Gloria Delvalle; second row, left to right: Thomas BurneHe, Wendy Snyder, Richard Kozak, Amy Ferry. Dean and Misty Ihrke; and five grandchildren: jesse Lewis, 15 , Carly Lewis, 12, Kelsey Ihrke, 8, and Lindsey and Taylor Ihrke, 2. His wife, janet, says, "He loved the practice of medicine and, especially, psychiatry. It never became routine or mundane for him. " IN MEMORIAM F A C U L T Y ELLIOTT MIDDLETON JR ., MD , a former professor of medicine and pediatrics in the School of Medicine and Biomedical Sciences , died on March 7, 1999, at Maine Medical Center, in Portland, ME, after a brief illness. He was 73.During his 19 years at UB , Middleton served as director of the Division of Allergy and Immunology in the Department of Internal Medicine and co nducted research on the biological effects of natural food substances on health. He was a diplomate of the American Board of Allergy and Im- s f f a l o munology , which Muscular Dystrophy Association of Western ew York at the former E. ] . Meyer Memorial Hospital and at WCA Hospital in jamestown. The Muscular Dystrophy Association presents an annual medical award in his he co- founded , and the American Board of Internal Medicine. name. Link conducted research on cerebral palsy and muscular dystrophy, including clinical tests on several drugs for treatment of the diseases. He was chair of the Middleton was also a past president of the American Academy of Allergy and Immunology, and from 1983 through 1988, he served as editor of the]oumal of Western ew York chapters of the Cerebral Palsy Association and the Muscular Dystrophy Association and for several years was chair of the New York State Cerebral Palsy Advisory Board. He was a member of the board of direc t ors of Special Help for Special Children and the medical advisory committee for the March Allergy and Clinical Immunology. In 1991, he received the Distinguished Service Award from the American Academy of Allergy and Immunology. JOSEPH s K . LINK , who served as a faculty member in the School of Medicine and Biomedical Sciences and as apediatric consultant for chronicdisease research at UB, died April 12, 1999, in MD , p h 5 + of Dimes. c a A u m n 9 9 9 �Your stock may pay more dividends than you thought possible vou dabbled in the market long before it became a fad and your hunches paid off. But now you need income, and your shares are only producing low annual dividends. so how can you make the most of your securities and still achieve your personal and financial goals? Give your stock to the University at Buffalo. With careful planning, your gift may provide you with income for life, a charitable deduction and reduce or eliminate taxes. And for UB it can mean more scholarships, research funds or the realization of your own personal vision and goal for the University. To learn how your gifts of stock can benefit you and the University at Buffalo, please call the Office of Gift Planning at !716! 645-3312. T~ University at Buffalo ~ The State University ofNew York University at Buffalo • Office of Gift Planning • 103 Center for Tomorrow • Buffalo, New York 14260-7400 • 716-645-3312 �BUFFALO PHYSIC IAN Non- Profit Org. STATE UNIVERSITY OF NEW YORK AT BUFFALO U.S. Postage 3 4 35 M AIN ST . PAID B LDG . 22 Buffalo, NY 4 53 BUFFALO NEW YORK 14214-3013 s~R ARY OEPT Permit No. 311 ADDRESS SERVICE R EQUESTE D We Get Rehab Results! Our Superior ~M hnprovement Vs. National and Northeastem Regional Subacute Facilities Five Star Care The McGuire Rehabilitation Centers achieve a 34% GREATER FIMsM increase vs. the national average for all admissions. Stroke • Pain Management • Medically Complex • Orthopedic • Cardiac • Infections • Cancer • Joint Replacement • Amputee Our facilities were rated outstanding in the community with five stars out of five, according to the Inside Guide to America's Nursing Homes for long-term care. 0 ***** The McGuire 1eam. ofExperts The McGuire Rehabilitation Centers employ a team of over 30 licensed Physical and Occupational Therapists, specially trained support staff, and an on-staff Physiatrist/ Gerontologist. Together they ensure the highest level of individualized medical and restorative care. Cost Effective! I = Inpatient Admiss ions I = Inpat ient Discharge I = Out patient Follow-Up Our case mix is consistent with the Northeast and national subacute region. Our average statistics are: length of stay - 25 days; age - 78; admission FlM score 72.5; discharge FIM score 97.6; FlM change - 25.1 points; length of stay efficiency - 1.40; onset time - 17; discharge disposition- 80% to community. Based on 12 months ending March 31, 1998. - The McGuire Rehabilitation Centers' average charge per case is more than 35% WWER than other facilities in the nation, according to statistics from The Wall Street Journal and the American Health Care Association. The McGuire Rehabilitation Centers rely on the national The results are in. The McGuire Rehabilitation Centers have leading measurement tool for documenting patients' the clear advantage over other regional facilities based on FIMSM rehabilitative outcomes. This tool is known as FIMSM<-~ improvement, discharge to home, and cost effectiveness. Instrument; Functional Independence Measure, developed Our successful rehab program delivers results by the UB School of Medicine along with the Center for j because of our superior staff, state-of-the-art equipment, Functional Assessment Research. It's used ~CGUL~ and specialized rehab facilities. Choose The along with the Uniform Data System for McGuire Rehabilitation Centers for five-star Medical Rehabilitation (UDSMRsw) rehabilitation services. to establish rehab outcomes that ~pU J1 Call 1-888-POSTACUTE. can be measured and calculated .& ~~ ~\7.J. ,.,...HE .l. DTT 'M"'JI'T""Tfq]\f .l.I'1I. '-.. IDd~=::::n.m-<~M-G!E!!!!!J§ueeoom.oo.--., '-·~''-""-'"' Autumn View • Gatden Gate • Banis ffill • Northgate � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Autumn 1999 Subject The topic of the resource State University of New York at Buffalo. 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On the Trail of Schistosomiasis Electronic Testing Makes Its Mark Medical School A Revolutionary Look at Medicine Alumni Hospital News Research Student Perspective Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-10 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v34n02 Extent The size or duration of the resource. 40 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 1999 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/7a6733e16c085ba43c1392384baa82b9.pdf 14e5f8eaaf0e8ab3c5a4ce10cc92c3ff PDF Text Text �BUFFALO PHYSICIAN Volume 34, Number 1 ASSOCIATE VICE PRES IDENT FOR UNIVERSITY SERVICES Dr. Carole Smith Petro DIRECTOR OF PUBLICATIONS Dear Alumni and Friends, lr HAS BEET\1 "THAT TIME OF YEAR" -\GAIN - Spring Clinical Day and five-year reunions for alumni; orientation programs for incoming chief residents; achievement awards ceremonies; the pre-finals "follies" presentation by first- and second- Kathryn A. Sawner year students; graduation dinners and, of course, graduation itself. During it all, I ED ITOR endeavored to perfect the art of being in more than one place at one time-with less- Stephanie A. Unger ART DIRECTOR/DESIGNER Alan j. Kegler PRODUCTION than-complete success, but it was fun trying! The good news is that all events were highly successful. The 60th class reunion was organized by Dr. Elizabeth Olmsted Ross, who, with Cindy Todd the able assistance of Mary Glenn from our development office, com- STATE UNIVERSITY OF NEW Y ORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMED ICAL SCIENCES posed a "class book" complete with photographs and an update on Dr. john Wright, Dean virtually every member of the class of 1939. No doubt this will become a much imitated technique for celebrating future class reunions. Ap- ED ITORIAL BOARD Dr. Bertram Partin, Chair proximately, 20 members of the Class of 1939 were able to attend the Dr. Martin Brecher Dr. Harold Brody Dr. Linda j. Corder Dr. Alan j. Drinnan Dr. james Kanski Dr. Elizabeth Olmsted Dr. Stephen Spaulding Dr. Bradley T. Truax Ms.jennifer Wiler Dr. Franklin Zeplowitz reunion events. The 50th reunion class won the prize for TEACHING HOSPITALS [rie County Med1cal Center Kaleida HealthThe Buffalo General Hospital The Children's Hospital ofBuffalo Millard Fillmore Gates Hospital Millard Fillmore Suburban Hospital Roswell Park Cancer Institute Veterans Affairs Western New York Healthcare System Catholic Health SystemMercy Health System Sisters of Charity Hospital Niagara Falls Memorial Medical Center ©The State University of ewYork at Buffalo Buffalo Physicia11 is published quarterly by the State University of ew York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It is sent, free of charge, to alumni, faculty, students, residents, and friends. The staff reserves the right to edit all copy and submissions accepted for publication. the highest attendance rate, with 2l members of that class able to participate in reunion festivities. The Spring Clinical Day program focused on women's issues, specifically breast and ovarian cancer. Ms. Betty Friedan, a founder of the National Organization for Women and the author of the seminal 1963 book The Feminine Mystique, gave the Stockton Kimball lecture. She pointed out that the reasons women tend to live longer than men may not just be due to hormones and/or genetics, but may indeed reflect differences in life-style and, perhaps most importantly, differences in the way men and women handle stress. Graduation ceremonies featured Dr. D. Bruce Johnstone as keynote speaker. Dr. Johnstone, former chancellor of the SUNY system and currently a very active member of the University at Buffalo faculty, presented a powerful message to the students. Having overcome serious illness himself, he could speak with authority on the marvelous challenges and opportunities that await our graduates. The Dean's Advisory Council also met in conjunction with the Spring Clinical Day festivities and the annual] ames Platt White dinner to discuss the variety of issues with which the medical school is currently grappling. The advisory council provides invaluable advice and counsel to me as dean and represents a group of dedicated alumni not only from this geographic region but from other parts of the country, as well. We are all making an earnest attempt to keep in contact with alumni and, with the help of this group and others, we plan to organize more regional alumni events over the next year. Busy as this time of year always is, it marks the culmination of what we are all about-graduating physicians and scientists for the future and preparing for our next group of students, interspersed with occasional alu mni reunions and celebrations. All of these events represent an important cycle and one in which I hope each and every reader of Buffalo Physician will want to participate. I look forward to meeting with as many of you as possible during this next academic year. (--7 ~ ~" R. Wdgh<, MD Dean, Schoo l of Medicine and Biomedical Sciences �V 0 L U ME 3 4 , NUMBER 1 ["SuMMER 1999 L 3 0 1999 2 ASpecial Place loP Women NEWLY ESTABLISHED CENTER FOR WOMEN WITH DISABILITY by Jennifer Gold 8 14 Peak ExpePience HeaPing Loss ReseaPch BolstePed THOMAS CUMBO, U 8 CLASS OF 1 9 9 9 , YEAR, $ 5 . 7 MILLION RECOUNTS MEDICAL PROGRAM PROJECT EXCURSION TO NEPAL GRANT FROM THE RECEIVES FIVE- NATIONAL INSTITUTES photography by Rhea Anna OF HEALTH by Lois Baker Medical School • GRADUATION ARRIVES! • MATCH DAY Student Perspective 1 999 RESULTS TOMORROW'S • PHYSICIANS CONFRONT NEW MOUSE CALLS CHOICE COLUMN • STEP STUDENTS Mission Improbable by Stacey Blyth WIN FIRST PLACE IN SUZANNA GOODYEAR STATEWIDE POSTER ATTENDED MEDICAL Classnotes COMPETITION SCHOOL AT AGE 5 4- A AN UPDATE ON HER WHAT CAN YOU TELL CAREER US ABOUT YOURS? STORI ED PAST- by Betsy Sawyer photography by Gary T. Truman 1999-Maria loTempio and Patrick DiAbbrocci Celebrate Graduation Day, Saturday, May 8 THE (LASS OF Alumni • SPRING CLINICAL DAY; BETTY FRIEDAN DELIVERS STOCKTON KIMBALL Closs of 1990, Knows It's Never Too late to Follow a Dream SuzANNA GooDYEAR, LECTURE • REUNION WEEKEND FESTIVITIES & PHOTOS �: JENNIFER ��I 1997, in an effort to identify and address these barriers, researchers at the University at Buffalo completed one of the first assessments of the health status of women with disabilities. The results of the assessment were so compelling that they spurred formation ofa multidisciplinary Center for Women with Disability, which opened in September 1997 as part of the Western New York Neuroscience Center at Kaleida Health's Buffalo General Hospital (BGH). "The health concerns of many women with disabilities are not met through the traditional health-care delivery system. Often, these women are not treated in the context of wellness but only in terms of their disease," explains Carol Brownscheidle, PhD, UB clinical assistant professor in the Department of Neurology, and director of the new center. The health-needs assessment, which was designed by the Women's Health Collaborative Research Group (WHCRG) under the auspices of the Neuroscience Center, was completed by more than 300 women with multiple sclerosis (MS), stroke or other neurological disorders. The respondents' median age was 45, and half were moderately to severely disabled. More than 20 percent of the women reported a history of gynecological problems, such as uterine fibroids, endometriosis, ovarian cysts, irregular menstrual periods and deterioration of MS during menstruation; a similar percentage reported experiencing reproductive and postmenopausal health problems that were inadequately treated. Forty percent of the women said they were sexually inactive, while 70 percent of those who were postmenopausal indicated they weren't receiving hormone-replacement therapy. 0 MARCH B u f f a l o In sum, the women reported experiencing insensitivity to their special health-care needs; lack of accessible medical equipment, such as examination tables and mammography machines; and difficulty getting to the various facilities for treatment of specific problems, according to Brownscheidle, who chairs and directs the WHCRG and was instrumental in developing the survey. Galvanized by the survey results, Brownscheidle began work on the creation of the Center for Women with Disability. In talking about her involvement with the project, she is quick to acknowledge the ongoing assistance and support she has received from others, including Lawrence jacobs, MD, who is Irvin and Rosemary Smith professor of neurology at UB, head of the Department of Neurology at BGH, and project director for the ew York State Multiple Sclerosis Consortium (NYSMSC), and Dennis Weppner, MD, MBA, UB associate professor of clinical obstetrics and gynecology and clinical director of obstetrics and gynecology at Millard Fillmore Hospital Suburban, both of whom serve as co-medical directors for the center. Today, the Center for Women with Disability is a place where women with special health-care needs receive a variety of services, including social and supportive services that are intended to assuage feelings of isolation and loneliness. For many women with MS, post-stroke impairment, post-polio paralysis, cerebral palsy, spinal-cord injury, spina bifida or movement disorders, such as Parkinson's disease, the neurologist is the gatekeeper for health care, Brownscheidle notes. "We've built on that and formed a kind of one-stop health shopping center. When a woman comes in for stroke treatment Phys l clan Summer 1 9 9 9 �disability; they don't just deal with neurology, but OB-GYN issues, too," notes Elizabeth Roden, who has epilepsy and regularly attends the center. "I really wish something like this had been around when I was first diagnosed." Recently , the center expanded its services to include orne women have limited movement, and urology, with care provided by Philip Aliotta, MD. "Bladder dysfunction is lt can be quite common with this difficult for population and requires them to use the immediate medical attenstirrups on a tion if an infection develconventional pelvic-exam ops," explains Epstein, who table," explains Susan adds that Aliotta provides Epstein, MS, MEd, clinical services at the center twice coordinator for the center, a month and sees approxiwho, along with Weppner, mately 10 to l2 patients developed a pelvic-exam each clinic day. "Dr. Aliotta chair specially adapted for has conducted research on women with disabilities. bladder function in patients (See article below.) "Other with neurological disease, women may not be able to and we are fortunate to have stand upright for mammohim as part of our team," gram screenings or, if they says Brownscheidle. are spastic, may find it difWhile improving access ficult to perform a breast to health care remains the self-exam. In many cases, primary mission of the centhe women simply have a ter, it has begun addressing difficult time getting to the broader, quality-of-life different specialty offices," issues by offering programs she adds. on community-service Although the center has opportunities, networking, been open less than two social services and careers. years, the patients feel that The Outdoor Adventure the access it affords them to Susan Epstein MS MEd and Denms Weppner ~D MBA, developed a pelvicProgram offers wilderness one-stop health care is the exam cho1r specially adapted 1or women with ch~o~1c uisab1ing co•di ons. wheelchair hikes , and the key to its success. "I espeWomen Helping Women Program links women with cially like how the different types of care and services are disabilities to volunteer opportunities in assisted-living consolidated. These are professionals who address all settings and nursing homes. Monthly "focus luncheons" aspects of a woman's life and how it can be affected by or for follow-up visits for multiple sclerosis, she can go to other rooms in the center for a pelvic exam, a Pap test, an ultrasound or to have her blood pressure checked," she explains. ''s G.xnecologic For a woman who has multiple sclerosis (MS), it can be very difficult to transfer from a standard 22 -inch-high wheelchair to a conventional 30-inch-high examination table in a physician's office. For a woman with a neurological disorder that causes spasms, loss of control of lower limbs or pain, transferring to such a table can be impossible. Instead of being a neutral apparatus for the provision of health care-especially gynecological care-the exam table becomes still another barrier, both physically and emotionally. Recognizing that access to examination tables con be a major issue for women with disabilities in need of gynecologicol care, Susan Epstein, MS, MEd, clinical coordinator for the Center for Women with Disability, and Dennis Weppner, MD, MBA, UB associate professor of clinical obstetrics and gynecology, decided to solve the problem. From the start they realized that, to be successful, B u f f a t o Physician they would need to abandon the traditional model for a gynecological exam. The solution came one day while Epstein was at the dentist. lying in a comfortable chair during a long procedure, she thought, "This will work." And it did. Epstein and Weppner immediately contacted PoHerson Dental, which has been in the specialized business of making dental chairs for more than 100 years. They identified a choir that can be lowered to 22 inches to facilitate transfer from a wheelchair. It also had a knee break, which allows positioning for a pelvic exam. Allen stirrups, with a boot-like fit, were aHoched in order to increase comfort and decrease the effects of spasticity. "This sounds like a simple solution, and it is," admits Epstein. "But, until now, there has been nothing that would accommodate the needs of a woman with a chronic disabling condition." Summer 1 9 9 9 0 �feature specialists who come to the center and answer questions on health topics in an informal setting. Some women travel from as far away as Niagara Falls to attend these luncheons, with transportation provided gratis by john Arnet, president of We Care Transportation, a local specialty transportation company. Also, valet parking is available and can be accessed at BGH's main entrance. Other support for the luncheons comes from Biogen, a biotechnology firm that makes the drug Avonex TM, for treatment of MS. A no ther quality-of-life project under way is the development of a Career Center, scheduled to open in fall 1999, which will focus on re-employment of clients by instruction in such areas as resume composition, interview skills, managing home finances and self-esteem building. A fully accessible computer lab will introduce clients to basic PC and Internet skills. Provisions of the Americans with Disabilities Act, job Accommodation Network and opportunities available through vocational education will be presented to clients. Recent statistics show that lack of employment can lead to feelings of loneliness, pessimism, morbid or gloomy thoughts and self-pity in approximately 75 percent of unemployed disabled women, in comparison to 25 percent of employed disabled women, according to Brownscheidle. "Employment is viewed as a productive use of time that improves outlook on life and augments one's contribution to society, whether it involves full-time or part-time work. The Career Center will provide career counseling and aptitude testing, as well as individual and small group sessions to achieve these goals," she says. Carolyn Miller, who regularly visits the center since her diagnosis with MS, says living with a disability can be extremely isolating. "It's a lonely life," she relates, adding that she sometimes feels "vulnerable and depressed" about her inability to enjoy many of the activities she used to, such as volleyball and waterskiing. "It's nice to be involved with the other women," says a u f f a 1 Ilona Tylwalk, who has MS. "There's an interchange of ideas, and we can talk about our problems and different illnesses-because not everyone has MS. "The lunch lectures are great," she adds. "''ve never been disappointed by one." The center's educational goals extend beyond the patient population in an effort to reach health-care professionals, as well. "Women with disabilities are just as susceptible to the three leading causes of death in women in the United States-heart disease, cancer and stroke-and therefore should be screened and counseled accordingly," says Brownscheidle. Unfortunately, the diagnosis of a major disease, such as MS, often overshadows every other aspect of a woman's health, with the results being that broader health-care concerns, including access to primary care, are overlooked. "We listened to our patients and heard the same thing over and over again-that access issues were often ignored and gynecological examinations were demoralizing and impersonal. They just didn't feel comfortable," says Brownscheidle. "Some of the women have even been asked by their gynecologists why they wanted to know about sexually transmitted diseases or birth control. Did they actually have a sex life7" o Physician Summer 1 9 9 9 �Despite such concerns, Brownscheidle states that progress is being made toward better understanding and that "even within the past year in this country, the healthcare profession as a whole has started to focus more closely on specific health issues affecting women with a disabling condition." Weppner emphasizes that the center is not only taking a proactive role in treatment and education, but is also furthering research efforts by ensuring that the women who visit the center are enrolled in the NYSMS registrythe largest population-based cohort of MS patients reported to date. The research implications of this database are enormous, he explains, and the close association with UB's School of Medicine and Biomedical Sciences adds impetus to the center's ability to contribute to the treatment of neurological diseases in general, as well as to the comprehensive care of women, in particular. "By approaching our research from a multidisciplinary perspective, as well as looking at data from the perspective of gender differences for these diseases, we may discover information we might not have otherwise found ," Weppner says. Since its inception, the Center for Women with Disability has attracted the attention of national healthcare organizations, including the New York State Depart- B u f f a 1 o Physician ment of Health, Baylor University and the Mayo Clinic, which last spring sent representatives to Buffalo to visit the center. ln addition, Brownscheidle was invited to present information about the center and the health-care assessment survey at the American College of Obstetricians and Gynecologists 1998 annual meeting in New Orleans and at the Women's Health Issues in Multiple Sclerosis Roundtable in Houston. She also moderated a national conference on women with MS and their healthcare concerns in Amelia Island , Florida, in june 1998. Although the center has not been widely advertised , patients, too , are finding out about it, and their numbers are growing steadily. "Patients are hearing about us ," says Epstein. "Recently, a woman who is an amputee called us to say that she was so thankful for the center because she hadn't had a Pap smear in 10 years. " Exposure and recognition like this is likely to engender continued interest in the growth and development of this unique center for women with disabilities, leading to even more comprehensive services for its patients. However, for Leona lrsh , an Episcopal priest diagnosed with MS, the fact that the center even exists is like an answer to a prayer. "I cannot say enough about what they are trying to do for us. It means so much that they are looking at us as whole people. " + Summer 1 9 9 9 0 ��Class of 1999 B f f a 0 p h y s c a n 5 m m e 9 9 9 0 �started about one year before my actual departure, when I called Dr. Brendan Thomson, whom Dr. Copley had listed as a contact person at the close of his article. Dr. Thomson is a UB alumnus (Class of 1970) who resides in Phoenix and actively runs an ongoing Nepali-American exchange program. He had been the guiding inspiration behind Dr. Copley's decision to travel to Nepal and had accompanied him on his journey When Dr. Thomson returned my call the next day, we realized that we are both graduates of Canisius College and UB medical school and found that our shared jesuit heritage resonated well. He gave me names , numbers and the advice I needed to begin organizing the most daunting task I had ever attempted. Specifically, my goals were to coordinate a medical experience for myself in a location halfway around the world, to complete my residency applications prior to leaving, and to not get killed or lost once I arrived at my destination. The details involved in implementing these goals were tremendous and the obstacles and stresses, extraordinary, but my zeal for adventure and the critical support of my family, girlfriend and several local members of the medical community enabled me to accomplish what I had set out to do. The hardest part of this excursion, I have since realized , was not the trip to Nepal itself, but convincing myself early on that it was worth all the sacrifices and risks I was taking. Having gone and returned, I no longer have any doubt that it was the best thing I could have done , as the trip contributed to my medical education and personal growth in ways I am only now beginning to fully understand. I left for the Far East in September of 1998 not ® B u f f a I o knowing what to expect but strongly motivated by a lifelong interest in biology , travel , wilderness medicine and foreign cultures. My plans to "go it alone " changed for the better at the last minute, when DJ, a good friend of mine from California, decided to come along. Arriving in Bangkok, Thailand, we settled in for a 14-hour layover priorto leaving the next morning for Kathmandu. As the sun was rising, we boarded the plane, which was filled with a motley assortment of colorful passengers, including local Nepali people, trekkers and climbers, and even some celebrities coming from around the world. I met and talked with jon Krakauer, author of Into Thin Air, after which I realized this was going to be a unique experience. Once we took off, I soon received my first dose of the Himalayan mountains , watching as the peaks cut through a thermocline layer of clouds like islands. The jet stream over the Indian subcontinent skims over Mount Everest and a comet-like trail of ice is commonly seen trailing off the peak. We wound through these giants until we approached the emerald green valley of Kathmandu far below. When we finally landed, I was overwhelmed by sensations I had only previously read about in books. The air was muggy from the jungles that surround the city, the sun was extremely hot and masses of people were everywhere, Physician Summer I 9 9 9 �.' Tibetian monks in the village of Pokhara in western Nepal invite Tom, left, and DJ to join them in a pick-up game of hockey sack. Pictured below, a monkey looks on as bodies are cremated on a pyre at Pashupatinath Temple overlooking the Bagmati River. although few seemed to have any real place to go. A loneliness and desperate feeling of emptiness consumed me as I pondered the enormity of spending more than six weeks in such a place. E\\ Co:--;cEPTS ABOL T LIFE, DEATH A\D BAsiC ExiSTE ·cE Once we boarded a epali cab and were under way, I was able to appreciate for the first time both the poverty and the history ofthis ancient place. Looking out my window, I marveled at the small crowded houses, dirt roads, completely disorganized traffic and hordes of people-a mosaic of life that exists under the watchful eyes of the Buddha, which peer from the many temples and stu pas that dot the region. Religion in Nepal is a blend of Buddhism from the north and Hinduism from the south, both mixed with a touch of Animism and Christianity. This blending makes the country a true melting pot and a place where people are very accepting of diverse philosophies and practices. Little did I realize how my perceptions of death, life and basic existence would be challenged and modified during my stay. My mentor during my stay in epa! was Dr. Buddha Basnyat, a local physician who had befriended Dr. Thomson during his first visit to Nepal years before. At the time, Dr. Basnyat had been intent on completing an internal medicine residency in the United States, and Dr. Thomson had helped place him at a Phoenix hospital and had invited him to stay in his home during the three-year fellowship . B u t t a l a Physician When we arrived at Dr. Basnyat's home, I was relieved to finally meet him and his wife and their three children. We were immediately escorted to their family room, where we exchanged "namastes" (a epali greeting meaning "I salute God in you"), after which we were offered tea. DJ and I soon realized that we could not have been blessed with a nicer family to ease our transition. Through the Basnyats, we were introduced to the many facets of Nepali culture, including its festivals, traditions and arts. One such art was the practice of relaxation, which stems from the belief in Nepal that work and leisure time are of equal importance. As a result, hours each day are devoted to relaxation and cultivating a balance between rest and activity. DJ , the Californian, adapted immediately; this medical student, in contrast, had a much harder time with the practice! A MIXTURE OF PEOPLE -\\0 DISEASES FRO\! AROt.; D THE PL.-1.'\ET In arranging for my excursion to Nepal, the plan was that I would "shadow" Dr. Basnyat during his work day at a general medicine clinic, where he is in Summer 1 9 9 9 �private practice with several partners. I would also accompany him on general rounds at the local hospital , conduct research with the Himalayan Rescue Association (HRA) and have some free time to go trekking. I spent the first two weeks in Kathmandu adjusting to my new environment, finding decent $3-aday rooms and struggling daily to maintain perspective. Patients at the clinic were truly a mix from all over the planet, which is to be expected when working roughly 180 degrees oflongitude from Cleveland. A simple fever workup takes on new meaning when a patient has recently been in India, sporadically taken his Lariam (anti-malaria medicine), flown to Lhasa, Tibet (a gain of about 3,200 meters in altitude in one day), cannot remember which vaccines he received, and has come to Kathmandu where he has not been too conscientious of sanitary conditions and has "reveled in the local festivities. " I saw much gastrointestinal illness, ranging from amoebas to cyclospora; sexually transmitted diseases; tuberculosis of all manifestations; rabid dog bites; infected leech bites; a host of dermatology, from psoriasis to cutaneous tuberculosis; and malaria. We also had a good share of common internal medicine problems , but these were often quite advanced. At Patan Hospital I saw untreated malaria , typhus, japanese encephalitis, chronic obstructive pulmonary disorder, anemias, amoebic liver abscesses, rabies and several other exotic maladies. I experienced for the first time the frustration of limited resources, and I developed respect for the local physicians and those whose religious devotion calls them here. While I did have a difficult time adjusting to the poverty of these patients, especially the children, I was impressed by the family presence in the hospital and by how much responsibility the patients' relatives assume. B u f f a l o LHR. L G RESPEC r 1OR \\- JLD PLACES In addition to my experience at the clinic and hospital, I was also very fortunate to work with Dr. Basnyat at the HRA. This organization coordinates rescue missions in the mountains, staffs physicians at strategic trekking and climbing routes, educates trekkers and studies Himalayan climate and biology. Dr. Basnyat's interests lie in high-altitude medicine and extreme environmental physiology. If they live, individuals who are seriously ill at altitude are likely to become patients of Dr. Basnyat's back in Kathmandu. Especially poignant to me in my work with the HRA is a case of a European man who ascended too high, too fast, along the Everest route. He ended up with a horrible case of cerebral edema and was found unresponsive with a pulse-oxygen rate of 38 percent (a rough measure of oxygen saturation in the blood, with the normal rate being about 90 to 100 percent); he never recovered full brain function. More than anything, this furthered my respect for the power of these and other wild places for both the sudden climatic changes that can cause havoc and the subtle insults that can accumulate over time. This firsthand exposure to the field of geographic medicine-which offered me a chance to combine my love of biology with medical work-confirmed for me that this is a discipline I will certainly continue to explore in the years ahead. At the HRA, I had a blast learning the local geography, giving advice to climbers, lecturing about acute mountain sickness (AMS) , designing research projects and, most notably, helping Dr. Basnyat develop theories to explain data he collected from a recent study of his. A theory I developed to help explain one possible component of AMS pathogenesis is currently being tested in the vicinity of Mount Everest, and my frequent daydreams are a testament to how excited I am over the possibility of having conjured a novel idea. I am fascinated by exotic diseases and intrigued by the prevention of such problems, especially when the added complexities of political and cultural differences are factored in. A. U\GUDED TREK L THE WILDER. ESS Soon it was time for DJ and me to leave Kathmandu for a long-planned 10-day trek in the Himalayan wilderness. We went without guides , often resorting to a global positioning system for direction. I had more than my share of leeches, headaches, pain, loneliness, silence and time to think while trudging through the remote terrain. Physician Summer l 9 9 9 �While on o bockcountry trek to Annopurno Sonctuory,Tom Cumbo, leh, come to the oid of o porter who cut his foot with on ox. I learned that this discomfort is the price one pays for the spectacular views normally reserved for IMAX theaters and the wisdom that potentially unveils itself during times of quiet reflection. We were blessed with cloudless mornings, interaction with the natives and time to think about our priorities in life. Dr. Basnyat's father, a devout Hindu, had previously given us lessons on filtering sensations and becoming pleasantly detached from our environment, and the extremes of emotion and physical sensation that characterized our trek provided plentiful fodder for this practice. The Nepal wilderness is harsh, featuring constant avalanches, landfalls, extreme variations in altitude and temperature, wild animals, disease and, at times, mysterious inhabitants. Clouds seem alive as they stream over the high passes. Glaciers creak and moan before unleashing rolling splinters of ice. Sinkholes open in the glacial field, unexpectedly swallowing tons of debris. Small streams become roaring rapids farther down the slopes as they swell with runoff from the icy peaks above. Buddhist prayer flags break the characteristic silence of the open range with crisp flaps, sending constant meditative mantras into the open air. As a final destination, we climbed into Annapurna Sanctuary-a holy land at 5,000 meters that is surrounded by 8,000-meter peaks--where we sat for days, staring in profound awe at the vast panoram;;~ . I also had my share of patients on the trek, which was especially frightening because, for the first time in my medical career, I was working completely alone. I treated climbers who had clear signs of acute mountain sickness and impending complications, others who were maladjusting psychologically and a B u f f a l a Physician local who sliced his foot with an ax and was bleedingprofusely.Itiscomical now to picture myself three days from civilization, using a latex glove with a small hole cut in the finger to irrigate the wound while getting loose translations from the patient's family and shooing curious animals away. Improvisation is often necessary in these circumstances. THE \\ tSDO\t Gu ED FRO\t SLCH AVE. TLRE My time in Nepal was one of the most challenging experiences I have ever had. I spent the majority of the trip adjusting to one tough emotion after another, interspersed with the most tremendous highs. The wisdom gained from such a venture will sei¥e me well for the rest of my life. What did I learn? In essence, I learned about the value of moderation and balance and the importance of family and close friends. I also learned that very rarely does the worst-case scenario in a particular situation actually materialize; that one must practice what one is passionate about; and that life can be cruelly unfair. This year-long project, with all its stresses and rewards, has altered my life dramatically. There were several moments when I felt sensory overload was imminent from the intensity of my experiences. Things I thought were constants have vanished, often painfully. Insights and opportunities have helped fill the void and offer direction. Home again, I thank God for these challenges, the maturation they have spurred and the opportunities they have unleashed. + Summer 1 9 9 9 �Funding Bolsters Research on Hearing Loss UB RECE IVES $5 .7 MILLION PROGRAM PROJECT GRANT FROM NIH he University at Buffalo has received a five-year, $5.7 million program project grant from the National Institu tes of Health (NIH) to expand studies aimed at understanding and treating acquired hearing loss, a condition that affects approximately 28 million people in the United States alone. The grant funds four projects in which investigators are studying the function of the peripheral and central auditory system in an effort to determine how and why noise and certain therapeutic drugs cause loss of hearing. Principal investigator is Richard ]. Salvi, PhD, professor of communicative disorders and sciences in the College of Arts and Sciences, clinical professor of otolaryngology and neurology in the School of Medicine and Biomedical Sciences, and codirector of UB's Center for Hearing and Deafness. In awarding the grant, the IH is supporting UB's efforts to build on significant contributions made over the past 12 years by an internationally recognized research group in the Center for Hearing and Deafness, a multidisciplinary effort involving 30 scientists from eight departments and three schools within UB. "This grant is wonderful news for the university," says UB President William R. Greiner. "It will enable Professor Salvi and his team to expand their pathbreaking research into the causes of acquired hearing loss. The outstanding work conducted by this group is a stellar example of the interdisciplinary research that we foster at UB. Their studies promise not only to advance scientific knowledge about acquired hearing loss, but to benefit millions of people who suffer from this affliction. We are proud that our center received this prestigious NIH grant and look forward to its continued success as a worldwide leader in its field ." UB Provost David]. Triggle notes that program project grants provide funding that makes it possible for scientists to research several related directions simultaneously. FOLR OvERLAPPI"<G RESEARCH THEMES The Center for Hearing and Deafness was established in 1987 by Donald Henderson, PhD, professor of communicative disorders and sciences and otolaryngology, and Salvi, both of whom came to UB that year from the University of Texas at Dallas. They were joined in the mid-1990s by researchers Robert F. Burkard, PhD, associate professor of communicative disorders and sciences and otolaryngology, and Sandra L. McFadden, PhD, research assistant professor of communicative disorders B u f f a l o P and sciences and psychology. Today the center is focusing its research on four overlapping themes that form the basis for the current program project grant. These projects target ( 1) molecular and cellular mechanisms of hearing loss; (2) effects of ototoxic agents and noise on cochlear function ; (3) functional alterations of the central auditory brain regions after partial or temporary hearing loss; and (4) the role of the ears' inner hair cells in the brain's processing of auditory stimuli. "To understand why a patient experiences difficulty in processing hysician Summer 1 9 9 9 �New W. M. Keck Foundation Center for Computational Biology BY complex sounds, we need first to understand how the auditory system processes acoustic information along the entire auditory pathway," explains Salvi. "Damage that originates at the periphery, or inner ear, can cascade through the system, disturbing activity throughout the entire auditory pathway, even spilling over to other sensory, motor, cognitive and emotion centers. This functional reorganization, or plasticity, is poorly understood because of a lack of an integrative research approach to acquired hearing loss. Our project provides such an approach, " he adds. + u f f a l o P hysici CHAMBERLAIN AND EL L E N G OLD BAU M ·D grant from the California-based W.M.Keck Foundation will move the University at Buffalo to the forefront in single-molecule research, an area of investigation so promising that the journal Science recently devoted an entire issue to it. The grant-funding the creation of a new W. M. Keck Foundation Center l for Computational Biology at the University at Buffalo-will allow a team of researchers in the School of Medicine and Biomedical Sciences to purchase high-speed computers that will greatly accelerate their study of the activity of ion channels. Ion channels are protein structures that regulate the flow of electrical currents in cells; when malfunctioning, they can lead to a wide spectrum of diseases. The UB researchers-Frederick Sachs, PhD, and Anthony l. Auerbach, PhD, professors of physiology and biophysics, and Feng Qin, PhD, research assistant professor of physiology and biophysics-have developed software programs that are revolutionizing the way scientists interpret ion-channel activity, which is so complex and timeconsuming that, until recently, many researchers simply gave up on it. With their "QUB" software, researchers around the world are able to discover in minutes how long it takes for an ion channel to change shape, which enables them to understand how it functions, or malfunctions. Previously, such calculations would have taken months. According to Sachs, it was Feng Qin-ot the time a graduate student and someone whom Sachs describes as "brilliant"-who developed the algorithms on which the software is based. "For 20 years, scientists have been collecting data on the random movements of molecules, but they didn't know how to interpret this information," says Auerbach. "Qin made several breakthroughs, and now the analysis is relatively easy." Scientists and software vendors have responded positively to the methods the UB team developed, and the instructional workshops that they hold are well attended. "Our programs are becoming the 'gold standard' for ion-channel research," says Auerbach. "The Keck grant is important to our future because it provides us with computing power that will allow us to push the limits of molecular dynamics," he adds. The Keck Foundation grant supports work that is part of an ongoing structuralbiology initiative at UB; it also builds on other recent corporate grants that are helping to make UB one of the top-1 0 supercomputing sites in the U.S. Founded in 1954 by the late W.M. Keck, founder of the Superior Oil Company, the W. M. Keck Foundation is one of the nation's largest philanthropic organizations. Its grants focus primarily on pioneering efforts in the areas of higher education, medical research, science and engineering. + PROGRAM PROJEa INVESTIGATORS, /eft to right, Sondra l. McFadden, PhD, Donald Henderson, PhD, Richard J. Salvi, PhD, ond Robert F. Burkard, PhD. B SUZANNE a n summer 1 9 9 9 ��···· · ··········· · ·· · ·· · ····· · ··· ·· · · · · ·· · ······· ············· · ···· · ····· · · · ········· · ··· · <· ~ ' ' ® Commencement for the School of Medicine and Biomedical Sciences at the State University of New York ot Buffalo wos held on Moy 8, 1999, ot the Center for the Arts on the North Campus. This year, the school conferred 144 MD degrees, 2 MD/PhD degrees, 35 PhD degrees and 52 master's degrees. Graduates induded students from the Graduate Division of Roswell Pork Cancer Institute. Pictured center, left to right: David Pawlowski, Daniel Perregoux, Stephen Przynosch ond Mary bsePuthiyomodom. Clockwise, from upper left: 1 faculty ond graduating PhOs Tiejon Wu, Or. Germaine Buck, Or. Arthur Michalek, Or. loon Dorn, Enrique Schistermon ond Jeanne Perla 2 Malcolm Heagle II 3 Honored Speaker Or. D. Bruce Johnstone 4 Or. Richard Sorkin, Brian Duffy and Or. Frank Schimpfhauser 5 Mary Rose Puthiyomodom ond family 6 Raquel Tonuzi. 6 u 111 m • r I 9 9 �Wiring Medicine for the Future LA S ARE uNDER VvAY at the University at Buffalo CONTINUING MEDICAL EDUCATION (CME) . CALENDARS OF LOCAL AND REGIONAL PROGRAMS AT UB AND THROUGHOUT WESTERN NEW YORK . CALENDARS OF NATIONAL AND INTERNATIONAL MEETINGS. CATALOGS OF PRODUCERS OF CME PROGRAMS. ONLINE INTERNET CME COURSES. to establish an online medical-information system to serve the educational, research, patient care and administrative needs of UB's dispersed multi-institutional health-care network. Funding in support of this futuristic planning has been provided to the university's Health Sciences Library through a two-year, $283,000 Integrated Advanced Information Management System (!AIMS) grant from the National Library of Medicine ( LM). Gary Byrd, director of the Health Sciences Library and the project's principal investigator, says the system will offer ready access to a virtual, knowledge-based library, as well as clinical-care, research and educational information resources. "The goal is to provide health-information resources that are organized and available across an electronic infrastructure that will enhance the processes by which health-care professionals teach and learn, conduct biomedical research, administer health organizations, provide patient care and offer consumer health information," he says. The Health Sciences Library will collaborate on the project with the Schools of Health Related Professions, ursing, Dental Medicine, Pharmacy, and Medicine and Biomedical Sciences, as well as with affiliated health-care organizations. For participating institutions and organizations, the project is expected to optimize and integrate information-technology goals and strategic priorities; help make effective use of shared expertise and technology; and offer an adaptable, sustainable, high-quality and cost-effective medical-information network with links to many sources of health-care data. The !AIMS grant will also provide programs and tools to help educate and train individuals to use easy-to-navigate, convenient and timely point-and-click workstations. Through these workstations, users will be able to access information independent of time constraints, physical location, organizational affiliation or workplace technology. The lAlMS program was initiated by the NLM, a division of the Nationallnstitutes of Health, in response to a report in the early 1980s by the Association of American Medical Colleges on the role oflibraries in information management. The report recommended that academic medical centers develop information networks to help integrated medical units communicate better. Co-principal investigators for the grant are Bruce Holm, PhD, associate dean for research and graduate studies in UB's School of Medicine and Biomedical Sciences, and Francis Meyer Jr., vice president for information systems and technology for Kaleida Health. + - 18 Buffalo P hysician P ATRICIA Summer D ONOVAN 1 9 9 9 �·········································· · ·········· ·· ···· · ······· · · · · · · · · · · · · · · · · · · ·· · ·. • g I Students Who Are aSTEP Ahead OUR BufFALO->\REA HIGH SCHOOL students participating in the Science and Technology Entry Program (STEP) at the University at Buffalo School of Medicine and Biomedical Sciences were awarded first place in the Natural Science Category I for a poster they presented at the STEP Statewide Student Conference held May 22-23, 1999, in Syracuse, New York. The poster, titled "Heart Health utrition: The Regulation of Homocysteine by Folic Acid, Vitamin B-6 and B-l2Intake," was prepared and presented by Latasha . Evans, a junior at Holy Angels Academy; Lynette A. Gholston, a sophomore at Villa Maria Academy; Nichole M. Gonzales, a sophomore at iagara Wheatfield Senior High School; and Aprile Hollinsworth, a sophomore at Buffalo Traditional School #192. The group received $250 for the first place finish and each member was presented a certificate. The purpose of the STEP Program is to assist underrepresented minority or economically disadvantaged secondary school students in acquiring the prerequisite skills necessary to pursue pre-professional or professional educational programs in scientific, technical or health-related fields, according to Carolyn Hamilton, EdD, assistant dean for Minority Affairs at UB. STEP is open to qualified students in grades 9 through 12. Those who earn entrance to the program complete a two-week orientation, after which they begin the Summer Component, which places them in a university-affiliated hospital where they gain exposure to science and health care through work experience. "This experience is enriched by field trips to the UB South Campus, where the students visit the Neuroanatomy Museum, learn how to conduct research on the Internet in the B u f f a l o I students to the statewide conference, says the four young women researched their winning poster presentation on the Internet and at the Health Sciences Library, as well as contacted a lentil producer in Idaho to obtain dietary information, food samples and recipes. In addition, Murray Ettinger, PhD, Distinguished Teaching Professor of Biochemistry, assisted the students in illustrating a molecular model of homocysteine; and Raymond Dannenhoffer, PhD, in the Department of Anatomy and Cell Biology, provided the students with two heart models. Dennis Nadler, MD, associate dean for Undergraduate Medical Education, andj ohn R. Wright, dean of UB's School of Medicine and Biomedical Sciences, also provided support for the students. "The judges reviewing the posters interviewed the students about their research and each was able to answer a number of questions in a very knowledgeable way," says Coplin. "They were Health Sciences Library, participate in sessions in the Gross Anatomy Laboratory and assist and observe medical students who are examining standardized patients," says Monyuette Y. Coplin, STEP program coordinator in the Office of Minority Affairs. "Many of the students also attend UB's Mini-Med School and Mini-Vet School," she adds. During the academic year, the students attend Saturday classes in biophysics, biochemistry, applied math and computer science that are taught by first- and second-year medical students. "The medical students are good role models and will often informally share information Left to right: Aprile Hollinsworth, lynette Gholston, Nichole Gonzales, latasha Evans with the STEP stu- and Mrs. Monyuette Y. Coplin, STEP's program coordinator at the University at Buffalo. dents about how best to prepare for careers in health care or poised throughout the competition science," says Hamilton. and we are all very proud of their In addition to the hospital experi- accomplishment." + ence, academic instruction and laboratory exercises, students can avail STEP and its activities are supported by a themselves of a Tutorial Program if they grant from the New York State Education are experiencing difficulty with school- Department. For more information on the prorelated subjects. Also, to ensure they gram at UB, contact Monyuette Y. Coplin in have the best possible chance of meeting the Medical STEP Office at (716) 829-2802; their career goals, the students receive or e-mail her at myc@acsu.buffalo.edu. vocational and career counseling. - 5. A. UNGER Coplin, who accompanied the Physician Summer �• ··· · ······· · ··· · ······ ···· · ······· ····· · ······ · ······ ·· · ·· ····· · · · ········· · ·· · ········· ~ I Renee Abderhalden· Friend Internal Medicine, SU Y/Buffalo Graduate Medical-Dental Educauon Consortium BUFFALO, NY Match Day 1999 Bettina Ackermann Pediatrics, Eastern Virginia Stephanie Babcock Pediatrics, Cleveland Clinic CLEVELAto;D, 0 H Lisa Balduf Surgery, Universtty of New Mexico School of Medicine ALBUQUERQUE, M Medtcal School Fayyaz Barodawala Medicine (Prelim), SU Y/Buffalo ORFOLK, VA Daniel Alexander Orthopaedics, Henry Ford Health Science Center Detroit, Ml Graduate Medical-Dental Education Consortium, Buffalo, NY; Diagnostic Radiology, Dartmouth-Hitchcock LEBANON, N H Martha Aliwalas Family Practice, University of Pittsburgh Medical Center, St. Margaret Todd Battaglia Orthopaedics, University of Virginia PITTSBURGH, PA Michael Ament Medicine (Prelim), Renee Baughman Obstetrics/Gynecology, SUNY/Buffalo Graduate Medical-Dental Education Consortium Untversity of Colorado; BUFFALO, CHARLOTTESVILLE, vA Y Neurology, University of Colorado DENVER, CO Lynn-Marie Aronica Obstetrics/Gynecology, SU Y/Buffalo Graduate Medtcai-Dental Education Consortium BIJFFALO, NY Kurt Benham Ophthalmology, SUNY/Buffalo Graduate Medical-Dental EducatiOn Consortium BUFFALO, Y Florence Bero Family Practice, University of Vermont/Fletcher Allen BURLINGTON, VT jorge Arzola Marrero Surgery (Prelim), SU Y/Buffalo Graduate Medical-Dental Education Consortium BuFFALO, Y Jason Borton Emergency Medicine, SU Y/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Tahsina Atiquzzaman Family Practice, Stony Brook Teaching Hospital STONY BROOK, NY ® B u a Y �Amy Breden berg Family Practice, john Peter Smith Hospital FORT WORTH, TX Thomas Cimato Internal Medicine, Hospital of the University of Pennsylvania PHILADELPHIA, PA William Breen Ill Family Practice, Eastern Maine Med1cal Center BANGOR, ME Thomas Cumbo Internal Medicine, johns Hopkins University/Sinai Hospital of Baltimore BALTIMORE, MD Ann De Nardin Family Practice, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY Molly Susan Esposito take to the air waves with their news. Andrea deRosas Medicine (Primary), SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY Susan Esposito Emergency Medicine, johns Hopkins Hospital BALTIMORE, MD Deidre Brown Family Practice, SUNY/Buffalo Graduate, Medical-Dental Education Consortium BUFFALO, NY joyce Cummings Pediatrics, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Y Andre Dick Surgery, Penn State Geisinger HERSHEY, PA Brian Cambi Internal Medicine, Yale-New Haven Hospital EW HAVEN, CT Patrick D' Abbracci Internal Medicine, University of Southern California Los ANGELES, CA Melissa Dilanni Internal Medicine, Brown University PROVIDENCE, Rl Christopher Carlson Internal Medicine, University of Michigan Hospitals ANN ARBOR, M! Chantell Dalpe Obstetrics/Gynecology, State University of ew York Health Center SYRACUSE, y Michael Docherty Internal Medicine, University of Cahforn1a, San Diego Medical Center SAN DIEGO, CA Andrew Fagelman Urology, Maimonides Med1cal Center BROOKLYN, Y John Carter Emergency Medicine, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Y Patricia Danaher Family Practice, Washington Hospital WASHI"'GTON, PA Brian Duffy Surgery, Eastern Virginia Medical School ORFOLK, VA Tanya Falkowski Pediatrics, University Maryland Medical Center BALTIMORE, MD Christopher Deakin Psychwtry, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, y David Dugan Surgery (Prelim), SU Y/Buffalo Graduate Med1cai-Dental Education Consortium BUFFALO, Y Barbara Fare Medicine/Pediatrics, Orlando Reg10nal Med1cal Center ORLANDO, FL Barbara DeGuiseppe Psychiatry, SUNY/Buffalo Graduate Medical-Dental EducatiOn Consortium BUFFALO, NY Nadine Duhan Surgery, Rush-PresbyterianSt. Lukes CHICAGO, IL Albert Chu Pathology, Hospital of the University of Pennsylvania PHILADELPHIA, PA Lynn Dunham Pediatrics, SU Y/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Y jessica Edwards-Reich Obstetrics/Gynecology, Long Island jewish Hospital NEW HYDE PARK, NY Philip Ehrlich Medicine (Prelim), Alton Ochsner Medical Foundation, New Orleans, LA; Ophthalmology, Louisiana State University Eye Center EW ORLEANS, LA Douglas Evans Surgery (Prelim), SU Y/Buffalo Graduate Medical-Dental Educauon Consortium, BUfFALO, Y; Orthopaedic Surgery, SUNY/ BuFFALO Graduate Medical-Dental Education Consortium BuFFALO, NY Craig Feinberg Internal Medicine, George Washington University wASHINGTON, DC Victor Fila dora II Medicine (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium BuFFALO, NY; Anesthesiology, Brigham & Women's Hospital BOSTON, MA Oren Fix Internal Medicine, Boston University Medical Center BOSTON, MA James Flaherty Internal Medicine, McGaw Medical Center-NW C!liCAGO, !L John Fojtik Emergency Medicine, MCP Hahnemann University PHILADELPHIA, PA Corey Harrison, center, looks to the future. 9 9 �• ·········· · ········ · · · ···· ·· ·· · ······· ·· ~ I Karen Foti Pediatrics, Tulane University School of Medicine, ew Orleans, LA Timothy Fox Emergency Medicine, Maine Medical Center, PORTLAND, ME Medicine (Prelim), University of Utah Affiliated Hospitals SALT LAKE CITY, UT; Radiation Oncology, University of Utah Affiliated Hospitals SALT LAKE Cny, UT Malcolm Heagle II Pediatrics, University of South FLORIDA, TAMPA, FL Elizabeth Francis Medicine (Prelim), Mary Imogene Bassett Hospital, Cooperstown, Y; Dermatology, Penn State Geisinger DANVILLE, PA Brandy Helminiak Emergency Medicine, Ohio State Umverslty Medical Center COLUMBUS, OH Natasha Frangopoulos Surgery (Prelim), Mt. Sinai Hospital, New York, NY; Otolaryngology, Mt. Sinai Hospital EW YORK, NY John Henry Medicine (Prelim), University of Rochester/Strong Memorial Hospital ROCHESTER, NY; Neurology, University of Rochester/ Strong Memorial Hospital ROCHESTER, NY Eric Fung Surgery (Prelim), State Umverslty of ew York Health Center, SYRACUSE, Y; Otolaryngology, State Umversity of New York Health Center SYRACUSE, Y Renee Hernandez Internal Med1cine, Einstein!Montefiore BRONX, NY Karen Gerber·Vecsey Pediatrics, SUNY/Buffalo Graduate Medical-Dental Education Consortium BurrALO, NY jennifer Griffith Surgery, University of Rochester/ Strong Memonal Hospital ROCHESTER, NY Molly Harrington Pediatrics, Maine Med1cal Center PORTLAND, ME Corey Harrison Emergency Medicine, University of Massachusetts WORCESTER, MA Lisa Hazard Maria loTempio Otolaryngology, University of California Los Angeles Medical Center Los ANGELES, CA Stefan lucas Anesthesiology, University of Rochester/Strong Memonal Hospital ROCHESTER, Y Kristine Klein Obstetrics/Gynecology, Albany Medical Center Hospital ALBA~Y. Patricia Lugar Internal Medicine, McGaw Medical Center-Northwest CHICAGO, IL y Mitchell Kolker Surgery (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Y; Otolaryngology, SU Y!Buffalo Graduate Medical-Dental Education Consortium, BUFFALO, Y Kelly Holes Family Practice, SUNY/Buffalo Graduate Medical- Dental Education Consortium BUFFALO, NY Brett Mascia Pathology, University of Virginia CHARLOTTESVILLE, v A lucy Mastrandrea Pediatrics, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY Margaret lafferty Pediatrics, SUNY/Buffalo Graduate Medical-Dental Educauon Consortium BUFFALO, y Teague Horton Pediatrics, University of Virgima CHARLOTTESVILLE, VA Shannon Howe Pediatrics, SU Y!Buffalo Graduate Medical-Dental Education Consortium BuFFALO, NY Timothy McGrath Surgery (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Y; Orthopaedic Surgery, SUNY/Buffalo Graduate Med1cal-Dental Education Consortium BUFFALO, NY Henry lee Medicine (Prelim), McGaw Medical Center-Northwest CHICAGO, IL; Ophthalmology, Wills Eye Hospital, Thomas jefferson University PHILADELPHIA, PA Wayne Hwang Medicine (Prelim), SU Y!Buffalo Graduate Medical-Dental Education Consortium, BUFFALO, N Y; Diagnostic Radiology, Allegheny General Hospital PITTSBURGH, PA Amy jones Internal Medicine, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Y a Michael Lipke Surgery (Prelim), New York University Medical Center NEW YORK, NY Won Hee Kim Medicine/Pediatrics, Stony Brook Teaching Hospital $TONY BROOK, NY Keith Herr Psychiatry, Emory University School of Medicine ATLANTA, GA B Ellyn Sellers share in the excitmenl. Edward Kim Internal Medicine, SUNY/Buffalo Graduate Medical-Dental Education Consortium BuFFALO, Y Haruka ltakura Internal Medicme, Hospital of the University of Pennsylvania PHILADELPHIA, PA Group hug said it all this day for Keith Herr, lisa Thebner and lisa Balduf. Left to right: Sandra lee, Edward Kim and Sanjiv Kayastha Plastic Surgery, Spectrum HealthDowntown GRAND RAPIDS, Ml 0 Karen lee Pediatrics, University of Massachusetts WORCESTER, MA Carri·Ann Megargel Internal Medicine, SU Y!Buffalo Graduate Medical- Dental Educauon Consortium BUFFALO, NY Sandra lee Psychiatry, YP Hospital-Cornell NEw YoRK, NY Michael Melman Research Tingting Li Internal Medicine, Barnes-jeWISh Hospital ST LOUIS, MO Daniele Merlis Pediatrics, Albert Einstein College of Medicine, jacobi Medical Center BRONX, NY Michael Lioudis Graduate School MBA, Umversity of orth Carolina CHAPEL HILL, C Susan Miller Pediatrics, SU Y!Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY p y s a 5 m m e 9 9 �··· · ···· · ····· ·· · ·· ············· · ··················· · ············ • · ·. ~ I Charles Roche Medicine (Prelim), SUNY/Buffalo Graduate Medical-Dental Educauon Consortium BUFFALO, NY; Diagnostic Radiology, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY Charlie Pan Medicine (Prelim), St. joseph Mercy Hospital ANN ARBOR, Ml; Radiation Oncology, University of Michigan Hospitals ANN ARBOR, Ml Kathryn Montgomery Pediatrics, University of Connecticut FARMINGTON, CT Natesh Parashurama Surgery (Prelim), Boston Universtty BosTON, MA Amy Morrow Pediatrics, University of Michigan Hospitals ANN ARBOR, Ml Parag Parikh Surgery (Prelim), University of California, Irvine Medical Center, IRVINE, CA; Otolaryngology, University of California, Irvine Medical Center IRVI NE, CA Khader Muqtadir Medicine (Prelim), Evanston NW Health Care EVANSTON, IL; Diagnostic Radiology, Cleveland Clinic CLEVELA~D. OH Zulma Rosado Family Practice, Jamaica Hospital Medical Center jAMAI CA, NY Ari Rubenfeld Surgery (Preitm), Georgetown University, WASHINGTON, DC; Otolaryngology, Georgetown University WA SHI GTON, DC Rupal Patel Transitional, Crozer-Chester Medical, SPRINGFIELD, PA ; Ophthalmology, SU Y/Buffalo Graduate MedicalDental Education Consortium BUFFALO, NY Elena Napolitano Medicine (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, Y; Physical Medicine and Rehabiiitation,UMDNJ EWARK, j Frank Salamone Otolaryngology, Umverstty of Cincinnati CINCINNATI, OH Ahlam Saleh Family Practice, University of Massachusetts Medical Center Health Alliance Hospital-Leominster FITCHBURG, MA David Pawlowski Family Practice, Duke University Medical Center DURHAM, NC Daniel Perregaux Emergency Medicine, Mancopa Medical Center PHOENIX, AZ Heidi Narins Emergency Medicine, SUNY/Buffalo Graduate Medical-Dental Educauon Consortium BUFFALO, Y Anthony Santilli Internal Medicine, Brown University PROVIDENCE, Rl Marsilia Seiwell Obstetrics/Gynecology, SUNY/Buffalo Graduate Medtcai-Dental Education Consortium BuFFALO, NY Stephen Przynosch Family Practice, Toledo Hospital TOLEDO, OH Jeffrey Nechleba Orthopaedics, Hamot Medical Center ERIE, PA Mary Rose Puthiyamadam Medicine/Pediatrics, Penn State Geisinger HERSHEY, PA Bretton Newman Family Practice, Columbta St. Marks SALT LAKE CnY, UT Ellyn Sellers Famtiy Practice, Catilion Health Systems ROANOKE, VA Crystal Nicholson -Springer Pediatrics, Nassau County Medical Center EAST MEADOW, NY Michael Rauh Surgery, SUNY/Buffalo Graduate Medical-Dental Educauon Consortium BUFFALO, Y Daniel Nosek Family Practice, Palmetto Richland Memorial Hospital CoLuMBIA, SC James Reuther Psychiatry, University of Texas Medical School HousToN, TX Joy Nwachukwu internal Medicine, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY Kevin Robillard Internal Medicine, University of Rochester/Strong Memorial Hospital ROCHESTER, Y Sonia Shah Internal Medicine, Medical College of Vtrgmia Richmond , VA Shams Sheikh Medicine (Prelim), University of Rochester/Strong Memorial Hospital, Roc HESTER, Y; Diagnostic Radiology, Yale-New Haven Hospttal NEW HAVEN, CT Gregory Shipkey Emergency Medicine, Darnal Army Community Hospital FoRT HooD, TX Michael O' Brien Internal Medicine, Brown University PROVIDENCE, Rl Natalie Sikka Pediatrics, Baylor College Medical HousTON, TX Thomas O'Donnell Otolaryngology, Penn State Geisinger DANVILLE, PA B a 0 p h y c a n 5 m m e 9 9 9 I Jenny Speranza Surgery, Stony Brook Teachers Hosptta! STONY BROOK, y Brian Stout Pediatrics, Umversity Hospttals CLEVELAND, OH Michael Stratemeier Emergency Medicine, orth Shore Umverstty MANHASSETT, NY Ivan larkin Surgery (Prelim), Monmouth Medical Center LONG BRA NCH, j lisa Thebner Pediatrics, Emstein!Montefiore BRONX, NY Eric Thierman Medicine/Pediatrics, SU Y/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY Katherine Timoszyk Medicine (Prelim), Georgetown University Hospital, WASH I GTON, DC; Neurology, Duke University DuRHAM , NC Racquet Tonuzi Medictne!Pediatrics, SUNY/Buffalo Graduate Medtcai-Dental Educauon Consortium BUFFALO, NY Sylvia Tufano Obstetrics/Gynecology, Untversity of Connecticut FARMINGTON, CT Jayadeep Varanasi Internal Medicine, University of orth Carohna Hospital CHAPEL Ht LL, NC Leonard Vaughan Surgery (Prelim), SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY Amy Weinstein Internal Medicine, McGaw Medical Center-Northwest CHICAGO, IL Ryan White Urology, Albany Medical Center Hospttal ALBANY, NY Judi Wolf Pedtatncs, SUNY/Buffalo Graduate Medical-Dental Education Consortium BUFFALO, NY �Mission Improbable SUZANNA GOODYEAR , 'Z" \ '90, ENTERED US' S MEDICAL SCHOOL AT AGE 54 GooDYfi\R \V\S BOR"< atatimewhenprofessionalcareeroptionsforwomenwerefew and generally considered little more than stopgaps until marriage and children came along. Small wonder, then, that she nearly missed out on fulfilling her girlhood dream of becoming a physician and caring for the poor and needy "It's something that's been in my blood all my life," she says. "My uncle was the medical director of a Quaker mission in Kenya in the 1930s, and it was something I knew I wanted to do. But I didn't know how to get there and I didn't know who to ask." From the age of 14 through her teens, of a pharmaceutical company. A couple Goodyear held tightly to her goal. lt of years later, after taking a position in wasn't until her college years that her the Biochemistry Department at Albany dreambegantofade.Shehadstartedout Medical College in Albany, ew York, as a chemistry major and pre- r - - - - - - - - . she again thought briefly 8 v med student at Earlham about applying for medical 8 E T 5 v College in Richmond , school. But self-doubt won 5 A w v E R out, and she allowed her Indiana, but there were no dream to return to dormancy. strong female role models after whom she could pattern her As the years passed, she immersed career. It was the 1950s, and women herself in her chemistry pursuits. While physicians-especially women in on staff at the New York State Departprivate practice-were not common. ment of Health in Albany, she was honWhile at Earlham , she had an ored in the 1966 edition of Outstanding opportunity to work with a few women Young Women ofAmerica for her work in physicians in the wards of a psychiatric measuring radioactive fallout. Nine years hospital. However, instead of spurring later, she became one of the department's her on, the experience only served to senior radiologic chemists. discourage her. As rewarding as Goodyear's career 'These women were my mother's appeared, deep down she still wasn't generation, and I was not impressed. satisfied . Despite her success-and They were subordinate to the men . imperceptibly to everyone, including Where the men were surgeons, the herself-the seeds of her dream had women took care of coughs and colds. continued to send forth roots. Doubts As I look back today, I admire them, but about the career path she'd chosen l didn't then. l was 21 and l didn't see increased in the 1970s as she met and them as pioneers," she says. began socializing with several women "l think if l'd had a mentor , l might physicians. Unlike those she'd known have gone on. But there was no one to in college, these women were enjoying show me the way, sol gave up. " successful medical careers. After completing a master of science Around that time, circumstances at degree in biochemistry in 1957, she work began to shift, as well. There were went to work in the research laboratory cutbacks and frustrations at the lab, B u f f a l o Physic including increasing problems with the computers . Annoyed with the programmers' inability to correct the problems, Goodyear took a 10-week math application course and began to do some programming on her own. "I also took a course in statistics because the department was reducing staff and l realized these were good skills to have," she says. "But l didn't enjoy it that much , and l knew l didn't want to do it for the rest of my life. l'd work on the computers for an hour or so a day and then head back up to the lab to do something else. That's when l finally sat down and asked myself, 'What would l do ifl could do anything in the world?"' The answer hit her square in the heart: lt was 1983, Goodyear was 52, and she knew she still wanted to be a doctor. "l sat down and cried," she says. Then she set out to change her life. BAcK To ScHooL AT 54 t first, Goodyear was secretive about her decision to apply to medical school. "lt was very difficult to find anybody l felt l could confide in. l didn't need the entire health department lab putting me down. So l'd sneak into the library to get information on medical school and costs. " A i an Summer l 9 9 9 �Today Suzanna Goodyear, MD '90, works for Health Access, a free clinic in rural Clarksburg, West Virginia, where she serves indigent and low-income patients_ One of her surreptitious factgathering efforts netted the study guide for the Medical College Admission Test (MCAT). At the back ofthe booklet she found the information she needed on the application process. "I saw that I needed to do some review work to prepare," she says. "After all, I'd been out of school for more than 30 years. So I started taking courses at Russell Sage College in Troy, New York, and reading textbooks on my own during my lunch hour. " Continuing to work full-time in the B u f f a l a lab, Goodyear spent the next two years studying genetics, organic chemistry, biology and physics. To broaden her experience, she also worked as a volunteer with geriatric patients. She passed the Red Cross Water Safety course and taught swimming lessons. Next, she completed coursesinFirstAidandcardiopulmonary resuscitation and joined an emergency ambulance crew. After being on call every Friday and Saturday night for two years, she completed tests to become a licensed emergency medical technician. The preparation paid off and, at Physician Summer 1 9 9 9 age 54, she passed the MCAT. But scoring well on the test was just one hurdle on the way to gaining acceptance to medical school. She then had to convince an admissions commiHee that she was a good investment, despite being older than most other applicants. "Once I knew what I wanted, assuring other people that I could do it became my greatest barrier to medical school," she says. While interviewing at UB's School of Medicine and Biomedical Sciences, she readilyconcededthatshewasolderthan �the typical student and then pointed out the advantages. "I told them, 'Statistically I may have less time, but you don't really know that about anyone. The average age for a doctor to commit suicide is 45, and I'm past that. I have no children, and I'm past that. I have many years to devote to medicine."' Thomas Guttuso, MD, director of admissions at UB's School of Medicine and Biomedical Sciences, says that although the school does not have an official age policy, Goodyear's application "did raise eyebrows." "In the case of an older student, concerns arise about the appropriateness of spending the money it takes to educate a medical student versus what society will get back," he says. "However, we judged Goodyear's application like everyone else's, on the suitability of her qualifications. " Recalling his interview with her, Guttuso says, "She was very energetic and we felt she would give back to society what she gained from a medical education. And her career certainly bears this out." In April 1986, Goodyear received notice of her acceptance by UB. Her next step was to retire from her job, which, at the time, involved monitoring airborne radioactivity from the Chernobyl disaster. She was ready to become a full-time medical student. AGE G~P A ge has its advantages, Goodyear realized, as she discovered that she was better off financially than many of her fellow students. ''I'd had a good job with the State of New York, and I was eligible for early retirement at half my state salary. I didn't have to scrimp, like so many of my classmates did. Also , I had never married and had no children and my parents had died a few years earlier, so I didn't have family responsibilities. I was entirely free to go my own way." On the other hand, after 30 years in services. In her third year of residency at the professional world, Goodyear had the local hospital, she worked at the developed certain expectations of her clinic several evenings a week. peers. "It irked me when classes started "One night when I was finished with late because people couldn't get up in my shift, I was talking to one of the the morning and be there on time. I felt founding physicians. My excitement the same way as an intern and resident. about the program must have shown I expected things to start on time and for through, because they found the money people to pull their own load. I may to pay me as a full-time staff member. have been slower, but I worked hard so I started in August 1993, following people wouldn't have to do my work." graduation and completion of my Goodyear's social life was affected by family practice boards in july." Today, Goodyear continues at Health the age gap, as well. "My interests were different, and I didn't know how to Access, which is one of about a dozen socialize with my peers," she says. "I free clinics in the state. Supported by attended the Methodist church near cam- state and community funding, the clinic pus. It was an older congregation in what serves patients who meet federal stanhad been a working-class neighborhood. dards for poverty, have no insurance, are not eligible for Medicaid and have no That's where I got my best support." Another problem, Goodyear says, was other source of assistance. West Virginia her inability to stay awake between limits Medicaid to pregnant women, 1 and 3 p.m. "I could study all morning disabled persons and children under age and all evening, but not in the after- 18, leaving a large population of patients noon," she says. "When I went back to eligible for the clinic's assistance. "One of the reasons we use such school, I had no trouble with nightschool work. But afternoon lectures were strict guidelines is so we can access indigent patient programs," she says. dreadful. They still are!" "At this level, the hospital provides 100percent assistance to our patients, and MISSIO'\ TO THE NfED) uring her senior year in medical many major drug companies offer school, Goodyear had an opportu- special pharmacy assistance programs." Health Access provides primary care, nity to experience the mission field. She spent eight weeks at the Presby- as well as referrals to specialties, through terian Mission Hospital in Kikuyu, the volunteer service of medical staff in Kenya. It was rewarding, but enough of the community. All of Clarksburg's phya culture shock to prompt her to seek sicians are on the local hospital staff, charitable opportunities closer to home. and about 90 percent of them donate After her return to the States, she time to the clinic. Additionally, a pharfocused on serving impoverished maceutical company in the area donates many of the products the clinic needs. patients in rural America. For Goodyear, "working part-time "I was fascinated by an article written by a doctor who'd set up a clinic in for the pittance that a charitable healthAppalachia, and I wanted to do some- care organization can pay" represents thing similar. That's why I came to the apex of her career and fulfillment of Clarksburg, West Virginia, for my a lifelong dream. residency," she says. "Caring for people who really need it When a new community clinic for is the most rewarding thing I've ever indigent and low-income patients done," she says. "And to think I almost opened in Clarksburg in October 1992, missed it. Sometimes the highly Goodyear was quick to volunteer her improbable is possible, after all." + D B u f f a l o Physician Summer 1 9 9 9 �B y L 0 I S 8 A K E R Empowerment · and WomenS Health EQUAL OPPORTUNITY FOR A LONG, FULFILLING LIFE Betty Friedan, the first president of the National Organization for Women and the nation's best-known feminist, presented an informal talk on the impact of women's empowerment on their physical and mental health on May 1, 1999, during the 62nd Spring Clinical Day sponsored by the UB Medical Alumni Association, held in the Buffalo-Niagara Marriott in Amherst, New York. clearly brought about this Friedan was the first change, Friedan noted, woman to present the Stockpointing out that this ton Kimball lecture and to change has an important receive the association's impact on women's health, Stockton Kimball Award. as well as on their econoWomen's health was the mic status. theme of this year's Spring She referred to an early Clinical Day, which featured study that found that several presentations on women's mental health breast and ovarian cancer. peaked when they were in Accustomed to speaking their 20s and dropped before gatherings attended dramatically after age 40, almost exclusively by compared to men. "It was women, Friedan opened her thought normal for remarks by joking about the women to go into depresnumber of men in the audision in menopause," ence, a legacy of a profesFriedan said. sion that for many years was Author and feminist Betty Friedon. "It even had a classifialmost exclusively male. She cation: involutional melancholia." contrasted that historical state of affairs with When women were defined only by their the current situation, in which enrollments in feminine role, not as individuals in their own many medical schools are half women. In fact, right, life was over after 40, she noted. "The the class entering the UB School of Medicine love story was the only one that women could and Biomedical Sciences this fall will have a be a hero of. But now, women's mental health majority of women for the first time in the after menopause is better, maybe better even school's 153-year history. than it was in their 20s, 30s and 40s. " The empowerment of women through the women's movement of the 1960s and '70s Buffalo Phys CONT I NUED ON i cian Summer PAGE 1 9 28 9 9 �As women en tered the professions in large num bers, the con cept of the working woman took on a negative tone, Friedan observed. "The hype was 'Women have to have it all,"' she said. "But nobody ever says anything about men having it alL For 30 years people h ave been trying to prove that women's employment is bad for children and they couldn' t do it. Now the newest study sh ows that employment is good for children . .. . Big news! " "Of course women are happier when they aren't living exclusively through their children and they aren't seething with frustrated rage," Friedan said. "There is also less stress and pressure on the man when he isn't solely responsible for providing for the family. That has to be good for children." Friedan said that, while empowerment has had a positive effect on women, th ey historically have lived longer than men, and she suggested this discrepancy as a fertile area for study. "Something about the male role must be a killer. There should be research into the things about women's roles that are good for life," she said, going on to state what she thinks some of those might be. "We carry with us a biological grou nding in a sensitivity to life," Friedan said . "It is part of the socialization of women. We don' t have to suppress our tears and fears. " She offered three characteristics that women who are vital into their 90s have in common: the ability to deal with change, th e ability to deal with loss and the willingness to take risks. Medical Alumni Lifetime Achievement Awards his year's recipients of the School of Medicine and Biomedical Sciences' lifetime Medical Alumni Achievement Awards are as follow: • Elizabeth Olmsted Ross, MD '39, clinical assistant professor of ophthalmology at UBwho has been in private practice in Buffalo since 1944. (See profile on page 39.} then went on to complete fellowships in gastrointestinal physiology at the university's Cardiovascular Research Institute and at the Veterans Administration HospitaL Throughout his career, Way has been recognized for his excellence in teaching and has received numerous commendations and citations for his contributions in this area. From 1991-1992, he was president of the Son Francisco Surgical Society and from 1995-1997, served as chair of the board of trustees lor the Society lor Surgery of the Alimentary Tract. Currently, he is a consultant to the Gastroenterology and Urology Devices Advisory Panel for the FDA. • James E. Youker, MD '54, professor and chair of the Department • Stephen C. Scheiber, MD '64, of Radiology at the Medical College of is professor of psychiatry at NorthwestWisconsin. In recognition of the excelern University and executive vice presilence Youker has brought to his departdent lor the American Board of Psychiament-especially in the areas of patry and Neurology, a position he has tient care and research-he was given held lor 10 years. "However, to all of the Distinguished Service Award by the us-more than anyone else inthe United Medical College of Wisconsin in 1989.1n States-he is someone who is seen as 1997, he was a recipient of a Gold the standard bearer for American psyMedal of the Association of University chiatry and neurology," said Susan Radiologists. Youker has served as a Mcleer, chair of UB's Department of member of the Board of Chancellors Psychiatry, who introduced Scheiber. She and as vice president lor the American added that Scheiber has built a national College of Radiology. He has also served reputation as an educator and scholar STEPHEN c. SCHEIBER, MD on the board of trustees for the Radioconcerned with the health of physicians logical Society of North America. Currently, he is a and the educational process in psychiatry. "But, most member of the executive committee of the American importantly," she said, "Steve has worked tirelessly Board of Medical Specialties and is president-elect of to ensure that residents in psychiatry and neurology the ABMS. access quality training" and noted that his work with • Lawrence W. Way, MD '59, vice chair ofthe the American Boord helps to assure that patients have Department of Surgery at the University of California access to well-trained and skilled professionals." at San Francisco and director of UCSF's Videoscopic Scheiber has served on the editorial boards of numerCenter in the Department of Surgery. Anative of St. ous peer-reviewed journals, has been a reviewer lor Louis, Missouri, Way attended Cornell University be- NIMH grants and has been honored as a visiting guest lore earning his medical degree at UB. He completed professor at over 50 medical schools throughout the his internship and residency training at UCSF, where he nation. New Alumni Association Otficers Elected B u f JOHN f a l o P J . hys BODKIN, i cian II , MD , Summer 1 9 9 9 �Clinical] Madeline and Frederick Szymanski, Closs of 1939, enjoying 60-yeor reunion festivities. Elizabeth Olmsted Ross and John H. Remington, celebrating 60-yeor reunion. Elizabeth Moher, Closs of 1983, with Betty Friedon, this year's recipient of the Stockton Kimball Award. Robert Harvey, Closs of 1950, leh, accepting this year's attendance trophy, which was presented by Richard Collins, Closs of 1983, incoming president of the Medical Alumni Association. Cathy and John Montroy, Closs of 1938, relaxing at dinner. B u f f a l o Ph ysici an Summe r 1 9 9 9 �first row: Frederick]. Szymanski; second row, left to right: Anthony V. Postoloff, Frank T. Riforgiato, john F. Montroy, john). Squadrito, john H. Remington, Elizabeth Pierce Olmsted Ross, Roy E. Seibel, Sr. first row, left to right: jacqueline Paroski, judith Weinstein, julia Cullen; second row, left to right: john Egan, George Erickson, john Sharp, Robert Harvey, Frank Pfalzer, Bradley Aust, Robert Smith, Robert Sanford, Charles Bathrick, Lawrence Carden, Henry Thiede, Irving Lang, Philip Dennen, Richard Schwartz, Paul Buerger, Max Schneider, Pierce Weinstein. first row, left to right: John Kutrybala, Clay Burchell, Sylvia Griva Lizlovs, Allen Lesswing, Donald Wilson; second row, left to right: William Howard, james Youker, Robert Miller, john Conboy, Robert Pletman, Louis Cloutier, Donald Murray, Malcolm Leslie, Robert Oshrin, Edward Wenzlaff, Edward Rayhill, Edward Bockstahler, Richard Mayer, Nicholas Carosella, jack Lemann. ® B u f f a l a Physician Summer 1 9 9 9 �CLASS REUNIONS First row, left to right: Max Doubrava, john McMahon, Daniel Kozera, joseph Monte, David Denzel, Donn Yacht, Sandra Wiltse, William Mangan, George Baeumler, Constantine Cretekos, Charles Anderson, Eli Isaacs. First row, left to right: William Fleming, Frederick Painton, Leo Michalek, Walter Hoffman, Irving Sterman, Elizabeth Serrage, Stephen Scheiber, David Weinstein, james Tibbetts, David Ziegler. First row, left to right: Penny Gardner, Thomas Scanlon, Moira Burke, Mona Milstein, Evelyn Roisman, David Arkin, Hachiro Nakamura, Daniel Levin, Dorothea Downey, Madeline White; second row, left to right: Timothy Harrington, David Schreiber, Michael Pisick, Hanley Horwitz, William Major, Marion Wind, Robert Hartog, james White, james Cavalieri, Gerald Stinziano, David Sherer. B f f a l a p h y s c a 5 m m e 9 9 ® �• · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ··········································· first row, left to right: Anna G. Engel, Sandford Pleskow, Leslie Ford, Thomas Chmielewski, Gordon Avery, Daniel Morelli; second row, left to right: Louise Stomierowski, Bruce Thiers, Daniel Lasser, Hing-Har Lo, Diane Matuszak, Virginia Sybert, Thomas Varecka; third row, left to right: Bruce Middendorf, Richard Buckley, Alan Burstein, john Manzella, jocular Ford, Lawrence Oufiero, james Smith; fourth row, left to right: Paul Wierzbieniec, Roy Seibel, james Pietraszek, Richard Hershcopf, james Budny. First row, left to right: Bruce aughton, Robin Adair, Walter Balon; second row, left to right: Frederick Eames, Richard Irene, Arthur Rosiello, joseph Buran; third row, left to right: john Crofts, john Canty, Peter Shields, Frank Schreck, Charles Francemone; fourth row, left to right: Donald Armenia, Lawrence Sinatra. first row: Thomas Mahl, Karen KimbreliNauschuetz, Kevin Rosteing, Amy Rosteing, Laura Booth Chan, Raymond Chan; second row: Richard Gergelis, Mark Billinson, john Dyster, julie Dessloch, Andrew Knoll, Robert Rattner, Michael McMullen, Herbert Newton. ® B u f f a I o Physician Summer 1 9 9 9 �CLASS REUNIONS First row, left to right: Michael Rosenband, Barbara Bambach Skomra, jeanette Smith, joan MurrayIsaacson, Carol DeCosta, Richard Ruh; second row, left to right: Sharon Zeigler, Amy jeffery, Carolyn Dukarm, Christopher Hamill, Andrea Messina, Christopher Skomra, Lee Guterman, Pamela Reed, Mary Schamann, Paola Seidel, Richard Ferguson, jonathan Bean, David Blaustein, Dawn Gais; third row, left to right: Eric Southard, Paul Lecat, Mark Pundt, Christopher Bartolone, Geoffrey Seidel, Raul Vazquez. 300MHz Pentium II· Processor • 64MB 10 NS SDRAM • 6.0 GB Ultra IDE Hard Drive • Iomega Zip Drive atapi • 17" .27NI SVGA Digital Color Monitor • 8MB AGP Graphic Accelerator • 56K V.90 PCI Fax/Modem • 36x IDE CD-ROM B f a 0 p y • Sound Blaster 128 PCI Stereo Sound Card • Soundimage Subwoofer System • 3.5" High Density Floppy Drive • Microsoff Windows• 98 • Corel Wordperfect Suite 8 (includes; Wordperfect So, Quattro Pro 8•, Presentations 8·) • Zodiac 1000 CD Bundle Complete systems, components, and peripherals, PLUS friendly service and support. All right around the corner! 1·716 ·743 ·0195 T ECHNOLOGY DISTRIBUTION NETWORK www.tdn.net 1000 Young Street . Suite 270. Tonawanda NY 14150 . Fax: (716) 743.0198 s c a n S u m m e 9 9 �r m · · · · · · · · · ·· · · ·· · ······ · · · ········· · ··· · ··· · · ~ Tomorrow's Physicians Confront Choice BY UL \1. rt:' STACEY r nuo r ~A BLYTH on the morning of October 24, 1998, I had no idea how that one call and the events precipitating it would change my experience as a second-year medical student. When I answered the phone, my classmate asked, "Have you heard?" "About what?" I responded. She proceeded to tell me about the murder of Dr. Barnett Slepian. As she spelled out the details , I went a little numb. Despite being safely at home with my husband and daughter, my sense of security was altered. A bullet shattered a window, a man's flesh, and his family's future. That same bullet instilled in me a sense of urgency and a need to evaluate my changing role in the abortion debate. Since that October day I have begun to read about the subject and discuss it with the people around me for the first time. What follows is just some of what I've learned and pondered during these past months. Abortion is a part of human history. Legal or illegal, it has always occurred; legality simply increases its safety and decreases the rates. Maternal mortality and loss of fertility increase exponentially when abortion is illegal, and abortion rates are highest in countries where the procedure is illegal (for instance, Peru's rate is 52 procedures per 1,000 women). That's not to say that our rate in the United States-23 procedures per 1,000-could not be significantly lower. ® Stacey Blyth, a third-year medical student at the University at Buffalo School of Medicine and Biomedical Sciences, is co-coordinator of the local chapter of Medical Students for Choice. MSFC National has over 4,000 student members and assists BO active chapters across the country. just compare that to a rate of 6 procedures per 1,000 women in the etherlands, which has a long history of safe, legal access in combination with reality-based sex education and widely available birth control. This information made me wonder why we are still having this discussion. Whether abortion is legal or illegal, abortion rates will never reach zero due to the imperfect nature of birth control, cases of medical necessity and, more importantly, the imperfection of humanity; however, we could significantly reduce the rates by providing our patients with better options. According to current statistics, 4 3 percent of the women in the U.S. will have an abortion by age 45. Most women who choose to terminate a pregnancy do so only once. Only one unmanageable pregnancy in a reproductive lifetime of roughly 30 years is really quite remarkable. These patients are typically young, and two-thirds plan to have children in the future . They come from every conceivable racial, ethnic, socioeconomic and religious background. During the first year of medical school, we talked a lot about our future role as physicians. We were helped to understand that to be good physicians, we B u f f a 1 a P would need to provide nonjudgmental care to many patients who made life choices with which we were not personally comfortable, such as smoking. Our job will not be to judge our patients' actions and then provide care if we deem them worthy. Yet nowhere in our discussions was any mention made of a woman's right to a safe, legal medical procedure (even if we might not make the same choices for ourselves). When physicians provide care, they are performing important services that save and improve lives; it has nothing to do with validating their patients' actions or lifestyles. To provide high-quality health care over a lifetime, I must forever search my soul for empathy, tolerance and a basic regard for humanity. The rhetoric surrounding abortion is being manipulated to increase intolerance in our culture and drive people to hate. A disturbing trend that is not well understood unless you really pursue it is the growing alliances between extremist hate groups of all sorts and some extremist groups in the anti-abortion movement that advocate violence. During the past 10 years these groups have participated in an hysician Summer 1 9 9 9 �............. . ........................... .. ............. . ............ . ............. . . increasingly violent campaign to shut remove the pro-choice bumper sticker been able to move beyond abortion to down abortion clinics and, as a result, from our truck because she was afraid talk about larger public-health and the number of providers has been the bad people would blow it up. The reproductive-health issues. We are strugsteadily decreasing. Currently, 84 per- idea that I have to choose between being gling to understand how our education cent of the counties in this country do a good doctor and protecting my child and future practice habits can positively not have a single abortion provider, and from the infectious hatred of these people (or negatively) influence our society's roughly 60 percent of the remaining is a constant source of conflict for me. collective well-being. As future physiThe American Medical Association's cians, we are challenging ourselves to providers are at or past retirement age. So what do we do when these brave official position is that the decision of confront intolerance. Given the priviolder physicians retire? These men and whether or not to terminate a pregnancy leged place we will assume in this women remember the carnage and abuse is a private matter between a woman society, it is my belief that we must hold that women suffered as a result of illegal and her physician. This position works ourselves to the highest of standards. abortion; however, the physicians who on paper, but if our current abortion We must find a way to embrace humanhave trained since 1973 do not have this providers are approaching retirement ity in all of its imperfections if we are to horrible experience to help them and we are not training our future establish the trust necessary to provide understand the massive public-health physicians in all aspects of reproductive quality care to our patients. As the anti-abortion movement has imperative of safe, legal access. How services, who will have the skills necesbecome more violent, it has also become can we ask young physicians, just sary to help women make difficult smaller and more out of school rna rgi na lized. and with otherwise I The fear its mempromising futures, TO PROVIDE HIGH-QUALITY HEALTH CARE OVER A LIFETIME, bers instill in us to take on this MUST FOREVER SEARCH MY SOUL FOR EMPATHY, TOLERANCE is real, but the work alone? AND A BASIC REGARD FOR HUMANITY . THE RHETORIC danger our mediJust when I begin cal ins ti tu tions to make my peace SURROUNDING ABORTION IS BEING MANIPULATED TO INCREASE and practitioners with my own loss INTOLERANCE IN OUR CULTURE AND DRIVE PEOPLE TO HATE . will face if they of personal safety, expand student Dr. Slepian's words education and come back to haunt me. He spoke with Medical Students for choices? More than 90 percent of abor- patient services is, in actuality, extremely Choice last year about his training in a tions are currently being performed limited. Terrorism should never be a less volatile time and of his desire to outside of hospitals, yet most medical factor in determining which medical decrease his workload. Unfortunately, students and residents still train in hospi- procedures are available to our patients. The precedent that will be set if the because younger students were not tals. This must be remedied if students anti-choice movement is successful being trained, he felt he could not aban- are to get real exposure to a vital medical don the disadvantaged population to procedure and gain appreciation for how should frighten all of us, regardless of whom he provided care. But what really essential abortion services are for many the choices we might make in our pergot to me was his description ofhow anti- women and families. Unless we find a sonal lives. I for one refuse to let my choice protesters would picket his home way to include abortion training in the morality and future practice habits be and stalk his children. They would standard medical education, it can be dictated to me by an angry minority with guns. I will continue to believe in a accost them at school and at the grocery marginalized and limited by terrorists. here's the surprise ending: So world where we can draw upon the store with violent, threatening rhetoric Despite the bleak tone of most of this diversity of the human community to about their father. My daughter, who will turn eight article, I remain stubbornly optimistic. gain strength, not create fear. + soon, has little more to worry about Faculty support and involvement in right now than what color butterfly clips student efforts to learn about this issue Sources for 111formalion,n tins article incluclr she should wear in her hair, but she have been encouraging. As we've The Alan Guumachcr lnstltuu· c~~ IHL notices things. Even though we have discussed abortion provision, we've agr-usa org) ,\tcdical Students for C.ho1ce tried to shelter her from this violence, come to a much better understanding of www.ms4c.ot g, and the SoutiH'tll Po' crt\ she recently asked my husband to the complexity of this issue. We've even Lcm Center (Win~ Sf1lccnter org). --- - S u f f a I o Physician Summer 1 9 9 9 �8 Y L I N D A J . C 0 R DE R , PH D, C F R E AWord from the Dtrector of Development " development program, over time, is the growth of its endowment. Yet, in the cycle of academic seasons, we have spent very little time discussing this aspect of support for the school. just what is so important about endowment? Endowment is an institution's land, buildings and invested capital resources. In the arena of public higher education, most of the former-land and buildings-are maintained by the state. The latter generates funds to be used, in perpetuity, to support designated programs. One ofUB's earliest endowed funds was a gift from Devillo W. Harrington, who was injured during the Civil War. He was brought to Buffalo, where interns from UB treated his wounds. He recovered, remained in Buffalo, and decided to go to medical school, graduating in 1871. In honor of his twenty-fifth anniversary of graduation, in 1896, he established an endowment. For over a century, the Harrington Lectureship has brought outstanding medical sci en tis ts to Buffalo. Since The endowment is, in a very real sense, the then, many school's security for its future. others have contributed to the school's overall endowment to provide permanent support for designated programs they believe are important to the quality of the academic experience. The endowment is, in a very real sense, the school's security for its future. The school has a variety of funding sources, of which the state's share is relatively small, approximately 12.7 percent. The school's clinical practice plan provides the largest single source of income, while research grants and contracts, annual gifts and endowment gifts comprise small- but significant and increasing-sources of income. Endowment income provides perpetual funding for either the general unrestricted use by the dean (extremely important) or for specified programs established in accordance with the terms of the endowment gift. Endowment income provides a hedge against downturns in the economy; fluctuations in the political climate; variations in the numbers ® Buffalo of alumni and friends supporting the school's annual appeal and other changes in our academic environment. Today's students and faculty benefit from past endowment gifts, while tomorrow's school is being created by today's gifts. I ( '> Additional endowment gifts are the surest way to grow the school's endowment and to protect its mission and vision. Endowment also grows through prudent investment of endowment resources for the long term. A balanced fund, consisting of high-quality, readily marketable stocks, bonds and other assets, is important to meet the goals of growth to outpace inflation and to provide a steady income stream that supports the programs designated by endowment agreements. Several investment advisors, overseen by UB Foundation's (UBF) Investment Committee, manage the school's endowment, and a similar committee oversees the school's state-held endowment. The investment objective is to maximize total return-dividends plus market value-within reasonable risk parameters. Each year the endowment disburses an income stream for current use in accordance with each fund's stated purpose. The percentage disbursed varies slightly between state-held and UBF-held endowments. Generally, between 4 percent and 6 percent of the total endowment's average market value, calculated over the previous three to five years, is made available for spending. The rest of the total return is retained with the endowment principal to secure and even increase its future buying power. The market value of the school'sendowmentassetswas$l32,l61,604,asof]une30, 1998. A year prior, this amount was $111,265,374. Five years ago, in 1993, the school's combined endowment stood at $69,398, 610. The 1998 total represents an increase of over 90 percent in value since 1993. Within the next five years, I trust the endowment will "beat its own record" and at least double in value. This will require many new, significant endowment gifts, in addition to the ongoing wise management of the funds already in the care of the State University and UBF. Watch for additional information about endowments in a future issue of Buffalo Physician. In the interim, if you would like information about initiating a named endowed fund, or have any questions, please contact me by phone, toll free, at 1 (877) 826-3246; or by e-mail at ljcorder@buffalo.edu. Physician Summer I 9 9 9 �Dear Fellow Alumni, As THE E'W PRESIDE T OF THE MEDICAL ALGM I AssociA TIO!\ , I plan to continue the good work started by our previous presidents. Thanks to the leadership and direction from our past president, Elizabeth Maher, and the hard work of Patricia Duffner, this year's Spring Clinical Day, titled "Women's Health," was a tremendous success. The lecture by this year's Stockton Kimball lecturer, Betty Friedan, was interesting, insightful and humorous. Already, plans are under way for next year's event. The Physician- Student Mentoring Program is one of the more tangible ways the Medical Alumni Association demonstrated its commitment to improving the experiences of the students this year. I would like to take this opportunity to salute my medical school mentor as someone who left a very positive mark on my medical career and to whom I am still grateful. Dr. Clayton Peimer and I were paired up in August of 1979. I remember asking Clay, "How in the world do you remember how to treat something like congestive heart failure?" Clay, a hand surgeon, replied, "After you treat something 500 times in medical school and residency, on the 501st time, it begins to sink in." Clay, I have never forgotten that quote and I appreciate all that you did for me and taught me during that period. I hope that I can leave as significant an imprint on the students with whom I come in contact. This is the beauty of the mentoring program. Please consider volunteering for the program by calling the Medical Alumni Office at (716) 829-2778. On August 9, 1999, the Medical Alumni Association will sponsor The White Coat Ceremony at the Center for the Arts on the North Campus. At this ceremony, the first-year students will be given their clinical white coats on the first day of their orientation for medical school. We are proud to take part in this and sponsor such a significant and meaningful event for the first-year students. I look forward to the upcoming year and continued success for the Medical Alumni Association. R ich ar d L. C o ll ins , MD President, Medical Alumni Association CLASS 1 9 3 s 0 writes: "I am a physician on the MediVan, a doctor's office on wheels that gives care to the elderly indigent. This is pro bono publico activity without remuneration. ANG E L O LAP I , MD '37 , 1 9 5 s 0 BERNARD H . SKLAR , MD '56 , writes: I retired November 1, l99l, andam loving it. I saw Dave Ben-Asher ['56] last winter in B u f f a l o P Tucson,AZ. He was looking good. My E-mail address for the computer literate is bsklar l@idt.net. Would love to hear from you. 1 9 6 0 s HARO L D BRODY, PHD , MD '61 , SUNY Distinguished Teaching Professor in the Department of Anatomy and Cell Biology at UB, and his wife, Anne, received the Lynn Millane Community Service Award from the Amherst Senior Citizens Foundation, hysician NOTES Inc., on April 23, 1999. The award is presented to individuals who, through volunteer or professional involvement, have helped maintain and support senior programs that provide socialization, educational and cultural activities, social support and wellness. Anne Brody has been especially dedicated to improving the quality of life for senior citizens and has devoted many years of work toward this goal, according to Dr. Brody. Summer I 9 9 9 R O NALD I. DOZO RETZ, MD '62, was honored April 30, 1999, at the UB Alumni Association's annual awards banquet, which recognizes individuals who have distinguished themselves in their career or in their service to the university. Dozoretz is founder, president, chief executive officer and chair of the board of FHC Health Systems, the largest privately held company providing behavioral health services in the U. S. and Canada, and second �• ·· · ·· · ··················· · · · ········ · ·· ·· · · ···· · ········ ·· ······························ I largest mental-health managedcare company in the nation. of Ophthalmology at Children's Hospital of Pittsburgh. He is the past president of the medical clinical medicine at UB and a frequent lecturer and consultant with the Crohn's and Colitis ROBERTA M . GILBERT , MD '62, staff of the hospital and is president-elect for the American Association for Pediatric Ophthalmology and Strabismus. He also serves as a reviewer for the jour- Foundation of America. writes: "I married joseph Douglass in August 1998, author of Red Cocaine and a new book on progress on the fate of the MIA-POWs. We live in Falls Church, VA. My new book, Connecting with our Children, will be out September 1999 (published by Wiley and Sons). My first book, Extraordinary Relationships, has been in print seven years and continues to do well." nal of Ophthalmology, American journal of Ophthalmology, journal of the American Association for Pediatric Ophthalmology and Strabismus and has served on the editorial board of Binocular Vision. 1 received the Pennsylvania Academy of Ophthalmology's Distinguished Service Award on March 19, 1999, in Pittsburgh. He was honored by Pennsylvania's eye physicians and surgeons for his extraordinary work and for contributions to the specialty of ophthalmology. Biglan is director 7 5 was honored at Springfest '99, the Co u nty Medical Center's (ECMC) annual black-tie dinner dance, which was held this year on April24, 1999, at the Hyatt Regency Buffalo. ovak has been director ofECMC's gastroenterology unit since l980.In addition, he attends in the Hepatology Clinic and recently developed an on-site GI consultative service at the Erie County Home. He is also a professor of B was named to New York Magazine's Uune 7, 1999) Best Doctor "Hall of Fame." For the last 20 years he has had a private practice of orthopaedic surgery in Manhattan, Y. f f a l o 1 9 8 0 5 MD '74, begins a four-year term as a member of the board of directors of the American Academy of Dermatology (AAD). Thiers is professor of dermatology at the Medical University of South Carolina. In addition, he holds clinical appointments as attending physician at Medical University Hospital, Charleston, SC, and chief of the Der- has been named to the board of directors of the American Acad- BRUCE H . THIERS , matology Service at Charleston Veterans Administra- emy of Orthopaedic Surgeons and the American Association of Orthopaedic Surgeons. Toriello is chief of the Department of Orthopaedic Surgery at Wyckoff Heights Medical Center in Brooklyn, Y, and attending orthopaedic surgeon at St. John's Queens Hospital, Catholic Medical Center, Queens, NY. He also currently serves on the board of directors for the New York State tion Medical Center. Thiers has Orthopaedic Society and is a delegate of the House of Del- served the AAD in many leadership positions, in- egates for the Medical Society of the State of ew York. cludingassociateeditorofthejournal of the American Academy of Dermatology. He has also served Be sure to include your name and a phone number or address where you can be reached. Your fellow alum look forward to reading about your storied past! u Experimental Dermatology, journal of the European Academy of Dermatology and Venereology, Current Opinion in Dermatology and Clinical Dermatology. EDWARD A . TOR IELL O , MD '80, Here are some ways you can submit your story.... e·mail: bp-notes@buffalo.edu fax: 716-645-2313 mail: Editor, Buffalo Physician, 136 Crofts Hall, Buffalo, NY 14260 a favorite memory, anecdote or inspirational moment that you associate with your medical education? How about a favorite professor, mentor or classmate you'd like to tell about? Buffalo Physician is putting out a call for stories about your past, which we will publish in future issues of the magazine. ® 0 JAN M . NOVAK , MD '70, Erie ALBERT W . BIGL AN , MD '68, 9 JACOB D . ROZBRUCH , MD '73, as editor of the Year Book of Dermatology and Dermatologic Surgery, consulting editor of Dermatologic Clinics and as a member of the editorial boards of P hysician KENNETH J . ROT H , MD '83, writes: "Havingservedaschairman of the Department of Internal Medicine and vice chief of staff, I will assume the role of chief of staff at Sharp Memorial Hospital in San Diego, CA, on january l, 2000. Sharp Memorial Hospital is the flagship hospital for Sharp Healthcare, which is the largest provider of health care in San Diego County." H E RB N E WTON , MD '84, writes: "I just returned from participating in the 1999 Spring Clinical Day lectures and the 15th Summer 1 9 9 9 �.......... . ... . .. . ............. . ............. . . . .... . . . ..... .. . . . . . . . . ............ .... . ·· ~- -~. ' reunion celebration for our class. The lectures were excellent and focused mainly on breast and ovarian cancer. Although the number of returning classmates was modest, we had an excellent time at the class reunion reception Friday night. Many of us went out afterwards for chicken wings and beer. On Saturday night, the reception dinner was held at the Dakota Grill, which turned out to be an excellent venue. The dinner and service were outstanding. We all had a great time getting reacquainted and caught up on our careers and families. The dinner was organized by Dave and jill Pfalzer, both of whom should be congratulated for all the hard work they put into this great event! From all of us who participated in the dinner reception , l would like to offer a toast to Dave and jill. Thanks guys!! 1 9 9 CHRISTOPHER '91 , has 0 5 MARTIN , MD been appointed medical director of the inpatient child and adolescent psychiatric program at BryLin Hospitals. The 20-bed , short-term program treats children and adolescents with attention deficit!hyperacti vity disorder, dual diagnosis, conduct disorder, depression, suicidaVhomicidal behaviors and other emotional problems. Martin, who is a board certified child and ado lescent psychiatrist, is in private practice with Suburban Psychiatric Associates in Williamsville, NY, and has been on BryLin Hospitals' staff since May 1996. 8 u f f a 1 o P I Elizabeth Olmsted Ross, MD '39, Honored 1999 Recipient of Lifetime Medical Alumna Achievement Award Olmsted Ross has served in ovolunteer capacity with many community organizations, as well as in on official capacity with professional societies. From 1955to 1957, she was president of the Buffalo Ophthalmologic Society; from 1962to 1964, she served as president ofthe New York Stole Women's Medical Society; and from 1964to 1965, she was president of the Women Physician League of Buffalo. During World War II, Olmsted Ross served as a medical officer in the Civil Air Patrol of Buffalo, Tonawanda and Lockport. An avid pilot, she also instructed navigation in the Buffalo Patrol and was a charter member of the "99's", the Notional Women's Flying Organization. For many years, she and her husband Ira G. Ross enjoyed soiling their 38-foot Zeeland Yowl "Tonuki" some 35,000 nautical miles on the Great Lakes and the North Channel and chartering and scuba diving in the Caribbean. In 1991, after her husband's death, Olmsted Ross initiated on endowment for the Ira G. Ross choir in Medical Informatics at the University at Buffalo School of Medicine and Biomedical Sciences. This choir was recently funded and will be implemented during the upcoming academic year. Recently she was honored by the Buffalo Blind Society, which named their newly renovated area the Elizabeth Pierce Olmsted Educational Center and by the Western New York Blind Association, which changed its nome to the Elizabeth Pierce Olmsted, MD, Center for the Visually Impaired. Throughout her active career, Olmsted Ross has also published extensively in professional journals and mode numerous presentations regarding her research in ophthalmology. For these and other contributions to UB and her profession, it was with great pleasure that John R. Wright, dean of the School of Medicine and Biomedical Sciences, presented Dr. Olmsted Ross with the Lifetime Medical Alumna Achievement Award on May 1, 1999. iven that the theme for this year's Spring Clinical Day was "Women's Health," it was only fitting that Elizabeth Olmsted Ross, MD '39, was awarded o Lifetime Medical Alumna Achievement Award (see also page 28). Following graduation from UB, Olmsted Ross completed o rotating internship at the then-E. J. Meyer Memorial Hospital. In 1941, she obtained on externship in ophthalmology at Strong Memorial Hospital, followed by o residency at the University of Illinois Eye and Ear Infirmary. Three years later she become the youngest person on record to become odiplomate of the American Boord of Ophtholmology. ln 1947, she also become a diplomate of the American College of Surgery. Olmsted Ross has been in private practice in Buffalo since 1944 and, over the years has been affiliated with nine hospitals. She received ocommendation for 50 years of service at Millard Fillmore Hospital and o citation for service at Deaconess Hospital, where, in 1968, she was named chief of the Deportment of Ophthalmology and choir of the residency program. In addition to starting her practice in 1944, Olmsted Ross subcontracted with Curtiss Wright Corporation to establish their Safety Goggle Program and industrial lighting standards. Later, working with Cornell Aeronautical Laboratory, she initiated investigation of ocular hazards of high-energy radar on technicians. This led to participation in o research program for the Air Force Medical Center of Griffiths Air Force Bose and Cope Canaveral, research at Tufts University, and o contract with RCA to examine personnel on their radar ship operating at Cope Canaveral. In 1955, Olmsted Ross began teaching clinical ophthalmology at UB's school of medicine and in 1974 was named clinical assistant professor, oposition she still holds. Today, she is also o member of the UB's President's Associates, the James Plott White Society's executive committee and the editorial board of Buffalo Physician. hysician su m mer 1 9 9 9 �• ········· ·· ········ ·· ···································· · ······· · ············ ···· ······ . I GREGORY A. ANDREWS, MD JD , has published a book, titled The Complete Guide to Premedical Success (MedLaw Books Inc. ISBN 0966052501). A re- retired from private practice in 1969 and a year later moved view written about the book states that it is "an all-encompassing guide containing crucial information for premedical students" and concludes: "This 'nuts and to Tequesta, FL. In addition to teaching, Stoesser '93, bolts' guide to achieving the doctor dream covers many of the common issues and questions that arise from students considering medical school. Dr. Andrews, dedicated to the education of young people considering medicine, has created a book that will be an asset on any student's bookshelf. " to Cleveland to complete his surgical residency at St. Luke's Hospital. In 1950, he began his private practice as a surgeon and for 38 years was as- S practiced as a board certified surgeon from 1940-69 at E.). Meyer Memorial Hospital University starting July 1999, to care for the growing population of adults with complex congenital heart disease. IN MEMORIAM FREDERICK G. S TOESSER, MD '29, a longtime Buffalo-area surgeon, died March 8, 1999, in Waterford Health Care Center, Juno Beach, Fl. He was 95. Stoesser served as an associate clinical professor of surgery in UB's School of Medicine and Biomedical Sciences and taught at the university for 32 years. He ® during that time. A past president of the Buffalo Surgical Society, he also served as president of the UB Medical Alumni Association, the Buffalo Academy of Medicine and the Millard Fillmore Hospital staff. Stoesser's research included work on the use of hyperbaric oxygen to treat disease, and he was instrumental in bringing the first hyperbaric chamber to Buffalo. In 1956, he received a patent for a vein stripper, the proceeds from which he gave to the UB medical school for an endowment to support medical students in financial need. KENT L BROWN , MD '42, died April 30, 1999, in St. Vincent's Hospital, Erie, PA, after a brief illness. He was 83. Following graduation from UB, Brown, a native of Westfield, Y, served aboard the USS San Francisco during WWII. In 1946, after discharge from the service, he moved u Amherst after a long battle with cancer. He was 62. Schultz was a clinicial assistant professor in the Department ofMedicine and had Note: Our e-mail address has changed. and Millard Fillmore Hospital, where he was chief of surgery from 1961 - 1967. He also was a consulting surgeon at DeGraff Memorial Hospital B ROBERT SCHULTZ, MD '65,died March 27, 1999, in his home in sociated with and Lafayette General Hospital JOSEPH KAY, MD '94, writes: "I was married on ovember 2, 1996, to Kathryn Fox of Hamburg, NY. After finishing my Med/ Peds residency at the University of Michigan Hospitals, I served one year as pediatric chief resident at that institution. I will be persuing further training in a combined pediatric and adult cardiology fellowship at Duke Karen Brown Johnson of Schenectady, NY; three sons, KentJr. of Honesdale, PA, David of Sherman and Garry of Columbus, OH; a sister, Martha Brown Akin of Chautauqua, NY; and ll grandchildren. f f a l o served on UB's faculty since 1970. He was also a past president of the UB Medical Alumni Association. Schultz maintained a private practice in internal medicine, renal disease and St. Luke's, where he eventually became chief of staff. He also was affiliated with St. Vincent Charity Hospital and Health Center in Cleveland and was named chief hypertension. In addition, he served as chief of nephrology at of staff there in 1980. Following his retirement in 1983, Brown left Cleveland and returned to Millard Fillmore Hospital. He was instrumental in the development of Western New York's first outpatient dialysis center and founded the High Blood Pressure Control Program of Western New York. A past president and board member of the Western New York chapter of the American Heart Association (AHA) , he served on the board of Chautauqua County, where he served as a medical consultant and a member of the board of directors at Westfield Memorial Hospital. Brown was keenly interested in the history of medicine, in medical personalities, in forensic problems related to medicine and in innovations in surgical techniques. Many of his directors of the New York State affiliate of the AHA. In 1984, he was named Man of the Year for the AHA's Western New York observations and information he accumulated went into several books and numerous scientific papers he wrote. In 1946 Brown's chapter for his dedication and support in the fight against heart disease. Schultz was also a member of the National Kidney Foundation, serving on the Western New York board of directors and executive commitee. In 1975, he received the organization's Distinguished Service Award. Survivors include his wife, Sharon, three sons and two daughters. father-in-law and mother-in-law, Garry Cleveland Myers and Caroline Clark Myers, founded Highlights for Children magazine, still a leading periodical for children in America. Brown and his wife, Elizabeth Myers Brown, contributed greatly to the ultimate success of the magazine. Survivors include a daughter, p s I c I a s m m e 9 9 9 �Pubnona•y Rehabilitation Specialized care for: • COPD • Asthma • Emphysema • Pneumonia • Post-Ventilator Therapy • 'fracheostomy Care Garden Gate Health Care Facility is pleased to offer a rehabilitation program specializing in the care of individuals with pulmonary disorders. Patients admitted to the Pulmonary Program have an individual plan of treatment developed by the in-facility clinical team and medical staff in conjunction with the referring p hysician. Fwe Star Care For Your Loved One Rated outstanding in our community with five stars out of five, according to The Inside Guide to America's Nursing Homes. THE UWCGUIRE l{.EHABIL1Tlfl1(9~ CENTEI{ Located at Ganlen Gate Health Care Facility 2365 Union Road in Cheektowaga 1-888-POSil\.CUlE or 929-1715 All major insurances and Medicare payments accepted. �BUFFALO PHYSICIAN Non-Profit Org. STATE UNIVERSITY OF NEW YORK AT B UFFALO U.S. Postage PAID 3 4 35 MAIN ST. BLDG.22 Buffalo, NY BUFFALO NEW YORK 14214-3013 Permit No. 311 ADDRESS SERVICE R EQUESTED Your stock may pay more dividends than you thought possible You dabbled in the market long before it became a fad and your hunches paid off. But now you need income, and your shares are only producing low annual dividends. so how can you make the most of your securities and still achieve your personal and financial goals? Give your stock to the University at Buffalo. With careful planning, your gift may provide you with income for life, a charitable deduction and reduce or eliminate taxes. And for UB it can mean more scholarships, research funds or the realization of your own personal vision and goal for the University. To learn how your gifts of stock can benefit you and the University at Buffalo, please call the Office of Gift Planning at !716l 645-3312. T ~ University at Buffalo ~ State University of New York University at Buffalo • Office of Gift Planning • 103 c enter for Tomorrow • Buffalo. New York 14260-7400 • 716-645-3312 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1999 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Copyright 1999 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/efe69a80ce3df399dd1c791c99e45540.pdf 6de97f45c87624fd0643e32c40a70c32 PDF Text Text �BUFFALO PH Y SICIAN Volume 33, Number 3 ASSOCIATE VICE PRESIDENT FOR UNIVERSIT Y SERVICES Dr. Carole Smith Petro DIRECTOR OF PUBLICATIONS Kathryn A. Sawner EDITOR Stephanie A. Unger ART D IRECTOR/ DESIGNER Alan j. Kegler STATE UNIVERSITY OF NEW Y ORK AT BUFFALO SCHOOL OF MEDIC INE AND BIOMEDICA L SCIENCES Dr. john Wright, Dean EDITORIAL BOARD Dr. Bertram Portm, Chai• Dr. 'VIartin Brecher Dr. Harold Brody Dr. Lmda j. Corder Dr. Alan j. Drinnan Dr. james Kanski Dr. Barbara MaJeroni Dr. Elizabeth Olmsted Dr. Stephen Spaulding Dr. Bradley T. Truax Christopher Adams Dr. Franklin Zeplowitz TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospnal Michael Slww The Children's Hospnal of Buffalo Erie County Medical Center Mercy Health System Millard fillmore Gates Hospital Millard fillmore Suburban Hospital Niagara Falls Memorial Medical Center Roswell Park Cancer Institute Sisters of Charity Hospnal Dennis McCarthy Veterans Affairs Western New York Healthcare System Dear Alumni and Friends, Buffalo Physician message, sans the "interim" title. Although I really don't feel much change, it does seem to make a difference to others in terms of moving things ahead, and that is what is important. I know that more than a few of you had been urging for a more permanent solution to the dean's position, and I certainly appreciate the confidence, support and notes of congratulations that have been expressed. The dean's office moved in December, to the second floor of the new medical education building known previously as Cary-Farber-Sherman and now as the Biomedical Education Building (BEB). The office will be located just off the BEB atrium, where it will be much more accessible to students. Being tucked back in the corner of the administrative wing has made it difficult to visit with students on a regular basis. Indeed, I am in the process of setting up regular lunches with small groups of medical students (twice a week, God willing) to track how they are doing, on a more personal level. This move will also bring the dean's office, the Admissions and Medical Education offices into closer proximity. Speaking of medical education, a special task force has been appointed to look at all four years of the curriculum. Although this project is expected to take at least two years to complete, we anticipate some "deliverables" for falll999 implementation and, hopefully, at least, a few "mid-course corrections" this next semester. I talk about these and others changes affecting the medical school in an indepth interview published in this issue of Buffalo Physician (see page 4). Our Dean's Advisory Council (DAC) recently concluded its fall meeting and the input was most helpful. As with any medical school in today's turbulent environment, we face a wide variety of challenges and the DAC has proven to be an invaluable method of reviewing issues and ideas with informed alumni who are dedicated to the mission of the school. We are also interested in obtaining input from other alumni and I am making an effort to visit with alumni groups wherever possible. Indeed, at the recent AAMC meeting in New Orleans, we cohosted a reception (with the other SUNY schools) in an effort to reach out to alumni in that particular region, as well as to attendees at this national meeting. Unfortunately, we did not see many alumni who were not also attending the meeting. We shall keep trying, however. Finally, Dr. Harold Strauss, formerly the Edward 5. Orgain Professor of Cardiology and professor of medicine and pharmacology at the Duke University Medical Center, arrived at UB on ovember l, 1998, to assume the chair of physiology and biophysics (see related announcement on page 27 of this issue). This represents a pivotal recruitment, in my opinion, given the importance and stature of this department within the medical school. Please join me in welcoming Dr. Strauss to our medical school community. You will learn more about his accomplishments and his plans for the department's future in upcoming issues of Buffalo Physician. THIS WILL CONSTITUTE MY FIRST ---; (_ I &~ ~N ~ ~~~~' School of Medicine and Biomedical Sciences R. W "'G"', MD ©The State University of 'lew York at Buffalo Buffalo Physician is published quarterly by the Stale University of New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It is sent, free of charge, to alumni, faculty, students, residents and friends. The staff reserves the right to edit all copy and submissions accepted for publication. Dear Fellow Alumni, THIS PAST FALL, the Western New York medical community received much attention due to the murder of Dr. Barnett Slepian. Although I did not know Dr. Slepian personally, he serves as a role model for me and, I am sure, for many other physicians, as well. He was a man of much integrity and compassion who provided a wide range of medical services for women in this area. Regardless of each of our personal opinions regarding abortion, the medical community has a responsibility to provide safe and compassionate care. Medicine has never seemed like a dangerous profession, yet Dr. Slepian's death reminds us of our vulnerability. The Medical Alumni Association has chosen "Women's Health Issues" as the ,-(,::, topic for Spring Clinical Day, May l, 1999 . Mark your calendars now. Thanks to Dr. Patty Duffner, a dynamic event is anticipated. Treatment advances in the areas of breast and ovarian cancers will be highlighted. The author and activist Betty Friedan will be the Stockton Kimball lecturer. Don't miss the opportunity! Congratulations to our dean, john Wright! Moving the offices of dean within the medical school walls in order to be closer to where the students are is indicative of his known talent for and interest in improving the medical school experience here at UB. My confidence in the medical school, and in the quality of our future graduates, is heightened with Dr. Wright at the helm. L. M AHER, MD President, Medical Alumni Association E LIZABETH �33, 3 W - 1 _N _T _E_ R_ NUMBER 1_ 9_ 9 _9 '1 'I FEB 2 2 1999 LlunAHY Steady Leadership in Changing ~mes 2 A CONVERSATION WITH .JOHN R. WRIGHT, 12 Managing Mental Health with Care RONALD I. MD, MD '62, DOZORETZ, DEVELOPS LARGEST Harold Varmus Delivers Cori Lecture IN RECOGNITION OF ROSWELL PARK CANCER NAMED DEAN IN PRIVATE OCTOBER HEALTH SERVICES COMPANY ANNIVERSARY by Scott Thomas by Catherine Donnelly 1 998 photos by K. C. Kratt BEHAVIORAL 18 INSTITUTE'S 1 DOTH Major Health-Care lntitiative U 8 PART OF FEDERAL PROGRAM TO BRING HEALTH-CARE PROVIDERS TO UNDERSERVED AREAS Medical School Town Hall Meeting • DIRECTOR OF NATIONAL • PRIMARY CARE EXTERNSHIP / INSTITUTE ON PRECEPTORS LISTING ADDICTION, ALAN INTERNET ACCESS FOR LESHNER, RURAL COMMUNITIES AStudent's Perspective: Alumni SEXUAL IDENTITY • .JEROME KASSIRER ' 5 7 HONORED CLINICAL PRACTICE SETTING PHD, • by Frank P. Carnevale, MD '95 .JOSEPH A. B ELLANTI ' 5 8 NAMED D ISTIN- GUISHED ALUMNUS • REUNION WEEKEND! I. SPEAKS AT UNIVERSITY AT BUFFALO ISSUES IN A DRUG �zn NGINGTIMES P H 0 T 0 G R A P H Y B Y K. C. K R A T T JOHN R. WRIGHT, MD, INTERIM DEAN FOR THE UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES SINCE JANUARY 1, 1997, AND CHAIR OF ITS DEPARTMENT OF PATHOLOGY FOR 23 YEARS, WAS NAMED DEAN OF THE SCHOOL IN OCTOBER 1998. IN ANNOUNCING THE APPOINTMENT, UB PROVOST THOMAS E. HEADRICK PRAISED WRIGHT'S CONTRIBUTIONS AS INTERIM DEAN, CITING HIS "EXTRAORDINARY PERFORMANCE IN THE MOST CHALLENGING OF TIMES FOR MEDICAL SCHOOLS AND HEALTH CARE IN GENERAL." 0 Buffalo Phy sici an W i n t e r 1999 �JoHN R. WRIGHT, MD, 24TH DEAN OF THE UNIVERSITY AT BuFFALO ScHoOL OF MEDICINE AND BIOMEDICAL SciENCES. Michael E. Bernardino, MD, vice president for health affairs, praised Wright, as well. "john Wright demonstrated his devotion to the medical school by serving as interim dean during a very turbulent time. His wisdom, thoughtfulness, and honest and focused leadership enhanced my transition to the university, and !look forward to working with him as we strive to fulfill the mission of the medical school and the university." • perceptive understanding, openness and resoluteness have made it possible for the university and the medical school to move for\\·ard toward fundamental changes during a difficult period,·· Headrick added, lauding Wright's equanimity, determination and sense of purpose. "I look forward to his continued help and guidance through the thicket of concerns affecting health care and medical schools." B u f f a l o Physician w i n t e r I 9 9 9 �L STEADY - I N LEADERSHIP ---- CHANGING T I M E S ----- A CONVERSATION WITH DEAN JOHN R. WRIGHT s Wright embarks on his tenure as dean, he confronts unprecedented business and fiscal challenges that are inextricably tied to his ability to successfully further the school's primary mission of educating future physicians and research scientists. In early November, he took time out of his busy schedule to talk with Buffalo Physician about some of these challenges and to describe strategies being explored to meet them. With his long history of leadership at UB in many areas of endeavor, from teaching and clinical practice to administration and volunteer service, Dean Wright clearly draws on his deep affection for the school as he strives to provide steady leadership in these changing times. 1In April of last year, Dr. Michael Bernardino assumed the role of vice president for health affairs at UB. What is the scope of his responsibilities in relation to yours as dean of the medical school? SA UNGER with the school's immediate environment, specifically its education and research missions. Obviously, l too am concerned with the practice plan since it affects these two school missions and our overall financial viability. So , there are certain aspects of my job that are very closely intertwined with those of the vice president, and we work together on these issues. Until April of last year, the vice president and dean positions were combined, which is the trend in medical schools today, particularly in those that own their own hospital. Our situation, however, is different and probably more complex than most medical schools. Dr. Bernardino's primary mission will be to work with our affiliated hospital institutions and managed-care organizations to develop productive working relationships with them and- interwoven with that mission-to develop a viable practice plan for the faculty. ln addition , he is also the vice president for the university's four other health-science schools and so he must look after their best interests, as well. The medical school dean, on the other hand, will be more concerned Why is the Clinical Practice Plan as it involves medical school faculty being reorganized? We have a practice plan that has been very difficult to operate and oversee for a reason that is fairly simple: lt was designed as a one-size-fits-all plan for all four of the state's medical schools. However, the other three SU Y schools have their own university hospital, and we do not. And this situation has made it very difficult for Buffalo to develop its own workable practice plan. What has happened is that rather than a single, centralized plan, we have a practice plan within each clinical department, and in some departments there are even additional subdivisions. So we have roughly 22 different practice plans, each with its own separate corporation, business manager, billing system, rules and bylaws and so on. In this milieu, how can the university know what's going on, or negotiate managed-care contracts? How can we monitor the entirety of the practice plan to ensure that we comply with the various regulatory agencies; and if we are asked for an accounting of the plan, how can we respond to that request in a timely and effective way? Surprisingly, despite this lack of central Dean Wright (right) works closely with Michael Bernardino, MD, vice president lor health affairs. organization, the practice plan has worked 0 6 u f f a l a P hysici a n W I n t e r 1 9 9 9 �Ever the professor, Wright lectures on several topics in the General and Systemic Pathology course and says he hopes to continue to be involved in resident education in pathology. measure of accountability, but we should be able to operate in a much more efficient way. In order to be able to contract with the MSO, which is called UB Associates (UBA) , the departments will all have to become not-for-profit, "1412," state corporations. Some already qualify as this kind of entity, but there are other configurations out there that don't conform and so will have to change. rather well over the past decade. But in our particular environment, the departments have had to be entrepreneurial to a degree that has increased plan variability from department to department. And, with managed care, new Medicare regulations, and federal oversight of Medicare dollars, our system has been stressed enormously. So, where it perhaps wasn't necessary before, it now becomes imperative that we develop a more centralized system. Is there a concern that our practice plan could be subjected to a federal audit? What changes are being proposed to the plan? The federal audit that is of most concern to us and to every other medical school in this country is the PATH"physicians at teaching hospitals"audit, which a number of medical schools and medical centers have already undergone. Basically, these audits grew out of issues surrounding Medicare billing for physician services and such questions as who provided the service-residents, who are Medicare supported; or a supervising physician. One of the major issues has been whether or not the supervising physician was physically present when a critical part of the service was rendered. If the physician was not present, then Medicare contends that he or she should not submit a bill for these services since Medicare has already paid for the service through their support of the resident physician. The problem is that, for a long time, Medicare was not at all clear about what "present" actually meant. This has since been clarified, in a way, but PATH audits are retroactive in nature and extend back to when the rules were not clear. Essentially, what is being proposed is the establishment of a medical service organization, an MSO, which will not be involved in the practice of medicinethat's going to be left up to the individual departments and their corporations. What the MSO will do is provide certain services for the departments, such as centralized accounting and, hopefully, over time, centralized billing, although the actual preparation of the bills will probably remain decentralized in the departments. But all the revenues will come in to a central repository so that they can be accounted for and appropriately credited and then redirected back to the departments. The MSO will also provide centralized legal services. Currently, each of the practice plans has its own legal representation, which has been an enormous expense for the overall plan, as have been all the other decentralized services. By forming an MSO, therefore, we will not only be able to provide some B u f f a l o Physician w I n t e r 1 9 9 9 0 �S T E A D Y LE::ADE::RSHIP One of the ways to monitor these patterns of Medicare billing is to have more centralized accountability within the clinical practice plan. In a recent message in Buffalo Physician, you sa id that the medical school' s budget continues to represent a challenge, especially in terms of revenues that are centrally available to operate the school. Could you elaborate on this? This concern is not unique to our medical school. ationwide, managed care has stressed the clinical side of many, if not all, medical schools. In some instances, the financial support of the entire enterprise is challenged. In our case, the state provides roughly l3 percent of our expenditures, and the practice plan between 35 and 40 percent, with research grants and endowments making up much of the remainder. One of the things we have struggled with in our clinical enterprise at UB is the fact that we don't have a university hospital while the other universities in the SUNY system not only have a hospital that they control, but they are also subsidized for this facility. In turn, they control their graduate medical education [GME] dollars, which are significant. The GME dollars in our system go to the affiliated hospitals that participate in the GME consortium. We manage some of these funds through our consortium, but by no means all of them-or even most of them. As a result, one of the things UB is known for is that it costs less for us to educate a medical student than it does for any of the other state schools. The reason for this is simple: We do it with fewer resources. One of the ways the whole thing could be equalized, of course, would be for us to receive a portion of the subsidy that the other state schools receive for their hospitals. If we received just a small fraction of that subsidy and/or had greater control over GME dollars, we would be in a much better, much stronger, position in dealing with our affiliated hospitals and in controlling our educational programs. Is the medical school looking to obtain that subsidy? It's been talked about for a number of years. I don't want to say that we'll never get it, as I'd like to think it's a reasonable request. If we did get that money, I think we could be a model for 0 B u f f a l o As choir of the Deportment of Pathology at the University ol Buffalo for 23 years and immediate post-president of the Association of Pathology Choirs, Dean Wright (pictured here with graduate student Amy Renauld in the pathology laboratory of Robert Spengler, PhD) maintains o strong interest in his area of specialty. the rest of the state-that the state could end up devolving their university hospitals, which is something they've talked about; and for a good deal less money than they're spending now, they could develop a truly excellent medical education system. Are there advantages to our not having a university-owned hospital? ln today's world, it's considered disadvantageous to own one's own hospital, chiefly because of the financial liability involved. Also, as medical education and medical practice become less hospital-bound, the value of a highly specialized tertiary-care facility to a medical school's mission diminishes significantly. The strength of having had, or having come from , a university-owned hospital, however, is the "faculty culture" such arrangements facilitate. Without Physician W I n t e r 1 9 9 9 �S T E A D Y I LEADERSHIP that "culture," the full-time faculty do not tend to practice as a cohesive group and may not identify themselves as readily with "the university. " Well, [laughs] we're working through that. It's a major work in progress and one that's complicated by the fact that we have affiliated institutions in the process of undergoing significant mergers and/or other versions of reorganization. Traditionally, there's been a very competitive spirit among these institutions, and in today's health-care environment, that competition has only intensified. One result is the desire, in some instances, to develop more exclusive relationships with the university. For example, the CFG system has been seeking and in fact has publicly pronounced that it wants a more exclusive relationship with the university, yet we at the university also recognize our other obligations-to Erie County Medical Center, Roswell Park [Cancer Institute], the VA [Veterans Affairs medical center] and the Catholic Health System-which we're not going to walk away from. So, we will have to maintain a delicate balance in terms of exclusivity. That said, however, I think it's a certainty that we're going to have a very strong relationship with CGF, but something short of an exclusive one. Another very important issue we must address with our affiliated hospitals is the university's desire, and indeed need, to control the educational environment for our students and residents. This, of course, presents a challenge because the hospitals have an equally strong desire to control the medical services they provide as well as those who provide them. f a I o Physician w I n I M E S In selecting these centers, we're building on our strengths. In other words, we're looking at the areas in which we already have a national reputation and then proceeding to capitalize on these. The pediatrics and oncology selections clearly fit this stipulation and are areas that we thought, right from the beginning, could be established as Centers of Excellence. As for when the other centers will be named, I anticipate that this will take place once the configuration of the medical school with its affiliated hospitals becomes better defined. What is the state' s new resource allocation methodology, RAM, and how does it affect UB' s research efforts? RAM is a more precise way of allocating resources and reflects upon what you do and how successfully you do it. It's an opportunity for UB to garner more resources from the state, particularly in relationship to new research dollars. There's a sort of premium applied from the state to research dollars . By that l mean, for every new dollar that's brought in to the university, the state has promised to provide us with 20 cents, which is obviously a very attractive proposition. The problem , as I understand it, is that this is a zero-sum game. In For us, a Center of Excellence will be nationally and internationally recognized for its clinical services and research expertise in a specific area of medicine. The medical school, the clinical centers with which we are affiliated, and the entire geographic region will share in this recognition. f T Two of the Centers of Excellence at UB have been determined to be pediatrics and oncology (specifically Roswell Park Cancer Institute). What are the criteria for selecting these centers, and when will the other centers be determined? It has been announced that UB plans to establish four Centers of Excellence. What is a Center of Excellence, and what roles do research, clinical practice and medical education play in these centers? u CHANGING To develop the type of clinical expertise required for a Center of Excellence, you need to recruit physicians and develop programs that have a national reputation and be able to draw patients from well beyond this region. To maintain a Center of Excellence, you have to move forward; you can't simply stand still. You have to generate new ideas and new knowledge, and to do that, you have to be engaged in research, both clinical and basic. From the educational standpoint, nothing stimulates the development of new knowledge better than questions. And anyone working with medical students or residents knows that they make you think about things differently; they keep you from doing something a certain way simply because that's how you've always done it. So, in this way, clinical expertise, research, and medical education all fit into a common purpose when your goal is to develop and maintain a Center of Excellence. How would you describe the present relationship between the medical school and its affiliated hospitals? What changes do you foresee? B N t e r 1 9 9 9 0 �S T E A D Y LEADERSHIP I N CHANGING T I M E S and we need to recognize that these faculty members are absolutely essential to the educational programs of the school. But we also need to energetically protect programs that make us a good medical school. What are some of the issues volunteer faculty have with the university? One of the main issues is that volunteer faculty feel university faculty have an unfair advantage because they are "paid by the university." As I said earlier, only 13 percent of our budget comes from the state, and that is distributed almost equally between the basic sciences and the clinical departments. Because the clinical departments are so large, the money available for salaries is diluted rather rapidly. Also, our fulltime faculty are taxed on their clinical income, which volunteer faculty are not, and our full-time faculty are expected to teach and engage in research. Frankly, I see no such advantage; it's much more of an even playing field than is generally imagined. One advantage that I think the university does have-and, again, this gets back to all of us reading from the same page as far as the clinical practice plan is concerned-is that we represent a significant number of physicians in this community and we should be able to apply that strength to managedcare contract negotiations. If we do get our act together and do function as a group, we'd be a significant presence in this community and we'd be in a position to provide a conduit through which volunteer faculty could also benefit from these contracting relationships. In fact, right now we have a committee of the Governing Board looking at how we might integrate volunteer faculty who wish to be integrated into the system so that they can derive additional benefit from a relationship with the university. As another example, fulltime university faculty can generally obtain malpractice insurance at a much better rate than can the volunteer faculty. This is an advantage that might also be shared. Representatives from the Office of Medicol Educotion meeting recently with Dean Wright include (/eft to right) Fronk Schimpfhouser, PhD, Dennis Nadler, MD, ond Thomas GuHuso, MD. certain respects, RAM is more a shifting of resources than a source of much new money. For example, if our productivity goes up in a certain area and another school's productivity falls , the resources from that declining institution will be transferred to us, and vice versa. If everybody's productivity goes up in a certain area, there might be little shift in funds-or new funding. There' s been some discussion about university-based physicians establishing clinics in the community. Is this being considered and, if so, how do you see this affecting the "towngown " relationship? Part of the concern about the campusbased University Physicians Offices [UPO), of course, revolved around the so-called "towngown" relationship. In some ways, the very existence of physician offices on campus bordered on a tightly held secret; these were not advertised and there was no large signage on campus, presumably to avoid some of the inevitable town-gown issues. But these are issues that are not going to go away; they're part of the territory for our medical school, and for most other medical schools. What we would like to do, however-and I think this is possible-is to collaborate with volunteer faculty in a community effort to better distribute our geographic fulltime faculty. These faculty might have office hours at practice sites that aren't owned by the university, perhaps in rented space where they could make themselves available to patients and to those volunteer faculty members involved in our teaching mission. I feel that this could be a win-win situation for both the university and the town and an arrangement that could mute some of the town-gown tensions. After all, we are a community medical school. We need volunteer faculty 0 B u f f a l How would the university benefit from being in the community? We need to have a more decentralized educational system. The number of hospital beds is shrinking and the push, particularly in primary care, is to have students educated where primary care takes place-and o P hysician w I n I e r l 9 9 9 �5 T E A D Y LEADERSHIP I N CHANGING T I M E 5 Medical informatics is also an important part of modern curriculum development. We have an outstanding new computer lab available to our students, and we need to ensure that they have "free time" available to use it. Currently, we are charging a task force to look at the curriculum for all four years, but with a "deliverable" part that can be implemented next fall . Stan Spurgeon, a faculty member in the Department of Emergency Medicine with a strong commitment to education, is chairing that committee. that isn't in a hospital intensive care unit. We're shifting from a paradigm in which virtually all medical education took place in a hospital environment, which is a very artificial environment for primary care, to a more balanced situation where a good deal of education occurs in the office practice. So there is definitely an advantage for us to have our geographic full-time faculty distributed in the community, with closer working relationships with volunteer faculty. What is the status of the medical school's curriculum? Can faculty and students anticipate changes? Yes, they can. We have a fairly traditional curriculum in this medical school. Recently, we've added some innovations, such as problem-based learning [PBL]-the current rage in medical schools-but our core remains traditional. A number of schools around the country have revised their curriculum to introduce PBL either in toto or in part. We're pretty well convinced that there are some very significant merits to both the PBL approach and the traditional approach, so we're striving to develop a hybrid. A major problem is that by introducing PBL into the first and second years, we now have a very crowded curriculum. This is particularly true for first-year students, who are in class more than they should be. So we need to have a more coordinated/integrated curriculum. Dr. and Mrs. Robert Smolinski, MD, clinical assistant professor of orthopaedics and medical director of UB' Sports Medicine Institute, enjoy an informal moment with Dean Wright. BIOGRAPHICAL BACKGROUND ------ ~----- Monitobo, Conodo, John R. Wright received his medical degree from the University of Monitobo in 1959. He then served his internship ond o resident yeor in internal medicine ot Winnipeg General Hospital ond in pathology of Baltimore City Hospitals. In 1964, he completed his residency in pathology of the Buffalo General Hospital (BGH). Wright olso wos oNotionollnstitutes of Health fellow in endocrinology ot BGH ond in 1965 received o two-yeor Buswell Fellowship, which he spent teaching ond conducting research. From 1967 to 197 4, Wright served os on ossistont professor of pathology ond oncology ot the Johns Hopkins School of Medicine. In 1974, he returned to UB to choir its Deportment of Pathology, o position B u f f a l o Physician w I n he held until being nomed interim deon ot UB in Jonuory 1997. During his 23-yeor tenure os choir of pathology, he olso headed the Deportment of Pathology of BGH. Wright hos olso enjoyed o long offiliotion with Roswell Pork Cancer Institute. From July 1985 through October 1986, he served os interim director of the institute; he wos olso o member ond long-time choir of its boord of visitors until it disbanded in1997. Todoy, he remains on the boord of the Roswell Pork Cancer Institute Alliance Foundation. Notionally, Wright is immediate post-president of the Association of Pathology Choirs ond o former member of the Notional Caucus of Bosic Biomedical Science Choirs ond of the administrative boord of the Council of Academic Societies of the American Association of Medico I Colleges. + t e r l 9 9 9 0 �5 T E A D Y CHANGING T I M E 5 James Plott White Society Executive Committee members hosting o congratulatory dinner. Lehto right ore Or. Charles ond Anne Tirone, Oeon Wright ond his wife, Oeonno. What are some of the attributes you would like to see in a physician who his or her medical education Obviously we would like to make certain that the individual becomes a competent physician with the knowledge base to enter into whatever postgraduate training program he or she chooses and the skills, or sense of curiosity, to continue as a lifetime learner. We would also like to train physicians who think beyond the pure science of medicine, who are imbued with the art of medicine and who view individuals as people first and patients with diseases second. I think our students tend to come to medical school very people oriented but somehow we manage to beat it out of them in the first two years, and maybe in the clinical environment, as well! We need to pay more attention to nurturing the attributes they come to us with and to see that these are not only preserved, but reinforced. whom I knew quite well, I recall that he was a pretty relaxed individual [laughs). There were few of the challenges then that face the deanship today: He was able to go on rounds with students and we would almost never talk about the economics of medicine or fiscal or legal oversight. Those weren't the sorts of things he had to contend with. On the other hand, medicine itself has advanced enormously, and we now enjoy the opportunity to teach students many more exciting things. In my view, one of the most frustrating parts of medicine today is the conflict between having the ability to successfully treat a great number of conditions, yet not having enough resources to provide these treatments to every citizen in need of them. As dean of a medical school, you must ask, How will we apportion these gifts, and how do we fit them into the fabric of our health-care environment and the bureaucracy within which our graduates will need to function? Such ethical considerations were not things that really concerned my dean. Much of this conversation has been about change. What is your overall impression of the health of UB' s medical school and its future? What are the most pressing challenges you face as dean, and do you feel this is a particularly diHicult time to lead a medical school? I'm an optimist. I think we're going to go through some difficult times, though. The construct of the practice plan in Absolutely! When I think about my own medical school days and my dean, a u f f o 1 o Phys ician w 1 n t e r 1 9 9 9 �S T E A 0 Y I LEADERSHIP CHANGING N T I M E S There's going to be a good deal of work ah ead, but we have the matrix here for success. First of all, we are the only medical school in the immediate region, which is not a situation shared by all medical schools. Also, we are a community-based medical school and I think the larger community- not just the hospitals but the business community, as well- recognizes the importance of the university and the medical school to Buffalo. And that's a pretty good asset to have when you're trying to resolve difficult and contentious issues. + this medical school never really fit the environment, and getting that corrected is going to be a challenge. But I believe it's a very do-able goal. The competition that is driving the hospitals to change their configurations is-from the standpoint of progressvery healthy but, on the other hand, we don't want to get caught in the middle of that competition. The medical school needs to pursue its own goals and objectives independently while being aware of and sensitive to the pressures being felt by our affiliated institutions. MICHAEL BERNARDINO , MD , DISCUSSES COPING 1111 CHAOTIC ENVIRONMENT GOALS FOR UB' S MEDICAL SCHOOL • R 0 0 UB'svice president for health affairs, presented areality check on the changes in store for the medical school and its teaching hospitals in the years ahead at the October 13, 1998, "UB at Sunrise" program. The inevitable pain that will accompany the changes, he assured the audience of 170, will be worth the eventual gain. "Ithink if we con get through the next two to three years, the people of this community will look bock at the changes and be very, very proud," Bernardino said. "If we can accomplish even half of our goals, we will hove significantly improved the quality of care in this community." Bernardino, whose topic was "How on Academic Health Center Copes in a Chaotic Environment," took office as vice president for health affairs on April1 , 1998. He come to UB from Atlanta, where he was director of managed core with the Emory University System of Health Care, Inc., and professor of radiology at Emory University School of Medicine. Bernardino said he has set out to achieve three goals lor the UB School of Medicine and Biomedical Sciences: (l) sort out the graduate medical education puzzle with affiliated hospitals to increase benefits to the public and improve residency programs; (2) increase development and research revenue; and (3) stabilize clinical revenue. UB and its teaching hospitals, he added, ore in the process of signing affiliation agreements, the heart of which pertain to residency traininggraduate medical education-and ownership of the reimbursements-from insurance providers that fund the training. As the provider of residents to hospitals and source of a major revenue stream, UB must play a larger role with the hospitals than in the post, Bernardino contended. "In the future, we need to be general partners, not a limited partner," he said. Bernardino predicted that some area hospitals will dose because Western New York has lor too many beds lor the population, and that the closings will hove a sizable economic effect. The imperative during these changes, he stressed, will be to maintain quality of core. L. B IC' 6 u f f a l o P hysici a n w I n "UB should serve as a conscience," he said. In terms of quality of care, he added, "UB physicians should strive to achieve maximal outcomes in 60 to 75 percent of patients, rather than the 50 percent national norm." In an effort to increase revenue from research and development sources, Bernardino said the UB School of Medicine and Biomedical Sciences in the future will locus its clinical and basic research on lour national centers of excellence.Two obvious areas, he said, are pediatrics and cancer; the remaining two are still open for discussion. Noting that stabilizing clinical revenue has been his major locus, Bernor· dina said that government intervention will be on ever-larger force as increasing numbers of patients ore covered by Medicare and Medicaid. Greater government involvement, he added, will bring closer scrutiny, in the form of audits of the medical school's practice plan. The practice plan is the mechanism by which university-affiliated physicians, under contract with the university, agree to return a certain portion of their clinical practice revenues to the university to support essential, but nonrevenue producing, aspects of the medical school, such as basic -science education. In the past, each clinical deportment maintained its own practice plan. "In this environment, we can't operate a practice plan in a decentralized manner with decentralized authority," Bernardino stated. Underscoring the need to introduce sound-business management, he added, "We need a corporate mentality rather than a cottage industry mentality. We must emphasize the group needs rather than individual needs." In the current chaotic health-core environment, Bernardino said, the medical school must constantly question conventional wisdom and determine its own path to a new level of stability and excellence. "I hove no question about our surviving," he said. "I hove no question about our thriving." BY t e r 1 9 9 9 LOIS BAKER - �Managing Mental Health with UB ALUM DEVELOPS LARGEST PR I VATE BEHAVIORAL HEALTH SERVICES COMPANY C r j OR R ONALD l. DOZORETZ, MD, CLASS OF IJ HAPPEN: ~ BECAME THE LARGEST I 1962, IT ALMOST DID 'T OT THE THRIVI G PSYCHIATRY PRACTICE HE FORMED, WHICH VIRGINIA, A D OT THE ME TAL HEALTH MA AGED-CARE COMPA Y HE FOUNDED, WHICH GREW I TO A MULTIMILLIO - DOLLAR ENTERPRISE ACROSS THE In fact, if it weren't for the timely intercession of a caring professor at the University at Buffalo's school of meaicine, Dozoretz might not even have had the privilege of becoming a physician. But that's leaping ahead. To fully appreciate Dozoretz's faltering start to a stellar career in health care, it's important to go back to the beginning, to a little fruit market in Buffalo's Riverside neighborhood. There, as a boy, he worked for his parents-his father, an immigrant from Russia, and his mother, a lifelong Buffalonian-from a very B u f f a 1 a Ph U !TED STATES. young age. Later, he helped out at the small supermarket his family opened off Sheridan Drive. Work was part of the Dozoretz way of life, and that ethic extended to education, as well. Throughout his elementary school years, Dozoretz attended parochial schools and did well; however, when he entered public school, he discovered he was a grade behind. Determined to catch up to his peers, he succeeded in graduating from Bennett High School in three years. He then pursued studies in biology at the Uni- ysician w 1 n t e r 1 9 9 9 �versity at Buffalo, earning his bachelor's degree in 1958. "For kids of that generation who were smart and really fortunate, medical school was the best opportunity," Dozoretz recalls today. "There was dentistry and pharmacy, too, or maybe even law school," he adds, "but nobody talked about going into business. It just wasn't a consideration in those days the way it is now." -lJ ozoretz chose medicine. At about the same time he entered UB's medical school, however, he also chose to get married to Marilyn Bass, and the combined stresses of adjusting to married life and absorbing the enormous amount of material presented to first-year students almost proved too much for him to handle. "With school and marriage, I got stressed out and started falling behind," he says. Finally, at the end of that academic year, three professors-Mouchly Small, Harold Brody and 0. P. Jones- called him in and had a candid talk with him: He would have to get his life in order, they told him, and repeat his first year of studies. "It was a great gift. They could have thrown me out in a second," Dozoretz remembers. "But Dr. Small felt that I was very bright and able to handle the work, so he gave me another chance. As it turned out, I went on to finish, and I think I came out pretty high up in my class. This clearly had a major impact on my life-one that I still remember. " The medical degree Dozoretz earned at UB opened the door to a remarkable transformation from doctor to businessman. First came the clinical studies he conducted with Dr. Julian Ambrose at what was then Roswell Park Memorial Institute in Buffalo. Dozoretz had developed a strong interest in hematology, and at Roswell Park he studied clotting disorders, work that won him a rotating internship at Case Western Reserve University in Cleveland. It was there that he discovered what would become his lifelong calling-psychiatry. B u f f a l o . c c < z m 0 m Ronald I. Dozoretz, MD '62, is chief executive officer, chair and founder of FHC Health Systems. "I loved the medical part of it," he says, "and I felt that with psychiatry I was able to do the medical things that I was interested in, particularly neurology. And the people in the department Physician there were very, very capable. So I switched specialties." After three years as a psychiatric resident at Case Western, Dozoretz served two years as a lieutenant com- DESPITE THE CONTINUING SUCCESS OF FHC HEALTH SYSTEMS, OOZORETZ STILL MANAGES TO FIND TIME TO TURN HIS ATTENTION TO CHARITABLE AND PUBLIC-SERVICE CAUSES . HE'S ESPECIALLY PROUD OF A PROGRAM FOR MINORITY STUDENTS HE HELPED DEVELOP AT NORFOLK STATE UNIVERSITY. W I n t e r 1 9 9 9 �In 1982, he sold the company and began creating what has since become a sprawling, full-service behavioral health-care and managed-care company, FHC Health Systems, headquartered in orfolk, Virginia. Today, FHC-which Dozoretz heads as CEO and chair-is the largest privately held company providing behavioral health services throughout the United States and Canada. With the completion of a recent acquisition , it's also the secondlargest mental health managed-care company in the nation. Injune 1998 the company acquired Value Behavioral Health Inc. and created ValueOptions Inc., which covers more than 20 million people through contracts with over 900 customers and a network of 60,000 providers nationwide. ValueOptions, which operates as a subsidiary of FHC Health Systems, manages behavioral and psychiatric land United States, but to Puerto Rico and the U.S. Virgin Islands, as well. FirstLab is the company's international drug and alcohol testing division, serving corporate clients , state and municipal governments, and even several professional sports teams. RX Innovations is a pharmacy benefits management company with a focus on behavioral health drug management. With the creation of ValueOptions, FHC now employs about 6,000 people. The company's growth record is a source of great satisfaction for Dozoretz, but he prefers to emphasize FHC's goal of becoming better , not necessarily bigger. It's this ongoing emphasis on costr~ omething else he "had" at that effective, quality care that has helped time was the realization that FHC to form alliances with the Univerhis small practice in Portssity of Virginia and the johns Hopkins " Jmouth was hamstrung by a University to conduct outcomes research ........,/ lack of proper facilities for for treatment of psychiatric illnesses. his patients. "We basically had a few "For the past 50 or 60 years, mental health care has been rooms in the basement of one of the provided virtually FOR MANY, THAT WOULD HAVE BEEN THE HAPPY DENOUEMENT hospitals ," he rewithout data ," calls. "There was Dozoretz notes. "It TO A LONG-SOUGHT-AFTER GOAL, BUT FOR DOZORETZ, IT WAS no occupational was conducted in this ONLY THE BEGINNING . THE ROAD LAY AHEAD, AND IT WAS WIDE therapy , no recreoffice or that hospiational therapy, no tal, and maybe thereOPEN. "I'VE ALWAYS HAD AN ENTREPRENEURIAL SPIRIT IN ME. art therapy and no sults were published I JUST THINK YOU EITHER HAVE IT OR YOU DON'T. " group therapy room. in a journal article, It was very difficult but practitioners to treat patients. " rarely spoke with Dozoretz's solution was to broker a health care in two arenas: in the public each other. There was no one who would deal with the developer of a nearby sector, through the federal Medicaid compile the data to find out what really nursing home to establish a psychiatric program and with military contracts; worked in mental health care. unit in the building. The developer built and in the private sector, through indi"At FHC, we have a significant volit, then leased it back to him. From vidual contracts with dozens of compa- ume of data that allows us to define and there , Dozoretz expanded the practice nies , including some of the largest in determine what the best treatment plan to over 125 practitioners in more than the United States. is for certain types of ailments . With While ValueOptions is FHC's newest this data , we can help practitioners 10 offices throughout Virginia and became founder and medical director of initiative, the company's other subsidiar- know how to help patients to get better Portsmouth Psychiatric Center, one of ies have been just as ambitious and just as faster. We also have an extensive inforthe first private psychiatric hospitals in successful. Alternative Behavioral Ser- mation management service division ; vices manages a wide range of programs it forms the basis of what we do, beeastern Virginia. Seeing the potential for providing for troubled young people, including al- cause we pay claims to millions of psychiatric services and facilities , ternative schools, outpatient services, patients and take millions of phone Dozoretz then founded a company called home and community programs, group calls every day. " American Medical Centers Inc., and his homes , alternative living programs, teen By using its vast stores of data to career as a developer was born. "We "boot camps," secure facilities , residen- structure treatment plans that have built and developed more than 30 hos- tial centers and acute inpatient facilities. proven, measurable outcomes, FHC has pitals around the country," he says. Its reach extends not only to the main- been able to sustain its mission of pro- mander at the U.S. aval Hospital in Portsmouth, Virginia , where he treated inpatient and outpatient service members at the height of the Vietnam War. "We had two kids , a rented house and a lot of debt, " he remembers. But he and his family loved Portsmouth, so when his time in the service ended, he established a practice there. For many, that would have been the happy denouement to a long-soughtafter goal, but for Dozoretz, it was only the beginning. The road lay ahead, and it was wide open. "I've always had an entrepreneurial spirit in me. I just think you either have it or you don't. " ® B u f f a L o Physician w I n t e r 1 9 9 9 �viding patient-centered care. "We focus on taking care of patients; this is the most important thing we do," Dozoretz stresses. "We don't look at it as a business as much as a service. We're trying to help people to get better care in a more organized, cost-effective way. "Mental health services today are much more acceptable than they ever were before," he continues. "If a person needs help, or his or her daughter, son, aunt or uncle need it, I think they're very comfortable asking for it. And the new medications, such as Prozac and Clozeril, are extremely effective. They have changed lives and the way mental health care is provided. People spend less time in hospitals now." Despite the continuing success ofFHC Health Systems, Dozoretz still manages to find time to turn his attention to charitable and public-service causes. He's especially proud of a program for minority students that he helped develop at or- folk State University. His theory, he says, is that many minority students are highly capable of succeeding in the sciences at the college level, but they may be put off by the prospect of entering a big college. At orfolk State, for about a dozen years now, the Dozoretz ationallnstitute for Minorities inAppliedSciences has helped support 20 minority students each academic year. "We've graduated many hundreds," hesayswith pride. "About half go into medicine and dentistry, half into other sciences. " Dozoretz also has instituted a mentoring program throughout FHC, in which students at the company's various offices learn about the healthcare business and receive support and encouragement from company employees. The program was featured in President Clinton's recent summit in Philadelphia, with General Colin Powell promoting volunteerism in American life. $1 399 Enterprise Series 300MHz Pentium II• Processor • 64MB 10 NS SDRAM • 6.0 GB Ultra IDE Hard Drive • Iomega Zip Drive atap1 • 17" .27NI SVGA Digital Color Monitor • 8MB AGP Graphic Accelerator • 56K V.90 PCI Fax/Modem • 36x IDE CD-ROM B u f f a I o Physic Dozoretz's public involvement also has included serving on the White House Health Reform Task Force, as vice chair of the Reduction of Bureaucracy Group. He also serves on the board of trustees of the Kennedy Center and is a board member of the National Health Policy Council, where he is active in the restructuring of the nation's health-care policies. Dozoretz's home life is full of hopes and plans for the future, as well. He and his wife, Beth, have two small children: four-year-old Josh, and their newly adopted daughter, Melanne Rose. His two daughters-Shari and Reneefrom his previous marriage both live close by. Acquisitions, outcomes, policies, panels and philanthropy: It all seems like a long way from the family fruit market on the West Side of Buffalo. But Dozoretz still remembers that it almost didn't happen-except for a second chance that turned out to be a first-rate decision. + Complete systems, components, and peripherals, PLUS friendly service and support. All right around the corner! • Sound Blaster 128 PCI Stereo Sound Card • Sound1mage Subwoofer System • 3.5" High Density Floppy Drive • Microsoft Windows• 98 • Corel• Wordperfect Suite 8 (includes; Wordperfect 8•, Quattro Pro 8•, Presentations 8· ) • Zodiac 1000 CD Bundle 1·716 ·'743 ·0195 TECHNOLOGY DI S TRIBUTION NETWORK www.tdn.net 1000 Young Street . Suite 270 . Tonawanda NY 14150 . Fax: (716) 743 .0198 Ia W I n t e r 1 9 9 9 �r \ 11 c~r c. (_ was the focus of the 30th annual Cori Lecture presented at Roswell Park Cancer Institute (RPCI) on0ctober20, 1998, by Harold Varmus, MD, director of the National Institutes of Health. This year's lecture was held in conjunction with an ongoing series of symposia and special events at RPCI in celebration of the institute's lOOth anniversary (see article on pages 18- 19). In discussing the future of cancer care, Varmus predicted that "it's quite likely we will learn HE QCEST FOR! D \ D' AI I T"\ I to tailor cancer therapies to the lesions at the genetic level. Our immediate future will be to create treatments that target the cellular level of cancer and are widely available to all cancer patients." He then talked specifically about research he is currently conducting on gliomas, one of the most common forms of cancer of the central nervous system. seen in patients with the most aggressive form of the cancer. "In the initial study Varmus, who shared the we found that introduc1989 Nobel Prize in ing mutant bFGF inPhysiology and Medicine duced proliferation and with Dr. Michael Bishop migration of glial cells for demonstrating that without the induction of oncogenes can arise from tumors. So, we went back normal cellular genes, exto the beginning and inplained that glioblastoma troduced mutant VEGF. multiforme is of particular ::r Subsequent analysis of interest to him today. This the brain tissue found a poorly differentiated, rapglioma forming in the idly growing tumor is one brain," Varmus said. that occurs most often in The mice with glioNIH DIRECTOR SPEAKS AT adults and was the cause of mas developed hydroROSWELL PARK IN CELEBRATION death for a colleague of his. cephalus ; this proOF INSTITU T E ' S 1 00T H "It has been shown that nounced swelling of the 15 to 20 percent of paANNIV E RSARY head will help identify tients with gliomas reanimals with successful spond to the conventional tumor development. A combination treatment of magnetic resonance imBY CATHERINE DONNELLY surgery, radiotherapy and age (MRI) of the mice chemotherapy. It is not with hydrocephalus clear, however, why some patients respond and the rest also detected the tumor. These clinical observations will do not. We decided to seek the combination of genes allow animals suspected of having a glioma to mature, that control the mutations seen in these cancer pawhich in turn will enable researchers to study more tients," he explained. advanced tumor development. In order to study the gene mutations ofgliomas, Varmus's "Our studies matched some of the clinical progreslaboratory used an avian virus-based retroviral vector sion seen in human patients. It would appear that system to implant suspected genes into mice. Two genes in combinations of oncogenes are necessary to create the particular were studied: basic fibroblast growth factor migratory gliomas, but this is a good first step. We now (bFGF) and vascular endothelial growth factor (VEGF). can move toward the question of where to attack this More than 90 percent of glioma patients have an abnonnal disease and which genes consistently cause this canexpression of these genes, and they are predominantly cer," Varmus reported. Seeking Genes That Control Mutations B u f f a I a Physician w I n t e r I 9 9 9 �. . . LL . < Harold Varmus, MD, director of the Nationallnstitues of Health, at Roswell Park Cancer Institute. Future studies in oncology will not only continue to expand the list of genetic determinants of cancer but also explain the function of these oncogenes and their roles in the process of tumor development. In tum, physicians will be able to identify the gene causing a tumor and treat it appropriately, according to Varmus. "We will continue to build models of human cancer in animals and determine the genetic changes that cause tumors. It is reasonable to expect that we will learn the pattern of mutations and gene expression in cancer and create remedies to cure those tumors," he predicted. For the majority of their careers, Carl and Gerty Cori collaborated on the chemistry of the glycogen-glucose cycle, work that earned them the 1947 Nobel Prize in Physiology and Medicine, which they shared with Dr. Bernardo Houssay of Argentina. With this honor, Dr. Gerty Cori became the first American woman and the third woman in the world to be awarded the Nobel Prize. "The work that Carl and Gerty Cori performed resonates in the scientific community today," Varmus stated. "They helped us to understand sugar metabolism and its effect on tumor development, as well as to elucidate the mystery of diabetes. But, a greater message from their lives is the need to encourage women in the field and the incredible results obtained from collaborative efforts. " Varmus also pointed to an ongoing conflict in the scientific community between clinical researchers who need and want to work together on a project and the tendency in the field to reward independent efforts. "Teamwork," he emphasized, "is the way we need to go." + The Cort Legacy of Collaboration In addition to discussing cancer research, Varmus also stressed the need for collaboration in the scientific field and recognized the exemplary work of Drs. Carl and Gerty Cori, who held positions at Roswell Park Cancer Institute from 1922 to 1933 and for whom the Cori Lecture is named. B u f f a l o Ph ysici an w I n t e r 1 9 9 9 �BY CATHERINE • DONNELLY .. University of Buffalo, so a new building was constructed through fund-raising efforts and the generosity of Mrs. William Gratwick. In 1901 the Gratwick Research laboratory of the University of Buffalo was opened. In 1904, Harvey Gaylord, MD, was named the second director of the institute when Dr. Park stepped down. As part of this transition, Drs. Park and Gaylord determined that the laboratory should be owned and managed by New York State, rather than jointly by the state and the university, as had been the case since its founding. "The laboratory was maintained by an annual grant from New York State, but the state owned neither the land nor the building-these were owned by the University of Buffalo. Dr. Park, Dr. Gaylord and other influential administrators persuaded everyone involved to transform Gratwick Research Laboratory into a state institute," explains Mirand. The legislation to transfer the facility was signed on May 10, 1911. The University of Buffalo's Council subsequently passed a resolution, signed by 14 of its 22 members, agreeing to transfer the Gratwick Research laboratory to the people of ew York State on February 29, 1912. The university received no compensation for the transfer, and the laboratory was renamed the ew York State Institute for the Study of Malignant Diseases. The next step in the evolution of the institute came on March 7, 1912, when a grant of land and monies was provided for construction of a hospital on High and Oak Streets, near the current site of Roswell Park Cancer Institute. "The time has come when the State Cancer laboratory should have hospital facilities for research purposes. All the great modern institutions of medical research are so equipped," stated Gaylord, referring to the fact that the institute had been using the Buffalo General Hospital for its patient care. In 1913, construction was com- world's first institute dedicated to cancer research, is celebrating its lOOth anniversary this year. Since its establishment in 1898 by Dr. Roswell Park, RPCI has maintained a close relationship with the University at Buffalo, which played an integral role in its early development. Park, a world-renowned surgeon, had the prescience to realize that cancer would become one of the most common diseases to plague mankind. To confront this challenge, he proposed the concept of a multidisciplinary institution that would include research, treatment, follow-up care and education. Soon thereafter, he went in search of funds to launch his institute, which was destined to become a prototype for today's comprehensive cancer center. With the help of Buffalo Evening News editor Edward H. Butler Sr., Park began by requesting a $10,000 grant from the New York State legislature. "Dr. Park pioneered the modernday structure of government funding. He believed that New York State should fund biomedical research and cancer investigations, in particular, although monies for biomedical research had never before been received from a government source," explains Edwin A. Mirand, PhD, DSc, emeritus vice president for educational affairs at Roswell Park Cancer Institute and author of The Legacy and History of Roswell Park Cancer Institute. It took two attempts and an election year to pressure Governor Frank S. Black to finally approve the funding from the legislature on April 29, 1898. The facility, which opened shortly thereafter, was named the New York State Pathological laboratory of the University ofBuffalo and was housed on a floor of the University ofBuffalo, then located at High and Elm Streets. Its mission, as stated at the time, was to focus on "defining cancer, its causes and cures." Two years after the laboratory was founded, it outgrew its floor at the B u f f a I o Phys i cian W I n t e r 1 9 9 9 �...... --~ the New York Pathological Laboratory of the University of Buffalo was founded. Its first home wos on the first floor of the university, then located at High and Elm Streets (/eft).ln 1901, a separate facility wos built and named the Gratwick Research Laboratory (below). In 1946, the laboratory was renamed in honor of Dr. Pork. passage of the National Cancer Act of 1971 by testifying at congressional hearings held at the institute to outline the need for significant and continued support of cancer research. Roswell Park Cancer Institute's relationship with the University of Buffalo was strengthened again in 1955 under George Moore, MD , its fifth director, who believed that a comprehensive cancer center should be involved in education, particularly graduate education. Moore was joined in promoting this concept by UB president Clifford Furnas; john Payne, MD, professor of surgery; and Henry Woodburn, PhD, dean of the Graduate School, who helped to found the Roswell Park Graduate Division by charter in 1955. "ln addition, in 1983, RPCI and UB created the Graduate Medical Dental Education Consortium of Buffalo to jointly train residents and fellows interested in oncology. Originally, RPCI had established separate residency and fellow programs, but it later transferred the programs to the university to maintain their quality and consolidate appointments. To date, RPCI has helped to train more than 4,000 residents and fellows who now work throughout the world, and many of the oncologists in ew York learned from this partnership," says Mirand. ln May 1998, RPCI unveiled its new Diagnostic Treatment Center and Inpatient Tower. This facility is the cornerstone of the $241.5 million Major Modernization Project to renovate the institute's 25-acre campus and provide a foundation for state-of-the-art cancer treatment and research into the 21st century. pleted and Cary Pavilion, a 30-bed hospital, opened at the institute. Around the tum of the century, work at the NewYorkState Institute for the Study of Malignant Diseases was recognized worldwide and served as a model for cancer research and treatment across the globe. lts accomplishments influenced President William Taft, who visited the institute in 1910, to urge support of a federal cancer program; however, efforts to .. - establish a federal cancer program did not gain momentum again until President Franklin D. Roosevelt was in the White House. Roosevelt, who understood the goals and programs of the New York State Institute for the Study of Malignant Diseases from his years as New York State governor, signed the first National Cancer Act in 1937, which also established the ational Cancer Institute. Almost a decade later, in 1946, the ew York State Institute for the Study of Malignant Diseases was renamed Roswell Park Memoriallnstitute in honor of Dr. Park. (In the early 1990s, its name was again changed to Roswell Park Cancer Institute.) The institute's influence on national cancer legislation remained strong, and its leaders played an instrumental role in B u f f o l o Physic i an W I n t e r 1 9 9 9 �• · · ··········· · · · ··················· ...... .............. ...... . . . . . ... . .... . ...... . ... Initiative to Bring Health-Care Providers to Underserved Areas UB HEADS FEDERAL EFFORT I N NEW YORK 2 0 ew York State ranks sixth in the nation in the number of people living in areas with fewer than 150 residents per square mile. Unfortunately, only about one in 3,000 of those persons is a physician, and the ratio is worse in the state's inner cities. To help alleviate this shortage of health professionals in the state's underserved communities, the School ofMedicine and Biomedical Sciences at the University at Buffalo is teaming up with the State University of New York Health Science Center at Syracuse and other ew York professional schools. The effort is being aided by a three-year, $3 million grant from the U.S. Department of Health and Human Services that funds the first cycle of a 12-year program with a potential for $22 million in federal funding. With the UB medical school as lead institution, the grant will fund the start-up of an Area Health Education Center (AHEC) program in New York State. The ew York program is part of a nationwide effort launched in 1972, based on the 1970 Carnegie Commission's "Report on Higher • Education and the Nation's Health. " AHEC programs now operate in 41 states. (An earlier effort in ew York State failed due to lack of institutional support.) The goal of the initiative is to bring more health-care providers into the underserved areas by establishing clinical teaching l!Jl~·ml-mlrlJi·mJ•~ . • and practice sites in these outlying communities or B u f f o l o urban settings. Each AHEC site will be managed by a locally appointed director and advisory board and will be linked with a medical school. Through these sites, students from medicine, pharmacy, nursing, allied health, dentistry and social work will get firsthand experience living among and caring for patients in underserved areas. "We urbanize most of our medical students during their training," says Thomas C. Rosenthal, MD, professor and chair of UB's Department of Family Medicine, who will oversee the initiative. "The high-profile urban medical setting is whatyoungphysicians are comfortable with, so that is where they tend to practice. "They cluster in prosperous areas of cities and suburbs for personal reasons, also. Most want to raise families where they will have the greatest opportunities, so it is difficult to retain providers in underserved rural communities, in particular. It requires a person who understands and values rural America. The only way they will see themselves in those communities, is to be in those communities. " During the program's first three years , UB will set up a statewide administrative office in its Department of Family Medicine and help establish regional offices at the SUNY Health Sciences Center at Syracuse and Albany Medical College/State University of ew York at Albany School of Public Health. During subsequent funding cycles, center staff will help establish AHEC regional centers at SUNY at Stony Brook Health Sciences Center and SUNY Health Sciences Center at Brooklyn. Each regional center will be responsible for Physician w 1 n t e r l 9 9 9 \ �······ ·· · · ··· · ·········· ·· ······· · ······· · ··· · · · · · ·· ··· ·· · ··· · · · · · · · ·· · ········ ·· ··· · ··· 2 E , ~~ e I setting up two community-based AHEC sites in underserved areas by the end of the 12-year federal funding cycle. ew York State is required to begin funding the AHEC program in its sixth year and eventually to assume full financial responsibility. Diane G. Schwartz, director of special projects for the UB medical school, will be deputy director of the statewide program office. During the first year, the UB office will establish a communitybasedAHEC site in the 14-countyWestern New York region. According to Rosenthal , each community-based AHEC will function as an arm of a SU Y health sciences center, providing teleconferencing links back to the main campus, a setting for meetings with faculty members, and support services to students and residents living in the rural communities during their rotations. Site directors and community clinicians who will act as preceptors will be trained on-site by UB faculty . "The overall objective is to attract and keep more health-care workers in underserved areas, both by linking medical residents and third- and fourth-year medical students to these communities, and by helping local practitioners feel more connected to the SU Y medical schools," Schwartz says. + Consortium Effort Looks to Improve Family Practice he Department of Family Medicine in the University at Buffalo School of Medicine and Biomedical Sciences is part of a university consortium that has been awarded $900,000 over four years to participate in a new research initiative to change the way primarycare services are delivered and assessed. The grant from the American Academy of Family Physicians was awarded to the Center for the Value of Family Practice, which includes, in addition to UB, Case Western Reserve University in Cleveland, University ofN ebraska Medical Center in Omaha and Lehigh Valley Hospital in Allentown, Pennsylvania. The Center for the Value of Family Practice was one of three centers funded out of 65 applicants. The award is part of an $8 million effort undertaken by the academy to provide a new level of scientific evidence about the importance of an integrated, whole-health approach to the practice of family medicine. "Everyone knows intuitively that family medicine is highly health-effective and cost-effective," stated eil Brooks, MD , president of the academy , in announcing the initiative. "Countless stories from the 85,000 members of the academy confirm that. But a doctor's anecdotes are not enough. " This effort, he adds , will lay the groundwork for evidence-based , outcomes-oriented research in primary care. Carlosjaen, MD , associate professor of family medicine and director of UB's Center for Urban Research in Primary Care, is UB's codirector of the project. "This is very exciting for us ," he says. "The competition was quite stiff. This initiative will give us a chance to help make family practice better for all physicians and patients. " jaen and his fellow codirectors will develop a detailed map of the core structures and processes of family practice. Their center will address five priorities: • Managing chronic diseases within the context of each patient's needs and priorities; • Increasing the ability of family practice to serve as an outlet for applying new technologies; • Integrating mental-health care into comprehensive medical care; • Developing practice-tailored systems to deliver preventive service; • Increasing the community focus of family practice. + Perez Selected to Serve as Liaison to AAFP each medical school in the United States to serve as student membership liaison for his or her campus. The AAFP, a national medical organization for the specialty of family practice, represents 85,000 family physicians, family-practice residents and medical students nationwide. renda L. Perez of Buffalo, a second-year student in the University at Buffalo School of Medicine and Biomedical Sciences, has been selected to serve as student membership liaison for the American Academy of Family Physicians (AAFP) for the 199899 academic year. As the AAFP's official UB representative, Perez is responsible for working directly with other medical students who have an interest in family practice, as well as promoting the specialty of family practice to fellow students. Each year the AAFP selects one student from \ I B u f f c I o Physician W I n t e r 1 9 9 9 I -LOIS B AKER �a · · ······················································································ Physician Preceptors Appreciated SUMMER 1998 PRIMARY CARE EXTERNSHIP PROGRAM is an innovative program that provides real-life clinical learning opportunities for students at the University at Buffalo School of Medicine and Biomedical Sciences who are interested in pursuing careers in primary care. Started in 1993 by the Primary Care Resource Center, the externship is now administered through the Office of Graduate Medical Education. The program is recognized as the largest of its kind in the nation by the American Medical Student Association's Generalist Physician in Training Initiative. The paid six-week externship, completed during the summer months, exposes both first- and second-year medical students to the true continuity of primary care. Placements are arranged in the offices of generalist physicians throughout the Western ewYork area. Students enjoy varying degrees of interaction with patients, including taking histories and performing physicals, while becoming part of the daily operation of an office. In 1998, newly defined goals and objectives, along with more detailed and frequent assessment of the program at various stages, have helped to strengthen the program by providing a consistent set of expectations for everyone involved. The School of Medicine and Biomedical Sciences wishes to extend its thanks to the following physicians who served as preceptors for the Primary Care Externship Program in 1998: STUDENT PRECEPTOR(S) Dorothy Adler Sleven J. Ambrusko Jeffrey L. Amodeo Lynn M. Barnhard David Holmes, MD Jock F. Coyne, MD Mark R. Klocke, MD Anthony Vetrano, MD, lynda S~dhom, MD, & Josey Welliver, MD Amy E. Braun Chelikani V. P. Varma, MD laura E. Cancilla Catherine O'Neil, MD, & Janet Sundquist, MD Anthony J. Caprio Richard Ruh, MD, & Mark Swetz, MD Shawn Cotton, MD Thomas V. Caprio leslie A. Chamberlain Herbert Joyce, MD J. Thomas Reagan, MD Jeffrey Chung Andrea Manyon, MD Kristin L. Clark Timothy F. Corvino Herbert Joyce, MD Jessica L. Dolewilz Charles Hershey, MD Raphael Wang, MD Sorabh Dhar Holly J. Drexler lorne Campbell, MD Ani J. Fleisig Donald Robinson, MD, & Emily Freidan, MD Jeremy J. Flood Brian Connolly, MD Madhuri Guntupalli Gregory Snyder, MD Brigid M. Hannohoe Jock P. Freer, MD Ann Marie Hedges Colleen Mattimore, MD, & Mary E. Schamann, MD Alissa J. Huston Chester Fox, MD Gregory A. Jobes David Milling, MD Christopher W. Kling William Kuehnling, MD ® STUDENT Family Medicine Pediatrics Pediatrics Morto C. Kalthoff Pediatrics Pediatrics Internal Medicine Family Medicine Family Medicine Independent Health Admin. Family Medicine Family Medicine Independent Health Admin. Internal Medicine Pediatrics Family Medicine Family Medicine Family Medicine Family Medicine Internal Medicine Pediatrics Family Medicine Internal Medicine Family Medicine a PRECEPTOR(S) SPECIALTY u f f a 1 o SPECIALTY Ashok Noik, MD, & Suwarna Naik, MD Internal Medicine Pat Collins, MD Family Medicine Eileen W. Lou Jennifer I. Lee Peter Kowalski, MD Family Medicine Peter Winkelstein, MD Sabina lim Pediatrics John Thompson, MD Family Medicine Andrew G. Moyer leah S. Millstein Howard Sperry, MD, MPH, FACP Internal Medicine lorne Campbell, MD Family Medicine Dhruli Naik Nicholas Aquino, MD Debra M. Ogie Medicine/Pediatrics Bernadette J. Pasamba Geraldine Kelley, MD Internal Medicine Peter Kowalski, MD Family Medicine Jesenia Pena Herbert Joyce, MD Independent Health Admin. Brenda L. Perez Elysso R. Peters Ashok Naik, MD, & Suwarna Naik, MD Internal Medicine Gaurong Sheth, MD Joey G. Philip Pediatrics John Brewer, MD Everett F. Porter Family Medicine Gretchen A. Schueckler Jane M. Parmington, MD Pediatrics Davindra Seelagan Thomas S. Scanlan, MD Internal Medicine Tracey C. Shanahan Fronk C. Mezzadri, MD Medicine/Pediatrics Neha N. Sheth Theodore Putnam, MD Pediatrics Kristen A. Smizzi Harry Metcalf, MD Family Medicine Britto M.Svoren John Fudyma, MD Internal Medicine Rommel M.Tolentino G. lawrence McNally, MD Pediatrics Judith A. Toski Herbert Joyce, MD Independent Health Admin. Rosolic Viterbo G. Jay Bishop, MD, FACP, & Anthony 0. Bartholomew, MD Internal Medicine Debra L. Wojtonik Russell Voughon, MD Pediatrics Nora L. Yip Geraldine Kelley, MD Internal Medicine Phys ician w I n t e r 1 9 9 9 �··· ·· · · ·········· · ············· · · · · · ··· ·· ········· ····· · · ·········· · ············· · ··· · · a THROUGH TH E Em oF A STU DE NT . . . "This past summer, as part of my Primary Care Externship, I spent six weeks at a practice, during which time I not only witnessed the bond between my preceptor and his patients, but also formed my own relationships with patients. I learned that sometimes when medicine can't cure things, an understanding and supportive ear can! This was the most exciting time in my medical school career. I experienced many things and was filled with many confusing emotions: happiness and sadness, insecurity and confidence, anger and serenity. This summer I learned what medicine is all about. " Class of 2000 - D oRoTHY A DLER , - P RECEPTOR , D AVID HOLMES , M D Bailey Family Health Center CO NTINU ED SUPPORT NEEDED The Primary Care Externship Program is currently supported by a number of sources, including the Culpeper Foundation, Independent Health Foundation, Lake Plains Community Care etwork, Buffalo General Foundation, and CGF Hospital in jamestown. In order for this unique program to continue, it needs the support of the Buffalo community. A special endowment fund has been established by Evan Calkins, MD , to develop a more consistent funding source for the program in an age of decreasing capital. An accomplished physician and leader in the medical community, with a lifelong commitment to primary-care medicine, Calkins began the fund to encourage young people to explore and pursue the generalist careers. For more information about the Primary Care Extemship Program or giving opportunities, call Susan Orrange at (716) 829-2802; or E-mail her at sorrange@buffalo.edu. B u f f a l a Rural Communities Gain Internet Access to Health Information he University at Buffalo Health Sciences Library has received a $50 ,000 information-access project grant from the ational Institutes of Health and other federal funding agencies. It will be used to help more than 700 publichealth professionals in rural upstate communities connect with the Internet and acquire access to a broad range of health information now available online through the National Library of Medicine ( LM) and its affiliated medical libraries. The UB project will serve the 17 counties of Western and Central New York, their county health departments and the regional office of the state Department of Health. The grant was awarded through a program called "Partners in Information Access" funded by the LM and its National Network of Libraries of Medicine, of which the UB Health Sciences Library is a member. Other funding agencies are the Centers for Disease Control and Prevention, the Health Resources and Services Administration, and the Association of State and Territorial Health Officials. Sharon A. Gray , UB project director, senior assistant librarian and head of reference and education services for the UB Health Sciences Library, says the Physician W I n t e r 1 9 9 9 program is designed to increase awareness of the services offered by the agencies involved. "UB librarians," she says, "will use their expertise to organize Internet resources on public health and to teach health department staff to search these sources effectively. " Gray says the UB project has targeted more than 700 public-health professionals for training through workshops. Also, a Web site linking various information sites will be developed and county health department program managers , county health commissioners and the Western ewYork PubHealth Coalition will collaborate on the • project. L M z director • Donald ~ A. B. Lindberg says the projects funded will make it possible for publichealth agencies to address a variety of community health problems and special populations. They then will be able to respond more effectively to disease outbreaks and environmental health risks that affect the health and well-being of entire communities, he says. The UB project was designed by Gray; Maurizio Trevisan, MD , professor and chair of the UB Department of Social and Preventive Medicine; Robert O'Shea, PhD, emeritus professor of social and preventive medicine; and two of the department's adjunct professors, Erie County Health Commissioner Arnold Lubin and jacques Berlin of the state health department. - P ATRICIA DONOVAN ® �. . . . . . . . . . . .. . . .. . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . [1] ~ ~ I Honors Brunch Recognizes Firstand Second-Year Achievements h s B recognizing academic excellence among first- and second-year students was held at the University at Buffalo School of Medicine and Biomedical Sciences on October 11, 1998, in Harriman Hall. The following is a list of award recipients and a description of the awards received: received the Department of Physiology and Biophysics' Donald W. Rennie Physiology Prize, which is given to the student with the highest combined average in the two first-year physiology courses. JAY MORROW DEPARTMENTAL AWAR DS he departments of the School of Medicine and Biomedical Sciences have establish ed awards to recognize meritorious performance in their courses as well as outstanding achievement in other curriculum-related activities. BR'TTA M SVOREN received the Department ofPathology's Komel Terplan Award, presented to the student with the highest combined average in the twosecond-yearpathologycourses. Svorenalso received the Department of Pharmacology and Toxicology's Douglas S. Riggs Award, presented to the secondyear student with the highest average in the Fundamentals ofPharmacology course. received the Department of Pathology's American Society of Clinical Pathologists Award for Academic Excellence, which is presented to the second-year student who has demonstrated high academic achievement and outstanding performance in the pathology laboratory. ALTER WALEK M HORB NSKI received the Department of Pharmacology and Toxicology's Edward A. Carr, Jr., Clinical Pharmacology Award, which is presented to the MD/PhD student who achieves the highest average in the Fundamentals of Pharmacology course. CRAG THOMAS M KEENAN received the Department of Anatomy and Cell Biology's James A. Gibson, Wayne ]. Atwell and Oliver P. Jones Award, which recognizes the student with the highest combined average in the anatomical sciences courses of gross anatomy, histology, neuroanatomy and embryology. CHRISTOPHER ADAMS received the Department of Biochemistry's Edward L. Curvish Award, which recognizes the student with the highest average in the two first -year biochemistry courses. ® HOPE E CAWDERY received the Department of Microbiology's Ernest Witebsky Award for Proficiency in Microbiology, which is presented to the second-year student with the highest grade in the Microbiology and Immunology course. LIN received first prize for the Department of Pharmacology and Toxicology's Astra-Merck Cardiovascular Drug Monograph Awards, which are presented to the second-year students based on the quality of a monograph written in the form of a package insert. Lin also won first prize in the department's 1998 USP Patient Information Competition. JENN FER MELISSA WOLF received the Department of Microbiology's Marek Zaleski Award, which is presented to the student who best combines high standards of academic achievement with outstanding service to the community.Each year's recipient is chosen by members of the second-year class. B u f f a l o Physician w I n t e r 1 9 9 9 �··············· · ··········· · ·················· · ······· · · · ········ · ········ · ········· · · · · E . ~~· e ' ' received second prize for the Astra-Merck Cardiovascular Drug Monograph Award competition. AARON THO J. S GUYER \11 '<EE and received the McGrawHill book awards, which are presented each year to the two highestranking students in the first-year curriculum . SC received the Evan Calkins Primary Care Achievement Award, presented to an outstanding student in the Primary Care Summer Externship Program. s N A PENA received the etter Award, which is presented to a student fellow for outstanding performance in the Primary Care Summer Externship Program. Pena also received third prize for the Astra-Merck Cardiovascular Drug j Monograph Award comj petition, described above. J 1 f r 2000 Jennifer Lin Steven Lo Todd Loftus Michael Logue Beth Lucas Dionysio Momois Andrew Moyer Everett Porter David Rice Christopher Santangelo Tracey Shanahan Andrew Stone Moriso Stumpf Britto Svoren Cheryl Tourossi Felicia Tenedios Rommel Tolentino Amy Vandewater Eric Woffner Wolter Woleck Nora Yip Dorothy Adler Mothijs Brentjens Anthony Caprio Thomas Caprio Daniel Carl Hope Cowdery Leslie Chamberlain Julie Cheng James Chevalier Frederic Chi Joimie DeRosa Christopher DiMaio Kimberly Dumoff Sumo Gono Rose Graham Modhuri Guntupolli Alissa Huston Adriano Koczaroj HeyJoo Kong Brion Klogges Marta Kalthoff Sharmeelo Kuperon Justin Kwon Charles Lou Jennifer Lee ) 1 Christopher Adams John Borgoy Thomas Botto Amy Broun Keith Chon Damian Compo Ryan Den Haese Michael Duff·Roffoele Sosho Gilmore Aaron Guyer Ann Marie Hedges Steven Kom Thomas Keenan Christopher Kling Somi Lewin Kevin Mallen Joy Morrow Barbaro Odell Songito Patel Elysso Peters David Piccioni Kilian Salerno Dovindro Seelogon Robert Setlik Mudit Sharma Koreno Steiding Robin Yates Daniel Yoon Morino Zoydmon Klagges Completes Alpha Omega Alpha Student Research Fellowship :l. rion Klogges, Closs of 2000, was the recipient of on Alpha Omega Alpha Student Research Fellowship, which provided him with $3,000 in support of a research project he completed during the summer of 1998 in the laboratory of laura E.Nikloson, MD, PhD, on instructor of anesthesia at the Massachusetts Gen· era! Hospital in Boston, Massachusetts. Under Nikloson's direction, Klogges used a \"Ideo Motion Analysis System to assist in quantitating the static and dynamic compliance of culture tissue· engineered arterial grafts in vitro. He I 8 R 1 A N K L A G G E 5 e s ,f n n e p n 9 L A (pictured on page 24) GRET DEAN'S lETTERS OF COMMEND ATION he Dean's Letters of Commendation are awarded to students who achieve 75 percent of available honors points each year. Two honors points are earned for each credit hour of honors performance; one point is earned per credit for high satisfactory. B u f f a l o Physician W I n also participated in a preliminary study examining the effects of several pharmaceutical compounds on the functional characteristics of these engi· neered vessels. Klogges graduated cum laude from Providence College in Providence, Rhode Island, where he double majored in biology and psychology. Alter graduation, he worked in the laboratory of William Abbott, MD, chief of vascular surgery at Massachusetts General Hospital. Alpha Omega Alpha is the only notionalhonor medical society inthe world. Its purpose is to recognize undergraduate medical school achievement andto perpetuate excellence in the medical profession. t e r 1 9 9 9 �• ······ · ····· · ························· i, • Multifaceted Approach to Treatment of Addiction D I RECTOR OF NAT IONAL INSTITUTE ON DRUG AB U SE HO L DS TOWN HALL MEET I NG AT UB he ultimate cure for drug addic- he said , while tion will probably involve a com- also emphasizbination of biological, behavioral ing the need to and social considerations, Alan I. make sure these Leshner, PhD , director of the a- findings are distional Institute on Drug Abuse seminated both IDA), announced during a recent visit to the practice to the University at Buffalo. community and Leshner's UB visit was one of several to the general IDA town meetings conducted nation- public. wide during Red Ribbon Week in Contrary to October 1998 to create awareness what most peoabout the realities of drug abuse and ple believe, sciaddiction. ence "says" that In a talk titled "Drug Abuse and drug addiction is a preventable problem Addictions: Myth versus Reality, " and a treatable disease, he maintained. Leshner clarified common misconcep- "The success rates for drug abuse treattions about the nature of drug abuse and ment are comparable to the success rates addiction, focused on scientific advances for any other chronic relapsing illness that have altered researchlike diabetes , hyperteners' fundamental views of sion and cardiovascular the problem and anabnormalities. But we can nounced immediate steps do better. " the NIDA is taking to imLeshner also emphaprove treatment. sized the importance of Citing drug abuse and addiction as distinguishing between two distinct subamong the most complex phenomena groups of people who abuse drugs: facing today's society, Leshner acknowl- One group is made up of those who take edged a tremendous stigma attached to drugs to "feel good, " known as sensadrug addicts and drug addiction. A tion seekers; a second group is made up further hindrance to the search for work- of those who take drugs to "feel better," able treatment approaches, he added, or as a form of self-medication. Essenis the fact that so many misconceptions tially, both groups "like what drugs do abound. to their brains. Although, in the past, a "We have ideologies galore that exist problem has been that we lumped evabout the phenomenon; luckily, how- eryone together both in prevention and ever, we now also have scientific data. " in treatment. " Advances in science over the past 20 Leshner showed slides of functional years have revolutionized fundamental MRI scans depicting increased activity views about drug abuse and addiction, in the brain's reward circuit after drug ® B u f f a l a P use , noting that this area of the brain has traditionally been the focus of studies. Recently , however, researchers have begun to look at how drugs and drugassociated stimuli relate to a wide spectrum of brain functions , such as emotional memory, he reported. Drug addiction is fundamentally a brain disease: Drug use alters the brain state and, over time , actually causes brain changes that result in the compulsion addicts experience, Leshner said. "Compulsion, which is the essence of addiction, occurs because drug use over time changes the brain in ways that persist long after the individual stops using drugs. Treatment needs to attend to those brain changes, both pharmacologically and behaviorally. "Drug addiction is not just about moral weakness and failure , as many people want to believe," he continued. "The final common path for addiction is the brain, but when and how one becomes addicted depends on an intersection of elements, including genetics. " hysician w I n t e r 1 9 9 9 �······ · ···················· · ············· · ····· · ······· · ······· · ··········• ·· ~ t t "COMPULSION, WHICH IS THE ESSENCE OF ADDICTION, OCCURS BECAUSE DRUG USE OVER TIME CHANGES THE BRAIN IN WAYS THAT PERSIST LONG AFTER THE INDIVIDUAL STOPS USING DRUGS. TREATMENT NEEDS TO ATTEND TO THOSE BRAIN CHANGES, BOTH PHARMACOLOGICALLY AND BEHAVIORALLY." Leshner noted that the complexity of addiction is compounded by a chronic relapse rate caused by stress and exposure to drug-associated stimuli. "In the past few years, we have discovered that when an individual is merely exposed to such stimuli, the brain reacts the same way it does when the individual has taken drugs, which shows that addiction is a brain disease that has social and behavioral aspects embedded into it. "Like it or not, we need to acknowledge that when we are dealing with Harold Strauss Named Chair of Physiology and Biophysics arold C. Strauss, MD, former Edward S. Orgain Professor of Cardiology at Duke University Medical Center and a specialist in ion-channel function, has been named chair of the Department of Physiology and Biophysics in the University at Buffalo School of Medicine and Biomedical Sciences. Strauss held appointments in medicine and pharmacology at Duke, and for the past13 years served as director of its multidisciplinary Specialized Center of Research in Ischemic Hearl Disease/Congestive Heart Failure. He brings to UBan extensive research background in the electrophysiology of cardiac cells B u f f a I o addicted individuals, we are dealing with individuals in another brain state. lt was very difficult for people to grasp this 10 years ago, but we have finally come to understand that people are compelled to use drugs because they are in a different brain state, and treatment needs to attend to those brain changes. "The reason we have to care about the nature of the illness, which in this case is biobehavioral, is that it tells us about the nature of the treatment we have to use," he continued. "Treatments need to attend to the biology, the behavior and the social context simultaneously or they will not work as well. " Leshner announced that the NIDA has declared its next major nationwide initiative to be improvement of treatment. Toward this goal, the institute is developing a new ational Drug Treatment Clinical Trial Network to facilitate and is principal investigator on three major federal grants studying the structure and function of potassiumchannels in order to develop safer and more effective antiarrhythmic drugs. Anative of Canada, Strauss earned his medical degree from McGill University in Montreal in 1964 and completed an internship and junior residency at Montreal's Jewish General Hospital. From 1966 to 196B,he was a postdoctoral fellow in pharmacology at Columbia University's College of Physicians and Surgeons. He then completed a one-year residency in medicine at Bronx Municipal Hospital Center, Albert Einstein College of Medicine, and a two-year cardiology residency at New York's Presbyterian Hospital. In recognition of two decades of involvement with the American Heart Association, Strauss Physician W I n t e r I 9 9 9 the dissemination of treatment information. "We are going to use science to improve the quality of existing treatments and look for new treatments." The project will involve a network of interconnected sites around the country, he explained. The hub of each site will be a coordinating center, such as a university or hospital, and each coordinating .. center will be attached to 10 or 15 local < community-based treatment programs "' that will become partners in the research u to be carried out. The research will involve testing scientifically developed " treatments in real-life settings rather than in the laboratory. "People want a simple solution to drug abuse and addiction , but we will never have a handle on the problem until the solutions are as complex as the truly multifaceted problem that we are trying to address," Leshner concluded. + received its Award for Meritorious Achievement in 1996. He has served on various committees and boards of the National Heart, lung and Blood Institute of the National Institutes of Health. He isassociate editor of Circulation Research and is on the editorial board of the Journal of Cardiovascular Electrophysiology. As a researcher, he has published more than 100 articles in peerreviewed journals and authored numerous review articles and book chapters. Amemberoft he New York Academy ofSciences and a diplomate of the American Board of Internal Medicine, he is affiliated with several additional professional organizations. + -LOIS B AKER �rm················································································ · ······· g Sexual Identity Issues in aClinical Office Setting to this is if your life or someone else's life is in danger. Do you have any attraction to members of one~ own gender and is part of the questions?" Right there an atmosphere continuum of sexual expression. Many gay and lesbian youths of trust has been created and the message sent that the adolescent's rights first become aware of and experience their sexuality during will be respected. A similar statement, emphasizing confidentiality, can be adolescence. Therefore, pediatricians who care for teen-agers need to made to adults. How we ask the sexual history is understand the unique medical and psychological issues facing homoimportant. Everyone develops his or sexually oriented youths. her own style with which they are comfortable. The HEADSS model of -from the American Academy of Pediatrics' Policy Statement on interviewing adolescents involves discussing Home, Education, Activities, Homosexuality and Adolescence Drugs, Sex and Suicide. What we don't Most primary care specialties have a hear. We can foster this feeling by want to do is assume heterosexuality similar policy statement concerning ho- having materials in the waiting room: by our questions. To a male, we don't mosexuality. However, few physicians posters depicting same-sex couples want to ask, "Do you have a girlfriend? " feel they have been adequately trained to alongside heterosexual couples; books In doing so, we implicitly communideal with issues of sexual identity. To and pamphlets that discuss issues of cate that it isn't possible he's gay and this end, I presented a Grand Rounds at sexual orientation; or a rainbow sticker it's bad if he is. Consider trying this phrase instead: Children's Hospital ofBuffalo onjuly 24, on a window or wall (the rainbow is the gay pride symbol). "Some of my male patients your age find 1998, titled "Caring for These simple actions themselves attracted to men, some to Your Gay/Lesbian/ BY are profound gestures women, and some to both. How is it for Bisexual Patients and FRANK P . of affirmation for youth you?" This question resonates with paFamilies." Colleagues CARNEVALE. MD starved for images of tients on several levels. It affirms and have since told me of themselves and for normalizes their experience by stating their success in using the places they can turn to they are not alone. It presents their emergapproach I outlined at ing sexual identity in nonthreatening that time. This approach entails three for help. That's what they see. What they hear are the statements true-to-life terms-that they "find themsteps: Safety, Support and "Referral"three simple, brief, inexpensive, yet we make and the questions we ask, selves attracted." (For most people, inteenormously powerful, interventions for both of which speak volumes. For grating their sexual identity into their dealing with sexual identity issues in a example, if it's the first time I've met lives involves first noticing their feelings; the teenager, I like to preface my en- it's a discovery process.) Finally, the quesclinical office setting. tire interview with a statement about tion accepts all points on the Kinsey Scale confidentiality: "Now that you're an by not assuming any identity from the STEP 0 E: SAFET This is the first step for an important adolescent, I will treat you differently outset. And with that we've taken Step reason. It's the basis for creating an than the younger kids. I'll be asking One. We've created an atmosphere oftrust, atmosphere that is conducive to open you questions about many aspects of which opens the door to communication. discussion. Without a sense of safety, your life and it's important for you to none of the remaining steps will take realize that what you tell me is confi- STEP Two: SuPPORT place. Safety is simple to achieve. People dential. I won't talk about it with your What if the patient responds that he perceive a sense of safety from their brothers, sisters or parents, unless or she has feelings of attraction tosenses-what they see and what they you want me to. The only exception ward the same sex? Q,\IOSEXUALI TY IS TP-,:; PERSISTENT SEXuAL and emotional B u f f a l o Physic ian w I n t e r 1 9 9 9 �. . . . •. . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'llt"!'' ll'!'ll"'i ii'P.II ~, ,.ft'J'I ~ I ll ill This leads us to Step Two of our three-step model: support. The elements of this step are listening, affirming, questioning further, correcting misinformation and assessing risk. In other words, all the normal things we would do with any other issue or concern. LI STEN ! G: This may be the first time they are talking about this. Let them tell you where they are. It's a significant moment in a person's life when he or she shares this with another. A FFI R M ! G: "Many people your age have this experience; it's okay." Q UESTION I NG FU RTHE R: "Tell me more about that." "What do you think?" "What types of sexual experiences have you had?" "Have you been with men, women or both?" C O RR ECTING MI SINFO R MATION: Patien t: "Well, I'm afraid this means I'm gay." Doctor: "What if you were?" Patien t: "No way, then I'd never have kids!" Doctor: "Some gay men and lesbians do have kids. Some choose not to." Patien t: "But if I'm gay I'll get AIDS." What a great chance to discuss STDs and pregnancy prevention. A SSESS ! G RI SK : We can address STD/HIV risk, substance abuse, suicide and physical abuse; B u f f a l o again, we can ask all the questions we would normally ask as part of the adolescent interview. STEP THREE: "REFERRAL" I put referral in quotes because by referral I mean connecting the patient to appropriate resources. Obviously, if appropriate, we can refer to a therapist, a psychiatrist or a substance abuse counselor. More commonly, "referral" involves providing pamphlets, booklets, books and phone numbers of supportive organizations. RESOURCES FOR PHYSICIANS' OFFICES A supportive group of volunteers from PFLAG (Parents Families and Friends of Lesbians and Gays) provided the Children's Hospital Grand Rounds audience with resource packets on this subject. The PFLAG team has sifted through the current literature and distilled, compiled and organized the information into a usable format. The packets can be provided to patients ancl!or their families if the family knows the person is homosexual. If you would be interested in receiving a copy of this packet for your office, simply mail a $3 check (to defray postage and handling costs) to PFLAG, Attention: Resource Folder, P.O. Box 861, Buffalo, Y 14225. + Physician w I n t e r I 9 9 9 f· · "!) Cu '' lc 'D '95 recently completed his pediatric residency at Children's Hospital of Buffalo and, in]anuary 1999, joined the University at Buffalo's Student Health Center. Dr. Carnevale wishes to thank the following individuals and organizations for their support and their roles in the Grand Rounds presentation: Elizabeth B. Conant, PhD, Camille Cox and Curt Gregg,from PFLAG; Mary Alice Boyd, MSW, from the Gay and Lesbian Youth Services (GLYS) of Buffalo; and the teens from GLYS who sat on a panel for the presentation. He would also like to thank Gerald Daigler, MD, from Children's Hospital of Buffalo; and Ross Hewitt, MD, who assisted in obtaining funds from Abbott Laboratories in support of producing the resource folder. 0 �The Evolving Ethics of Medicine JEROME KASSIRER , MD ' 57 , KEYNOTE SPEAKER FOR INSTITUTE OF HUMAN RELAT IONS AWARDS HE \1A. XFv1 "0. 'CE A BUFFALONIAJ'.., always a Buffalonian" was illustrated by the celebration surrounding the return of Buffalo native jerome P. Kassirer, MD, editor-in-chief of the New England]oumal of Medicine, who was in town October 26, 1998, to receive the Institute of Human Relations Award from the American jewish Committee of Western New York (AJC-WNY) . Kassirer, who earned his medical degree from the then- University ofBuffalo in 195 7, was honored for his promotion of medical professionalism, ethical scientific conduct, patient involvement in decision making and reliable approaches to assessment of quality health care. The AJC-WNY, in presenting Kassirer with the award, acknowledged his numerous editorials on these topics, as well as others on professionalism, appropriate use of firearms, the abuses of managed care, and political intrusions into medical decisions. In a keynote address, titled "The Evolving Ethics of Medicine," Kassirer lauded the AJC for battling intolerance for nearly a century and cited the murder of Dr. Barnett Slepian, Buffalo obstetrician/gynecologist and abortionist, as an example of how much farther the world has to go in order to truly be "united as one human race. " Aftpv ar11A Before an audience of more than 200, Kassirer then discussed a number of current controversies in the medical field and outlined their ethical implications. "This is the most tumultuous time in the history of medicine. Technology and scientific advances in providing medical care have overtaken society's willingness to pay for them. rr magna cum laude from the University of Buffalo School of Medicine in 1957, Jerome P. Kassirer trained in internal medicine at Buffalo General Hospital and in nephrology at the New England Medical Center in Boston. He joined the faculty of Tufts University School of Medicine in 1961 , was named professor of medicine in 197 4 and was the Sora Murray Jordon Professor of Medicine from 1987 to 1991 . From 1971 to 1991 he was associate physician-in-chief of the New England Medical Center and B u f f a l o Health-care reforms occur minute by minute. This is not the same field that I entered 40 years ago, but physicians can still influence the course of medicine and maintain quality," he stated. Kassirer is concerned with a marketdriven health-care system in which expansive health maintenance organizations (HMOs), powerful investorowned conglomerates and armies of health-care lawyers and consultants vie for available monetary resources. "We used to have a simpler one-patient and one-doctor system, but now the purchasing power of employers, and the HMO practice of treating populations rather than individuals, drives the industry. Physicians need to take control and get back to the practice of medicine," he emphasized. Currently, physicians are working longer hours and seeing more patients per hour to maintain their incomes, he contended. More and more time is spent processing paperwork, and stress is rampant. As HMOs become dominant in a community, physicians must join them in order to maintain their offices and keep seeing patients. "Capitated care has tempted some doctors to under-test and under-treat their patients and avoid the patients who are seriously ill. The industry today pits the ethical needs of patients against physician income and job security. Physicians can be torn between their patients and their families ," he said. vice choir of the Deportment of Medicine at Tufts.ln 1991 , he become the 38th editor-in-chief of the New England Journal of Medicine. Throughout his career, Kossirer has published numerous original research and clinical studies, textbook chapters and books on nephrology (acid-bose equilibrium, in particular), medical decision making and the diagnostic process. He was o founder and coeditor of Nephrology Forum in the journal Kidney International and of Clinical Problem Solving in Hospital Practice until1991 . Physician w i n t e r 1 9 9 9 �< Kassirer was elected to Alpha Omega Alpha (AOA) as astudent and was named the AOA Distinguished Clinical Teacher of the Year in 1989. He was named Distinguished Alumnus of 1991 by UB's School of Medicine and Biomedical Sciences and received the Distinguished Faculty Award from Tufts University School of Medicine. He has honorary degrees from the University of Massachusetts in Worcester, Thomas Jefferson University in Philadelphia, the SUNY Health Sciences Center in Syracuse, l'Universite Rene Descartes in Paris, Tufts University and the Medical College of Ohio. B u f f a I a Physician W I Kassirer served on the American College of Physicians' board of governors and board of regents and in 1997 received the college's John Phillips Award for his contributions to clinical medicine. He is past chair of the National library of Medicine's Board of Scientific Counselors and past chair of the American Board of Internal Medicine; he is also a member of the Association of American Physicians and the Institute of Medicine of the National Academy of Sciences. n t e r 1 9 9 9 �While admitting that his talk might be interpreted as painting a bleak future for the field, Kassirer counIn Kassirer's view, the greatest threat tered: "We should encourage our to the medical field is loss of integrity, children and our grandchildren to folwhich can be realized when physicians low in our footsteps and enter the under-treat their patients and decide medical field. After all, we are not that "it's for the best"; or, worse, use the selling fake jewelry, we are not makHMO to justify suboptimal care. ing weapons of mass "We have to rememdestruction. ber that the fee-for" THIS IS THE MOST TUMULTUOUS TIME IN THE HISTORY OF We are privileged service method was not MEDICINE . TECHNOLOGY AND SCIENTIFIC ADVANCES IN PROVIDto help people and perfect. The demands make a decent living of HMOs for prevenING MEDICAL CARE HAVE OVERTAKEN SOCIETY'S WILLINGNESS TO while we help them. " tive and cohesive care PAY FOR THEM . HEALTH-CARE REFORMS OCCUR MINUTE BY Crediting UB with have improved mediMINUTE. THIS IS NOT THE SAME FIELD THAT I ENTERED 40 YEARS giving him a superb cine. Managed care has medical education as AGO , BUT PHYSICIANS CAN STILL INFLUENCE THE COURSE OF also forced us to pay well as teaching him more attention to preMEDICINE AND MAINTAIN QUALITY ." how to write, Kassirer ventive medicine, to the closed by strongly enmanagement of chronic diseases, to the quality of care and the cost policies in their region and to deal with dorsing the concept of medical schools of care. I believe that we would not have ethical lapses when they arise. "We need teaching medical ethics as a means of made so much progress in these areas to maintain the public trust or we have helping future physicians learn how to without the prodding of managed care. " nothing. We must remain patient advo- better provide quality care in what is Kassirer outlined ways physicians can cates and fight for their rights and reject sure to be a challenging health-care preserve their integrity, suggesting that attempts to limit care," he emphasized. environment. + CONTINUED OTHER FROM 1998 PAGE RECIPIE 31 the first thing they should do is admit that money isn't everything. Also, they should remain true to themselves, and not bend to pressure from outside sources, including pharmaceutical companies and manufacturers of medical devices. Instead, local physicians should stand together to help create medical TS OF THE INSTITUTE OF HUMAN RELATIONS AWARD OF THE AMERICAN jEWISH Cow~11TTEE OF WESTERN NE\\ YoRK: I. PUTNAM , MD , EVAN CALKINS , MD , LINDA C. DUFFY , PHD , FREDERICK E . THEODORE professor emeritus of medicine and family medicine at the University at Buffalo School of Medicine and Biomedical Sciences; consultant in geriatrics programs, Health Care Plan; and partner, Promedicus Group, was honored for "his long and devoted leadership in medical education and outstanding contributions in the fields of geriatrics/gerontology, rheumatology and general medicine." associate professor of pediatrics at the University at Buffalo School of Medicine and Biomedical Sciences and executive director of the Women and Children's Health Research Foundation, was honored "for designing and developing the Doctor's Pediatric Immunization Program, and expandable Children's Hospital of Buffalo's Expert Software System that monitors and tracks childhood vaccinations." MUNSCHAUER Ill , MD , associate professor of clinical pediatrics at the University at Buffalo School of Medicine and Biomedical Sciences, director of Ambulatory Services and chief of the Division of General Pediatrics, Children's Hospital of Buffalo, was honored "for his tireless effort in the establishment of outreach pediatric centers that provide quality health care to needy children in their own communities." ® B u f f o l o associate professor of clinical neurology and internal medicine at the University at Buffalo School of Medicine and Biomedical Sciences, associate head of the Department of Neurology and head of the Vascular Disease Prevention Research Center, Buffalo General Health Systems, was honored "for his groundbreaking research in multiple sclerosis and the development of a simple selfexamination that can detect atrial fibrillation, a major risk factor for stroke." P hysician w I n t e r l 9 9 9 �BY J . LINDA CORDER . PHD , CFRE The Gift to Know Them Deeply bers, each of whom lighted a candle before I trouped over, with speaking. the Class of 2002 and a few assorted others, Some recited poetry-"Death be not proud ... " to Harriman Hall for a memorial service. I could not stop for death, Death kindly "Because That experience influenced me to change stopped for me ... "-old favorites that have focus, however briefly, from thoughts of helped many of us to accept the death of facilitating philanthropy to another type of someone close. Several gave examples of what gift, that of a person's body, given to facilitate the they learned-about cancer through a tumor education of future physicians. in a woman's lung; from finding an implanted I was struck, initially, with the diversity of pacemaker that had not been "enough" to our newest class-roughly half women and half keep the heart of a man, younger than his dad, men, a rainbow of skin tones , a rich texture of beating; viewing in awe the slack, translucent various ethnic backgrounds and, as I was to skin of a woman who reminded hear, a broad representation of one student of his granny. Anpersonal religious beliefs. Our The service was simple; those memorialized were known other student read a letter from a beautiful children of yesterday, person whose body became "a our healers and health-care givers not by name but by what they had taught. teacher" for a previous class. One of tomorrow ... entreated, "Don't think of this as The service was simple; those my deathbed; rather, think of it as a bed of life," followed by memorialized were known not by name but by what they what each organ might mean if donated, what nerves and other had taught. Though unknown while living, they were rectissues might teach to those with the patience to learn. Several ognized as true friends in their generosity of spirit and their talked about the relationship they experienced with their lasting impact on the lives of the students who had shared cadaver-what they learned always outweighing the frustra"the privilege to cut them and know them deeply .., of not knowing details that will forever remain hidden. tions One of the faculty members told about his mother's end, each speaker lit the candles of those seated nearby, At the decision to leave her body to the medical school where he had bathed in candlelight. Each of us left the until the room was received his education. This past Thanksgiving was his service with a single rose, symbol of memory and hope ... family's first without the smile of his mom across their table. So it was that on one of the year's dark, gloomy days, I He recalled an earlier Thanksgiving when she had first paused in my daily routines to light candles, to celebrate discussed her decision, and the experiences that had led to and remember generous folks I did not know. With those her choice. As an educator, this was one final way she could students, I was thankful for mute teachers who had made influence and teach another group of young people. such a contribution to the understanding of human strength We learned some facts from the chair of the Department and frailty, the diagnosis of disease, the alleviation of pain of Anatomy and Cell Biology. Our school is one of very few and suffering. Standing with those young, idealistic physiin the world with a gross anatomy lab populated entirely by cians of the future, I realized that it is for experiences like those who made a conscious choice of that place as their final these that I chose both my profession and UB's School of destination. We are extremely fortunate that over 7,000 Medicine and Biomedical Sciences. The focus of that memopeople now living in Western New York have made arrangerial service was, indeed, different from my daily routines. ments to join that distinguished company in the future. Our However, the purpose of "anatomical gift" donors is very students are privileged, knowing that those people from much the same-facilitating the education of future physiwhom they learn held medical education and research in the in the best way they know. cians highest esteem. Our school is fortunate to have students who show such reverence and respect for the human spirit and the Linda). Corder, PhD, CFRE, is an associate dean in the School of Medici ne and individual bodies that were animated by that spirit. Biomedical Sciences at the Uni versity at Buffalo. She can be contacted by phone As an onlooker, I gained a sense of their journey of at (71 6) 829-2773, toll free at J-877-826-3246; by fax at (716) 829-3395; or by E- mail al ljcorder@acsu.buffalo.edu. discovery through reflections from at least 15 class mem - B u f f a I o Physician w I n t e r 1 9 9 9 �1998 Distinguished Medical Alumnus Named JOSEPH BELL ANT I, MD '58 MD, director of Georgetown University's International Center for Interdisciplinary Studies oflmmunology, received the Distinguished Medical Alumnus Award from the University at Buffalo School of Medicine and Biomedical Sciences at a dinner held in his honor on September 12, 1998, at the Buffalo Club. Bellanti, an expert in developmental immunology, earned a bachelor's degree from UB in 1954 and a medical degree in 1958. Before beginning his career at Georgetown, he interned at Millard Fillmore Hospital, completed a pediatric residency at Children's Hospital of Buffalo , was a ationalinstitutes of Health trainee in immunology and spent two years as a research virologist at the Walter Reed Army Institute of Research in Washington, DC. Bellanti joined the Georgetown faculty in 1963 as an assistant professor of pediatrics and microbiology, and by 1970 had attained the rank of professor in both fields. He also is director of the Division of Immunology and Virology in the Department of Laboratory Medicine at Georgetown University Hospital. Adopting a multidisciplinary approach to medical research before it was fashionable, Bellanti spearheaded development in 1975 of the International Center for Interdisciplinary Studies of Immunology at Georgetown . The center brought together basic and clinical researchers, allied health professionals, statisticians and health educators. B U f f o l - L OlS B AKER Past presidents of UB's Medical Alumni Associationgather to honor Dr. Bellonti. John R.Wright, MD, dean, UB School of Medicine and Biomedical Sciences; Mrs. Jacqueline Bellonti; Joseph A. Bellanti, MD, Closs of 1958 and this year's recipient of the Distinguished Medical Alumnus Award; Elizabeth l. Maher, MD, president, Medical Alumni Association. ® He has been director of the center since its inception. Bellanti has held many leadership positions in professional societies, including director, and later cochair, of the American Board of Allergy and Immunology; president of the Society for Pediatric Research and of the American College of Allergy and Immunology; member of the board of directors of the National Coalition for Disease Prevention and Environmental Health; and member of the board of regents of the American College of Allergists. An author of more than 200 scientific articles and abstracts and editor of the textbook Immunology, Bellanti served for 10 years as editor-in-chief of Pediatric Research. He also is past editor of Annals of Allergy. + Franklin Zeplowitz, MD '58; Paul H. Wierzbieniec, MD '74; Robert E. Reisman, MD '56. o Physician w I n t e r 1 9 9 9 �Let the Adventure Begin! · - STUDENTS BID A HALE- AND- HARDY BON VOYAGE ON SEPTEMBER 12 , 1998 , AS THEY PREPARE TO EMBARK ON A WHIRLPOOL JET TOUR AT NIAGARA-ON -THE- LAKE , ONTARIO . THE OUTING TOOK THEM THROUGH THE WORLD· FAMOUS RAPIDS AND STONE-WALLED CANYONS AT NIAGARA w{e a mistake. But not from the inside . The roof look." funny, odd, strange, a\'\0 \\'hich means thev can look at more than the bael\ of the D 1e wav we see it, whv build a strai~ht roof when you front seat. ~ l uch more, in fact. can build a perfeetlv ~ood crooked one'' Because the Land Rover DiseO\·erv has more windows It's somethin~ up w se,·en passenl\ers in the Land than anv other -lx-1. Rover DisCO\'Crv will rrulv appreciate. \\'ith the ele,·ated roof and stadiumlil;e sea tin~. • • \\'hv nm take one out for a test drive·~ ~'!'!!!!""~ ,\nd instead of just looking into it , look out of it. passengers in the rear ha\'C ample headroom . DISCOVERY Land Rover Amherst A NOIUHTOWN AIJTOMOTM COMPANY 3560 Sheridan Drive Amherst, New York 14226 • (716) 831-3100 http//www.northtownauto.com B a a p y a n w n e 9 9 �. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1] ~ . -MARK YOUR CALENDARS! t's not too early to plan for the 1999 Spring Saturday, May l. For more information, call the Clinical Day and Reunion Weekend. Medical Alumni Association at (716) 829-2778. A cocktail reception will be held on Friday, The reunion classes are of 1939, 1949, 1954, 1959, April 30, 1999. The 62nd Spring Clinical 1964,1969, 1974,1979,1984, 1989and 1994. Here's Day and Reunion Dinners will be on what your reunion chair has to say to you ... ELIZABETH OLMSTED CLASS O F 1 939 CLASS OF 1954 CLASS O F 1969 Elizabeth Olmsted Ross Mayday! Mayday! Mayday! Last chance to celebrate your 60th May Day '99. Nicholas C. Carosella, Edward A. Rayhill 45 Years! (an you believe it? Come join your friends and classmates in celebration. James White, Hanley M. Horwitz, Gerald D. Stinziano Don't miss our 30th! It should be fun to see how we, the school and Buffalo have changed in 30 years. Let's get reacquainted and renew old friendships. Ross CLASS OF 1949 Richard L Schwartz, Robert (. Harvey It has been 50 years since graduation. Don't miss this chance to get together and celebrate. CLASS OF 1959 William J. Mongan Please come to our 40th reunion. Roam L HARVEY CLAS S OF 1 974 CLASS O F 1 964 J. Frederick Painton Bruce F. Middendorf Looking forward to seeing all of you at our 25th class reunion. Our 35th reunion is imminent. Return to Buffalo to renew old friendships and pleasant memories. J. fREDEIIU PAINTON ® Buffalo BRUCE Phys i F. MIDDENDORF cian w 1 n t e r 1 9 9 9 �························ · ·································································· --··, ' 1 9 4 EDWARD M . TRACY '43 CLASS E. SHIELDS 1 5 0 s and his wife , Elaine, write: We OF 1984 March 1998 and bought our daughter's home. Life in Pensacola is much more laid back. The 1998 summer was unbearable, so we are planning to return to our chalet near Ellicottville, Y, next summer. Ed is involved with a barbershop chorus and quartet. We miss our friends. Our E-mail address is Eohohensee@aol.com. EDWARD CLASS 1 OF 1 989 Barbara J. Bambach, Denise M. Callari Ten years already! Come share memories, laughs and ac· complishments! 9 WILLIAM 6 E . 0 ABRAMSON s text on radiology for medical students. 1 9 7 0 s THOMAS A. LOMBARDO JR . '73 has been elected to the board of trustees at the ichols School of Buffalo for a three-year term. Lombardo, an orthopaedic surgeon and a ichols parent, is director of CGF Health System, secretary of the YS Society of Orthopaedic Surgeons, immediate past-president of the medical staff and current chair of the Department of Orthopaedic Surgery at Millard Fillmore Health System. Lombardo and his wife, Donna, reside in East Aurora, NY, and are the parents of four daughters. ' 60 writes: l have been elected a Life Fellow of the American Psychiatric Association. l'm working part time in a solo private practice of psychiatry and addiction medicine at Sheppard Pratt Hospital in Towson, MD. I'm working less, traveling more and BAMIACH recently had the second edition of his text Clinical Radiology: The Essentials published by Lippincott Williams and Wilkins. This is an introductory RICHARD H . DAFFNER '67 HOHENSEE ' 54 moved to Pensacola, FL , in David F. pfalzer Please come bock to reunite with Herb and the rest of the Class of '84. J. 9 Frank T. Schreck Sex, lies and videotape ... we'll capture it all. Show up! CLASS Bmm is prac- ticing internal medicine in Charleston , SC, and lives on Seabrook Island. He also teaches diabetic care in Beijing, the People's Republic of China. OF 1979 Peter E. Shields Come bock for our 20th reunion and reminisce with your old friends. PETER s 0 I RICHARD 5 . LEE '74 writes: have been appointed western regional medical director for the Sleep etwork, Inc., and Northern evada Sleep Disorders Cen- ter. In April 1998, I became a diplomate of the American Board of Sleep Medicine. enjoying both. HENRY M . BARTKOWSKI retired for the third time on October 14, 1998. He sold his practice of 30 years to Memorial Hospital of Salem County, FL. He travels to Fort Hood , TX , to see his grandkids, Garrett (6) and Skylar (4). He also sees all the Washington Redskin games because his daughter, Stephanie, JOHN J . LAMAR '63 CLASS OF 1 994 Donald M. Slate While following our dreams, we all have disbursed but there will be a party next year an May first! I cannot believe it's been five years, so come bock and we'll share stories, laughs and a couple of beers. B u f f a l o Phys ician is a Redskinette. w I n t e r 1 Q Q Q '76 , a pediatric neurosurgeon, was recently appointed chief of pediatric neurosurgery at Henry Ford Hospital in Detroit, MI, and William Beaumont Hospital in Royal Oak, MI. His special areas of interest are brainandspinalcord tumors,spine instrumentation, and brain and spinal cord injury. Bartkowski's research work involves cerebral ischemia in children. ® �l ll ························································································· HERBERT B. NEWTON '84 writes: My son, Alex (5), has started rics (Amherst, NY), effective but I love it. I came August 1998. I continue to work bus, OH, because of my hus- ogy, was made a fellow of the kindergarten. He is heavily into as a part-time pediatrician at band, Emeka. I have three ch il- American College of Radiology soccer and swim lessons. Ashley the Erie County Health Depart- dren: Chiedu ( 4), Chidi (2), at its annual meeting in Septem- (21J2) is enjoying preschool. ment. My husband , RICHARD E. and Chinenye (9 months). I ber 1998. Fellowships in the college are On the academic front, I have b e e n GERGELIS '84, is an assistant professor in the University at think I keep myself busy. I named Buffalo's Department of Psy- LIVERPOOL '90 . He is well and ANGELO M. DELBALSO '78, chair of UB's Department of Radiol- awarded to members for scientific or clinical re- search in the field of radiology or Classnotes can also be significant contributions to its literature. Criteria for selection also one s significant submitted via E-mail to: bpnotes@pub.buffalo.edu include performance of outstanding service as a teacher of radiology, service to organized medicine and outstanding reputation among colleagues and the local community as a result of long-term superior service. BENSON ZOGHLIN '84 writes: The whirlwind of activity grows ever stronger. In addition to a busy group practice in family medicine, lam president-elect of the Lakeside Hospital medical staff and chief of family medicine at Lakeside. Our group precepts third-year medical students from the University of Rochester and 1 precept at Highland Hospital's Family Medicine Residency Program. I am on the board of directors of the Lakeside Foundation. Mindy is busy with her law practice, and jacob (9) and Rachel (13) have their own hectic pace. has a daughter, Asha, who is my godchild. the top five neu- involved in fore nsic work. We rologists in Central have three children: Kristyn (11), Kimberly (8), and Ohio by an Scott(4). We have remained indepen- loyal to Western dent survey reside in Williamsville. We hope ew York and sponsored and pub- to see you all at our respective reunions, and can't believe it's lished by the Columbus been 15 years! JOEL K. SHUGAR '85: See letter in an exchange program as a member of the International Medical Relief organization of Western ew York. The pro- gram is designed to bring physicians from Third World countries to Buffalo for additional training and to send local physicians overseas to work in countries where sufficient dependent practice associations. molecular biology at the University of Texas at San Antonio. 1 9 9 s 0 Mindy and Icontinueourstudy in ciation with Sheridan Pediat- easy being on call all the time, o BURNETTE THOMAS '94 proudly announce the birth of their daughter, Kristen Killian Burnette. Kristen was born on July ll, 1998, and weighed 6 lbs., 9 1/ 2 oz. She was 19 3/ 4 inches in very well. MARC ROMANOWSKI '93 AND CINDY ROMANOWSKI '94 are proud to announce that they Isshin Ryu karate. l CAROL ANN KILLIAN AND cently took a position in went into solo practice in OBI Gyn one year ago. lt is not a I've gotten married. My wife's doing THOMAS BOYER '89, PHD, re- NGOZI OSUAGWU '90 writes: f cal Group. length . All are experience with managed-care organizations and physician in- tice of general and vascular surgery with the Buffalo Medi- pecting our first child in April. with officials in Tanzania. credentialing at Independent Health. She brings 12 years of first child. I continue my prac- RIYAZ HASSANALI '86 is involved has recently returned to her na- of physician management and the birth of Olivea Marie, our name is Sherry, and we are ex- on page 40. tive Buffalo, NY, with her appointment as assistant director MICHAELA . VASQUEZ '90 writes: Melissa and I have celebrated ATUL KUMAR GUPTA '91 writes: health-care options are not available. Currently, he is working ROCHELLEJ . PLESKOW '85, MS , f keep in touch with STEVEN chiatry, based at the Erie County Medical Center, and is actively Monthly magazine. I was also named to the Central ervous System Panel of the ational Comprehensive Cancer etwork. Also, recently I was informed that I will be listed in the 1998-99 issue of The Best Doctors in America. I remain associate professor of neurology and director of the Division of euro-Oncology at the Ohio State University Hospitals and james Cancer Hospital. B Colum- of ELAINE M. SCHAAF '85 writes: I'd like to announce my asso- ® to p y s c a n had a son, Marcus ] r., born on August 28, 1998. They reside inWilliamsville, Y, where Marc is an orthopedic surgeon and Cindy is practicing rehabilitation medicine. w e 9 9 9 �............... . ...................... . .................... . .............. ..............• ._-·._ • RESIDENTS R AYMOND 0 . S C H ULTZ '95 , a plastic surgeon who specializes in problems of the hand and wrist and in reconstructive surgery, has joined the Center for Plastic Surgery. His main office will beatthecenter's new Orchard Park, NY, facility at 3725 orth Buffalo Road. Schultz completed a general surgery residency at UB from 1991 to 1995. Currently, he is a clinical assistant professor at UB, where he is actively involved in research, having recently made presentations on facial nerve injuries and compression neuropathies. IN MEMORIAM an internationally known ophthalmologist and eye surgeon who ME Y E R H . R IW C H UN '27 , of surgery and chair of ophthalmology at the UB medical school , died at age 95 on October 25, ety, the Maimonides Medical Society and the former Buffalo Eye and Ear Hospital. Active in the 1998, in Buffalo. Riwchun, who maintained a private practice in Buffalo from 1929 to 1985 , Sight Conservation Society, he was a member of the advisory board of the Buffalo Eye Bank. In 1979, he and his wife , Ann , were headed the departments of ophthalmology at Buffalo General Hospital and Children's Hospital , respectively, in the 1960s. He was attending ophthalmologist at the former Deaconess Hospital and ophthalmologist-in-chief at the former Rosa Coplon Home. He was a lieutenant colonel in jointly named Outstanding Citizens of the Year by the Buffalo News for their work with the blind. D ONALD L. E HRENREICH ' 5 3, a clinical professor of neurology at UB School of Medicine and Biomedical Sciences and a neurologist with the Buffalo Medical Group , died ovember 18, 1998 , in Buffalo General the Army Medical Corps during World War ll, serving as chief of eye service at Walter Reed Hospital in Washington , DC. Highly regarded as a teacher in the UB medical school , Riwchun was a Hospital 's Hospice Unit. Ehrenreich , who was 70, suffered from cardiac and other medical problems. He earned a diplomate of the American Board of Ophthalmology and a fellow of the American College of Sur- bachelor's degree from UB in 1949 and a medical degree from the UB medical school in 1953. He became an instructor in the geons and the American Academy of Ophthalmology and Otolaryngology. He served as president of the Buffalo Ophthalmology Soci- Department of Neurology in the I medical school in 1961. Since 1983, he had served as a clinical professor in that department. He was acting head of the neurology department at Buffalo General Hospital for six years in the 1980s, served as president of the hospital's medical staff in 1986 and was a member of the board of trustees for six years. In 1978 he joined the Buffalo Medical Group and later served as chair of its board of directors. Survivors include his wife, Rivona H.; a son , Mark D. of Kenmore; a daughter, Beth E. Lichtenberg of Chicago; a brother, Arthur, of Phoenix; and a sister, Margery Rabow of Sarasota , FL. O SC AR R . OBE RKIRC H ER ' 62 died August 6, 1998. A classmate writes: Oscar, a pediatric nephrologist, retired from the Geisinger Medical Center at Penn State University two years ago. Friends, family and patients will miss this wonderful man. had served as a clinical professor Richard H. Webber, 74, Professor Emeritus of Anatomy, Dies Author of numerous scientific papers, Webber received grants from the National Institutes of Health while at U8to study involuntary nerve pathways to blood vessek in the leg. His major research interests involved the autonomic nervous system and, in later years, neuropeptide changes in gingiva. He retired from UB in 1990. Webber was a member of Phi Rho, a professional and neurological society; the American Association of Anatomists; the Cajal Club, an anatomy organization; Sigma Xi and the American Association of Dental Schools. He was a Fellow of the Human Biology Council. Survivors include his wife, Donna Marie; six daughters, Michaeline Reining and Donna Goss of Grand Island, Margaret Hooper of Ogdensburg, Patricia Majtyka of North Tonawanda, Anne Smith of Pullman, Washington, and Kimberly Marshall of Buffalo; a son, Thomas, of Rochester; and eight grandchildren. ichard H. Webber, professor emeritus of anatomy in the UB School of Medicine and Biomedical Sciences, died November 23, 1998, in Millard Fillmore Suburban Hospital in Amherst, New York. He was 74. Webber was attending Cornell University in 1943 when he joined the Navy. Following his discharge, he completed his bachelor's degree at St. Benedict's College in Atchison, Kansas, then earned his master'sin zoology at the University of Notre Dame in 1949 and a doctorate in anatomy from St. louis University in 1954. From 1954 to 19 59 he was an assistant professor of anatomy at the Creighton University Medical School, where he was principal investigator for several research grants from the U.S. Public Health Service. Prior to coming to UB in 1961 , he was an associate professor at Temple University. B u f f a l a Physician W I n t e r 1 9 9 9 ® �• .............. . ... .. ... . . . .. . .... . ....... . .. . ............ . .............. . . . ............... I 1 9 8 0 s writes: Well , I've been meaning to do this for years, so better late than never. joel K. Shugar '85, checking in for the first time since graduation. I've got a lot to report. After my internship in internal medicine at Millard Fillmore, of which I have especially fond memories, I completed my residency in ophthalmology in Gainesville, at the University of Florida. While in Gainesville, I met my soul mate, Michelle, whom I relentlessly pursued until she agreed to marry me. After seeing a lot of trauma during a rotation in jacksonville, as well as living through the Gainesville murders ordeal, we decided to settle in a rural location and set up practice in Perry, Florida, in 1991. In retrospect, it was the best financial decision we could have made, since rural areas are relatively sheltered from managed care and physician demand exceeds supply. We started as a small "Mom J O EL S HU GAR ' 85 , and Pop, " but the practice experienced growth beyond our wildest expectations. Because of the critical physician shortage in the area, we offered laboratory services and family care in addition to ophthalmology. Havingspent5 ,000 hours moonlighting as an ER physician to pay off my loans in addition to my internal medicine training, I was comfortable to offer those services to fulfill the community need. However the ophthalmology practice grew explosively, and it became obvious the days of the solo practitioner and "Mom and Pop" operations were numbered. What also became obvious is that physicians need to take back more control of health care and that I either needed to hire someone in a suit, or pretty soon I would be working for nonphysician-directed corporate medicine. So I recruited the chief operating and chief financial officer from a 500-bed hospitalnursing home facility to be the COO/CFO of our practice. Together we are evolving a physiciandirected healthcare system. The practice was folded into Nature Coast Health Care , a multi-specialty group practice that currently has 80 employees. We have a couple who are respectively boarded in internal medicine and pediatrics as well as a nurse practitioner specializing in women's health. We are recruiting a family practitioner to complete the primary care group in our Perry location. We are also in the process of establishing several satellite locations and would welcome applications from any colleagues from UB. In addition to the Family Care Center, we just completed construction of ature Coast Regional Surgery Center/Nature Coast Eye Care Institute, which won Medicare approval in October and will undergo JCAHO accreditation in January. We anticipate ENT, general surgery and gastroenterology joining us in the near future as well. In addition to being very busy surgically, our practice has produced significant research, including the first reported use ofTPA for central retinal artery occlusion.! have been fortunate enough to be selected as a peer reviewer for Archives of Ophthalmology and thejoumal of Cataract and Refractive Surgery, and have served as a faculty member of the American College of Eye Surgeons. Other than work, Michelle and I have taken the time to get and stay in very good shape. We lift weights and do yoga together; I run three miles a couple times a week as well. o children in the picture yet, but the negotiations are going on, so stay tuned! Well I promise it won't be another l3 years before you hear from me again! For colleagues who would like to reach me, my office phone number is ( 850) 584-2778 , and my E-mail address is eyeworks@perry.gulfnet.com. Louis Bakay, 81, Retired Professor, Chair of Neurosurgery OUIS BAKAY, a brain surgeon, professor emeritus of the University at Buffalo School of Medicine and Biomedical Sciences, and retired chair of neurosurgery, died on September 10, 199B, in his Buffalo home. Anative of Hungary, Bakay received his medical training at the University of Budapest. He came to the United States in 1948 as a Harvard Research Fellow at the Massachusetts General Hospital, where he remained until 1961 . He was appointed that year as professor and chair of neurosurgery at the UB medical school, where he served for 23 years. Bakay focused his research on the blood-brain barrier and aspects of cerebral edema. He was the author of several books on those topics, as well as chapters in 14 surgical handbooks and more than 100 scientific papers. Several of his books were translated and published in Spanish, Russian and Japanese. After his B u f f a l o retirement in 1984, he wrote amemoir, Gallery of Ghosts, followed by Gastronomic Exotica. Bakay received the Distinguished Alumni Award in 1989 from the Massachusetts General Hospital, an honor given to only five graduates of the hospital's neurosurgical program who had made significant contributions to neurosurgery. He was cited for his pioneering work on brain injuries. In 1997, the Louis Bakay Neuroscience Laboratory was dedicated at Buffalo General Hospital and a fellowship in neurosurgery was established in his name. He is survived by his wife, Nancy; daughter, Stephanie of Boston; son, Nicholas of Los Angeles; and sister, Margitt de Balas-Piry of Budapest. P hysician W I n t e r 1 9 9 9 �No one knows better than medical professionals the importance of teamwork to get things done. That is why most New York physicians and surgeons choose MLMIC as their professional liability insurer. MLMIC's responsive team of underwriters, claims personnel, policyholder services representatives, risk management consultants, medical experts, and defense attorneys provides our insureds with the best liability protection and the highest level of personalized service available. Owned and operated by its policyholders, MLMIC has successfully defended more New York physicians than all other insurers combined. With one of the country's largest and most experienced claims departments, MLMIC also offers the State's only true peer review of claims experience. These are just a few of the reasons why MLMIC is the only medical liability insurer endorsed by the Medical Society of the State of New York. Caii80Q-275-6564 (NY metropolitan area), MLM~C ~ledical ~ Liability :-tutuallnsurancr Company or 800-35~56 (Upstate) for more information and to find out about available premium discounts. Our defense never rests. 2 Park Avenue New Yor k, NY 10016 2 Clinton Square Syracuse, NY 13202 90 Merrick Avenue E. Meadow, NY 11S54 C1998 Medacall,ability Mutual ln~ranu Company �Non-Profit Org. B UFFALO PHYSICIAN STATE UNIVERSIT Y OF NEW YORK AT BUFFALO U.S. Postage 3435 MAI N ST . PAID BLDG. 22 Buffalo, NY BUFFALO NEW YORK 14214-3013 ADDRESS SERVICE Perm it No. 311 CM·IS1-i-" 1' SCIHCES S::Rli'LS DEPT REQUESTED I\39CTT H~LL We Get Rehab Results! Our Superior ~M hnprovement Vs. National and Northeastern. Regional Subacute Facilitles The McGuire Rehabilitation Centers achieve a 34% GREATER FIMsM increase vs. the national average for all admissions. • Stroke • Pain Management • Medically Complex • Orthopedic • Infections • Cardiac • Cancer • Joint Replacement Eat•ng • Amputee ••• Five Star Care ***** Our facilities were rated outstanding in the community with five stars out of five, according to the Inside Guide to America's Nursing Homes for long-term care. The McGuire Team. ofExperts ·rr .. .. • ~ ~~·· .. ;. '" ~·~ The McGuire Rehabilitation Centers employ a team of over 30 licensed Physical and Occupational Therapists, specially trained support staff, and an on-staff Physiatrist/ Gerontologist. Together they ensure the highest level of individualized medical and restorative care. l. I .' h '·~, ···~·'' .~ ,__,.~ . • \y Cost Effective! ... •• • • ~ .. The McGuire Rehabilitation Centers' average charge per case is more than 35% LOWER than other facilities in the nation, according to statistics from The Wall Street Journal and the American Health Care Association. u T_,u I = Inpat ient Admissions I = Inpatient Discharge I = Outpatient Follow-Up Our case mix is consistent with the Northeast and national subacute region. Our average statistics are: length of stay - 25 days; age- 78; admission F1M score 72.5; discharge F1M score- 97.6; F1M change- 25.1 points; length of stay efficiency- 1.40; onset time- 17; discharge disposition- 8(1% to community. Based on 12 months ending March 31, 1998. The McGuire Rehabilitation Centers rely on the national The results are in_The McGuire Rehabilitation Centers have leading measurement tool for documenting patients' the clear advantage over other regional facilities based on FIMsM rehabilitative outcomes. This tool is known as FIMsM<: improvement, discharge to home, and cost effectiveness. Our successful rehab program delivers results Instrument; Functional Independence Measure, developed ~HE by the UB School of Medicine along with the Center for .J j because of our superior staff, state-of-the-art equipment, Functional Assessment Research. . It's used and specialized rehab facilities. Choose The along with the Uniform Data System for McGuire Rehabilitation Centers for five-star Medical Rehabilitation (UDSMR5M) rehabilitation services. to establish rehab outcomes that ~pU Jl DTT ~JI'T"TfqJ\f Call 1-888-POSTACUTE. can be measured and calculated ..& ~.J.U.L .Jr1.l ~\7~ c:/'J.1CGULRE '-. rod~::::u::o.m ~-" .,_C!!!'!!~ '~"'"'"" '"'"'~ UB "'·" '<h" ~. Autwnn View • Garden Gate • Banis Hill • Northgate � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1999 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1999-Winter Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v33n03-1999-Winter Table Of Contents A list of subunits of the resource. Steady Leadership in Changing Times Managing Mental Health with Care Harold Varmus Delivers Cori Lecture Major Health-Care lntitiative Medical School Town Hall Meeting A Student's Perspective Alumni Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-10 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v33n03 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physicians Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 1999 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/b53d99c6138cd19deb31dbe3a690439b.pdf 52e6b38e2dd07f9baeee38b2e0427e88 PDF Text Text AN OPENING TO A NEW PER ECTIVE �Dear Alumni and Friends, BUFFALO PHYSICIAN \'olumc "3"3. '\lumhcr 2 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY SERVICES Dr Carole Smith Petro DIRECTOR OF PUBLICATIONS Kathryn A. s~1wncr EDITOR Stephanie -\. L'nger ART DIRECTOR/DESIGNER \Ian J Kegler ASSISTANT DESIGNER lynda Harmel PRODUCTION MANAGER \nn Raszmann Brown STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr John R. Wright, /ntmm Dea11 EDITORIAL BOARD Dr Bertram Portin, Chai1 Dr Martin Brecher Dr. Harold Brody Dr lmda J Corder Dr. ,\Jan J Drinnan Dr. Jamc~ Kanski Dr. Barbara \1ajeroni Dr Elt;:abeth Oltmted Dr Charles Paganelli Dr Stephen Spaulding Dr Brad lev T frua., Christoph~r .-\dam ... Dr 1-'rankhn Zeplownz TEACHING HOSPITALS AND LIAISONS The Buffalo General Ho;pital \hcharl H Slum The Children\ Ho,pllal of Buffalo [ne County Medical Center MerC\ Health Svstem \1tlla;·d rillmor~ Gates Hospital t-1IIIard Fillmore Suburban Hosp11al ~Iagara !'alb \lcmorial \ledtcal Center Ro~\vcll Park Cancer In~titutc '>tster- of Chanty Hospital Dnmis .\fcCarth\ \'ctcran'-. Affa1rs v\·cstcrn :'\C\\ York Healthcare System ©The State Lmn·r~nv of '\;cw York at Buffalo ' Buffalo Phnician is puhhshed quarterly by the State LnivcrSity of ~ew York at Buffalo School of Mcdicme and Biomedical Sciences and the Office of Pubhcallons. It one of the best of times for those privileged to be part of the medical teaching profession. New students-be they undergraduate medical students, basic science graduate students, or house officers-serve to energize the faculty. At the end of june, Incoming Residents' Week and a day-long training program for chief residents marked the beginning of the 1998-99 Graduate Medical Education curriculum. Associate Dean Roseanne Berger and her staff organized each of these highly successful and well-received programs. As a practical topic for those destined to be the next chief residents, the program theme was Tools for Leadership. Incoming Residents' \Veek was designed to prepare incoming house staff for the transition from medical student to house officer, and more direct (albeit carefully supervised) responsibility for patient care. In addition to learning more about how the health-care system functions and the various regulations under which it operates (including the infamous NYS "405" variety), the resident's role as teacher was emphasized. Indeed, by the end of the week, each of the incoming residents had been provided with some very basic, small-group teaching principles and an opportunity to apply these skills in a simulated ward-like environment. During a White Coat Ceremony, convened on the first day of their orientation week in mid-August. incoming first-year medical students were welcomed officially into the medical profession (see article on page 22 of this issue). Traditionally, our medical students have taken either the Hippocratic Oatlt. the Charge ofMainwnides, or what is locally referred to as the Physician's Oath at the time of graduation. It occurred to some of our faculty that this might be "a little late" in their evolution as physicians and the suggestion was made to have a ceremony at the vel) beginning of their preparation for the profession. Accordingly, Assistant Dean for Students Dr. Tom Flanagan organized the White Coat Ceremony, the high point of which is reciting the Physician's Oath. At this year's ceremony, introductory remarks described what being a member of the medical profession entails, particularly the obligations that come with the privilege. The fact that some aspects of medical ethics tend to evolve with time was underscored by reference to Jerome Kassirer's (a distinguished UB grad) editorial in the August 6, 1998, issu~ of the New England]oumal of Medicine. On the other hand, it was noted that some ethtcal pnnctples have not changed since the days of Hippocrates, including those embodied in our own Physician's Oath. The students were reminded that when faced with ethical decisions, one's own ingrained value system often becomes invaluable; i.e., "Sometimes one has to set aside principles and do what is 'right."' Following an address by Dr. Margaret Paroski, members of the senior faculty then provided each student with a white coat in what was very much a graduation-like hooding ceremony, foiiO\ved b) group recitation of the Physician's Oath. Smce It may have been some time since any of you attended a graduation ceremony, particularly atUB, yo.u may want to read the oath, which is printed on pages 22 and 23 along w~ a descripuon of Its ongms. Please let us know what you think! f.\11 IILR.\I D'> Tm Blc.l;-.;:--.1;-.;r. Of A NE\\ \L\DI\tK YLAR, IS sent, free of charge, to alumni, faculty, srudents, residents and friends. The staff reserves the right to edit all cop} and submisswns accepted for publication. ~~ hN R. W"G"', MD Interim Dean Sclwol of Mcdicirtc and Biomedical Sciences Dear Fellow Alumni, THE 11 u~t:-<l \\HO YOLL'HFER THEIR Tl\tF to serve on the Governing Board of the Medical Alumni Association do so for a variet; of reasons. One of my main motivations is to improve the medical school experience. )-along with many of my fellow classmates-was one who complained in the early 1980s about a torn-up Main Street, outdated anatomy labs and lectures m a drab G-26 lecture hall with its equally drab "student lounge" across the basement hallway. The present medical student lounge is a far cry from that basement lounge of the past. I am proud to be a part of the Alumni Association's effort to furnish the student lounge (see related article on page 28 of this issue). In the last issue of the Buffalo Physician, I mentioned some recent problems with the Medical Alumni Scholarship Fund. I am happy to announce that the scholarship has been awarded this year and the recipient, chosen by the Admissions Office, is Mr. jesse Cone, a 1998 graduate of the University at Buffalo. Since the Governing Board of the Medical Alumni Association is committed to the future of this scholarship fund, it \\<ill be the subject of an article in a future issue of the Buffalo Physician. I am tremendously grateful and happy to report that more than 150 busy physicians in the Buffalo community have volunteered to serve as mentors for the new Physician-Student Mcntoring Program. The students were equally enthusiastic, and the program is off to a great start. From the profile of the first-yearstudcnts in this issue (sec page 22), I am sure you will agree that despite all the recent changes in medicine, its future IS looking good. ~ E LIZABETH L. MAHER, MD President Medical Alumni Association �VOLUME 33 , NUMBER 2 AUTUMN 1998 4 1 NOV 1 3 1998 2 China Rotation FOURTH-YEAR STUDENTS TAKE A NEW 8 vt APaUrough an 4H Unexplored Field • • EUGENE M. FARBER, The Strengths of Children LUTHER ROBINSON , MD, LOOK AT ANCIENT DERMATOLOGY PIONEER, WORKS IN THE U.S. AND RECEIVES UB ALUMNI AWARD ABROAD TO TREAT AND by S. A. Unger PREVENT FETAL HEALTH-CARE PRACTICES IN BEI..JING ALCOHOL SYDNROME Medical School by Jessica Ancker BIOGEN ENDOWS Research NEUROLOGY CHAIR AT u B-LAWRENCE .JACOBS BODY SHAPE AND NAMED FIRST HOLDER BREAST CANCER by Lois Baker THE ARTFUL DOCTOR - CHARLES V. U 8 PROFESSOR PURSUES 40 AND LOW PREGNANCY PAGANELLI, PASSION FOR PAINTING PHD, SPERM ABNORMALITIES RATES RETIRES AFTER by Lois Baker YEARS OF SERVICE TO UB STUDENT LOUNGE A Class Notes SOCIAL HAVEN FOR MORE CLASS REUNION MEDICAL STUDENTS PHOTOGRAPHS AND by Mara McGinnis MEMORIES Student Perspective SECOND-YEAR STUDENT NEVA DALEY INAUGURAL WHITE COAT CEREMONY FOR INCOMING LEARNS ABOUT THE REALITIES OF CANCER CARE MEDICAL STUDENTS by Mara McGinnis CO\ ER PHOTO B\ jA'>E ELLERY 00PKIKS. Case presentation of two-year-old bor with hypothyroidism. Preventing fetal alcohol syndrome. Story on page 14. �US ' S FAMILY MEDICINE • ROTATION CHINA IN �-- - --- ach spring, fourth-year students at the University at Buffalo School of Medicine and Biomedical Sciences have an opportunity to participate in UB's Cross Cultural Medicine Program, which includes a three-week clinical rotation at various ..--....-• medical facilities in Beijing, China. During their stay in China, students gain knowledge about the structure and financing of the country's health-care system, as well as about its medical education. They also learn about the role of traditional healing practices such as massage, herbs and acupuncture, and have an opportunity to hone their physical-examination skills by taking part in hospital rounds, case presentations and various meetings (see following article by jane Dophins, Class of 1998). The Cross Cultural Medicine Program, which is partially underwritten by Millard Fillmore Hospital, was begun in 1990, when a working relationship between the medical school and Beijing's Capital Medical Hospital was first established. "The goal of the program is for the students to learn about another health-care system and to consider health and illness from a different cultural perspective," explains S. Ramalingam, MD, director of Cross Cultural Medicine and International Health at UB, and clinical assistant professor in the Department of Family Medicine and associate residency director. Ramalingam is convinced that the opportunity for American medical students to collaborate with their peers from another culture and health system fosters an openness to different perspectives on health, education and society. He also believes that by observing a different culture and its medical treatment of patients, students can take an important step in furthering their understanding of the nature of disease. "I want students to understand that medicine is more than just interpreting lab tests. With all of our modern technology, I sometimes think we've forgotten the primary focus of medicine- treating the patient. " A unique aspect of the rotation in China is the exposure students gain to Traditional Chinese Medicine LEFT: PEDIATRIC PHYSICA L (TCM) and the ways in THERAPY SESSION AT A which it is collaboratively integrated with Western, FAMILY MEDICINE HOSPITAL allopathic methods. AlIN BEIJING THAT PROVIDES though this type of colINTEGRATED , HOLISTIC CARE . laboration seldom exiStS between American phy- s u f f 0 l 0 P hysici a n A sicians and alternative medicine practitioners, there are indications that the role of alternative medicine in Western culture is being reconsidered, not only in the clinic, but in the classrooms as welL ationally, the Society of Teachers of Family Medicine has established a Subcommittee on Integrative Medicine charged with developing the first curricular guidelines for the teaching of alternative medicine in U.S. medical schools. (The phrase "integrative medicine" has begun to supplant the phrase "alternative medicine" when describing such studies.) Ramalingam is one of five individuals selected from across the nation to sit on the subcommittee. He reports that after two years' work, the group has completed its recommendations and has submitted the proposed guidelines to the society for consideration, after which they will be presented to the Association of American Medical Colleges. Also, in 1992, the Office of Alternative Medicine (OAM) was established through a Congressional mandate under a ational Institutes of Health appropriations bill to scientifically study the results of TCM. In its first year, the OAM was budgeted $2 million to analyze, interpret and acknowledge what effective therapeutic regimes exist in various alternative practices. By 1997, that figure had risen to $12 million. _" _ Despite governmental encouragement and attempts by such educators as Ramalingam to explore the role of alternative healing methods , the historic lack of scientific rigor-as defined by double-blind studies-is responsible for many of the reservations Western-trained clinicians hold about the efficacy of alternative medicine. A significant benefit medical students enjoy during UB's China rotation, therefore, is the opportunity to observe for themselves the positive results of alternative medicine in a culture where TCM and Western medical practices seem to peacefully coexist. Summarizing what he feels are the benefits of the program, Ramalingam says, "The excitement of a different culture fills students with curiosity and enthusiasm to be inquisitive as well as open-minded- attributes that will serve them well throughout their careers as physicians. " utumn 1 9 9 8 0 �BY JANE ELLERY DOPKINS • cnve THE OST VALU BLE EXPERIENCE OF MY MEDICAL EDUCATION ditor's note: In March 1998,]ane Dophins, afourth-yearstudent at the Universit) at Buffalo's School of Medicine and Biomedical Sciences, participated in the Cross Cultural Medicine Program and its famil_v medicine rotation in China. In the following article, Dophins-n lw is cw rent!) a resident in obstetrics and gynecology at Univcrsil) Hospital in Cincinnati, Ohiogi\ es a fi 1 stlumd account of her unique opportunit) to stuch abroad through L B~'l program The thickly polluted Beijing air was chilly at 6:30a.m. as six of us from the University at Buffalo School of Medicine and Biomedical Sciences assembled in the courtyard of Capital University in Beijing to meet our tai chi instructor for our first lesson. As a participant in UB's three-week Family Medicine rotation in China, I had not expected daily tai chi lessons to be part of the program. To be honest, I had very little knowledge of China prior to participating in this rotation, so I really didn't know what to expect. What I soon realized was that! had been given a remarkable opportunity not only to learn about medicine in China, but also to witness, firsthand, some of the changes the country is experiencing politically, technologically and economically. Beijing, a City of Contrasts Over the course of the rotation, the students and teachers at Capital University of Medical Sciences became wonderful friends to us, and our conversations with them gave us unique insights into Chinese life and culture. The medical studen ts told us about political changes occurring in China and spoke with great excitement about the local elections taking place for the first time. Even though many students we met said they were eager for greater freedoms in China, including greater economic freedom , all but a few were planning to apply for Communist Party 0 membership in order to secure jobs in well-respected hospitals. Without party membership, we were told, a young physician was sure to be sent to a remote rural province after graduation. Many of these young men and women also told us they are in favor of the one-child law as an essential element for China's future success. The economic and technological transitions were apparent in the construction of new apartment buildings to provide better housing for the 11.2 million people who live in Beijing. While shiny skyscrapers funded by rich companies based in Hong Kong were sprouting up, Chinese street workers continued to dig sewer lines and build new roads using hand shovels and pure manpower. We visited several new department stores very much like those in the U.S., but only one of them accepted MasterCard or Visa. BMWs shared the crowded roads with oxen-drawn carts and men riding large tricycles laden with pineapples. During our rotation, we stayed in comfortable hotel-like accommodations on the university grounds, but discovered that young teachers at the university live in small university-owned apartments that have no running water. Beijing is a city of technological contrasts. Modem Tools and Modest Facilities Changes in the economy and advances in technology have influenced the practice of medicine in Beijing. We visited many teachB u f f a l o Phy sician A utumn 1 9 9 8 �ing hospitals in Beijing offering the best tertiary care available in the country. ew technology is a priority for the doctors, but many of the buildings and their grounds are poorly maintained; for example, one day we saw a patient on a stretcher being rolled through rubble to get to a brand-new MRl machine. Although some buildings were modern , most appeared to be very old. ln one hospital, paint was peeling from the walls in a room where we examined patients who were recovering well from kidney transplants. Also, the telephone systems were not elaborate in any of the hospitals we visited. In one facility, we noted that when a surgeon wanted to get results from the pathology lab, he or she would simply walk over to the lab and talk with the staff. Communication, we learned, was often delayed. Case Presentations and Hands-On Learning Attending physicians and residents who spoke near-perfect English escorted us on tours through their wards, stopping at the bedsides of their most interesting patients to give case presentations and teach physical examination. As the weeks passed, we had CLASS OF 1998, DURING an increasing number of ROTATION IN CHINA . excellent hands-on experiences. For example, LEFT: HERBAL we heard the murmur of a mild tetralogy of PRESCRIPTIONS BEING Fallot in a nine-yearPREPARED IN TRADITIONAL old boy. We palpated metastatic cancer in the CHINESE PHARMACY. nodes of a cheerful elderly man who had learned laryngeal speech after his tracheotomy but who had never been told he had cancer. We also saw the butterfly rash on the face of a beautiful 12-year-old girl with Lupus, observed a retinal detachment for the first time, and palpated large spleens. lt was thrilling to have the opportunity to feel with my own hands or hear with my own ears physical findings l had never experienced before as a medical student. After the instruction ABOVE: JANE DOPKINS . ""' z " X u . " 0 < u ~ 0 X ~ �L received in Beijing, l feel much more confident in my examination of the heart and abdomen. We also toured operating rooms where barefooted surgeons routinely perform delicate eye and open-heart surgeries, or relieve bowel obstructions. A world-famous cardiologist showed us his state-of-the art cardiac care unit while lamenting the incredibly high rate of untreated hypertension in China. In talking with obs tetricians, we learned that the cesarean section rate is much higher for boys than for girls, and that infanticide of female babies is uncommon in Beijing. After completing a case presentation and an examination of a patient, we often gathered in a conference room to discuss the case and exchange information. Sometimes the Chinese doctors taught us about a case they were particularly proud of managing; at other times, they asked us for our expertise. Usually the learning was mutual, and we finished our days with a sense that we had exchanged medical knowledge as well as shared our unique cultural perspectives. J Learning about Traditional Chinese Medicine In the U.S., allopathic doctors know very little about herbal medicine , and most herbal preparations are sold as food supplements with very little regulation YANG GUANG DEMONSTRATES or knowledge of their HOW MOXIBUSTION SUCTION , use . In China, the use of herbs in Traditional CREATED WHEN FIRE UNDER Chinese Medicine THE GLASS BALL BURNS OFF (TCM) dates back many millennia. OXYGEN , IS USED FOR During our visit, TREATMENT OF PAIN . we had glimpses of TCM being practiced RIGHT: WILLIAM J . MEDWID , as adjunctive therapy CLASS OF 1996 , PERFORMS to allopathic treatments and were able PERCUSSION EXAM . to observe how herbal prescriptions are used to counteract the side effects of immunosuppressants in transplant patients. At a well-run psychiatric hospital, we learned that TCM is used with great efficacy in preventing the movement disorders produced by antipsychotic medication. Also, at the Children's Hospital we saw the TCM pharmacist mix a treatment for the common cold. One day was entirely devoted to visiting aT raditional Chinese Medicine hospital where TCM is the first-line treatment and 0 B u f f a l o allopathic medicine is used to assist treatment. While we were there, our hosts demonstrated acupuncture on a man with Bell's palsy and on a child with an Erb's palsy. Also, a Traditional Chinese Medicine doctor demonstrated his special method for palpation of the pulse and examination of the tongue. He examined a woman with all the signs and symptoms of hyperthyroidism , and demonstrated that after two weeks of herbal medicine her pulse had fallen from 120 to 85. The patient told us she felt much less anxious and her heart seemed less jumpy. One of the most successful wards in the Traditional Chinese Medicine hospital is the vascular ward, where physicians use salves and systemic medicine to heal diabetic foot ulcers with incredible limb-sparing success. We were awed and amazed by it all. Phys ician A utumn 1 9 9 8 �-- -- - - - Reflecting on Similarities and Differences ln the U.S. , we worry about the politics and controversy surrounding managed-care reimbursement and Medicaid. To our surprise, we found that similar medical coverage problems exist in China. For example, we were told that a person employed by a large company typically has medical coverage, but others pay out of pocket for their care. The friendships l made with our Chinese hosts were one of We also learned that medical care in the country prov- the most meaningful aspects of my experience in Beijing. The inces is difficult to obtain and of very poor quality; often president of Capital University of Medical Sciences, Mr. Shu, patients have advanced disease by the time they are re- hosted us at a welcome banquet and then at a farewell dinner. ferred to the large hospitals in Beijing for treatment. The He was well spoken, entertaining and easy to talk to. We got to philosophy of care for the terminally ill is quite different in know several of the medical students during evening parties China . Few heroics are employed for a terminally ill they arranged for us. On one occasion, the UB physicians patient, and special hospitals, perhaps a bit like Hospice, teamed up against the Chinese medical students in a basketball provide assistance for the dying and their families. game in the center of the university compound. Also , despite At the end of each day spent in the hospitals, we were the unexpected novelty of our first lesson , we enjoyed getting exhausted, both emotionally and physically. Most of the time to know our tai chi instructor during our daily lessons, and we we were impressed with how well patients were cared for , but developed a true fondness for the man who drove our bus to there were a few times when we felt patients were not being the hospitals. treated appropriately. Although we were amazed with the Dai, a 26-year-old science instructor and graduate student modern intensive care units and the great strides being made at the university, served as our facilitator for all our hospital in cardiology, the realities of an overpopulated country with trips and, quite naturally, became our friend. She was eager to very limited resources often weighed heavily on our minds as learn about our life in the U .5. and was willing to tell us of her we rode in our minibus through the crowded streets ofBeijing experiences growing up in China. As we became better back to our luxurious hotel for dinner. acquainted , she told us about her dream of coming to study Over wonderful meals , we had the opportunity to discuss in the U.S. but also helped us understand why she was very among ourselves the many things we had seen and done fond of her life in China. Dai not only talked to us about her life, but shared it with during the day. Because our group of six consisted of two us, as well. She showed us her apartment, took us to the open students, one nurse and three physicians, we often had a great deal to teach each other. We became good friends , shared the Chinese markets and introduced us to her friends. l was very fun of exploring the city of Beijing and helped each other sad to say good-bye to her at the end of our three weeks, but we are keeping in touch through letters. through moments of homesickness. New Sights, Learning and Maturing Our three weeks in Beijing were not spent entirely in hospitals. Our itinerary included several days of structured excursions to such places as the Great Wall and the Summer Palace, as well as a few afternoons of free time for shopping or relaxing. We saw the old-style Beijing Zoo on a Saturday morning, when it was filled with children eager to see the pandas. We spent several evenings getting to know the city of Beijing by hailing a tiny taxi, pointing to where we wanted to go on a map , and then praying the taxi driver would take us where we had asked. As we drove through the city, we saw evidence of the fact that nightclubs and bars are becoming more popular now that there is a little more freedom in China. One evening, we visited Tianamann Square, which was even more impressive by night than during the day. On one of the last days of our visit to China, l sat with two other members of our group, Pam Warner and Carol Chen, in one of the university-run restaurants , eating a delicious dumpling soup that had been boiled over a coal fire. We reflected on all that we had learned of Chinese culture, medicine and human nature. lt had been an exhausting three weeks, with moments of joy and excitement mixed at times with confusion and questioning when we felt that our fundamental values had been profoundly challenged by the way things are done in China compared to the U.S. Each of us learned different lessons and matured in different ways. The three weeks I spent on this rotation in China were thought provoking and mind broadening and were, without a doubt, the most valuable experience of my medical education. + in Different Ways Sounds and Friends B u f f a L a Physician A . u t u m n 1 9 9 8 0 �............................................... .. .... . .. .. . .......... ............. . ... ................. EUGENE M . FARBER , DERMATOLOGY PIONEER , RECEIVES UB ALUMNI AWARD . . . . . .. .. . .. . . . . . . . . . OR EL c,F F M. FARBI R, medicine was more than a calling; it was a fait accompli. By the time he entered medical school at the University at Buffalo in 1939, three of his older brothers-Sidney, Seymour and jason-had preceded him in choosing medicine as a profession and were embarking on careers that, collectively, would make the Farber name one of BY 5 . A . UNGER the more well known in science in the latter half of the 20th century. "I was preconditioned to choosing medicine as a career. Because of my brothers, I was surrounded by medical books at an early age, and I never thought of doing anything else," says Farber, who returned to Buffalo this spring to be honored at the VB Alumni Association's annual awards dinner. . ........ ..... . . .. . .......... ....... . . ........ .......... .... .. .. ........ .. ........... .. ... . . ........ ..... 0 Buffalo Phys ici an Autumn l 9 9 8 �In 1959. when Stanford•s medical school a leader in research to promote lthough he followed of the etiology and understanding in his brothers' foottreatment of psoriasis. steps, Farber was moved to Palo Alto, quick to discover his own path, The Support of choosing in 1946 to pursue what a Close-Knit Family was then an unexplored area of Born the 11th of 14 children, six medicine: diseases of the skin. of whom graduated from the UniThe research contributions he at Buffalo, Farber says versity made over the next four .. . was selected as the first that despite the size of his famdecades-especially with regard chair of lhe school's newly ily, there was always time for to psoriasis-gave significant books and learning-pursuits impetus to the development of formed Department of that were cultivated by his pardermatology as a medical speDermatology. a position ents, Simon and Matilda Farber. cialty. As a professor and chair of "My father came to Buffalo from the Department of Dermatology h e held until 1986. when he was 17. The first Austria at Stanford University's School job he took was as a stevedore on of Medicine from 1959 to 1986, he further contributed to his field as an academic clinician a barge on the Erie Canal, and from that start he went on to build a very successful insurance business," says Farber. and teacher. Today, Farber is president and chief execuDespite the press of maintaining a growing business and tive officer of the Psoriasis Research Institute (which he cofounded in 1986) in Palo Alto, CA, and continues to be raising a large family, both parents spent every spare Farber ••••••••••••••••••••••• e u f f a 1 o • •••• Phys 0 •••••••• ici • 0 an ••••••••••• • •• ••••••• Autumn ••• 1 9 • ••••••••• 9 8 ••••••• • • •••••• ••••••••••• 0 ••• 0 �....................................................................................................... A Path through an Unexplored Field ........ . ........ . ........................................ moment they had reading, so a love of learning came naturally to Farber and his siblings. "My mother was amazing. She had so much work to do all the time around the house, but at night she never rested without her book, and my father read whenever he could, too. Our house was full of books-well over a thousand, I'm sure. There was no TV, so on cold winter nights in Buffalo, there was great pleasure in getting into bed and reading and talking about books, which we would hand down and recommend to each other." sa young teen, Farber was nurtured and strongly influenced by his older brothers d their love of medicine. With their help, he was able to observe operations and tag along on hospital rounds while they were interns. "They liked what they were doing o much and were doing so well, it just seemed natural for me to do it, too. I never thought otherwise," he says. Passing On the Knowledge, One to Another In 1935, Farber departed for Oberlin College in Ohio, where he earned an A.B. degree in premed studies, after which he returned to Buffalo to enter UB's medical . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . school. Several of his brothers had attended Harvard, but Farber decided to return home. "UB was one of the best medical schools in the country, even then, " he says, adding that he has never regretted his decision, as there were a number of professors at the school who not only greatly influenced him as a medical student, but who served as models he would strive to emulate over the course of his career. "Guy Youngburg [then professor and head of the Department of Biological Chemistry] was very inspiring because he gave more than didactic lectures," he recalls. "He was innovative in his teaching and taught by posing problems instead of presenting repetitious lectures from one year to the next. He encouraged me to think of research in relationship to disease. " In his preclinical years, Farber says Oliver P. jones was his very memorable professor of anatomy. "He was a kick. He was an old shoe with the students, who, as a group, were then as they are today-very insecure, very tense and overtired. And 1939 was a desolate year to enter medical school because it was such a stressful time financially; but 0. P. jones had a way with the students that eased some of their burden . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . a u f f a 1 a Physician Autumn 1 9 9 8 �"Then there was Earnest Witebsky," he continues, the Compassion respect he had for his professor of immunology still and Commitment evident in his voice. "He was a German-jewish refugee While Professor Osborne may have strongly influenced Farber to consider choosing dermatology as an area of who spoke with a slight accent. He had piercing blue eyes and a kindly way. He's renowned for isolating the Bstudy to focus on in his career, the final push came from antigen found in human blood, his older brother Sidney. Already which made blood transfusions a distinguished pathologist well safer. It was a big lift for the on his way toward making dishis war effort. And what was so coveries in cancer chemotherapy unusual-especially today-was that would result in the Dana preclinical that even though he was a proFarber Cancer Institute in Bosfessor and head of a whole imton being named in his honor, years. Farber says Sidney had words of advice and munology program, he was in encouragement for Eugene once the lab walking around from stuhe had graduated from medical dent to student three afternoons school and was in training, casta week from l p.m. to 5 p.m. " ................... ing about for a direction to take. Another UB professor Farber "Sidney said to me, 'Why don't recalls as clearly as if it were you go into dermatology-there's yesterday is Abraham Aaron, his so much to learn, so much to do; professor of clinical medicine, it's a field that hasn ' t been who "was feared and respected. was his very memorable explored yet. All medical research He asked tough questions at the professor of anatomy. has largely been done on the bedside, and one of his adages ••He was a kick. He was heart, lungs and kidneys, but the that l remember to this day was an old shoe with the skin has been mostly ignored. 'Use a peashooter instead of a students. who. as a There's an opportunity for somecannon with respect to drug group. were then as one with a scientific bent to make therapy. ' In other words, start a contribution."' they are today-very cautiously." With a chuckle, With those words, Farber and Farber adds, "I used that same insecure. very tense and his wife of two years, Ruth Seiffert, quotation with my students for overtired.•• were soon on their way to Minne35 years, and l imagine some of sota. "I was an assistant resident them who are now professors are in medicine at Buffalo General at repeating it." the time and was to be chief medical resident, but I made The UB professor who inOuenced Farber the most is the decision to leave for the Mayo Clinic and to move clearly Earl D. Osborne, who was head of the Departahead with dermatology. " ment of Dermatology and Syphilology. "He was voted While at the Mayo Clinic, the best teacher of the year for Farber pursued his scholastic 30 consecutive years; he was interests, earning a master of scidynamic and exciting," he reence degree at the University of calls with an enthusiasm that Minnesota in 1946. He completed hasn't dampened over the years. a thesis on the blood vessels in "Osborne had received his trainthe skin of the essential hypering in dermatology at the Mayo tensive and immediately made a Clinic, and he inOuenced me to contribution to his newly chosen choose dermatology because I field by being the first to describe was so impressed with how he what is now known as hypertencorrelated clinical changes with sive ischemic leg ulcer. biochemical and immunologiThe four years Farber spent at cal events. That type of apthe Mayo Clinic not only conproach to the largest organ of firmed his desire to pursue academic medicine, but also the body had a great deal of appeal to me." provided him with an opportunity to gain insight into the Pausing, Farber observes, "Teachers, you know, can lives of the patients whose suffering he hoped to someday have a tremendous influence on three or four generations alleviate through his research. by virtue of passing on their knowledge, one to another." In Oliver P. Jones B u f f a l o Physician Autumn 1 9 9 8 �••••••••••••••••••••••• 0 •• •••••••••••• • •• •• •••• ••• •••••••••••••••• 0 ••••••••••••••••••••• 0 ••• 0 •••••••••• A Path through an Unexplored Field ..................... "The Mayo Clinic was the only center in the world found that Stanford Medical School, which at the time where they had a program for the treatment for psoriasis; was in San Francisco, would provide me with a small they called it the Goeckerman treatment. This involved lab for dermatopathology research." covering the patients with black tar from head to foot and So, in 1950, he headed West, with the promise of a keeping them in the hospital for a month, giving them lab , a salary of $2,400 a year and an annual research ultraviolet light every day and special baths. This caused budget totaling $50. " obody had any money in those the disease to go into remission for six months to a year, days , including the schools; you had to get your own," but then it would come back. l was on the hospital service he explains. where we had 30 to 40 psoriatic patients who were But moving west of the Mississippi had its benefits, as suffering terribly-they were at the 'bottom of the barrel' he would soon find out. The post-World War II economy as far as their advanced disease was concerned. When I was picking up steam and the ational Institutes of had that experience of taking care of all those patients who Health ( lH) began to have dollars available to funnel were suffering so badly, I figured this is what I'm going to into dermatology research . "There was no research being do with my research , and that's why I chose to concentrate done in dermatology in the Western United tates," on psoriasis. " he recalls, "so a representative Farber says that while working from the IH came out and with the patients during this time, offered me an opportunity to have mindhe also gained a deep appreciaa very large grant for research in tion for the psychological impact skin dermatology, if we could provide of dermatologic disease. "Visible the labs. " As a result, several thoudisease is the cause of great sufferrelationship is very sand square feet oflab space were ing, and diseases of the skin built and "from then on, we were require great compassion and funded generously, not only by attention to the psyche because of the IH , but by foundations and the mind-skin relationship. The other sources." mind-skin relationship is very ln 1959, when Stanford's medistrong, and the morbidity of most and the morbidity of cal school moved to Palo Alto, skin disease is accentuated when Farber-who had been serving as most skin diseases is acthere is distress-and I say a clinical professor and director of distress , not stress. That is what centuated when there is dermatology since 1950-was the patients experience." selected as the first chair of the Fortunately, Farber was able to school's newly formed Department play a role in mitigating the sufferof Dermatology, a position he ing of patients sooner rather than held until1986. Under his leaderlater. While at Mayo, he had the ship, the department grew to -and I say distress. not opportunity to work with his chief, include 11 full-time faculty memDr. Paul O'Leary, to test the effistress. That is what the bers and achieved international cacy of the first antihistaminerecognition for its research and patients experience. •• Benadryl-for which Parke-Davis innovative treatment. had just received the rights folDuring his long career, Farber lowing its synthesis in Paris. O'Leary and Farber evaluated has published more than 250 papers, the majority of which the compound in acute and chronic urticaria and published focus on elucidating the natural history of psoriasis and the first paper reporting the clinical application of the defining the pathogenesis of the disease. While he was at antihistamine. "It's been a popular treatment for hives ever Stanford, the Department of Dermatology sponsored four since," Farber says. international conferences on psoriasis, each of which attracted 300 to 500 dermatologists and basic Research Opportunities "Out West" scientists from around the world. Also, in 1967, as chair of Once his studies at the Mayo Clinic were completed, the Task Force on Psoriasis for the Academy of DermatolFarber set his sights on winning an academic job in ogy, Farber and his fellow task force members helped dermatology. "I was looking for an opportunity to do standardize treatment of the disease by fulfilling their scholarly work, but there wasn't anything. Finally, I charge to evaluate a wide range of treatment modalities in The strong. distress • • ••••• •••••••••• •••••••••••••••••••••••• B u f f 0 a •••••••••••••••••••••••••• I a 0 ••••••••••••••••••••••••••••••• Physician A. u t u m n 1 9 9 8 �use at the time and to establish criteria for the indications for the different therapies. During his busy and productive years at Stanford, Farber also found time to teach, training over 180 residents and taking pride in the fact that, despite dermatology being an elective, 90 percent of all students signed up to take the class "because we made it interesting and they were able to have a close personal relationship with our faculty," he says. ln looking back on his role as teacher, he acknowledges his good fortune to be in academic medicine at a time when teaching medical students wasn't circumscribed by economic forces like those at work in today's health-care market. "We didn't have any of the pressures on us then that managed care imposes today on faculty , who must see more and more patients, which means they have less and less time for teaching residents and students," he says. "And teaching in medical schools all over the country is suffering because of this. " When he left Stanford in 1986, Farber moved across the street from the school and opened the nonprofit Psoriasis INFINITI Research Institute. Today he maintains a strong interest in ongoing research at the institute, including a large-scale study under way to find the gene(s) that predispose individuals to psoriasis. ever one to retire, he continues to see patients two halfdays a week because, he says, "I still enjoy helping people. " He also enjoys spending time with his grandchildren and following the careers of his three children, Charlotte, an attorney; ancy, a hospital CEO; and Donald, a financial consultant. When he learned that he had been invited to return to UB this spring to be recognized by the university's Alumni Association , Farber says he was "honored and absolutely delighted ," but in recalling his feelings, he is quick to add that this is an honor he cannot accept just for himself: "I have five siblings who graduated from UB. l'm very happy with this honor because I'm thinking of this not so much for me, but for them, as well. I only wish they could have been here to share in this, because they certainly deserved it far more than l." + I ntroducing your way to escape. lnfiniti's luxury sport AUTO PLACE INFINITI Unlike most luxury sport 8129 MAIN ST. , WILLIAMSVILLE escape for the weekend, it has all the comforts and luxuries you East of Transit Rd., Near Eastern Hi lls Mall u f f 0 l 0 MSRD 36,045. 00 utility vehicles, the QX4 not only features everything you need to 633-9585 8 utility vehicle: the QX4. need to escape life's daily stresses. Physician Autumn l 9 QX4 9 8 ��DNG ~OUT THE SSTRENGTHSS OF CHDLDRIEN Luther Knox Robinson'swork to prevent birth defects BY JESSICA ANCKER HEK LUTHER ROBI SO , MD, traveled to South Africa last year to study fetal alcohol syndrome (FAS), he heard local people -.-...-... using the word Ubuntu. They told him it meant "I am because we are," a powerful expression of the vital importance of the community to the individual, and of the individual to the community. The word stuck in his mind because it perfectly conveyed a philosophy that he had long admired. "Each of us has a role to play in meeting societal challenges," explains the associate professor of pediatrics at the University at Buffalo School of Medicine and Biomedical Sciences. "Each of us is successful if the entire group is successful." Buffalo Physician Autumn I 9 9 8 �obinson, who specializes in clinical services for and research on birth defects, !!opes to draw upon the philosophy expressed b) ubwzlu to lower the incidence of preventable birth defects like fetal alcoholS) ndrome. In his view, F AS is not merely a medical condition; it's a sign of trouble at the heart of a community. "FAS calls attention to the real challenges \\e have relative to women's health, and indeed to men's health," Robinson says. "An entire famil) is affected by alcohol abuse. We need to learn ho\\ to strengthen women who are involved in substance abuse, and how to help men to resist substance abuse or rehabilitate themselves." Public education is one of the most important ways to fight preventable birth defects. "One cannot guarantee a perfeel baby, but a beller-informed public can make the types of choices that improve outcomes," he says. "We know that folic acid is a means oflowering the risk of spina bifida, and that avoiding alcohol in pregnancy is a means of preventing FAS. These are public information issues. " But with alcohol, education is not always enough. Society must find ways to prevent and reduce adolescent entry into alcohol use and binge drinking, as research has demonstrated that they are or will be at high risk for alcohol abuse. Resources are needed to provide early intervention counseling, spiritual support or community safe havens to reduce environmental risk factors. "We've known about the dangers of alcohol to the developing fetus for 20 or 30 years now, but the problem of alcohol abuse is so insidious that it's hard to reach the people who are involved," he says. "just telling them something is not going to get them to stop drinking. That's part of the challenge we have to meet in our civic lives. " Robinson tries to put his ideas into practice not only through teaching, but also through community leadership and involvement in local birth-defect infor- ® mation and monitoring projects. "I am a believer that one's intellectual work is enhanced if one can make a link with one's community. ''I'm not unique in that, in any way," he is quick to add. "Most of us at UB feel that way. " native of Ohio, Robinson attended Oberlin College and .._..o;;...,......-...- earned his medical degree from the University of Cincinnati College of Medicine in 1974, after which he completed a residency in pediatrics at the University of California/San Diego (UCSD) Medical Center. It was at UCSD that Robinson met the physician and scientist who would set the course of his future career. Kenneth Lyons jones , MD , professor of pediatrics and dysmorphology, is one of the first researchers to have identified and described fetal alcohol syndrome. jones's 1973 paper in the Lancet, "Recognition of the Fetal Alcohol Syndrome in Early Infancy," described a cohort of high-risk children in Seaule and confirmed long-standing suspicions that alcohol consumed during pregnancy could cause serious problems, including growth retardation and mental deficiencies. (A French physician had published similar findings a short time earlier, but because his paper was not in English, it hadn't been noticed by the worldwide medical community.) Robinson worked with jones for two years as a postdoctoral fellow in dysmorphology. ln addition to learning about and extending the research on FAS , he also studied birth defects linked to genetic factors , nutrition, and chemicals or medications. Following this experience, he returned to general pediatrics during a stint as a general medical officer with the U.S. Public Health Service, and then served as- an associate professor of pediatrics at the University of Texas Medical School in Houston before joining the UB faculty and Children's Hospital of Buffalo in 1987. Robinson , who is board certified in both pediatrics and medical genetics, is director of clinical genetics at Children's Hospital and serves as part of the teamteaching faculty for the first-year genetics course at UB. He also supervises residents and fourth-year medical students doing rotations in the field of genetics and dysmorphology. South African child with fetal alcohol syndrome. Her country has the highest incidence of FAS in the world, according to a NIAAA study. �IfF AS is a tragedy, Robinson is a at least public educahighly regarded tion and other social teacher who has and medical methods earned awards for offer some hope of preteaching both basic venting it. With many science and clinical of the other types of subjects at his birth defects that academic posts in Robinson studies, the Houston and at UB. In path to prevention is 1995, he was given the still uncharted. johnS. ParoskiAward Yet Robinson says for Outstanding Athe does not find his tending Physician work disheartening. Teacher at Children's Luther Robinson, MD, oHrocts o crowd of children during his visit too village ou~ide Cope Town, South Africa. First, he says, there is Hospital. He is a regular attending physician Infant Home in the form of the Father the intellectual challenge of trying to at the Buffalo Institute of Fetal Baker Service to Youth Award in 1991. understand what has happened, a challenge that may someday lead to a cure or Therapy, the Children's Hospitalobinson's expertise in FAS method of prevention. based clinic that specializes in detecearned him a place in the For example, Robinson has been able tion and treatment (where possible) ational Institute on Alcohol show that facial asymmetry in infants to of birth defects in utero. At the instiAbuse and Alcoholism ( IAAA) delis linked to poor facial blood flow durtute, Robinson supervises collection egation that made two trips to South ing development. While it's not yet clear of data for a new birth-defect registry being created in collaboration with Africa last year. The joint South African how to prevent the problem, the finding the federal Centers for Disease Con- and American team was studying a re- suggests further areas of research and trol and Prevention and the ew York gion settled by French wine makers implicates drugs that are known to cause who for the past 200 years have partici- vascular spasms, such as cocaine, toState Department of Health. Robinson also serves as medical pated in the "DOP" system, which pays bacco and nicotine. Robinson also finds director of the Western ew York Tera- their African and "colored" or mixed- satisfaction and inspiration in working tology Information Service, an organi- race workers with both money and alco- with children. "l am impressed time and again with zation he helped found with his wife , hol. The DOP system gives workers wine jan, a nurse who has long-standing in- two to three times a day, five to seven the strength of children and their famiterests in public health, the prevention days a week, from age 14. This practice lies," he marvels. "They sort of develop of birth defects and service to the minor- has resulted in the highest incidence of their own realities in the way they deal ity community. The information service F AS known in the world today, a finding with disability. " Recently, he saw a former patient, a answers the questions of pregnant confirmed by the preliminary results of boy born with limb deficiencies, playing women who suspect they might have the IAAA's study. While in South Africa with the hockey. Some of his other patients, been exposed to a possible teratogen, provides examinations for their babies delegation, Dr. Robinson examined women who went through high-risk pregchildren from the farm communities nancies as teenagers, are pulling their and collects data. The Robinsons founded a similar outside of Cape Town and trained local lives together, caring for their children, information service in Texas during pediatricians on how to use specific working, or returning to school. "My work is personally rewarding and their time in Houston. Both organiza- measurements to identify FAS. "In South of materAfrica, we find the same types intellectually stimulating," Robinson tions are modeled after a California service established by Kenneth Lyons nal risk factors we find anywhere- says. "I often say children don't outgrow jones. The Robinsons' work with the poverty, undereducation, social and their conditions-they outgrow their peWestern New York Teratology Infor- medical problems," he says. "The result diatricians. I look forward to that. I look mation Service won them recognition is that it is the people with the least forward to working with a second generation of children." + from Buffalo's Our Lady of Victory resources who are most affected." �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . [1] ~ I Biogen Endows Chair in Neurology at UB LAWRENCE D . JACOBS , MD , PROFESSOR OF NEUROLOGY , TO BE FIRST HOLDER biotechnology company headquartered in Cambridge, Massachusetts, has established the Irvin and Rosemary Smith Chair in Neurology in the University at Buffalo School of Medicine and Biomedical Sciences through an endowment of 1.5 million. IOC.I \ L r \DI ' G I TER 1 -\TIO 1 A. I The sponsorship of the endowed chair-which is in conjunction with Biogen 's 20th anniversary celebrationwas announced by UB president William R. Greiner at a pres conference at the university in june. Lawrence D. jacobs, MD, UB professor of neurology and an internationally recognized authority on the treatment of multiple sclerosis (MS), will be the first holder of the chair (see article number of MS-related brain lesions and the number of clinical flare-ups. The drug , known by the brand name Avonex®, wa approved by the FDA in 1996 and is now the world's leading treatment for patients with relapsing forms of the disease. In announcing the endowment, Greiner said, "It is especially gratifying to have the breakthrough work of one of our most distinguished faculty memopposite). bers, Dr. Larry jacobs, lead to the Currently, MS affects 250,000 to creation of a chair in neurology that 300,000 people in the U.S., with 200 recognizes and supports his work and new patients diagnosed every week. For provides UB with a permanent legacy. reasons that are not fully understood, "Larry's path breaking research, teachpeople who live between the 38th and ing, service and leadership have elevated 52nd northern latitudes on the globe- significantly the national and internaWestern ew York is located at about tional reputation of our Department of the 43rd northern latitude-a re eurology and the UB medical school. particularly susceptible. We are very grateful to jacob was the first Biogen for recognizing researcher to show that Larry's work through this interferon beta was an generous gift to UB." effective treatment in some james L. Vincent, forms of the disease. Over Biogen's chair of the board, the past two decades, his said, "Biogen is proud to pioneering work has been supported by endow thi chair, which honors three private foundations and the ational individuals who repre ent the fine t Institutes of Health, with funding for ideals of science. l have been closely clinical trials provided by Biogen. associated with lrv and Rosemary mith Ultimately, jacob's research showed for more than 30 years. They demonthat Biogen's genetically engineered strate the highest standards of courage, interferon beta-la slowed the accumu- ethical behavior and integrity-values lation of physical disability in MS pa- that are fundamental to Biogen's corpotients, making it the first treatment ever rate philosophy. to exert such a benefit for this disease. In "We are delighted that Dr. Larry addition, the treatment reduced the jacobs is the first person to hold this B u f f a I o chair," Vincent added. "His belief in the potential of interferon beta-la as a treatment for multiple sclerosis was vital to the successful development of Avonex®, which has brought new hope toMS patients throughout the world." jacobs said he was "very honored" to be selected to hold the new Irvin and Rosemary Smith Chair in eurology. "The endowment demonstrates Biogen's commitment to the work we are doing here, and it's coming at an age when I still have plenty of time left to continue that work. "But the chair isn't forme," he added. "It's for progres in treating patients with multiple sclerosis. It will allow us to do so much, and it will ensure that the work can continue uninterrupted. " john R. Wright, MD, interim dean of the UB medical school, thanked Biogen for its generosity in endowing the chair and termed jacobs' appointment as its first holder "a well-deserved honor. ' ' T h e medical school is proud and pleased that Biogen has chosen to recognize an individual who has contributed so much to the field of neurology and to the community. Dr. jacobs has spent more than 20 years helping people who are living with this debilitating disease. His work is a great credit to himself, the UB medical school and all of the people and organizations who have believed in him and supported his research." Physician Autumn 1 9 9 8 �owrence D. Jacobs, MD, credits his involvement with the treatment and prevention of multiple sclerosis-the interest that has become his life's work-to serendipity. Anative of Buffalo, Jacobs graduated from Niagara University and earned his medical degree from St. louis University. In 1973, he joined the University at Buffalo faculty as a clinical assistant professor of neurology. Through on early affiliation with Roswell Pork Cancer Institute, where he worked as a consultant, Jacobs developed a professional relationship with Arnold Freemon, MD, and several other scientists who were conducting innovative clinical trials of interferon as a possible cancer treatment. It was Freemon who initially urged Jacobs to begin working with natural interferon, suggesting that he test it to determine its antiviral and immune-modifying properties in appropriate neurologic patients. In response to this suggestion, Jacobs decided to concentrate his interferon research on multiple sclerosis. "We asked ourselves, What ore the neurologic diseases of viral and dysimmune etiologies that might be appropriate for trials of interferon therapy?" Jacobs explains. "We first considered lou Gehrig'sdisease, but ultimately we decided on MS because Buffalo happens to be in a geographic region where MS occurs with high frequency and there were so many patients in Western New York with MS. It was just luck. As it turned out, interferon beto was not effective in treating lou Gehrig's disease, but it was effective in MS." Supported by local funding from the Baird Foundation, Delaware North and UB, Jacobs began his research. His early results, published in Science in 1981 , reported that interferon injected into the spinal fluid appeared to stop or reduce MS flare-ups. This led to another, larger multicenter doubleblind study that was supported in port by ogrant from the Notional Institutes of Health (NIH). The positive results of that trial, confirming those of the earlier study, were published in Lancet in 1986. By then Jacobs hod the full attention of the NIH; however, in order to secure funding for on even larger multicenter definitive trial, he knew he hod to show there was o possibility that, in addition to reducing the number of flare-ups, the drug could slow the accumulation of physical disability naturally associated with untreated MS. Jacobs was able to put together o research proposal that satisfied the NIH's stringent requirements regarding disability, and in 1990 he received $4.5 million over four years to conduct a Iorge study of interferon's effectiveness in slowing or reversing the accumulation of physical disability in MS patients. "Biogen then come in to support the Phose Ill trial expenses, as well as the cost of the interferon," Jacobs says. "We developed o wonderful relationship over the years." The company provided substantial monetary support and a supply of genetically engineered interferon called recombinant interferon beta-] o needed to complete the Phose Ill trial. Results of the trial showed that the drug significantly slowed the progression of disability, decreased the relapse rote and reduced the number of MS-reloted brain lesions, compared with the placebo group. Avonex®, Biogen's brand nome for the drug, was approved by the FDA in 1996. Currently, Jacobs is the principal investigator of o$12 million, 50-center study being conducted in the U.S. and Canada on the potential efficacy of the drug in preventing the development of clinical multiple sclerosis in patients who ore at high risk for the disease, such as those with optic neuritis. + -lois Boker ~LVIO.I~ ~~ MD, pioneer in the fight against multiple sderosis In addition to his professorship in neurology , Jacobs holds appointments in the UB Departments of Ophthalmology, Physiology, and Communicative Disorders and Sciences. He is head of neurology at the Buffalo General Hospital and chief of neurology at the William C. Baird Multiple Sclerosis Research Center at Millard Fillmore Hospital. He has won numerous awards and honors for his work, including the Stockton Kimball Award in 1996, and has a lengthy publication record. Irvin Smith, PhD , for whom the chair is named , is a biochemist by trammg whose career in health care and biotechnology spanned nearly 40 years. Prior to his retirement from Biogen in 1996, he served as the company's vice president for development operations and was responsible for managing the Phase Ill trial of Avonex® and for shepherding it through the lengthy FDA approval process. Biogen was established in 1978 by a group of academic researchers, including two obel Prize winners, interested in genetic engineering and its potential to improve health care. Discoveries by Biogen scientists have included the alpha interferon gene and hepati tis B antigens. In addition to Avonex®, the company's discoveries have resulted in the development of Intron® A, a leading treatment for hepatitis Band C and various cancers, and of vaccines for hepatitis B. + B u f f a l a P hysici ' a n A. u t u m n l 9 9 8 �Refiecting on 40 Years of Service CHARLES PAGANELLI, DISTINGUISHED SERVICE PROFESSOR, RETIRES HA.RLES V. P A.GA ELL!, PHD, Distinguished Service Professor, and interim chair of the Department of Physiology since 1991, retired September 1, 1998, after 40 years of service to the University at Buffalo School of Medicine and Biomedical Sciences. "For the past four decades, Charlie has been a consistently productive and extremely dedicated member and leader within this medical school's faculty, " says Interim Dean john R. Wright , MD. "His recent elevation to Distinguished Service Professor rank attests to the many contributions he has made to the university community and to the esteem in which his academic colleagues hold him. As interim chair of the Department of Physiology, and the newly created/merged Department of Physiology and Biophysics since 1997, Charlie has demonstrated extraordinary leadership, patience and vision-qualities we will surely miss as he enters retirement. " leon Farhi, MD, Distinguished Professor of Physiology and Biophysics, says, "Dr. Paganelli's retirement is a great loss for the university. He has been a most faithful servant, and his recently being named a Distinguished Service Professor was longdeserved recognition of his many superb qualities. " Paganelli came to UB in 1958 after completing his PhD in physiology at Harvard University and a two-year postdoctoral fellowship sponsored by the ational Foundation for Infantile Paralysis at the University of Copenhagen in Denmark. In the late 1950s, Hermann Rahn (chair of physiology at UB from 1956 to 1972) was in the process of building a department that was to become internationally recognized for its researchand teaching excellence. Toward this end, he knew he needed to recruit promising young faculty and so contacted friends and colleagues at Harvard and the University of Pennsylvania, including A. K. Solomon, john Pappenheimer and Robert Forster, each of whom recommended Paganelli. Rahn then wrote to Paganelli, offering him a job at the then University of Buffalo. a u f f a 1 o "My wife and I and our two young children were living in Denmark at the time, and l accepted the job sight unseen ," recalls Paganelli, who adds that he had other interesting offers but wanted to return home to ew York. A native of Brooklyn , Paganelli had moved with his family to Albion , Y, when he was 12. In 1958 his parents were still living there , which was one of the factors that turned the tide in his decision to come to UB. The other was his opportunity to join Hermann Rahn in a new and developing department. As a student and fellow , Paganelli had focused his research on examining the permeability properties of red blood cell membranes. "When I got to UB , my research interests shifted somewhat, and I became interested in transport in epithelial cells; for example, in the kidney and in amphibian skin," he says. Later, Rahn interested Paganelli in studying the permeability properties of avian eggshells, which then became his primary focus of research throughout the remainder of his career. This research, much of which was funded by the National Institutes of Health and the ational Science Foundation, provided a model for studying how gases are exchanged by diffusion in the lung. Paganelli credits Rahn with creating a work environment in the Department of Physiology that was conducive to creativity, collegiality and stability-factors, he says, that led him to stay at UB for four decades. "The department Dr. Rahn built here was very lively. It was an interesting Physician Autumn 1 9 9 8 ) �u actually been able to introduce them to something they hadn't thought of before." ln the mid-1960s, Paganelli began his long and notable career of service to the university by participating in a number of medical school committees. By the 1970s he was an active member of several committees for UB's faculty ofhealth sciences, which comprised all five ofUB's medical and health professions schools. Later he began serving on campuswide committees and was a member of the Faculty ) place and he was an extraordinary man. He had a breadth of interests that was remarkable, and because his interests were so broad, he always wanted to share ideas with you. That's how I got involved in research with bird eggs. One day he pulled me aside and said, 'Oh, I have this project l want to talk to you about,' and we went from there. He could get you interested in things." In addition to Rahn, Paganelli speaks fondly of his many colleagues in the department over the years, including Don Rennie, Suk-ki Hong and Leon Farhi. Upon arriving at UB, Paganelli was also given the customary load of teaching responsibilities, something which he says he wasn't quite prepared for at the time. "When l came to UB, I had only done a minimal amount of teaching, so l sort of got thrown into it," he recalls with a smile. Today, with four decades of experience behind him, he says without hesitation that he has very much enjoyed teaching. "What I have liked about it is the idea that you can convey concepts to students and you can see their eyes suddenly open up. It's a very satisfying feeling to think you've 6 u f f a l a Senate , which included a one-year term on the Executive Committee and seven consecutive years on the Budget Committee. He also was a member of the steering committee for the self-study that led to UB's 1982 Middle States accreditation. Paganelli says that perhaps his most memorable campus-wide assignment was his chairing of the President's Review Board on Appointments, Promotions and Tenure (PRB) in the mid1980s. ln a 1997 letter in which he nominated Paganelli to the rank of Distinguished Service Professor, UB president William R. Greiner wrote: Physician Autumn 1 9 9 8 "Service on this board demands an extensive commitment of time, as well as a commitment to the university's highest ideals. One colleague notes that Professor Paganelli was 'an exceedingly effective [PRB] chair who dealt diplomatically but incisively with very sensitive matters."' ln addition to his research, teaching and service responsibilities, Paganelli was also given demanding administrative responsibilities. From 1991 until his retirement, he served as interim chair of physiology, a role he also fulfilled from 1980 to 1982 and again in 1986. He was also associate chair of the department from 1976 to 1980 and again from 1982 to 1991. Paganelli, who is 69, says he and his wife, Barbara, plan to travel in retirement, as well as spend more time with their five children and eight grandchildren. Their eventual plans include living in Italy for an extended period of time and visiting Hawaii to renew friendships they made in 1974 while on sabbatical at the University of Hawaii. When asked what he feels about retiring after 40 years of service to UB, Paganelli says, 'This has been a very good place to work. I've had wonderful colleagues and very good students, and I've been proud to be affiliated with this university. "However, I don't have mixed feelings about retiring," he adds. "It's time." + - 5 . A U N G E R �. . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . [1] ~ I Inaugural White Coat Ceremony CLASS OF 2002 REMINDED THAT THEIR MEDICAL CAREERS HAVE BEGUN swear to fulfill, to the best r recited the Class of 2002 as they began the "Physician's Oath" at the inaugural White Coat Ceremony held in August to welcome the school's newest medical students. tremely competitive academic environments where the element of humanism is often missing, Flanagan adds. p s he expansion of my knowl· edge throughout my life for the benefit of my p The greatest challenge for medical ln the presence of faculty, staff, peers, experienced kidney failure a week bestudents today is that they cannot family and friends, members of the fore finals as a junior at the University of school's l52nd class were "cloaked" with California at los Angeles. anticipate what the their first white coats to mark the begin- He says he was inspired medical field will be like because it is constantly ning of a new UB tradition that empha- to pursue a career in sizes the importance of physicians medicine by the compaschanging and evolving, serving with compassion as well as skill. sion and encouragement according to Flanagan . The Arnold P. Gold Foundation, an shown to him by one of He says that one of the organization dedicated to fostering hu- the doctors during his hospital stay. strengths of this year's manism in medicine , conceptualized the I ri r me e a t e e s o and class is the diversity of their academic ceremony, which reminds new doctors s(e e o die e and cultural backgrounds , which Teaching the more personal, psycho- he feels will contribute in a positive of their responsibility to 'care' as well as 'cure' by endorsing a psychological con- logical aspects of medicine has always way to their ability to adapt to change tract for professionalism and empathy been a challenge for medical educators, and to continue learning throughout at the start of their medical catheir careers. reers. Today, about 85 medical This year UB received " WHEN YOU HAVE THIS COAT ON , WHETHER schools nationwide hold similar 2,500 applications, or about initiation ceremonies for incom19 applicants per slot. YOU ARE A STUDENT OR A PRACTICING ing students. Thomas Guttuso, MD , assisDOCTOR , YOU ARE EXPECTED TO UPHOLD . . . I will respect the scientific gains tant dean and director of CERTAIN IDEALS . THE CEREMONY REMINDED of those physicians and scientists in admissions, says motivation, whose steps Iwallc, and gladly share empathy and social awareness US ALL THAT OUR CAREER STARTS NOW AND such knowledge as is mine with those are the qualities that are most NOT IN FOUR YEARS ." who are to follow ... closely evaluated in the The White Coat Ceremony Class of 2002 applicants. A was an extraordinary way to Guttuso adds that this begin medical school, says firstclass, which has 70 women year student Morcos Morcos. " Reading according to Tom Flanagan, MD , assis- and 65 men , is the first in the school's the oath reminded us that we're not here tant dean for student and curricular history to have a greater number of just to pass a class." Marcos adds that he affairs, who organized the White Coat female students. The students range appreciates the advice he received from Ceremony. "Educators in the medical from age 23 to 35, with the majority a second-year student who told him that field have done a really good job of of the class between 23 and 26 years of it's as important to share knowledge in teaching the technology , science and age. Most students majored in science medical school as it is in medical prac- even the economical aspects of medi- as undergraduates but a substantial4l tice , and who warned him to be wary of cine; teaching the art of medicine , how- students were non-science majors. The overly competitive students. ever, is more difficult. " mean undergraduate grade point Morcos, who recently celebrated his This challenge is compounded by the average of the class is 3.55 overall and th ird anniversary of a kidney transplant, fact that many students come from ex- 3.5 in science courses. a u f f a I a P hysician Autumn 1 9 9 8 �I ----- --- ························································································• · ~ I I ••. I will practice medicine with conscience potential partnership in Georgia at the several times in several ways to accomand d1gn f last minute to pursue her dream of at- modate changes in the medical field, Margaret Paroski, associate profes- tending medical school. explains Flanagan. sor of clinical neurology at UB and the A few years ago Dennis adler, MD, e f my patient featured speaker at the ceremony, told a associate dean of the medical school, the students to be proud of their accomAccording to first-year student requested that a student committee be plishments in making it to medical Antoinette Alonzo, there are very few oc- formed to review several existing verschool, but to be careful not to become cupationswithasmanyrights. "Wehaveto sions of the oath and to decide on their arrogant. "The higher the pedestal you're remember that people are entrusting us. own UB version to reflect the modern on, the harder people try to knock you They are telling us things that they wouldn't world of medicine. The students seoff it," she warned. lected a brief version of an oath by tell anyone else." First-year student Louis Lasagna, MD, Deana Savage felt of Tufts University Paroski's best advice was School of Medicine, to live for today because which was then tomorrow is not promadopted as UB's ised. "Life is today, life "Physician's Oath." is now. Don't feel you ... Most especially I have to wait to start livwill tread with care in matters of life and ing until you have finished medical school," death. If it be merely advised Paroski. "Try to within my abilities to help ease suffering at enjoy these next four the end of a life, may I years and don' t feel face this awesome reguilty if you take time to sponsibility with hudo something you really mility and awareness want to do." of my own frailty ... The mother of a twoyear-old son, Savage can- Peter Ostrow, MD, associate professor of pathology, helps first-year student Jundo Woo of Brooklyn don her white coot. ew student not put life on hold for Steven Weitzman four years. "He is actually going to help Alonzo was in dental school at the Uni- realizes the value of humanism in me," she says about her son. "lf I ever versity of Pennsylvania when she realized medicine after battling lymphoma while think about putting off studying, I will she was trying to make dentistry a substi- pursuing his master's degree in just look at him." tute for her real passion to study medicine. counseling psychology. Throughout Savage, originally from Buffalo, is "It gives me a sense of relief and peace of chemotherapy, Weitzman continued one of 23 UB graduates in this year's mind to be here after having gone through working part-time toward his degree class and proved her loyalty by submit- something that l knew in my heart wasn't and today is in full remission. Although ting only one medical school applica- really for me." he has considered pursuing oncology, tion. "When I read the acceptance letter, For Alonzo , the white coat is a mean- Weitzman thinks he may try child I think everyone in my neighborhood ingful symbol. "When you have this psychiatry since it will not hold such heard me screaming," she laughs. "The coat on, whether you are a student or a personal relevance. practicing doctor, you are expected to excitement still hasn't worn off." The high point of the White Coat Of the 139 new students, four are uphold certain ideals. The ceremony Ceremony for Weitzman, he says, was MD/PhD candidates, three have reminded us all that our career starts when Guttuso read his name and called already earned doctoral degrees and now and not in four years." him 'Dr. ' "It made me feel so privier Ican; for leged to be here." another 14 hold master's degrees in 1e prev I vow always to act to preserve the business administration. finest traditions of my calling and may /long Savage is among those embarking on The ancient Hippocratic Oath no a second career. Previously a resident longer accurately reflects what physi- experience the joy of healing those who podiatrist in Maryland, she gave up a cians do today and has been altered seek my help. + B u f f a l o Physician A. u t u m n 1 9 9 8 �WITH HIS ARTIST AT WORK , SELF-PORTRAIT 24 B u f Q 0 p h w • c a n Jl. u u m n 9 9 8 �························································································• · ~ I The Artful Doctor US PROFESSOR ' S PAINTINGS SELECTED FOR INTERNATIONAL JURIED SHOW E I '> B f R T R \ \! -physician, public health specialist and accomplished scientist at the University at Buffalo-is ready to give it all up for art. Three years ago, the clinical assistant professor in the Department of Social and Preventive Medicine rekindled a love of painting he had abandoned decades earlier. When one of his new works was accepted into an international juried show earlier this year, there was no turning back. "If I could, I would do nothing but paint," says Bertram, sitting in the living room of his tum-ofthe-century orth Buffalo home, where his canvases cover the walls and cluster in the corners. "But I can't afford to." Thus, as with physiciansturned-painters-or - poets throughout history, science subsidizes art. Bertram spends mornings at the School of Medicine and Biomedical Sciences, helping direct the school's new Master of Public Health Program and its preventive-medicine residency. In the afternoons and evenings he takes classes, paints and applies to art shows. "My wife tells me l'm catching up, keeping up and going ahead all at the same time," he notes. Bertram's divergence from art early on is a telling example of environment subverting genetics. "Art is something I wanted to do when I was a kid," he says. "I was the one who did the illustrations for the school newspaper and painted the stage sets in high school. I even won an art contest. s u f f a 1 o "But there was no art education in my grade school or high school. There were no role models and I had no encouragement. I was raised to believe in self-sacrifice, to live life for the betterment of others. To go into art would have seemed selfish. "But there was lots of encouragement to go into science," he says. "Lots of role models, and science offered lots of opportunity. And I was good at it." Consequently, Bertram majored in zoology, no tart, at Indiana University and earned a medical degree from Washington University. He investigatedartschoolsaftergraduating from medical school, but didn't have the courage then to make a major career change, he says. Instead, he went to the johns Hopkins University and earned a master's degree in public health and a doctorate in science. For nine years, he was an assistant professor of social and preventive medicine at UB, conducting health-services research and publishing papers in scien- Physician Autumn 1 9 9 8 I tific journals. Injanuary 1995, he left UB to manage the technical-information program locally for The HMO Group, where he assessed the scientific merit and effectiveness of medical techniques. Bertram's wife, Peggy Brooks-Bertram, assistant to the vice president in the UB Office of Public Service and Urban Affairs, inadvertently pointed him back to art. "It was around Christmas in 1995, and my wife wanted to do something different in the foyer for the holidays, so she dragged out the drawings l did in medical school. I didn't realize they were still around. l looked at them and thought, 'Hey! l wasn't so bad! Let merethink this."' When Bertram left The HMO Group in 1996 to work as a consultant, the less-rigid schedule allowed him time to paint. He enrolled in art classes at Buffalo State College and began to draw and paint again. This time around, there was plenty of encouragement: He submitted works to an amateur art show at the Erie County Fair, winning ribbons and recognition that spurred him on. When his painting "At Ease" (pictured left) was one of 116 pieces out of l ,500 submissions accepted into the ew jersey Center for the Visual Arts' 12th IntemationaljuriedShow, he was thrilled. The show was juried by an Rosentha, consultant in 20th-century art to the Metropolitan Museum of Art, and ran from February 15 through March 29, 1998. Bertram was e pecially pleased that his very traditional piece, influenced by Winslow Homer and Andrew Wyeth, was selected, despite fitting into neither of the two movements Rosentha said characterized most of the selections: collage and assemblage, and surrealism. With his talent affirmed, Bertram now presses on fearlessly. "I no longer have doubts, as I did when I was younger, that lam able to do it," he says." ow all I need is time." + �• . ·········· ··· ······ · ······· · ······················ · ···························· ·· ······· l I "Wimpy"Parents Take Note inconvenience and failure." The results: children who often are inconsiderate, unpleasant, demanding and unhappy. UB PROFESSOR ' S BOOK ON PARENTING GAINS ATTENTION Although the rules and relationships invariably change between parent and child through the stages that lead to adulthood, Condrell says underlying HI- PROC Rf SSI\ f, CHILD-CE TE RED parenting movement, goals should not. "Early on, it's vital that popular during the past two decades, has given rise to a youngsters learn to respect authority, the rights of others and the consequences national epidemic of families in which children are "running" of their actions. " Even the very young can learn the the show, according to child psychologist and family therapist meaning of the word "no" and that misbehavior, lying, cheatKenneth . Condrell, PhD. ing , bullying, whining, Condrell, a clinical assistant professor putting these misobstinance and tantrums in the Department of Psychiatry at the guided, tired, loving parlead to age-appropriate punUniversity at Buffalo, is coauthor with en ts back in charge of ishment. Loss of privileges, Linda Lee Small of a new book, Wimpy their children, their toys , television, trips or Parents, From Toddler to Teen: How NOT families and their lives. games for a predetermined From fodd. r to Teento Raise a Brat, published recently by Wimpy Parents, From HO\\ time carries the message to Rue Warner Books. He notes that parents have Toddler to Teen: How when applied consistently, a Brat been encouraged by the "self-esteem moveOT to Raise a Brat he notes. ment" to not be strict or bossy with their provides parents with Condrell stresses that it's offspring. Instead of being strong family examples and anecalso important to complileaders, he adds, they have become dotes on how to be ment and reward good "wimpy" parents, raising kids who are loving and successful paren ts and behavior so a child gets in the habit of selfish, demanding and disrespectful. enjoy their children into adulthood. behaving at home and elsewhere. The theory followed by these parents The goal of parents should be to teach Bratty behavior, if not altered at some their children a strong point, returns again and again once the sense of responsibility, children become adults. "They are usu• worth and values, which ally the adults who will later inconsiderprepares them for the chal- ately drop off their children with lenge ahead in an often- grandma and grandpa with little or no changing, demanding, warning to baby-sit, borrow money when stressful wor ld , says they find themselves in preventable Condrell. Otherwise, they financial predicaments or expect to will not grow up prepared routinely be bailed out of self-created for the real world, where messes," Condrell observes. proposes that by promoting youngsters' sel [-centered, insensitive, irresponsible Parents, he says, need to teach their self-esteem and turning the family into behavior leads to unhappy relationships, children moral values and responsibila democracy, children will grow up to as well as serious and often grave, life- ity through discipline and example, and be confident, competent, successful threatening consequences. be firm and loving in doing so. "If they adults. "Wimpy parents find it difficult to be don't learn these lessons when they're "The theory looked good on paper, in charge," Condrell emphasizes. "They growing up, they'll learn them later from but in reality, it was awful," says Condrell, are too loving, too patient, take too the real world, which won't be as loving, who founded and directs a large group much abuse and are wishy-washy where forgiving or supportive," he adds. practice specializing in family therapy. discipline and enforcing house rules are Condrell has appeared on national teleow he and other clinical psycholo- concerned because they want to save vision, including CN and BC-TV's gists find themselves spending more time their children from unhappiness, Today show. + Parents . ® B u f f a I o - BY MARY BETH Au tumn SPINA 1 9 9 8 �·····················································································• · ~ . . ~. e I s d 0 g ', s e t s ., r j e s :l f Innovative Partnership Brings Gamma Knife to Buffalo n August 4, 1998, David C. Hahn, MD , president and chief executive officer of Roswell Park Cancer Institute (RPCI), announced the formation of an innovative partnership with Buffalo eurosurgery Group, the University at Buffalo's Department of Neurology and the Roswell Park Alliance Foundation to bring to Western ew York a Leksell Gamma Knife, which he called "one of the most groundbreaking medical advances of recent years. " In announcing acquisition of the gamma knife, which will be operational this fall, RPCI becomes the only facility in Western ew York-and one of only 47 facilities in orth America-to offer this tool for noninvasive brain radiosurgery. The purchase of the gamma knife was made possible through a $3.6 million grant from the Roswell Park Alliance Foundation, chaired by the Han. Nancy aples. "This type of cooperative venture between private practice, university neurosurgeons and Roswell Park Cancer Institute Will be the hallmark of health care in the 21st century," says L. elson Hopkins, MD, professor and chair of neurosurgery, and professor of radiology and director of the Toshiba Stroke Research Center at the University at Buffalo. The gamma knife delivers a single, high dose of ionizing radiation from 20 l intersecting beams to a target previously defined by advanced imaging techniques. It offers the precision of surgery Without a scalpel and without the usual risks associated with surgery, while pro- viding enough radiation to destroy a lesion. This form of radiosurgery has proven successful as a treatment for benign and malignant tumors and vascular malformations located in critical, difficult-to-access areas of the brain. "The gamma knife represents a major technological advance toward noninvasive treatment, which is rapidly becoming the standard of care for some of these conditions," says Douglas B. Moreland, MD , director of Buffalo eurosurgery Group and chief of neurosurgery at Sisters Hospital. For brain tumor patients who are not good surgical candidates due to age, health status , or the inability to tolerate anesthesia , the gamma knife may be an alternative to conventional surgery. For others, it may be used as an adjunct to conventional surgery. Following treatment with this state-ofthe-an radiosurgical tool, patients can usually return to their normal routines within a day, allowing them to maintain good quality of life while eliminating costly hospital stays. Between 1988and 1997, the number of gamma knife sites worldwide has grown from five to 112. Over the same period , the number of patients treated has increased each year from 2,190 in 1988 to 80,000 by 1997. Gary M. Proulx, MD, radiotherapy codirector of the Gamma Knife Center, says, "The gamma knife and other improvements planned for the Brain Tumor Treatment Center at Roswell Park Cancer Institute will make the newest and best treatment modalities available to patients with malignant and certain benign diseases of the central nervous system." + Physician A. u t u m n 1 9 9 8 In Memoriam I �~ -······················································································· ~ Student Lounge aSocial Haven SUPPORT O F MED ICA L A L UMN I A SSO CIATION A PPR ECIATED hile physicians often prescribe rest and relaxation for stressprone patients, future doctors are experiencing the true value of the therapy in the UB medical school's student lounge. Opened in 1993 with the help of the Medical Alumni Association, what was once a medical conference room in 133 Cary Hall is now home to the hustle and bustle of busy medical students who depend on the room's comforting features to accommodate their hectic lifestyle. Visitors to the lounge shouldn't expect to encounter discussions of gross anatomy or cell biology so much as heated foosball games between medical and dental students or a game of pool in which first-year medical students have challenged more experienced 'second-years.' Air-conditioned and furnished with a full-size refrigerator , microwave , VCR, televi ion , copier machine, pool table, two foosball machines , soda machines , couches, and tables and chairs, the lounge provides a recreational retreat for hard-working medical students, who have access to the room 24 hours a day with a 4-digit security access code. Second-year students Tom Zajac and Hugh Bui say they visit the student lounge to work on their foosball skills. "lt helps hand-eye coordination in case you want to go into surgery," jokes Zajac. Bui sums up what he thinks about the lounge in three words: fridge , food and foos. Cheryl Taurassi, a third-year student, frequents the lounge mostly to use the refrigerator and microwave. "The majority of us use it as a place to eat lunch, ® hang out and take a break, or in some cases to nap on the couch," she says. "It's also great in between classes if you only have 15 minutes or a half hour unUlyournext c~ss." The lounge is currently maintained by POLITY, the medical student governing alumni affairs in the medical school. ow retired, Richert recalls when the lounge area also was the Lippschutz conference room, which relocated to the Biomedical Education Building. Before the lounge was created, he remembers , the only place students .. WITH SO MuCH EMPHASIS BEING PLACED ON EDUCA· body, whose -ION IN A STRICT SENSE offices, along -HE LOUNGE IS A SOCIAL with those for the 1ris, HAVEN THAT ENABLES US the medical TO COMPLETE OUR student yearT0GETHER book, are located -CHRIS ADAMS within th e POLJJY P1rsidrnt lounge. The governing board of the UB Medical Alumni Association played a primary role in furnishing the lounge , with the help ofjohn Richert , EdD, former associate dean for Dl'~A~ION B u f f a l o Phys ici could hangout socially was in the atrium in the Biomedical Education Building. "The students felt the atrium area was too public , and they wanted something more private that they could call their own," he recalls. "l agreed, and POLITY submitted budget proposals two years in a row to the governing board of directors. Both yea rs we designated money to help students furnish the lounge. " With the generous donation from the alumni association, students were able to purchase couches, tables , chairs, a television and a VCR. Bertram Portin , MD , current assistant dean for alumni affairs, adds that an A. u t u m n I 9 9 8 �················· · · · ···· · ······························································· ~ the alumni association is studentoriented and supportive of enhancing the quality of student life. "Members of the association have a genuine concern for the students' needs and fee l very strongly that the students should be taken care of. l was glad to play a part in making such resources avai lable," he says. The lounge is especially important to students because it allows them a diversion from the pressures of school. "It gives us an opportunity to get away from school work," says third -year student jason Lake, who was a regular at the pool table his first two years, when he participated in organized lounge pool tournaments. "If we had no escape , life would get pretty dull." To offset the seriousness of their studies with a little humor, other students turn to television. Popular programs include stand-up shows of comedian Chris Rock and reruns of South Parh, says second-year student Charmaine Gregory. Some students, however, use the television as a learning tool. Gregory notes that she has seen students taking advantage of the VCR to study histology slides on videotape. As second-year student Debbie Ogie busily makes copies, she explains the convenience the lounge offers students who want to stay in the building to make a few copies or to look over material. "In the winter, people don't like to have to walk over to Harriman or the library," she says. "It's also really nice because it is a place where I can relax with friends.·· • According to POLITY president Chris Adams, the lounge gives students an opportunity to enjoy each other's company in a relaxed environment. He explains that the friendly atmosphere of the lounge helps foster the development of interpersonal skills, which are important to being a good physician. "I feel that the lounge is an integral part of our experience here at UB. With so much emphasis being placed on education in a strict sense, the lounge is a social haven that enables us to complete our education together .., Adams adds, "It's great to see the dedication of the school's graduates to the needs of current students. I think I speak for all of the students who use the lounge in saying that the efforts of the alumni are greatly appreciated." + \ \}\~c a mistake . But not from the inside . The roof looks funny, odd, strange, n\\~ 1.l1e wa\" IH' sec il. 11 h~· build a >otraight roof 11 hen ~·<nl ean build a perfeetl1· good erooked one'c It·, something up to se1·en passengers in the Land l{o,·er llisem·er1· 11ill trul1· appreeiare. \\"ith the elenlted roof and stadiumlikc sea tin(\. passen(\ers in the rear ha1·e ample headroom. \\' hieh means the~· ean look at more than the hack of the front seal. ~luch more. in fac1. Beeause the Land Ro1·er Dbe01·ery ha>o more 11indows than an1· other 4x4 . \\'h~· no~ take _one out for a test dril·e'c .\nd instead ot just looking into it. look out of i!. 48 DISCOVERY Land Rover Amherst ANORTHTOWN AIJTOMOlM COWAN'f 3560 Sheridan Drive Amherst, New York 14226 • (716) 831-3100 http//www.northtownauto.com L B u f f a l o P hysician Autumn I 9 9 8 �r ! J ··· · ·················· · ····················· · ····· ·· ····················· · ··· · ·· · ······· Learning about the Realities of Cancer Care caring for the patients. My interactions with the patients became close, and my with long hours in the lecture halls and laboratories and late concern for each of them deepened. The nights of study, I eagerly looked forward to summer vacation. Y~t patients' openness with me made me feel even more concern and sympathy my eagerness to see summer arrive was not for the typical for their situations. reasons, since what I was excited about was beginning a clinical Full of optimism for each of them, it shocked me when I would learn from research program at Roswell Park Cancer Institute. the attending that a patient's cancer was The disease of cancer has intrigued Park, my views about quality of life progressing and we had no cure. I would me since my junior year as an under- have been challenged and redefined. think to myself, "How will we tell the graduate, when I worked at Yale Cancer In my formerly naive view, I felt that patient? What do we say? " When I observed Dr. Lawrence Center. Since that time, my apprecia- when patients or physicians Leichman talking with pation for oncology has only deepened, in decided to stop treatment or tients, it was consoling to large part due to my having had an to not undergo experimental see how he would indicate to opportunity to work with two medical therapy at all, they were givthem, either verbally or by oncologists, Dr. Amy Early and Dr. Meir ing up too ea ily or accepting his demeanor, that what he Wetzler, during the past school year. defeat before even trying. owl understand why somewas about to say would not Gradually, the field started to have times it may not be worth much to be easy. In fact, he said that if telling meaning to me beyond the complexities people such bad news ever becomes of cancer biology or the therapeutic "fight" anymore, or even try at all. On most GI clinic days there were easy, it's time to do something else. And regimen : l began to realize that it's the end-of-life issues that pose the greatest between 25 and 30 patients. Although he is right. Patients deserve someone there was a fellow and a resident to who empathizes and is fully supporting challenge to an oncologist. Textbooks and manuals will tell you make preliminary assessments of the them during this time. If therapy does about staging and chemotherapy, but patients, the large number of patients work, the oncologist's care and support how do you tell omeone that there is no meant that I, too, had an opportunity to may be all the medical hope they have. It was a challenging summer to cure for his or her disease? How do you take historic and perform physical exadvise a patient on whether to use ag- aminations. l built confidence and soon face life and death issue so frequently. gressive treatment or to enjoy his or her felt like an important part of the team On one occasion, l watch ed Dr. last months in a Leichman tell a mother that her 23healthier, asymp tomatic state? There year-old son might TEXTBOOKS AND MANUALS WILL TELL YOU ABOUT live only a few more arenorightorwrong answer , nor will it months. The doctor STAGING AND CHEMOTHERAPY, BUT HOW DO YOU TELL told her what she be the same in every SOMEONE THAT THERE IS NO CURE FOR HIS OR HER probabl y already situation. knew, but now it After working for DISEASE? HOW DO YOU ADVISE A PATIENT ON WHETHER TO had been confirmed eight weeks under that things were not the direction of Drs. USE AGGRESSIVE TREATMENT OR TO ENJOY HIS OR HER going to improve. Lawrence and Gail In another case, Leichman in the LAST MONTHS IN A HEALTHIER. ASYMPTOMATIC STATE? a woman who had gastrointestinal received secondservice at Roswell pn1 r" ', r.;mc::,T YEA.R OF MEDICAL SCHOOL filled B u f f a l o Phys i cian Autumn 1 9 9 8 �• • • • • • 0 • 0 • 0 • • • • • • • • • • 0 • 0 • • • • • 0 • • • • • • • • • • • • 0 • 0 • • • 0 • • • • • • • • • 0 • • • • • • • ~~~~~~~~ HURWITZ & RNE, P.C. [ line treatment for her colorectal cancer was told it was not shrinking the tumor and that there were no more reasonable options. Sh e could not appreciate the implications of having failed the second-line regimen, and her response to the poor results was that everything was going to be okay and the physician would just find another type of chemotherapy that would eventually work. But her husband, who was in the hospital room at the time, understood perfectly. As we left the room, he followed us out and asked with uneasiness, "What do I say to my wife when we get home? " He did not know how to cope with the next few days or the next few months. We had no answers for him except that we would try to find another treatment for which she might be eligible, but explained it was B u f f o l o Phy highly unlikely that it would work. It is not common to tell someone how long they have to live, but certain circumstances require it. Patients need to be aware of what is happening to them so they can prepare accordingly. It is usually done out of respect for the patients and their families. However, discussing how long a patient has to live may not be appropriate because one may not know the efficacy of treatment or how fast the cancer will progress to making a significant systemic impact. Also, one may unfairly take away hope for a patient's survival and cause him or her to worsen more quickly due to psychological debilitation. Sometimes l would stand in the clinic and wonder, "What are we accomplishing in oncology? Are we really helping anyone? " But then I remember the many faces we see each day and feel satisfied because I know that regardless of the outcome, we are supporting these patients through what may be the most difficult and scary ordeal that they will encounter. We see the trusting eyes peering at the doctor, who may give a glimmer of hope. We also see the insecurity, not knowing if and when the cancer will come back now that therapy has been successful. Every day may bring smiles of denial, euphoric laughs to cover the hurt, angry outbursts, silent acceptance or slow tears. Although oncology is challenging, we help people to cope. And that may be all that is needed to say that it is worth it in the end. + sician Autumn l 9 9 8 ATTOR EYS AT LAW SERVICI G THE LEGAL NEEDS OF THE H EALTH Scm cEs CoMMU ITY • Managed Care • Purchase & Sale of Practices • Business & Tax Planning • HCFA Safe Harbor Regulations and Physician Self-Referral • Contracts with Private & Public Entities • Employee Relations Counseling • Fringe Benefit Programs • Representation Before Government Agencies on Audit & Business Issues • Facility Finance and Construction • C redentialing and By-Laws • Hospitai!Medical Staff Issues Please contact Robert P. Fine or Lawrence Mo Ross at 716-849-8900 1300 Liberty Building Buffalo. New York I �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [1] '' ... ' ' Body Shape May Indicate Increased Risk of Breast Cancer omen who display certain physical characteristics, such as abundant body hair, excessively oily skin and an apple-shaped physique, may have a greater risk of developing breast cancer than other women, researchers at the University at Buffalo have found. Results of the research were presented in june by Paula Muti, MD , UB assistant professor of social and preventive medicine, at the annual meeting of the Society for Epidemiologic Research . The finding comes from an analysis of women who took part in a study in orthern Italy called ORDETHORmone and Diet Etiology of Breast Cancer. Muti says blood levels of male sexual hormones , called androgens , produced in women in small amounts by the ovaries and the adrenal glands, have been positively associated with the risk of developing breast cancer in several prospective studies. The most active androgen is testosterone. The current study sought to determine if external signs of high androgen levels in women could be associated with brea t cancer risk. A positive finding would mean that these traits could be used as a screening tool. "lf these characteristics are linked to an increased risk , women with these traits could be referred for closer screening, or could receive treatment to lower the androgen level," she says. "There are hormone-lowering drugs available, and there are also indications that a diet high in vegetables, fruits and fiber can lower testosterone levels." Muti followed a group of pre- andpostmenopausal women in the Italian study for three years. At the beginning of the study, the women were assigned a score based on an assessment of the amount of body hair. Researchers also assessed sebum production-the output of the skin's oil- and waxproducing sebaceous glands-and body-fat distribution, based on the ratio of waist-to-hip measurements. At the end of three years, 36 premenopausal and 26 postmenopausal women had developed breast cancer. The remaining participants-136 premenopausal and 99 postmenopausal women-served as controls. Analysis of androgenic traits in women with breast cancer and in those free of the disease showed that: • Postmenopausal women with excess body hair had a 33 percent increase in risk of developing breast cancer versus their counterparts with no excess body hair. There was no relationship bet\>\oeen body hair and breast cancer risk in premenopausal women. • Excess sebum production was a significant risk factor for premenopausal women , but not for postmenopausal women. Premenopausal women with the highest levels of sebum production had 2 lf2 times the risk of developing breast cancer compared to those at the lowest level. • Premenopausal women with the stereotypical "apple" shape, in which the waist is bigger than the hips , had a 2112 times greater risk of developing breast cancer than their counterparts with "pear" shapes, in which the hips are bigger than the waist. o signifi- B u f f a l o ., < 0 X . ~ > 0 ~ cant relationship was found between waist-to-hip ratio and breast cancer risk in postmenopausal women. The results, Muti says, provide more evidence that androgens play a role in the development of breast cancer and show that outward signs of high androgen levels could be a useful screening tool for the disease . Martin Stanulla, MD , a visiting researcher from the Medical School of Hannover, Germany, also participated in the study. + Physician - L 0 I 5 Autumn 8 A K E R 1 9 9 8 �··········································· · ·················· · ························· ·· a ' '<~~ . Two Sperm Abnormalities Linked to Low Pregnancy Rates link between specific clinical pregnancies and very low levels of two sperm abnormalities has been found by fertility researchers at the University at Buffalo School of Medicine and Biomedical Sciences. The two abnormalities-premature acrosome reaction and premature chromosomal decondensation-are overlooked in a standard semen analysis and had never been linked to low pregnancy rates, says Lani]. Burkman, PhD, UB assistant professor of gynecology and obstetrics, and urology, and head of the Andrology Section of the UB Department of Gynecology-Obstetrics. By analyzing hundreds of semen samples and comparing them with subsequent pregnancies in the couples studied, Burkman and colleagues determined that samples showing more than 7 percent premature acrosome reaction or more than 14 percent premature chromosomal decondensation had only a slim chance of leading to a pregnancy. "We were surprised to see that these two factors related to pregnancy so clearly," says Burkman, lead researcher on the study. "This is a new finding, and it's impressive because the test is so simple." The acrosome is an enzyme-filled cap covering half the sperm head. Just before fertilization, enzymes from the acrosome, activated at the proper time, soften the egg's covering, or zona, and allow the sperm head with its genetic material to fertilize the egg. If the enzymes are released too soon (a process called premature acrosome reaction) , the sperm is rendered useless. Premature chromosomal decondensation refers to the untimely unraveling of the sperm's tightly packed genetic cargo. lf this begins before the sperm has penetrated the egg, the sperm head swells and fertilization becomes impossible. "ln our study, when pregnancy occurred, we knew that the partner's sperm were capable of fertilizing the egg," Burkman says. "When pregnancy did not occur, the possibility existed that the sperm failed at one or more points in the fertilization process." For this study, the results of which were presented at a meeting of the American Urology Association in June, researchers analyzed semen samples from 250 consecutive patients who came to their andrology laboratory at the Children's Hospital of Buffalo. Samples were rejected if the male did not follow instructions carefully or if the samples were more than one hour old. Each sperm slide was scored for percentage of sperm showing the premature acrosome reaction or evidence of chromosomal decondensation. These scores were then correlated with the couples' pregnancy results, which were grouped as natural pregnancies, intrauterine inseminations and in vitro fertilizations, or no pregnancies. Results showed a very low incidence of acrosome reaction or chromosomal decondensation in the natural pregnancy group, while in the no-pregnancy group, the rates for both errors were significantly higher. Based on these data, the researchers established fertility thresholds of 7 percent premature acrosome reaction and 14 percent chromosomal decondensation, then tested their criteria on sub- e an u f f a 1 o Physic i Autumn 1 9 9 8 ·~ '· ' . sequent new pregnancies. They found that of the 29 couples who later achieved a pregnancy, 82 percent fit the new semen criteria. "Eighty percent of what we guessed would happen, happened," Burkman says. 'This also means that only 20 percent of the problem semen cases could be linked to a pregnancy. So couples with either of these errors have greatly reduced pregnancy potential. "Fifteen years ago, we knew so little about the human sperm that we couldn' t come close to models for predicting pregnancy," she says. "We know much more now." Also participating in the study were Kent Crickard, MD, Frank Gonzalez, MD, and Hemlata Bhakoo, PhD, all ofUB and Children's Hospital, and MaryLou M. Bodziak of Children's Hospital. + -LOIS BAKER ., < 0 '> . 1- 0 1- �BY J . LINDA CORDER . PHD , CFRE AHelpful Guide for Planning ISITS, PHONE CALLS AND MAIL-these provide much of the communication between the development office and those who are interested in contributing money, appreciated stock, real estate or other personal property to the University at Buffalo School of Medicine and Biomedical Sciences. Incoming and outgoing communication is rather even. I enjoy learning from those who love the school as much as providing information for those who request it. Recently, one of the school's generous donors passed along a worksheet on appreciated stock with an example. I had the occasion to share it with others during the summer. Nov,.·, once or twice a week, I receive a nev,. request to send it to someone's friend or classmate, or I am asked for "another copy since I gave mine away." Something with such widespread interest deserves a broader audience, so I decided to share it through this column. What follows is a summary narrative of the procedure, and then a story. It is offered merely as a guide for planning and for your enjoyment. As always, when you are ready to make decisions affecting your taxes, talk with your tax professional. If you would like more details, please contact me at the office. Income tax charitable deductions may be claimed for gifts of intangible capital gain property contributed to the school. The amount claimed is the fair market value on the date the assets arc transferred from the donor to the UB foundation for the school. The overall deduction of such property is limited to 30 percent of the donor's adJUSted gross income for that tax year. To compute an "approximate maximum" deduction, note your adjusted gross income from the prior year (assuming no drastic changes in circumstances), and multiply b) 30 percent ('·x 0.3"). This will give you the maximum allowable deduction for your annual income. To determine the tax benefit of a proposed contribution, multipl) the deduction by your marginal tax rate to compute your tax savings. Marginal rates range from 15 percent for incomes under $41,200 to nearly 40 percent for incomes over $2 71,050. Most ® a u f f a 1 o of the donors with whom I have worked recently have tax rates of 31 percent or 36 percent. If you have a reason to liquidate stock and would like to be philanthropic rather than pay capital gains taxes, you take the amount of tax savings on your gift and multiply it by 5. (The "tax savings" represents the 20 percent figure you would pay in capital gains taxes.) This number will give you the amount of personal gain you can obtain using the tax savings from a gift to offset capital gains taxes you would otherwise pay. Let's look at Dr. G. I. Feelgood's situation. In 1997, he had an adjusted gross income of $270,000. Dr. Feelgood also owns 5,400 shares of stock in Small Biotech Laboratories, Inc., which he acquired over the years with an average cost basis of $3 per share. SBL never paid a dividend. Currently, it sells for $44 per share. Dr. Feelgood's holdings are worth $23 7,600-a potential gainof$221,400. Dr. Fcelgood wouldfeeleven betterifhecould sell the stock and use the proceeds to pay off his condo in Arizona. In addition, Dr. Feelgood would feel terrific if he could use part of the "gains" to benefit good ole' UB medical school, and at the same time reduce his tax burden. Dr. Fcelgood figures that he could give a maximum of $81,000 in stock ($270,000 adjusted gross income x 30 percent) and save $29,160 in taxes ($81,000 x 36 percent). With the tax savings and a capital gains rate of20percent, he could also realize againof$145,800 ($29,160x 5), in essence, tax-free. A gain of $41 per share is equal to 3,556 shares ($145,800 di\i.ded by $41) for $156,484. So, the good doctor gives 1,841 shares to UBF for "alma mater" for a contribution totaling $80,004. He sells 3,556 shares for $156,464 and pays off his condo. He is left with three shares of SBL. He will probably sell them, too, pay Uncle Sam the designated amount and feel ecstatic! If you have a story, pass it along; or if you have any reason to sell some of your highly appreciated stock and would like to contribute an appropriate amount to offset capital gains taxes, let's talk. + Linda] Corcle1, PhD, CFRE, is an associate dean in the School of Medicine and Biomedical Sciences at the Unnerslly at Buffalo She can be contacted b~ phone at (716) 829-2776; toll free at 1-877-826-3246; by fax at (716) 829-3395; or by E-mail, at ljcordcr@acsu.buffalo.cdu. Physician A. u t u m n 1 9 9 8 �........................................................ . ........ ..... . .. ........ 1 LASS OF 9 4 0 s was a guest speaker at the 24th Annual University of Wisconsin Spring Sympo iumsponsored by the Department of Ophthalmology and Visual SciARTHUR J . SCHAEFER '47 1953 REUNION ences April 1718, 1998,inMadison, WI. His lecture, titled "Reflections on the Complications of Ptosis Surgery Yesterday and Today," was given as a tribute to Dr. Richard K. Dortzbach, retiring professor of Cloclmise: Patricia and Harley lindquist, Jack and Maxine Gold, John Handel, Betty and Samuel Galeota ophthalmology and director of the Oculoplastic Service. Dr. Schaefer is a long-time friend and colleague of Dr. Dortzbach. Also, on May 24, 1998, Schaefer was conferred an honorary degree of Doctor of Humane Letters by Canisius College, whence he graduated in 1943. In honoring him at this year's commencement exercises, the college cited Schaefer's "contributions to the field of ophthalmology, his support for aspiring physicians, his contributions to church and community, and his outsta nding Left to right: John B. Fenger, Michael A. Sullivan, Joseph F. Ruh service to his Alma Mater, Canisius College." 1 9 7 0 s • peripheral arterial vascular testing and peripheral venous vascular testing. Gage is a fellow of the American College of Surgeons and serves as a clinical assistant professor at UB. JAMES G . EGNATCHIK '79 has joined Buffalo eurosurgery Group. He is currently clinical assistant professor of neurosurgery at UB and a member of the Executive Committee of the CGF Health System. 1 DANIEL is a gen- eral surgeon and director of the Main Vascular Laboratory in Williamsville, NY, which was recently reaccredited by the lntersocietal Commission for the Accreditation of Vascular Laboratories. Areas included within this accreditation are extra- Left to right: Donald Ehrenreich, James Carlin, Mrs. John Fenger, Thomas Geoghegan, Rivone Ehrenreich cranial cerebrovascular testing, e u f f a l 0 p y 5 c a n A. u t u m 9 8 8 P . 0 SCHAEFER s ' 81 authored three chapters in the textbook Second Edition of Ophthalmic Plastic and RecotJstructive Surge1y, published by C. v. Mosby earlier this year. The textbook, which covers ophthalmic plastic, reconstructive and orbital surgery, is widely read and referenced in the United States, as well as internationally. Schaefer was the primary author of the chapter on enucleation and the solo author of the chapters on evisceration, anophthalmic socket and socket reconstruction. 1 9 9 0 s ' 90 writes: and j would like to announce the birth of our first child, Zachary Alexander Bloom, born on August 4, 1998. GALE ANDREW B . GAGE '76 9 BURSTE IN PETER BLOOM ' 90 Peter is a gastroenterologist at the University ofMaryland. 1am a pediatrician specializing in adolescent medicine atthejohns CONTINUED ON PAGE 36 �• ··········································· · ··· · ······· · ············ ···· ···· · ············· . ' Hopkins School of Hygiene and Public Health. I recent!) had a paper published in )AMA (the lead article, August 12) titled "Incident CIJ/a111ydia traclw111atis infections among inner city adolescent females." I received a great deal of media publicity about the findings of this paper, including national (C , CB ), interna- tional (CBC), and local TV coverage, as we ll as in magazines (Time, cwswee/1) and newspapers (Washington Post, Boston Globe). WILLIAM CHLOSTA '93 will The combined SUNYAB 14th Annual Research Day and Buffalo Otolaryngological Society Meeting was held on June 18, 1998, at the University Inn and Conference Center in Amherst, NY. Pictured ore Buffalo-area physicians honored for their distinguished contributions in the field of otolaryngology over the post 40 years. Standing, left to right: Frederick K. Neuburger, MD; William Hildebrand Jr., MD '40; William Mcintosh, MD '45. Seale~ left to right: Irwin A. Ginsberg, MD '44; Fronk Marchetta, MD '44. begin his fellowship in cardiathoracic urgery at Yale University/ Yale ew Haven Hospital injuly 1999. He can be reached a t chlosta@biomed.med.yale.edu. APRIL CYR '98's husband, Kris , writes: Aidan Campbell was born 10 ounces. He is already living up surgeons, practicing at Buffalo to his name (Aidan means "little General Hospital, CGF Health partner of Buffalo Heart Surgical fiery one" in Irish Gaelic). He System. A grad uate of the Associates in 1983. does tend to sleep quite a bit, so University of the West lndes, we're starting to get some sleep Lewin completed residencies in ourselves and recover. general surgery at Buffalo. He was a founding IN MEMORIAM WALTER L. SYDORIAK '38. on july 1, 1998, at 4:05a.m. April and bravely endured eight hours of thoracic surgery WILLIAM has been and a fellowship August 23, 1998, in St. Mary's elected president of the Buffalo in pcdiatriccardio- Hospital, West Palm Beach, thoracic surgery FL. after a long illness. He at the University was 78. labor at Millard Fillmore Hospital. he i doing fine now. Aidan NORMAN A . LEWIN was pronounced a beautiful baby Heart boy and weighed 7 pounds and specialty of cardiothoracic urgical Associates, a cardiaC . NIESEN '43 died ONLY ONE INVESTMENT LASTS A LIFETIME • Exceptional college placement record • Challenging curriculum with 14 Advanced Placement course • tate of the art visual and performing arts center • More than 60 inter:,cholasnc sports team:, • Comprehensive community service project:, • Average class size i:, 15 • Financial aid available Admissions tests on these Saturdays at 9:00 a.m.: January 24, February ZS To reserve a place for testing or for additional information, pleaoe call: NlCHl1LS MIPPLE CIIOOL, 175 ottmgham Terr., NllHnL~ UrrER SCIIlX1L, 1250 AmheN St. Accepwnce I> gr.mtd to quo~!.heJ >tuJent> without regarJ to race, C<>i<lr, rchgHm nr mnnn.1! nngm. 6 u f f o I o p h c 0 )l, u u m 9 8 �· ········ · ···················································· · ···························• 11 ' I After graduating from UB, iesen served as a major in the Army during WWII. He was chief of urology at Buffalo Veterans Hospital before entering private practice in iagara Falls. Later, he was chief of the medical staff ichard F. Mayer '54, professor of neurology Through I997, Moyer held responsibilities for varied at the University of Maryland School of Medi- lengths of lime as director of the Resident Training Program, cine, was promoted to Professor Emeritus in acting choir, and director of the EMG and Nerve Conduction and Mt. St. Mary's Hospital and I997. On May 9, I998, in celebration of laboratories and Neuromuscular and Myasthenia Gravis served as an assistant clinical Dr. Mayer's long and dedicated career in neurology, Clinics at the University of Maryland Hospital. He has also professor of urology at UB. A member of the Royal Col- the university held a symposium named in his honor. published many papers and articles and has participated in lege of Surgeons of the United After graduating from medical school at the Univer- numerous national and international symposia on neuro- Kingdom, and chief of urology at Falls Memorial Medical Center iesen also main- tained a practice in sity at Buffalo, Mayer completed a summer fellowship muscular disease and neurophysiology. iagara iagara Falls, Ont. He was a past president of the Buffalo Urology with noted neuroanatomist Grant Over the course of his long career, Mayer Rasmussen, PhD, who inspired his growing has been involved in the training of approxi- Society and the Health Association of iagara County. He fascination with the field of neurology. In mately I00 neurology residents and 35 moved Florida 10 years ago. I 954, Mayer made the decision to go to fellows in neuromuscular disease and Survivors include his wife, Boston to serve a medical internship at the research. His leaching responsibilities have jean; a daughter, ancy Eddy of Palm Beach Gardens, FL; and a Boston City Hospital. He remained in brought him great satisfaction, and he enjoys granddaughter. Boston for his training in neurology at the keeping in touch with his former residents Massochusells General Hospital, with the Richard F. Moyer, MD and fellows, who now live and work in locations throughout the United Stales and in exception of a year when he completed a to SIDNEY M. SCHAER '44. WILLIAM M. BUKOWSKI '47 died july 28, 1998, after a long baule fellowship at the Mayo Clinic in Rochester, MN, and many foreign countries. His travels as visiting professor of another year when he served as assistant in neurology have Ioken him to medical centers in Sweden, research at the Notional Hospital at Queen Square Denmark, Germany, Taiwan, Great Britain and Columbia. he had beenastaffmember for44 in london. From I960 through I964, he woso research For the past eight years, he has made annual trips to Japan, years. Bukowski, who was an internist and cardiologist, was along- fellow in neurology at the Harvard Neurological Unit at where he has served as visiting professor in the department time clinical assistant professor the Boston City Hospital and held appointments in of neurology at Nora Medical University and in more recent of medicine at UB. He was 76. neurology ol Harvard Medical School. years in northern Japan at the University of Hokkaido. with amyotrophic lateral sclerosis, in Sisters of Charity Hospital, where After earning his medical degree, Bukowski entered the U.S. In I 966, Moyer accepted a position as associate As Professor Emeritus, Mayer will continue to leach and Army Medical Corps as a captain professor of neurology within the newly organized consult in the University of Maryland's medical school. Department of Neurology at the University of Mary- However, his lighter responsibilities will allow him more lime and served as commanding officer of the 57th Field Hospital land School of Medicine in Baltimore, where he was for his family and for his weekend retreats on the eastern in internal medicine and cardiol- appointed professor of neurology in I 968. shore of Maryland. ogy, establishing a private practice following his military service. in Toul, France. He specialized CONTINUED ON PAGE 38 S u f f a l o Physic i an Autumn l 9 9 8 �• ············ ····· · ·· ·· ·· · ········· ···· ··· I An attending physician in medi- A professor of gynecology and cine and electrocardiography at obstetrics at UB from 1971 to Sisters Hospital, he was president 1979, Nichols left Buffalo in of the medical staff there in the early 1980 to become chair of the 1970sand served on the hospital's Department of Obstetrics and boardofuusteesfromthemid-1970s Gynecology at Brown University to 198l.ln April, he was honored in Providence. He also served as as Man of the Year by the Sisters obstetrician-gynecologist-in-chief Hospital Past Presidents Club. at Women and Infants' Hospital of Survivors include his wife, Rhode Island. ichols is credited Marguerite; five daughters,joan, with building Brown's academic Barbara, Kate, Beth ofWashington, department into a nationally rec- D.C., and Martha Thomson of ognized program and for creal- Devon, PA; two sons, William Jr. of ing an integrated center for Montreal and Peter; two brothers, women's health care throughout Thomas of Alexandria, VA, and Rhode Island and surrounding Stan ley; and eight grandchildren. states. In 1990, he received the Distinguished Medical Alumnus D AVID H . N ICHOLS '47 died in AMANA COLLECTS Comprehensive Cost-Effective Receivables Management ~ Amana Capital Corporation Buffalo, ew York 716-852-3500 800-441-6925 AwardfromUB'sSchoolofMedi- Providence, Rl, on July 15 , CONTINUED ON PAGE 40 1998, of heart failure at age 72. 300MHz Pentium II· Processor • 64MB 10 NS SDRAM • 6.0 GB Ultra IDE Hard Dnve • Iomega Z1p Dnve atap1 • 17" 27NI SVGA D1g1tal Color Mon1tor • 8 MB AGP Graphic Accelerator • 56K V90 PCI Fax/Modem • 36x IDE CD·ROM Complete systems, components, and peripherals, PLUS friendly service and support. All right around the corner! • Sound Blaster 128 PCI Stereo Sound Card • Sound1mage Subwoofer System • 3.5" H1gh Dens1ty Floppy Drive • M1crosoH Wmdows· 98 • Corel Wordperfect SUite 8 (Includes, Word· perfect 8 . Ouanro Pro 8 . Presentations 8•) • Zod1ac 1000 CD Bundle 1·716 ·743 ·0195 TECHNOLOGY DISTRIBUTION NETWORK www.tdn.net 1000 Young Street. Suite 270. Tonawanda NY 14150. 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Our average statistics are: length of stay - 25 days; age - 78; admission FIM score- 72.5; discharge FIM score- 97.6; FlM change25.1 points; length of stay efficiency- 1.40; onset time - 17; discharge disposition - 80% to community. Based on 12 months ending March 31, 1998. The McGuire Rehabilitation Centers rely on the national leading measurement tool for documenting patients rehabilitative outcomes. This tool is lmown as FIM 5 "~ Instrument; Functional independence Measure, developed by the UB School of Medicine along with the Center for Functional Assessment Research. it's used along with the Uniform Data System for Medical Rehabilitation (UDSMR5 " ) to establish rehab outcomes that can be measured and calculated to document successful results. Our facilities were rated outstanding in the community with five stars out of five, according to the Inside Guide to America's Nursing Homes for long-term care. The results are in. The McGuire Rehabilitation Centers have the clear advantage over other regional facilities based on FiM 5 " improvement, discharge to home, and cost effectiveness. Our successful rehab program delivers results because of our superior staff, state-of-the-art equipment, and specialized rehab facilities. Choose The McGuire Rehabilitation Centers for five-star rehabilitation services. THE UJtiCGUIRE llEHABILITATI(9.1\T . Call 1-888-POSTACUTE. .&~ CENT~ c Copyright 1998 Uniform Data System for Medical Rehabilitation, a diVISIOn L -- B u f f a l o Phys ician Autumn ~" . of UB Foundation Act:IVlties, Inc. All rights reseiVed. 1 9 9 8 �• ·························································································· I cine and Biomedical Sciences. director of the cardiovascular MICHAEL MEENAGHAN '71, From 1991 to 1997, Nichols was laboratory at Memorial Hospi- fessor the ing his career at the University a visiting professor of obstetrics- University at Buffalo School of at Buffalo, he served as direc- gynecology at liarvard Medical tal and later became chief of cardiology. Dental Medicine and a dental tor of the dental school's Elec- School and chief of pelvic Kucinski was recognized researcher whose work over two tron Microscope Laboratories as a pio- decades significantly contrib- and professor and chair of the former Department of Stoma- reconstructive surgery emeritus in pro- Oral Diagnostic Sciences. Dur- at neering uted to the use and safety of Massachusetts h ear t implants in the human body, tology and Interdisciplinary surgeon died August 31, 1998, in his Sciences. and in- home in Amherst following a nova tor. lengthy illness. He was 62. s General Hospital , returning to Brown in 1997 as a From 1971to 1989, he served as director of UB's Surface He was While many of Meenaghan's first studies focused on the design of until his retirement he was an cardiologist dental in Colorado Springs to implant a biocompatibility of various materials with oral tissue , he active member of the Council on International Studies and also was involved in evaluating Meenaghan retired in 1996 as pacemaker techniques for "supercleaning" a Lt. Colonel with the U.S. Army and to perform heart various implants for use in the Reserves , 338th General Hospi- human body, as well as the 1998, after a six-month battle tal, Niagara Falls. A graduate of catheterization and balloon long-term effects of umbilical- with lung cancer. He was 61. American International College angioplasty; he also invented a cord vein grafts. in Springfield, MA, he earned professor of obstet- the lies and gynecology. CHESTER 5. KUCINSKI ' 60 died in his Colo- : submitted by E-mail at: bpnates@pub.buffalo.edu. rado prings home on April 5, After completing an internship and residency in internal medicine at the University of Minnesota Hospitals , Kucinski served as a captain in the Army Reserves on active duty France 111 from 1962 to 1964. He then completed his residency in internal medicine at Washington University in St. Louis , MO, in1965 and a fellowship in clinical cardiology at the University of Colorado Medical Center in Denver in 1967. Kucinski then taught for two years at Yale University Medical School before becoming director of cardiology at St. Joseph' Hospital in Orange, heart catheter. implants and Science Center, and from 1991 the Programs. As an educator, he had su- his dental degree and a doctoral In addition, he established pervised postgraduate students degree in anatomical sciences Flight for Life programs for ru- and presented lectures in from UB. ral areas, conducted cardiology anatomy for medical and dental clinics throughout his region students. Meenaghan was a diplomate and past president of the and recruited the first pediatric A former chair of the UB den- American Society of Osseo- cardiologist to Colorado Springs. Kucinski started a vol- tal school's cultural exchange integration, and a member of committee and a member of the the International Congress of unteer service program that u ni ve rsi t y-wide Provost 's Oral Implantologists , as well obtained donations of medical Council on International Stud- as several professional orga- equipment. He also traveled to ies and Programs , Meenaghan nizations. Kenya , Morocco , India and promoted exchange programs In addition, he was a member Guatemala to teach modern with more than 10 foreign den- of the American Dental Associa- cardiology practices to medical tal schools, including those in tion, the American Association personnel there. Thailand, Korea, Japan, China of Anatomists, the International! American Association of Dental Kucinski is survived by and Mexico. During his career, his wife, Doris ; two sons, he was a consultant to more Research and Omicron Kappa Bridger of Denver and than 20 corporate, federal and Upsilon. of Colorado icholas prings; a daugh- university agencies, including Meenaghan is survived by ter, Megan Guiterrez of Gilroy, the U.S. Food and Drug Administration. his wife, Barbara; four sons, CA; his mother, Frances of Buffalo; a brother, Edward Meenaghan joined the john B and Michael of Williamsville , Kevin of Fort of Buffalo; two sisters, Sylvia dental faculty in 1971 in the Mill, Krayna of Buffalo and Audrey lished his practice in Colorado former Department of Oral Pa- Lockport; a sister, Kathleen Tumbarello of thology . He retired last year as Springs, where he served as a Meenaghan of Springfield, MA; and three grandchildren. professor in the Department of and six grandchildren. CA, in 1971. Inl975 , he estab- B ew York City; f f a I a p h 5 c a A C, and joseph m 9 of 9 8 �No one knows better than medical professionals the importance of teamwork to get things done. That is why most New York physicians and surgeons choose MLMIC as their professional liability insurer. MLMIC's responsive team of underwriters, claims personnel, policyholder services representatives, risk management consultants, medical experts, and defense attorneys provides our insureds with the best liability protection and the highest level of personalized service available. Owned and operated by its policyholders, MLMIC has successfully defended more New York physicians than all other insurers combined. With one of t he country's largest and most experienced claims departments, MLMIC also offers the State's only true peer review of claims experience. These are just a few of the reasons why MLMIC is the only medical liability insurer endorsed by the Medical Society of the State of New York. 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We know medical professionals' financial needs like the dorsum of our metacarpus. Key. For a new America~ � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Autumn 1998 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1998-Autumn Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v33n02-1998-Autumn Table Of Contents A list of subunits of the resource. China Rotation A Path through an Unexplored Field The Strengths of Children Medical School Student Perspective Research Class Notes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Copyright 1998 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/1024134183ada70f0ec4c6c8afd2d9c8.pdf e60f0f944e59001172da7272b38184f0 PDF Text Text �BUFFALO PHYSICIAN Volume 33, Number 1 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY SERVICES Dr Carole Smnh Petro DIRECTOR OF PUBLICATIONS Kathryn A. Sawner EDITOR StephaniC A. Linger ART DIRECTORIDESIGNER Alan J. Kegler ASSISTANT DESIGNER Lynda IIanne! PRODUCTION MANAGER Ann Raszmann Brov.-n STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr John R. Wnght, Intcnm Dean EDITORIAL BOARD Dr Bertram Portm, Chair Dr Martin Brecher Dr Harold Brod\ Dr Linda J. Corder Dr Alan J. Drinnan Dr James Kanskt Dr Barbara MaJCront Dr Eltzabeth Ohmted Dr Chari" Pagancllt Dr Stephen Spauldtng Dr Bradlq T. Tru"' Chr"topher Adams Dr Frankltn Zeplownz TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospnal .\ftdtacl Shaw The Chtldren"s Hospnal of Buffalo Eric Coullly Medical Center \<!ern Health Svstem Mtlla~d Fillmor~ llcahh System franll Sma :-.:iagam Falls Memorial Medical Cemer Ro~wcll Park Cancer Institute Ststers of Chanty Hospnal Dennis .\1rCwcln Veterans Affatr'-. \\'estern :\cw York Hcahhcarc System (()The State Cnt\Crslly of :-.:ew York at Buffalo Buffalo PltyStctan is publtshed quarterly by the State umversit' of "'ew York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publtcatwns. It is >ent, free of charge,toalumnt, faculty, students, resident.<., and friends. The staff reserves the right to edn all cop) and submissions accepted for publtcauon. Letters to the editor, address changes or other correspondence should be addressed to: The Editor, Buffalo Physician, Stale University of New York at Buffalo, Office of Publications, 136 (rafts Hall, Buffalo, NY 14260. We can also be reached by phone at (716) 645-6969; by lax at (716) 645-2313; or by E-mail at bpnoles@pub.buffalo.edu neaP Alumni and FPiends, As "'OTED I'\ THE LAST IS UE OF THE BUFFALO PHYSICIAN, on April1 we welcomed to the university our new vice president for Health Affairs, Dr. Michael Bernardino. Michael's experience in Atlanta in the managed care environment will be invaluable as we face the evolving challenges within the Western New York community. Coupled with the recently consummated merger of Buffalo General Hospital, Children's Hospital of Buffalo and Millard Fillmore Hospital, it is a certainty that these challenges will multiply over the months ahead. Spring Clinical Day has come and gone for another year and, as usual, the event was an unqualified success. On Thursday night, the Dean's Advisory Council joined the james Platt White Society at the society's annual dinner, which, this year, was convened at the Center for Tomorrow. The various reunion class alumni met at several different venues around the city and congregated at a reception Friday evening, and again at the Saturday morning scientific program, The Aging American. On May 22, 1998, we graduated 138 new physicians and 37 new PhD scientists at the Center for the Arts building on the orth Campus. David Hohn, MD, president and CEO of Roswell Park Cancer Center, spoke on the Problems, Solutions and Challenges for clinical practice and medical research. Although many of our graduates will remain in Western ew York, even more will continue their training elsewhere, and no doubt establish their professional "roots" in other places around the country. Included in this issue of the Buffalo Physician is a Match Day 1998 list of where our graduates were placed in their residency programs. I encourage you to review this list and to contact and welcome your fellow UB graduates who are moving into your community. A focused visit from the LCME was completed in April and, although we have yet to hear any official pronouncements, we believe we are on the right track. The LCME has been concerned about implementation of several new small-group course offerings and the density of the curriculum, particularly in the first year. Two other areas of concern were financial aid and general student advisement. Progress has been made on all fronts (except, perhaps, for the first-year curriculum density issue) and the alumni advisement program was recognized as a major advancement for the school. The Alumni Association has agreed to expand the advisement system to encompass all four years. The school budget continues to represent a challenge, particularly as the changing practice environment impacts on revenues centrally available for operating the school. Philanthropy has become even more important to us and you will no doubt have already gotten a sense of this through the various mailings you have been receiving. I hope to continue meeting alumni "on the road,'' as it were, and taking advantage of those opportunities whenever they arise. One purpose of these meetings is to reconnect alumni with the school. This is more than just an effort to increase philanthropy, although many of our alumni are actually looking for opportunities to "reinvest" in the school that gave them so much. We also have a great deal of "expertise" among our alumni, who can be of immense help in providing advice and counsel as we move ahead into the next millennium. 0 t/~?w:"', .i,~~~~m MD Dean School of Medicine and Biomedical Sciences Cover I LLUSTR ·ITIO--: B\ MICHAEL GELEN �Dear Fellow Alumni, A s THE :-.:EW PRESI DE"T O F TH E M EDI CAL A UJ M:-JI A SSOC IA TI O , I plan to continue the good work started by our previous presidents. Thanks to the leadership and direction from our past president, Jared Barlow, and the hard .. work of john Bodkin, this ........ year's Spring Clinical Day, titled The Aging American, was a tremendous success. This issue of the Buffalo Phy sician contains an article on this year's Stockton Kimball lecturer, Edward H. Wagner, MD , '65. Already, plans are under way for next year's event, with . . . . . -. . . -. D.K. M i ller about the death of Dr. David K. Miller (Winter 1998, Buffalo Physician). He was a great teacher and clinician. l would like to relate to you an incident that happened to me as a junior medical student while on my internal medicine rotation at [the E. ]. Meyer] Memorial Hospital in 1965. Dr. Miller was the attending on the medical service at that time. Internal medicine was my second clinical rotation. During one of the first days on the rotation, I was told by the a his and physical on a patient resident to for renal failure (prethe bedside, introduced was going to perform a me that I was about the a history and physical on UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES and none yet had found an d me to proceed. Being a , l performed a complete I WISH TO NOMINATE (print) - - - -- - - - -- - - - - - - - - - - - - - - -- 1ation of the nares l found AS A DISTINGUISHED MEDICAL ALUMNUS/A. septum. With this findi ng had revealed granulomas, COMMENTS (required)-- - - -- -- - -- - - - - - - - - - - - - - - - - - - ent possibly had Wegener's .. WAS SORRY TO READ .. Distinguished Medical Alumnus/a Award Nomination rounds, I told the chief tative diagnosis and that I ained for possible biopsy. 1as ordered, nor did any of patient's nose. ;ervice three weeks, but in YOUR NAME - - -- - - -- - - - - - - -- -DEGREE/YEAR - - - -- - l made weekly attending ~- Miller always treated the SIGNATURE _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ Attach separate sheet if more space is needed fo r comments. medical team. He asked Please respond by March 1 of the current academic year. ominations are rev1ewed annually . tg you think and challeng~ was tough but honest and wa" ~:,c:Hc:• auy uiL<::Ic:,Lc:u 111 u•c. pau.:nt's welfare. During those three weeks, this patien t was never presented to him because the patien t has been presented so many times in the past. Shortly after my third attending round with Dr. Miller, I passed him in the hall and he stopped to talk to me about how my rotation was going. I told him fine and then proceeded to tell Medical Alumni Association him of my findings in the patient with the nasal lesion and my tentative diagnosis. He thanked me for telling him this and proceeded down the hall. Figuring that my comments had again fallen on deaf ears, l felt that I had done about as much as l could do to convey my concerns about this particular patient. Unbeknownst to me, Dr. Miller had immediately proceeded to the ward, demanded the chief resident come with him, took an otoscope and performed a nasal exam. He observed CONTINUED ON PAGE 2 �first year of medical school, in 1976, I attended the graduation ceremonies.! was appalled that the graduates, after four very difficult years of medical school training, wore basic black gowns and the "square hats." I had imagined that the graduates would be attired in very elaborate gowns, befitting their acwhat I had described on my physical exam and he personally complishments-a gown similar to the one the dean wore. called theE T attending and requested an immediate biopsy During my fourth year of medical school, I pursued the of the lesion. A biopsy was performed that day which of a more elaborate graduation gown. The dean's gown idea revealed granulomatous inflammation, with necrosis, comstood out in my mind. After receiving permission from the patible with Wegener's granulomatosis. dean' office to investigate the matter, I contacted several othing more was ever said to me about this, since I had gown companies and obtained several different designs and rotated to a different service. Over two months later I was prices, the most beautiful design being the replica of the asked to attend the Medical Grand Rounds. At the grand dean's gown. The class of 1979 met and voted to make the rounds a case of Wegener's granulomatosis was presented. dean's gown the official gown of graduation. After the presentation, Dr. Miller stood up and stated that The company hired to produce all the necnumerous physical exams had been performed essary gowns, completed the order in time for on this patient over the previous six months Your letters are our graduation. I had fulfilled my dream. The prior to his diagnosis and that the patient had welcome. Please submit excitement and anticipation of wearing these gone undiagnosed until a junior medical student to Editor, Bullalo elaborate gowns permeated the entire class. had made the diagnosis by noting the nasal Physician, 136 Crofts However, the week the gowns were to be lesion. l was then introduced as the person who Hall, University at delivered for our ceremony, the nation's truck had made the diagno is. Buffalo, Buffalo, NY, drivers decided to strike. The gowns were rell did not choose to go into internal medicine, 14260; fax: 716-645egated to a warehouse until the strike ended. although Dr. Miller tried hard to convince me to Ironically, my classmates and I graduated in 2313; or E-mail: choose a career in this discipline. l chose a career the same basic black gowns and "square hats" of bpnotes@pub.buffalo.edu. in surgery and did a general surgery residency and our predecessors. However, the fact that future We reserve the right to then a fellowship in surgical oncology at the classes wear the gown that eluded my classmates University oflllinois Hospital in Chicago, Illinois. edit letters for length and me makes me somewhat envious, but also I cannot tell you what effect this incident had and style. very glad the issue was pursued. It is a gown on my medical career. However, it instilled treof the wearer and the ceremony. worthy mendous confidence and taught me that we should stand by our convictions and not just accept the status quo. As a clinical professor and practicing physician, I have tried to emulate Dr. Miller's skills as a teacher and clinician, and I will never forget him. The medical community has lost a stellar physician and colleague. ROBERT M. BARONE, MD, '66, FAC San Diego, California . jOSEPH GAGLIARDI, MD, MA, '79 Columbia, Maryland Editor's Note The dean's gown described by Dr. Gagliardi was originally designed in 1971 by the late Robert L. Brown, MD, '44, to commemorate the 125tll annivers01y of the founding of the school of medicine. Dr. Brown was associate dean of UB's school of medicine, as well as medical school archivist and associate professor ofmedicine emeritus. Seams from the Past Due to the efforts GRAD ATED FROM the University at Buffalo School of Medicine in 1979. Every year I read with interest your review of the medical school's graduation. l would like to share with you the origin of that very handsome graduation gown. At the conclusion of my of the Class of 1979, all students graduating since 1980 have worn the "dean's gown." Pictured is Joell. Sebastien, Class of 1998. J "' :> "'z ~ z 0 0 �VOLUME 33 , NUMBER 1 SUMMER Elegant Solution to a Complex Problem Merger Final 4 8 NEWLY MERGED HEALTH SYSTEM- 20 1998 Physicians Reaching Out to Students UB ALUM AND PROFESSOR U B MEDICAL ALUM I INVENT LASER TARGETING ASSOCIATION BEGINS SYSTEM USED WORLDWIDE NEW MENTORING PRO- by S. A. Unger GRAM FOR STUDENTS Photo by K. C. Kratt by Nicole Peradotto CHALLENGES AND OPPORTUNITIES FOR UB by S. A. Unger Illustrated by Michael Gelen Alumni Medical School SPRING CLINICAL NATIONAL RESIDENCY DAY , "THE AGING MATCHING PROGRAM AMERICAN" RESULTS LISTED EDWARD H. WAGNER, photos by Frank Cesario Research STOCKTON KIMBALL * REDUCING MULTIPLE LECTURER COMMENCEMENT 1 9 9 8 , A BIRTHS by Scott Thomas TIME TO CELEBRATE * PROSTATE CANCER , photos by Don Heupel ESTROGEN LINK Class Reunions * HYPOXIA STUDIED * TALLER, P HOTO BY NOT HAPP IER �Newly Merged Regional Health System Presents Challenges and Opportunities for UB . - - - - - - . HE LO 'G-A:"\TlC IPATED MERGER OF Buffalo General Health System, Children's Hospital of Buffalo and Millard Fillmore Health System was announced on Aprill, 1998. After nearly two years of extensive study, planning, legal work and governmental reviews, the merger came to fruition, significantly reconfiguring the Western ew York health-care delivery system. Making the announcement was john E. Friedlander, president and chief executive officer of the newly merged regional health system, which has temporarily been named CGF Health System. "Thanks to the efforts, spirit of cooperation and commitment by a great many people in all of the involved organizations, we have made history today because the face of health care in Western ew York has been changed forever in a very positive way," he said. ILLUSTRATION BY MIKE GELEN �BY Friedlander also paid special tribute to the boards, physicians and internal leadership of Millard Fillmore, Children's and Buffalo General for their "extraordinary vision and strong desire to work together to create a dynamic , new , value-driven health-care system for the community and region. " Facilities included in the merger are Buffalo General, Millard Fillmore Gates, Millard Fillmore Suburban, Children's and DeGraff; four longterm care facilities; a number of home care services and approximately 50 service locations in five of Western ew York's eight counties. In all, the merger brings together 2,200 physi- S . A . UNGER cians and 12,000 employees under the CGF Health System. "As an organization, CGF is committed to assuming a leadership role to promote the health of our community and, in doing so, improve the overall quality of life for everyone we serve," said Friedlander, who emphasized that as part of its mission, CGF is committed to excellence not only in service, but in education and research , as well. The UB Connection Because all three of the larger hospitals involved in the merger-Buffalo General, Millard Fillmore and Children 'shave teaching and residency programs with the University at Buffalo's School of Medicine and Biomedical Sciences, the future place of academic medicine within the CGF Health System has been the focus of much attention and concern within the UB community. In addition to ways in which the new merger will affect the school of medicine's primary mission of educating future physicians, there is also a complex financial relationship between the school and the hospitals involved in the merger. As john R. Wright, MD , interim dean for UB's School of Medicine and Biomedical Sciences, explained last winter in a message to Buffalo Physician readers, "The state budget provides only 13 to 14 percent of [the medical school's] annual ex- �Newly Merged Regional Health System penditures, matched by approximately school," he adds. "It would not be in by university administrators, led by the same percentage from extramural- our best interests to be dealing with a Michael Bernardino, MD, the Universponsored research programs. Since weak, floundering, constantly volatile sity at Buffalo's new vice president for hospital support, which also includes delivery system." Health Affairs. the residents' salaries, accounts for apost of these prinThis is a perspective shared by the proximately 23 percent of total expen- business community at-large, Wright ciples are not conditures and the practice plan, an addi- feels. "I think the business community tentious, but reflect tional 41 percent, over 60 percent of sees health care as playing a major role in mutual goals the our funding is derived through the the rebirth of the Western ew York university would health-care delivery system." support, according economy. The University at Buffalo is ln an interview several weeks after arguably the largest employer in the reto Wright. "However, there are some principles that the merger was announced, Wright ex- gion and probably represents--if you may not completely or accurately deplained that while the merger does included faculty, staff and students-the present clear-cut challenges for the uni- largest group of health-care consumers. fine the university's position on what should be included or excluded in an versity and the medical school, it pro- And recently, a number of health-care affiliation agreement. It will be over vides significant opportunities, as well. manufacturing companies have sprung those issues that the agreement, in its In order to effectively balance the up in the region and, although it's not present form, will be subject to negothreat of challenges with the promise often a well-appreciated fact, this is a very tiation as we begin this process," he of opportunities, Wright feels it's im- promising local industry. So, there's an remarks. portant to step back and view the opportunity at this time for the univerWright outlined four benchmark merger in a context that includes as sity, the health-delivery system and priconcerns the medical school will put broad a vision as possible for the future vate industry to work together to improve of health care in our region. forth in its negotiations with CGF. The the economic climate of this region." first, he says, is that "We need to be "I think it could be said that the ln addition, Wright foresees impliable to control the educational envidriving forces behind the formation of cations of the merger that could ronment for our students and resithe CGF Health System have been com- provide other, more specific opportudents, and that level of control clearly munity leaders as much as the individual nities for the medical school. "We will overlaps with CGF's equal desire to hospitals themselves. This merger is an have a chance to consolidate the medihave control over the medical services effort for our community to determine cal school's programs and to develop a it provides and the physicians who its own future bymaintainingsome local more focused, less distributed clinical provide them." programs," he explains. base for these control over the provision of health-care Secondly, he says, "We are a comservices in an environment where com- "There will also be opportunities to munity-based medical school and there mercial enterprises from outside our re- organize our clinical faculty and pracis the desirability, in fact necessity, for gion could come in and determine it for tice plans into a more cohesive, cenus," he says. ew York State is cur"I think the business community sees health care as playing rently not a particularly full-time faculty to work side-by-side hospitable environment for for-profit tralized operation-something that has with volunteer faculty. " As a result, he hospitals, according to Wright, who been missing in the very distributed, adds, "There needs to be different insays that could change. "Clearly, this community-based medical system that reorganization of health care in our has been in place in Buffalo." centives and constructs for each group, community is a proactive commitment and it is critical that CGF be able to to plan for the future and to gain con- Challenges and Obligations create an environment that fosters coltrol over costs and administrativestruc- Following announcement of the laboration among physicians. " ture now. merger, CGF presented the medical Thirdly, the medical school has a And of course what's healthy for the school with a Principles of Affiliation need, as well as an obligation, to concommunity is healthy for the medical Agreement, which is being reviewed tinue its relationship with health- a �delivery systems not included in the CGF system, and the affiliation agreement cannot in anyway jeopardize these long-standing relationships. "We have an important working relationship with Roswell Park [Cancer Institute], Erie County Medical Center, the Veteran's Administration system and the Catholic system that we simply cannot and will not abandon ," Wright states. "We cannot work exclusively with the CGF Health System. That would not be good for us , nor for the community. " And, finally , "The relationship between the university and CGF must be financially sound, " Wright says. "So , it's a symbiotic relationship in which the health and well-being of both entities is absolutely essential to the entire process. " "Roswell Park is clearly one of the centers of excellence that is already established in Buffalo and, therefore, is key to the goal of having other such centers because it already has as its mission the cultivating of a referral base beyond this region, more so than any other facility in our area ," Wright explains. This interest in drawing individuals from outside the region to a center of excellence relates back to the business community's goal of ensuring that health care in Western ew York remains a viable economic force and one that can form a base for revitalization, explains Wright, who emphasizes the integral role academic medicine would play in the development of such centers. "I am convinced, " he says, "that in most, if not all , centers of excellence , an academic presence ensures that the center is going to continue to grow and develop more innovative approaches to treatments compared to a facility that is simply a highly skilled practice site that does not have the constant influx of new information that an academic affiliation provides. " that we have a full-time vice president with expertise in these various areas ," he adds , referring to Bernardino, "we feel dialogue will open up and the faculty's comfort level will increase." Wright emphasizes, too , that how the health-care delivery system in Buffalo takes shape in the months and years ahead will involve choices the community will need to make, as well , and will not be limited to what the university, area hospital systems and physicians determine to be the best course. '·For example," he says, "the question could be asked of the community: 'Do you want a medical school? And if you want a medical school, do you want a good, bad or indifferent school?' I would assume the answer is 'Yes, we want a medical school, and we want it to be an excellent school."' iven the current comCenters of Excellence plexity of Buffalo's The ultimate goal of such a symbiotic health-care delivery sysrelationship between the university and tem, finding a middle CGF is the development of "centers of ground that best repreexcellence" that would not only serve sents the collective needs the Buffalo community, but would result of the population of our in a referral base from outside the region, region-not just the needs of the varaccording to Wright. The idea of estabied entities that provide the care-will lishing a network of centers of excel- Opening up Dialogue be a challenging process but one Wright lence has been repeatedly floated about Wright acknowledges that the prois optimistic about. "Working out how the Buffalo medical community over longed merger process has been very health care will be best delivered in our the past few decades, but has gained stressful for medical school faculty, but community will not be a slam dunk; there is a lot of work to be major role in the rebirth of the Western New York economy... done," heconI cedes. "We're . !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~ going to go momentum in recent years as a result of also points out that it has been difficult through some pain, we're going to have market pressures leading to , among for the university to take a proactive differences of opinion, and we will have other things, the CGF merger. Under role in clarifying the ramifications of to work things out over time. For the the centers-of-excellence model , a such a merger until the merger itself long run, we need to look at how we can particular facility would complete a was formally in place. 'The university deliver health care in our community in high volume of specific procedures for couldn't hammer out an affiliation a way that not only helps assure the treatment of defined conditions, such as agreement with a merging system while viability of the medical school, the unicancer or heart disease, in order to con- there was still a possibility it would versity, and area hospitals, but in a way trol costs and assure the highest possible fail ," he explains. "However, now that that helps ensure the viability of our quality due to its focused expertise. the merger has in fact occurred and now entire community." + �MICHAEL K . LANDI , MD , LEFT, AND ROBERT M . LIFESO , MD , WITH DUAL TARGETING RADIATION SYSTEM THEY INVENTED . �8 Y 5. A. U N G E R --------' .L4n UB ALUM AND PROFESSOR INVENT LASER TARGETING SYSTEM �"T ilE 1-1 n r l'llOTIITYI'E ",~ \1 \DE 1 'il\ 1, , .\IIHiw n Fil ii \[ .\ Bllw ,·.\l ;r·: .\\'ll PIPE FHI I\1 \ II \IW\1'\HI: '\TII HE ... L\\ Il l HEI .\LL.' . ".\ :\ [)Til E 'i Et:O \Il Pre \I OilEL \\".\ .' lll"ILT I-.;[\(;.\ FL.\ IILII ;/IT Ifill I\(; .\\'ll \ ll E.\ T\L \llllllOH . Today, the product they developed, called the DRTSTM Platform (for Dual Radiation Targeting System), is being manufactured in Orchard Park, ew York, and sold throughout most of the world. While application for the DRTS Platform was initially aimed at the orthopedic field, other uses for it are rapidly becoming apparent as the innovative tool makes its way into the hands of skilled clinicians in other fields , from oncology to neurology. The system, which received Food and Drug Administration approval in September 1997, is being marketed by Ml RAD Inc. , whose chief executive officer, William Burns, was named Inc. magazine's 1993 Entrepreneur of the Year in ew York State. Fl\lll\1 a research project to find a better way to do this. " This was a project for which Landi was ideally suited. Prior to entering medical school to pursue an interest in biomedical engineering, he had completed a degree in electrical engineering at the University at Buffalo. Before coming to UB , he worked for several years at a company in Los Angeles that developed software for projects requiring advanced radar systems. Earlier, he had served in the U.S. avy, working with guided missile weapon systems on board a destroyer. Lifeso, who is director of the Spinal Cord Injury Unit at Erie County Medical Center and clinical professor of orthopedic surgery at UB's school of medicine, did not have Landi's engineering background; however, he did have a strong interest in laser technology and its potential application to medicine. When Landi approached Lifeso about working on the research project he had proposed, Lifeso was excited to learn of the young medical student's training in engineering and immediately saw the fit. "He talked to me about a concept he had of combining X-ray with laser light and how that might provide a sort of guidance system for surgical procedures," Landi says. After further discussions, Landi decided this was a concept well worth pursuing and he went to work for Lifeso during the summer between his first and second year of medical chool, devoting himself to taking a roughly formulated idea and turning it into a marketable product. "Once I fully understood the problem, I saw that what you needed was a way to mark a surface point of entry that would not interfere with the operant field and give an axial alignment to intersect with a subsurface target. And a laser pointer made the most logical sense," says Landi, who today is a neurosurgery resi- \ BITTI· Ii \\'\)Til Dll Tiii'- The story of how the careers of these three men converged at the point of a laser beam began in the fall of 1990, when Landi was a first-year student at the University at Buffalo School of Medicine and Biomedical Sciences. "I was assigned Dr. Lifeso, an orthopedic surgeon, as a preceptor," he recalls. "The first time I met him was at a morbidity and mortality conference where the previous month's cases and complications were presented. One complication discussed involved a nun who had fallen out of bed and fractured her femur after an intermedullary rod placement in which the distal-locking screws were inserted incorrectly. Dr. Lifeso explained that this was a common problem-that external targeting devices that are supposed to point you toward the region where you need to make the incision and place the screws, weren't that accurate and when done under X-ray imaging required excessive radiation exposure to the patient and surgeon. He then asked if anybody was interested in doing a u f f o 1 o P hysician Summer 1 9 9 8 �I - -- --- ~--~~~ dent and a research instructor in UB's Department of Cn \"II jl B.\ C1111l E Electrical and Computer Engineering. "The most diffiWilliam Bums was the former president and chief execucult problem was developing a way to make the laser rive officer ofMatrx Medical Inc., North America's largest light coincide with the image that you saw from the manufacturer and distributor of emergency medical prodX-ray. Once I figured out how to do that, the device ucts. "Bill Burns provided the entrepreneurial brain came together very rapidly ," he says. power we needed," says Lifeso, who describes his first Figuring out how to do this "just required a lot of few years working with Burns as "a crash MBA course." geometry," according to Landi. "Basically, what I came up Securing the intellectual property rights for the dewith was a system that identifies a line of radiation from vice was obviously a high priority and little time was the X-ray source to the detector; positions a laser beam so wasted. In May 1993, the first patent for the device was that it's co-linear with that line of radiation; and puts a awarded to Lifeso and Landi and assigned to the Reradiopaque target symbol- a cross hair- on that same search Foundation, State University of ew York at line of radiation so that its image on the TV monitor Buffalo. In May 1996, Burns and the two inventors represents a point on the line that the laser indicates." formed a company called MI RAD (minimum radia"Once Mike began building prototypes," Lifeso says, tion) to market the DRTS "it became clear to us that the real problem we were facing Platform and today the was finding the center of the X-ray beam, and that's where BH( l.\ll .\PPLH:.\Tit~~~ company employs 25 his expertise came in. He designed a collator that is key people, including six .\cno~~ jf.\:-~r to the device being able to correlate the flu oro image of engineers, regulatory exthe screw placement site, as viewed on the TV monitor, , 'PECL\LTIE:-perts and two patent with a precise point on the patient's anatomy. '' Throughout the summer, Landi worked on the project at home with materials he and Lifeso were able to obtain using their own resources. "The first prototype was made using a mirror from a bird cage and PVC pipe from a hardware store," Landi recalls. "And the second model was built using a flashlight housing and a dental mirror. " By the end of the summer, Targeting brain tumors during perioperative localization. Landi had designed and built a device that was remarkably sophisticated and someattorneys. In late 1997, thing the two inventors were fairly confident was a the University at valuable innovation if they could get it in the hands of Buffalo invested in someone who knew how to market it. Essentially what MINRAD , taking up the they had developed was a system that would allow a largest equity position it surgeon to use the fluoroscope to visualize and locate a has ever held in a startdeep structure, turn off the X-ray radiation and still have up company. accurate guidance and position information relative to "This was an opporthat deep structure. Using their device, a surgeon would tunity for the universimply place his or her drill tip on a patient at the precise sity to invest in a strong spot indicated by the laser (e. g. , as pointing to the hole start-up company, bein the intermedullary rod) and drill along the axis ing led by an excellent indicated by the beam. entrepreneur with an "Once we had gotten that far with the device, we started exceptionally good to realize how little we truly knew about what to do with technology in a promthe thing," Lifeso says. "Because we were both affiliated ising market, " says with the university, we went to the Office of Technology Daniel Massing, former Transfer, and they put us in touch with Bill Burns." B u f f a I o P hysician Summer 1 9 9 8 �director of UB's Office of Technology Transfer. dent and general manager. "The technology patented In cases where UB has patent rights on a technology, by Drs. Lifeso and Landi is a very elegant solution to the the university traditionally receives an up-front licenscomplex problem of aligning a visible laser guidance ing fee from the company commercializing the techwith a selected portion of the X-ray beam of a fluoronology , according to Massing. In this instance, in lieu scope. The simplicity of the solution they came up with of the licensing fee , the university will receive equity in means that it is inherently less expensive to manufacMI RAD based on its interest, which consists of foundture and less costly and complex to maintain after ing shares and subsequent stock purchases equal to 4. 7 installation. You can't help but feel good about a project percent of the fully diluted interest. In turn, UB's that is this straightforward to design and manufacture," license and patents on the DRTS were beneficial to the Me eirney says. "After 30 years' experience with simicompany as components of the prospectus document lar projects, I've seen both sweet and sour solutions. for raising funds , Massing explains. "The opportunity This is a sweet one. " to take equity in a start-up company that is commerll11 \II\ 1, I\ II\ ~ f.\1 ,\I' I' L II \Till\" cializing research developed in our own laboratories is consistent with a national trend by universities," he Sweet also is the fact that other applications for this notes. "Once the stock is sold, the return to the univerdevice are rapidly developing, which make it more sity of an equity position can be significant, often versatile than its inventors originally intended it to be. exceeding what would result from the license income In oncology, the device is proving to be ideal for generated by royalties. " performing minimally invasive biopsies oflesions than And the return to all investors does indeed look can be visualized with X-rays. This use of the system promising. According to Burns, surgical procedures could also translate into significant improvements in guided by fluoroscopy account for about 10 percent of the accuracy of deep tissue biopsies done on breasts, all operations performed worldwide. "There are about livers or spleens, some 20 percent of which currently 90,000 fluoroscopes currently in use around the world, " produce false negative readings. " ot only will you be he says, "and I think the market potential for the able to improve accuracy, but you will also be able to MI RAD device could reach $130 million, plus anreduce the patient's exposure to radiation as well as his other million for disposable accessories , such as surgior her discomfort because you can hit the target on your cal drapes and biopsy needles. first attempt, without having to manipulate the needle On September 24, 1997, two weeks after it received under fluoro , something that can be especially painful a notice of approval from the FDA for the DRTS, during bone or vertebral biopsies," explains Landi. MI RAD launched Other promisthe device at the ing applications for annual Meeting and the system are in Exhibition of the neurosurgery , ·To! C.\'i.T IIELI' BI'T FEEL mon \Bili"T ,\ l'!lO.JECT TIL\T I. British Orthopaewhich especially dic Association in interests Landi Cardiff, Wales. Earsince this is the lier, the DRTS had field he chose to .\HEll :~1) YL\H< E\I'EHIE'if:E \\ITII SI\IIL.\Ill'llii.Ji':CT:--. I\ E been approved for pursue following sale by Europe 's his graduation 'EE'i BoTH s\\EET \'ill ·,wn 'ilLlllil:\ . Tm·.; '"' .\ s\\"EET ti:\L.". FDA counterpart, from medical and MI RAD has school in 1994. since signed a 10"We're using the year $83 million DRTS to target agreement with Atmos Healthcare, to distribute the intercraniallesions prior to brain surgery. We use it as DRTS in 16 countries in Europe. Recently, a 34 a frameless stereotactic system to localize lesions in a million contract was signed with an Asian distributor. 3-D space, as opposed to the system currently in place," Currently, MINRAD i hoping to produce 400 syshe explains, referring to the standard stereotactic protems a month at its Orchard Park facility, with a sale cedure that involves bolting a rigid frame onto a patient's price of $4,000 for each. The only other systems that head, then placing him in a CT scanner to obtain a come close to competing with the DRTS are priced at three-dimensional picture of a lesion. "What most about $300,000 and are much less accurate than it, neurosurgeons will tell you is 'get me there and I can according to john Me eirney, MI RAD's vice presiCONTINUED ON PAGE 31 6 u f f a I o P hysician Summer 1 9 9 8 �BY LINDA J. CORDER. PHD, CFRE Dreams Woi1h Weaving CREAT I NG A TAPESTRY FOR THE SCHOOL O F MED I C I N E A N D B IOMED ICAL S CIENCES ' HY DEVELOPMENT?" This is a frequent question, especially when I first meet someone unfamiliar with the day-to-day work of a medical school development officer. Weaving is my favorite metaphor for development. In weaving a tapestry or a rug, the details of the background work are invisible, yet a successful outcome is impossible \Vithout careful attention to preparing the loom, securing the strands of the wrap, filling and threading the shuttle and deciding on a general pattern. Similarly, in coordinating development efforts for the School of Medicine and Biomedical Sciences, m; background activities are largely invisible. However, planning, setting priorities and having sufficient resources to support the development program are as important as the loom, which provides the mechanism that makes weaving possible. Maintaining good records and the systematic gathering of additional information on alumni and friends are analogous to the warp, as appropriate research supports all productive development. Consistent and thoughtful communications become the weft, the strands or threads by which all other elements are linked together. In addition, it is necessary for the development officer to review constantly the current dreams and priorities of the institution, always in light of its stated mission. By talking with individuals within the school, who guide key aspects of the academic environment, I can begin to conceptualize proposals. At the same time, I identify prospects who might be interested in contributing to the realization of those dreams. In this manner, general patterns for the desired institutional outcomes are determined; case statements for specific projects can then be written. Patience is paramount. On some days, no visible progress is made. On others, it is necessary to alter the pattern as the fabric takes shape. Occasionally, and with great patience, rows of weft must be carefully undone in order to accommodate changes in the original plan. Colors must be matched and complemented and, at times, a different yarn or thread is necessary, requiring skill in integrating loose ends into the overall design. A development officer's efforts call for the same type of sensitivity and flexibility as specific fund-raising projects evolve. The interests and dreams of individual prospects B u f f a l o Physician need to be melded with institutional priorities. Sometimes, potential donors will have another (or little) philanthropic interest or the timing is not quite right. Some reworking of original designs or finding other donors for a particular purpose then becomes necessary. Picking up and weaving in loose threads- by being aware of prospects' family situations, responsibilities and goals-arc integral to assisting others in their creative gift planning. Both weaving and institutional development involve longterm commitment. Woven fabrics take shape slowly. The matching of donor interests with specific programs or individuals on campus (along with ascertaining '·the best" overall gift planning) is a time-consuming activity. As with all relationships, this type of involvement requires nurturing and the time to grow. In both development and weaving, some motifs may appear repeatedly (i.e., scholarship endowments or endowed chairs, funded by bequests or with trust proceeds). Occasionally, a truly unique design emerges (perhaps a new interdisciplinary research center, complete with "cutting edge" technology). Variations are constrained only by the limits of human imagination and the resources and materials at hand. Not only is considerable time required for the process, but many results are primarily for posterity, lasting long beyond the lifetimes of those from whom the funds and ideas flowed. Thus, in some sense, each completed gift to the school is like a work of art. It is meant to inspire-and to be used and valued by-future generations as well as by those present!) living. As a development officer, 1 remain essentially invisible to the vast majority of people who -..viii ultimately benefit from my work. Nevertheless, I am content to recognize "my mark" in the "final product," just as weavers feel a close affinity with the pieces they have created. It is the "dream become real" that remains long after each item becomes a part of the total fabric of the institution. I chose to be a development officer because it satisfies me to be a weaver of dreams-especially when they come true. 1 chose UB because of its unique history-and because it has dreams worth weaving . . . + Summer Lyn Corder, PhD, CFRE, is associate dean and director of Development. She can be contacted at 716-829-2 773, by fax at 716-829-3395 or on E-mail: ljcordn@buffalo.edu 1 9 9 8 �. . . . . . .. . . . . . . . . . . . . . . . . .. . . .. . .. . . . . . . . . . . . . .. . . .. . .. . . [1] ~ I PH O T O S B Y FRAN K CESARI O Carol Chen lntcma/ Medicine, Loyola Um,·ersit) Medical Center, Maywood, IL Connie H. Chen Internal Medicine, Barnes-jewish Hospital , St. Louis , MO Bonnie Cheng Internal Medicine, Hospital of the Uni\ ersity of Pennsylvania, Philadelphia, PA Peter Cobb Family Practice, Columbus Family Practi ce Cem er, Columbus, GA Seth Cohen Internal Medicine, UMDNj-R.W . johnson , Piscataway, J Jeanine Cooley Pediatrics, Children's Hospital , Philadelphia, PA Pamela Crowell Family Practice, niversity• of Southern Florida , College of Medicine, Tampa, FL Michael Cummings Psycltially , S l\Y/Buffalo Graduate MedicalDental Education Consortium, Buffalo, NY April Cyr Family Practice, Memorial Hospital , Pawtucket, Rl Gul Dadlani Pediatrics, SUNY/ Buffalo Graduate Medical-Dental Education Consortium , Buffalo, f\iY Emily Aguilar Pediatrics, Orlando Region Healthcare System , Orlando. rL Eric Bonenberger Ortltopedics, St. Luke's Medical Center, C leve land, OH Kristen Andresen internal Medicin e, Unt\ ersity of Rochester, Strong Memorial Hospital, Rochester, l'\Y Lori Bowman Pediatrics, SUNY! Buffalo Graduate MedicalDental Education Consortium, Buffalo, ·y Luna D. Bailey Sw·ge•y (Prelim. ), S NY/Buffalo Graduate MedicalDental Education Consortium , Buffalo, NY; O!ola•yngolog) , SUNY/Buffalo Graduate MedicalDental Education Consortium , Buffalo, '\JY Leslie Barr FamiiJ Praclice, SU Y/Buffalo Graduate MedicalDental Education Consortium , Buffalo. :\JY Stephen Bekanich Fami!J Practice, University of lJtah Affiliated Hospnals, Health SCience Center, Salt Lake City , UT Eric Bluman Orllwpedics , Rhode Island Hospital, Brown University, Providence , Rl Yvonne Bobek Pediallics, Medical College of Virginia , Richmond, VA Richard Bremer Internal Medicine, Medical College of Virginia , Richmond , VA Jennifer Bulger Family Praclice, St. Vincent Health Center, Ene , PA Robert Burns Pediatrics, SU Y/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, '\'Y Therese Caligiuri Internal Medicine, S NY/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Jonathan Pediatrics, SU Buffalo Graduate Medical-Dental Education �························································································• · ~ I I .. r Left to right. Jeanine M. Cooley congrotuloted; Christopher P. Schaeffer gets o big hug of support; Nnenno Okereke, Luno D. Bailey, Sophia Streete ond Jonathon Daniels shore results. MaryAnn Dean Psychiatr), SU Y/ Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Claudia Deyoung Intemal Medicine, orth Shore University Hospital, Manhasset, Y Stacey Dimartino Psychiatry, SUNY/Buffalo Graduate MedicalDental Education Consortium, Buffalo, Y Vamil Divan Internal Medicine, Mt. Sinai Hospital, Elmhurst, Y Jane Dopkins Obstetrics and Gynecolog}, University Hospital, Cincinnati, OH Jason Ehrlich Intenral Medicine, North Shore Universit) Hospital, Manhasset, Y Andrew Esch Internal Medicine (Prelim .), isters of Charity Hospital, Buffalo, NY; Physical Medicine and Rehabilitation, SUNY/ Buffalo Graduate Medical-Dental Education Consortium, Buffalo, Y Timothy Fallon Surge') (Prelim.), SUNY/Buffalo Graduate MedicalDental Education Consortium, Buffalo, Y John Fanton Pediatr-ic Psychiatr) , Rhode Island Hospital, Brown University, Providence, Rl Left to right: Jeffrey Richman, Mei Y. Wong, Jose Macedo, on enthusiastic guest ond Li Zeng celebrate their future. Charles J. Fetterman Internal Medicine (Prelim .), S NY/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, Y; Ophthalmology, SUNY/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, . Y Donald Flihan urgery (Prelim.) , SUNY/Buffalo Graduate MedicalDental Education Consortium, Buffalo, Y Richard Gayle Psychiatry, Long Island Jewish Medical Center, New Hyde Park, Y Thomas Gergel Famil) Practice, Hinsdale Hospital , Hinsdale, IL Robert E. Gerstenbluth Urology, Case Western Reserve University, Cleveland, OH Youssef Ghaly Family Practice, Mountainside Hospital, Montclair, "lJ Hari Gopal intemal Medicine (Prelim .), Wilson Memorial Regional Medical Center, United Health Services, Binghamton, Y; Diagnostic Radiology, SU Y Syracuse Health Science Center, Syracuse, NY Christine Gordon Pediatrics, St. Luke's-Roosevelt Hospital Center, New York, Y Lisa Green Medicine/Pediatrics, SUNY/Buffalo Graduate MedicalDental Education Consortium, Buffalo,. Y Carrie Greenberg AncsthesiolOg)-, The New York Hospital , ew York, Y Alejandro Gruneiro Surgery , Southern Illinois Uni,·ersity, School of Medicine, Springfield, IL Rachna Gupta Internal Medicine, Uninrsity of Maryland Medical Center, Baltimore, MD Bryan Hanypsiak Orthopedics, George Washington University, Washington, DC Michael Hassett lntemal Medicine, University of Rochester, Strong Memorial Hospital, Rochester, NY Lisa Heichberger Family Practice, Hamot Medical Center, Erie, PA Scott Helsley lntemal Medicine (Prelim.), SU!'\Y/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, Y; Anesthesiolog_\ , Duke University Medical Center, Durham, C Michael Herbowy Internal Medicine, SU. Y/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Aaron Hoffman urgery , ew York Methodist Hospital , Brooklyn, 'Y Steven Horn Internal Medicine, SU Y/Buffalo Graduate MedicalDental Education Consortium, Buffalo, NY Calogero Ippolito lntenral Medicine, SU 'Y/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Dana Jandzinski Surgery (Prelim) , St. Joseph Hospital, Denver, CO Peter Janes Medicine/Pediatrics, S "JY/Buffalo Graduate MedicalDental Education Consortium, Buffalo, Y Theresa M. Jarmuz Otolar)ngology, Emory University, Atlanta, GA Michael Kane famil) Practice, U Y/Buffalo Graduate MedicalDental Education Consortium, Buffalo, NY Lawrence Kanner Internal Medicine, orth Shore University Hospital, Manhasset, Y ® �. . . [1] " ~ I encourage you to review this list and to contact and welcome your fellow UB Judith Kim Pediatrics, SU Y/ Buffalo Graduate Medical-Dental Education Consortium, Buffalo, Y Paula Kocialski Psychiatry , SU Y/Buffalo Graduate MedicalDental Education Consortium, Buffalo , Y David Montesanti Internal Medicitre (Prelim .), S NY/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, Y; Ophthalmology , SUNY/Buffalo Graduate Medical-Dental Education Consortium , Buffalo, NY Colin Powers Surgery, SUNY/ Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Anne Marie Reynolds Pediatrics, S NY/Buffalo Graduate MedicalDental Education Consortium , Buffalo , Y Jennifer Lee lntenwl Medicine, niversity of Rochester, Strong Memorial Hospital , Rochester, Y Bennett Myers lntenwl Medicine (Prelim.), Duke University Medical Center, Durham, NC; eurology , Duke University, Durham , NC Anthony K. Rice Family Practice, Womack Army Medical Center, Ft. Bragg, NC Sandra Leni Internal Medicine, SU Y/Buffalo Graduate MedicalDental Education Consortium , Buffalo , Y Kristin Nesbitt Orthopedics, Henry Ford Health Science Center, Detroit, Ml David Lin Internal Medicine, niversity of Michigan Hospital , Ann Arbor, Ml Neil Lipke Surgery (Prelim .), ew York University Medical Center, New York, Y; Anesthesiology, ew York University Medical Center, ew York , Y Jose Maceda Obstetrics and Gynecology, Thomas jefferson University , Philadelphia, PA Patrick Mahar Medicine/ Pediatrics, S Y/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, Y Thomas Malinich Medicine/ Pediatrics , outhern Illinois University , chool of Medicine, Springfield, IL Michelle Mang family Practice, Highland Hospital , Rochester, NY Jeffrey Marchant Internal Medicine, Medical College of Virginia , Richmond, VA Michael Markham Family Practice, SUNY/Buffalo Graduate Medical-Dental Education Consortium, Buffalo , Y Amy McGarry Pediatrics, Georgetown Unive rsity Hospital , Washington , DC Thomas McTernan Internal Medicine, SU Y/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, Y Sumit Mehta Transitional , Chestnut Hill Hospital, Philadelphia , PA; Diagnostic Radiology , Stonybrook Teaching Hospitals , Stonybrook , Y Mark Oberlies Internal Medicine, Loyola University Medical Center, Maywood , IL moving into your Joseph Rebhan Family Practice, Wausau Family Practice, Wausau, WI George T. Moynihan Otolaryngology , Loyola University Medical Center, Maywood , IL Lori Kwan Internal Medicine, Yale- ew Haven Hospital , New Haven , CT graduates who ore community." John R. Wright, MD INTERIM DEAN Jeffrey Richman lntenwl Medicine (Prelim. ), Mercy Medical Center, Baltimore, MD; Anesthesiology , Johns Hopkins Hospital , Baltimore , MD Joseph Sheehan Pediatrics, University of North Carolina Hospital , Chapel Hill, C A. MacDuff Sheehy lntemal Medicine, Einstein/Montefiore Hospital, Bronx, NY Jenny Oh Internal Medicine, LAC-USC Medical Center, Los Angeles, CA Marc N. Richman Surgery (Prelim .), niversity of orth Carolina Hospital , Chapel Hill, C; Urology , University of North Carolina, Chapel Hill , C Nnenna Okereke Intemal Medicine, Yale-New Haven Hospital , ew Haven , CT Jayson Roland Pediatrics, S Y/ Buffalo Graduate Medical-Dental Education Consortium , Buffalo, Y Dawn Simon Pediatrics, SU Y/ Buffalo Graduate Medical-Dental Education Consortium, Buffalo, Tamera Paczos Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA Neha Sangwan Internal Medicine, Temple University Hospital, Philadelphia, PA Prashant Parashurama Internal Medicine (Prelim .) , Long Island Jewish Medical Center, ew Hyde Park , Y; Diagnostic Radiology, The ew York Hospital , ew York, Y Jennifer Scarozza Medicine/ Pediatrics, SUNY/Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Anand Singh Surgery (Prelim .), SUNY/Buffalo Graduate MedicalDental Education Consortium , Buffalo, Y Kathleen Pastore Emergency Medicine, Brigham and Women's Hospital , Boston , MA a Andrew Stoeckl Surgery (Prelim .), SU Y/Buffalo Graduate MedicalDental Education Consortium, Buffalo, ; Orthopedics, SUNY/ Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Joel Sebastien Surgery , Westchester County Medical Center, Valhalla , Y Joseph Stowell Transitional, Shadyside Hospital, UPMC, Pittsburgh, PA; Emergency Medicine, Long Island Jewish Medical Center, ew Hyde Park, l\lY Carl Seon Orthopedics, Hamot Medical Center, Erie , PA Clayton Polowy Internal Medicine, Rush-Presbyterian , St. Luke's Hospital , Chicago, IL f Hans Stelmach Psychiatry, niversity of North Carolina Hospital , Chapel Hill , NC Matthew Scozzaro lntenwl Medicine, University of Florida Program , Shands Hospital , Gainesville , FL Christine Pluviose Family Practice, Albany Medical Center Hospital , Albany , NY f Sunil K. Srivastava lntenwl Medi cine (Prelim .), St. Vincent's Hospital, ew York , NY ; Ophthalmology, Emory University , Atlanta , GA Medical-Dental Education Consortium, Buffalo, NY Achini Perera Internal Medicine, University Health Center, Pittsburgh , PA 0 David Serra Obstetrics and Gynecology, SUNY/Buffalo Graduate Sophia Streete Family Practice, Jamaica Hospital Medical Center, Jamaica, Y Medical-Dental Education Consortium, Buffalo, p 5 c o n Y J. William Sparks Transitional, San Diego aval Hospital, San Diego, CA Christopher Schaeffer lntemal Medicine, University of Rochester , Strong Memorial Hospital , Rochester, Y Mary Scott Obstetrics and Gynecology, SUNY/Buffalo Graduate Nicole Pazzaglini Obstetrics and Gynecology , Abington Memorial Hospital , Abington , PA u Lily Snyder Family Practice, Highland Hospital , Rochester, Michael Scharf Psychiatry, University of Rochester, Strong Memorial Hospital , Rochester, Y Viresh Patel Surgery (Prelim .), nion Memorial Hospital , Baltimore, MD ; Orthopedics, SU Y/Buffalo Graduate MedicalDental Education Consortium , Buffalo, Y B Anthony Shih lntemal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 5 m m e 9 9 8 �······· ···················· ·············•g··· I Jeffrey Visco Surgery , SUNY/ Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Gordon Wingard Emergency Medicin e, Maricopa Medical Center, Phoenix , AZ Keith Volmar Patholog), johns Hopkins Hospital, Baltimore, MD Mei Y. Wong Surgery (Prelim .), SU Y/Buffalo Graduate MedicalDental Education Consortium, Buffalo, NY; Neurosurgery, SUNY/ Buffalo Graduate Medical-Dental Education Consortium, Buffalo, NY Andrew A. Wagner Urology , niversity of Massachusetts, Worcester, MA Jenny S. Oh, left, and Doris Vanderpool share Match Day results. Jennifer Walsh Intemal Medicine, SUNY/Buffalo Graduate MedicalDental Education Consortium, Buffalo, Y Thomas Trevett Obstetrics and Gynecology , University of California at San Diego Medical Center, San Diego , CA Garin Tomaszewski Intenwl Medicine (Prelim .), Loyola University Medical Center, Maywood , IL; Diagnostic Radiolog) , University of Colorado, School of Medicine, Denver, CO Colleen Weber Obstetrics and Gynecology, University of Rochester, Strong Memorial Hospital, Rochester , Y Edna Valdes Surgery , New York Hospital , Medical Center at Queens, Queens, Y Angela Weirich Family Practice, Carilion Health System, Roanoke , VA Doris Vanderpool lntemal Medicine, St. Mary's Medical Center, San Francisco, CA Hannah Toon Intemal Medicine (Prelim ), Mt. Auburn Hospital , Cambridge, MA; Anestllesiolog), Massachusetts General Hospital, Boston , MA Mark Weirich Family Practice, Carilion Health System, Roanoke , VA Anthony Villani Pathology, University Health Center, Pittsburgh , PA Linda Van Intemal Medicin e, Stonybrook Teaching Hospitals , Stonybrook, Y Daniel Yawman Pediatrics, University of Rochester, Strong Memorial Hospital, Rochester, 1Y Li Zeng lntemal Medicin e (Prelim .), Lankenau Hospital , Wynnewood , PA; Anesthesiolog) , Hospital of the University of Pennsylvania, Philadelphia , PA Michael Zionts Family Practice, S NY/Buffalo Graduate Medi calDental Education Consortium , Buffalo, Y 0. \}\~e a mistake. But not from the inside. The roof looks funny, odd, strange, a\~ 'Ilwwa~· we sec it, wh~· build a ~traight roof when can build a perfect!~- ,good crooked one ·~ It's something up to sc,·en passenger~ in the Land Rm·cr Disco,·ery will truly appreciate . \\'ith the clc,·atcd roof and stadiumlike seating. passengers in the rear ha,·e ample headroom. \\'hich means the~· can look at more than the back of the fro nt seat. ~luch more. in fact. Because the Land Ro\'er Disco\·er,· has more \\·indows than an~· other -lx.t. \\'h" not take one out for a test dri\'e ·~ .\nd instead of just lookjng into it. look out of it. YOU Gf* DISCOVERY Land Rover Amherst A NORTHTOWN AIJTOMOTM C~/IM 3560 Sheridan Drive Amherst, New York 14226 • (716) 831-3100 http//www.northtownauto.com B f f a I o p h 5 c a 5 m m e I 9 9 8 �• ···················· · ······ ·· ···················································· · ······ ~ ' �• • • • • • • • • • • • • • • • • • •• • ~ I Commencement for the School of Medicine and Biomedical Sciences at the Stole Unive~ of New York at Buffalo wos held on May 22, 1998, at the Center for the Arts on the North Campus. On that day, the school graduated 138 new physicians and 37 new PhD scientists. Pictured clockwise from below: 1 Therese Caligiuri and one-year-old Willy; 2 Moster's degree candidates; 3 Closs Speaker Sunil K. Srivastava; 4 Nnenno Okereke receiving diploma from UB President William R. Greiner, School of Medicine's Interim Dean John R. Wright, MD, leh, and Vice President for Heohh Affairs Michael Bernardino, MD, center; 5 Rochno Gupta, leh, and Nicole Kerner; 6 Students entering the auditorium; 7 Christopher P. Schaeffer. I �Physicians Reaching Out to Students -NEW PHYSICIAN-STUDENT MENTORING PROGRAM ED! CAL ~CHOOL IS THE TOGGHEST CHALLE'\GE many students have ever faced. The pressure to achieve is intense; the work, grueling. When a problem arises, where do they turn? How do they cope? The University at Buffalo School of Medicine and Biomedical Sciences is offering help in the form of a new Physician-Student Mentoring Program that links first-year students with physician mentors in the community "Medical school is a parochial system, and students can feel so lost in it," says jack Coyne, MD, past president of the UB's Medical Alumni Association, who helped spearhead the program. "You lose contact with the world around you. During the first two years you don't even have time to read the newspaper. When yo u' re they're struggling in a class and don't know where to find help. Maybe they're homesick and could use an empathetic conversation over a hot meal. Perhaps their troubles run deeper. "When I was a student, a number of my classmates had concerns and problems and they didn't know where to go with them ," recalls Coyne, who graduated from UB's school of medicine in "STUDENTS WHO EXPERIENCE STRESSFUL SITUATIONS, WHETHER THEY RESULT FROM REAL-LIFE TRAGEDIES OR THE EVERYDAY CHALLENGES OF LIFE AND MEDICAL SCHOOL, NEED TO FEEL THAT THEY HAVE SOMEONE TO TALK TO, SOMEONE WHO IS INTERESTED IN THEM AND WILL TRY TO HELP." - 1N T E R I M being pushed to the limit in that setting, you can easily feel overwhelmed." In the program, which was begun last fall , the mentoring physicians act as confidantes, friends and sounding boards for students, who can call on them under any circumstances. Maybe ® 0 EA N J 0 HN R.W RIGHT 1985 and today is medical director of child advocacy centers for Erie and iagara counties and for pediatrics at Mercy Hospital. "It can be difficult for a student to share things with people in the administration. With this program, students have an opportunity to B u f f a l o Phys ici meet physicians who can help them or who know people who can help them without having to go 'on the record."' As a student Coyne watched classmates grapple with depression and drug problems. One, overwhelmed by his struggle and unable to talk about his despair, committed suicide, he says. Mentoring may be a way to help, by providing students with a safe haven whenever they need it. "In that case we're talking about a very serious situation , but more often it will be the case of a student who's feeling stress during final exams or who maybe wants a physician to open up his office so he can see the clinical side of things," says Coyne. The new mentoring program is informally structured. At the beginning of the 1997-98 school year, physicians who volunteered to participate received a letter with the name and telephone number of the student with whom they had been matched. Student participants received the physician's name and home and office telephone numbers. Physicians have been encouraged to initiate contact to overcome any hesitations first-year students may have due to shyness, intimidation or worry that they will be a bother. When the program was announced at the beginning of the year, 107 of the medical school's 135 members of the class of 2001 signed up. A survey conducted in early 1998 revealed that of the participants, 29 had been in contact with their mentors, and of that number, 22 described the relationship as helpful. In the survey responses , the program was described by students as "sup portive," "reassuring," "informative" and "friendly, " with several adding that they received "good pointers" from their mentors. an Summer 1 9 9 8 �············ · ·················· · ·············· · · ·· ·· · ··········· · ····· · · · ······· · · · ·····~ Such feedback, says medical school interim dean john R. Wright, MD, indicates that the men to ring program is reaching out to students in need, which is its goal. Wright recalls past situations where he has helped students get through difficult times. One particularly difficult case that stands out in his mind was that of a distraught first-year student whose sibling had been murdered. "There is a real need for this kind of program," Wright emphasizes. "But in the past, attempts to provide such assistance had been somewhat haphazard , so we thought it would be beneficial to the students to have a more organized effort in place. Students who experience stressful situations , whether they result from real-life tragedies or the everyday challenges of life and medical school, need to feel that they have someone to talk to, someone who is interested in them and will try to help. " The idea for the new PhysicianStudent Mentoring Program was brainstormed at an alumni executive committee meeting last year. Once the program was established and an- nounced , area physicians were quick to respond to the call for volunteers , with 75 immediately signing up and a few dozen more coming on board since that time. "Advisement is something that all medical schools struggle with, " Wright says. "Often it's not done particularly successfully. It requires a certain degree of organization because you want to make sure students know these services are available , yet you don't want to meddle in people's lives, and you don't want to be intrusive. From a different perspective, however, it's a good way for medical students to see how a doctor actually practices medicine." But the student isn't the only one who benefits from the rapport. It also allows physicians to reconnect with their past, Coyne says , and to take a look into the future of medicine. "I get a sense of belonging. We as physicians lose touch with what the students are going through. It helps us stay in touch with the system and , more importantly, with the problems students are having as they go through the system ." • PHYSICIANS NEEDED The Physician-Student Menloring Program has met with an overwhelmingly positive response from students; however, more physicians are needed. To volunteer, please call the UB Medical Alumni Association Office at 829-2778. Earlier in the year , Coyne received a call from one of the two students he mentors. Her grandmother died , and she just needed someone to talk to . When he received the call , Coyne realized how useful-and necessarythe program was . Then she told him about a friend of hers who was interested in a mentor. ow he's a mentor to three students . + INFINITI I ntroducing your way to escape . lnfiniti's luxury sport AUTO PLACE INFINITI 8129 MAIN ST . WILLIAMSVILLE ) 1 utility vehicle: the QX4. Unlike most luxury sport MSRD 36,045. 00 utility vehicles, the QX4 not only features everything you need to 633-9585 escape for the weekend, it has all the comforts and luxuries you East of Transit Rd. , Near Eastern Hills Mall a u f f a I o need to escape life's daily stresses. Physician Summer 1 9 QX4 9 8 ® �B Y S COTT T HOM EDWARD H . WAGNER , A S MD '65 , STOCKTON K I MBALL LECTURER The patient wAs A wiDow, ss YEARs oLD . D ESPITE A HALF CENTURY OF CIGARETTE SMOKING, SHE WAS DOING QUITE WELL . Then, from the tiniest hint of trouble, began a slippery slope of debilities. Her legs had been feeling weak; a lifelong walker, she was moving more slowly. Her family physician could detect no pulse in her feet and diagnosed intermittent claudication. Then a series of upperrespiratory infections buffeted her lungs and she began to develop wheezing. The physician searched for a carotid pulse and found none; he prescribed aspirin. He referred her to a vascular surgeon, who examined her and concluded she was not a candidate for surgery. She was at very high risk for stroke, he said, and would benefit from taking it easy. She did, and got weaker. She entered a skilled nursing facility for a while. And B u f f a ! a when she went home, it was, for the first time, with a cane. Now this previously vital womanwho used to take long walks, do her own shopping and maintain an active social life-is largely confined to walking to the bus stop and back. "This is not an uncommon story,'' says Edward H. Wagner, MD '65, MPH, who delivered the Stockton Kimball Memorial Lecture at the University at Buffalo School of Medicine and Biomedical Science's 6lst annual Spring Clinical Day, on April 25. "And it illustrates the difficulties she is faced with in trying to deal not only with these illnesses, but with their impact on her ability to function." The good news, he went on to say, is that Physician Summer 1 9 9 8 �this impact can be managed and mitigatedif the physician intervenes, and if, in the long run, we design a health-care system that goes beyond acute care and supports older people's efforts to take control of their own health. can they communicate and collaborate with their medical providers-often a bevy of specialists in addition to their primary physician-to devise a treatment plan. A STRUGGLE ON BOTH SIDES Wagner says the health-care system, as currently configured, is oriented toward acute care, addressing the presenting complaint without necessarily delving into the underlying health factors in the patienfs life. "But when illness plays itself out over years or decades, the patient's needs change, and a reactive system may not be as relevant as it was in ASTHEAVERAGEAGEOF the past,·· he says. Using the 85-year-old AMERICANS CONTINUES TO CLIMB, widow to illustrate the point, he adds: "She THERE WILL BE MORE DEMAND FOR wanted to walk, to play PHYSICIANS WHO CAN DEAL bridge, to go downtown shopping. The system EFFECTIVELY WITH THE ISSUES OF wanted to know what her presenting complaint was OLDER PATIENTS. that day. This was a clear mismatch between what was important to her and what was important to her health-care provider." The current medical system, he says, focuses on the short term. It pays little attention to delegating health-promoting tasks to the patient, to issuing reminders over months or years that would promote good health and to helping patients educate themselves about their condition. "The older patient," Wagner says, "needs a different system: one that takes a prospective view and looks down the road to next month, next year, a few years from now." A SYSTEM BUILT BACKWARDS Wagner, who spoke to a large luncheon audience at the Buffalo Marriott, has made a career of thinking about the public policy aspects of medicine. A general internist and epidemiologist, he directs the Center for Health Studies and the MacColl Institute for Healthcare Innovation at the Group Health Cooperative of Puget Sound in Seattle, Washington. He also teaches at the University of Washington School of Public Health and Community Medicine, where he is a professor of health services. His research interests include the care of geriatric patients. As part of a Spring Clinical Day focused on '"The Aging American," Wagner pain ted a broad picture of how practitioners tend to treat their older patients-and where they fall short. "The older patient is a struggle for physicians,'· he notes, "but it's also a struggle for the patient to deal with the physician. The patient needs to be an effective, educated manager of his or her own health. So the question becomes, what kind of health-care system do we need to support this?" Wagner says patients themselves must address several issues: what activities can they pursue that would promote good health; what skills can they learn to monitor their illnesses and adapt to changes in their bodies; how can they manage the effects of those illnesses on their ability to function; how can they manage the emotional impact, such as their ability to be a "social animal"; and how a u f f a 1 o Physlclon CONTINUED Summer I ON 9 9 PAGE 8 24 ® �'' THE OLDER PATIENT NEEDS A DIFFERE T SYSTEM: ONE THAT ... LOOKS DO\VNTHEROADTONEXTMONTH,NEXTYEAR,AFEWYEARSFROM TOW. C O N T I NUED FROM PAGE 23 It's not that individual physicians don't recognize these needs and try to meet them, Wagner adds. "But providers are working in a system that doesn't help them do this." The older patient's priorities, he says, generally are twofold: preventing disability and falls, as well as "the potentially devastating impact of the fear of falling"; and managing the chronic illnesses that most older people have. From 75 to 80 percent of older people have at least one chronic illness, he says, and about half struggle with two or more. Do NOT Go GENTLY The encouraging news,Wagner says, is something that has become a fundamental tenet of geriatric medicine: THE PATIENT NEEDS "The deleterious effects of aging may TO BE AN EFFECnot be inevitable." He displayed a TIVE, EDUCATED chart that seemed to prove a piece of common wisdom: Be it MANAGER OF HIS OR pulmonary function or muscle strength, HER OWN HEALTH. oxygen-uptake capacity or endurance, a human being's physiological capacity declines with age. But, Wagner says, that truism applies to the population as a whole; it's a mistake to assume that each individual will follow that path. The challenge for each individual patient is to buck the trend and resist the declines of age-a concept known as "successful aging." ''We're now beginning to understand the factors that lead to successful aging," Wagner says. "Physical activity is probably the most important. Individuals who become sedentary probably will have an increased decline." He points to the concept of"deconditioning" -the idea that with disuse, any physiological system will weaken. "This," he says, "is an enormously powerful tool for understanding decline." SOME PRACTICAL APPROACHES So how can physicians work with their elderly patients to maintain a good quality of life B u f f a l o ' ' despite the chronic conditions that often come \Vith advancing years? Wagner again suggests that we focus on patients' functional abilities and their ability to manage their own health care. For example, to avoid often-debilitating falls, patients might be encouraged to practice tai chi, or pursue endurance and strength training. To reduce incontinence, they can do Kegel exercises or consider pharmaceutical remedies. And to help patients in managing their own care, he says, the key concept is empowerment. "Handing them a book is not useful,"' Wagner says. '·Providing them with organized problem-solving help is"-such as suggesting sources of information, connecting a patient with support organizations, and, in general, treating the patient as an equal partner in health-care decisions that affect his or her life. For the physician trying to better organize his practice, Wagner suggests thinking about how we accomplish six tasks or roles: + Responding effectively to the acute problem. + Making sure the patient's overall status is assessed accurately. + Providing first-class self-management and support. + Finding ways to communicate and coordinate among the primary physician and specialists. + Advocating for patients in the community so that they receive the care they need. + Using data systems and technologies, such as registries and reminder systems, so longterm patient care doesn't depend entirely on the memory of the physician. Physicians don't necessarily have to accomplish all these tasks, Wagner says. They can be delegated to people on their staff or elsewhere who are trained for those roles. As the average age of Americans continues to climb, there will be more demand for physicians who can deal effectively with the issues of older patients. Fortunately, Wagner says, the science of treating older people is starting to come together. "I think this is an exciting time. For the first time we're moving beyond philosophy to evidence," he says. "There's clear evidence out there that we can improve outcomes, and I look forward to working with you on this in the future." + Physician Summer 1 9 9 8 �• ~ --¥" •Sprin~gaClinrcall•Dao/•Gatherimgs........._ Lehto right: Jared C. Barlow, outgoing president of Medical Alumni Association; Bertram A. Portin, assistant dean for Alumni Affairs; and Elizabeth L. Maher, president of Medical Alumni Association . Class of 1973 at Stockton Kimball Lecture. Lehto right:John J. Bodkin and Jared C. Barlow with Edward H. Wagner, Stockton Kimball lecturer. .110 Class of 1948 (pictured) shared the attendance trophy with Class of 1953. Fifty-year reunion doss at Saturday's luncheon. John R. Wright at Saturday's luncheon activities. Class of 1988 at Friday evening reception. B u f f a I o Phys i c i an Summer I 9 9 8 �Medical Alumni Achievement Awards ~FE r!VIE ME Die \l Atl 1 1 Ac HIE\ E \H· I A" on" were presented to the following four University at Buffalo alumni at Spring Clinical Day, April 25, 1998, at the Buffalo Marriott Hotel. RONALD BATT MD CLASS OF 1 958 -Introduced by Dr. Richard Romanowslli "Throughout his career, Dr. Batt has been an innovator in obstetrics and gynecology and an outstanding teacher and superb clinician with special expertise in endometriosis and microsurgery," Romanowski said. "He has been a pioneer in encouraging the use of laparoscopy in his field and, along with his colleague Dr. aples, has been recognized for his research in infertility and for his efforts to find more conservative measures of treating pelvic endometriosis." A prolific writer and medical historian, Batt has published some 20 peerreviewed articles and more than 25 book chapters and monographs. He was a coauthor of Another Era: A Pictotial History of the School of Medicine and Biomedical Sciences, State University of Ne~~ Yorh at Buffalo, published in 1996. In addition, he has also produced a number of audiovisual programs used in teaching. "I see residents and students helped by his work with these programs," Romanowski noted, "and that's very gratifying.'' In recognition of his contribution as a teacher, Batt received the 1995 Chief Residents Teaching Award, which is inscribed: Some men lift the age they inhabit until other men walll on higher ground during that lifetime. A leader in his community, Batt has organized many medical missions overseas to places such as the Ukraine in an effort to help his colleagues in less advantaged countries update their skills. "So for these contributions-for his ongoing patient care, his teaching and his B u f f a l o research, I thank him on behalf of us all for the work he's done throughout his career, day by day," Romanowski concluded. RONALD "SKIP" GARVEY. MD CLASS OF 1953 -Introduced b) Dr.]. Bradley Aust Ronald "Skip" Garvey is an accomplished surgeon, professor and health-care administrator, Aust said. A native of Olean, Garvey was a scholar athlete who attended Harvard College, where he played football. After medical school, Garvey completed his internship and residency at Parkland Memorial Hospital in Dallas, Texas, and a fellowship at the IH. From 1961 to 1983, he was in private practice as a surgeon, and for nine of those years was also team physician for the Dallas Cowboys. "In 1983, he went to Southwestern Medical School as a professor of surgery," Aust said. "Going from practice into an academic medical center is really quite a change and he felt academic medical centers were ill-prepared to deal with the problems that they faced, so he took time out to earn an MBA in Hospital Administration in 1986. At that time, the university was about to build a hospital at Southwestern and they looked around for someone to spearhead the effort and they picked Skip, so he shepherded through the building of the [Zale Lipshy l University Hospital and became its first president and CEO, from 1987 to 1991." Gan•ey then returned to teaching until last year, when the university asked him to accept a position as director and chief administrative officer for its Health Center in Tyler, Texas. "Scholar-athlete, practicing physician, Physician Summer l 9 9 8 �dedicated family man, academic surgeon and administrator-Skip Garvey is truly a 'man for all seasons'," Aust said. MILFORD MALONEY . MD CLASS OF 1 953 -Introduced by Dr. Michael Sullivan "I am honored to be able to present this award to my classmate, Milford, who has led an active career in academic medicine as a teacher, researcher and administrator, while simultaneously maintaining a busy private practice," said Sullivan. After a rotating internship, Maloney completed residencies in both internal medicine and cardiology. Following two years in the U.S. Army Medical Corps., and another two years as a part-time senior cancer research physician at Roswell Park Cancer Institute, he entered into private practice in 1964. In 1968, he was named president of the Western ew York Society of Internal Medicine, and in 1969, became president of the Heart Association of Western New York. Also in 1969, he was appointed chair of the Department of Medicine at Buffalo Mercy Hospital, a position he held until1994. During these years-from 1972 to 1989-he also directed the American Board of Internal Medicine's Medical Residency Training Program affiliated with UB. In 1976, he was named to the Steering Committee for the ational Association of Program Directors in Internal Medicine and a year later, was appointed to the Council of the National Association of Program Directors in Internal Medicine. In 1974, he was named president of the ew York State Society of Internal Medicine and in 1981, served as president of the Medical Society of Erie County. Also in 1981 , he was appointed clinical professor of medicine at UB, after having served as associate clinical professor since 1972. In 1990, Maloney was inaugurated as president of the American Society of Internal Medicine. "I cannot imagine how he managed to do all this in his career," Sullivan noted, "but it's for accomplishments such as these that we present this award." KENNETH R. NISWANDER , MD CLASS OF 1 948 -Introduced by his son Philip N. Niswander, MD "I am honored to introduce my father. It's particularly easy to sing his praises as a colleague because he has so many outstanding achievements, '' said Philip iswander, who gave a brief overview of his father's career. After completing a rotating and a surgical internship and residency training in obstetrics and gynecology, Niswander entered into private practice in Buffalo from 1953 to 1964, during which time he was an assistant clinical professor at UB. In 1964, he was made an assistant professor; and in 1965, an associate professor. From 1963 to 1967, he worked as an obstetrician in the Child Development Program at Children's Hospital in Buffalo, and for three years-from 1966 to 1969-he also served as chief of Obstetrics and Gynecology at the hospitaL In 1969, he accepted a position as professor of Obstetrics and Gynecology at the University of California at Davis, where he also served as chair of Obstetrics and Gynecology from 1969-1982. Speaking of his father's accomplishments, Niswander said, "During this time he published over 150 articles, as well as a textbook on obstetrics, which is currently in its fifth edition. otable among his research accomplishments, in my opinion, is his work showing that obstetric factors have little or nothing to do with brain injury among infants or with the development of cerebral palsy. This research is noteworthy economically as well as medically since it has contributed to the limiting of medical malpractice awards against obstetricians, who were previously found at fault for misconduct for any baby born malformed." In concluding his remarks, Niswander joked that, after consulting with his brothers, it "was difficult to find a single redeeming defect in our father." On a more serious note, he added, "Instead, as time passes, we notice that his reputation is enhanced and that his abilities are sustained, and, for this, we are very proud of him." + New Alumni Association Officers Elected B u f f a l o Physician Summer 1 9 9 8 ® �~············· ··················································· ················· · ······ ltlil CLASS REUNIONS First row: Darwin Moore, Norman Minde, \Villiam Bloom; second row: Raphael Good, Harold Graff, Kenneth 1\Jiswander, Raymond Moffitt, orman Paul, Lester Schiff; third row: Daniel G. Miller, Ansel Martin, Francis Peisel, Vernon Lubs, Daniel Fahey, Michael Dzubaty; fourth row: Robert]. Hall, Alfred Shapiro, S. Paul Zola, Myron Gordon, jasper Van Avery, Richard Proplesch, \Varren Hollis, Glenn Doan. First row: Thomas Geoghegan, Richard Nagel, David Batt, joseph Ruh, Samuel Galeota,W. Ransom Kelley; second row: john Strachan, Donald Ehrenreich, \-til ford \-Ialone\, jack Gold, Herbert Constantine, john Handel, Molly Seidcnbcrg,Jacob Shammash, Thomas Comerford, Ronald Garve}; third row: Marvin Wadler, Bertram Port in, Donald Rachow, Michael Sullivan, Harold ·mulvan, Harle) Lindquist, Herbert Simpkins, Howard Smith, James Orr, James Carlin, John Fenger. First row: ~orton Spivack, Robert Perez, Michael Mazza, William Glazier, jacques Lipson, Carl Contino, Richard Romanowski; second row: joseph Bellanti, Bernice Comfort, john Float, Richard Rahner, Samuel Shatkin, Gary Cohen; third row: jason Reder, Melvin Broth man, Eugene Friedberg, Michael Genco, Alfred Stein, Franklyn Campagna, Richard Wasson, joseph Zizzi, Robert Dickson, Richard Boyle, James Williams, Franklin Zeplowitz, Thomas Cummiske), Marie Leyden Kunz, Harold Zimmerman, jerr) Weisberg. First row: john Schriver, \Villiam Heyden; second row: Stephen joyce, E. Michael ulli\ an, David Malinov, Richard arins, Frank DeLaus,jason Rudisill; third row: john Wadsworth, Thomas Reagan, Joseph Tutton, Ernest Fatta, Robert Hamilton, Charles Tirone, Anthony Foti, George Steiner. First row: Leonard Argentine, Bruce ~toesser, Robert Rosen, Robert \filch, Sara '>trkm, Thomas Cumbo, Ronald Friedman second row: Ehas Rosenblatt, Jonathan Rcynhout, Kenneth \1atasar. Jean Dwyer \\!I hams, Lesbia Fcmande:: mith Le,in, Kenneth Eckhcrt, 1artial Knicser, Harold Kulman, Rtchard Stamile, Barry Shult::. B u f f a l o p h 5 I a n 5 m m e 9 9 8 �CLASS REUNIONS First row: Thomas Dwyer, Charles Anderson, Kenneth Gayles,jeremy Cole, Fredric Hirsh, Robert Lamantia; second row: James Marks, Demetrius Ellis, Paul Kuritzky, Timothy ostrant, Sharon Kuritzky, Reta Floyd, Lynda Sorrenti, Barry Sanders, john Przylucki, Daniel Pietro, Frederick Beck, Michael Haberman; third row: Arthur Mruczek, Patrick O'Connor, Da\·id Breen, Frederick Buchwald, Robert Fugitt, Thomas Lombardo, Michael Sansone, john Klimas, Gary Palys, Daniel First row: :-..1ark Kramer, Barry Rosenberg, :-\elson lsada, Alan Kosk•\\; second row: Louise Barbieri, Clifton Pea), Ronald Somogyi, Cheryl Aldrich, Rondie Emn jones, Linda :-.!orris, Elizabeth Doherty, Iris Buchanan; third row: Paul \\'opperer, Richard Elman, tephen Gawronski, Henry Wilamowski, Dand Sangster, Gregory Bennett, Simon Shaham, Richard Busch, ~!atthe\\ O'Bnen, Angelo DelBalso, David ~!archetti. First row: Catherine Goodfellow, Leslie Doolittle, Younghee Limb, Patricia Flanagan, Suzanne Meyers-Tanbakuchi, Melinda Cameron, Cynthia Pristach; second row: \ u-Fei Wu, Barbara Ostrov, Richard Collins, Charles Niles, Allen Rosen, Neal Smith, Robert Stall, Gah;n Anderson, Robert Rosen, Kenneth Murra), Andrea Man yon-Wild, Renata Wajsman, Mark Schwager; third row: Francis Mezzadri, Peter Accetta, James Wild, Kenneth Zimmerman,Jonathan Graff, Frederick McAdam. First row: Ann Marie LeVine, Margaret Morey-Stager, Stephanie Christensen, Mary Davill, Norah Lincoff, Andv Cappuccino, Lisa Benson, Helen Cappuccino; second row: Sandra Everett, Constance Greene Klocke, janet Flier Sundqmst, Dawn Hrab, Nicole Sasson; third row: Richard Gilbert, Thomas Bellomo, Lori Luzi, Frank Luzi,Jeffrey Steinig, Stephen Hughes, james Schlehr, Charles Everett, David Pochatko,John Dusse, Kathleen O'Leary, Anthony Bartholomew, Mark Klocke, Kevin Kopera, Brad Shumcl, john Barbaccia, janet Williams. First row: Kevin Kelleher ,Jennifer ordby, Paul Fa\·orito, Honora Heffner Favorito, Michael Aronica, Gill Farkash, Richard Hall; second row: Brian Szymanski, jeffrey Senall, Michael Sweeney, Jeffrey Parnell. B u f f a 1 o Physician Summer 1 9 9 8 �Harry Bergman, '34, Special Recognition Award Recipient has received an Award of Special Recognition from the Dean's Advisory Council of the University at Buffalo School of Medicine and Biomedical Sciences for his life's work in urology. When he heard news of the award in April, Bergman, 87, who lives in Hollywood, Florida, said, "I never expected anything like this. My work has been out there for so many years, this is beyond me." The award recognizes that, in 194 7, Bergman devised an instrument capable of obtaining an early neoplastic degeneration inside an apparent benign tumor, an accomplishment for which he received a national award from the American Cancer Society in 1948. lt also acknowledges Bergman's discovery of a radiological sign for ARRY BERGMAN . ' 34, cancer of the ureter, named "Bergman's ign" in his honor by john Emmett, professor of urology at the Mayo Clinic, and first catalogued in Dorland's Medical Dictionary in 1981. Also noted in the award is Bergman's work as a writer and editor of many publications and books, including his highly respected text, The Ureter, which he published in 1960 and revised in 1981. Bergman graduated at the top of his class at UB in 1934 at age 21, making him the youngest graduate of the school. He established a successful practice as a urologist and surgeon in Manhattan and the Bronx. ln 1978, he semi-retired in Florida, where for the next decade he served as a professor of urology at the University of Miami's Medical School and clinical professor at jackson Memorial Hospital in Miami. In presenting Bergman with the award, the Dean's Council states its resolve "to recognize him for his outstanding career contributions to medicine, especially for furthering the knowledge of cancer of the ureter." + Rob Bakshi, '91,Wins National Neuroimaging Award BAKSHI , MD . has been awarded the prestigious Oldendorf Award by the American Society of euroimaging (AS ) . Bakshi was cited for research he did in collaboration with his colleagues at the Lucy Dent Imaging Center and Millard Fillmore Hospital that involved the use of brain positron emission tomography (PET) in the study of multiple sclerosis (MS). The award, named in honor of Dr. William H. Oldendorf, a pioneer in the field of neuroimaging, is presented to a young investigator for outstanding neuroimaging research. Bakshi, a Buffalo native, graduated from UB in 1991 and completed postgraduate training at Harvard and the University of California at Los Angles. He returned to Buffalo in 1995 for a neuroimaging fellowhip and subsequently joined the Dent eurologic Institute and UB's Department of eurology. OB ONLY ONE INVESTMENT LASTS A LIFETIME • Exceptional college placement record • Challenging curriculum with 14 Advanced Placement courses • tate of the art visual and performing arts center • More than 60 interscholastic sports teams • Comprehensive communn:y sel'"\'tce proJects • Average class si:e is IS • Financial atd available Admissions tests on these Saturdays at 9:00 a.m.: January 24, February 2 To resel"'e a place for testmg or for addtttonal mfom1atton, please call: ® B u f f a l o Phys ician Summer l 9 9 8 �Bakshi received the award on February 27, 1998, at the national AS convention, during which time he presented a lecture detailing the findings of his research work. The effect ofMS on brain functioning may play an important role in the progression of the disease , but has previously been poorly understood, he reported. Using fluorodeox yglucose (FDG ) as a tracer to measure brain metabolism by PET, widespread global and specific regional hypometabolism was noted in MS patients as compared to healthy subjects. This effect of reduced metabolism and consequently reduced function was most profound in the frontal and occipital gray matter, and in the white matter. These findings suggest that FDG-PET may be a useful tool to improve the understanding of the pathophysiology ofMS and track the response of these patients to new therapies. Other aspects of brain mapping studying specific clinical MS protocols have been completed and were presented by Bakshi and his Dent colleagues in April 1998 at the annual meeting of the American Academy of eurology. The work presented by Bakshi Rob Bakshi, MD in Orlando was co-authored by RobertS. Miletich, MD , PhD ; Peter R. Kinkel , MD; Mari Emmet and William R. Kinkel , MD , '54. The PET research of the lucy Dent Imaging Center is being supported , in part, by the Dent Family Foundation and is performed in collaboration with UB's Department of uclear Medicine. eurologists at the Dent Institute are also using PET scanning to improve the understanding of other neurologic diseases such as Alzheimer's disease , epilepsy and brain tumors. + B u f f a l o Phys i Nedra J. Harrison, 'Tl,New President Medical Society EDRA J. HARRISON. 77. is the new president of the Medical Society of the County of Erie. A practicing general surgeon with Delaware Surgical Group , P.C. , in Buffalo , Y, Harrison was installed at the society's annual meeting May 12, 1998. A native of Buffalo, she earned her undergraduate degree at Rosary Hill College (now Daemen College) in Amherst, Y. After earning her medical degree, she completed her internship and residency training at Millard Fillmore Hospital in Buffalo. She was in solo practice in general surgery for a number of years following her postgraduate training before joining her present group in 1994. LASER SYSTEM CONTINUED take out the tumor. I don't need an expensive system to help me do that. ' This system is making it much easier and simpler for a physician to find , biopsy or excise a brain tumor," Landi says. Another neurologic procedure DRTS is greatly improving is the percutaneous procedure for trigeminal neuralgia. Treatment of this condition involves placing a needle up through the patient's face via a hole in the bottom of the skull and either burningorinjectingamedicationaround the affected nerve. "What the DRTS system allows you to do is target a neural foramen and place a needle directly into it as opposed to how we do it now, which is walking a needle along the base of the skull until you pop through. This can be very painful for the patients because they need to be awake to tell you if you've hit the right spot in the right part of the nerve," landi explains. In addition , the DRTS has also found a broad application to spine procedures, from guiding the placement of instrumentation to percutaneous procedures for pain relief. cian Summer Harrison, who is a past president of UB's Medical Alumni Association , is also a voluntary clinical assistant professor in general surgery at UB, where she Nedra J. Harrison, MD serves as a preceptor for senior medical students. Harrison is a diplomate of the ational Medical Board and the American Board of Surgery and is a fellow of the American College of Surgeons. Currently, she is a delegate from Erie County to the House of Delegates of the Medical Society of the State of ew York. She is also a member and past president of the Buffalo Surgical Society, where she was the first woman to serve as president. + 1 9 9 8 FROM PAGE 12 Given the success of the DRTS to date , both Landi and lifeso would not be surprised if other, yet-to-be discovered, applications are found for the system they invented. For each physician, it's tremendously rewarding to see how use of the DRTS is contributing to improvements in diagnosis , treatment, pain control and protection from radiation exposure. 'There's no substitute for the satisfaction you get from the people you meet every day when you know you've helped take away some of their pain or contributed to their being treated in a better way," Landi says. lifeso, too, says he derives much satisfaction from seeing the benefits the DRTS brings to his patients, a satisfaction compounded by the work he continues to do with young medical students. "I still do a lot of work with students," he says, "and I encourage them to explore their ideas. If they have something they want to talk about, I tell them to come on in and we'll sketch it out." + Ellt•n liolr/luntuli'OI//rillll!l'll/o this arlitlt•. �· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · IJ ----------------------~- '' - ' / ' Reducing Multiple Births RELI\IINAR't RF'>LARC II by a fertility specialist at the University at Buffalo School of Medicine and Biomedical Sciences shows for the first time that a hormone whose role in fertility was thought to be limited to triggering ovulation may also support growth of a developing egg follicle during fertility treatment. The findings suggest thatlutenizing hormone (LH), a hormone present in the second half of the menstrual cycle, may perform the critical task of ustaining the growth of egg follicles until ovulation, said Michael W. Sullivan, MD, VB assistant professor of gynecology and obstetrics and lead researcher on the study. They have important implications for women undergoing fertility treatments, Sullivan says, because specialists formerly thought the only way to keep a developing egg growing was to administer follicle stimulating hormone (FSH), which also causes multiple eggs to mature. By manipulating LH and FSH, Sullivan says it could be possible to sustain the growth and development of one or two follicles in women undergoing fertility treatment while preventing multiple ovulations, thus decreasing the risk of multiple births. " obody has looked at this before, because it wasn't possible until the development of the recombinant form of the two hormones, which happened very recently," he says. "The finding is very preliminary, but it is promising. " The results are based on a prospective trial involving 24 women that Sullivan ® led while a fellow at the University of Pittsburgh School of Medicine. Successful infertility treatment depends on the ability to manipulate precisely the essential hormones involved, which requires their clear identification. Infertility specialists strive for a single birth; however, a stumbling block to this end has been identifying a way to limit the number of eggs that mature during fertility treatment while keeping at least one egg developing. During a normal menstrual cycle, FSH stimulates egg follicles to develop. At a certain point in the cycle, estrogen signals the pituitary to stop producing FSH, a signal that at least one egg follicle is well and being nurtured. The drop in FSH stops more follicles from developing, all immature follicles die, but the "recruited" follicle lives. " obody knew why the follicle continued to thrive in the face of decreased FSH ," Sullivan says. "We thought that FSH was required all the way along, even at low levels. So stan- B u f f a l o dard procedure during fertility treatment has been to continue FSH, which keeps follicles growing, but also may stimulate too many to develop. "We've now shown that FSH is not essential during the entire first half of the cycle. We've discovered that LH can make up for the deficiency ofFSH as the follicle grows." ullivan and colleagues stopped production of fertility hormones artificially in the study group, and then stimulated follicle development in all the women with recombinant human FSH. When a 14-mm follicle was identified by ultrasound, the women were randomized to one of four groups: continued FSH treatment; FSH replaced with saline; FSH replaced with high dose of recombinant LH, and FSH replaced with low dose of recombinant LH. After two days of treatment, researchers measured blood levels of estrogen, the sign that a follicle is healthy and developing normally. Estrogen levels dropped in the saline group, indicating the maturing follicle had ceased to thrive in the absence of FSH or LH. In all three remaining groups, estrogen levels continued to rise and pregnancies resulted in all three groups. "This suggests that if you administer FSH until one follicle matures, then limit FSH and substitute LH, you can support the growth of the maturing follicle, but won't recruit any more follicles," Sullivan says. Also participating in the study were A. Stewart-Akers, ]. S. Krasnow, S. L. Berga and A.]. Zeleznik of the departments of Obstetrics, Gynecology and Reproductive Sciences at the University of Pittsburgh School of Medicine. Funding came from the IH and TAP Pharmaceuticals. + Physician - LOIS Summer BAKER l 9 9 8 �m ·· ···· · ···· · · · · ·· ······· · ········ ··· · ·· · · ········ · ······ · · · · · ················ · ···· · ······ · m .. . . Blood-Brain Barrier Disruption and Hypoxia HE LA TEST HIGH- TECH GEAR can't protect climbers on Mount Everest from one of the hazards feared most by those who spend time at extreme heightsoxygen deprivation , or hypoxia , resulting in the potentially lethal brain swelling known as high-altitude cerebral edema. Research conducted at the University at Buffalo School of Medicine and Biomedical Sciences suggests that highaltitude cerebral edema is caused by a disruption in the blood-brain barrier. john A. Krasney, PhD , UB professor of physiology and a specialist in hypoxia, presented these findings on April28 , 1998, at the 66th annual meeting of the American Association of eurological Surgeons in Philadelphia. Krasney and colleagues in UB 's Hermann Rahn laboratory of Environmental Physiology have developed an animal model using sheep for studying hypoxia and cerebral edema in an effort to learn more about how and why these conditions develop and their effect on cognitive function. "Brain swelling, and also pulmonary edema, is one of the major problems at high altitude and we don' t really know the cause of either," Krasney says. "It is not lack of oxygen , per se. At high altitude , the brain has an adequate supply of oxygen, because blood flow increases to compensate for the lower concentration of oxygen in the air. Yet people still get sick. " In its mildest form, swelling of the brain brings on the headaches and nausea characteristic of acute mountain sickness. In its most severe form, B u f f a l o unrelieved by retreat to lower elevations , brain swelling advances to highaltitude cerebral edema, which causes disorientation, impaired mental function and death. Information gained from the study of high-altitude cerebral edema and hypoxia is relevant to many people other than those wealthy enough to afford an Everest trek , Krasney notes. "Thirteen million people go to Colorado every year to ski and 65 percent develop at least a headache, " he says . "Twenty-five percent develop acute mountain sickness , and l to 2 percent develop highaltitude cerebral edema. " Hypoxia also is associated with obstructive lung diseases , sleep apnea and other disorders. Krasney's research using sheep has shown that the symptoms of highaltitude cerebral edema are not caused by an inadequate supply of oxygen or glucose to the brain. Rather , it appears that an accumulation of malfunctions creates enough cerebral blood pressure to force apart cells of Physician Summer 1 9 9 8 . . the blood-brain barrier and allow fluids to accumulate in and around brain tissues. They theorize that acute hypoxia may allow a decline in cyclic adenosine monophosphate (cAMP) , a chemical messenger involved in regulating capillary permeability. The decrease in cAMP may allow the cerebral capillaries to leak. In addition , Krasney said, it is possible that , in the presence of hypoxia , another chemical messenger , cyclic guanosine monophosphate (cGMP), acts with nitric oxide , a vasodilator, to promote and sustain permeability of the blood-brain barrier. The combined influence of actions could allow fluid to accumulate in the intracellular spaces, he says. Yet another mechanism that may be at work involves eleva ted levels of leukocytes that may cling to the lining of cerebral blood vessels and cause leaks in the blood-brain barrier. Krasney and colleagues are attempting to clarify further the importance of these mechanisms in the development of acute mountain sickness and highaltitude cerebral edema. Their research is supported by the ational Heart, lung and Blood Institute. + -LOIS BAKER ® �· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 11 -- ' ------ - - ' / . HURWITZ & RNE, P.C . [ ATTOR Link between Prostate Cancer and Estrogen Studied u f f a l a Ph AT LAW I SERVICI G THE LEGAL NEEDS OF THE HEALTH Scm cEs CoMMU ITY HE FIR<, T 1 \ E~ TIC, -\TIO of the been studied in men , especially in rerole of estrogen metabolism in lation to prostate-cancer risk," Muti the development of prostate can- says. "Yet, men also produce estrogen, cer will begin at the University at and we know that estrogen plays a role Buffalo chool of Medicine and in the development of cancers in Biomedical Sciences in October women. There is evidence also that 1998, funded by a $450,000 grant from androgens are increased in women who the U.S. Army's Medical Research and develop brea t cancer later in life. " Muti's goal is to determine if estroMaterial Command. The 30-month study will determine gen metabolism is influenced by enviif differences in estrogen metabolism ronment and lifestyle in a way that exist between healthy men and men increases prostate-cancer risk. The inwho develop prostate cancer. Infor- crease in prostate-cancer deaths among mation on lifestyle habits also will be men who emigrate from countries with low rates to the collected to deterUnited States, where mine if, as suspected, rates are high , sugthese habits affect "ESTROGEN METABOgests that environwhether estrogen LISM HAS NEVER BEEN mental factors play breaks down into a a dominate role in potent product that STUDIED IN MEN, the disease, she says. may induce prostateESPECIALLY IN RELA"There is evice ll division , or a TION TO PROSTATEdence that a sedenweak version that tary lifestyle and acts to discourage it. CANCER RISK .. . YET , high-fat diet influThis never-beforeMEN ALSO PRODUCE ence estrogen meexamined mechaESTROGEN , AND WE tabolism to produce nism represents a a potent estrogen , potential new avKNOW THAT ESTROGEN while an active lifeenue of s trategies to PLAYS A ROLE IN. THE style and low-fat diet prevent this imporDEVELOPMENT OF induce production tant disease, said of a weak estrogen. Paola Muti , MD, UB CANCERS IN WOMEN ." Potent estrogens assistant professor of may increase prossocia l and preventate cell division and tive medicine and lead investigator on the research. increase cancer risk. It's possible that Prostate cancer is the second lead- the influence of these lifestyle factors ing cause of cancer deaths among men , on hormone metabolism, especially and the American Cancer Society esti- estrogen metabolism, could be the link mates that39,200 men will die of the between environment and prostatecancer risk." + disease in 1998 in the U.S. "Estrogen metabolism has never L OIS BAKER B EYS • Managed Care • Purchase & Sale of Practices • Business & Tax Planning • HCFA Safe Harbor Regulations ysician and Physician Self-Referrals • Contracts with Private & Public Entities • Employee Relations Counseling • Fringe Benefit Programs • Representation Before Government Agencies on Audit & Business Issues • Facility Finance and Construction • Credentialing and By-Laws • Hospital/Medical Staff Issues Please contact Robert P. Fine or Lawrence M. Ross at 716-849 -8900 1300 Liberty Building Buffalo. ew York Summer l 9 9 8 �· ···· · ··· ·· ·· ·· ··· · ·· · ·· · · · ·· ··· · · ·· ··· ·· · · ·· · ······· ····· · · ··· · · · · · ··· · ···· · · ···· · ·· ··· ·· m ·~!tl ~. ,;. . Taller, but Not Necessarily Happier con- into changes in quality of life. "If adult quality of life is what we're tinues to presume that height is a measure of personal satisfaction concerned with , then we should probin life, a new study by a team of ably be looking at factors in addition to researchers at the University at height. Maybe we should take into acBuffalo refutes the idea that taller count experiences related to having a is necessarily better. The study, which chronic medical problem in general, compared the quality of life of adults and how this might affect adult adaptawho were treated for growth-hormone tion, " Sandberg says , stressing that the deficiency as children with their healthy findings do not suggest that growthsame-sex siblings who experienced nor- hormone treatment has no benefit mal growth, appears in a recent issue of for patients' quality of life as adults. the journal of Clinical Endocrinology and Metabolism (Vol. 83, pp. 1134-1142.) The researchers, led by UB pediatric psychologist David Sandberg, PhD , a specialist in the psychological aspects of growth-hormone The study involved 140 former deficiency, found that as adults , chil- patients- 117 males and 23 dren who were treated were as well- females- and 53 siblings, all over adjusted as their physically healthy the age of 18. The mean age of the brothers and sisters . They also were treatment group at the time of the study doing much better as adults than previ- was 26. Information on several qualityous studies using non-sibling control of-life measures was collected by telegroups or norms from questionnaires phone interviews. The treatment and follow-up study were conducted at had indicated. Results showed, unexpectedly, that Children's Hospital of Buffalo. there was little or no relationship beBoth the data-gathering method and tween the former patients' adult height the relatively large and complete study or how much they grew over the course population give the findings special of therapy and their reports of psycho- credence , Sandberg says. "Most studies logical and social functioning. An im- use self-administered questionnaires , portant difference that did emerge was which are mailed to patients, giving in marital rates: Siblings were twice as you limited control over the process. likely to be married as former patients. Also , by using same-sex siblings, we "This study questions whether there is account as much as possible for particia direct relationship between how tall pants' genetic and social backgrounds. " The results showed no significant difyou are as an adult and how satisfied you are with your daily life experi- ferences between the formerpatientsand ences," Sandberg says. "Changes in their same-sex siblings in educational height brought about by growth hor- attainment, gainful employment, the likemone do not automatically translate lihood they were living independently, LTHOLGH POPCLAR CCLTLRE a u 1 1 o 1 o P hysic i an Summer 1 9 9 8 '"· .. and social support or adjustment, which involved aspects such as one's network of friends and social activities. There were slight differences between the groups on a measure of general health. Former patients reported more health problems, and those missing other hormones experienced more health and social difficulties , a predictable outcome in light of the fact that some patients still have health problems, notes Sandberg, who adds that he has no explanation for the differences in marital rates. The study places in perspective the relationship between height and happiness . "We shouldn't get caught up in the idea that making someone taller as adults will necessarily improve their quality of life," Sandberg says. "Our goal is to allow each person to reach the normal range so his or her short stature doesn't constitute a physical disability. Maybe beyond that we aren't going to find benefits. Quality oflife is an enormously complex concept. " Also participating in the study were Margaret H. MacGillivray, Richard R. Clopper, Caroline Fung, Linda LeRoux and Dana E. Alliger , all of UB and Children's Hospital of Buffalo . The study was supported in part by grants from Genentech . + - L OIS B AKER �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ----' / ' - -- ~~~- ' ""' . "It has taken 30 years from the discovery of these animal models to finding out the true cause of these anemias ," comments Michael Garrick. Recent efforts to map the rat genome gave a boost to the anemia research by providing enough markers to enable researchers to begin mapping the Belgrade rat and tists describe as a stunning example of conducting the D A analysis to find the biological conservatism: The same gene that encoded the critical protein. amino-acid change in the same gene in "The publication in 1995 of the rat the same protein is responsible for iron- genome inspired us to get together with deficiency anemia in two different ani- the Harvard group to map the Belgrade mal models. The details of iron metabo- rat, " says Garrick. Meanwhile, the Boslism-particularly the question of which ton Children's Hospital researchers were proteins are responsible for iron attempting to map the microcytic mouse. absorption in the intestine and for iron What the two groups found was akin to traffic within cells-have lightning striking long eluded researchers. twice, he says. "We The UB-Boston team has were looking at two . . . THE PROTEIN concluded that it is different models. We ramp2that actually takes APPEARS TO BE didn't know we'd up iron in the gastrointesfind the same thing. INVOLVED IN NOT tinal tract. Later, when Not only is it the iron is absorbed into cells JUST ONE , BUT same gene encoding in the body, it must be the same protein in SEVERAL CRITICAL delivered to the mitochonboth animals , but it dria. "This protein also is ROLES IN IRON is the same aminothe major one involved in acid change that METABOLISM . this critical, intercellular distinguishes the traffic step," says Garrick. normal animal from The current results, says the mutant. " Laura Garrick, as well as recent research A group at Brigham and Women's conducted elsewhere, suggest that the pro- Hospital in Boston independently found tein also may be implicated in a third the same protein; however, they did not type of iron transport, called nontransferrinhave a mutant animal that could help bound iron transport, which comes into play identify its role. "They did find that when there is excess iron in the body. ramp2 also transports lead, manganese, The findings of the UB and Boston cadmium, zinc, cobalt, nickel and copChildren's Hospital researchers build per. Thus the Belgrade rat could be defion decades of work at UB led by the late cient in some of these metals and thereRobin Bannerman, MD , and colleagues, fore may help us to understand human includingjohn Edwards , MD, that re- variability in response to toxic material," sulted in the characterization of animal Garrick says. models of two types of iron-deficiency "However, this protein doesn't ananemia: the Belgrade rat and the micro- swer all the questions in iron transport, " cytic mouse. Both animals are unable to he cautions. "What's remarkable, absorb iron properly in the gastrointes- though , is that it shows up in so many tinal tract or take it up sufficiently at the ways. It's a fantastic coincidence. " + cellular level. -ELLEN GOLDBAUM Major Step in Understandina Iron Metabolism, Iron-Deficiency cientists at the University at Buffalo and Children's Hospital in Boston (affiliated with Harvard University) have identified and characterized a protein that is the single most critical known element in iron metabolism. The first protein to be identified as essential for normal intestinal iron absorption and the first mammalian iron transporter to be characterized at the molecular level, the protein appears to be involved in not just one, but several critical roles in iron metabolism. The research, supported by the ational Institutes of Health, was published in the February 5, 1998, issue of the Proceedings of the ational Academy of Sciences and highlighted in the March 25 , 1998, issue ofjAMA. 'This finding allows us to take a major step forward in our understanding of iron metabolism," says Michael Garrick, PhD, professor of pediatrics and biochemistry at UB and a coauthor of the paper. Other UB coauthors are Laura M. Garrick , PhD, clinical assistant professor of biochemistry, and Michelle A. Romano, research technician. The discovery of the protein, called ramp2, will allow researchers to increase their understanding of iron-deficiency anemia; it could also lead to improved treatments for hemochromatosis and help manage exposure to toxic metals. For example, the potential role of ramp2 in hemochromatosis was a main topic of discussion in a symposium titled "Molecular Medicine and Hemochromatosis-At the Cro roads ," heldinBethe da , MD,May14-15 , 1998. The work highlights what the scien- e u f f a 1 o Physician Summer 1 9 9 8 �.........................................• • • 1 9 4 s 0 1 9 8 s 0 W ILLI AM MALONEY, '41 , wrties: EDWARD A . TOR IELLO , '80 , Good to read about Ted Ross. I'm glad some of the '41ers are still alive. The war was rough on been named to the board of directors of the American Academy of Orthopaedic Surgeons. our class. I've retired from anes- His election took place at the 65th annual meeting of the academyMarch 19-23,1998, in New thesia and live in Maine, near the shore. My health is fair. I do a little fishing and go to the Carribean most winters. 1 9 7 s 0 has Orleans. Toriello is chief of the Department of Orthopaedic Surgery at Wyckoff Heights Medical Center in Brooklyn, Y, and GLENN L. POST , '72 , writes: "I am currently working and attending orthopaedic surgeon at St. John's Queens Hospital, enjoying life in Kathmandu, Catholic Medical Center, Queens , Y. A member of the Nepal, with my wife , May, a Burmese physician. I am chief of the health E-maJU5 program at the U.S. agency for International Development You've done all you can for your patient. .. now what? I Classnotes tan also be submitted by E-mail at: ew York State Orthopaedic Society, he currently serves on its board of di- rectors. He is also a delegate of the House of Delegates for the Medical So- here. Our program has an anbpnotes@pub.buffalo.edu. nual budget of 17 million for ciety of the activities in maternal and child health, HIV/AIDS, family plan- State of New York. ning and infectious diseases. ROSLY N ROMANOWSK I, '86 , epa! is a wonderful country writes: ''I'm practicing hematolwith a rich and diverse culture, ogy/oncology with Century spectacular countryside and Medical Associates in friendly people. I was a Peace Williamsville, NY. My husband, Corps volunteer here from Bob Campo, and I are enjoying 1977-1979 , during which time our first child, Richard Joseph, I completed a preventive mediborn January 1, 1998." cine residency with a specialty in international health at Johns 1 9 9 0 s Hopkins. Suggest Hospice support and care. Explain how Hospice also helps the whole family. Remind them that you 'II be there with Hospice, still directing care. Tell your patient that you and Hospice together can help make the remaining time more meaningful, more dignified and more comfortable. JONATHAN is now at the University of Florida M ICHAEL J . p~~ 686.8077 5ALZLER ,'79 , at Gainesville, where he works in research. HOSPICE BUFFALO • HOME CARE BUFFALO • KRESGE RESIDENCE LIFE TRANSITIONS CENTER • HOSPICE FOUNDATION WE I NSTEIN , '93 , writes, "I am working in a private pediatrics practice in orthern Virginia, just outside Washington, DC. I got married in August 1997; my wife's name is Sandra. I keep in touch with B u f f a l a p s i c a 5 u m m e 9 8 �I -~-- • ·· · ········· ···· · · · ·· ········· ····· ···· ···· ···· ·· ·· ····· ··· ·· ·· ·· ·· ·· ····· ····· ·· ········· I Edward Math '93 (he was my best man). He will be doing a one-year fellowship in mary for 17 years and completed his career with the ew York thesiologists from 1984-1992. He also served as a certification examiner for the American Board ROBERT J . EHRENREICH , '47 , died on April3, 1998, in a Philadelphia nursing home after suffering a stroke. Ehrenreich, who fought a long battle with State Health Department. Survivors include his wife of 56 years, the former Marjorie Thomas. of Anesthesiology for 25 years. ThisJuly, I will begin my second year of residency in dermatology at SUNY Stony Brook. Also, died March 19 while visiting relatives in Evanston, IL. Ament, January 28, 1998, in Wanakah, Y, at the age of 88. Saab, a surgeon, maintained a practice in a pediatrician, allergist and clinical assistant professor in UB's my wife, Kimberly, and I would like to announce the birth of our who was 79, was a clinical professor of anesthesiology and vice Lackawanna, Y, for more than 50 years. He was also a taff phy- School ofMedicine and Biomedical Sciences. In his 43-year prac- first child, Danielle Leigh, on May 23, 1998. She was one chairman for educational affairs for the anesthesiology resident program at UB. During his long sician at Our Lady ofVictory Hospital and Mercy Hospital in that tice of medicine, he was on the staffs of Children's, Millard community. Survivors include his Fillmore, Sisters, Kenmore Mercy career as an anesthesiologist at Buffalo General Hospital (BGH) wife, the former Jane Daley. and DeGraff Memorial hospitals. Ehrenreich, known as "Dr. Bob," Charlouesville, VA, next year. SCOTT FLUGMAN , '96. writes: month early (surprise!) , but baby and mom are doing well. MARTIN C. MAHONEY , "95, has received the fir t-place award in the 1998 American Academy of Family Physicians Resident JOSEPH R . SAAB , '43, RICHARD AMENT , '42 , and Children's Hospital, Ament introduced new anesthesia techniques and developed the anesthesia resident program at BGH. The author of numerous pub- Scholars Competition. The award was given for his paper, lications, Ament was an expert in "Correlates of Anticipated Infant Feeding in an Urban , Indigent Family Practice Setting." the development of academic anesthesiology in the U.S. and, in recent years, became involved The AAFP respresents nearly 84,000 family physicians, fam- with the Wood Library Museum of the American Society of Anes- ily practice residents and medical students nationwide. thesiologists in Chicago. In 1986, he received the Distinguished Service Award, the most presti- OBITUARIES died December l l , 1997, in his Buf- gious award of the American Society of Ane the iologists, which he had served as president in 1977. Ament also was honored with the dean's award for outstanding service from the UB medical school in 1986, and in falo home after a lengthy illness. He was 81. rban, an internist, 1996, he received the OutstandingAiumnu AwardfromtheUB was a former track star at UB who once ran again Jesse Owens. Alumni Association. A member of many medical In addition to maintaining a private practice in his residence, he was a member of the medical organizations, Ament was president of the ew York Society of CARMELO E . PATTI , '32 , died December 7, 1997, in Hornell, Y. He was 89. STANLEY T . URBAN. '40 , staff of Millard Fillmore Hospital for more than 50 years. He was also medical director of the Erie County Home and lnfir- Anesthesiologists in 1967, a governor of the American College of Anesthesiologists from 197577, and treasurer of the World Federation of Societies of Anes- died on Parkinson's disease, which forced him to retire three years ago, was VINCENT J . CAPRARO , '45 , died continued the practice of house calls long after many physicians had abandoned them, and often on February 2, 1998, in Lorain Community Hospital, Lorain, OH, after a lengthy illness. Capraro, a retired professor and he called his patients if he went out for the night. An early advo- associatechairofthe Department cate of parent-effectivness train- of Gynecology and Obstetrics at UB, was an internationally known specialist in adolescent gynecol- ing, he taught parenting sessions in his office. After traveling to tournaments with his tennis-playing ogy and corrective surgery. He establi hed a private practice in daughter, Amy, Ehrenreich be- 1950 and joined the staff of Millard Fillmore Hospital in 1951, later serving as chair of the hospital's Department of Obstetrics and Gynecology and director of the training program for residents and medical students at UB. He was also chief of the Division of Adolescent and Pediatric Gynecology and Corrective came a chair umpire with the United States Tennis Association and officiated at matches in many locations, including Madison quare Garden and Forest Hills. During those years, he had several encounters with the former tennis "bad boy," John McEnroe. He is survived by his wife, Miriam; his daughter,Amy Haller Surgery at Millard Fillmore Hos- of Penn Valley, PA; two sons, Richard A. of Potomac, MD, and David B. of Wynnewood, PA; a pital and chief of the Division of Adolescent and Pediatric Gynecology at Children's Hospital. In brother, Harold M; a sister, Annette Irwin ofPembroke Pines, 1971 , he received the B Senior Medical tudents' Award for out- FL; and four grandchildren. standing teacher, and in 1990 a lectureship was established in his honor by the UB Medical School JAMES G . ROB I LOTTO , '48 , died November 25, 1997, at age 74, in Orchard Park, NY. After com- Alumni Association class of 1945. He retired in 1976 and moved to pleting his residency at the old Avon Lake, OH, in 1988. 6 f f a I o p s I c a 5 m m e 9 9 �................................................................. . ....... . ... . . . . . . . . . . . . ·· ~ - • E.]. Meyer Memorial Hospital in 1950, Robilotto established a general practice in Williamsville, NY, which he maintained until 1999 Class Reunion Preview I The following is o profile of John H. Remington, MD, Closs of 1939, which will be celebrating its 60th reunion next Moy. 1958. He was on staff of Sisters Hospital and served his anesthesia residency at Veterans Hospital from 1958 to 1960, after JOHN H . REMINGTON , MD After completing his internship at St. Mary's Hospital in president of the American College of Surgeons Upstate which he was a member of St. Joseph Hospital in Cheektowaga, Y, from 1960-1970. He was on Rochester, New York, John H. Remington entered gen- New York Chapter and the American Society of Colon and eral practice for two years with his father, the late Alvah Rectal Surgeons, and was on honorary fellow of the the staff at our Lady of Victory C. Remington, University of Buffalo medical school1897, Royal Society of Medicine of london and Royal Austra- Hospital, Lackawanna, NY, from 1970 to 1974. From 1974, until after which he spent a year in the Pathology Deportment lian College of Surgeons. He served as on examiner for at the University of Rochester, conducting research with the American Boord of Colon and Rectal Surgery and was Nobel Laureate George Hoyt Whipple. He was subse- on American Medical Association program director for quently granted a three-year fellowship in surgery at the the Section on Colon and Rectal Surgery. In addition, he Mayo Clinic, where for one year he was first surgical was founder of the Rochester Surgical Society and presi- his retirement in 1981 , he was a physician for ew York State. Survivors include his wife of 49 years, the former Helen Reyda. EDWARD A . PENN , '51 , died in assistant to Charles W. Mayo. While at Mayo, dent of the Research Society of the he developed and described two new surgi- American Proctological Society. Remington after a brief illness. After gradu- cal procedures and designed on instrument received two awards from the Rochester ating from UB and completing his training in Boston , Penn es- for performing bowel resections. Following Academy of Medicine and was elected to the fellowship, he was assistant surgeon to Sigma Xi, the notional honorary research the staff of the clinic and went on to earn on society. He was also a trustee of the MS degree in surgery from the University of Hochstein Music School and the Allendale Minnesota in 194 7. He then returned to School and was president of the Genesee December 1997 at his home in Yarmouthport, MA, at age 71 , tablished a pediatric practice in Fall River, MA, and served that community for more than 39 years. He moved to Yarmouthport in 1992 and retired from medicine in 1994. Dr. Penn was the former chief of pediatrics at St. Anne's Hospital in Fall River during the early 1970s and was Emeritus Fellow of the American Academy of Pediatrics and past president of the Massachusetts Chapter of the Academy of Pediatrics. He was also an associate professor of Pediatrics at Tufts University School of Medicine and a member of the Health and Finance Committee for the National Academy of Pediatrics. Surviving are his wife , Eileen + (Simon)and three sons. B u f f a l a P Volley Antique Automobile Society. Rochester, where he practiced in his specialty of colon Today, Remington, who retired in 1979, is enjoy- and rectal surgery. During the course of his career, Remington was a ing studying history, reading biographies and travel- clinical associate professor of surgery ott he University of ing with his wife, the former Katherine Weber, RN, who Rochester, choir of the Deportment of Surgery at St. formerly was a surgical nurse at the Buffalo General Mary's Hospital, attending surgeon at Highland Hospital Hospital. There, she worked with the late Marshall and consulting surgeon at Rochester General and Genesee Clinton, Herbert Smith, Thew Wright, Elmer Milch, Hospitals. He has been in all 50 states and in 38 foreign Wallace Hamby and others. The Remingtons (who countries, serving as a lecturer or visiting professor in 14 reside on Old Mill Rood, Rochester, NY 14618), hove of those countries. three children: John Alvah, PhD, University at Buffalo '66, oflucson, AZ; William Frederick, MD, of Pittsford, Remington has published 52 articles, including NY; and Susan Ann, MA, of Ann Arbor, MI. three chapters in surgical texts. He has served as hysician Summer 1 9 9 8 + I �THE ULTIMATE DRIVING MACHINE: AMANA COLLECTS Checkpoint Foreign Car, Inc. Sales and Service 487 Kenmore Avenue Buffalo, NY 14223 Comprehensive Cost-Effective Receivables Management 836-2033 Your WNYLeasing Specialist Serving WNYproudly for 33 years ~ Amana Capital Corporation Buffalo. New York 716-852-3500 800-44 1-6925 WNY's- Exclusive - BMW Retailer THE ULTIMATE DRIVING MACHINE.® THOSE LOOKING FOR MORE CONTROL IN THEIR LIFE CAN NOW FIND IT ON SLIPPERY PAVEMENT. F. G. 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MLMIC's responsive team of underwriters, claims personnel, policyholder services representatives, risk management consultants, medical experts, and defense attorneys provides our insureds with the best liability protection and the highest level of personalized service available. Owned and operated by its policyholders, MLMIC has successfully defended more New York physicians than all other insurers combined. With one of the country's largest and most experienced claims departments, MLMIC also offers the State's only true peer review of claims experience. These are just a few of the reasons why MLMIC is the only medical liability insurer endorsed by the Medical Society of the State of New York. Caii80Q-275--6564 (NY metropolitan area), MLM~C ~ledicall.iability ~ ~lutuallnsuran~ Company or BOQ-356-4056 (Upstate) for more information and to find out about available premium discounts. Our defense never rests. 2 Park Avenue New Yor k, NY 10016 2 Clinton Square Syracuse, NY 13202 90 Merrick Avenue E. Mead ow, NY 11S54 C1998 Medic.alliakril ty Company Mutualln~urance �Non-Profit Org. U.S. Postage PAID Buffalo, NY Permit No. 311 BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET BUFFALO NEW YORK 14214 ADDRESS CORRECTION REQUESTED To consult with someone truly concerned with your financial health, come to Key Your Key Private Banker heads a team of K EY PRIVATEBANK professionals, who can help you achieve your financial goals with surgical precision. Call Marv Madison at 716-847-2341. It may be one of the most important appointments you make. We know medical professionals' financial needs like the dorsum of our metacarpus. Key. For anew America~ � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1998 Subject The topic of the resource State University of New York at Buffalo. 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Merger Final Elegant Solution to a Complex Problem Medical School Physicians Reaching Out to Students Alumni Class Reunions Research Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-09 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v33n01 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 1998 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/6ceb59dbd454b2d5b3e613a94a5285ee.pdf 9ea5f35b4b64afd726bc4aa06cfe7a53 PDF Text Text J J ] �BUFFALO PHYSICIAN Volume 32 , Number 2 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY SERVICES Dr. Carole Sm1th Petro DIRECTOR OF PUBLICATIONS Kathryn A. Sawner EDITOR Stephamc A. Unger ART DIRECTOR/DESIGNER Alan j. Kegler ASSISTANT DESIGNER Lynda Harmel PRODUCTION MANAGER Ann Raszmann Brown STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr. John Wright, Interim Dean EDITORIAL BOARD Dr. Bertram Portm , Chair Dr. Marun Brecher Dr. Harold Brody Dr. Linda j. Corder Dr. Alan J. Dnnnan Dr. James Kansk1 Dr. Barbara Maj eroni Dr. Elizabeth Olmsted Dr. Charles Paganelli Dr. Stephen Spauldong Dr. Bradley T. Truax Roy Vongtama Dr Franklin Zeplowitz TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospital M1chael Shaw The Children's Hosp1tal of Buffalo Erie County Medical Center Mercy Health System Mollard Fillmore Health System Frank Sava Niagara Falls Me mona! Medical Center Roswell Park Cancer lnstnute Sisters of Chanty Hosp1tal Dennis McCanhy Veterans AffaiTS Western ew Yo rk Healthcare System © The State Umversity of New York at Buffalo Buffalo Physi cian IS publi s h ed quarterly by the State Umversity of New York at Buffalo School of Medicone and Biomedical Sciences and th e Offoce of Publications. ll1s sent, free of charge, toalumm , faculty , students, res1dents, and fnends . The staff reserves the right to edn all copy and submissiOns accept ed for publication. Dear Alumni and Friends, of our major hospital affiliatesthe Children's Hospital of Buffalo, Buffalo General Health System and Millard Fillmore Health System-is fast approaching. At the same time, the Catholic Hospital System is moving toward a different and more integrated configuration, and the U.S. DepartmentofVeterans Affairs Medical Center is being molded into the evolving VA Integrated Network (VISN#2). Within this flurry of mergers and reorganizations, the Erie County Medical Center is struggling to establish its essential niche in this community's health-care delivery system, and Roswell Park Cancer Institute is experiencing a "rebirth" of sorts. Not only will each of these dynamics significantly change the nature of health care within the greater Western ew York area but, as noted in previous Buffalo Physician messages, they also present a variety of important challenges for the university and, in particular, for the School of Medicine and Biomedical Sciences. My message in the last issue of Buffalo Physician outlined a few of these challenges, and while we cannot report much externally visible progress, some progress has been made, at least in terms of "establishing a direction" as distinct from "arriving at a destination. " I am therefore particularly pleased to report that Dr. Michael Bernardino, from Emory University, accepted the important position of vice president for health affairs and came "on board" Aprill , 1998. Dr. Bernardino, an academic radiologist by training who is well versed in the ways of managed care and practice plans, brings much-needed expertise to the university. The circumstances described above underscore the wisdom of separating the dean of medicine function from that of the vice president for health affairs. Although there will continue to be significant overlap in responsibility, each position is sufficiently different in today's new world of changing education focus , research direction , practice configurations, mergers and managed care that differing skill sets need to be employed-and applied on a full-time , concentrated basis. Mike's arrival should not only herald the development of a more coherent strategy for the medical school-and for the other health science schools-in dealing with the rapidly changing environment, it should also greatly increase the school's "negotiating strength. " The interests of the community, in the broadest sense, represent those of the medical school and of the larger university. Hopefully, your school can serve as a catalyst to bring some rationality to the present turmoil. In the meantime, it is clear that our destiny will be to work side by side, and in collaboration, with our community physicians and volunteer faculty. The commitment is to be inclusive, not exclusive, and to work with the various players in as collaborative a fashion as possible. It won't be easy, but I think you will agree: It's the only logical way for us to go! THE ANTICIPATED MERGER DATE FORTH REE John R. Wright, MD Interim Dean, School of Medicine and Biomedical Sciences Dear Fellow Alumni, lT S EEMS LIKE TH E SC HOOL YEAR IS FLY! G BY. I have the feeling that it just began. However, here we are looking down the homestretch, with Match Day (March 18) and Senior Reception (March 21) behind us, and Alumni Reunion Weekend and Spring Clinical Day (April24-25) upon us. I hope that many of you were/are able to join us for some of these activities. We are happy to announce that Dr. Nancy Nielsen will be joining the Medical Alumni Association Board of Governors. A past recipient of the prestigious Samuel P. Capen Alumni Award, she currently holds the position of assistant dean for thirdand fourth-yearmedicalstudents. We look forward to her participation and counsel. I wish to advise you that the Medical Alumni Association will no longer be able to offer a joint membership with the general University at Buffalo Alumni Association. That association has decided to solicit your membership separately. I will give a more detailed explanation in the next issue of the Buffalo Physician. Dr. john Bodkin has put together an excellent program on the "Aging American" for our Spring Clinical Day, April 25. This year's recipient of the Stockton Kimball Memorial Award , Edward H. Wagner, MD '65, MPH, will deliver a lecture at the annual Medical Alumni Association luncheon tha} day. He is professor of medicine at the University of orth Carolina and at the Umversny o Washington , and also director of the W. A. MacColl Institute for Health Care Innovation, in Seattle. I am looking forward to seeing you at the Alumni Weekend and Spring Clinical Day. With warm regards, ~B"~~.M~~ President, Medical Alumni Association m.o, �------ ~--- ~ -- ~---- ~~ ------ VOLUME 32 , -- ----- NUMBER 2 SPRING The Sounds of Science Focusing AUention on ADHD Northern Exposure RESEARCHERS FIND COMPREHENSIVE A SloE IN BRAIN APPROACH TAKES LEAVE OF RESPONSIBLE TO TREATMENT ABSENCE TO FOR TINNITUS by S. A. Unger WORK IN ALASKA 1998 MEDICAL STUDENT by Bretton Newman by S. A. Unger photos by K.C. Kratt 1 U 8 ALUM THRIVES IN THE BIOTECH INDUSTRY by Betsy Sawyer 1 FDA APPROVES NEW DRUG FOR 2 3 1 COLLABORATIVE EFFORT WITH PRESIDENT UB, THE UNIVERSITY AT NAMED FOR ALBANY AND HEALTH AFFAIRS ROSWELL PARK by Arthur Page by Jessica Ancker Research ews Cl tP. FOUR U 8 A udent's pe spec ive: THE BEGINNING TREATMENT OF OF MY QUEST LUNG CANCER by Pamela Crowell ~--- ALUMNI PRESENTED AMA LEADERSHIP AWARD -- �Sof c1e RESEARCHERS FIND SITE IN BRAIN RESPONSIBLE FOR TINNITUS ICHAEL D EAKI RECALLS the exact moment in his life when he first experienced tinnitus, the constant ringing in the ears that affects an estimated 50 million Americans. "I remember waking up on the morning of Aprill2, 1994, with a high-pitched squealing in my ears. I thought the microwave was going off downstairs but I wasn't able to find the sound anywhere," he says. Recently, For many people who experience tinnitus, the condition represents a nag- Deakin found ging bother in their lives, but one they something else manage to cope with reasonably well. to keep him For others, however, like Deakin, tinni- going: the retus is a debilitating condition because it sults of a study affects them emotionally, to an extent published in Using positron emission tomography, Alan Lockwood, MD, (/eft}, and Richard Salvi, PhD, have that their lives are severely disrupted. "I the january localized the spontaneous neural activity associated with tinnitus to the brain's temporal lobe. went into a state of depression and wasn't 1998 issue of Neurology in which researcheven able to work," says the "Tinnitus will affect 30 to 40 percent ers using positron emission of all people by the time they reach age 56-year-old CPA and BufB y falo businessman. "I have tomography (PET) have for 60, and these numbers are expected to S . A spent the past four years the first time pinpointed the increase as the baby-boomer population looking for help, but I've specific regions of the brain ages," lockwood says. "People with seU N G E R been told this is something l responsible for tinnitus.The vere tinnitus, which is currently about 10 will have to learn to live with study was conducted at the percent of elderly Americans, often sufbecause there is no known treatment. University at Buffalo School of Medicine fer depression, anxiety, sleep disruption "l have friends and know people who and Biomedical Sciences and the U.S. and other symptoms that have a major have tinnitus, and they're not that dis- Department of Veterans Affairs Medical impact on their quality of life. Without tressed by it, but for me, it has seriously Center in Buffalo by lead researchers objective information on how and where affected my life. I can't read, and I can't do Alan Lockwood , MD , and Richard the condition originates, developing efmuch that involves significant concen- Salvi, PhD, who have since received a fective treatments has been difficult. By tration. I have good days and I have bad $1.5 million grant from the IH to identifying the sites in the brain that days; what keeps me going is knowing conduct a major investigation of tinnitus mediate tinnitus, we have taken a critical that I will have some good days. " and hearing loss using PET scanning. step down the road toward a cure 0 B u f f a l a Phys i cian S p r 1 n g 1 9 9 8 �-~ ~~.~---------- ------~ -- ----- TINNITUS . ,_,_ < ~ u ~ for this disabling condition. " Lockwood, a professor of neurology, nuclear medicine and communicative disorders and sciences at UB , is director of the Center for Positron Emission Tomography at the Buffalo VA medical center, a joint venture with UB , where the research was conducted. He and Salvi, who is codirector of the UB Center for Hearing and Deafness, studied tinnitus patients who have the unusual ability to control the loudness of the ringing by clenching their jaws. "We went to a tinnitus support group here in Buffalo," Salvi recounts, "and during conversations with the participants, we learned that some of them could modulate their tinnitus: They could make it louder or quieter by pressing or touching their face around the mouth or jaw, clenching their teeth or sometimes pressing on a tooth. This was a real breakthrough in the project because it meant we could look at the brain in two different states: when the tinnitus was at its normal level and when it was louder or quieter. We used this quite effectively to design the brain-imaging study." The study involved four tinnitus patients, all of whom had mild to severe hearing loss, and six persons with normal hearing and no tinnitus who served as controls. All participants took standard hearing tests before the PET scanning began. By working with these participants , the researchers were able to track fluctuations in cerebral blood flow through PET scans taken while the patients manipulated their symptoms, creating a map of the brain site responsible for tinnitus activity. "We have four major findings in this study," Lockwood says. "The most important is that we were able to localize the spontaneous neural activity associated with tinnitus to the temporal lobe of the brain, which is the most important auditory region of the brain. " The researchers then included another step in the design of their study: They compared the phantom sounds of tinnitus with activity that was produced in the brain by real sounds. In so doing , they narrowed down the population of patients in the study to include only B u f f a l o those people who experienced tinnitus in one ear-and what they found was that most had tinnitus only in their right ear. lt was these two factors-the unilateral expression of the phenomenon and the ability to control the loudness by a voluntary means-Lockwood says, that enabled the researchers to next compare the brain region associated with spontaneous neural activity of tinnitus in the right ear only, with the brain regions activated by playing a real sound in the ear. '' T I hat we found was that the real sounds caused bilateral neural activity, whereas the phantom sounds of tinnitu~ were associated with unilateral "TINNITUS WILL AFFECT 30 THE TIME THEY REACH AGE TO the limbic system, the part of the brain that, among other things, controls emotion. "Our third finding, therefore, was that in tinnitus patients, but not in normal controls, there is this crossover between the auditory system and the limbic system. We now think this is the pathway through which the phantom sounds are conveyed that impact adversely on emotions," Lockwood says. "An important aspect of the clinical manifestation of tinnitus is that it's extraordinarily distressing to many people, and we think this aberrant link between the auditory and the limbic systems is the means by which this information gets transferred. " The fourth finding of the study resulted from a strategy whereby the re- 40 PERCENT OF ALL PEOPLE BY 60, AND THESE NUMBERS ARE EXPECTED TO INCREASE AS THE BABY-BOOMER POPULATION AGES," LOCKWOOD SAYS. activity," says Salvi. "This told us several important things , the most important of which is that the source of this neural activity had to be in the brain. The unilateral delivery of sound to just one ear activates just one cochlea. And if the cochlea had been the site of the spontaneous neural activity that causes tinnitus, we would have seen bilateral activation just as we saw when we played real sounds. So this comparison between phantom sounds and real sounds enabled us to arrive at our second major finding , which was to localize the source of the phantom sounds to the brain, instead of the cochlea, where many investigators have believed tinnitus was originating. " Through comparison of this sound activation in the patients, the researchers made two further significant observations. By playing the sounds into the ears of the patients who also had sensory neural hearing loss , they found activation of the hippocampus region of Physlcia 5 p r I n g 9 9 8 searchers subtracted the areas of activation caused by real sounds in the controls from the areas of activation caused by real sounds in tinnitus patients. What they found was that there is a much larger area of the brain activated in tinnitus patients than in the control group. "This finding indicates that the circuitry of the auditory system has been changed in some way in the patients with tinnitus, " Salvi notes. "It's much larger than in the controls, and we think that's important because we surmise that some of these new connections are the ones responsible for causing the phantomsound sensations. " According to Lockwood and Salvi, other studies have been conducted using functional imaging techniques , such as MRl, in which results have clearly shown that the distress of phantomlimb sensation is associated with the degree to which the brain manifests this TINNITUS CONTINUED ON PAGE 15 0 �William E. Pelham, Jr, PhD, working with a young participant in the Summer Treatment Program. �--- --~-~--------- - - - - - - - - - - - - - - - - - - -- Focusio Atteotion on I n ~ TTE TION DEFICIT HYPERACTIVITY DISORDER (ADHD) is the most commonly diagnosed disorder of childhood. Boys and girls with classic symptoms of ADHD have diffi.culty with attention, impulse control and modulation of activity levels. In recent years, ADHD and its prescribed treatments have swept into the medta spotlight, grabbing the attention of the public with a fervor unrivaled at times by even the most hyperactive of children. At the heart of this national discourse are questions about the number of children being diagnosed with ADHD and the drugs with which they are being medicated-most notably Ritalin, a central nervous system (CNS) stimulant less well known by its generic name methylphenidate. ' At the University at Buffalo, William E. Pelham Jr., PhD, one of the leading ADHD researchers in the United States, is conducting ongoing studies on how best to manage this disorder through a combination of behavioral modification techniques and medication. As a result of his studies and the innovative treatment programs he has developed over the past two decades, Pelham has gained widespread recognition as a researcher who has helped to bring rigorous scientific inquiry to bear on many of the con troverB Y S A . U N G E R siessurrounding the treatment of ADHD. Recently, he was selected as one of a handful of experts to plan and address a ~ational Institutes of Health Consensus Statement Conference on ADHD, to be held in November 1998. CLINICAL TRIALS AIMED AT IMPROVING MEDICATION CoMPLIANCE Medication compliance problems severely hamper treatment of children withADHD, in large part because there currently is no effective long-acting medication available for treatment of the disorder. Ritalin, for example, which has long been considered the "gold standard" for ADHD medicaB u f f a I a tion, lasts only three and a half to four hours so must be given three times a day if it is to be effective. "The schools are then faced with the dilemma of how to give medications to these kids and since there are fewer and fewer school nurses, most schools don't have a person to do that," explains Pelham, who came to UBin 1996asa professor and director of clinical training in the DepartmentofPsychology. "As a result, teachers, secretaries, principals and guidance counselors-people who have lots of other things going on in their workdays-are trying to give the kids their medications during school hours. And some schools are so averse to this that they don't prompt the child, which causes further compliance problems because kids with ADHD have difficulty with organization in the first place, so they don't remember to take their medication." Currently, Pelham is working with coinvestigators at UB's School of Medicine and Biomedical Sciences to conduct two clinical trials, the goals of which are to examine drug delivery systems that would overcome the need for children to take ADHD medications more than once a day. In the first trial, Pelham has received $1.5 million from ALZA Corp. to study the effectiveness of a 12-hour formulation Physician 5 p r I n g 1 9 9 8 of methylphenidate (Ritalin). His coinvestigators on the study are Martin Hoffman, MD, clinical associate professor, and Thomas Lock, MD, assistant professor of clinical pediatrics, in the Department of Pediatrics; and Eugene Morse, professor and chair, Department of Pharmacy Practice, UB School of Pharmacy. In the study, which will conclude in mid-May, participants must already be receiving methylphenidate and responding well to it. Once enrolled, they are randomly assigned to either continuing their normal Ritalin regimen, taking a comparable dose of the new long-acting formula or taking a placebo for one week each in a threeweek period, during which time their regular classroom teachers and their parents rate their behavior. Each Saturday they come to UB and spend the day in a laboratory classroom, participating in recreational activities, schoolwork and meals. Throughout the day, their behavior is observed and measured by researchers viewing them from behind a one-way window and by the teachers in the classroom, with the objective being to track the onset and offset of the medication. "We are measuring the things that you want to know Ritalin affects," 0 �Pelham explains. "For example, in the classroom, we want to see how the drug affects their academic work. So we have them spend lO minutes doing a timed math or reading test and we track their behavior while they work. " Prior to the start of the study, all the families receive psychosocial therapy. Parents attend six training sessions to learn about appropriate behavioral intervention techniques , and the children's teachers attend four similar sessions geared toward classroom interventions. nee this small, tightly controlled study is completed, a second trial with this same design will be conducted by researchers at the University of California at Irvine. Then, in September 1998, UB and 10 other sites across the nation will participate in a large-scale randomized Phase III study of the new longacting version of the drug. Children are currently being accrued for this trial, which will last a year. In a second drug trial, Pelham has received $250,000 from Bristol-Myers Squibb to study the effectiveness of a 24hour skin-patch version of the drug Buspar, an antianxiety agent that has been used for years with adults. His coinvestigators on this study are Helen Aronoff, MD, assistant professor of clinical psychiatry, and Michelle Pato, MD, associate professor of psychiatry, Department of Psychiatry. "Bus par, while not a CNS stimulant, is a drug that preliminary trials show may be efficacious for children who do not respond to Ritalin," Pelham explains. In this multisite trial, the participants-who cannot currently be taking any medication for ADHD-are assigned either a placebo or a lower or higher dose of Buspar in the patch form, which they take for six weeks. The children come to UB once a week to be checked by physicians and research associates; at the end of six weeks their teachers rate their behavior using the Conners Rating Scale. "At the end of the trial, if the doctors think the child is doing well, he is entered into the longer-term safety phase of the study," Pelham says. SUMMER TREATMENT PROGRAM FocusEs oN BEHAVIOR WITH PEERs Pelham's research into ADHD extends beyond drug intervention to include behavior modification, as well. A disadvantage to giving Ritalin is that when children with ADHD stop taking the drug, they revert to former patterns of behavior, and research shows many people affected by this disorder do stop taking the drug when they become teenagers or young adults. "We know that medication, when stopped, has no long-term effect," he says. "Furthermore, research over the past few years suggests that by combining medication and behavioral treatments, significant incremental benefits are gained beyond either treatment alone. Therefore, it's this combined approach that's becoming the treatment of choice for ADHD. " To that end, Pelham has worked since 1980 to develop a Summer Treatment Program that integrates behavior modification therapy with activities normally associated with summer camp. Last summer, the program accommodated 36 children, ages 7 to 12, who stayed together for eight weeks, from 8 a.m. to 5 p.m. each day. The program will be offered at UB again in the summer of 1998. • The activities are largely sports-oriented and provide a highly interactive setting in which behavior problems can easily arise, especially those that pertain to peer relationships, a key area of focus for ADHD researchers. "Negative perception by childhood peers is the single best predictor of adult maladjustment," says Pelham. "This is something we've known in the field of child psychology for years. And surveys show that children with ADHD are often uni- formly disliked by their peers. " Despite knowing that this problem is predictive of poor outcomes in a whole host of measures in children withADHD, researchers have been frustrated in their attempts to find treatment approaches that have proven successful in managing peer relationship difficulties. "Peer relationships are very resistant to change," Pelham says, "and one of the reasons why there has been failure is that it's difficult to work on peer relationships in the office or the classroom, the two locations where standard outpatient treatments are provided. " Overcoming the limitations of these traditional treatment venues is a key objective of the Summer Treatment Program. Another limitation to existing interventions that the program is structured to overcome is the fact that although children are more available for mental health services during the summer months than they are during the school year, most mental health centers and professionals cut back on or eliminate services for children with ADHD during the summer. "A child with ADHD spends as much time awake and interacting with others during the summer months as he or she does in school during the entire rest of the year ," Pelham notes, "yet treatment programs for most children with ADHD are suspended during this time, leaving the kids to engage in what are often unstructured acttvttles. Summers , therefore, represent an untapped time for treatment." In the Summer Treatment Program, children are placed in age-matched groups of l2 children, and treatments are implemented by teams of five clinical �----~---------- staff members who are student interns. Key behavior modification goals of the program pertain to improving the children's social interactions, academic performance and self-esteem, as well as increasing their ability to follow directions and complete tasks. The children spend three hours a day in classroom sessions conducted by special education teachers and aides, who use behavioral modification techniques designed to treat the children's problems in a classroom context. Of these three sessions, one is modeled after an academic special education classroom, a second involves computer-assisted instruction and a third, art therapy. The remainder of the day consists of recreationally based group activities. Treatment throughout the program also includes teaching the children social skills necessary for them to function effectively with their peers in a group setting. These skills are introduced in 10-minute sessions that include role modeling, instruction and practice, after which they are reinforced through the assignment of group tasks designed to promote cooperation. In addition to social skills, an important aspect of peer relationships is a child's performance in group recreational activities, according to Pelham. "In the program, therefore, we strongly emphasize teaching sports skills and knowledge as a way to improve the children's status among their peers and to also improve their own self-esteem." A major component of the program's interventional goals takes the form of a "report card" that is given to the children each day. Points are awarded for appropriate behavior, such as listening and paying attention, following the rules and showing good sportsmanship, or subtracted for inappropriate behavior, such as talking out of turn, aggressiveness, not staying in line and swearing. The children exchange their points for daily and weekly privileges, - - - - - - - --- - social honors and home-based rewards. If the standard interventions provided by the program are insufficient or inappropriate, clinical staff members develop individualized strategies to deal more effectively with a child's behavior. To ensure that what the children learn transfers to their time outside the program, parents receive training one evening a week in how to implement behavioral modification techniques at home, a strategy Pelham says is key to the success of the program. ased on a variety of measuresfrom parent, counselor and teacher improvement ratings, to child self-perception ratings- the Summer Treatment Program has proven to be a very promising form of treatment. In recent years the program has been replicated by the Departments of Psychiatry in the medical schools at Emory University, Case Western Reserve and New York University, as well as by the Department of Pediatrics in the medical school at Vanderbilt University. In addition, the program was adopted as the child-based treatment component of the psychological treatment arms in the National Institute of Mental Health's (NIMH) Multimodal Treatment clinical trial for ADHD and was implemented at seven national medical centers as a part of that trial. However, because treatment programs-even those as intensive at the Summer Treatment Program-have not been shown to have long-term effects without appropriate follow-up, Pelham has developed a Saturday Treatment Program, booster parent training and school interventions. The Saturday Treatment Program, which takes place each Saturday from September to May, places an emphasis on maintenance and generalization -~-­ - --- -------------- of behavior modification. Booster parent training consists of biweekly or monthly sessions to help parents learn how to communicate with their children's teachers and how to continue working on home-based programs. In follow-up interventions, program therapists work with teachers to help them develop detailed classroom management strategies that will provide effective, consistent intervention for children with ADHD. CLINICAL TREATMENT SETTINGS PRO• VIDE BASE FOR ONGOING RESEARCH In addition to providing effective treatment and training, both the Summer Treatment Program and the Saturday Treatment Program are designed to facilitate ongoing clinical research. Over the years, Pelham and his coinvestigators have conducted numerous double-blind, placebo-controlled evaluations of stimulant medications within both these settings. For example, he and his colleagues published a paper in 1990 in Pediatrics (1990. 86, 226-37) in which they described the first study ever done to compare the efficacy oflong-acting drugs for ADHD, including standard methylphenidate, sustained-release methylphenidate, sustained-release dextroamphetamine, and pemoline. "This study resulted in an increase in the number of people using long-acting stimulants because it showed that they all work about as well as Ritalin," says Pelham. "So, despite the fact that there are problems with these drugs, this research showed that they are viable medications, worth using and worth further development for treatment of ADHD. " In another study done in the context of the Summer Treatment Program, Pelham looked at the controversial question of whether Ritalin gives children a sense that they need the drug to solve their problems. In this NIMH-funded study- the first balanced-placebo design study ever done in children-the AOHO CONTINUED ON PAGE 31 �rJ 1 I 1 J .':J ! L! C_. 8 SJ. ! ;:) �-------~ ------ - --- -~- --------- ---------- -~-----~----- Breech babies, blueberries and icebergs TWAS NEARING MIDNIGHT , IT WAS GOING TO SHAPE ME IN A WAY :-.:0 OTHER PLACE HAD BEFORE. -- �U ays later, on August 17, 1997, I began my descent who had been authorized to fly into Nome (by a physician via through thick, gray clouds on an Alaskan Airradio call). She had been thrown from her four-wheeler while lines flight. Having made the decision to take a moose hunting and was medically stable, except that her nose leave of absence from my fourth year of medical was lacerated and separated from her face. It was my job to school at the University at Buffalo, I was ready to stitch it back into place. At home, I thought, a plastic surgeon begin a two-monthstayinNome, working alongwould have been called. Here, I was the person available to do side local physicians and other health-care providers. the job and I went to work. Nome, population 4,500, is situated on the isolated coast of the Bering Sea in the northwest region of Alaska, some 161 miles from Siberia, and is not connected by roads to any outside community. Completely surrounded by water or stretches of unpopulated land in every direction, the region boasts a history rich in Inupiaq and Yupik Eskimo tradition, as well as a Caucasian LEFT TO RIGHT· MOTHER HOLDING BABY influence that has persisted since whaling times. Every fourth DELIVERED BY NEWMAN; RESPECTED VILLAGE orne is also famed for its 1899 gold rush and night, I took inas the terminus for the annualiditarod dogsled ELDER IN NOME FOR A CHECKUP YOUNG BOY FOR house call at the race, held in March, which traverses 1,049 WHOM NEWMAN PERFORMED A SCHOOL PHYSICAL. hospital. After miles offrozen tundra from Anchorage toN orne. 6 p.m. there were I arrived in orne in a drenching downpour and was told that no physicians on duty at the hospital (they were on call from it had been raining for weeks and would likely continue to for home). I took the calls first and had the incredible opportumany more days. The unpaved streets ran thick with mud in nity to see patients in the ER with no residents or attendings front of small, colorful, boxy houses sitting on gravel plots with present to direct me. When I needed help , I called for it, but sparse lawns. This place was very different from any I had ever in the meantime I learned to trust myself, to be calm and to seen before, with severely limited opportunities for dining, think about medical problems on my own for the first time. entertainment or shopping. The focus instead is on the landAfter a few weeks in orne I had the opportunity to fly via the berries in season, the whales and walrus, the salmon runs, bush plane to the tiny Eskimo village of Unalakleet, for a the hours of daylight, the whereabouts of the moose, and the "village visit" with a doctor to see patients who had been simple richness and variety afforded by the changing seasons. waiting for months for medical attention (unless it's an The Seward Peninsula, the great landmass supporting Nome emergency, patients wait for a doctor to visit their village) . and the many smaller surrounding villages, provides a natural The villages are primitive when compared to Nome. Many subsistence harvest rich enough to feed and fully support its residents do not have running water in their homes, and there limited human population. A mixed economy has taken hold, is usually only one store to supply all needs. The schools are split between the influences of "the lower 48" (which has gained well built, and the homes are small and winter-tight. Life here entrance via the telephone, satellite TV and the Internet) and the is even less dollar-driven; instead, it is highly focused on the ever-present, inescapable influence of the bountiful land. hard work of "subsistence living," earning a living from the The town of Nome is the most developed community for land. I treasure memories of the days I walked out into the miles around, and it is clearly the center of medical progress on tundra to pick fat blueberries until my hands were purple the Seward Peninsula. The hospital houses a 21-bed inpatient with the delicious juices. I would return home with a full sack unit, an outpatient clinic and a two-bed emergency room. Norne and can berries as jam, bake fresh pies, and store the juices for provides health care for its own population and for an additional pancake syrup. The pride I felt in collecting my own food was population of 5,000 spread throughout 17 rural villages, accespowerful, and I was blessed to share this experience many sible only by bush plane or boat (the health-care region encomtimes over, thanks to the incredible generosity of those I met. passes an area of some 23,000 square miles). Since the populaOne such kind and generous Eskimo woman was a "health tion is not large enough to support full-time specialty medicine, aide" at the Euksavik Health Clinic in the Unalakleet Village. the physicians who reside in Nome practice as family physiShe invited me and the doctor I was accompanying into her cians. The doctors in this remote area must each be willing and home for dinner with her family, and we shared a "subsistence able to handle the full gamut of medical problems. meal" consisting of a fresh-picked salad from her garden, My first week at the hospital was a busy one. On my first day newly caught salmon from a nearby river, and home-baked I was asked to see a young girl from one of the outlying villages bread served with home-jarred jams. Our hostess , who was 10 �: EXPOSURE raised in the village and is intimately familiar with traditional village life and subsistence living, has taken classes to achieve a minimal level of medical training approximately equivalent to that of an EMT in the lower 48 states. With very little formal training, these brave health aides, as they are called, are responsible for managing the health needs of the entire community: They coordinate prenatal OB care, complete such procedures as blood draws and preventive pap smears, deliver a healthy baby after cutting a fourth-degree episiotomy. This was not the optimal situation: This young woman, who was late in her pregnancy and had had minimal prenatal care, had arrived in Nome on a village Oight that same day. She presented to the clinic in active labor, and at that point our choices were few. We did what we had to do to deliver that baby-and we spent all night repairing that episiotomy. The very next day another woman 35 weeks pregnant with She had been thrown from her four-wheeler while moose hunting and was medically stable, except that her nose was lacerated and separated from her face. It was my job to stitch it back into place. twins was "authorized in" to orne from a village. When she and then radio-call the physicians in Nome with accurate, arrived, we found her four centimeters dilated and opted to pertinent information regarding their patients, on whom they medivac her to Anchorage (500 miles and a few hours by keep updated medical records. medically equipped bush plane). It was clear that this situation This arrangement, unique to Alaska, of health aides procalled for a medivac; however, not all tough situations warviding first-line care to villagers and physicians backing them ranted such an expensive Oight, and we were often faced with up by radio-call from a hub, is important because it allows the difficult decisions about the limits of what we could and could health care of the village to be ministered to by members of not handle safely in Nome. the community. If an emergency arises that is beyond the The system of health care on the Seward Peninsula abilities of the health aides, then a "medivac" is called and the is a fantastic endeavor dictated very much by the expanse patient is retrieved by plane and Oown to orne for care. The and challenge of the land. The isolation between villages is health aides I met are a true inspiration. They embody an extreme, as is the isolation between Nome and Anchorage, institution that has grown out of the special needs arising which adds yet another significant obstacle. I was touched from Alaska's isolation. by the ability of the health aides to take such an active role I returned to orne at an extremely busy time to realize in the care of their community members , and by the that, although health care in Nome was more sophisticated willingness of doctors to give up some autonomy to than village health care, there were still many patients for allow the Alaskan h ealth-care whom we were not able to provide system to exist as it does. appropriate care. For example, at GOLOVIN, A TRADITIONAL ESKIMO VILLAGE ON I was amazed and moved by the THE BERING SEA VISITED BY NEWMAN. orne's hospital, the Norton Sound effect the land had on evRegional Hospital, we had ery aspect oflife in Alaska, a fully-stocked pharmacy, from the gathering of food, an X-ray department with to the establishment of sonogram,and a laboratory; communities, to the prachowever, we had no CT, tice of medicine. I wish all no official OR and inadof us could know the equate space for certain and beauty of napower procedures or emergencies. on a daily basis as I ture Late one night I was did for a while in Alaskacalled in from my stuexperiencing the strength dent apartment in orne of character that is built in because one of my favorstocking a freezer for winite family doctors found ter with salmon, moose himself in the challengand in letting the land meat and hand-gathered blueberries, ing position of delivering a footling breech baby. I had + shape who we are. never seen such a thing, because at home this presentation would have gone to an obstetrician for a cesarean delivery. Bretton Newman returned to the University at Buffalo School of Medicine a nd Biomedica l Sciences in january 1998 and expects to graduate in May 1999. In time, however, my fri end managed to su ccessfully II �Merging Medicine with Business UB ALUMNUS CRAIG SMITH THRIVES N THE B OTECH OLOG c DUSTRY s MD the journey from medical school graduate to founder and leader of a promising new biopharmaceutical company was not as great a leap as one might imagine. In fact, Smith says, his career path has consisted of a progressive series of steps , "each one logically leading to the next and not at all hard to take. " Smith-who spent 16 years junior faculty position there in academic medicine before as an instructor and assistant B y chief of service in the Departstepping into the corporate B E T S Y world-is president and CEO ment of Medicine. He was SAWYER of Guilford Pharmaceuticals, subsequently invited to stay a company he established in on as a faculty member at the university and became an 1993 to discover and develop drugs for the diagnosis, treatment and assistant professor in medicine in 1976. Along the way, Smith says, "I found prevention of brain cancer and other neurological diseases. From his current myself consistently drawn to issues surrounding drugs and vantage point as the therapeutics. Early in leader of a pacesetting my career I won a pharmaceutical busiGUADEL Wafer (polileprosan 20 w1th fellowship that allowed ness, he looks back on carmustine implant) me to complete a yearan unusual and rewardlong sabbatical at the ing career, first in Qohns Hopkins] School academic medicine and Public Health and of then in business. Hygiene , studying Born and reared in Orchard Park, New York, epidemiology and Smith graduated from statistics, and I Nichols School in became interested in Buffalo in 1964. He applying the principles left the area briefly to I learned in those complete undergradufields to the study ate studies in biology at of new drugs." The University of the South in Smith was also beginSewanee, Tenning to realize The GLIADEL®wafer, for treatment of brain cancer. nessee, and then that he had talreturned in 1968 ent as an orgato attend medical school at the Univer- nizer, as well as a flare for building sity at Buffalo School of Medicine and programs and inspiring teamwork. "I've Biomedical Sciences. always gotten enjoyment from the Followinggraduationfrom UBin 1972, process of doing things that perhaps Smith completed an internship and resi- aren't popular, but that are important dency atjohns Hopkins University School for the achievement of a valuable goal ," of Medicine and, in 1975, was offered a he says. "I believe that more is ® a u 1 I a l a accomplished when people work together toward a common purpose ." It was atjohns Hopkins in the mid-1970s that Smith first tasted the satisfaction that comes from building an organization from scratch. Under his direction, the Division of General Internal Medicine grew from a one-man operation-with Smith as its sole member-to the third largest division in the Department of Medicine in terms of National Institutes of Health (NIH) funding, patient care revenues and teaching responsibilities. In 1985, with funding from the Burroughs-Wellcome Foundation , Smith was able to begin his second major building effort-the development of a research program devoted to the thenfledgling field of pharmacoepidemiology. Under his guidance, the program grew to include an interdisciplinary team of two MDs , one PhD epidemiologist and four support staff. Through the program, which still exists atjohns Hopkins, clinical research projects were funded by the Food and Drug Administration (FDA) , the NIH and numerous pharmaceutical companies. In 1988, Smith was courted and eventually hired by Centocor, a biotechnology company in Pennsylvania. As vice president, he led the company's worldwide clinical research programs, initially directing a staff of 24. By 1992 he administered a budget of $30 million, oversaw more than 50 active clinical protocols and supervised a staff that had grown to 126. He was made a corporate officer and as a member of the senior management team, he began to play a key role in the formulation of Centocor's business strategy. Working closely with Centocor's CEO, CFO and legal department, he helped develop the company's partnering strategies. At Centocor, Smith was also charged with identifying key barriers to the company's long-term success. One of Physician S p r I n g 1 9 9 8 �came the first employee of the new corporation. After writing most of the business plan in his home office, Smith moved back to Baltimore from Philadelphia. In September 1993, he hired a secretary, a financial officer, and his wife, Susan, who is now the company's director of project management and, together, the small group formed the core of Guilford Pharmaceuticals. Scios Nova had been working on a drug-delivery system, known as the GLIADEL ®wafer, for treatment ofbrain cancer. Although clinical testing of the product had been completed, the results had not yet been analyzed. Because "I BELIEVE THAT MORE IS ACCOMPLISHED WHEN PEOPLE WORK TOGETHER TOWARD A COMMON PURPOSE ." Craig Smith, MD, president and CEO of Guilford Pharmaceuticals,which develops drug-delivery and neurological products. the problems he identified was that his own role consisted of functions normally carried out by the CEO. Thus, when the company downsized-from almost 1,500 employees to about 500Smith found himself among those looking for other opportunities. In retrospect, Smith says, the dead end at Centocor turned out to be a very good thing, as it cleared the way for his fourth organization-building venture: Guilford Pharmaceuticals. During the last few weeks of his tenure at Centocor, Smith was contacted by a recruiter who was looking for someone to start a new companywithSolomonSnyder, MD , a world-renowned neuroscientist whom Smith had known from his days at 8 u f f a I a Phy johns Hopkins. It was from Snyder that Smith learned of an exceptional opportunity to start a company from scratch with promising intellectual property and technology that was being spun off another company. Originally a small neuroscience company based in Baltimore, Nova had been purchased by the California biotechnology firm Scios, and had its name changed to Scios Nova. The parent companywanted to keep theScios Nova products and research efforts that were complementary to its own efforts, while selling the neuroscience work in progress. Snyder believed the purchase ofScios ova's products and technology would form a sound basis for a new company. Smith agreed and, in July 1993, he be- sician S p r I n g 1 9 9 8 Scios Nova did not want to focus on neurological research or drug delivery, the wafer was included in Guilford Pharmaceuticals' initial capitalization. Smith's team spent their first year of business involved in an intensive search for funding. Much of the company's originally planned financing had fallen through, and instead of the $27.5 million that Smith had expected, Guilford had only $2 million to establish the new company. Adding to this problem was the prevailing financial climate in which investment bankers simply weren't interested in underwriting start-up biotech companies. Consequently, the company remained at four employees, as Snyder and Smith scrambled to find funding. Because Scios Nova owned 80 percent of the company, venture capital firms were not interested in investing: They wanted to own 80 percent of the company. late in 1993 , Smith and Snyder invested their own savings in the company (a combined total of $750,000). This convinced Scios Nova to invest another $1 million in Guilford's future. �Then, in june 1994, the company went public, raising $15 million in an initial public stock offering. This much-needed infusion allowed Guilford to begin to expand its manufacturing capabilities as it filed a new drug application for GLIADEL with the FDA. y 1995, the company was firmly launched. A follow-on public stock offering directed toward institutional investors raised an additional $19.5 million. By the end of the year, the company had increased to nearly 40 employees, whose primary focus was commercializing GLIADEL. A third growth spurt the following year came about as the company evolved from a one-product company (GUADEL) to a company with multiple drug development capabilities. Today, Guilford employs nearly 200 people and is involved in the development of a variety of drugdelivery and neurological products. ministration of chemotherapy drugs . Through a marketing agreement with Rhone-Poulenc Rorer (RPR) , Guilford began marketing GUADEL in February 1997. This event was a major breakthrough for Guilford. No longer considered a development-stage company, Guilford became one of only a handful of biotechnology businesses that have a marketed product. PREPARATION FOR SuccEss ife as a CEO really isn't all that different from life as a physician, says Craig Smith, MD. The founder, [ president and CEO of Guilford Pharmaceuticals recently was asked by a group of Robert Wood Johnson clinical scholars how difficult a transition it was for him to leave academic medicine for the business world. lJ Success in either world, Smith says, is very much a product of good judgment. "Physicians are constantly taking disparate bits of information and synthesizing them into a plan of action, atherapeutic plan. At times, this is simple; at other times, we make decisions in consultation with others whose judgment we trust. With a CEO, it's the same." In medical school, men and women ore trained to work hard and to put in long hours. The some is required of oCEO. Physicians must continually renew their fund of knowledge. likewise, the technical aspects of being o CEO require constant upgrading of skills and acquisition of new information. Guilford's lead product, the GUADEL wafer, gained final federal approval in September 1996, becoming the first brain cancer treatment to be cleared by the FDA for marketing in more than 20 years. The wafer, which is made of a biodegradable polymer, contains BCNU, or carmustine, a cancer chemotherapy drug used in the treatment of glioblastoma multiforme, a particularly virulent form of brain cancer. Approved for patients undergoing surgery for recurrent brain cancer, GLIADEL wafers are packed into the cavity created when a tumor is excised from the brain. Once implanted, the wafers degrade over several months , allowing for the extended delivery of high concentrations of BCNU directly to the tumor site. In addition to permitting site-specific and controlled delivery of the drug, the new product eliminates the toxic and debilitating side effects that accompany systemic ad- ® Under the agreement, RPR holds the rights to market GLIADEL globally, except in Scandinavia; RPR also has the exclusive right of first offer on other polymer oncology products developed by Guilford. In return, Guilford shares in profits from GLIADEL sales and receives other payments from RPR as various regulatory hurdles are cleared in the U.S. and abroad . Additionally, RPR is "Renewing, retooling- these come very naturally to me," Smith says. "We didn't receive training in balance sheets and public stock offerings in medical school, but with the way health-core delivery is changing, that might not be such o bod ideo." Academic medicine is really very entrepreneurial, according to Smith, who compares it to o franchise operation. Faculty and researchers get into business by being accepted by a larger institution with a big nome. Johns Hopkins didn't give himo budget to start o new division in the Deportment of Medicine: it gave him use of its nome. With that nome, he raised funds and leased space in the institution. The institution took 15 percent off the top of his earnings, and he was required to follow the rules of the "franchise." It's up to the choir, program director or principal investigator to keep the franchise running, Smith says. If he or she does poorly, the franchise doses and the space is leased to someone else to develop another research program. Smith was successful of this mode of operation when he was in academic medicine, and he enjoyed the challenge of building his franchise. Today, as a CEO, one of his greatest challenges still is to find the resources to expand the company. Afundamental contrast between business-at leas! business al Guilford-and academic medicine is the emphasis on teamwork versus individual achievement, Smith says. "In the academic setting, the focus is on who's bringing in the mosl money and who's work is being published in which journals. This approach promotes individual achievement that often discourages collaboration," he says. "In a company like Guilford, working in teams for a larger purpose is o way of life." B u f f a l o Physician 5 p r I n g 1 9 9 8 �- - ---~-- --------------- ~ --~- - -~-- ·········· · ·············· · ······························ · ························· · · · · · · [ ! ] IN ANIMAL STUDIES, THE GUILFORD COMPOUNDS HAVE BEEN SHOWN TO REGENERATE NERVE TERMINALS LOST IN PARKINSON'S DISEASE AND TO REVERSE THE FUNCTIONAL ABNORMALITIES ASSOCIATED WITH THIS LOSS. financing clinical studies of GLIADEL for metastatic brain cancer and pediatric brain cancer. Although Smith acknowledges that Guilford has some distance to go before its stockholders can expect the company's products to generate healthy profits, he is excited about Guilford's future. Part of Smith's enthusiasm is based on achievements in the company's neuroscience program, including the completion of Phase II clinical trials of the company's diagnostic test for Parkinson's disease. The new product promises to improve detection and monitoring of the condition, which currently afflicts more than 1.5 million Americans. P arkinson's disease is caused by the loss of dopamine neurons in the area of the brain that controls muscle tone and movement. It is one of the most common of the neurodegenerative conditions affecting older adults, but it is difficult to diagnose in its early stages and impossible to monitor using current methods. Guilford scientists, however, have developed an imaging technique to measure the density of dopamine neurons in the brain. The new product, DOPASCAN Injection, has recently completed a multicenter Phase lib study with the Parkinson's Study Group. Additionally, Guilford's research and development team is concentrating on developing drugs that may someday reverse the effects of Parkinson's disease, as well as those of stroke, spinal cord injury and other serious neurological conditions. Researchers' efforts are centered around the new compounds, called neuroimmunophilin ligands, through B u f f a l o which nerve regrowth can be induced. Building on findings by researchers at johns Hopkins, scientists at Guilford demonstrated in laboratory experiments that low concentrations of certain immunosuppressive drugs can be used to stimulate nerve regrowth. After discovering that the neurotrophic activity of these compounds can be isolated from their immunosuppressive properties, the Guilford team developed a series of compounds with neurotrophic capabilities, but without the immunosuppressive effects. In animal studies, the Guilford compounds have been shown to regenerate nerve terminals lost in Parkinson's disease and to reverse the functional abnormalities associated with this loss. Smith is unaware of any similar studies with such dramatic results. "If anyone had told me 10 years ago that it was possible to make damaged nerves regrow and regenerate, I would have said, 'So what? They won't know what connections to make,"' he says. "But that's what appears to be happening. If the damaged nerves can be stimulated to regrow, they seem to 'know' how to make the right connections on their own." In March 1997, Guilford was granted a U.S. patent covering the neurotrophic applications of neuroimmunophilin ligands, and the company hopes to begin clinical studies of the compounds within the year. Researchers at Guilford are also involved in neuroprotective research, which focuses on preventing nerve cell damage resulting from stroke and head trauma, and in addiction research, which focuses on developing nerve inhibitors to block the pleasure effects of drugs Physician S p r I n g l 9 9 8 such as cocaine, alcohol and nicotine. Smith's ambition for Guilford is to build it into a multibillion dollar concern-an aspiration that is not at all antithetical to his desire to make the world a better place. "Our company does well by doing good," he says. "Our mission is to become a world leader in the discovery and development of drugs to improve human health care and enhance quality of life. We're also in business to build value for our shareholders. While it's true that our industry is competitive, we don't have to conduct business in a way that is at odds with our goal of improving the lives of individuals confronted with life-threatening diseases. " + TINNITUS CONTINUED FROM PAGE 3 plastic transformation of its circuitry. "So we think tinnitus is the auditory system's analog to the phantom-limb sensation experienced by some amputees or people with peripheral nerve damage," explains Lockwood. "This is of much interest to us because we think it provides a target for future research. Understanding the mechanisms that cause plasticity may provide a method for preventing or treating tinnitus in the future." For Michael Deakin, who was a participant in the study, these results and their potential for clinical applications provide him with much hope for a future life in which he can once again enjoy the quiet that normally accompanies times of relaxation, rest or concentrated absorption in a task. "To me," he says, "this study is very, very significant." Seed money for th e research described in this article was provided by the UB Offi ce of Research, with additional f unding from the UB Center for Hearing and Deafness, the American Tinnitus Association, the j ames H. Cummings Foundation of Buffalo and th e National Institute on Deafn ess and Oth er Communication Disorders, of the National Institu tes of Health . �the health sciences at UB. As director of managed care with the Emory University System of Health Care, Bernardino oversaw sales, marketing, contracting, medical management and community relations for a health-care system with net revenues BY A RTHUR P AGE of more than $1 billion. One of the projects he oversaw was the consolidation of multiple system laboratories 1 ( l-f .\ ~ 1 F D t n r ' \If D has been named vice president into a single laboratory system . Prior to for health affairs at the University at Buffalo, effective Aprill, becoming director of managed care, he was associate clinic director in this same as announced by President William R. Greiner. Prior to coming area with the Emory Clinic. Bernardino has been affiliated with to UB, Bernardino served as director of managed care with the the Emory University School of MediEmory University System of Health Care, in Atlanta, and was a cine since 1982. He has served as direcprofessor of radiology in the Emory University School of Medicine. tor of magnetic resonance imaging and director of abdominal radiology at At UB , he has assumed responsibility health sciences," he adds. "Western New Emory University Hospital and as a as the chief officer overseeing the clini- York is very fortunate to have someone of professor in the Winship Cancer Cencal and collaborative activities of the his caliber become a part of our commu- ter. Before joining Emory, he was affiliuniversity's five health sciences nity. His joining us bespeaks the strength ated with the University of Texas Sysschools-medicine and biomedical sci- and potential not only of health sciences tem Cancer Center and ences, dental medicine, health related at UB, but also the excelM. D. Anderson Hospiprofessions, nursing and pharmacy. He lence of the region's healthtal and Tumor Institute is also overseeing the university's rela- care community. " in Houston , and with Provost Thomas E. tions with its affiliated teaching hospiEverett General HospiHeadrick, who tal in Everett, WA. HE WILL BE A FIRM LEADER WITH A CLE"AR headed the A graduate of Case search commitSENSE. OF ~·~E~T'~ ' .-~D TH HE, ' ~u Western Reserve Unitee that recomSCIENCES. - PROVOS T THOMAS E . HEADRICK versity in Cleveland , mended BerBernardino earned his tals and Roswell Park Cancer Institute. nardino , says he "blends an medical degree in 1973 In addition , he is serving as leader for understanding and commitfrom Ohio State Univerthe health-science deans in planning ment to academic medicine sity and completed his and executingjoint and cooperative pro- with health-care business experience. residency in diagnostic radiology at grams of teaching and research and is a He will be a firm leader with a clear George Washington University Hospikey member of the president's cabinet. sense of direction for the health sci- tal in Washington, D.C. In 1996, he John R. Wright, MD , is continuing as ences. His leadership and decision- received an MBA degree from Roberto interim dean of the UB medical school, making styles emphasize listening and C. Goizueta Business School at Emory a position he assumed in january 1997 learning from his faculty members and University. following the resignation of john P. the health and medical community, and Certified by the American Board Naughton, MD. bringing people together for shared goals of Radiology, he is a past president Greiner describes Bernardino's ap- and common benefits." of the Society of Computer Body pointment as "a historic win for UB. " Headrick notes that among Tomography and has been active in "His leadership experience and his Bernardino's charges will be develop- medical organizations, including the vision for the place of medical education ing a five-year academic and financial Society of Magnetic Resonance in the rapidly changing health-care field plan for the medical school and, more in Medicine and the Society of will help bring focus and strength to the generally, guiding the planning for Gastrointestinal Radiologists. + New Vice President Named for Health Affairs ® B u f f a l o P hysician 5 p r I n g 1 9 9 8 �------------------~~---------~- - ----- ····················· · ·································· ·· ······························• · ~ I Nancy Nielsen, MD,PhD,Named Associate Dean for Student Affairs ancy H. Nielsen, MD , PhD, has been named assistant dean for Student Affairs at University at Buffalo School of Medicine and Biomedical Sciences. In this capacity, she will be responsible for overseeing the academic and student affairs of third- and fourth-year medical students. ielsen, who earned her medical degree from UB in 1976, is a clinical associate professor of medicine at UB, with teaching responsibilities at the Buffalo General Hospital. She is also in private practice in internal medicine. Since 1995, ielsen has served as Speaker of the House of Delegates for the Medical Society of the ew York (MSS Y) and has served on MSSNY's state and federal legislation committees and on the Task Force on Health Care System Reform. A frequent lecturer and radio and INFINITI television host on topics relating to health, nutrition, infectious diseases and women's health concerns, ielsen is currently a ew York State delegate to the American Medical Association (AMA) , member of the AMA's Council on Scientific Affairs and a member of the board of directors of the ational Patient Safety Foundation, an AMA initiative formed this year. She is also past president of the Eric County Medical Society and the first woman elected president of The Buffalo General Hospital staff, a position she held from 19961997. In 1996, ielsen was named recipient of the Samuel P. Capen Award, the UB Alumni Association's most prestigious award. + James P. Nolan Receives Alfred Stengel Memorial Award ames P. olan, MD, Distinguished Service Professor and former chair of the Department of Medicine at the University at Buffalo School of Medicine and Biomedical Sciences for 16 years , has been named recipient of the Alfred Stengel Memorial Award for outstanding service to the American College of Physicians. Selection is "based upon unusual loyalty and exceptional contributions to the aims and purposes of the college, as well as the recipient's outstanding influence in maintaining and advancing the best standards of medical education, medical practice and clinical research, " according to information provided by the college. olan, an internationally recognized expert in endotoxins and liver function, disease and injury, is also well known for his leadership in the areas of affirmative action and minority recruitment in medical education. As a Master of the American College of Physicians, he has served the college as governor, regent and chair of the board of regents. olan received the Stengel Award on April20, during the college's 79th annual session in San Diego. + 0~~ f ntroduc;ng your way to escape. \\~ Infiniti's luxury sport AUTO PLACE INFINITI 8129 MAIN ST., WILLIAMSVILLE 633-9585 u f f a l a MSRD 36,045. 00 utility vehicles, the QX4 not on ly features everything you need to escape for the weekend, it has a ll the comforts and luxu ries you East of Transit Rd., Near Eastern Hills Mall B uti lity vehicle: the QX4. Unlike most luxury sport need to escape life's dai ly stresses. Physician 5 p r i n g 1 9 QX4 9 8 I �• ' ··· ····· ············· · ········ · ····· ·········· ·· · ······································· ~ 0 I New, Uniquely Collaborative MPH Degree Program Established BY JESSICA ANCKER OR YI:.ARS PAIRICK A orRs had been thinking about earning a master's degree in public health (MPH), but he never found an opportunity. After he earned his DDS from the University at Buffalo School of Dental Medicine in 1986, he operated a busy private practice and then joined the staff of the Buffalo graduates will be better qualified to respond in a more informed way to changes in health care and to take a more proactive role in helping to define workable solutions to health-care problems. A second advantage, he says, is that "by understanding the determinants of health and disease in our society, practitioners will be better able to help prevent disease and to contribute to the public debate influencing our health policy, making them not only better health-care professionals, but better citizens, too." REFLECTING A NEW REALITY IN THE ECONOMICS OF MEDICAL EDUCATION While the course content for the collaborative MPH program addresses the new economic realities facing medical practices, the administrative structure of the program reflects the new economic realities facing medical educa- General Hospital. His training prepared him well for treating individual patients, but, Anders says, he found himself encountering situations where more knowledge about public health, health policy and healthcare administration would have been helpful. Rapidly changing health-care reimbursement structures and the Buffalo hospital mergers made him want to learn more about administrative and fiscal issues. In addition, Anders developed a subspecialty in treating developmentally disabled patients, a population whose dental needs are not unique but whose cases may pose special management problems. Nevertheless, there was no MPH program in Buffalo where Anders could study the issues that interested him. The closest equivalent was the master of science degree in epidemiology offered by the University at Buffalo School of Medicine and Biomedical Sciences, but Anders felt that the degree was too research oriented for his needs. This year that has changed. Anders has a chance to study for his MPH and he doesn't even have to leave the area. A groundbreaking agreement between the University at Buffalo, the State University of New York at Albany and Roswell Park Cancer Institute, will allow physi- cians and dentists in Buffalo to earn advanced degrees in public health from the University at Albany's School of Public Health. The collaboration is sponsored by the Department of Social "OUR MPH DEGREE IS INTENDED TO GIVE PRACTICAL and Preventive RELEVANCY TO PUBLIC HEALTH-A PROGRAM WHERE Medicine at UB's THE STUDENTS CAN GO OUT AND WALK AROUND AND School of MediSEE HOW EVERYTHING WORKS IN REAL LIFE." cine and Biomedical Sciences and Roswell Park Cancer Institute. tion. After several years of tight state "With the changes in health-care de- budgets, SUNY medical schools generlivery today-including a growing em- ally find it hard to win money for expanphasis on prevention-knowledge ofpub- sion. Instead, they can enter into interlic health issues has become increasingly campus cooperative arrangements to desirable for physicians and other health- share existing resources. care practitioners," says Maurizio Trevisan, "This joint program will benefit both MD, chair of UB's Department of Social of our institutions," says David C. Carand Preventive Medicine. penter, MD, former dean of the Univer"A better understanding of the social, sity at Albany's School of Public Health. public health and policy side of medicine "UB gains access to our nationally acwill greatly benefit physicians and other credited MPH and DrPH programs with health practitioners," he says. "The a minimal investment, while the Uniknowledge acquired in the MPH pro- versity at Albany is able to help set the gram will not only prepare health practi- standard of public health education and tioners for a career in public health and expand its student base." administration, but it will also equip a 'This is a concrete example of collabobroader range of these professionals with ration between SUNY units," Trevisan tools that will enable them to better prac- adds. "It's an example of how things will tice medicine." According to Trevisan, be in the future, with teleconferencing one advantage of the program is that and cross-offerings. This collaboration ® B u f f a l a Physician s p r 1 n g 1 9 9 8 �------------- I - -------------- -- ... . . . ............ .. ........ . ... . . . . ... . . ............... . ........ . . . . . ....... . ----- - -- ........... . ' ~ I represents a significant opportunity in a time of shrinking resources. " W ithout a collaboration with Albany, it's unlikely that UB could have created a new degree-granting program without hiring more faculty, according to Arthur Michalek, PhD, associate director for the Department of Educational Affairs at Roswell Park Cancer Institute and dean of the institute's graduate division, SUNYatBuffalo. "In the present economic climate, we have to be fairly innovative. If we want new programs, we have to fashion them so they aren't going to require a great number of new faculty, " he says. The schools are implementing several innovative teaching techniques to make a success of this joint venture between two campuses that are separated by some 300 miles. UB already offers many relevant courses through the Department of Social and Preventive Medicine and as part of the master of science program in epidemiology. Through teleconferencing, additional instruction will be offered at a special facility at UB. In addition, Roswell Park is expected to have a teleconferencing facility of its own in the near future. Externship opportunities will be provided for students in settings that are expected to range from the Erie County Department of Health to the administrative offices of a health maintenance organization (HMO). Most students will be able to earn credit for B u f f a l o relevant courses they took while earning their primary degrees. UB is implementing the program gradually to ensure a smooth and cohesive transition, and only a few students will be admitted initially, each of whom must already have earned their MD or DDS. Eventually, the MPH program may also be opened to individuals from other health professions. As the program expands, Trevisan hopes to create a dual-degree program that would allow medical students to earn an MD and an MPH simultaneously in a four- or five-year program. THE "BASIC SCIE CE" ARM OF PREVE TIVE MEDICINE The MPH degree integrates well with UB'semphasis on primary care, and it is expected to help UBattract students with a public health perspective. The course requirements for the MPH will be similar to those already in place for the MS in epidemiology; however, MPH students will focus more on public health issues and will not complete a research thesis, but instead will complete internships in the community. "Someone from the 'ivory tower' might get tongue-tied when faced with real public health situations in the field, " Michalek says. "Our MPH degree is intended to give practical relevancy to public health-a program where the students can go out and walk around and see how everything works in real life. " Flexibility has been built in to the Physic/on 5 p r I n g 1 9 9 8 I MPH program to accommodate as many learning needs as possible, so students can focus on specific areas of interest. Citing an example about the importance of this flexibility, Trevisan explains that one of the requirements for completing the three-year residency program in preventive medicine at UB is that students earn an academic degree in either public health or epidemiology. "This is training that is seen as imperative for anyone pursuing a career in preventive medicine. In a sense, public health and epidemiology represent the basic science arm of preventive medicine. Therefore, it's important that we allow students to tailor the MPH program to their specific career goals and interests." Trevisan is already receiving anumber of inquiries about the program. Potential students are interested, he says, because they recognize that public health training will help expand their perspective from individuals to populations, and from treatment to prevention. They also recognize that training in the fiscal and administrative aspects of medicine can enhance their professional careers and their attractiveness to managed care organizations , hospitals and universities. Anders applied for the MPH program as soon as he heard about it, and became the program's first student. He has already begun a course in cancer epidemiology. While in school, he will continue to work nearly full time, so he expects it will take several years to complete his master's degree. "I really think this makes a lot of sense with what I've been doing professionally, " Anders says. Of course, he adds, there are a few disadvantages to being the first: "I have no one to study with!" + For more information on the MPH program, contact Dr. j ohn Vena, acting director of graduate studies, Department of Social and Preventive Medi cin e, Univ ersity at Buffalo, 270 Farber Hall , Buffalo, NY, 14214. Phon e: (716) 829-29 75. �~ · ................ . ..... . ........................................... . . . .. .. .............. ceptional for her maturity and composure. "I was with her when she received a call of congratulations from the Secretary of State and she was very poised. MONICA SPAULDING , MD , A LEAD MED I CAL OFF ICER AT There's something about her; she just NAGANO' S SKATING EVENTS has that little extra spark," she notes. Spaulding spends most days as chief HF T -\;;'-\ LIPI Sl\.1 glided off the ice after her gold medal- of oncology at the U.S. Department of winning figure-skating performance at the 1998 Winter Olym- Veterans Affairs Medical Center in Buffalo , but her avocation takes her to compics in Nagano, japan, she had a mandatory appointment petitions all over the East. In recent months , she supervised drug testing at with Monica Spaulding, MD, professor of medicine at the the World Cup Free Style Skiing team University at Buffalo School of Medicine and Biomedical Sciences. competition in Sugar Loaf, Maine, and the Olympic short-track skating trials in Spaulding, one of four U.S. physi- Olympics in Atlanta, an offer she couldn't Lake Placid. Her venues also have incians in Nagano participating in drug refuse. There she met Carl Lewis,jackie cluded the 1997 Boston Marathon, the testing, was lead medical ofJoyner and Michael] ohnson, 1997 U.S. Track and Field Championficer for the women's figure chatted with 15-year-old ships in Indianapolis and the World B y skating, short-track skating swimming phenomenon Cup water polo competition and the L 0 I S and long-track skating and Brook Bennett, and got to 0 lympic track and field trials , both held 8 A K E R some skiing events. know the entire women's in Atlanta prior to the Olympics. This was Spaulding's secswim team. Those Summer Games-her first ond Olympic experience. She At Nagano, Spaulding Olympic experience-were unquestionwas lead medical officer in Atlanta in worked closely with the American and ably the pinnacle. Spaulding recounts 161996 for two hugely popular competi- Canadian women figure skaters and hour days, subsisting on turkey sandtions: track and field and the aquatic speed skaters. Her impressions of many wiches and the occasional Big Mac, and events, including swimming, diving, of the athletes are memorable, both on loving it. "After the first week, we were all water polo and synchronized swimming. and off the "stage." Spaulding says she exhausted," she says. "I don't think I've The job is a gift from the gods for the very much enjoyed working with worked that hard since I was an intern." avid sports fan and mother of two daugh- Lipinski. "She is a really neat kid. l had agano wasn't much easier, as most of her ters who are competitive athletes. "It's seen her around the games quite a bit events took place in the evening, with the one of the greatest experiences I've ever and she was very easygoing, always mix- athletes often not arriving for testing until ing with people and joking. She had in my life," she says. after midnight. "I usually got back to Nagano is far removed from the lo- seemed to be having a very good my room at two or three in the cal competition in 1990, where time. And in the drug testing morning, sometimes as late as Spaulding's adventure began. She vol- area, she was a delight to work four," she says. unteered to do the drug testing for her with and just so excited to Spaulding's job as lead daughter's swim meet and found the have won the medal," she says. medical ofexperience fascinating. Spaulding reSpaulding adds that she has ficer was to ceived her training and certification in worked with other young make sure time to handle testing for swimming Olympic athletes, all test and track and field for the 1993 World but feels that samples University Games in Buffalo. Lipinski is exwere Because she was certified to conduct drug testing by the U.S. Olympic Committee (USOC) and the National Colle- At the dose of the Olympic;, giate Athletic Association, Spaulding was Spaulding and contacted by the USOC and asked if she Lipinski again would be interested in working at the crossed paths. Keeping the Olympics on Track ® �---------------~--- - --- -- - - -~ --~----- - ---~- ·························································· · ······ ··· ········ ··········· a notified of their secollected and lection and must packaged withsign a form certifyout tampering, ing the time of notiand that each fication. They then athlete certified have an hour to apin writing that pear for testing. If the process was they don't, a posiconducted tive result is autoproperly. The matically registered, ingenuity of usSpaulding says. ers, combined Most competiwith the develtors appear as reopmentof everquested, however , more-advanced and their main task performanceis to produce a urine enhancing drugs , has Spaulding enjoyed the unique cultural events at the Olympics such as this drum performance at the moguls venue in Hakuba. sample while being observed, a predicatransformed what should be a simple matter of letes' safety," she emphasizes, explain- ment that can give even a champion collecting a urine sample into a closely ing that there have been several deaths pause. "Some athletes are around for in cycling in recent years. "The problem hours because they are either dehydrated monitored, painstaking procedure. "No matter what you do with innova- with having a high red blood cell mass is or over-hydrated," Spaulding says. It's tive drug testing, they are one step ahead your viscosity goes up and you can have under these circumstances that she meets the big names who come accomof you," Spaulding says. She tells of a major stroke," she says. Urine is analyzed for evidence of ste- panied by their managers, as well as the athletes using catheters to fill the bladder with "clean " urine, strapping a con- roids, human growth factor and diuret- unheralded , and often more endearing, tainer of urine to the body or hiding a ics, which can mask the presence of champions of lesser-known contests. Once samples are procured, athletes urine bag in the vaginal cavity. Athletes some performance-enhancing drugs , as select a testing kit, certify its pristine selected for testing now are observed well as flush evidence of illegal drugs condition, divide the sample between constantly from start to finish to pre- from the system, Spaulding says. Tests two bottles, label and seal the bottles, also look for stimulants, narcotics and vent such transgressions. The new drug of choice, particularly beta blockers , sometimes taken by place them in the packing kit , seal the kit for distance events, is erythropoietin, marksmen to slow the heartbeat and and testify in writing that all procedures used to stimulate red blood cell produc- gain an extra moment of dead calm in were followed properly. One sample is tested, the other is frozen. If sample A is tion and boost the amount of oxygen which to take aim and shoot. positive, sample B also is tested. If both available to muscles , Spaulding says. Drug testing is conducted on all medal results are positive, appropriate sancNot long ago, this effect was accom- winners and world-record setters, as tions are imposed. Labs were set up in plished more crudely by transfusing red well as randomly selected athletes. Comagano to conduct the testing, which cells, a·process referred to as blood dop- petitors who set a record for their counhad to be completed within 24 hours. ing. "In Nagano, the drug testers weren't try also may ask to be tested to validate Nagano was a very unique experireally confident in their ability to test for their performance. ence for Spaulding when compared to the hormone, so instead they checked hile drug testing was instituted to her other sporting venues, in large part the hematocrit prior to the event and if protect athletes from dangerous due to the unbuffered exposure she had it was past a certain level, the plan was substances as much as to maintain to japanese culture. "I was housed in a to not let the athlete compete because it a level playing field , the process small room, furnished with a tatami was a health risk, " Spaulding explains. This test was only done in the biathlon itself is designed to insure a reliable mat, futon and low table. A communal and cross-country events, and to the result that will withstand legal chal- sink and bathroom were down the hall ," best of Spaulding's knowledge, no one lenges. Athletes selected for testing are O LY MP ICS CONTINUED ON PAGE 22 was excluded. "This test is for the ath- escorted off the field of competition, W f f a l o Physician S p r I n g 1 9 9 8 �• · · ········ · ·· ··· ··· ···················· ·················· Magnificent BUILDING LOTS ~ e I OLYMPICS CONT ' D FROM PAGE 21 she explains, adding that women and men's quarters were completely segregated. "I was surrounded by Japanese women from all walks of life, and it really was a wonderful experience. They helped me improve my Japanese a lot. " Other cultural highlights included a two-day trip to Kyoto with her fellow medical officers and the many hours she spent exploring Nagano on foot. During one such walk, she came upon police officers roping off the street and waited patiently with a gathering crowd to see the emperor and his wife stroll past her. "He was a kindly looking man and his wife was probably one of the loveliest older women I've ever seen," she says. When she wasn't working her events or spending time deciphering the sched- ule for her daily bus rides to the venues, Spaulding made good use of her "Infiniti" pass, which gave her access (not necessarily a seat) to any Olympic event she wished to attend. This enabled her to take in a whirlwind of drama , from Jonny Moseley's gold-medal performance on the moguls, to the U.S.-Canadian men's hockey game, the subsequent Czechoslovakian-Canadian match (with tickets selling for more than $300), and the women's Chinese-Finn hockey match in which the Finns won a bronze medal. Now back into her normal routine of work, Spaulding has had time to reflect on her two-week experience in Nagano and admits to looking forward to an opportunity to participate in future Olympics. "It was an adventure," she says. + TAKE TW ••• AND CALL ME IN THE MORNING! f;'\d ~o~r OW'\ ro(ld: * Fact: Saab owners have a higher education level than any other car owner group. * Saab purchase prices starting low to mid 20's; leases starting at $299 per month. * According to the Insurance Institute for Highway Safety (IIHS), the Saab 9000 has the lowest fatality rate of any production car on the market. As a former president of the University at Buffalo medical school Alumni Association and a practici ng surgeon in Western New York for many years, I've come to understand what members of our profession desire in a home site - privacy, tranquility, fresh air, and pristine surroundings. The Summit at Scherff is a truly extraordinary residential development, unrivaled in Western New York. Nestled in the hills of Orchard Park, this magnificent 81-acres offers 50 estate-sized building lots surrounded by Chestnut Ridge Park and Neuman Creek in a very private enclave. Specifically as an escape from the fast-paced everyday life we lead, it's features include: • Spectacular panoramic views of the Canadian shores, Lake Erie, and the BuiTalo skyline • 11-lature woods and secluded ravines 1 Oversized lots for your dream house • Quick and easy access to the freeway systems leading to BuiTalo and the city's northern suburbs 1 Privacy, seclusion, and exclusivity The Summit promises to be one of the premier areas in Western New York to construct your luxury residence. I invite you to take a stroll through this picturesque setting. For our detailed brochure or a private showing please call (716) 667-2237 or (71 6) 472-3790. Sincerely yours, Edmond J. Gicewicz, M.D. Past President, UB Medical Alumni Association SOUTHTOWNS SAAB 3580 Southwestern Blvd (1 Mile east of Rich Stadium) (716) 662·8008 B u f f a l o THE SUMMIT AT SCHERFF Orchard Park, New York A development by Falcon Land Corp. Physician S p r i n g 1 9 9 8 �-- --------~---------- - --- ~ - -~-- - ~--- ---- ·· · ··· · · · ········ ··· ···· · · · ············ · · · · · ·························· · · · · · ·· · ·········· • ~ ··.· ~ I Laboratory and Fellowship Named in Honor of Louis Bakay, MD he Louis Bakay Neurosciences Laboratory for Surgical Anatomy and Neuropathology at Buffalo General Hospital was opened in December 1997. The lab is named in honor of Dr. Bakay, head of the hospital's Department of Neurosurgery from 1961 until his retirement in 1985 and emeritus professor of neurosurgery at UB. In addition, the Louis Bakay Fellowship has been established in the hospital's Department of Neurosurgery. "Dr. Bakay has done pioneering laboratory research on the specialized nature of the blood-brain barrier and on radioactive nuclear scanning of the brain. He has contributed significantly to various areas of research pertaining to metabolism of the brain," says Walter Grand, MD , clinical head of the Department of Neurosurgery at Buffalo General Hospital (BGH) and clinical professor of neurosurgery at UB, who worked closely with Bakay for more than 10 years. According to Grand, Bakay was the first to introduce electron microscopy to Western New York, having brought the and gentle person and exemplary scholar first such microscope with him when he who is not in the least bit bitter toward came to Buffalo General Hospital in 1961 . his fellowman. These are wonderful qualiIn addition to his medical research ties that came out of his terrible ordeal. accomplishments, Bakay is also known It's for all these reasons, both his pioneeras a medical-history scholar and as an ing research, as well as the stature of the author of several books, one of which is man himself, that we felt it fitting to his autobiography, titled Gallery ofGhosts. dedicate the laboratory and fellowship to "In this book he recounts the trials and him at Buffalo General. " Th e Louis Bakay tribulations he encounLaboratory , which is tered in his homeland of codirected by Grand and Hungary during WWII Peter Ostrow, MD , of the and his escape to Sweden through Nazi- and Department of NeuropaRussian-occupied territhology at BGH, is detory, " says Grand , who voted to training neuroadds that Bakay speaks surgical residents in new five languages and is a surgical techniques usmaster editor in English ing laboratory anatomiDr. Wolter Grand and Dr. louis Bakay and a notably accomcalspecimens. Residents , plished translator of medical archival fellows and attending physicians corredocuments from Latin to English. late surgical anatomy with surgical pro"This is a man who has led a very cedures, and also design and refine new special life," says Grand. "He came to this procedures. The lab is also available for country late in life and had to repeat his use by other surgical subspecialties and entire training at Harvard before he could for training pathology residents. A private dedication for the laboraresume his work. Yet what I find most remarkable about him is that despite all tory was held on December 9, 1997, the horror and deprivation he experi- with Bakay, who is now 80, in attenenced in his life, he grew to be such a kind dance with his wife , Nancy. + ONLY ONE INVESTMENT LASTS A LIFETIME • Exceptional coll ege placement recorJ • Challenging curriculum with I4 Advanced Place ment courses • State of the art visual and performing arts center • More than 60 interscholastic sports teams • Comprehensive community service projects • Average class size is 15 • Financial aid available Ad missions tests on these Saturdays at 9:00 a. m.: January 24, February 28 To reserve a place for testing or for aJJitional information, please call: ICHOLS MI DDLE SCHOOL, 175 Nottingham Terr. , NICHOLS UPPER SCHOOL, I250 Amherst St. Acceptance is granted to qua lified students without regard to race, color, rel!gam or national origin. e u f f a l a P I hysician S p r i n g 1 9 NICHOLS SCHOOL 9 8 �~····· ········ · ······················································ · ····················· Shedding Light on Treatment of Lung Cancer FDA APPROVES NEW PHOTOSENSITIVE DRUG 1 • • • ~ · -, IS R T U S Food and Drug Administra- tion approved the use ofPhotofrin®, a light-activated drug used in photodynamic therapy (PDT), for treatment of patients with early-stage lung cancer. PDT is a multistep process in which a harmless drug absorbed by body tissues is activated by light and releases cytotoxic substances inside tumors. This new modality of cancer treatment has been pioneered over the past three decades by Thomas J. Dougherty, PhD, chief of the Department of Radiation Biology/Photodynamic Therapy at Roswell Park Cancer Institute and professor of radiation oncology at the University at Buffalo School of Medicine and Biomedical Sciences. The use ofPhotofrin in PDT Photofrin is injected intraBY is an option for people diagvenously into the patient, a KEVIN nosed with early-stage lung procedure that is sometimes cancer who are not eligible done in an outpatient setCRAIG for surgery and radiotherapy. ting. Within approximately LOIS "In clinical trials, approxitwo days, the drug concenBAKER & mately three-quarters of the trates in cancer cells, and S .A . patients had a complete rephysicians can then deliver a sponse following treatment of light to the tumor beam UNGER and about half of them are using a fiberoptic and an cancer free in long-term argon-driven laser. When the follow-up," says Stephen Lam, MD, head Photofrin absorbs energy from the light, of the bronchoscopy program at British it produces a molecule called singlet Columbia Cancer Agency ofVancouver, oxygen, an active form of oxygen Canada, and a clinical trial investigator derived from endogenous oxygen. Durfor the new drug. QLT Photo Therapeu- ing its one-millionth-of-a-second life tics, a Canadian biotechnology span, this highly reactive molecule oxicompany, has exclusive license to the dizes anything it touches, killing the Photofrin patent, which is held by cancer cells but sparing surrounding Roswell Park Cancer Institute. tissue. In some cases, necrotic tissue "This is the very first approval for this and exudate are removed through a bronnew therapy in North America for which choscope two days after the initial the intention is to cure the patient. Some procedure. Principal side effects of the patients in the trial are still free of drug include skin sensitivity to light for disease 10 years after PDT treatment," four to six weeks; some patients also says Dougherty. experience inflammation at the treatln photodynamic cancer therapy, ment site, causing varying degrees of ® B u f f a l o shortness of breath and coughing. Lung cancer remains the number-one cause of death by cancer in the United States for both men and women. Currently, the five-year survival rate for Physician 5 p r 1 n g 1 9 9 8 �----~~- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · a I • ' ~ found out, as early as the 1930s and again in the 1960s, but was discontinued due the unavailability of technically advanced equipment. The big leap in technology came in the 1980s, when lasers that could focus light at precisely correct wavelengths through endoscopes were developed. Since that time, scientists around the world have used PDT successfully on esophageal, bladder, stomach, oral and cervical cancers, and Photofrin-PDT is currently approved for use in Canada, japan and several Euro"TO ME , THE GREATEST VALUE OF PHOTOFRIN IS THAT pean countries. Prior IT HAS THE 'MAGIC BULLET' PROPERTIES THAT HAVE to january of this year, BEEN TALKED ABOUT IN ONCOLOGIC RESEARCH FOR SO Photofrin and the LONG," LIEBOW SAYS . REFERRING TO PDT'S ABILITY TO PDT laser equipment had only been apIMAGE AND TREAT AFFECTED CELLS WITHOUT DAMAGE proved by the FDA for TO SURROUNDING TISSUE. treating late-stage esophageal cancer. Because light doesn't penetrate far Building on the success of Dougherty's into tissue, PDT can only be used on work, Buffalo General Hospital opened a tumors that are on or near the surface of Photodynamic Therapy Center in March organs, accessible by an endoscope or 1995 , under the direction of exposed surgically. Also, because it is a ThomasS. Mang, PhD, former director of local therapy, it is not appropriate to Roswell Park's PDT center and research blood-borne cancers. Although not associate professor of oral and maxillofatherapeutic for all cancers, PDT is less cial surgery at UB. In addition to patient expensive, quicker and safer than many treatment, the Buffalo General center is conventional cancer therapies. Under conducting Phase II and III trials on two Dougherty, Roswell Park's Photody- other photosensitive drugs, tin ethyl namic Therapy Center is continuing to etiopurpurin and Foscan, the latter of develop new and improved PDT drugs, which is being studied for its efficacy in participating in clinical trials of new treating recurrent oral cancers. In the fall of 1997, Mang and his drugs and therapies and investigating the mechanisms that make PDT work. colleagues Ronald Allison, MD, and Dougherty began his innovative work Vitune Vongtama, MD, of the UB Departwith PDT in the early 1970s, following ment of Radiation Oncology, and B. Dale a serendipitous discovery in his lab in- Wilson, MD, of Roswell Park and UB dicating that a chemical being used to Department of Dermatology, announced identify live cells in culture could kill preliminary results from an FDA trial the cells if they were exposed to light. In they were conducting on PDT for use in the years that followed, he and his col- treating Kaposi's sarcoma, as well as leagues began experimenting with pho- external chest-wall lesions from recurthe 178,000 Americans diagnosed with tosensitive chemicals in combination rent breast cancer. Presenting at the lung cancer every year is 14 percent, with conventional lamps to kill tumors European Cancer Conference in Hamaccording to the American Cancer Society. "This new drug approval is particu- that had spread to the skin. Work of this burg, Germany, they announced that 75 larly significant since it is now possible type had been attempted, they later percent of the Kaposi's sarcoma lesions to detect early-stage lung cancer much more successfully than has been the case in the past," says Dougherty. Roswell Park is now planning to combine early detection and appropriate treatment with PDT as a new option for lung cancer patients. This work, according to Dougherty, will be available through Roswell's Division of Surgery under john Urschel, MD, and Timothy Anderson, MD, and through the Division of Medicine under Gregory Loewen, DO. B u f f a l o Physician 5 p r I n g 1 9 9 8 �~·· · · · ········· ······ ············· ······· ·················· ~ HURWITZ & FINE, P.C. I [ATTORNEYS AT LAW were reversed completely and another 19 percent showed partial reversal. Also, 92 percent of the chest-wall lesions associated with breast cancer were completely reversed and the remaining 8 percent showed partial reversal. The only adverse reactions experienced by subjects were due to sun exposure while the photoreactive agent used was still active, a period of several weeks. Mang, who has done extensive research with PDT and is a longtime colleague of Dougherty's, says these results support earlier findings indicating that photodynamic therapy holds great promise for treating cancerous lesions of the skin and that, in general, it appears to be most effective when used to treat small tumors that are discovered early. "Compared to other treatments for Kaposi's sarcomas, PDT is easier on the patient, you can treat large numbers oflesions at one time and the cosmetic results are very good," he says. "Also, PDT doesn't interfere with HIV status and any other treatment patients may be receiving. " Results with recurrent breast cancer of the chest wall were equally exciting, Mang says. "PDT is a very localized treatment that does not interfere with chemotherapy, and there are none of the usual side effects of cancer therapy. Many lesions can be treated in one session, and the therapy is repeatable if the response isn't complete." In yet another research endeavor related to Dougherty's original work, scientists in the Great Lakes Biomedical Laser Institute-a comprehensive, multifacility "laser center without walls," headquartered at US-scientists and clinicians are further exploring the use of the laser as a tool in the diagnosis and treatment of cancers, both alone and in conjunction with drug sensitizers, such as Photofrin. The center is directed by Charles Liebow, DMD, PhD, professor of oral and maxillofacial surgery in the UB School of Dental Medicine, who is na- tionally recognized for his research and treatment of precancerous and malignant lesions of the oral cavity, as well as at other sites, including the pancreas. Liebow, who works closely with Mang, notes that it is only within the past 30 years that lasers have gained acceptance in the medical and dental professions as a means of safely removing lesions from the body. Over the past few years, researchers at several member centers of the laser institute have used the combined laser-Photofrin therapy under special license both experimentally and clinically for other animal and human malignancies. "To me, the greatest value of Photofrin is that it has the 'magic bullet' properties that have been talked about in oncologic research for so long," Liebow says, referring to PDT's ability to image and treat affected cells without damage to surrounding tissue. Liebow further points out that Photofrin combined with PDT is also proving to be a highly precise method for staging cancer. "Photofrin is absorbed by premalignant cells in a way that is directly proportionate to the transformation of the cell from a premalignancy to a malignancy. By taking a fluorescent reading of the cell and measuring the intensity of the fluorescence, we can measure in a very exact way how far the cell has evolved toward cancer, so this has the potential to become a very powerful staging tool," explains Liebow, who, along with Mang, has published studies on this area of research. "Anytime you have a site where there is a transformation of cells going on and you don't know which specific area is further progressed than another, you can find the spot with Photofrin and use it to guide a biopsy. When working with premalignant cells, you then have the ability to provide treatment that is preventive by selectively destroying lesions before they become cancerous. This, to me, is the greatest hope for this new drug and PDT in oncology research." + ® B u f f a l o SERVICING THE LEGAL NEEDS OF THE HEALTH SciENCEs CoMMUNITY • Managed Care • Purchase & Sale of Practices • Business & Tax Planning • HCFA Safe Harbor Regulations Physician and Physician Self-Referrals • Contracts with Private & Public Entities • Employee Relations Counseling • Fringe Benefit Programs • Representation Before Government Agencies on Audit & Business Issues • Faci lity Finance and Construction • Credentialing and By-Laws • Hospital/Medical Staff Issues Please contact Robert P. Fine or Lawrence M. Ross at 716-849-8900 1300 Liberty Building Buffalo, New York 5 p r I n g 1 9 9 8 �------------~----~-----~-- THE CARITAS MEDICAL ARTS BUILDING A Unique Partnership with St. Joseph Hospital Harlem Road, Cheektowaga (connected via enclosed walkway to St. joseph Hospital) 500 - 8,000 Sq. Ft. Medical Office Suites Now Available For More Information Ciminelli Development Company, Inc. Centerpointe Corporate Park 350 Essjay Road Williamsville, NY 14221 716/631-8000 B uf fa lo P hysici an S p ri ng 1 9 9 8 �~·················· · ············· · ························································· Image of Neural Activity Provides Objective Measure of Attention it takes longer than without the distractions. When the brain is forced to divide its attention, however, as in processing two cocktail-party conypical scenario: You're at a party, versations at once, it flounders. listening to your friend's vaca"The brain can only divide up its tion plans, while straining to over- resources so much," says David hear the gossipy conversation Shucard, PhD, a coinvestigator on the nearby. Your brain, meanwhile, research. Ralph Benedict, PhD, assisis mustering its neuronal re- tant professor of neurology; Alan sources to allow you to concentrate on Lockwood , MD, professor of neurolboth conversations at once. ogy; and Danielle McCabe, psycholeuroscientists at the University ogy graduate student, complete the at Buffalo have been able to produce research team. Results of their work an image of this were presented at neural activity in the Society for one of the few euroscience studies using meeting in New positron emisOrleans in Octosion tomography ber 1997. (PET) and elecKnowledge trophysiology about the neurosimultaneously physiology of atto study brain tention will infunction. Their crease underfindings may standing and improvide new inprove treatment of sight into the basuch attention sis of many_ attendisorders as attention disorders. tion deficits and hyper"WE'RE LEARNING "We're learning how vigilance, a symptom of the brain attends to imposttraumatic stress HOW THE BRAIN portant information disorder in which perand screens out what sons are unable to ATTENDS TO is not important," says screen out irrelevant JanetShucard, PhD, UB stimuli, Janet Shucard IMPORTANT INFORMAassistant professor of says. It also provides neurology and a lead information about the T ION AND SCREENS researcher on the neural demands of any study. "Using electrojob that commands OUT WHAT IS NOT physiology and PET, intense concentration. we can identify how reThe team collected its IMPORTANT." sources are allocated. electrophysiology data What we end up with via electrodes attached is an objective measure to the scalp while study of attention. " subjects wearing earphones identiTheir findings showed that the fied a specific syllable-in this case, brain can successfully complete a the syllable "ba"-from a sequence task requiring focused attention even of syllables . Neural actions generin the presence of distractions, but ated in response to this task, or B u f f a l o event-related potentials, appear on a computer-generated map that reflects the pattern of electrical responses from the brain. The amplitude of a specific point on this wave, called the P300, indicates the acuteness of the brain's response to the relevant stimuli. The P300 was recorded under three conditions: Sustained attention-detecting the target syllable without any auditory interference Focused attention-detecting the target while ignoring distracting stories played simultaneously Divided attention-detecting the target and also paying attention to the content of the stories "We found a huge reduction in the P300 in response to the dividedattention task," says David Shucard. "These findings are relevant to any activity that demands constant attention, such as piloting an aircraft or monitoring sensitive instruments. This is one of the major causes of 'human error'-people get off target. " Simultaneous PET scanning pinpointed areas in the brain responsible for auditory attention tasks by recording the areas of increased cerebral blood flow during the tests. "By combining PET and electrophysiology , we are able to determine the location of major brain areas that are responsible for these different types of attention processes, as well as the time it takes the brain to process information when there are different demands on attention," Janet Shucard says. The researchers are applying their findings to persons with attention deficit disorder and posttraumatic stress disorder, as well as persons with sleep disorders, some of whom have trouble concentrating on tasks. + Physician - 5 p r I LOIS n g BAKER 9 9 8 �~~------- ········· · ······· · · · ······ · ························· · ···· · · · · · · · ·········· · · · ············ · a .. '.·~ . of chemicals obtained from ginkgo leaves-to treat age-related deterioration in brain function. Several human trials there have shown positive reinkgo biloba, prescribed widely in sults, but little research has been done Europe to improve brain function, to replicate these findings in animals, appears to improve learning and according to Winter. memory in rats and prolong their Winter's earlier research with rats life, a study at the University at showed that a set of tasks performed in Buffalo has shown. The unexpected an apparatus called the radial maze could reliably detect positive effect on longevdeficiencies in learning ity has surfaced in re" THAT FINDING and memory related to search to determine age. In the current ginkgo biloba's effect on LEADS US TO study, Winter used 20age-related cognitive SPECULATE THAT deficits, using rats as an month-old rats, which IN ADDITION TO animal model. were assigned a diet "At a certain point in GINKGO BILOBA'S that included either our analysis, we realized ginkgo biloba extract PURPORTED that the rats who were or no extract. Over sevBENEFICIAL EFFECTS receiving ginkgo biloba eral weeks, the animals ON BRAIN FUNCTION , were living substantially performed tasks in the longer than those who radial maze that reTHE EXTRACT were not receiving the quired them to master MAY ALSO HAVE A extract," says Jerrold C. new challenges andrePOSITIVE EFFECT ON Winter, PhD, professor of tain learned informapharmacology and toxition over time. LONGEVITY," Results cology in UB's School showed that rats of Medicine and Bioreceiving ginkgo medical Sciences and biloba extract author of the study. learned more "That finding quickly and made leads us to specufewer errors than late that in addition control animals to ginkgo biloba's and-unexpectpurported beneficial edly-that they effects on brain lived an average function, which our of five months study supports, the longer. Winter extract may also found a significant have a positive effect positive relationship beon longevity. " Results of tween the amount of active ingredient the study appear in the January 1998 and the degree of learning. The standard issue of Physiology and Behavior. dose during most of the study was 50 Ginkgo biloba is available in the U.S. mglkg. However, one subgroup of anias a dietary supplement but is not apmals was assigned to receive EGb 761 in proved by the FDA as a medical treatdoses of 100 mg/kg followed by 200 mgl ment. It is prescribed widely by physikg, interspersed with periods when they cians in Germany and France in the performed tasks while receiving no exform of EGb 761-a complex mixture Ginkgo Biloba Study Indicates Po~tive Effect on Longevity a u f f a l o Physic i an l 9 9 8 ' ' tract. Results showed that at the highest dose, errors declined by 50 percent. "Despite the urgent need to discover drugs able to prevent, delay , ameliorate or cure age-related memory impairment and the degenerative dementias, progress has been slow," Winter states in the article. Two major reasons for this, he notes, are a lack of agreement on appropriate animal models and on their applicability to humans when memory and cognition are concerned, and the absence of a drug proven to work in humans that could serve as a standard in animal tests. "The present demonstration of positive effects of EGb 761 in animals, a substance for which abundant evidence exists of at least a modestly beneficial clinical effect in humans, is encouraging on both points," Winter says. "The challenge now is to identify, from this mix of perhaps 200 chemicals, which chemical or chemicals are producing these pharmacologic effects. " This study was supported in part by Dr. Willmar Schwabe Gmbh & Co. of Karlsruhe, Germany, manufacturer of EGb 761. B A K E R L 0 I 5 Saliva Shown to Be as Reliable as Blood forDNA Screening a!iva appears to be as good as blood as a source of genetic material needed to screen people for inherited diseases, a University at Buffalo oral biologist has shown. The discovery could simplify the screening process enormously, eliminating the risks and complications of handling, storing and transporting blood, including the risk of contact with blood-borne viruses. It also would allow persons who cannot or will not give blood to be screened, and would be a boon to the needle-phobic. �[1] . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . "This is such a clean, reliable, quick, was conducting a major research easy test," says Rob van Schie, PhD, a project involving genetic screening of children for potential UB postdoctoral associrisk factors for juvenile ate in the Department of "SOME PATIENTS periodontal disease, a Oral Biology and lead reMAY BE RELUCTANT particularly aggressive searcher on the discovTO SUBMIT TO form of gum disease that ery. "There are no PHLEBOTOMY tends to run in families. needles. Samples can be PROCEDURES ON Mark Wilson, PhD , forcollected by untrained RELIGIOUS OR merly of the UB School personnel. And it's great CULTURAL GROUNDS, of Dentistry , is the for children, because WHILE OTHERS MAY project leader on that they love to spit." SIMPLY BE APPREHEN· research . Forensic scientists Excited by the possiSIVE; HENCE, AN have used many materibility of having his als as a source for DNA ALTERNATIVE TO THE young research subjects evidence, but blood is USE OF BLOOD FOR spit into a test tube incurrently the most comGENETIC STUDIES MAY stead of being stuck with monly used source of BE DESIRABLE." a needle , van Schie DNA for genetic testing, both for clinitested the salivary :t.. DNA theory using cal use and for basaliva and blood sic research, van from himself and Schie notes. Unforhis wife. Finding tunately, the use of the genetic material blood has many in the blood and sapractical disadvanliva samples indistages and inherent tinguishable , he limitations. collected blood "Blood sampling is invasive and -..~_...,, and saliva samples from 69 adult volpainful, and it inunteers to test the volves a potential theory further. risk of contamination Using polymerase chain reaction, he with hepatitis and the human immunodeficiency virus," he states in his study, was able to show that DNA from saliva published in the October 1997 issue of was as precise as that from blood in revealing polymorphisms in two genes the journal of Immunological Methods. "Some patients may be reluctant to thought to play a role in the developsubmit to phlebotomy procedures on ment of juvenile periodontal disease. The results pertain to only two genes religious or cultural grounds, while others may simply be apprehensive; whose sequence is known, van Schie hence , an alternative to the us e cautions, and although its potential of blood for genetic studies may be appears very promising, the method desirable." has not been proved universally. Like Van Schie was struck with the idea others, he predicts that genetic screenfor the study after hearing a news ing for disease-the subject of a recent report on the Unabomber investiga- editorial in the journal of the American tion telling of successful DNA analy- Medica/Association-will become rousis of dried saliva from a stamp used tine in the near future . by the suspect. At the same time, he Van Schie's findings could increase ~lE~~~~~::;, ® a u I I a t o this momentum, and make genetic testing easily available to populations presently outside the medical mainstream. The research was supported by the ationallnstitute of Dental Research. + -LOIS B AKER Nitric Oxide for Treatment of Aspiration Pneumonia May Do More Harm than Good ohn Belushi, Janis Joplin , Jimi Hendrix and several other pop icons are believed to have died due to regurgitation of stomach contents into the lungs while they were unconscious, an event that precipitates aspiration pneumonia. Aspiration pneumonia also is one of the leading causes of death in pregnant women, who are at risk of developing the condition when they give birth under general anesthesia or undergo other surgery. Researchers in the University at Buffalo's Department of Anesthesiology have found that inhaled nitric oxide, a new therapy being tested to treat serious respiratory ailments, may do more harm than good if used for aspiration pneumonia. They have reported new information about the progression of this potentially fatal form of lung inflammation. Results of their studies were presented recently at the American Society of Anesthesiologists annual meeting in San Diego in November 1997. "We're looking at the mechanisms involved in aspiration-induced lung injury, how we can treat this disease, and how to avoid things that make the injury worse," says Paul Knight, MD, professor and chair of the UB Department of Anesthesiology and senior researcher on the studies. Physician 5 p r I n g 1 9 9 8 �- ~~~ --·---------- --~------ ·----- .................................................................................. -- - - ········ ~ ~ ,,,~WI ' Aspiration of stomach contents oc- synergistically to produce an increase in curs during unconsciousness brought reactive nitrogen species that are toxic on by anesthesia, trauma, drug over- to lung tissue. There was no effect of the dose or other circumstances. When un- combined therapies on lung injury from conscious, a person loses the natural aspiration of gastric particles. Knight reflexes that prevent food particles and! says these two etiologic agents have or stomach juices from entering the been shown to use different pathways in respiratory system. Stomach contents producing inflammatory lung injury. "This observaoften are highly acidic. tion, along with our When acidic matter previous findings comes in contact with of microvascular tissue lining the air and functional passages of the lungs, changes with exa cascade of events reposure to nitric sults that can lead to a oxide and oxygen, decreased ability of the llii!IIIIP:!~~"l suggests that caulungs to transport oxytion should be gen. Even when the taken in using process is internitric oxide in rupted , the initial acute inflammatory damage inflicted may lung injuries that eventually prove fatal also require oxygen due to later-occurring reac"WE'RE LOOKING AT therapy," he says. tions, Knight says. THE MECHANISMS Another study by the One of the newest therasame team centered on pies for treating inflammaINVOLVED IN the relationship of the tory lung injury is inhaled ASPIRATION-INDUCED concentration of food nitric oxide, which can bring LUNG INJURY. HOW particles aspirated to the dramatic improvement in severity of lung damage WE CAN TREAT THIS oxygenation in some paand the progression of tients. Giving supplemental DISEASE. AND HOW the damage. Results oxygen also is a standard TO AVOID THINGS showed that most of the therapy to improve oxidadamage occurred durTHAT MAKE THE tion during lung injury. ing the first five hours Knight and colleagues exINJURY WORSE. " after aspiration and amined administration of remained unchanged oxygen and nitric oxide toafter 15 days. " ot surprisingly," Knight gether in acid-injured and normal lungs, using rats as an animal model. They says, "the higher the concentration of administered nitric oxide at the rate of particles, the greater the damage." Researchers on the studies, in 80 parts per million for five hours to addition to Knight, were ader lung-injured animals, while the animals ader-Djalal, MD, Bruce A. Davidson, also received either 90 percent oxygen or 20 percent oxygen. Lung injury was and J erzy C ios, MD , of th e UB caused either by acidic liquid or gastric Department of Anesthesiology; David particles. A control group with normal Steinhorn, MD, of the UB Department of Pediatrics; and Kent Johnson , MD, lungs also was examined. Results showed that when lung injury of the University of Michigan Departwas caused by aspiration of acidic liq- ment of Pathology. + - uid, nitric oxide and oxygen worked B u f f c l o 5 p r I L n o g 8 l 5 1 A K E R 9 9 8 A D H D c 0 N T '0 F R 0 M ' ' p A G E 7 researchers were able to devise a way to "tease out" what the children expected to happen due to the Ritalin versus how the drug actually affected them. Published last year in Experimental and Clinical Psychopharmacology (1997. Vol. 5, o. l. 3-13), the study took more than five years to complete and involved four consecutive cohorts of 40 children each, with follow-up studies conducted in regular school classes and laboratory settings. "Across all those cohorts, all those settings, all those kids, we found no evidence that expectancy does anything. It makes no difference whether a child with ADHD thinks he took a regular pill or a placebo," reports Pelham. "So all those people arguing over the years, saying that these kids would learn to attribute their successes to taking a pill, turned out to have unfounded concerns." The drug study Pelham is currently conducting on the long-acting version of Ritalin is being done within the context of the Saturday Treatment Program. He is planning other, ongoing studies to take place within the settings of both it and the Summer Treatment Program. Despite the many successes of his programs and studies, Pelham is the first to admit that much work still needs to be done to better understand this complex disorder. "Right now there is no single effective, comprehensive treatment program for ADHD; it hasn't been discovered." But the high societal cost of juvenile delinquency, adult incarceration, alcohol and drug abuse and mental health services reminds him and his colleagues every day how critical it is to continue to search for effective treatments for children with ADHD before their lives spin out of control in ways that even the most organized and focused of individuals would have difficulty overcoming. For more infonnalion on the summe1 treatment program 01 the upcoming clinical oial of long-acting methylphenidate, call (716) 645-3650, ext. 373. �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 I I AWord from the Dtrector of Development B Y L I N D A J . C 0 R D E R , P H 0, C F R E to the many people who supported the School of Medicine and Biomedical Sciences a tan exemplary level in 1997.Inso doing, they became members of the Class of 1997 of the school's esteemed james Platt White Society. Since its founding in 1986, the society has grown from a small group of dedicated alumni to an organization of more than 200 alumni and friends, who are generous investors in the future of medical education and training at UB. An executive committee of active society members works with the development staff to increase philanthropy to the school and plan recognition events for members. Publishing this list of the school's most generous donors gives Dr. Wright and the executive committee, as well as all of us who work daily on behalf of the school, an opportunity to show our appreciation. The society currently offers two types of recognition: annual and lifetime. A gift within any year confers an annual membership for the following year. Honorary lifetime society membership is granted when cumulative contributions of a couple or an individual reach $50,000. There are also a few "special" members who received "term memberships"for a specified time frame. Although no new special memberships have been granted since 1992, we honor those earlier commitments. Most special memberships will expire at the end of 1999. Historically, the society held a recognition event in the fall, retroactively compiling a list of those whose gifts had been received from November 1 of the previous year through October 31 of that year. Last year, the society (by a mail vote) decided to migrate to a calendar year. Thus, this year's Honor Roll includes donors of contributions received from November 1, 1996, through December 31 , 1997. For a variety of reasons, the james Platt White Society Class of 1997 is the largest and most prestigious in the history of the organization. These individuals and couples who support the medical school at an outstanding level are seen as its closest friends. They receive additional information throughout the year and invitations to certain medical school and university events. Best of all, this group keeps expanding. It is a welcom- ® B u f f a l o ing and inclusive organization, since the more "best friends" the school has, the more excellent it becomes. Many donors made year-end gifts in both 1996 and 1997; our overall total gift amount is higher than it would have been in twelve months. Others made only one gift during the 14 months. Some made gifts in honor of a class reunion; thus, the current list includes gifts from two sets of reunion classes. There are several individuals and couples who are in the society for the first time, based on two or more gifts made at different times during the 14-month year. Finally, those marked with an asterisk (*) are GOLD members of the societyGraduates of the Last Decade-whose gifts during this time frame totaled between $500 and $999. The lower entry level for more recent graduates was instituted during 1996 to encourage newer alumni to take their place in this society. Most gifts were designated for the school's General Fund, disbursed at the dean's discretion. A few gifts were designated for special projects, such as the Neuroanatomy Museum, or as contributions to departmental funds, which are disbursed at the discretion of the chair for such uses as research seed money or student medical association activities. Donors designated most of the larger gifts for a particular purpose, generally for named endowments. Living donors listed in this Honor Roll collectively contributed $997,429 to theschool.In addition, the school received more than $130,000 from testamentary trusts and bequests during this time frame. We are deeply grateful for all gifts to the medical school, especially those that have the potential to make a transforming difference in the quality of medical education and residency training offered at UB. Read through the roster of members. Thank your friends and colleagues listed here for their outstanding support. If you are not yet in this group, please consider increasing your contributions to the school. The executive committee would like to see this group continue to grow, and increase its significant impact on the academic environment of the UB School of Medicine and Biomedical Sciences. + Linda]. Corder (Ly n) is associate dean and director of development. She may be reac hed by phone at (7 16) 829·2773 or by E- mail at ljcorder@acsu.buffa lo.edu Phys i cian 5 p r I n g 1 9 9 8 �----~= ---~- ------~~ · .~ - - - - - - - - - - - - - - - - - - - - ---- - ~----- ························································································a · '~ I The James Platt White Society I . . '. Lifetime Members When cumulative contributions reach $50,000 or an irrevocable deferred gift is completed for $100,000 or more, a couple or individual is granted lifetime membership in the society. ames of Founders are repeated in an annual category when they make a new gift. Mrs. Catherine Fix Dr. Eugene]. Hanavan] r. Martinsburg, WV Buffalo, NY Dr. JohnS. &: Mrs. Doris M. Parker-Latrobe, PA Dr. Thomas F. Frawley Chesterfield, MO Richard]. agel, M.D.,&: Mrs. Florence Nagel Dr. &: Mrs. Edward Shanbrom Santa Ana, CA Mrs. Christina Gretschel Genner Orchard Park, NY Ms. Pamela F. Skaper Potomac, MD Dr. Elizabeth P. Olmsted Ross Hamburg, NY Dr. &: Mrs. Pasquale A. Greco Buffalo, NY Dr. and Mrs. James]. White] r. Buffalo, NY Buffalo, NY Dr. Glen E. &: Mrs. Phyllis K. Gresham-Snyder, NY Dr. Syeda F. Zafar &: Ms. Mona S. Zafar Dr. Thomas]. & Mrs. Barbara L Guttuso-East Amherst, NY UB's founders envisioned a school to train students for service to the community. The society's Founders help to actualize that vision by providing support for programs that enrich the academic environment and enhance medical training. Dr. Kenneth M. &: Mrs. joan Alford-Buffalo, NY Mrs. June M. Alker Williamsville, NY Buffalo, NY Mrs. Morris Lamer New York, NY Mrs. GraceS. Mabie Orlando, FL Dr. Charles D. Bauer &: Mrs. Mary A. Bauer Dr. Eugene R. &: Mrs. june A. Williamsville, NY Dr. Joseph &: Mrs. Helene Chazan-Providence, RI Richard]. agel, M.D.,&: Mrs. Florence Nagel Dr. Philip D. &: Mrs. Colleen Morey-Williamsville, NY Orchard Park, NY I Professors ' Hilton Head Island, SC Buffalo, NY Miss Thelma Sanes Williamsville, NY Dr. Kenneth M. &: Mrs. Joan Philip B. Wels, M.D.,&: Mrs. Elayne Wets-Buffalo, NY ALford-Buffalo, NY Buffalo, NY Dr. joel M. Bernstein MEMBERS Dr. joseph G. Cardamone Eden, NY I Dean ' s Circle Dr. Thomas F. Frawley Chesterfield, MO Individuals or couples qualify as members in the Dean's Circle with generous gifts of $25,000 or more. Dr. Richard Ament Dr. George MEllis Jr.&: Mrs. Kelly Ellis-Connersville, IN Williamsville, NY Mrs. Grant (Evelyn) Fisher Lakeview, NY Ms. Rose M. Ellerbrock a l o Physician s n East Amherst, NY Dr. Richard B. &: Mrs. Ellen B. Narins-East Aurora, NY Dr. Bernice W. oble Amherst, NY Dr. james&: Mrs. Marcella Phillips-Buffalo, NY Dr. Seth A. Resnicoff Concord, NH Mr. Eugene M. &: Mrs. Susan W . Setel- Buffalo, NY Lewiston, NY I Mr. W. Russell Hurd Sun City, AZ Buffalo, NY r Albany, NY Mr. Arthur H . Judelsohn Dr. John C. Newman p Buffalo, NY Dr. Myron Gordon Tonawanda, ,'JY Dr. Warren R. Montgomery Jr. Amherst, NY Dr. Robert]. Gillespie Dr. Albert G. Rowe Dr. Earl S. Gilbert Buffalo, NY Dr. Willard &: Mrs. Clarice Bemhoft-Snyder, NY f Circle A strong faculty is central to a great university as are the supporters whose annual gifts range from $5,000 to $9,999. Dr. Elizabeth P. Olmsted Ross Buffalo, NY f Dallas, TX Dr. Jack C. &: Mrs. Patricia Fisher-Lajolla, CA Williamsville, NY Dr. Kenneth H. Eckhert Sr. &: Mrs. Marjorie Eckhert Dr. Kenneth Z. Altshuler Dr. Albert C. &: Mrs. Linda Rekate ANNUAL Dr. joseph &: Mrs. Helene Chazan-Providence, RI Fellows within the school bring added depth to postgraduate study. Within the society, Fellows are honored for gifts that total $2,500 to $4,999. Dr. Harold &: Mrs. Anne Brody Amherst, NY Mr. Sheldon Berlow Dr. Willard &: Mrs. Clarice Bemhoft-Snyder, NY Fellows' Circle Dr. Richard B. &: Mrs. Ellen Narins-East Aurora, NY Williamsville, NY u Circle Just as a department chair leads a program , donors of leadership gifts in the range of $10,000 to $24,999 are given special recognition. Dr. Eugene]. Hanavanjr. Dr. Charles D. Bauer&: Mrs. Mary A. Bauer B East Amherst, NY I Chairs ' Mindell-Buffalo, NY Founders' Circle I g 1 9 9 8 Drs. Robert &: Claudia Smolinski-Orchard Park, NY �· · · ·· · · · ·· · · · · · · · · · · · · · · · ·· · · · ·· · ·· · · · · · ·· · · · · · · · · · · · [!] l ~ 0 I Scholars ' Circle Scholars within the society made gifts to the school totaling $1,000 to $2,499 during the past year. Young Scholars (*) are graduates of the last decade who qualified with gifts of $500 to $999. Drs. Evan & Virginia Calkins Dr. Penny A. Gardner Los Altos, CA Hamburg. NY Drs. Andrew & Helen M. Cappuccino*-Lockport, NY Dr. icholas C. Carosella Dr. Arthur C. & Mrs. Klein Los Angeles, CA Dr. Ronald F. Garvey Dr. Robert A. Klocke Dallas, TX Williamsville, NY Dr. Kenneth L. Gayles Dr. & Mrs. Franklyn G. Knox Rochester, MN Appleton, NY Buffalo, NY Dr. Yung C. Chan Dr. Lawrence H. & Mrs. ancy Golden-Eggertsville, NY Dr. Jacob S. Kriteman Draper, VA Dr. William S. Andaloro Dr. & Mrs. Norman Chassin Dr. Peter H. Greenman Dr. Paul S. Kruger Caledonia, NY Williamsville, NY Fairfax Station, VA Watertown, NY Dr. Salvatore Aquilina Dr. Michael E. & Mrs. Joan Cohen-Williamsville, NY Dr. Glen E. & Mrs. Phyllis K. Gresham-Snyder, NY Dr. Thomas]. Kufel Lockport, NY Dr. George & Mrs. Susan Bancroft-Hamburg, NY Dr. Mark & Mrs. Kathleen Comaratta-East Amherst, NY Dr. Robert T. Guelcher Dr. Ivan W . Kuhl Erie, PA Wimberley, TX Drs. Kevin & Elizabeth P. Barlog-Amherst, NY Lyn Corder, Ph.D. Gerard T. Guerinot, M.D., & Mrs. Geri Guerinot Drs. Joseph L. & Marie L. Kunz Buffalo, NY Dr. Charles A. Bauda Dr. & Mrs. Daniel E. Curtin Rochester, NY Boynton Beach, FL Orchard Park, NY Dr. Mala R. Gupta Dr. Ralph T. & Mrs. Rita Behling- San Mateo, CA Richard H. Daffner, M.D., & Mrs. Alva K. Daffner Rochester, NY Dr. Richard A. Berkson Pittsburgh, PA Williamsville, NY Dr. Stanley B. Lewin Rancho Palos Verdes, CA Dr. Nedra]. Harrison Carlisle, PA Dr. Harold Bernhard Dr. David R. & Mrs. Sherrye Dantzker-Ros1yn, NY Buffalo, NY Drs. Roger S. & Roberta A. Dr. Donald R. Hauler Buffalo, NY Dr. Theodore S. Bistany Dayer- Buffalo, NY Pensacola, FL Dr. David L. Marchetti Buffalo, NY Dr. Robert]. Dean Kinston, NC Dr. Reid R. & Mrs. Elenora M. Heffner- Buffalo, NY Dr. Willard H. Boardman Winter Park, FL Danvers, MA Marilla, NY Lockport, NY Dr. Andre D. Lascari Poestenkill, NY Dr. Harold]. & Mrs. Arlyne Levy- Amherst, NY Mrs. Gilda L. Hansen Buffalo, NY Dr. Jack & Mrs. Inez Lippes Buffa lo, NY Dr. Michael A. & Mrs. Glenda Mazza-Spencerport, NY Gerard]. Diesfeld, M.D. Dr. Orvan W. Hess Dr. Dennis L. Bordan Port Washington, NY Arcade, NY North Haven, CT Dr. Melvin B. Oyster Dr. William]. Hewett Harry L. Metcalf, M.D. , & Kaaren]. Metcalf, Ph.D. Dr. Suzanne F . Bradley Niagara Falls, NY West Hartford, CT Williamsville, NY Whitmore Lake, Ml Dr. Robert Einhorn Dr. John M. Hodson Dr. Merrill L. Miller Dr. Martin Brecher North Brunswick, Nj Williamsville, NY Hamilton, NY Amherst, NY Dr. & Mrs. Russell Elwell Dr. James B. Bronk Napa, CA Mayville, NY Dr. Dennis C. & Mrs. Suzette HoUins*-Greer, SC Dr. Maynard H. Mires Jr. Georgetown, DE Dr. Melvin M. Brothman Snyder, NY Dr. Domonic F. & Mrs. Margaret E. Falsetti Lewiston, NY Robert M. Jaeger, M.D. Dean Mitchell , M.D. Allentown, PA Cortland, NY Dr. Kenneth L. & Mrs. Jane Jewel- Mountain Lakes, NY Satellite Beach, FL Dr. Stephen T. & Mrs. Mary Dr. Joseph F. Monte Dr. George H. Mix New York, NY Dr. John A. & Mrs. Karen Feldenzer- Roanoke, VA Dr. August A. Bruno Dr. Helen MarieS. Findlay Joyce-Buffalo, NY Buffalo, NY Buffalo, NY Eggertsville, NY Dr. John D. Mountain Dr. William M. Bukowski Drs. Susan Fischbeck & Patrick T. Hurley- East Concord, NY Drs. James R. KanskiJr., & Genevieve Kanski Eggertsville, NY Dr. Arthur W . Mruczek Sr. Dr. Thomas D. & Mrs. Grace A. Flanagan- Williamsville, NY Dr. Paul B. Karas* Medina, NY Rancho Mirage, CA Buffalo, NY Dr. Dr. Jennifer L. Cadiz Dr. Neal W . Fuhr Getzville, NY Mechanicsburg, PA Williamsville, NY Dr. & Mrs. Kenneth Kim Clinton, NY Dr. Hans F. Kipping Sylvania, OH Ms. Deborah Elliott Brown Buffalo, NY Dr. William M. Burleigh Manhasset, NY irrnala A. Mudaliar Dr. Richard L. Munk Williamsville, NY ® a u f f a 1 a Physician 5 p r I n g 1 9 9 8 �········· · ··············································································a · \ ... I Dr. Masao Nakandakari Honolulu, HI Dr. Edwin A. Salsitz ew York, NY Dr. Charles S. &: Mrs. Anne R. Tirone-Williamsville, NY Dr. &: Mrs. Marvin Z. Kurian Williamsville, NY Dr. Nancy H. Nielsen Orchard Park, NY Dr. Arthur]. &: Mrs. Elizabeth Schaefer- nyder, NY Dr. Bradley Truax Lewiston, NY Dr. Timothy T. &: Mrs. Cynthia ostrant-Saline, Ml Dr. james N. Schmitt Kenmore, NY Dr. joan A. Vivona&: Mr. Robert L. DeiszJr.*-Elma, NY Harry L. Metcalf, M.D., &: Kaaren]. Metcalf, Ph. D. Williamsville, NY Dr. john&: Mrs. Michelle M. O'Brien*-Pinellas Park, FL Dr. Robert . Schnitzler San Antonio, TX Dr. Coolidge S. &: Mrs. Edith Y. Wakai-Honolulu, HI Dr. Thomas P. &: Mrs. Sandy O'Connor-East Amherst, NY Dr. Adolphe].&: Mrs. ancy L. SchoepOin-Tucson, AZ Dr. Arnold Wax Henderson , NV Mrs. Marguerite T. O'Gorman Eden, NY Dr. joseph I. Schultz Harbor City, CA Drs. Charlotte C. &: Hyman Weiss-Highland Park, Nj Dr. Kathleen A. O'Leary &: Mr. Michael]. Collins* Buffalo, NY Roy E. Seibel, M.D. , &: Mrs. Ruth H. Seibel-Eggertsville, NY Dr. Frederick D. Whiting Vestal, NY Dr. Molly R. Seidenberg Rochester, NY Dr. Gary J. Wilcox Carlsbad, CA Dr. Arthur M. eigel Guilford, CT Dr. Richard G. Williams Clearfield, PA Dr. john B. Sheffer Williamsville, NY Dr. John R. &: Mrs. Deanna P. Wright-Williamsville, NY Dr. Timothy S. &: Mrs. Karen S. Sievenpiper-East Aurora, NY Dr. Gregory E. Young Holland, NY Dr. Byron A. Genner Ill Potomac, MD Dr. james A. Smith Orchard Park, NY Dr. Wende W. &: Mr. W illiam]. Young Ill-Canandaigua, NY Dr. Charles D. Kimball Bellevue, WA Dr. Robert G. Smith Savannah, GA Dr. Franklin&: Mrs. Piera Zeplowitz-Buffalo, NY Dr. Clara A. March Buffalo, NY Dr. Donald H. Sprecker Leeds, MA Dr. David C. &: Mrs. Susan D. Ziegler-Walnut Creek, CA Dr. Mark W. Welch Rochester, NY Dr. Ralph M. &: Mrs. june M. Obler-Los Angeles, CA Dr. joseph]. O liver Jr. Rock Springs, WY Drs. Dean E. &: Donna W. Orman-East Amherst, NY Dr. Victor A. &: Mrs. Virginia Panaro-Snyder, Y Dr. Margaret W. Paroski Buffalo, NY Dr. Robert]. &: Mrs. Patricia M. Patterson-Snyder, NY Dr. Norman L. Paul Lexington, MA Dr. Clayton A. &: Mrs. Susan Peimer- Eggertsville, NY Dr. Victor L. Pellicano Niagara Falls, NY john]. Squadrito, M.D. Troy, Y Special Members A few individuals and couples were granted multiyear memberships based on generous gifts made between 1989 and 1993. For most, special recognition will be granted through December 1999. All membersh ips in the society are now made only on an ann ual basis. Dr. james M. &: Mrs. Margo W . Strosberg-Schenectady, NY Dr. Bert W. Rappole jamestown, NY F. T. Riforgiato, M.D.,&: Mrs. Mary-Cecina W. Riforgiato Buffalo, NY Dr. Richard R. Romanowski Williamsville, NY Dr. Burton &: Mrs. Gloria Stulberg-Buffalo, NY Dr. Michael A. Sullivan Williamsville, NY Dr. David W. Butsch Montpelier, VT Dr. MichaelS. Taxier Worthington, OH Dr. Charles H. Rosenberg Stamford, CT Ms. janet F. Butsch Aurora, CO Dr. Wayne C. Templer Corning, NY Dr. Thomas C. &: Mrs. Georgia L. Rosenthal-Orchard Park, NY Mrs. Marvin (Helen) Winer Sarasota, FL In Memoriam The fo llowing individuals left generous bequests or made arrangements for gifts from testamentary trusts to be given to the School of Medicine and Biomedical Sciences during the past year. to ensure accuracy in these Elizabeth A. Storch Middleport, NY Dr. john Y. Ranchoff Fairview Park, OH Dr. john Naughton Buffalo, NY every effort Dr. james F. &: Mrs. Lillian Stagg-Tucson, AZ Dr. William C. Sternfeld Sylvania, OH Dr. Harold Pescovitz Cincinnati, OH Dr. John L. Butsch Buffalo, NY Dr. &: Mrs. James C. Tibbetts Madison, WI lists. Please contact Mrs. Mary Glenn in the Medical School Development Office if we have made an error or if you would like your name(s) to be listed differently in future recognition documents. Send mail to: UB Medical School Development Office, 3435 Main Street, Building #22, Buffalo, NY 14214-3013. Phone: (716) 829-2773. Fax: (716) 829-3395. B u f f a l o P hysician 5 p I r I n g 1 9 9 8 �[5;] . . . . . . .... . . . . . . . . . . . . . . . . . . . . .... ...... . . .... ... . . . . The Beginning of My Ouest BY P A M E L A C R 0 W E L L AST SPRING I HAD THE OPPORTUNITY to hear Dr. Carlos Roberto jaen deliver a lecture on smoking cessation during our third-year clerkship in family medicine. In that 60minute lecture, he opened my eyes to the serious side effects that tobacco use can have on a patient's health and the important role physicians can play in helping a Pam ela Crowell is a fourth -year patient to quit. His lecture was very motivating, and after class I found myself asking him how I could learn more about the topic. He had made me suddenly aware of how little I knew about smoking cessation and how ill prepared I felt as a future family physician. This was the beginning of my quest to become a smoking cessation specialist. I did not want to follow in the footsteps of so many clinicians who ignore the problem of tobacco use because of patient resistance and lack of time. I wanted to learn how to discuss tobacco use with my patients and how to avoid alienating them in the process. In subsequent discussions I had with Dr. jaen, we decided that I would gain the most valuable experience from direct interaction with both the patients and their physicians. As a result, we chose an inner-city primary-care facility, the Deaconess Family Medicine Center, as my primary work site. Our goals at the family medicine center were twofold: (l) to increase the identification of smokers, and (2) to improve the amount and quality of smoking cessation counseling offered to patients at the center. We attacked our first goal by devising a new charting system. We added smoking status to the vital signs and problem list and designed a separate smoking cesstudent at the University at Buffalo School sation progress note that was added to of Mcdicint• and Biomedical Sciences. each smoker's chart. My second role was to provide more intensive smoking cessa- stand my ground instead of running in tion counseling. This sometimes meant the opposite direction. I would inquire as simply talking with the patient about rea- to how much they knew about the effects sons why he or she should consider quit- of smoking on their body. "It's my body. ting. Other times, it entailed assisting the I can do what I want with it," I was told. patient in finding alternative activities to I would try a different angle. "Do you lighting up a cigarette during times of have children?" I asked. I wasn't always stress. Over the course of four weeks, I able to get the patient to admit to the talked with several hundred patients. It importance of cutting back on his or her did not take long to realHE HAD MADE ME SUDDENLY AWARE OF HOW LITTLE I ize that the best way to KNEW ABOUT SMOKING CESSATION AND HOW ILL learn about smoking cesPREPARED I FELT AS A FUTURE FAMILY PHYSICIAN. sation was through the patient's own experiences and attitudes. tobacco use, but I was often surprised at I would often take the opportunity to the number of positive responses I retalk with patients as they sat in the exam ceived from simply initiating an open room waiting patiently to be seen by their conversation. The patients themselves physician. I introduced myself as a medi- began to approach me, saying, "I've been cal student and mentioned that I was trying to cut back on my cigarettes for trying to learn more about smoking. Each years. Do you know anything that may patient reacted in a different way, and I be able to help me?" tried to cater my approach to each one's Whenever I encountered patients who response. Some patients resisted vehe- had successfully quit smoking, I enthusimently. "I'm not interested in quitting," astically asked how they accomplished it. they would tell me. I learned quickly to Some gave credit to their own willpower, ® B u f f a l o Physician 5 p r I n g l 9 9 8 �------- ------------~ -- -----~-- - ------------- --- - ---- ········································································· · ············· a others to a change in daily routine, or hypnosis or prayer. I discovered that the process was a very individual one but also one with great rewards. Another valuable learning experience was my participation in a Stop Smoking Clinic at the Roswell Park Cancer Institute. There was a wide variety of participants, ranging from young to old, first-time quitters to relapsers, and smokers to nonsmokers. The class was taught by Dr. K. Michael Cummings, a nationally recognized tobacco expert. He talked about all aspects of smoking, from the history of the tobacco industry, to the ingredients of cigarettes, to the effects of nicotine on the body, to various behavioral modification techniques. At the end of the sessions, I was thankful to have taken the class and was once again reminded that the best teachers WNY's of all were the participants themselves. One gentleman had returned to smoking after quitting for five years. "The first time I was able to do it cold turkey, right after I was hospitalized for a heart attack. I didn't touch them after that. I didn't even crave them, but then life started to get the best of me. Stress, you know? I was worrying about paying the bills all the time and the next thing you know I was lighting up a cigarette again, not even thinking about how much extra money each pack was costing me," he explained. It was a serious addiction, both physically and psychologically. Dr. Cummings listened to each story intently, then offered his own best anecdotes. One participant said, "I've tried everything: the patch, the gum, walking, drinking water. I just can't stand to go without them. Giving up cigarettes is like losing my best friend." Hearing these words, I wondered, "What could Dr. Cummings possibly say to that?" He always came up with something else that the person could try, a new way to think about the problem or a new behavioral modification technique. One day, at the end of the month , I was talking with Dr. Cummings and sharing with him how impressed I was with his ability to help so many people quit smoking. A smile crept across his face as he peered over his desk and replied, "Pam, I've never been able to make even one patient quit smoking. The patient doesn't quit smoking because of anything I tell her to try. The patient quits smoking because she is ready to quit herself." I walked out of the room adequately mystified, once again humbled by the oft-forgotten role that the patient plays in her own health. + - Exclusive - BMW Retailer THOSE LOOKING FOR MORE CONTROL IN THEIR LIFE CAN NOW FIND IT ON SLIPPERY PAVEMENT. THE ULTIMATE DRIVING MACHINE.e MSRP s64240 F. G. DOWNING s&99 1998 BMW 740i While the road of life may throw you an occasional curve, at least our All Season Traction helps you handle the particularly slippery ones. 30 mo. Lease FREE SCHEDULED MAINTENANCE Towne BMW 3030 Orchard Park Rd. Orchard Park, New York 14224 Phone: 675-2550 ALL SEASON TRACTION PMT based on 5500 cap cost reduction (or trade), 12,000 miles per year. 15 cents charge per mile for excess miles. First and last PMT. taxes and plate fees due at inception. Residual $43040 Service Loaners Available ••. Minutes From Rich Stadium a u f f a 1 o P hysician 5 p r I n g 1 9 9 8 �l!!l. ................................... . ......... . .................... . ..... scrub in on the consummate ousopportunitytoobserveand psychiatrist, part general medical doctor and part law- have been retired 11 years and surgeon's cases. One day , my yer. I am enjoying my work founder, president and CEO of am enjoying it. I'm still active good friend and classmate, Dr. as well as enjoying traveling HealthCare Plan , has been and doing well with my tita- Ferdinand Paolini, and I were and playing tennis. elected board chairman of the nium right hip and post-myocardial infarction, both in 1996. !live one-half mile from Marine co-retractor holders on a thowas non-profit and provider-based on Lesterhill Lake and fish a lot, very slow but meticulous sur- recently certified in medical di- health plans. The December 15, take care of my home and small gery, Dr. Stewart paused and rection for long-term care by 1997, issue of Newsweek maga- garden. My grandson is enter- the American Medical Direc- zine listed the highest rated ing his MD residency this spring. asked," eed to rest your arms 'Dr. Pawlini'7" Ferd replied ,"! don 't know Dr. Stewart, they've tors Association. Rosemarie Santora Lamm, his wife, re- HMOs in the U.S. and THMOG member plans accounted for the writes: been completely numb for the ceived her PhD in Applied top five-scoring health plans, and Thought you'd all like to see last 30 minutes. " The surgical team all relaxed a bit and even Medical Anthropology in De- 11 of the top 18. HealthCare cember 1997. Plan, under Goshin's direction, THEODORE W . BOB COLLINS , Koss , ' 43 , ' 41 , ] three of the class of March ARTHUR EDW I N R. LA MM, ' 60, Stewart "The Superb" chuckled a little. A great man could show a little humanity at times. has MAX A. S C HNEIDER , ' 49 , been elected chair of the a- tiona! Council on Alcoholism 1943. On the left is JOHN M ARA N T Z , ' 65 , of the Pathology Department Center in Corona, CA. Ambulatory and Community effective january 1, 1998. He Ml: In September 1996, I be- has served on the NCADD came corporate chairman of Di- FLET C HER , has been appointed vice-chair of Gardens, Florida; in the middle RICHARD KE N NETH BROMBE R G , ' 75, at Corona Regional Medical and Drug Dependence ( CADD) for a two -year term, iS ' 70 , was a founding member of THMOG. has accepted a new position as chair CA L VI N of Palm Beach Do N oHu E GOS HIN, The HMO Group (THMOG), a national alliance of integrated, racic sympathectomy case. After about 1 and l/2 hours of R . K E NN ET H M A TASAR , Pediatrics at the SUNY Health Sciences Center/Brooklyn (downstate). ' 68 , writes from Bloomfield Hills, Tequesta, Florida; and to his board since 1983. Widely agnostic of William Beaumont right is me, (lOO Waterway Rd, known in the field of alcohol- Hospital, a 930-bed teaching R O BERTS BU R N S, ' 8 3, Apt. 201A, Tequesta, FL ism and other drug addictions hospital , as well as a 190-bed ated from the University of Mem- 33469). I think it is great we as a teacher, author, lecture satellite hospital. We perform phis in December 1997 with a live together, play golf together and film producer, Schneider nearly 400,000 imaging stud- master's degree in playwriting. is the director of education for ies annually and have 35 radi- His play "Zen and the Fear of the Positive Action Center at ologists, 24 residents and 11 Flying" was produced in Pitts- Chapman Medical Center in Orange County, CA. He is a fellows. Judi and I have two sons. Our younger son is in his burgh this year. recipient of UB's Alumni Life second year of medical school and associate together all the time and are well. We go out to dinner all the time, which is great. We would love to hear from any of you and have you come and see us. We will have Achievement Award. attorney in 1 9 5 0 W ILLIAM S ULLI V A N , '55, writes: After 35 years of gen- bad . The best to all. eral psychiatry and psycho' 47 , analysis, I have changed my writes: Another Dr . john Stewart memory. In 1948, I was professional work to forensic psychiatry. I find this new an intern at M.M.H. on the sur- work interesting and demanding . One must be part CHARLES D . ROSS, gical service. l had the marvel- B f f recently, I heard a familiar voice ew York City. His from the past. Looking up, I wife is a third-year medical stu- much medicine has changed. We are glad we are retired. Too a l o SaW PAU L dent at Columbia University College of Physicians and Sur- practice at St. joseph Mercy Hospital in Ann Arbor. (I'm in in orthopedic surgery. PM&R.) As it turns out, Paul and his family live around the corner! Two '85ers on the has been promoted to captain in the U.S. Naval Reserve Medical Corps. p S HIELDS , y s c B E R KOW I TZ, ' 85 , who has joined a nephrology geons who is planning a career J O HN reports: While making the rounds at Harvard. Our older son is an a good time together. Can't believe its been 55 years and how JON WAR D N E R , '85, gradu- ' 68 , a n same block-there goes the neighborhood! 5 p 9 9 �········ ······· · ················ ·········· ····················· ·················· ······ ·[! ] THOMAs P. SMITH , JR. ' 87 , Washington Residency Pro- promoted to assistant profes- Langone, '96, is enjoying her pe- has been appointed medical di- gram in Rehabilitation Medi- sor and am now the director of diatric residency atthe University rector of Erie County Medical cine in 1995. Presently, he is obstetrical anesthesia at the of Texas and will stan in terview- Center's ca rdiac care and telem- an associate medical director University of New Mexico . etryunits. Heisa lsoanassistant professor of medicine, division at Whittier Rehabilitation Hospital in Westborough , MA. of cardiology, at UB. In this ca- He and his wife, Kathleen , pacity, Smith is clinical precep- ing soon for a general pediatric position in ANTHONY LANGONE , ashvi lle, TN. ' 96 , proudly announced the birth writes: I am currently in my second year of my interna l MOR G AN tor for third-y ea r medical of their son, Marc Daniel medicine residency at Baylor alumnus of UBs orthopedic students and lectures exten- Liguori , in july 1997. College of Medicine. After being residency, hand and spine accepted by l2 nephrology fellowship , is back home in Cajun CYNTHIA LEBER MAN JENSON , programs, 1 have accepted a po- country in private practice, hav- writes: Mark and 1 had sition at Vanderbilt University- ing successfully completed two our second child, Erica, on a three-year fellowship with international adoptions (one girl january 16 , 1998. She joins special certification in renal from China and one from Viet- transplantation. My wife, Susan nam) and planning more. sively on topics related to cardiovascular disease. ' 92 , 1 9 9 0 PAUL A . LIGUORI , ' 91 , gradu- ated from the University of Alexandra, now three . 1 was P. LORIO, ' 88 , Four UB Alumni Presented AMA/GlaxoWellcome Leadership Award skills, and the Allegheny Regional resident at the State University of New F Development Corporation, which York at Buffalo School of Medicine and our alumni of the UniHrsity at Buffalo School of Medicine and Biomedical Sc1ences were presented the AMNGlaxo Wellcome Leadership Award at the AMA's interim meeting held in Dallas in December 1997 . The award, which was given to only 40 recipients nationwide this year , acknowledges resident physicians and fellows who have demonstrated a strong commitment to their civic or medical community through volunteer activities. Recipients arc given the opportunity to participate in the Am erican Med1cal Association's policy-making process by attending two meetings of the AMA Resident Physicians Sec tion (AMA-RPS ). The obJeCtive of the program is to encourage involvement among community-oriented physicians 8 u f f a I a P and to develop the skills of potential leaders of orgamzed medicine . Award recipients have their expenses paid to attend one annual and one intenm meeting of the AMARPS and the opening session of the AMA house of delegates. The four UB alumni receiving this award , and their contributions as described b) the AMA, are as follows: Biomedicol Sciences. Stephen J. Kimatian, MD '92, cochaired ofund· raising event for the Children's Hospital of Buffalo during medico\ school. Then while in the U.S. Air Force, he served as ofacilitator for teen and family support groups and coordinated school physico\ examinations and immunization reviews. Kimotion is on anesthesia resident at the Hershey Medico\ Center of the Pennsylvania State University. Kim S. Griswold, MD '94, volunteered os o clinician and on the board of directors of Conoon House, a home for women who ore reconstructing their lives after incarceration, where she developed o program to provide the women with health education and initiated o program to recruit other medico\ residents to volunteer. In 1989, she co-coordinated La Clinico Suyo, o free medico\ clinic for refugees and the uninsured. Griswold is o family medicine hyslcla 5 p r Martin C. Mahoney, PhD, MD '95, serves on the board of directors of the Contolicion Center, which provides health and education services to people with disabilities. He also volunteers with the Niagara Fron~er Vocational Rehobilito~on Center, which helps the disabled acquire and maintain voco~onol I n g I 9 9 8 provides health core to Native Americans with disabilities. Mahoney is a family medicine resident at the State University of New York at Buffalo School of Medicine and Biomedical Sciences. Andrew Sherman, MD '93, volunteers at two local boys and girls clubs in Seattle that serve under· privileged innercity youth. He coaches basketball year-round, providing leadership and o positive role model to 12-14-yeoriJ\d boys. He is ovolunteer physician for o loco\ high school team and provides physicals, game coverage and acute core of injuries. He also provides acute-core coverage for the spinal cord-injured patients at the Veterans Administro~on games. Sherman is o physical medicine and rehabilitation resident at the University of Washington Hospital in Seattle. an �& THE ULTIMATE DRIVING MACHINE: AMANA COLLECTS Checkpoint Foreign Car, Inc. 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When they tune into high quality programming broadcast over our satellite network, viewers know what they see will help enhance patient safety and reduce injuries. They also appreciate the policyholder discounts available to participating physicians. MLMIC programming is sponsored by the largest Risk Management Department of any professional liability insurer in the state. Policyholders also enjoy the protection of one of the country's largest and most experienced professional liability Claims Departments. Most importantly, MLMIC has successfully defended more physicians than all other available insurers combined. These are some of the rea sons why MLMIC is the only medical liability insurer approved by the Medical Society of the State of New York. To find out more, call1-800-356-4056 in Upstate New York, MLM~C led~ral ~ or 1-800-ASK- MLMIC in the New York metropolitan area. Ask for free copies of our risk management \ l.i.Jbilill ' lutual In-ur.mrr Company guide for office practices. • Our defense never rests. a u f f a l 0 Ph ys i cia n 5 p r I n g 1 9 9 8 2 Park Avenue New Yor k, NY 10016 2 Clinton Square Syracuse, NY 13202 90 Merrick Avenue E. Meadow, NY 11554 C1996 Medical lial7ility Mutoallrtf1urance Company �BUFFALO PHYSICIAN Non-Profit Org. STATE UNIVERSITY OF NEW YORK AT BUFFALO U.S. Postage 3435 MAIN ST . PAID Buffalo, NY Permit No. 311 BLDG. 22 BUFFALO NEW YORK 14214-3013 C"t ISC E~IC~L 219t. HISTO !- L ~!­ A3 30TT LI Q~~y SER!~LS ADDRESS SERVICE RY -;:> ... ::. I REQUESTED To consult with someone truly concerned with your financial health, come to Key Your Key Private Banker heads a team of KEY PRIVATEBANK professionals, who can help you achieve your financial goals with surgical precision. Call Marv Madison at 716-847-2341. It may be one of the most important appointments you make. We know medical professionals' financial needs like the dorsum of our metacarpus. Key. For a new America~ BP 1002-98 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1998 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1998-Spring Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v32n02-1998-Spring Table Of Contents A list of subunits of the resource. The Sounds of Science Focusing Attention on ADHD Northern Exposure Merging Medicine with Business Medical School MPH Program Established Hospital News Research News A student's perspective Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Copyright 1998 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/25d23c235dbdac2e36ce2da1eb43e40f.pdf 6b808860e4c531c12a44d210be2d37cf PDF Text Text State University of New York at Buffalo School of Medicine and Biomedical Sciences, Winter 1998 Out with the Rote, -UNDERGRADUATE CURRICULUM RESTRUCTURED TO INCLUDE PROBLEM-BASED LEARNING in with the ew �BUFFALO PHYSICIAN Volume 32, Number I ASSOCIATE VICE PRESIDENT FOR UNIVERSITY SERVICES Dr. Carole Smith Petro DIRECTOR OF PUBLICATIONS Kathryn A. Sawner EDITOR Stephanie A. Lnger ART DIRECTOR/DESIGNER Alanj. Kegler PRODUCTION MANAGER Ann Raszmann Brown STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr john Wnght, lntcrun Dean and Vice PreSident for Clinical Affairs EDITORIAL BOARD Dr. Bertram Portm, Chait Dr. Manm Brecher Dr. Harold Brody Dr. Lmda j. Corder Dr. Alan j. Dnnnan Dr. james Kanski Dr. Barbara MaJerom Dr. Elizabeth Olmsted Dr. Charles Paganelli Dr. Stephen Spaulding Dr. Bradley T Truax Roy Vongtama Dr. Franklin Zeplowilz TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospital Michael Shaw The Children's Hospital of Buffalo Erie County Medical Center Mercy Health System Millard Fillmore Health System Franll Sara Niagara Falls Memonal Medical Center Roswell Park Cancer lnsl!lule Sisters of Charity Hospital Dennis McCarthy Veterans Affairs Western New York Healthcare System ©The Stale University of New York al Buffalo Buffalo Physician is published quarterly by the Stale Universny of ew York al Buffalo School of Medicme and Biomedical Sciences and the Office of Publications. It is sent, free of charge, to alumni, faculty, students, residents, and friends. The staff reserves the nght to edit all copy and submissiOns accepted for publication. Dear Alumni and Friends, Nov. THAT 1997 HAS ENDED AND WE BEGIN to contemplate what made this year particularly interesting and challenging, several things come to mind. The rapid changes in the local health-care delivery system represent perhaps the most important of these issues, not only because they affect our primary mission-the education of future physicians-but also because of how the medical school enterprise is currently financed. The state budget provides only 13 tol4 percent of our annual expenditures, matched by approximately the same percentage from extramural-sponsored research programs. Since hospital support, which also includes the residents' salaries, accounts for approximately 23 percent of total expenditures and the practice plan, an additional 41 percent, over 60 percent of our funding is derived through the health-care delivery system. Changes in the financing of this system, together with its overall configuration, are therefore of vital interest to us. As we begin 1998, the merger of Buffalo General, Children's and Millard Fillmore hospitals is poised to occur, yet the consequences of the merger (for us and others) are far from clear. The Catholic system is undergoing similar merger discussions, while Erie County Medical Center and Roswell Park are in the process of determining their respective roles within this rapidly changing environment. As if this were not enough, we are actively engaged in reengineering the residency training programs in response to the well-publicized Medicare Demonstration Project, which calls for a 20 percent reduction in resident training positions over the next five years. This process has been complicated by the fact that most of our programs are dispersed throughout multiple hospital sites and in order to maintain quality (not to mention "accredited") programs, any significant downsizing will undoubtedly require program consolidation to fewer sites. The latter is further complicated by the financial implications to the participating hospitals and the availability of specialized training opportunities for specific program needs. The planning process is moving ahead, but many of the very difficult decisions are yet to come. Against this background, we must continue to develop innovative educational programs for our students, maintain the basic relevance of our curriculum and prepare our students for whatever future medical practice demands. (Fortunately, our students are an adaptable lot and probably better able to manage these changes than some of us older folks.) A number of exciting programs are under development to achieve these goals, some of which are presented in this issue of the Buffalo Physician. Finally, with 1997 having come to a close (and my first year as interim dean), I want to take this opportunity to wish each and every one of you a happy and fulfilling New Year! John R. Wright, MD Interim Dean, School of Medicine and Biomedical Sciences Interim Vice President for Clinical Affairs Dear Fellow Alumni, Change is definitely the key word and it is currently rapid and aggressive. With winter here, I would advise those physicians who ordinarily choose to hibernate, to forego the temptation and stay alert. If not, they could awake to a considerably different medical environment. The steady advancement and influence of managed care, combined with the merging of health systems and HMOs/insurance companies, is creating a sense of stress. With those thoughts in mind, it is refreshing that I have had the opportunity to reflect on the future of medicine through the eyes and perception of members of the younger generation. First-year student Ryan, who is my mentor partner, and my son jerry, a PGYI resident, visualize their medical careers with joy, anticipation and determination. How nice it would be if that vision could be projected to a number of my colleagues. Attitude is obviously the key to handling the stresses of change. Plans for the 1998 reunion weekend and Spring Clinical Day, April25, 1998, are well under way. Dr. John Bodkin is arranging a program on aging, and the reunion chairs are making arrangements and contacting classmates. An article in the autumn 1997 issue of the Buffalo Physician noted that the reunion class commitments in 1997 were increased by 48 percent. Let us keep up the momentum. It is badly needed in this era of rapid decline in state support. Please plan on joining us in celebrating and supporting your excellent medical school. ~B.c:~.M~~ President, Medical Alumni Association �VOL U ME 32 , NUMBER 1 WINTER Out with the Rote, in with the New 2 CURRICULUM 12 Medical Student Exchange to Bosnia 18 EXPERIENCE BRINGS NEW RESTRUCTURED TO PERSPECTIVE TO U B INCLUDE PROBLEM- STUDENTS BASED LEARNING by Michael Beebe 1998 Communication Skills lor Tom~rrow's Physicians NEW PROJECT TO MORE FORMALLY INTEGRATE TEACHING OF EFFECTIVE by S. A. Unger COMMUNICATION SKILL S photos by Frank Cesario by S. A. Unger Heidi DeBlock, MD, PARLAYS HER FASCINA- TION WITH SPACE INTO REGULAR STINT AT HOUSTON'S LB.J SPACE CENTER New Computer Lab by Nicole Peradotto NEW "E-TECH" COMPUTING LAB GIVES STUDENTS ACCESS 3 Medical School DAVID K. MILLER , MD, "A GIANT IN HIS FIELD," TO STATE-OF-THE ART DIES AT AGE 93. LEARNING TOOLS COLLEAGUES AND by Scott Thomas STUDENTS REMEMBER HIM . Astudent's perspective: THE CHALLENGE TO SUSTAIN THE HUMAN - ITY WITHIN US Department Honored AMERICAN .JOURNAL OF 32 Resemh News EPIDEMIOLOGY DEDI- CATES SPECIAL TO UB' S Alumni ISSUE DEPARTMENT REUNION DAY by F. Michael Elliot OF SOCIAL AND PREFESTIVITIES PLANNED VENTIVE by Lois Baker Cover iiiU>Irolion by Wh~ney Shermon. MEDICINE 38 Class notes �PHOTOGRAPHS BY fRANK CESARIO OuT WITH THE ' IN WITHTHE BY S. A. UNGER -UNDERGRADUATE CuRRicULUM REsTRUCTURED TO INCLUDE PROBLEM- BASED LEARNING Changes are currently taking place in medical school curricula that can only be compared in magnitude to changes that took place more than 30 years ago, when curricula were restructured in response to physician shortages in select specialty areas. Ironically, while the changes several decades ago were fostered by a need to include new, specialized knowledge in the curriculum, today's changes are in large part motivated by an admission that the body of knowledge, especially in the basic sciences, has grown so large and complex that no person can be expected to absorb it all-not in four years of medical school, not even in a lifetime. Enter the concept of lifelong learning. Instead of trying to teach medical students everything they could possibly need to know about a seemingly endless number of subjects, educators at the University at Buffalo School of Medicine and Biomedical Sciences and other institutions worldwide are exploring a new concept: What about teaching students to 0 B u f f a l a master processes whereby they can teach themselves how to learn whatever it is they need to learn-using as their base a strong fundamental knowledge of the basic sciences? As in the real world of medical practice, this new form of learning is necessitated when a case is encountered, along with its specific problems. The method being used to foster learning in this way is called problem-based learning; in a larger context, it is also referred to as case-based learning. At UB's medical school, problem-based learning (PBL) is the foundation upon which the undergraduate curriculum for the basic sciences has been dramatically restructured to include a new two-year course called the Scientific Basis of Physician W I n t e r 1 9 9 8 �It is this rethinking of learning methods that has led medical educators to focus on the development of courses that utilize PBL, which emphasizes learning in small, self-directed, s tuden t-een tered groups. A few schoolsincluding Harvard Medic a l School , Small, self -directed, student-centered groups ore through its New integral to problem-based learning. Pictured ore Pathways Program first-year students with facilitator Joan Boizer, PhD. -have devoted their entire curriculum to a PBL format , but at UB , as in most schools, PBL is used to supplement a scaled-back number of core lecture courses. "At UB, what we're looking for is a balance," explains Dennis A. adler, MD, associate dean of the School of Medicine and Biomedical Sciences. "There is material that we believe is core material and is most effectively taught-and certainly more efficiently presented-through didactic lecture. " To effect this balance, therefore , and to accommodate inclusion of the SBM course, lecture time at UB has been reduced by the equivalent of about a day a week. "We did this because we fully expect about 10 to 15 percent of what is learned through SBM to be new material," Nadler adds. Medicine, or SBM. The course was designed by Alan R. Saltzman, MD , MBA, professor of clinical medicine, clinical director of the Department of Medicine at Erie County Medical Center and former chair of UB's Curriculum Committee; and Murray Ettinger, PhD , Distinguished Teaching Professor of biochemistry. Given that SBM in many ways reflects a paradigm shift in medical education, it seems apt that it was launched at the start of the 1996 school year, with the Class of 2000 the first to be enrolled. While implementation of SBM has involved growing pains on the part of both faculty and students, those who have had firsthand experience with this innovative course agree that it merits close attention and support as it continues to develop. lOOKING FOR A BALANCE At the core of the current changes in medical school curricula is the realization that strictly lecture-based formats may not be the most effective way to teach today's medical students, given the ever-expanding body of knowledge that must be considered. Critics of the traditional, lecture-based curricula have called into question its tendency to emphasize rote learning of facts for multiple-choice examinations, its lack of a meaningful context and its purported failure to provide students with the problem-solving skills they will need throughout their careers. They maintain that what students really should be learning is how to analyze and solve problems; in other words , how to identify what needs to be learned, how to find information that can be used to develop a hypothesis and how to test this hypothesis by acquiring additional, more targeted data. B u f f a l o Physician W I n t e r 1 9 9 8 0 �Is A CouRSE FOR ADULTS the group must expand and refine the learning In their first year in the SBM course, students objectives for the case and agree to a schedule for are presented with five clinical cases their first how these objectives will be covered during the semester and seven, their second semester. In two and a half weeks allotted. their second year, they take on six cases each "The goal of SBM is not diagnosis," emphasemester. A case begins in Butler Auditorium, sizes Ettinger, "although the students do like to where the entire class convenes to participate figure out what's wrong. The goal is to underin its presentation, which involves an actual stand the underlying scientific basis of what's patient who sits in front of the auditorium and happening to the patient: What is the cause of the is interviewed by Saltzman, who takes a hisdisease, and what is its clinical course in relationtory. Students are expected to fully participate ship to anatomy, physiology and biochemistry? in the process, which is punctuated by Saltzman In the second year, the emphasis is on the underprodding them to ask questions of the patient. lying microbiology, immunology, pathology and Behind Saltzman and the patient, Ettinger is at pharmacology of the disease." the chalkboard taking notes under the headutside of these small ingsofQuestions, Hypotheses, Tests and Learngroups, students are ing Issues. At the close of this 90-minute sesexpected to find and sion, the students have an opportunity to talk read full-length pawith the patient or the faculty individually. pers about every This marks the start of their case and in the learning issue, not weeks that follow, the class breaks into 17 limiting themselves groups of eight to nine students, joined by a to medical textfaculty member who serves in a clearly defined books, abstracts or scant role as "facilitator" of the group. Each small summaries from Web sites. To that end, students group meets for two 90-minute sessions a week receive training in how to conduct computer for two and a half weeks, for a total of five searches for medical literature and how to idensessions per case. At the start of the first smalltify papers that are appropriate to the learning group meeting, students are given a written issues for each case. summary of the case, prepared by Saltzman, as In the ensuing small-group discussions, the well as laboratory faculty facilitator tests results from serves as a guidethe patient. With not as a teacherthis information expert-to make in hand, the stusure that each memdents and their faber of the group cilitator embark contributes signifion their journey cantly to all aspects into the new of the discussion world ofPBL and that all the Giving struclearning issues are ture to this procovered in depth. cess are clearly Students are encourdelineated objecaged to facilitate tives for each discussion as well. session as defined During its final in the course outmeeting on the case, line. As a result, the group takes an in the first meeting , DESIGNERS OF THE SCIENTIFIC exam, following the same students know it's improcesses used throughout BASIS OF MEDICINE COURSE. perative that they review the earlier discussions. The MuRRAY ETTINGER, PHD, LEFT: the facts of the case and students are free to refer to AND ALAN SALTZMAN , MD. MBA. any clinical data they their notes throughout the have on the patient. Next, exam and conclude by THIS "lT MAKES THE CASE MUCH MORE MEMORABLE TO HAVE A PATIENT THERE," SAYS MElJI,SA WOlf. A SECOND-YEAR STUDENT. "lT CAN BE VERY EMOTIONAL. I REMEMBER ONE CASE WE HAD WHERE THE PATIENT HAD CYSTIC FIBROSIS AND SHE EXPLAINED TO US ITS IMPACT ON HER LIFE. KNOW I I WOULDN'T HAVE FELT THE SAME IF I HAD JUST READ ABOUT HER CASE." B u f f a l o Phys ic ian W I n t e r 1 9 9 8 �turning in one paper that reflects their combined effort. Grades are based 70 percent on participation and 30 percent on content, using the same grade scale that is used in the core lecture courses. "This is a course for adults ," Ettinger emphasizes. "It's not grade oriented in the traditional sense: The biggest part of the 'grade' students receive is a detailed evaluation of how he or she participated in the group. In essence, the 'exams' are closure exercises that continue the learning process." "Basically, what happens in PBL is that education is no longer controlled by the faculty," says Saltzman. "The education process now becomes much more student-focused and student-driven because the students are really the ones who decide what they need to learn to understand the case." A key to making this process work is the fact that the cases are carefully selected in an attempt to integrate them with the overall curriculum. "We meet with faculty to learn what material won 't be covered in detail-or at all-in the lectures and then we pick cases that represent specific common diseases that correlate with these areas. By selecting cases in this way, we know students will choose the right learning objectives," Saltzman explains. NoBODY ELsE IN THE WoRLD DoEs THIS What makes PBL most effective, its proponents contend , is that it lends relevancy to material by presenting the basic sciences within the context of actual clinical problems, a method that has been shown to improve recall. "Problem-based learning is B u f f a l o Physician really a model that comes from education that says you learn and retain better if you do things in context," adler says. "And there's good evidence that it works; that's why it's used in a wide variety of educational settings now, not just in medicine. " Further impetus for the push toward PBL has come from the Association of American Medical Colleges, the accrediting organization for medical schools . "Since the mid-I980s, the AAMC has been on a push to reduce the amount of curricular time in order to get students involved as more active learners," says Saltzman. "Basically, they've bought into the concept of PBL, so when they come around to accredit schools, one of the things they look at is how much time a school devotes to scheduled activities, such as lectures and labs , versus other learning formats. " PBL has also drawn attention as a means of stimulating students to choose careers in primary care in order to meet physician-supply demands resulting from dramatic changes in the delivery of health care nationwide. "There are different ways of teaching and getting students interested in primary care," says Saltzman, "and one of the ways to do that is to introduce them to patients' experiences early in their medical education." A unique way that the SBM course brings clinical relevancy to PBL is its inclusion of the "real" patient at the start of each case, as opposed to presenting the case on paper. "Dr. Ettinger and I had some things we wanted to do when we designed this course," Saltzman says, "and one of the things we wanted to do is introduce each case with an actual patient. We didn't know at the time that nobody else in the world does this, although I know of one school that brings a patient in at the end of a case to wrap it up. " "It makes the case much more memorable to have a patient there," says Melissa Wolf, a second-year student. "It can be very emotional. I remember one case we had where the patient had cystic fibrosis and she explained its impact on her life. I know I wouldn't have felt the same W I n t e r 1 9 9 8 "T HE BEGINNING WAS PRETTY TOUCH AND GO," SAYS SECONDYEAR STUDENT USLif CHAMBtRLAI '\i . " FoR SOME OF THE CASES, T H E FOCUS WASN'T CLEAR AND WE DIDN'T HAVE THE MED ICAL BACKGROUND TO BASE OUR D ISCUSS IONS ON .. . H owEvER, I ATTRI BUTE T H IS TO T H E COURSE BE I NG NEW LAST YEAR; THIS YEAR JT's IMPROVED TREMENDOUSLY." �if I had just read about her case; I wouldn't have known what was going on inside her and I feel the personal aspects of her disease would have been glossed over. With a real patient, I relate to the person, not just the disease. " ope Cawdery, a second-year student, says she was pleasantly surprised when her preceptor for her externship program last summer said to her, "You know a lot for a first-year student. " She says she told him, "It's all SBM." Cawdery says further that one reason she's learning so much from the course is "I get to pick what I'm interested in." Another key to making the course work, Ettinger feels, is that students are expected to do their own literature searches, as opposed to being told what to read. "I have seen that the real power of this course is that students go out and read different things," he says, "and when they come back the typical student doesn't necessarily have a good grasp of anything, and they know it! But what happens in a very relaxed, fun way-and it's a marvel to witness-is that by having read different papers, the students really complement each other's understanding during the small-group meetings and a whole lot crystallizes. It's incredible what can come out of these discussions; they really put it together. Our medical students are awfully good at this." THE Urs -LEARN! AND DowNs G ALO GSIDE FACLLTY Facilitators for the groups are drawn from both clinical and basic science faculty. "This is a very faculty-intensive course," Saltzman says, "and finding people who want to facilitate has turned out to be one of our biggest challenges-to free up one person from a couple of hours of lecturing doesn't help us come up with the 80 facilitators we need a year. And as the pressure on productivity increases for all faculty- in the lab or in the clinic- the time they feel they can allocate for 'optional' activities diminishes." onetheless, faculty have stepped forward and Saltzman and Ettinger hope interest will con tinue to grow. The first group of facilitators was trained in the fall of 1996, when the course began. "They learned alongside the students," says Saltzman, "and the students were exceptionally patient with the process and helped us out a lot. We were trying some things that just weren't working, so we made many changes to the course based on their input." "The beginning was pretty touch and go," says secondyear student Leslie Chamberlain. "For some of the cases, the focus wasn't clear and we didn't have the medical background to base our discussions on. For example, we had a case on sickle cell, but we didn't yet have a basis for the disease given to us in our biochemistry course. However, I attribute this to the course being new last year; this year it's improved tremendously. " Chamberlain says the facilitators were very receptive to criticism, and that has made all the difference. "They made us appreciate the course and made us feel we had some say in it. They didn't just force it on us," she says. Defining what role the facilitator plays in the group has not been without controversy. "We discussed this ad infinitum when we were developing the course," Ettinger recalls. However, he says several groups independently came to the same conclusion: The facilitator is not an expert in the subject area and is not supposed to supply information to the group. ot all the students agree with this conclusion, however, and the role of the facilitator continues to be a point of discussion for both students and faculty. Second-year studen t Andrew Mayer says, "I think facilitators should be sufficiently conversant with the material we're discussing"; however, he does concur that "they shouldn't dominate the discussion." "They're not the classic teacher," says Saltzman, who , along with Ettinger, also serves as a group facilitator. "Rather, "PBL IS SOMETHING OF A CONTRADICTION,'' SAYS CHARLES LAU, A SECOND-YEAR STUDENT. "ON THE ONE HAND, I'M LEARNING TEAMWORK- HOW TO WORK WITH PEOPLE WITH DIFFERENT PERSONALITIES- YET, ON THE OTHER HAND, I'M BEING PREPARED TO BE A VERY INDEPENDENT PHYSICIAN , CAPABLE OF LEARNING THINGS ON MY OWN , AS NEEDED, FOR THE REST OF MY LIFE." 0 B u f f a 1 o P hys i cian w I n t e r 1 9 9 8 �the job of a facilitator is to help make sure that everybody participates all the time; that the group maintains its focus and that the students go into a decent depth about each issue. They're also supposed to routinely foster a period of open discussion by the group about how the group is working." Midway through the course and again at its conclusion, facilitators complete written evaluations of the students; the students also evaluate their own individual performance, as well as that of the facilitator. When students do voice a concern about the role of the facilitators in SBM, Ettinger says, their concerns tend to focus on whether the small-group, PBL format, in general, is conducive to learning for them as individuals. Roy Vongtama, a second-year student, is a case in point: "In a lecture, material is presented in a systematic way by individuals whose knowledge in their field is recognized. As a result, I think I comprehend the material more, and retain more, and I also am more inclined to accept its veracity-as opposed to discussing the material with classmates and a facilitator whose knowledge base may be limited. However, I know I may be biased in this view because of my years of experience with the lecture format." CoNFRONT! needed, for the rest of my life." For first-year student Marina Zaydman, the small-group format has helped her successfully confront a very personal challenge: "I have always had a major problem with being shy, so being in my group has really helped me open up, mostly because we all respect each other. I'm feeling less and less uncomfortable speaking up, and I'm even noticing a change at my preceptorship because I'm able to talk with the patients quite easily. It's the greatest. Being shy used to hang over my head like a ton of bricks." THE GREATEST CHALLENGE REMAI G AND RrsoLVING PROBLEMS As for day-to-day dynamics within the small groups themselves, students and faculty alike agree that, for the most part, the members get along remarkably well. So well, in fact, that groups are purposely disbanded and reformed with different members at the close of each semester-a tactic designed to help prepare them to interact with the multidisciplinary teams they will be a part of as physicians. Problems, when they do occur, often stem from a group member being either too dominating or too quiet; however, facilitators are trained to motivate the students to confront and resolve any interpersonal problems themselves. "PBL is something of a contradiction," says Charles Lau, a secondyear student. "On the one hand, I'm learning teamworkhow to work with people with different personalities-yet, on the other hand, I'm being prepared to be a very independent physician, capable of learning things on my own, as B u f f a l o Physician W I n INC.. "Probably the greatest challenge remaining," says Ettinger, "is for a reformed curriculum to evolve that optimally integrates the core curriculum with the SBM and CPM [Clinical Practice of Medicine] courses. In order for physicians to provide excellent care for their patients, they need scientific knowledge, clinical skills and compassion, as well as consistent approaches for learning, analyzing and solving clinical problems." As SBM continues to take shape in the years ahead, Saltzman and Ettinger are sure they will continue to have lots of input from students, faculty, facilitators and administrators, and they look forward to further improvements that will come from this process. After all, processes geared to solving problems are what these two educators are primarily interested in, and what they find most rewarding in their work is seeing processes such as PBL translate into learning. "The students are really remarkable," Saltzman says. "It's amazing how quickly they learn right from the start what the process is for PBL; they just run through it: facts , questions, hypotheses, mechanisms, t e r 1 9 9 8 0 �'THE EDUCATION PROCESS NOW BECOMES MUCH MORE STU DENT-FOCUSED AND STUDENT-DRIVEN BECAUSE THE STUDENTS ARE REALLY THE ONES WHO DECIDE WHAT THEY NEED TO LEARN TO UNDERSTAND THE CASE." SALTZMA .MD.MBA learning issues .... That's what Dr. Ettinger and I are really interested in. If they learn that process, they are set to learn for the rest of th eir lives." And the students do seem to be learning the process. "The second-year students are into their third semester of this," says Wolf, "and we're getting to be 'old hands' at it. At the beginning, we had no idea where to go with PBL, but now we really go through the routine fast for each caseit almost gets mechan ica l at times. " Who knows, maybe someday Wolf and her Class of 2000 will be making their own brave attempt to take the rote out of learning. + THE GENESIS OF THE SciENTIFIC BAsis OF MEDICINE CouRSE AT UB he Scientific Basis of Medicine (SBM)course is adirect outcome of a report issued in1991by the UB School of Medicine and Biomedical Sciences' Task Force on Undergraduate Medical Education, cochaired by Charles M. Serverin, MD, PhD, associate professor of anatomy and cell biology; and Avery Ellis, MD, PhD, associate professor of medicine and physiology.ln this report-written by the committee's chairs with assistance from Dennis A. Nadler, MD, associate dean in the Office of Medical Education--<hanges to curriculum were recommended to better "prepare students for the practice of medicine inthe 21st century." Akey objective toward meeting this goal was to stimulate 0 B uffalo students' interests in pursuing primary-care careers by introducing them to clinical experiences in their first two years. To accomplish this, the report in part proposed designing a course in which students could "learn basic medical science in a clinical context that illustrates for every student the importance of basic science knowledge for the clinician." Further impetus for the SBM course also came indirectly from athree-year, $600,000 grant the school received in 1994 from the Robert Wood Johnson Foundation to fund UB's Primary Care Practice Initiative. One of the overall goals of this initiative is to revamp the medical school curriculum to more closely link clinical experiences to the basic sciences, as well as to emphasize problem solving and self-learning, explains Nadler, whose Office of Medical Education provides ongoing support for the multidisciplinary SBM course. + Physician w I n t e r 1 9 9 8 �FACUL1Y EXPERIENCING A LEARNING CURVE l:o! n many ways, the move to- facilitator for SBM, but also helps train the discussion in a different direction." ward problem-based learning new facilitators for the course. He and Another aspect of traditional teaching (PBL) in UB's medical education other faculty work closely with Judith that facilitators must leave behind them, curriculum has been as big a tran- Shipengrover, PhD, a medical education according to Shipengrover, is the familsition for faculty as it has been specialist with the Office of Generalist iar practice of dividing up research tasks for students. Stanley Spurgeon, Initiatives in UB's medical school. Both among group members for the sake of MD, clinical assistant profes- educators agree that faculty who serve as efficiency. "In group sessions this apsor at UB and an emergency facilitators in the SBM course are experi- proach only replaces teacher-delivered room physician for the past 20 encing a paradigm shift in teaching lectures with mini-lectures delivered by years, has had experience both methods as much as the students are the students as they report their findings, as a traditional lecturer and, experiencing a shift in learning methods. while the rest of the group listens," she now, as a facilitator for the "It's really difficult letting loose of says. "Although counterintuitive and .) ......, Scientific Basis of Medi- the 'I'm-the-expert' perspective," says seemingly less efficient, the redundancy cine (SBM) course. "Actually, the role Spurgeon. "I have found that the most and scattershot approach of the PBL of facilitator is probably easier for me important thing a facilitator needs to method, in which all group members than for some because in the clinical learn to do is keep his mouth shut." research every learning issue, fosters realsetting, we frequently teach in small Shipengrover says the paradigm shift time discussion and problem solving as groups," he says. "When attending phy- for faculty involves sevstudents work to sift and sicians, interns and residents do rounds eral key changes in persort what they know or "IN THE PAST in a hospital and come across some- spective related to what don't know about each isFACULTY HAVE BEEN thing involving a patient they're not Spurgeon has experisue based on their collecIN CONTROL OF familiar with, in essence that becomes enced. "Part of it is trust," findings." tive THE DELIVERY defined as a learning issue. Everyone is she says. "In the past facSpurgeon has experiOF INFORMATION enced firsthand all these given the assignment to learn about it ulty have been in control NOT NECESSARILY and give a short summary report the of the delivery of infordilemmas; however, he T HE RECEIVING OF is very motivated to connext day. So the small-group, problem- mation-not necessarily IT- BUT CERTAINLY based, student-directed model for learn- the receiving of it-but tinue along his own learnITS DELIVERY. ing has been used in clinical medicine certainly its delivery, ing curve when he sees WHICH ISNTTHE how well the students for many years." which isn't the case with CASE WITH PBL." In the past, though, Spurgeon says, PBL So at some level you progress within the PBL medical students had to "flounder have to trust that the stuformat. "Most of the along," essentially teaching themselves dents can and will do what it takes to time," he says, "if you allow a group to the processes involved in PBL "By our learn-that's the 'Eureka' moment with attack a concept and go at it, they may third year, we did have the basic build- PBL You let the students confront the not go in a straight line, but almost ing blocks for problem-based learning, problem, realize what they don't know, always they get to where they need to be having picked them up from working then go and find out what they need to going; they get it right." with residents and interns," he says. solve it." Shipengrover, too, sees much merit in "But it would have been helpful if we A second area of transition the PBL format, but feels strongly that had been taught these processes in a Shipengrover has identified is that of facilitators should be encouraged to demore formal way earlier on." knowing when to intervene in a group's vote more attention to working with the Spurgeon says he became interested discussion. "It's a judgment call that students to more clearly define what exin teaching when he was a fourth-year takes a lot of practice," she says. "As an actly the process is that they are experistudent at Indiana University School of expert-turned-facilitator, there's a con- encing in the group. "I feel there should Medicine. "I began teaching the third- stant push and pull about when, for always be a learning objective related to year students," he says, "because I re- example, to speak up and tell the stu- the group process itself," she says. "I membered how helpful the students were dents the answer to an issue they've think we're missing a lot if we don't make who had made the transition ahead of me been struggling with and when to sim- it part of the facilitator's role to help the and I wanted to help in the same way." ply point them toward the solution students see and understand the larger Today, Spurgeon not only serves as a through strategic questions that move framework they're working within." B u f f a 1 o Physician W I n t e r 1 9 9 8 0 J. . . . . . . . . . . . . . . . . . . . . . . . . ._____________________. �APhysician Whose Dreams -and Work-Are WHE her family's home in Elmira, New York , staring up at the stars, as her father discussed the constellations. A pilot during World War II, he was the one who told her about Apollo l3's mishaps after the now-famous warning, "Houston , we have a problem," was uttered from the spacecraft. At an age when many girls are into dolls , DeBlock was caught up with the space race. But back then, the world hadn't met Christa McAuliffe. "The Right Stuff' meant, in no small part, testosterone. Yet no one tried telling DeBlock the stars were no place for a woman. "We didn't have sexual barriers growing up ," she says. "I have an older sister who graduated from college in 1968-she was a dorm-mate of Hillary Clinton at Wellesley-and I thought that she was one of these women who was forging the way for me. So we were talking this summer about that, and I asked her if she found that difficult. Her comment was that she never noticed anything. "There were four girls and one boy in my family, and our parents allowed us to make our mistakes and choose what we wanted to do. And that changed our mind-set 100 percent. "Yes , I notice that I'm the only woman sitting in the room [at the space center]. But I don't let that affect my behavior. " As a teenager, DeBlock's initial exposure to the world of medicine didn't leave her as starry-eyed as space. When she was in high school, her next-door neighbor, a physician, got her a job performing electrocardiograms at the local hospital. "At first I really hated it," she recalls. SHE WAS SIX WEEKS OLD , Heidi DeBlock took her first ride in a glider. When she was six years old, she marveled as Neil Armstrong took "one small step for man, one giant leap for mankind." Her research there focuses on how As a physician, she has parlayed her zero gravity affects astronauts' hearts. fascination with the final frontier into a regular stint at Houston's Lyndon B. The results of her biggest project, in johnson Space Center. "Space is fasci- which she examined the heart rates of nating because it is so vast, and so little seven astronauts who had gone on space is known about it," says DeBlock, Class walks between 1990 and 1993 , were of 1990, a visiting scientist at the center's published in the Apri.l1997 issue of the cardiovascular lab. "I love science, and American]oumal of Cardiology. the science involved in this is And that's just the beginso rich. " ning . Construction of the BY Ironically, DeBlock's NASA space station is scheduled to NICOLE begin next year, and her findconnection with the great unPERADOTTO known began far from it: in the ings will be crucial once it is basement of UB's medical in operation. "The arrhythschool. There, a visiting professor giving mia research is important because we a lecture on a heart drug briefly discussed want to make sure there are no ill her sabbatical at the space center. After effects on the astronauts' heart rhythms the talk, DeBlock, then a second-year when they're up there ," she says. "We student, approached the teacher and have to make absolutely sure that it's asked for names of people she could safe for them. " For now, in-flight data is as close as contact in Houston. She made the calls, had good credentials and, in her fourth DeBlock gets to the launchpad. She was year, was invited for a month-long once invited to watch a liftoff-but she had to scrub when she couldn't find a internship. baby-sitter for her three daughters . "Lo and behold, everything clicked This year she was among close to there," she says. "They just kept inviting me back, and I kept going back." For one 3,000 candidates vying for one of the month every year and a half, DeBlock most elite callings in the world: astrofrees herself of her duties at Albany Medi- naut. Although she didn't get an intercal Center, where she is an intensivist in view, she plans to try again next year. the surgical intensive care unit, and at And if it happens, she would be fulfillAlbany Medical College, where she is ing the dream of a lifetime. director of the second-year cardiovascuAs a chi.ld, DeBlock-then Heidi lar rotation, and travels to Houston. Frutchy-would sit on the front steps of ® B u f f a l o Physic i an w I n t e r 1 9 9 8 �"The environment was scary to me. 1 just didn't like being in a hospital." The next summer she warmed up to the job. And then, a turning point: "l watched open-heart surgery and thought that was the greatest thing." At the University of Rochester, she majored in astrophysics, paying for her education by reading Holter monitors at Strong Memorial Hospital. Both disciplines, huge and unknown in their own ways, intrigued her curious mind. During her senior year, she and a PhD student published an article in an international physics journal on a discovery they had made in the field of chaos. "By that time, I had learned to love medicine more and more. 1 didn't like astrophysics less and less. But after [the article was published] 1 felt 1 had accomplished something in physics, and now it was time to move on to medicine." In the two years before starting medical school, DeBlock worked at Strong as an intensive care unit technician and got married. She entered UB in the fall of 1986. ln space history, it was a signifi- B u f f o l o "lt was very Heidi DeBlock, MD, vying to become on astronaut dramatic. I think everyone held their breath until they heard that the shuttle was into a safe configuration"meaning it was safe for the astronauts to disembark. "And then everyone started hemming and hawing and AT THE UNIVERSITY OF ROCHESTER , SHE MAJORED wondering how long IN ASTROPHYSICS , PAYING FOR HER EDUCATION it was going to be BY READING HOLTER MONITORS AT STRONG delayed. It's only MEMORIAL HOSPITAL. BOTH DISCIPLINES, HUGE then you realize how much of these AND UNKNOWN , INTRIGUED HER CURIOUS MIND . people's lives are on While the world's interest in space that space shuttle, and how much goes has waxed and waned, DeBlock's into it. You can't really realize that until has only grown with her increased you're there. " DeBlock's next trip to Houston is in involvement. She knows that every blastoff means a potential scientific February. Until then, the scientist and breakthrough. "l was in a conference her minister-husband are sure to have room during a launch once, and many an intriguing dinner-table conthere must have been 75 [scientists] versation about the world "out there." "That's always interesting," she notes, watching it on a closed-circuit TV. laughing. "We never argue, though. " Two of the three engines ignited and Between her hectic schedule and varithe one did not. So they had to shut down the shuttle and abort the ous professional duties, DeBlock relies on her family to keep her grounded. + mission immediately. cant year. Early in it-on january 28the Challenger burst into Games 73 seconds after liftoff. "1 was 23," she remembers with the instant recall you would expect of a space buff. "I had just moved from Rochester to Holland, Michigan, where my husband, Scott, was starting seminary." Physician w I n t e r l 9 9 8 ��MEDICAL STUDENT EXCHANGE TO BY MICHAEL BEEBE BRINGS NEW PERSPECTIVE VERY PHYSICIAN HAS A HORROR STORY about getting through medical school. Few ring as true as those of Maida Secerbegovic, MD , a 1997 graduate of the University of Tuzla Clinical Medical Center. That's Tuzla, as in Bosnia, the war-torn former Yugoslav Republic whose people-let alone its medical care-have been turned upside down by ethnic fighting. Secerbegovic, whose medical studies took seven years to complete due to the constant shelling of her city and hospital by Bosnian Serbs, just completed a five-week exchange at Children's Hospital of Buffalo as part of a medical partnership between Buffalo and the Bosnian city. Earlier last summer, three students from the University at Buffalo's When they first arrived at the hospital. the UB students were shocked by the damage they saw, which had b een caused by hundreds of shells landing on the hospital grounds. School of Medicine and Biomedical Sciences made the journey to Tuzla, where they saw how a hospital staff missing one-third of its physicians has been handling the medical care of a city whose population more than doubled to nearly one million during the war. This was the first time it was deemed safe enough for an exchange of medical students through a partnership called International Medical Relief of Western New York. Begun by jacob Bergsland, MD, a Buffalo General Hospital heart surgeon who went to Bosnia in 1994 to work in a United Nations field hospital, the alliance is the first hospital partnership in Bosnia supported by the American International Health Association. It was honored by First Lady Hillary Rodham Clinton in a October 1996 White House ceremony. P H 0 6 u f f 0 l 0 Physician T 0 w B y G R A P H S 1 n t e r 1 9 9 8 L I S A A P F E L �T he exchange of medical students almost never happened. The relief organization did not want to dilute any of its already scarce resources, which were needed to help Tuzla's physicians rebuild their medical system. The immensity of the job and the dearth of available funding seemed to make an exchange of students a costly extra. But after hearing how their professors were helping people who truly needed it, and after becoming acquainted with some of the Bosnian physicians and nurses who have come to Buffalo for training, the students didn't think so.(Recently, the U.S. government renewed a $2 million grant that, along with local contributions and donations from the medical school and Buffalo hospitals, will be used to assist Bosnia.) "This program was generated by the students," says Dennis A. adler, MD, associate dean at the UB medical school and a clinical assistant professor of pediatrics. "They decided to do their own fund-raising. Without that kind of initiative, we could not have done it. " The only restriction the medical school put on the students was that the program would have to be a true exchange program, with Tuzla students coming to Buffalo to study as well as UB medical school students spending time in Bosnia. The student exchange started last summer when the first group from UB-Lisa Apfel, a second-year student from Hyde Park, NY; Daniel Avosso , a second-year student from Long Island, Y; and Won Hee Kim, a thirdyear student from New York City- traveled to Tuzla. A Muslim-held industrial community about 50 miles north of Sarajevo, Tuzla suffered considerably during the war, when it served as a key distribution center for humanitarian aid. To bring in even more supplies, the United Nations wanted to open the city's airport. The Serbs responded by shelling the city. 6 u f f 0 l 0 When they first arrived at the hospital, the UB students were shocked by the damage they saw, which had been caused by hundreds of shells landing on the hospital grounds during the war. Clinic walls are still pockmarked by shrapnel. Less immediately obvious was the effect that years of fighting and treating war victims had had on the hospital staff and on the community it served. During the worst of the fighting in 1992, there was power only two hours a day, no telephone service, little or no pay for doctors for their long hours and no public transportation. urses sometimes had to walk three hours just to start their shifts. Some of the doctors who were able to leave did; others were pressed into service in field hospitals at the front. During the interruption in her studies, Secerbegovic helped give immunizations in the war zone and was nearly hit by artillery shells. A medical-surgical resident at the hospital suddenly became the hospital's chief of surgery when the chief left. There was no more heart surgery, let alone elective surgery. When they ran out of supplies and drugs or equipment, the staff had to make do . Apfel experienced a telling example of this the first time she walked into the hospital and saw the long line of patients waiting outside a clinic. There are no longer any hospital gowns in Tuzla, so men and women alike stood outside the clinic stripped to the waist. o one complained. It was just part oflife. At least they had some hope of treatment now. Riyaz Hassanali, MD, a Buffalo physician specializing in reconstructive plastic surgery and an advisor to the program, was stunned when he first went to Bosnia. Because everyone in the medical community had to concentrate on treating war injuries, no one was caring for the health needs of the civilian population. "Minor problems became major problems because they had not been treated," he says. "One of the national journals published the pictures we took of patients with untreated tumors because they could not believe the tumors had progressed to that point." Apfel and her fellow students were shocked at how little equipment was left. The nearest MRI machine was in Budapest, Hungary. There was a CT scanner at the hospital, but it was Physician W 1 n t e r 1 9 9 8 �thousands of hours past its intended lifetime. Last summer a Buffalo physician packed a neonatal ventilator into three suitcases and took it to the Tuzla hospital, where 7,000 babies a year were being delivered with no ventilator available. Contrast that with the experience Secerbegovic had coming to the Children's Hospital of Buffalo. In one of the most advanced pediatric hospitals in the country, she spent a majority of her time helping administer gastrointestinal tests with equipment not available in her homeland. She says she asked as often as she could how the American physicians would handle procedures if they didn't have the benefit of such advanced technology and equipment. "This was a great experience. I feel like I can help our younger students now," she says, in nearly flawless English. (She did not need tutoring from the UB English professors who go to Bosnia to help physicians with their language prior to their coming to the United States.) Hassanali says that Bosnia's lack of resources brings an interesting twist to the medical education of the American students who visit: "The students who go there learn more about the practice of medicine than about the practice of technology." They also learn how difficult-and potentially costlyit can be to practice medicine without even the rudiments of technology. Apfel notes, for example, how Bosnian physicians looking for blood in stool samples sometimes miss it because they have to rely on visual examinations, while American doctors use a simple chemical strip costing a few cents, with near-perfect results. "The resources are severely limited in Bosnia," she says. "It was amazing to see how the staff dealt with it; how they would devise things while a physician here would order several tests." Students from both countries also spent time together outside the hospitals. 1 Secerbegovic, whose parent? took Apfel into their home in Bosnia, visited her host's home in Hyde Park and made a trip to Niagara Falls during her time in the rotations at the Tuzla hospital-pediatrics, surgery or internal medicine-and spent their off-hours exploring the city and countryside. They included a trip to Sarajevo, a once breathtakingingly beautiful city that was heavily damaged during the war. The medical student exchange program, once thought to be an expensive extra, is bringing unforeseen benefits, as the students are bringing to their studies a different perspective from their visits, viewing the problems and challenges in both countries with fresh eyes. ew approaches are going to be needed, notes Hassanali, since Bosnia is being forced to not only rebuild its health system, but also to abolish the former centrally controlled economy of communist Yugoslavia. Every specialty in the Tuzla Clinic, for example, was once its own fiefdom , with everything separate-from medical journals to operating theaters. Daniel Avosso, who, like most Americans, followed the war on television and in newspapers, began to see Bosnia in a different light after his stay there. As he walked through Tuzla, he saw numerous churches, temples and synagogues as evidence ofa diversity far wider than the media's portrayal of only three groups: Serbs, Croats and Muslims. "I was impressed by the diversity in Tuzla, the various religions and cultures," he says. "It was something I thought only existed in America, not in a country that I thought was not accepting of other cultures." Hassanali, himselfa refugee from Uganda, believes other UB medical students who travel to Bosnia will come to the same conclusions he has about his practice here: "I realizes how lucky I am to be in the United States, practicing in Buffalo, with the tremendous resources we have available." + u.s. Apfel, Avosso and Kim were given their choice of B u f f a l o Physician w I n t e r 1 9 9 8 �Communication E for Tomorrow's Physicians stablishing a pattern of open and trusting communication between physician and patient is more than a perfunctory gesture of goodwill at the outset of a professional relationship; it's the foundation for every measure of success in a clinical practice. How well a physician communicates with patients affects accuracy of diagnosis, adherence to treatment plans, patient and physician satisfaction and-increasingly-incidence of malpractice suits. Despite this fact, a focus on technology in medicine over the past four decades and a subsequent drive to train "scientific physicians" have tended to erode awareness of the need for clinicians to have and cultivate effective interpersonal skills. In more recent years, however, the emphasis on technological innovation has been eclipsed by managed care and its focus on cost effectiveness, which has dramatically changed how health care is delivered. This, in turn, has provoked unprecedented criticism from patients about how they perceive they are being treated. More often than not, the focus of their attention-or contention-is on how well they feel their doctor communicates with them. In an effort to ensure that medical students acquire the communication skills they will need in their future practices-and to help bring the "art" of medicine back into balance with the science-a new project is under way at ® the University at Buffalo to more formally integrate the teaching of effective communication skills into the medical school's curriculum. The projectwhich will complement existing efforts at the undergraduate and residency levels at UB-is being led by Frank Schimpfhauser, PhD, assistant dean for educational evaluation and research. Funding for the project is being provided by a $50,000 grant from the Medical Liability Mutual Insurance Company and the Medical Society of the State of New York. L!STE lNG AND RESPONDING TO CALLS FOR CHANGE The new communication project is a direct outgrowth of the Standardized a u f f a 1 o BY 5 . A . UNGER Patient Clinical Competency Program established at UB's medical school in 1992 with grants from the Macy Foundation and the National Board of Medical Examiners. In large part, this program was begun in response to concerns that thirdand fourth-year students and faculty expressed about the curriculum, which they felt did little to ensure that students had minimal competencies in a wide range of clinical practice areas, according to Schimpfhauser. More than 90 percent of the students surveyed over two classes felt their opportunities to observe or be observed in a standard way were less than adequate. Students felt that they had not observed enough physician-patient interactions, that they did not have enough structured feedback on their own interactions and that their clinical skills training lacked consistency and quality. This sentiment was paralleled by faculty interest at the national and local level to develop more effective and consistent approaches to assessing students' progress and performance in areas of history taking, physical examination and patient communication. "We realized that we could no longer just assume that over the course of their first two or three years in medical school, students will uniformly acquire basic clinical practice skills, and we saw that we needed to develop more consistent ways to teach and objectively assess the skills relevant to these Physician W I n t e r 1 9 9 8 �instructors who will demonstrate positive modeling, continued practice with and feedback from standardized patients and, finally, application of the acquired skills in a clinical setting. Performance reports will be given to students, summarizing their attainment of skill, and plans for the future include making communication skills a part of UB's annual " I ALWAYS TELL MY STUDENTS THAT NO PATIENT WILL EVER competency exams. COME TO YOUR OFFICE WITH A WRITTEN TEST SAYING . 'I SEE "Working with standardized patients YOU PASSED THIS TEST, SO YOU CAN BE MY DOCTOR ,' INwill provide stuSTEAD, THEY ARE GOING TO JUDGE YOU BY SUCH THINGS AS dents with an opporYOUR EYE CONTACT, HOW WELL YOU LISTEN AND WHAT tunity to perfect their communicaQUESTIONS YOU ASK . PATIENTS WILL MAKE THESE TYPES OF tions skills without JUDGMENTS ABOUT YOU EVERY DAY" - JAMES HASSETT, MD embarrassment a wide range of clinical procedures and about their lack of experience and withprovide structured feedback in years out consequence to patients," explains two, three and four, using "report cards" Harry Sultz, DDS, MPH, professor of and faculty presentations. Expectations Social and Preventive Medicine, and and performance scoring are based on coinvestigator for the project. faculty-developed criteria. "Rather than focus on history tak- WoRKING TO OvERCOME ing, the physical exam or other specific "PROBLEMS OF PERCEP'fi0:\1" clinical problems, this project is in- The foremost goal of the new project is to tended to place a primary focus on give students the interpersonal skills they students' communication skills within will need to deal sensitively and effecthe context of common, yet sensitive tivelywitha wide range of situations they and difficult clinical topics and issues," will encounter in their everyday practices, especially situations that can be says Schimpfhauser. Currently, Schimpfhauser and his value laden, such as teen pregnancy, coinvestigators on the project are work- alcoholism or risk of HIV infection. ing with faculty teams to identify and Studies have consistently shown that develop appropriate problems and patients' criticisms of physicians-and checklists, as well as clinical scenarios approximately 75 percent of all medical that will be implemented using stan- malpractice suits-can be traced to probdardized patients. Topics and issues will lems of perception about how well painclude, but not be limited to, advanced tients feel their doctors communicate directives; informed consent; HIV risk; with them, not how well they feel their Do ot Resuscitate orders; the presen- illness was treated. Specifically, these tation of bad news; sexually transmitted studies show that patients focus on such disease; obesity and nutrition; substance concerns as how comfortable the physiabuse; and domestic violence. cian made them feel, whether they unThe training-set to begin in the spring derstood their treatment options, whether of 1998-will initially involve medical the physician gave the impression that he students and residents in the depart- or she listened and truly cared, and ments of Surgery and Medicine. Their whether the physician explained things interactions with the standardized pa- in a way that gave them hope. James Hassett, MD, also a project tients will be videotaped and critiqued. If deficiencies are identified, the students coinvestigator, is associate program diwill participate in a five-step remedial rector for residency training in the Deprocess that will include working with partment of Surgery at UB and chair of areas- including communication skills," says Schimpfhauser. Through the program, "standardized patients"-persons trained to portray patients and specific scenarios-are first used to complement preceptor instruction in the Clinical Practice of Medicine Program for first- and second-year medical students. They are also used to assess 6 u f f a l o Physician W I n t e r 9 9 8 the Program Director's Committee, a consortium of committees for all of the medical school's residency programs. He works every day with residents as they learn to interact with patients, and he feels strongly that communication skills are the single-most important determinant of success at this level of training. "For residents in training," he says, "how well they do depends on how well they communicate with their peers, with other professional staff, with patients and with attending staff. Communication in those four areas becomes the most crucial factor in whether or not they're going to do well in a residency program. "Residents are almost never stressed by knowledge limitations; rarely does anything happen to their patients where just pure knowledge will make a difference," he adds. "There's not that kind of urgency in the work. However, what does matter is how well the students can talk with a patient and find out what's wrong and how well they can talk with the patient's family and explain treatment options. I always tell my students that no patient will ever come to your office with a written test saying, 'I see you passed this test, so you can be my doctor.' Instead, they are going to judge you by such things as your eye contact, CONTINUED ON PAGE 19 COMMUNICATION SKILLS [oinvestigotors working to develop the new communications skills training program and to plan the conference ore: LISA BENSON, MD, clinical assistant professor of medicine and consultant; TIMOTHY GABRYEL, MD, clinical assistant professor of medicine and director of the Internal Medicine Residency Program at Millard Fillmore Hospital; JAMES HASSETT, MD, professor of surgery and associate director of the Surgical Residency Program; DENNIS A. NADLER, MD, associate dean for curriculum and student affairs, Office of Medical Education; STANLEY SPURGEON, MD, clinical assistant professor of emergency medicine and medical director for the Standardized Patient Clinical Competency Program; HARRY Sum, DDS, MPH, professor of social and preventive medicine and director of Health Services Research; KAREN ZINNER STROM, PHD, trainer/ evaluator, for the Standardized Patient Clinical Competency Program. �The Challenge to Sustain the Humanity Within Us BY F . MICHAEL ELLIOT last June gave me a sense of accomplishment and brought closure to a period of exploration and growth. The transition to medical school represented a deliberate and refreshing step into a world of new experiences, ideas and people. RADUATI G FROM COLLEGE The past few months have been a period of intellectual discovery and personal introspection. The adjustment to the faster pace and greater expectations of medical school has been difficult, as I believe it has been for many. What is most challenging, however, is the confrontation each of us must undergo with our own limitations despite our desire for perfection. The pressure to master knowledge becomes the crucible through which our perseverance is tested, strained and strengthened. Although tedious and consuming, the process of learning inscribes within us the vocabulary through which we will communicate as future teachers, scholars and healers. As we prepare to become witnesses to the suffering of people, students must also confront and accept the limitations of medicine. Our knowledge of the human body and the causes of its pathologies has always been, and will certainly continue to be, incomplete. As science provides medicine with new routes of observing and deconstructing the mechanisms within our cells and organs , new questions will overshadow the past discoveries. Advances in biotechnology conquer yesterday's diseases only to be rendered impotent by the ® emergent pathogens of tomorrow. The search for the breakthrough is over: Victories over disease are now measured in cautious, incremental steps. Bold efforts to cure cancer and AIDS are now directed toward attempts to manage these diseases as chronic, long-term conditions. Economic forces now significantly influence the direction of biomedical research and public health policy. Escalating health-care costs have invited and indefinitely ensured the fu- spite these obstacles, the art of medicine perseveres as the means through which human suffering is understood and alleviated. Because those who suffer most acutely are often the least spoken for and soonest forgotten, it is often the physician who must act as sole witness , advocate and healer. Although the progression of a disease and the inevitability of death may be beyond a physician's THE INTERACTION BETWEEN DOCTOR AND PATIENT IS MORE FRAGILE AND INTIMATE THAN I HAD IMAGINED : IT IS A PRECIOUS FORM OF COMMUNICATION THAT SELDOM OCCURS BETWEEN HUMAN BEINGS . ture dominance of managed care. The consequent loss of physician autonomy has forced doctors to reexamine and possibly redefine the relationships they share with their patients. It is what the field of medicine aspires to accomplish that continues to compel students to become doctors in this increasingly arduous social landscape. De- B u f f a l a control, his capacity to address pain may not. What seems to distinguish the physician from other vocations is his consciousness of this pain and his willingness to alleviate the consequent suffering. It is through communication that this healing occurs, as the patient's vulnerability and uncertainty is abated by an understanding of what afflicts him. Physician W i n t e r 1 9 9 8 �The clinical experiences during this first semester have been a fulfilling opportunity for me to experience medicine beyond the basic sciences. The very act of taking a history with a patient is profound for a student, now entrusted with the private pain and frailties of others. The interaction between doctor and patient is more fragile and intimate than I had imagined: It is a precious form of communication that seldom occurs between human beings. While shadowing a doctor during a preceptorship, I found myself an observer of two worlds, remembering myself once as a patient but now projecting myself as a future doctor. Before I am fully equipped with this new medical education, these few visits have allowed me to see patients from the uncomfortable perspective of someone who is helpless to heal them. Although I cannot discern them yet, these patients have symptoms I will soon recognize and diseases I will one day diagnose. Until then, however, I am grateful for their kind patience as I fumble with my stethoscope. The frenetic pace of this first semester has increased my appreciation for the occasional moment of casual diversion or personal introspection. I have looked forward to seeing my family during the holidays and breaks, more acutely aware of the brisk passage of time. It is paradoxical that this education through which we seek the ability to heal others requires that we devote so much time away from people, immersed in study. We have chosen to devote our lives to the rigorous study of medicine, a pursuit demanding personal sacrifice for what we believe is a noble end. The challenge is to accomplish this task while nurturing and sustaining the humanity within us that has compelled us from the beginning. + COMMUNICATION SKILLS (FROM PG 17) how well you listen and what questions you ask. Patients will make these types of judgments about you every day. " The only way students are going to learn these skills, Hassett says, is through practice and appropriate feedback. "This is what Dr. Schimpfhauser is doing with standardized patients. The reiteration of a format in a standardized way is critical to training; it's the concept of 'practice makes perfect."' TooLs FOR ToMORRow In addition to training students, the methods developed in this project will provide faculty with objective and systematic means of assessing performance in the area of interpersonal skills. "In medical school you have a variety of very good evaluation tools to test cognitive competencies," Hassett says. "However, there are few tools to evaluate skills. You have a history of how well the student performed in college, but we are finding that these records are not always predictive, so really there currently are no methods of testing how well students will be able to interact with patients. With this project, Dr. Schimpfhauser is working to develop this type of tool. Once it's completed, it will be very helpful for faculty because it will allow us to train against a precise standard, a standard that will help us make sure students are acquiring the skills they will need to become better doctors-and better people." + A final outcome of the projecl ru•i/1 be to hold a bes/pmclices confermce in Buffalo in the fall of / 998 in '"'-'hich teaching techniques, diniml simulation packages and assessment tools developedfor the project rmd in use at other medical school.r u::iH br.rhored 11:irh eiluca7orsinvitedfrom mediml schools throughout Nt'"'-• Yori.'Siale. O NLY O NE INVESTMENT LASTS A LIFETIME • Exceptional college placement record • Challenging curriculum with 14 Advanced Placement courses • tate of the art visual and performing arts center • More than 60 interscholastic sports team • Comprehensive community service projects • Average class size is 15 • Financial aid avai lable Admissions tests on these Saturdays at 9:00 a. m.: January 24, February 28 To reserve a place for testing or for additional information, please call: ICHOLS MIDDLESCHOOL, 175 Nottingham Terr., NICHOLS UPPER SCHOOL, 1250 Amherst St. 875--8212 Acceptance 1s granted to qualified students w1thout regard to race, color, rehg1on or nanonal ongm. B u f f a l a Physician w I n t e r 1 9 9 8 NICHOLS SCHOOL �New Medical Computing Lab Opens medical student peers intently at the computer screen, working her way through a histology tutorial program. Layer by layer, the structure of a tissue section reveals itself-accompanied by review questions, gentle corrections and the kind of patience only a machine can muster. In a thousand variations, that's the worked to each other and ready to go scene being replayed in the new Medical to work with quick Internet connecComputing Lab that opened in August tions and access to Medline, Hubnet 1997 at the University at Buffalo's School and other medical databases. of Medicine and Biomedical The lab is open 8 a.m. to BY Sciences. Combining a new age 10 p .m. , weekdays, and dayof computer technology with light hours on the weekSCOTT the accumulated knowledge of ends-plenty of time for harTHO AS centuries of study, the lab is ried students to fit in one last making medical education Internet search for a missing more accessible to the first generation of citation, or to type that paper that's due students who've grown up with the desk- tomorrow. top computer. Primarily, however, the lab is a place From such mundane necessities as for teaching and for learning. word processing to exciting advances in Dannenhoffer refers to it as an "e-tech" database searching, all the possibilities classroom, in which a professor can work of computer-assisted learning (and even- at a central station and direct computer, tually medical practice) are being played VCR and other electronic images to apout in the Cary Hall lab. pear on students' individual monitors, or "This has been in the planning for project them on a screen using one of two three or four years, " says Ray projectors and an audio system. The arDannenhoffer, PhD, director of the rangement allows the professor the flexschool's Office of Medical Computing ibility to move back and forth in his and faculty member in the Department presentation at the click of a mouse, for of Anatomy and Cell Biology. "I under- example, or the ability to quickly access estimated how much the students would appreciate it: The feeling is, 'The school has really invested something in my education. They've put up an infrastructure I can really use."' The project involved major renovations to the second floor of Cary Hall, including the removal of walls to create a wide-open room, then a series of improvements-carpeting, paint, new furnishings, such as comfortable ergonomic chairs and computer desks and Laser]et printers-and about 70 Gateway 200 MHz computers, all net- e u f f a 1 o a related image when a class discussion takes an unexpected turn. What's different about the e-tech classroom is that the students, too , are given the tools and the responsibility for managing their own learning. This is especially evident in a series of tutorials, such as the histology tutorialdeveloped by John Cotter , PhD , professor of anatomical sciences and opthalmology at UB's medical schoolthat allow students to immerse themselves in a body of information until they're satisfied that they've mastered it. There's also a computer sound system with headphones- useful in a cardiology session, for example, in which the student learns to identify normal and abnormal heart sounds by listening in a controlled environment. The medical school's new focus on problem-based learning, as in the Scientific Basis of Medicine course for firstand second-year students, would be much more difficult to carry out without this computer support. For one thing, problem-based learning demands that students search out, sort and evaluate information on their own- something that computers make exponentially more efficient than walking through a labyrinth of library stacks. "It saves a tremendous amount of time," says Amy Van de Water, a second-year student who's now taking her third semester of Scientific Basis of Medicine. "Because we're first- and second-year medical students, our medical background Physician W I n t e r 1 9 9 8 �\ I is very limited, so you really have no idea and the students can search those for a interactive teachers of diagnostics, even sometimes what to make of the symptoms particular article and either save it or as general-reference textbooks. [presented by the class's designated pa- print it out." "These students are either working tient]. There are a number of medical This sort of information manage- directly with the diagnostic programs, textbooks on-line, so that's a good starting ment is crucial to the emerging field of or logging onto the World Wide Web point. In some programs you can get a medical informatics, a field that the and looking at particular sites, or logwhole article on-line, rather than trying to next generation of physicians will find ging onto the university library facilifind it in the literature in the library-if themselves encountering every day. ties, looking at papers with regard to you can find it at all on new findings .... Many of the shelves." the students have had a THE EMERGENCE OF PRACTICAL APPLICATIONS IN First-year student great deal of computer exRob Collard agrees: perience through the colMEDICAL INFORMATICS MAKES . .. FAMILIARITY "Here you can go off lege years. But surpris[WITH COMPUTERS] CRUCIAL TO THE STUDENTS" and find reliable ingly, there's a section of sources of information the class that is fairly naSUCCESS AS PHYSICIANS. to attempt to bring ive as far as computer usdepth to the issues age is concerned. It's very raised in class. It's a team approach, and From computerized patient records important that they be given the opporhopefully it leads to a synthesis of is- and billing, to new ways of presenting tunity to begin to use this technology sues." and sharing data about patients, to keep- and get some idea of how it all works As for the amenities of the new com- ing current with the tremendous growth and to overcome their fears. " puter lab, Van de Water says it's a sig- of medical knowledge, physicians will The emergence of practical applicanificant improvement over the previous increasingly find the keyboard as tions in medical informatics makes that lab. "There are more computers avail- necessary as the stethoscope. familiarity crucial to the students' sucThat's the focus of a course in medi- cess as physicians. As an example, able to students, so you don't have to wait," she says. "There are faster and cal informatics for second-year students Spangler points to the Visual Chart, a better printers here. And the old lab was taught by Robert A. Spangler, MD, an method of presenting patient informanot temperature-controlled, so we were associate professor and director of gradu- tion visually that was developed by always opening the windows because it ate studies in the Department of Physi- former UB medical school professorjohn was sweltering." ology and Biophysics. "We go through Loonsk, now at the University of North "Because the computer lab is in the things like the structure of databases Carolina. "It's a Windows-based probuilding where teaching takes place, and how to conduct effective searches, a gram that tackles individual patient data students don't have to go to the library little bit about the Internet as a resource, and displays it in a graphical fashion , so if they need to do a search in between and then we talk about expert systems," one can, at a glance, get a feeling for the classes and have only a little bit of time," he says. Those systems include such nature of the problem," Spangler says of Dannenhoffer says. "And besides the programs as QMR and Iliad, which can the program, which is undergoing field medical databases that are available, a act as consultants in diagnosing a condi- tests. "It's not just a chart hanging on lot of the medical journals are on-line tion based on a set of symptoms, as the end of the bed anymore." + B u f f a l o Physician W I n t e r 1 9 9 8 �Journal Celebrates Innovative UB Research acuity in the Department of Social and Preventive Medicine at t "Consumption ofPCB-Contaminated Fresh Water Fish and Shortened Menthe University at Buffalo School of Medicine and Biomedical strual Cycle Length"- Pauline Mendola, Sciences have trained some of the most respected epidemiolo- PhD, formerly of UB, now of the EPA t "Gender Differences in the Relationgists in the United States and produced significant and innova- ship Between Depressive Symptoms and tive research in cancer, occupational, environmental, nutritional, Alcohol Problems: A Longitudinal Perspective"-Beth Steger Moscato, PhD, reproductive and cardiovascular epidemiology. research assistant professor tionship of alcohol and breast cancer, In recognition of the department's t "Physical Activity, Obesity and Diabecontributions to the field , the December and relationship of gum disease and tes"-Timothy D. Dye, PhD, a 1990 2, 1997, issue of the American journal of heart disease. graduate of the department, now BY Epidemiology is dedicated to research by t Trevisan was the first to show at the University of Rochester. the beneficial dietary effects of its faculty members and graduates. The issue begins with hisLOIS "The publication of this issue cel- olive oil in population-based torical overviews of the UB ebrates the rich legacy of the depart- studies. medical school (which marked ment and the School of Medicine and t John Vena, PhD, professor its sesquicentennial in 1996), Biomedical Sciences," says Maurizio and associate chair, has defined several the department, as well as epidemiolTrevisan, MD, professor and chair of the nutritional and environmental factors ogy in Western ew York, dating back department. "It affirms the important that influence the risk of bladder to 1843. Graduate Philip C. asca, PhD, contribution that our training programs cancer. professor of epidemiology at the Unihave made to the field of epidemiology t Germaine M. Buck, PhD, associate versity of Massachusetts at Amherst, and prevention." professor and one of the nation's most writes on current problems and future Saxon Graham, PhD, one of the pio- respected specialists in epidemiology of opportunities in the field and graduate neers in the study of the relationship of infertility, in 1994 received one of two Christine B. Ambrosone, PhD, discdiet and disease, spent his career at UB, research fellowships awarded in the usses the new field of mol ecular where he conducted some of the earliest United States by the Merck Company epidemiology. studies in the United States on the health foundation and the Society for EpidemiThe final two studies concern the benefits of a diet high in vegetables ology Research. She is conducting a reliability of study participants' reports containing beta carotene, now shown to long-term study of tubal ligation. of lifetime drinking histories (by Marcia The issue's lead article, "Body Mass Russell, PhD, clinical professor) and of lower the risk of certain cancers. Jo L. Freudenheim, PhD, associate Index and Mortality in a General Popu- reports of pap smears, breast exams and professor, has continued that research lation Sample of Men and Women," mammograms (by Richard B. Warnecke, and in the past decade has earned a written by Joan M. Dorn, PhD, assistant PhD, formerly ofUB, now of the Univerreputation as one of the nation's leading professor, reports that being overweight sity of Illinois at Chicago). is a significant mortality risk factor for nutritional epidemiologists. Graduates of the department include women and men less than 65 years old. top officials and/or researchers at the Other research highlights follow: Other articles and lead authors int The department was designated as one ational Cancer Institute, Monsanto of 15 vanguard centers for the ational clude: Company, the ational Center for Institutes of Health's Women's Health t "Lactation History and Breast Cancer Toxicological Research, ewYorkState Department of Health, Roswell Park Initiative, one of the largest clinical tri- Risk"-Jo L. Freudenheim, PhD t "OxidativeStressandLungFunction"als ever assembled, focusing on diseases Cancer Institute, Centers for Disease Holger ]. Schunemann, MD , research Control and Prevention, Illinois Despecific to women. t More than $12 million in funded re- assistant professor partment of Public Health , University search is currently under way, includ- t "Consumption of Contaminated Sport of Massachusetts at Amherst, Univering studies of the effects of lifestyle on Fish from Lake Ontario and Time-to- sity of Iowa and orthern California lung cancer and heart disease, health Pregnancy, ewYorkAnglerCohort"Cancer Center. + effects of eating Lake Ontario fish , rela- Germaine M. Buck, PhD ® s u f f a l o Phys i cian w I n t e r 1 9 9 8 �Magnificent BUILDING LOTS l Dear Colleague: As a former president of the University at Buffalo medical school Alumni Association and a practicing surgeon in Western New York for many years, I've come to understand what members of our profession desire in a home site - privacy, tranquility, fresh air, and pristine surroundings. THE CARJTAS The Summit at Scherff is a truly extraordinary residential development, unrivaled in Western New York. Nestled in the hills of Orchard Park, this magnificent 81-acres offers 50 estate-sized building lots surrounded by Chestnut Ridge Park and Neuman Creek in a very private enclave. MEDICAL AitTS BUILDING Specifically as an escape from the fast-paced everyday life we lead, it's features include: • Spectacular panoramic views of the Canadian shores, Lake Erie, and the BuiTalo skyline A Unique Partnership with St. Joseph Hospital • Mature woods and secluded ravines • Oversized lots for your dream house • Quick and easy access to the freeway systems leading to BuiTalo and the city's northern suburbs • Privacy, seclusion, and exclusivity Harlem Road, Cheektowaga The Summit promises to be one of the premier areas in Western New York to construct your luxury residence. I invite you to take a stroll through this picturesque setting. For our detailed brochure or a private showing please call (716) 667-2237 or (716) 472-3790. (connected via enclosed walkway to St. Joseph Hospital) 500- 8,000 Sq. Ft. Medical Office Suites Now Available Sincerely yours, For More Information Edmond J. Gicewicz, M.D. Past President, UB Medical Alumni Association Ciminelli Development Company, Inc. Centerpointe Corporate Park 350 Essjay Road Williamsville, NY 14221 _j 716/631-8000 B u f f a l a Physician W I n t e SUMMIT AT SCHERFF Orchard Park, New York A development by Falcon Land Corp. - --- THE r 1 9 9 8 ® �~ ········· · ·············································· · ··················· · · ······· · ·· El the world. Later, in 1963 , he was a senior member of the team that performed the first kidney transplant at that same institution. After his training was completed, Aust stayed on the faculty as a scholar of the American Cancer Society, beginning in J. BRADLEY AUST LOOKS BACK 1957. "At the University of Minnesota ," he recalls , "I worked for Dr. Owen Harding Wangensteen, who, over the Bradley Aust, MD, was recognized as University at course of his career, trained 30 chairs of Buffalo Distinguished Medical Alumnus at a dinner held surgery around the country, including Dr. Randolph Paine, cochair of surgery in his honor on September 25, 1997, in Buffalo . A 1949 at UB. " Discussing trends in medicine that I graduate of the UB medical school, Aust retired in 1996 influenced career options for physicians as chair of the Department of Surgery at the University of starting out in the 1950s, Austsays, "My whole generation went into cardiac surTexas Health Science Center at San Antonio, a position he gery. " However, his plans to do just this held for 30 years. In a recent interview from his home in changed suddenly one day, when his mentor and "boss ," Dr. Wangensteen , Texas, he shared highlights of his long and eventful career, stopped him in the hallway and engaged attributing much of his success to exceptional mentoring, him in a conversation in which he strongly encouraged the young surgeon collegial teamwork and simply "being in the right place at to pursue oncologic surgery. "It was clear that if I wanted a job on the right time ." staff, I should become a cancer "The 1950s were a very intersurgeon," Aust says with a esting time to enter medicine ," chuckle. As is often the case, this Aust says. Indeed, as his career unexpected change was positook shape, the young Buffalo native found he had the good tive and over time led to new and unexpected opportunities. fortune of being able to play an active-sometimes pioneeringIn 1966, Aust was selected to role in the unfolding of medical be the first chair of the Department of Surgery at the Univerhistory. After finishing his studies at UB, Aust went to the Unisity of Texas Health Science Center at San Antonio. Earlier versity of Minnesota to serve his surgical residency, during which in his career, while at the University of Minnesota , he time he discovered an interest in research and an academic caconducted research related to studies on endotoxin shock and reer. His surgical training was interrupted by two years of ser- J. Bradley Aust, MD, left, receiving Distinguished Medical Alumnus award fromJohn the application of immune R.Wright, MD, interim dean, UBSchool of Medicine and Biomedical Sciences, center, tolerance to transplantation. vice as a surgeon during the Koand Jared C. Barlow, MD, president, Medical Alumni Association. Later, he began to gain national rean War. Returning to school in In 1955 , Aust had his first brush recognition through his pioneering clini1952, Aust completed his residency and fellowships in physiology, oncology and with medical history , when he served cal work in oncologic, vascular and transsurgery, and earned an MS degree in as a junior member of the team at the plantation surgery. Once in Texas, he physiology and a PhD in surgery as part University ofMinnesota that performed concentrated his efforts on the many one of the first open-heart surgeries in challenges inherent in building a new of his research training. 1997 UB Distinguished Medical Alumnus Named ® B u f f o l o P hysician w I n t e r 1 9 9 8 �···· ·· · ·· · ··· · ···· · ··· ····· ···· · department, the practice of oncologic surgery and the development of improved ways to administer adjuvant chemotherapy. Aust's move to San Antonio was literally a "ground floor" opportunity, as the school was in the process of being established. Looking back, he feels this time and the years that followed were the most rewarding of his career. "just the germination of the idea that I could run a department of surgery was very exciting," he says. "These were heady times. I had an opportunity to help design the curriculum, establish a new department in a new school and train surgeons according to my own model. " In addition to his administrative responsibilities at the Health Science Center, Aust continued to explore his clinical research interests and pioneered isolated perfusion, the administering of ·· · · · ········ · · · ······ · ··· · · ·· ············ ·· ····· high doses of chemotherapy locally as a means to overcome systemic toxicities. He also found time to serve as president of a number of medical and surgical societies, including the Society of Surgical Oncology, and the Association for Cancer Education, and served as chair of the Board of Governors of the American College of Surgeons. Aust is reflective about progress in the field of oncology, having spent the last several decades of his career treating cancer patients. "People often ask me where I think we stand now in our attempts to treat cancer more effectively, " he says. "I often compare the conquest of cancer to the conquest of the atom bomb. When we developed the atom bomb, we knew all we needed to know to develop it; we just had to do the engineering. When we started out to conquer cancer, we didn't have the basic · ·· · · · · ~ • understanding to do the engineering; we didn't have the basic science. " Today, progress is being made in our understanding of the basic biological processes underlying the genesis of cancer; that's the understanding from which progress in the future will stem, he adds. In retirement, Aust is avidly pursuing one of his favorite hobbies-surgical history-and is hard at work writing a chronicle of the Health Science Center at San Antonio. He also remains dedicated to his alma mater by volunteering his time to serve as a member of the Dean's Advisory Council for the UB medical school, traveling to Buffalo three times a year to meet with the group. He says being named UB's Distinguished Medical Alumnus is something he didn't anticipate and states simply, ''I'm really honored. " + -S.A . UNGER If you come looking for a car, you'll be awfully disappointed. HOWEVER, there's little chance you'llleave that way. BECAUSE at the Land Rover Centre, we have the world's most impressive 4x4s. AND people who answer any of your questions about driving. A4x4, of course. &JjS Amherst A NORTHTOWN AUTOMOTIVE COMPANY 3560 Sheridan Drive Amherst, New York 14226 (716) 831-3100 • (716) 835 FAXX (3299) Buffalo Physician w i n t e r 1 9 9 8 ® �• ···· ·· ········ · · · ······························································· ······· · ~ I Primary Care Extemsbip Program Receives $150,000 Grant n innovative program providing real-life clinical learning opportunities in primary care for University at Buffalo medical students has received a three-year, $150,237 grant from the Charles E. Culpeper Foundation of Stamford, Connecticut. Physician in Training Initiative. The paid externship exposes first- and second-year medical students to the practice of primary care medicine in community-based settings throughout Western New York. Administered by UB's Primary Care Resource Center, the six-week Medical Student Summer Externship Program is recognized as the largest of its kind in the nation by the American Medical Student Association 's Generalist Diane Schwartz, executive director of the Primary Care Resource Center, says the Culpeper Foundation grant will help fund an assessment of ways to retain UB medical students to practice primary care in Western New York. "Our numbers are showing that 50 percent of UB medical school graduates are entering primary care ," Schwartz says. "However , the significant issue is retention. With more analysis and evaluation of the primary care externship program, we will have valuable information on how we can retain the medical students entering primary care in Buffalo and the surrounding areas." Gathering this information, explains Schwartz, could have a significant impact in areas with a health-care shortage designation , a federal term to identify areas with too few medical THE SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES WISHES TO EXTEND ITS THANKS TO THE FOLLOWING PHYSICIANS WHO SERVED AS PRECEPTORS FOR THE PRIMARY (ARE SUMMER EXTERN SHIP PROGRAM IN 1997. EXTERN PRECEPTOR FIELD EXTERN PRECEPTOR FI ELD Renee Abderhalden Bettina Ackerman Tomaro Alberti Ben Alderfer Romone Alexander Steve Ambruski Jell Amodeo Joyce Anderson Lynn-Marie Aronico Stephanie Babcock Lynn Barnhard Florence Bero Anthony J. Caprio Thomas V. Caprio Hope Cowdery Patrick D'Abbracci Ann DeNordin Porn Diomontis Melissa Dilanni Melissa Dilonni Louis Domenico Jr. Holly Drexler Notosho Frongopolous Jennifer Griffith Molly Harrington Chuck Howorth Shannon Howe Shirley Huang Rashma Katira Thomas S. Scanlon, MD Evelyn Hurvitz, MD, FAAP Ganesh N. Deshponde, MD Thomas F. Cozza, MD David Holmes, MD G. Lawrence McNally, MD Mork R. Klocke, MD lone M. Pormington, MD Nicholas Aquino, MD Chelikoni VP Varma, MD Geoffrey Markowski, MD Geoffrey Markowski, MD Pat Collins, MD Donald Robinson, MD Richard Schifeling, MD John Fudymo, MD Geraldine Kelley, MD Sanford Levy, MD Anthony 0. Bartholomew, MD G. Joy Bishop, MD Shawn Cotton, MD Mork Swetz, MD Geoffrey Markowski, MD Paul Lecat, MD Theodore Putnam, MD Richard Schifeling, MD Margo Krasnoff, MD Gregory Synder, MD S. T. Pavon, MD Internal Medicine Pediatrics Pediatrics Pediatrics Family Medicine Pediatrics Pediatrics Pediatrics Medicine/Pediatrics Pediatrics Family Medicine Family Medicine Family Medicine Family Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Family Medicine Family Medicine Family Medicine Medicine/Pediatrics Pediatrics Internal Medicine Internal Medicine Family Medicine Family Medicine Margaret Lafferty Charles Lou Karen Lee Judy Lettmon Jason Lorenc Rosemarie Mannino Andrew Moyer Kara McCunn Hasit Mehta Donna J. Peace Jesenia Pena Stephen Przynosch Mory Rose Puthiyomodam Kevin Robillard Gretchen Schueckler Morsilio Seiwell Tracey Shanahan Natalie Sikka Marissa Stumpf Britto Svoren Priyo Tahilioni Roque! Thomas Judith Toski Amy Van de Water Rosalia Viterbo Michelle Watson Ryan White Melissa Wolf Nora Yip Barbara Stouter, MD David Milling, MD Raphael Wang, MD Dona Drummond, MD James Wild, MD Ellen Rich, MD Timothy F. Gabryel, MD Thomas R. Gerbasi, MD Harry Metcalf, MD Ellis Gomez, MD Peter Kowalski, MD Fronk C. Mezzadri, MD Colin McMahon, MD David Thomas, MD Jack P. Freer, MD Brian Connolly, MD Emily Frieden, MD Jack F. Coyne, MD Deborah Richter, MD Peter Kowalski, MD Colleen Mattimore, MD Anthony F. Oliva, DO Leonard Katz, MD Robert Berke, MD Peter Winkelstein, MD Geraldine Kelley, MD Howard Sperry, MD, MPH Leonard Katz, MD Anthony Vetrano, MD Pediatrics Medicine Pediatrics Family Medicine Family Medicine Internal Medicine Internal Medicine Pediatrics Family Medicine Family Medicine Family Medicine Medicine/Pediatrics Medicine/Pediatrics Family Medicine Internal Medicine Family Medicine Pediatrics Pediatrics Family Medicine Family Medicine Pediatrics Family Medicine Medicine Family Medicine Pediatrics Internal Medicine Internal Medicine Medicine Pediatrics B u f f a l o Phys i cian w I n t e r 9 9 8 �professionals available. "It is important to attract students to practice primary care in these areas," Schwartz says. "Developing long-term relationships with patients and the community through the externship program, we believe, provides the impetus for the medical students to continue practicing medicine here." The Culpeper Foundation grant also will fund stipends for 20 medical students per year to participate in the externship program, as well as provide partial funding for an associate director of the program. The Charles E. Culpeper Foundation is a private, nonprofit charitable foundation established by the late Charles E. Culpeper, one of the early pioneers in the bottling and marketing of Coca-Cola. The foundation provides approximately $7 million per year in support of activities in health, education, arts and culture, and the administration of justice. + Journal Dedicated to Dr. Helm he ovember 1997 issueoftheDer- matologic Surgery journal has been dedicated to Frederick Helm, MD, emeritus professor and former chair, Department of Dermatology, UB School of Medicine and Biomedical Sciences, on the occasion of his 70th birthday. In an editorial comment, Robert A. Schwartz, MD, of The University of Medicine and Dentistry of ew jersey, says of Dr. Helm: "His work since the early 1960s with professors Edmund Klein, Halina Milgram and Howard L. Stoll Jr. on skin cancer and its immunotherapy is of extraordinary merit. His book, Cancer Dermatology, is a first-rate accomplishment, as are the large number of book chapters and articles he has written .... The work of Professor Helm and his colleagues has led to the present era of unprecedented advances in the study of etiology, recognition and management of skin cancer symbolized by the superb articles in this Special Issue." + inda Duffy, PhD, associate professor ters, insurance providers and school and of pediatrics, and scientific director public health officials," she says. "I look of the Women and Children's Health forward to serving the children of ew Research Foundation (WCHRF) at York State and intend to promote public the University at Buffalo School of policy that supports initiatives that help Medicine and Biomedical Sciences us achieve Health 2000 objectives for and the Children's Hospital of Buffalo, immunizations." + has been appointed to New York State Governor George Pataki's Advisory Council on Immunizations. According to Duffy, the appointment provides a vital opportunity to impact immunization compliance for the children of Western ewYorkand ewYork State. "Immunization surveillance depends on integrated, cooperaLinda Duffy, PhD, associate professor of pediatrics and scientific tive efforts between primary-care director of the Women and Children's Health Research Foundation physicians, regional referral cen- u f f a l o Physician W I n t e Buffalo Physician ~Uff"tj f "~ s \ t \ " " Giv e us a call: (716) 645-6933 Michael J. Baranski Marketing Representative Linda Duffy,PhD,Named to Governor'sAdvisory Council B Advertise in one of the finest publications in Western New York ... r 1 9 9 8 BARANSKI ADVERTISING 146 Stepping Stone Lane Orchard Park, NY 1412 7 �• ································· · ··············································· · ······ . I fallacy .... Everyone has a will. The real question is "Who wrote it? " If an individual, for whatever reason, doesn't take the time to write a personal will, the author becomes "the politicians." All states, as well as the m Co•o•• PHD " ' " ' federal government, have laws that govern what happens to a person's ast fall, I had the opportunity to represent the School of Medicine assets if he or she dies without a valid will or other estate plan. One reason and Biomedical Sciences at the 17th International Fund Raising there are so few "public service" proWorkshop. It was held near Amsterdam, outside the village of grams promoting the writing of wills may stem from the government's inNoordwijkerhout, on the North Sea, in a former monastery. terest in the resources of those who die intestate. Some people are also Thirty-four countries were represented by a total of 689 delegates. content with this arrangement. (I once There were 18 of us from the United States. What a novel experience heard of an immigrant and naturalized citizen of the United States who to be in such a distinct minority-and yet at the same time, to feel was so happy with the life he had made here that he wanted his accumulated totally at home among my peers. wealth to go to our government.) Most Participating in this workshop was laws therein. The overwhelming mes- of us, however, prefer to have a more an adventure I will treasure all my life. sage was that those who included edu- active voice in how our hard-earned It reinforced my commitment to this cational and charitable organizations resources are used after we are finnoble vocation of institutional advance- in their estate plans did so more for the ished with them. Recently, I had the privilege of readment, and at least equally important, love of their families and their organimy decision to work on behalf of this zations than for tax benefits. To pro- ing an expertly crafted will. It was excellent medical school. Together with vide for their families and to direct beautiful, thoughtful and complete. It fully utilized the gift exDr. Wright, the departclusion amount of ment chairs and fac" WHERE THERE' S A WILL , YOU HAVE A SAY ." YOU MAY HAVE $600,000, currently in ulty, with alumni and effect, as legacies to friends of this instituHEARD IT REPORTED THAT ONLY FOUR IN TEN OF ADULT children and grandchiltion, I am delighted to dren. The remainder be involved in helping AMERICANS HAVE VALID AND UP-TO- DATE WILLS. FROM ONE was divided among to weave the future of educational and charithis school. It is alPERSPECTIVE . THAT STATEMENT IS A FALLACY . . . . EVERYONE table organizations, ready outstanding; fuHAS A WILL. THE REAL QUESTION IS " WHO WROTE IT?" leaving no taxes of any ture philanthropy sort to "Uncle Sam" or holds the potential to "Cousin Gov." One of enhance and expand the opportunities available to students, resources to nonprofit organizations, the beneficiaries was the University at alumni, fellows, faculty and friends. there has to be an official document Buffalo. The six-figure gift will initiate Three of the small-group sessions in that governmental authorities recog- a scholarship endowment in memory which I participated focused on lega- nize. In this country, the document of the individual's daughter. Forever after, outstanding students at UB will cies, and how, at their deaths, indi- is a will. viduals in many different countries "Where there's a will, you have a benefit from the thoughtful foresight make gifts to their favorite organiza- say." You may have heard it reported of this individual and those who helped tions. There are, of course, more simi- that only four in ten of adult Americans to structure the will to meet his wide larities than differences in these have valid and up-to-date wills. From variety of objectives. In our office, we frequently receive prgrams, regardless of country or tax one perspective, that statement is a AWord from the Director of Development "' ® B u f f a 1 o Physician w I n t e r 1 9 9 8 �requests for assistance in crafting wills and other estate plans . For general questions, I have a variety of booklets that present overviews of ways to give, what is essential to include in a will and what types of gifts bring with them lifetime benefits to donors. One even focuses on "Estate Planning for Today's Woman." All of them include information regarding the changes made in the tax laws during the 1997 Congressional Session. The school is also fortunate to be a part of a university-wide development operation, with a planned giving staff available to assist in specific aspects of planning one's estate. Each situation is different; each plan becomes a tapestry, the design of which rests with the individual and what he or she wants to accomplish with the resources available. lf you have questions , our conversations are confidential. Give me a call. Linda]. (Lyn ) Corder is th e associate dean and direc tor of development for the School of Medicin e and Bi omedical Sciences. She previously serv ed the sc hool as maj or gifts coordinator and assi stant dean . + INFINITI tal in Little Rock and served as assistant professor and associate professor of ophthalmology at the University of Arkansas for Medical Sciences. Reynolds returned to Buffalo in 1988, when he was named chief of pediatric ophthalmology at Children's Hospital. Currently, Reynolds is the recipient of a two-year, $436,000 grant from the National Eye Institute to investigate a treatment that could prevent retinopathy of prematurity. Characterized by excessive growth of retinal blood vessels in extremely premature infants, the condition can cause vision degeneration and blindness. + James Reynolds,MD, Named Interim Chair, UB'sDepartment of Ophthalmology ames Reynolds, MD , has been appointed interim chair of the Department of Ophthalmology at the University at Buffalo School of Medicine and Biomedical Sciences. Reynolds, who is an associate professor at the medical school, also serves as chief of pediatric ophthalmology at the Children's Hospital of Buffalo. A graduate ofUB's school of medicine, Class of1978, Reynolds completed his ophthalmology residency in Buffalo and fellowship training in Pittsburgh, after which he became a clinical instructor and staff surgeon at the Eye and Ear Hospital, the Children's Hospital of Pittsburgh and the University of Pittsburgh SchoolofMedicine.ln 1983, he became the chief of pediatric ophthalmology at the Arkansas Children's Hospi- James Reynolds, MD I ntroducing your way to escape. lnfiniti's luxury sport AUTO PLACE INFINITI Unlike most luxury sport 8129 MAIN ST. , WILLIAMSVILLE escape for the weekend, it has all the comforts and luxuries you East of Transit Rd. , Near Eastern Hills Mall u f f a I o MSRD 36,045. 00 utility vehicles, the QX4 not only features everything you need to 633-9585 B utility vehicle : the QX4. need to escape life's daily stresses. Physician W i n t e r 1 9 QX4 9 8 �• ··········· · ··········· · ············ · ······················· · ··· · ······················ · ~ . I He Was aGiant in His Field -DAVID KIMBALL MILLER , MD , DIES AT AGE 93 avid Kimball Miller, MD, professor emeritus at University at Buffalo School of Medicine and Biomedical Sciences, died in his sleep at age 93 on October 25, 1997, at the home of his son, David Rush Miller, in Hilo , Hawaii, where he had lived since 1993. A native of Bloomington, Il, Miller graduated from Illinois Wesleyan University in 1925 and Harvard Medical School in 1929. He then served a twoyear internship at Boston City Hospital, after which he completed a residency at Rockefeller Institute for Medical Research in ew York City from 1931-1937. Miller came to Buffalo's Edward ] . Meyer Memorial Hospital (now Erie County Medical Center) in 1937 as director of laboratories, and two years later he became director of the Department of Medicine at the hospital , a position he held until1967. Also in 1937, he accepted a teaching position at the University at Buffalo medical school, becoming the first full-time faculty member in medicine at the school. "Because he was the first full-time faculty member in the department, which had a very strong clinical faculty , it was critical that he be a master clinician, and this was a role Dr. Miller fulfilled in a very amazing way," says james olan, MD, professor of medicine at UB's School of Medicine and Biomedical Sciences and chair of its Department ofMedicine from 1978 to 1995. "Dr. Miller was recognized by both academic and volunteer faculty as being the most superb bedside clinician and teacher in Western ew York," olan adds. "He had an encyclopedic knowledge of medicine , but more importantly, he could assemble small clues about a patient's illness and arrive at an accurate diagnosis and effective management plan. Dr. Miller trained a generation of internists who are among the best clinicians in this region and throughout the nation. To this day, many of these physicians still revere him as the greatest clinician they've ever encountered. " From 193 7 to 1968, Miller also served as cochair of the Department of Medicine at UB 's medical school, a responsibility that was shared with the chief of medicine at the Buffalo General Hospital. For many years, the two hospital-based departments operated largely independently; however, with the arrival of Evan Calkins, MD , in 1961 , as head of medicine at the Buffalo General Hospital, and the incorporation of the then-University of Buffalo into the State University of New York system, he and Miller began to work together closely to develop a university-wide department. In 1968, Miller volunteered to step down as cochair of the department in order for the university to further develop the concept of a single department, according to Calkins. "Dr. Miller realized the importance of combining the two departments into a single, unified department and was very supportive of me," says Calkins, who , following a national search, was selected to serve as its chair. "Dr. Miller was 100 percent supportive of this transition," he adds. "He was a very generous man and had a great capacity for seeing the whole picture." Miller remained active as a professor of medicine at UB until his retirement in 1974, at which time the university hon- ® a u f t a l o ored him with the title of emeritus professor of medicine. In 1984, in further recognition of his skill as a medical diagnostician and for his commitment to patient care and clinical instruction in medicine, he was honored on his 80th birthday with the dedication of the David K. Miller Wing of the Erie County Medical Center. orman Chassin, MD , completed his residency training with Miller in 1951 and remained a lifelong colleague and friend. "Dr. Miller was not only a teacher, but he was an example for us, " Chassin says. "He was known as a counselor to his trainees. I still see some of these physicians at meetings and they tell me the most important time they spent in their professional life was the three to five years they spent with Dr. Miller. " "He was a tremendous clinician who ran a very tight ship and really challenged young people," Calkins recalls. "He had a wonderful way with those he trained and they, in turn, loved him tenaciously. " "The thing I remember most about Dr. Miller," Chassin says, "is that, as a teacher, he never stopped taking care of patients. He never turned down a referral from a colleague. If you had a tough case, you'd tell him you needed his help and he was there, even if it meant making a house call along with you. Sometimes he'd add an important but subtle observation; other times, he just gave you and the patient confidence by being there because he was a giant in his field, and his greatness touched the patients. " + Amemorial service will be held for Or. Miller on Friday, April 24, 1998, at 1 p.m. at the Bernard Smith Amphitheater, Erie County Medical Center, in conjunction with Spring Clinical Day. Physician W ; n t e r l 9 9 8 �When w-as the last tin1e you w-ere rew-arded for being you? Don't you think it's tin1e ... D IS C 0 U N T P R 0 G RA M S You're a doctor. You're committed to helping people. The last thing you should have to worry about is liability insurance. Nobody knows that better than we do. We're MedPro/Frontier, a recognized leader in Professional Liability Insurance. We reward doctors with comprehensive plans and discounts including part-time and new doctor discounts, and risk management credits. And doctors reward us: 18,000 practitioners are protected by MedPro/Frontier. We've also earned the exclusive Part Time 50% Nevv Doctor 50% Annual Pre-payment 3% Risk Management 5% endorsements of many medical societies including the New York State Society of Internal Medicine. MedPro/Frontier has an (A-) rating by A.M. Best Company, and an (A+) by Standard & Poor's. Our in-house claims department plus a staff of insurance, legal and medical professionals are readily available to answer any questions you may have. Call now. Don't you think it's time? 1-800-822-8260, Ext. 616. MedPro. Protecting You and Your Future B u f f a 1 o Physician w I n t e r 1 9 9 8 �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [1] '' ' " . Noise-Induced Hearing Loss Partially Rescued sensory cells express a rush of glutathione, an antioxidant that absorbs free radicals. R-PIA was found to increase the activity of glutathione, thus oise-induced hearing loss may be providing enhanced protection from caused partly by free-radical oxi- free-radical damage. dative damage to sensory cells in To test the effect of the drug on hearthe inner ear, and laboratory stud- ing loss, researchers applied R-PIA topiies of a drug called R-PIA have cally to the inner-ear membrane of one shown that it can lessen the ex- group of animals and applied a saline solution as a control in a tent of damage by ensecond group. The anihancing antioxidant activity, researchers at mals then were exposed to mid-frequency noise the University at for four hours at levels Buffalo's Center for high enough to cause Hearing and Deafness temporary deafness . have found. Donald Henderson, The loss of hearing was verified by monitoring PhD, UB professor of brain waves in the hearcommunicative disoring center in the cortex. ders and sciences, says The lack of brain activthe action of R-PIA " IN THE FUTURE, WE MAY likely would be similar ity in response to normal BE ABLE TO RESCUE THE in the human ear. "In the sound indicated complete hearing loss. HEARING LOSS OF future, we may be able to Brain-wave activity rescue the hearing loss PERSONS INADVERTENTLY was measured again at one of persons inadvertently EXPOSED TO LARGE day, four days, and 20 days exposed to large amounts AMOUNTS OF NOISE. " following noise exposure. of n'"'ic;e, such as those Results showed that the near an explosion, for example, through the use of this drug. " animals treated with R-PIA recovered Noise-induced hearing loss, a major their hearing faster and more completely health problem in industrialized societ- than those treated with saline. "The R-PIA-treated animals also ies, is a primary research focus of UB's Center for Hearing and Deafness, which showed less damage and loss of senHenderson codirects with fellow scientist sory cells than control animals," Henderson says. + Richard]. Salvi, PhD. The new study, conducted by L 0 I S B A K E R Henderson and colleagues Sandra Mcfadden, PhD, and Bo-Hua Hu, PhD, along with Richard Kopke, PhD, of the U.S. Army, documents the action of R-PIA on noise-induced hearing loss in chinchillas, a mammal with an auditory husband-and-wife team of psychiarange similar to that of humans. trists at the University at Buffalo In earlier work, the researchers has received a $2.6 million grant showed that the stress of loud noises from the National Institute ofMencauses an increase in free radicals in the tal Health to conduct one of the inner ear, which can damage or kill first major population-based studsensory cells. To defend themselves, Searching for Genes Linked to Schizophrenia ® B u f f a I o ies aimed at finding the gene or genes that may be linked to schizophrenia. Carlos N. Pato, MD, and Michele T. Pato, MD, UB associate professors of psychiatry, are principal and coprincipal investigators, respectively, on the project. They have been building the project for seven years in the Azores, a group of nine islands located off the coast of Portugal that make up a Portuguese state and where most inhabitants are descended from a few families. "Psychosis is a complex syndrome, the most common form of which is schizophrenia," Carlos Pato says. "In at least 20 percent of cases of schizophrenia, other family members are also affected with the illness, but genetics may play a role in an even greater percentage. Our study will try to determine how often the illness and a particular gene, or genes, are seen together. If we can find the gene that causes the illness and then find the product of that gene, we can begin to design more effective treatment." About one percent of the world's population is afflicted with schizophrenia, a mental illness characterized by symptoms such as deterioration of personality, disordered thinking, delusions, hallucinations, paranoia or catatonia. The main form of treatment is antipsychotic drugs, which must be taken regularly and continually to control symptoms. The five-year study will be carried out in the Azores and in a population group on the Portuguese mainland. "The Azores are ideal for a genetic analysis," Pato says, "because the country is small and its population has been relatively genetically isolated, with most inhabitants descended from a few families. The Azores have a centralized health system, and all 10 psychiatrists on the islands are collaborating on the project." The researchers will look for genetic links using a variety of approaches. "We will select genetic markers and look at how the markers behave in well families compared to a family where the illness Physician W I n t e r I 9 9 8 �······· · · ·· · · ········· · ···· · ·· · ···· ·· ···· ···· ···· · ·· ·· ········ ·· · · · · ····· · ·· ·· ···· ·· · ·· ··· m ·'S~ '· ..~.. '-· . Why Are Blacks More Prone to shows up several times ," Pato says. "We'll look to see if illness and genetic markers exist together, and we'll analyze genetic patterns from ill person to cardiology researcher at the Uniill person. We'll develop a description versity at Buffalo may have found of each suspect gene and determine one answer to the question of why how often it occurs with illness. " more blacks than whites have high An important aspect of the study will blood pressure. be a Haplotype Relative Risk analysis. The answer appears to lie in the Using this approach , researchers will way the lining of blood vessels , the analyze the set of genes from a patient's parents that were not passed on to that endothelium, responds to certain sigpatient, Pato explains. The noninherited nals telling it to dilate. Bong Hee Sung, PhD, UB associate professor of mediset then acts as a control. A field team is already in place in the cine, has shown that in some blacks, Azores. The UB researchers travel there blood vessels didn't relax and widen as frequently to maintain close ties with the they should in response to a normal project. Meanwhile, they are setting up a blood-vessel dilator. Dilation of blood genetics research program and labora- vessels is one of the body's natural tory at UB that ultimately will be mechanisms for easing blood flow , thus lowering prescapable of performing sure. genetic analyses of any Sung prepotentially inheritable disthe sen ted ease, the researchers say. study results Both Carlos and Michele recently at the Pato hold adjunct appoint12th Internaments with the Center for tional InterNeuroscience at the disciplinar y University of Coimbra in Conference on Portugal, which is collaboHypertension rating on the project. Also in Blacks in involved are james L. London. Kennedy, MD , head of the THE FINDING REIN · Why the blood neurogenetics section at Clark FORCES THE RELATION · vessels don't relax Institute of Psychiatry, UniverSHIP BETWEEN and widen as exsity of Toronto , who is a pected remains unHYPERTENSION AND coprincipal investigator, and clear, Sung says. Eric Lander, PhD , of the WhiteDIABETES , TWO "Th ese are all head/MIT Center for Genome DISEASES THAT ARE healthy people, " Research, who will perform a MORE PREVALENT she adds. "They genome-wide scan and collaboAMONG BLACKS THAN had normal glurate on all data analyses. WHITES . cose and cholesM. Helena Azevedo , MD , proterollevels, and are fessor of psychiatry at the University of Coimbra, is the principal in- not obese.There was no apparent reavestigator for the Portuguese team, and son for them to have endothelium dysCarlos Paz Ferreira, MD , director of psy- function . Where this comes from , we chiatry at Psychiatric HospitalS. Miguel, don't know . We can't really say what the pathway is yet. " Azores, is directing the fieldwork. + Sung and colleagues studied the High Blood Pressure Than Whites? - B u f f a L I 0 o I S 8 A K E R Physician w I n t e r 1 9 9 8 ' . blood-vessel response in a group of l2 healthy African-Americans and l l Caucasians, all of whom had normal blood pressure. They also showed normal fasting cholesterol levels, glucose levels and other parameters known to affect blood pressure. The researchers measured the diameter of a vein in the left hand of all participants and then introduced the vasoconstrictor norepinephrine into the vein to cause it to narrow. Veins of participants in both groups narrowed similarly. Insulin, a vasodilator that acts on the endothelium in addition to regulating blood glucose, was added to the norepinephrine, and the vein diameter was measured again. Results showed that veins remained narrowed in five , or 42 percent, of the l2 African-Americans, indicating they did not respond normally to insulin as a vasodilator. Sung says the blunted response may be one of the mechanisms underlying the increased prevalence of hypertension in some blacks. "This subgroup of African-Americans was resistant to the vasodilatory action of insulin. Nothing happened to their blood pressure when insulin was infused." Sung said the finding reinforces the relationship between hypertension and diabetes , two diseases that are more prevalent among blacks than whites. Insulin resistance is a risk factor for adult-onset, or type II , diabetes. The question Sung and colleagues now are trying to answer is why an apparently healthy subgroup of blacks is not responding normally to insulin. She said the condition has important health consequences, and that once scientists know what causes it, they can work to prevent it. Additional researchers on the study were Marilou Ching, MD; Surendra G. Gudapati , MD ; and Michael F. Wilson , MD , all of the UB Department of Medicine. + L 0 I S 8 A K E R �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . [1] ' , ' "' . lesser-known functions include activating the immune system in response to stress; it also plays a role in fertility. It is another of prolactin's lesserUniversity at Buffalo neuroendo- known effects-its role in regulating crinologist is providing new in- the seasonal molting cycle in such anisights into the cause of changes in mals as the Siberian hamster-thatdrives blood levels of the hormone Badura's research. Siberian hamsters prolactin, which plays a role in turn from brown to white in winter and regulating many vital human experience a corresponding drop in prolactin levels. Badura is attempting to physiological functions. Supported by a grant from the Na- identify the brain chemical that triggers tional Science Foundation (NSF), Lori this change. Once identified, the chemiBadura, PhD, assistant professor of psy- cal could be manipulated to correct an chology, is attempting to identify the existing hormonal imbalance. The Siberian hamster is a convenient neurotransmitter that signals those model for studying prolactin regulation changes. If successful, her research could lead to interventions to keep the because its hormonal variation is photosensitive-triggered naturally by seasonal hormone at optimum levels. "Some medications-ones that in- changes in amount of daylight- and crease dopamine, for example- requires no chemical manipulation. "A number of faccan cause prolactin tors can affect prolevels to be low," she lactin release," says. "Too much or Badurasays. "Ifthere too little prolactin are big changes, a can cause infertility. number of factors It is important to may be involved. At know what neurothe basal level, the chemicals are affectchanges are small ing any system and easier to because a change in control." one causes a change One of the neusomewhere else. rotransmitters that "We already know "TOO MUCH OR TOO Badura and colleagues prolactin's effects, but we are looking at is norepiLITTLE PROLACTIN CAN don't know what causes nephrine because its levthe brain to regulate its CAUSE INFERTILITY. els also appear to change production. If we can find IT'S IMPORTANT TO under different light conthe chemical signals that KNOW WHAT ditions and it is known cause these changes, we NEUROCHEMICAL$ ARE to be involved in prolaccan design a drug to reguAFFECTING ANY SYSTEM tin release. late them. Knowing the BECAUSE A CHANGE IN "We don't know if this chemical neurotransmitis coincidental, if other ONE CAUSES A CHANGE ters that underlie each factors are involved or if system would allow us to SOMEWHERE ELSE. " there is a real cause and compensate for problems effect," she says. "Once in any of them." we establish a relationship, we can maProlactin is perhaps best known as the hormone responsible for stimulat- nipulate norepinephrine and see ifprolacing mammalian milk production. Its tin changes. No one has done that yet." Study Seeks to Identify Brain Chemical Regulating Prolactin ® B u f f a l o Before Badura can move into that realm ofdiscovery, however, she and her graduate students must master the delicate and difficult technique of implanting the necessary microinstruments in the mousesized hamsters so that any physiological changes can be measured. "If this technique becomes viable," she says, "it would permit a new direction in research that is very attractive to granting agencies. This will allow us to document any kind of physiological activity and physical state minute by minute. We will be able to answer many questions that we haven't been able to answer before." Badura's work has been funded by the NSF since 1993, when she was a postdoctoral fellow at the University of Connecticut. + - L 0 I B A K E 5 R Link between Heart Disease and Gum Disease trange as it may seem, taking care of your teeth and gums may also protect your heart. Funded by a $1.2 million grant from the National Institutes of Health, University at Buffalo dental researchers and preventive medicine specialists are beginning a fiveyear study of the relationship between periodontal disease and heart attacks. The study and the size of the award reflect a growing interest in new evidence suggesting that infections in the oral cavity may trigger disease elsewhere in the body. UB dental researchers are in the forefront of this field, with several preliminary studies showing that persons with gum disease are at high risk of developing heart disease. The oral bacteria that cause gum disease appear to be the culprit, says Robert Genco, DDS, PhD, SUNY Dis- Physician w I n t e r 1 9 9 8 �••••••••••••••• • • 0 •••• 0 •••••••••••••• 0 •••• 0 •••• 0 •••• 0 •• 0 . 0 •• 0. 0 •••• - ~~~~~~~~ HURWITZ & FiNE, P.C. [ATTORNEYS AT LAW tinguished Professor, chair of the UB problems, eliminating the influence of Department of Oral Biology and princi- other factors that contribute to heart disease, such as smoking or obesity, to pal investigator on the new study. "Oral bacteria enter the bloodstream determine the extent to which gum via small ulcers that develop in the gum disease is an independent risk factor for heart disease in tissue of persons with both men and periodontal disease. women. These bacteria conThe participants tribute to plaque forwill be followed to mation and increase determine the incithe chance of clots dence of second forming. Clots can heart attacks among also accumulate the heart patients around damaged tiswith and withou t sue, such as a lesion periodontal disease. in the blood vessel or Researchers also a replaced heart valve. will collect data on These accumulations UB DEN T AL the number of first heart can narrow blood vessels. attacks in a control The bacteria also cause RESEARC HERS ARE IN group and assess their platelets to aggregate and THE F O REFRONT OF can increase the chances relationship to periof clots forming. Clots in a odontal disease. TH IS FI ELD, W ITH If periodontal disease narrowed blood vessel can S E V E RAL PRE LIMINARY is found to be a true risk cause a myocardial infarcfactor for heart attack, tion, or heart attack. STUDI ES SHOWING "We've known for the next step will be to THAT PERSONS WITH find out if treating the some time that oral bacteria can precipitate these disease reduces that GUM DISEASE ARE AT kinds of reactions," risk, Genco says. BeHIGH RI S K OF cause cardiovascular Genco says. "We just redisease remains a leadcently put these findings DEV ELOPING H E ART ing cause of death in together as a possible most developed counexplanation of how D I SEASE. tries, the answer to that bacteria that cause gum question could have a disease can also increase major impact on public health. the risk for heart disease. " "Although we know much about the The new study will involve 1,000 people who have survived a first heart risk factors for heart disease, there is attack, and 2,250 people who have not still much unexplained risk to be ashad a heart attack. A complete health sessed," he notes. Coinvestigators on the study are history will be compiled on all particiMaurizio Trevisan, MD, and Karen pants, and all will be given a dental exam with X-rays to determine the ex- Falkner, of the UB Department of Soistence and extent of periodontal dis- cial and Preventive Medicine; and Sara ease. Blood samples also will be taken Grossi, DDS, Ernest Hausmann, DMD, PhD ,Juan Loza, DDS, PhD, andjoseph and cholesterol profiles determined. Researchers then will analyze rates Zambon, DDS, PhD, all of the UB School of periodontal disease among heart- of Dental Medicine. + attack patients and those with no heart L 0 I S 8 A K E R B u f f a L o Physician w I n t e r 1 9 9 8 S ERVICING T HE L EGAL N EEDS OF THE H EALTH S ciENCEs CoMMUNITY • Managed Care • Purchase & Sale of Practice • Business & Tax Planning • HCFA Safe Harbor Regulations and Physician Self-Referrals • Contracts with Private & Public Entities • Employee Relations Counseling • Fringe Benefit Programs • Representation Before Government Agencies on Audit & Business Issues • Facility Finance and Construction • Credentialing and By-Laws • Hospital/Medical Staff Issues Please contact Robert P. Fine or Lawrence Mo Ross at 716-849-8900 1300 Liberty Building Buffalo, New York I �~ -······················································································· El CLASS OF 1 958 Reunion Chairs Prepare for Reunion Weekend Festivities Allred M. Stein (pictured) Dear Classmate-Fifty Eight-Can you believe it? Forty years since you became an MD. Our reunion will take place on April 25. Save the date. We have the place. We will celebrate. Michael Genco t's not too early to plan for the 1998 Spring Clinical Day and Reunion Weekend. A cocktail reception will be held on Friday, April24, 1998. The 61st Spring Clinical Day andReunion Dinners will be on Saturday, April25. For more information, call the Medical Alumni Association at (716)829-2778. The reunion classes are of 1948, 1953, 1958, 1963, 1968, 1973, 1978, 1983, 1988, and 1993. Here's what your reunion chair has to say to you! Mickey Stein and l are putting together the usual celebration. lt won't be the same unless you are there! CLASS OF 1 963 Anthony M. Foti We traveled life's path together for a meaningful period. lt would be fun to see how we, the school and Buffalo have changed in 35 years. Please plan to attend our reunion. We hope to see you there. CLASS OF 1948 CLASS OF 1968 Harold l. Graff Daniel J. Fahey It's hard to believe that it has been 50 years since graduation. Please reserve Reunion Weekend of April 24-26. Hope everyone will be here. Great expectations! Looking forward to renewed friendships of the Class of '48. Thomas J. (umbo Robert A. Milch Dear Classmates, lt's 30 years for us. Please come back on April25 to celebrate and reminisce together. We are all looking forward to seeing you again for our 30th. CLASS OF 1 973 CLASS OF 1953 Michael A. Sullivan Arthur W. Mruczek (pidurec/) Next April 25, imagine you're at our 45th reunion. Like Marv Levy says, "Where would you rather be than right here, right now?" We are looking forward to seeing you at the 25th-Year Reunion Weekend. Please plan to join your classmates for this special quarter century of memories. Michael A. Sansone Come back to your roots for the 25th reunion. We need you to make it a success! ® B u f f a l o Physician w I n t e r 1 9 9 8 �··················· · · · · · ···· · ··· ·· ······· · ···· ······ ··· ·· ····························· ·· ~ • CLASS OF 1 988 CLASS OF 1978 Helen (Hess) and Andy Cappuccino David L. Marchetti The clock is ticking! Our 20th reunion (our "Distant Replay"). Please find the time to attend. "Collagen Superstar"; "Insulin Superstar"; Who really ca res? Who really remembers? But memory of the parties will last forever. Come celebrate lOyears out of med school. April25. Save the date! CLASS OF 1 993 CLASS OF 1 983 Michael J. Aronico Richard L. Collins Dear Class of 1993, Can you believe it's been five yea rs since med school graduation? Why don't you book April 24 for our five-year reunion weekend and Spring Clinical days. Look forward to partying and catching up with all of you . Let's ge t together and have some fun at our 15th. & THE ULTIMATEDRIVINGMACHINE: AMANA COLLECTS Checkpoint Foreign Car, Inc. Sales and Service Comprehensive Cost-Effective Receivables Management 487 Kenmore Avenue Buffalo, NY 14223 836-2033 Your WNY Leasing Specialist Serving WNY proudly tor 33 years ~ . ' Amana Capital Corporation Buffalo, New York 716-852-3500 800-441-6925 B u f f a I o Phys ici an w I n t e r I 9 9 8 �• ........ . ........... . ... .. ... . ........ . . . . .. .. . ...... . ..... . .......... . ..... . . .. . . ........ I 1 9 4 0 5 writes from her home in Hillsdale, NY: "At age 72 , I'm still working. Retired from my solo family practice after 35 years , but the retirement didn't take , so I'm doing school health. I'm the medical director of Columbia and also of Green Counties' outpatient Alcohol and Drug IRMA M . WALDO , ' 49 , Treatment Services. And after years of seeing young'uns and their families , I now am seeing the pathology of medical school days , as an attending at the Pine Haven Nursing Home for 40 of my dear little old folks! John is retired , and we both ski all winter. " 1 9 6 0 5 JOHN J . LAMAR , JR ., '63 , retired in September 1997 after 30 years of solo pediatric practice. He now spends much of his time visiting his grandchildren, Garrett, age five , and Skyler, age three, in Ft. Hood, TX. IRA H I NDEN , '65 , says, "I'm very pleased to announce that the Wooster Clinic, a 31-physician multispecialty group, of which I am a member, has merged with the Cleveland Clinic. I will continue to practice in the Family Practice Department of the Cleveland Clinic's Division of Regional Medical Services. BARRY A . WEINSTE I N , ' 69 , has been elected to the Erie County Legislature, representing most of Amherst, NY. His twoyear term began January 1, 1998. He continues in family practice in Amherst, in his 24th year. 1 9 7 0 5 V . SZEKERES , '71 , AGNES writes , "I was selected Internist of the Year" in 1997 in our Kaiser Facility in Bellflower, CA. I was proud to be the only lady to be honored by my colleagues after six years of well-deserving male internists. We have 65 internists in our group. " of Toledo , OH , has been honored by the Vitreous Society, the world's largest organization of vitro-retinal surgeons , with a named lecture in recognition of his contributions to the society and to the advancement of vi.treoretinal surgery. The "Founder's Lecture" award wi.ll fund internationally renowned speakers and support vision research for the society, which Dr. Bovino cofounded and of which he is past president. JERALD A . BOVINO , '71 , has accepted a position as associate professor in the Department of Otolaryngology at Case Western Reserve School of Medicine and Metro Health Medical Center in Cleveland, OH. GREGORY ANTOINE , '76 , ® MELINDA AQU I NO , '92 , says , "I finished my pain management fellowship at Montefiore Medical Center and joined the faculty there as a full-time attending in both anesthesiology and pain management. I am currently studying to become a licensed acupuncturist to enhance my pain management practice. " KRISTINE TENEBRUSO , '93 , of Honeoye Falls, Y, and Todd Blalock announce the birth of their first baby, Lauren Marisa Blalock, on July 14, 1997. Kristine is an attending physician in emergency medicine at Rochester General Hospital, Rochester, NY. of ew Orleans , LA, has begun his residency in ophthalmology at the Ochner Medical Foundation and Louisiana State University Hospital in ew Orleans. "Ever the boater," he writes, "I have chosen to live and spend what little free time I have on my 3 7foot sailboat, Yank ee." THOMAS R . ELMER , '97 , OBITUARIES COL. HERBERT BERWALD , '27 , of Napa , CA , died on Octo- JOHN R . ANDERSON , '67 , writes from DePew, NY: "I retired as medical director at Brothers of Mercy Nursing and Rehabilitation Center on December 31 , 1997." 1997. Mary writes, "Our son , Sam, is now two. Joe has joined a group of otolaryngologists in Bayshore, Y, after completing a head and neck and microvascular surgery fellowship . I completed a fellowship in pediatric infectious diseases and am in private practice. " 1 MARY 9 9 0 5 ( CAPPUCCINO) AND BONAFEDE , ' 91 , announce the birth of their second child , Ella , on June 30, JOE B f f a l o ber 10, 1997. Following graduation from UB, Dr. Berwald was commissioned in the U.S. Army and received his surgical training at Walter Reed General Hos- p h s c a n pita!. During World War II, he was commanding officer of the 217th General Hospital in England and France , the largest general hospital in the European theater. Following the war, he was chief of the surgical service at Percy Jones General Hospital in Battle Creek, MI , and at the 343rd General Hospital in Osaka, Japan . During the Korean War, he was surgical consultant to the Republic of Korea , after which he served as chief of the Departm ent of Surgery at Letterman General Hospital in San Francisco, where he retired from the Army in 1957. Following his military retirement, Dr. Berwald became chief of surgery at the Veterans Home in Yountville, CA , retiring from the state in 1972. He then joined Kaiser Permanen te Medical Group , retiring from medical practice in 1982. He is survived by his wife of 67 years, Victorine Cherney Berwald; his daughter, Arley Hulstrand, of Denton, TX; and his son, Col. Herbert T. Berwald,Jr. , of Fairfax, VA ; and eight grandchildren and two great-grandchildren. PATR ICIA A . MEYER , '50 , died on August 27 , 1997. CARL LOUIS EVANS GRANT , '83 , chair of the medical staff at Sheehan Memorial Hospital and clinical instructor in medicine at University at Buffalo School of Medicine and Biomedical Sciences, died Sunday, October 5, 1997, after a brief illness. He was 46 . Born in Manhattan , Grant attended Marist College and completed his pre-med studies at Harvard University prior to w n I e 8 �........................... ............. • TAKE TWO ... AND CALL ME IN THE MORNING! ~'\d ~014r OW'\ earning his medical degree at UB. In addition to Sheehan Memorial rottd: * Fact:Saabownershavea higher education level than anyothercarownergroup. * Saab purchase prices starting low to mid 20's; leases starting at $299 per month. * According to the Insurance Institute for Highway Safety (IIHS), the Saab 9000 has the lowest fatality rate of any production car on the market. Hospital, he practiced internal medicine at Buffalo General Hos- Millard Fillmore Hospital's Resident Physician Program 1950-52 and a former research staff physician of the Millard Research Insti- pital and Erie County Medical Center. In 1992, he received the UB Biomedical Sciences Commendation for Teaching Excellence. cochair of an International Study on Toxic Inhalation Programs of the National Toxic Inhalation Surviving are his wife, the former Lachele Clemons; four sons, Khori Group, headquartered in Milwaukee, WI, and Cleveland, OH. At ofBuffalo and CarlJr., Adrian and Trevor, of Grand Island; and six present, Dr. Cordasco is affiliated with the St. Luke's Hospital Medical Center and affiliate clinical professor of medicine at Case Western Reserve University. He is also an emeritus (retired) of the Cleveland Clinic Foundation and presently works in the Department of uclear Medicine as a research associate. daughters, Christian of New Britian, CT, Kahlia and Lauran, of Buffalo; and Maria, LaShae and SOUTHTOWNS SAAB Cheynae, of Grand Island. 3580 Southwestern Blvd RESIDENTS (1 Mile east of Rich Stadium) EDWARD M . CORDASCO ' 50, (716) 662·8008 WNY's of Cleveland, OH, an alumnus of tute 1970-75, has been appointed - Exclusive - BMW Retailer THOSE LOOKING FOR MORE CONTROL IN THEIR LIFE CAN NOW FIND IT ON SLIPPERY PAVEMENT. THE ULTIMATE DRIVING MACHINE.e MSRP s64240 F. G. DOWNING s&99 1998 BMW 740i 30 mo. Lease Towne BMW 3030 Orchard Park Rd. Orchard Park, New York 14224 Phone: 675-2550 While the road of life may throw you an occasional curve, at least our All Season Traction helps you handle the particularly slippery ones. FREE SCHEDU LED MAI NTENANCE ALL SEASON TRACTION PMT based on 5500 cap cost reduction (or trade), 12,000 miles per year. 15 cents charge per mile for excess miles. First and last PMT. taxes and plate fees due at inception. Residual $43040 Service Loaners Available •.• Minutes From Rich Stadium B u f f a I 0 P hysician W I n t e r 1 9 9 8 �Planned Giving to UB. A tax deduction and income lor life are two of the benefits you may receive with planned giving to the UB School of Medicine and Biomedical Sciences. You needn't be wealthy, or a financial genius. All you need to do is make a gilt- and hove a desire to help today's budding geniuses make the world a better place in 50 years. For more information, contact Lyn Corder, Ph.D, CFRE, at (716) 829-2773, or via e-mail at ljcorder@acsu.buflalo.edu UNIVERSITY AT BUFFALO State Universiry ifNew York http: // www . buffalo .e du �Who says there's nothing good on TV? As busy as they are, physicians and other health care providers always take the time to watch MLMIC's top-rated risk management education programs. • When they tune into high quality programming broadcast over our satellite network, viewers know what they see will help enhance patient safety and reduce injuries. They also appreciate the policyholder discounts available to participating physicians. MLMIC programming is sponsored by the largest Risk Management Department of any professional liability insurer in the state. Policyholders also enjoy the protection of one of the country's largest and most experienced professional liabi lity Claims Departments. Most importantly, MLMIC has successfully defended more physicians than all other available insurers combined. These are some of the reasons why MLMIC is the only medical liability insurer approved by the Medical Society of the State of New York. To find out more, call1-800-356-4056 in Upstate New York, or 1-800- ASK-MLMIC in the New York metropolitan area. Ask for free copies of our risk management MLM~C ~ :.ledteal Liability \lutuaJ ln,urance Company guide for office practices. • Our defense never rests. 2 Park Avenue New Yor k, NY 10016 2 Clinton Square Syracuse, NY 13202 90 Merrick Avenue E. Meadow, NY 11554 C>l996 Me,J cal LIB~• ity Mutual ln5Urana C )mpany �BUFFALO PHYSICIAN Non-Profit Org. U.S. Postage PAID Buffalo, NY Permit No. 311 STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET BUFFALO NEW YORK 14214 ADDRESS CORRECTION REQUESTED To consult with someone truly concerned with your financial health, come to Key Your Key Private Banker heads a team of KEY PRIVATEBANK professionals, who can help you achieve your financial goals with surgical precision. Call Marv Madison at 716-847-2341. It may be one of the most important appointments you make. We know medical professionals' financial needs like the dorsum of our metacarpus. Key. For anew America~ f � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1998 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1998-Winter Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v32n01-1988-Winter Table Of Contents A list of subunits of the resource. Out with the Rote, in with the New Heidi DeBlock, MD Medical Student Exchange to Bosnia Communication Skills for Tomorrow's Physicians A student's perspective New Computer Lab Department Honored Medical School Research News Alumni Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-09 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v32n01 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 1998 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/b3edc60af2be48ce4d345841489ead09.pdf 90507d817819483b3b40c9aa2f51766f PDF Text Text --- - --------- - -- - State University of New York at Buffalo School of Medicine and Biomedical Sciences, Autumn 1997 �BUFFALO PHYSICIAN \ olume 31, Number 4 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY SERVICES Dr Carole ~m1th Petro DIRECTOR OF PUBLICATIONS Kathryn .-\ Sa\mer EDITOR Judson \1ead (lntenm) ART DIRECTOR/DESIGNER AlanJ Kegler PRODUCTION MANAGER \nn Raszmann Brown STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr John \\'nght, /ntcmn Dean and V1<r P•cllllrntfor Climwl A{fw11 EDITORIAL BOARD Dr Bertram Partin, Chail Dr \t1artm Brecher Dr llarold Brodv Dr Lmda J . Corder Dr Alan J . Drmnan Dr james Kanski Dr Barbara Majerom Dr Elizabeth Olmsted Dr Charles Paganelli Dr Stephen ~pauldmg Dr Bradley T Trua' Roy Vongtama Dr Frankhn Zeplow 1tz TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospnal .\1iclwcl Sha" The Chlidren·s llospnal of Buffalo Eric County 'Vted1cal Center Mercy Health System Mlila~d Fillmore Health '>ystem Frcmll Sm·a Niagara falls Memonal Med1cal Center Roswell Park Cancer lnsutute ~!Sters of Chanty llospnal Dl'mm .\1cCw thy Veterans Affairs Western New York Heahhcare System The Stale vni\'CrSil\' of New York at Buffalo If) Buf{tdo Pl11 sician IS published quarter\) b\' the State UmverSil)' of Ne" York at Buffalo School of Medicine and Biomedical Sciences and the Office of Pubhcauons. It IS ~cnt , free of charge , to alumni , faculty . students, reSidents, ami fnends . The staff resenes the nghtto ed1t all cop\ and submissions accepted for pubhcauon Address qucsuons. comments , and submisswns to: The Ednor, Buffalo Plnsiciwt, State Lmvcrsity of Nc\\ Y~rk at Buffalo, Office of Publi cations , 136 Crofts Hall , Buffalo, m 14260 Send address changes to: Buffalo Physician , 146 B10med1cal Educauon BuHdmg, H 35 'Vtam ~lreel, Buffalo , NY 14214. Dear Alumni and Friends, As I POI>..;TED OUT TO THIS YEAR's INC0\11NG \1EDICAL STL>DENT'>, these are rapidly changing times, and the task of meshing the art with the science of medicine is becoming ever more challenging. Voltaire is said to have observed, "The art of medicine consists of amusing the patient while nature cures the disease"; yet the scientific basis of medicine continues to expand and now offers glimpses of disease mechanisms and body function that provide new and exciting vistas for the healing arts. But as Victor McKusick noted on a visit to Buffalo, "There is a widening gap between how to diagnose and how to treat, and between what we think we know and what we really know." I suspect that this statement is as valid today as it was just five years ago. We can take solace, however, in the fact that the quality of our entering class has not only been maintained but-no offense, alumni!-actually improved. Our curriculum has also changed: While it still has many of the traditional features familiar to most of our alumni, the new Clinical Practice of Medicine (CPM) and Scientific Basis of Medicine (SBM) courses introduce the art of clinical problem solving through the mechanism of self-directed learning. This should not only add a little excitement to the curriculum but also better equip our students to become "lifelong learners." Finally, we look forward to welcoming Stephanie Unger as the new editor of Buffalo Physician. A senior editor and writer with the City of Hope ational Medical Center/ Beckman Research Institute, in Duarte, CA, Ms. Unger will come on board in October. In the meantime, a very special thanks to Judson Mead, editorial manager of the UB Publications Office, for serving as interim editor. / ~ .127_/ ~f/L~ c:;7' JInterim Wright, M.D. 1~~~;R. Dean, School of Medicine and Biomedical Sciences Interim Vice President for Clinical Affairs Dear Fellow Alumni, THE CLASS OF 2001, CONSIST\ G OF 135 FRESH\1.\"1 medical students, has embarked on an exciting journey. It is a bit shocking to realize that they will complete their basic medical school education in the next millennium. I'm sure I speak for all alumni in expressing my appreciation for the extensive skills and energy of interim dean Dr.john Wright. I look forward to his continued participation, counsel, and guidance as he works to maintain and improve the quality and status this medical school has achieved over the past two decades under the leadership of former dean Dr. john Naughton. This year we are excited about a new mentoring program, conceived by Dr. Wright, in which interested freshmen will be matched with alumni volunteers who will act as a friend and mentor, as well as serve as a source of information, advice, and assistance. I can't think of a better way for students to get to know the alumni and our association. We already have more than 100 students from the freshman class, and judging by the numbers of alumni volunteers, they seem to be equally enthusiastic. If any alumni who have not been contacted would be interested in participating in the mentoring program, please contact the Medical Alumni Association office. The mentoring program committee is being chaired by past Medical Alumni Association president Dr. jack Coyne. ~.,;;w, ~D~ President, Medical Alumni Association �V OLUME 3 1, N UM B E R 4 A UTUMN 4 Dr. Mahoney Becomes Dr. Mahoney 8 DNA on Ice ROSWELL PARK ' S DNA LIBRARIES-FROM G IVING UP A SILKWORMS TO PLASMODIUM VIVAX. by Jessica Ancker CAREER IN 1 997 "The Woman's Way of Seeing and Doing" 12 PUBLIC HEALTH FOR REFLECTIONS ON MEDICINE. PIONEERING WOMEN I N by Michael Beebe MEDICINE AT UB. by Christopher Densmore Research GAIT-RELATED PROBLEMS. PESTICIDES AND BREAST CANCER. HIGH CHOLES- TEROL AND STRESS . Orientation '97 LET THE HARD WORK BEGIN! Development Medical School News MEDICAL SCHOOL REUNION A Student's Perspective LESSONS FROM THE GIVING PROGRAM. MINI MED SCHOOL. LATE MIDDLE AGES. P AG ANELLI HONORED . PET CENTER GRANT. MAGGIE Alumni News WRIGHT RETIRES. TONE .JOHNSON .JR . DEAN'S ADVISORY COUNCIL. UB COMPLETE S WHI E NROLLMENT . by Judith Toski, Class of 2000 '75 AWARDED BRONZE STAR. 1 9 9 8 SPRING CLINICAL DAY PLAN S. Classnotes �mr· ................................................................................. UB researchers study gait-related problems ALTERED STRIDE MECHANICS MAY LEAD TO SECONDARY INJURIES sing a force-measuring treadmill called the Gaitway, developed by the Kistler Instrument Corp. of Amherst, Y, in conjunction with the UB biomechanics laboratory , UB researchers are looking at two distinct kinds of gait mechanics: running after a leg injury , and walking after hip-replacement surgery. RLN"'ING INJLRIES One area of interest is the relationship between initial and secondary injuries in runne rs . Harold Burton, Ph.D. , UB associate professor of physica l therapy and nutri- ~ tion and exercise science, and his : coinvestigator on the study ,john Leddy, "' M.D., associate director of the UB Sports Medicine Institute, have been able to show that runners who develop a muscle injury in the lower extremities alter their running pallerns unconsciously after an injury. This change in running mechanics causes a deviation in the foot's normal impact and push-off force , which can be measured on the treadmill. A change in running mechanics may affect the way that force is dissipated. As a result , the added or altered forces are absorbed by joints and/or muscles unaccustomed to this stress, which may lead to a secondary injury in areas such as the knee , hip , or lower back. "By getting an idea of how a person with a particular problem changes running strategy, we hope to eventually identify a pattern and predict the risk and location of a secondary injury," 0 Burton says. "If we can predict what's going to happen , intervention with corrective measures , such as an orthotic, can prevent the secondary injury from occurring." The study, which involved 10 male recreational runners , examined the effect of injury to the thigh muscles. After coll ecting baseline measurements during level treadmill running, researchers had the participants induce muscle "injury" by running downhill for two 20minute sessions. Downhill running can cause microscopic muscle-fiber tears. For four consecutive days following the injury session, researchers recorded the walking pallern a patient has developed to cope with the pain of arthritis. According to Scott White , Ph.D., associate professor of physical therapy and nutrition and exercise science, relearning a proper walking pallern helps to prevent injuries after surgery and speeds rehabilitation . White is using a Kistler treadmill equipped with a computer that displays measurements of force for patients to read as they walk. When reinforced by verbal coaching from a physical therapist, the visual aids can help patients see the problems with their gait and get immediate feedback on improvements. vertical foot-ground reaction force generated by each runner during level treadmill running. Results showed that the runners who got sore, or "injured ," after running downhill produced altered forces during the next running session, indicating alterations in running mechanics. "These altered mechanics may predispose the individual to secondary injuries of other structures, such as joints, ligaments, and tendons ," Burton says. Among runners , this is no small problem. According to Burton, 50 percent of the people who run regularly experience some type of injury during any one year and need more education about what can happen as a result. A patient with a pronounced limp , for example, can be shown two rectangles that represent the relative lengths of the strides he makes with his right foot and with his left foot. By trying to make the two rectangles match in size as he walks, the patient learns what the correct, symmetrical walking pattern feels like. The Gaitway system's software also lets researchers record the data and perform a number of different analyses. In a three-year study funded by the Arthritis Foundation, White is testing the technique on a prototype Gaitway machine , working in collaboration with Robert Lifeso , M.D., clinical professor in the Department of Orthopedic Surgery, who performs hipreplacement surgery and often refers his patients to White's group for postoperative therapy. + HlP REPLACEMEt\TS Hip-replacement surgery can take care of the pain and immobility associated with arthritis, but many times it fails to correct a related problem-the cramped B u f f a l o - L OtS physician B AKER AND JESSICA A NCKER Autumn 1 9 9 7 �· · · ···· · · · · · ···· · · · ···· · . ... . . .. . . . . . . . . . ... .. ..... . . .. . m .... . ················· [(1~--~ .. . Study questions breast-cancer High cholesterol boosts blood risk trom pesticides and PCBs for pressure in high-stress situations women who breast-feed eople with normal blood pressure n research involving 154 postmenopausal women with breast cancer and ] 92 healthy \\Omen of similar age selected randomly from the general population, Kirsten Moy ich, Ph.D., research instructor in the UB Department of Social and Prcvcnti,·c Medicine and chief investigator on the study, has found no link between breastcancer risk and exposure to pesticides and PCBs in \Yomcn who breast-fed. Researchers measured blood levels of certain organochlorines-DOE, HCB, mircx, and PCBs. Since these compounds arc stored in body fat and arc not easily broken dm.,n , they accumulate in the body over time. Some of these chemicals ha\ c been shown to increase estrogen activity in animals and consequently have been linked to breast-cancer risk. \\'hen separated into groups according to histor) of breast-feeding, .,.,-omen '" ith breast cancer who had never breastfed had significantly higher levels of organochlorines than healthy women who had nc,·cr breast-fed. "These chemicals arc stored in fatty tissue, including breast tissue ," Moysich savs. "The chief mechanism for climin;ting them from breast tissue is lactation , .,, hich Oushcs them from the svstem." She adds that even though tl1c nursing baby is exposed to these substances, the beneficial effects ofbrcastfccding appear to outw cigh potential risks associated '' ith these organochlorines. The study was p rcsc n ted at the International Socict} for Environmental Epidemiology in Taiwan in August. + --- B u f f 0 I 0 can experience greater increases in blood pressure during stressful situations if they have high cholesterol, according to a study published by Bong Hce Sung, Ph.D., UB associate professor of medicine, in the june issue of the American journal of Hypertension. Conversely , the study found that lowering cholesterol with drugs and diet also lowers stress-related increases in blood pressure. It is the first study showing a link between cholesterol levels and hypertension. "We don't know the cause of high blood pressure in 90 percent of hypertensives," Sung says. "These findings shed some light on the mechanisms that cause high blood pressure, opening up possible new avenues for treatment and prevention. "Our results indicate that lowering cholesterol may have the added benefit of controlling blood pressure better during stress, which will lower the chances of developing hypertension and heart disease." The effect of cholesterol on vasoconstriction has been well documented in isolated peripheral vessels, but until now the o,·erall effect of cholesterol on blood pressure has not been studied. To assess the relationship between high cholesterol and blood pressure, ung and colleagues established a study group composed of 70 people with normal blood pressure, 33 of whom had normal cholesterol and 37 with high cholesterol. Blood pressure was monitored in both groups while they took a mental arithmetic test , a standard method to simulate psychological stress. Physician Autumn 1 9 9 7 ~ Researchers added stress to the equation, Sung says, because a dramatic increase in blood pressure during physical or mental challenges has been shown to be a risk factor for later development of hypertension and cardiovascular disease. Recent evidence also shows that the damage to organs caused by hypertension is more closely linked to blood-pressure response to stress than to "casual" blood pressure. Results showed that during the stress test, systolic blood pressure increased to the hypertension range (greater than 140 mm Hg) in 46 percent of the high-cholesterol group, compared to 18 percent of the normalcholesterol group. Sung says that high cholesterol appears to impair the ability of the endothelium (blood-vessel lining) to relax and constrict normally. The study's second phase was designed to determine if lowering cholesterol lowers blood-pressure response to stress. ln a double-blind design, half of 26 members of the high-cholesterol group took a cholesterol-lowering drug for six weeks, while the other half received a placebo; the protocol were then re,·ersed. Total cholesterol fell 26 percent during drug treatment. Participants repeated the mental arithmetic stress test after both the drug period and the placebo period. Results showed that peak systolic blood pressure during stress dropped from 141 mm Hg without treatment to 133 mm Hg after treatment. Sung's coauthor on the study were joseph L. lzzojr., M.D., UB professor of medicine and professor of pharmacology and toxicology, and Michael F. Wilson, M.D., UB professor of medicine. + L o 5 8 A K E R �~f~HI[~ ~f~f~H~ are key to progress in genetics research If DNA is the book of life , the laboratory of Pieter dejong , Ph.D. , is the printing press . BY JESSICA PHOTOS 0 B u f BY f a K l o He and his colleagues in the Human Genetics Department at Roswell Park Cancer Institute are the world's leading suppliers of the DNA libraries that make genetics research possible. They have supplied the gene libraries in which the two breast-cancer genes (BRCA1 and BRCA2) were identified in 1994 and 1995, as well as a host of less ANCKER famous genes involved in such illnesses as C . KRATT spinal muscular atrophy , pancreatic tumors, and Wilm's tumor. More than 40 research centers in 10 countries are using dejong's libraries to hunt for specific genes , create gene maps , or sequence large stretches of human D A. Their work makes them a crucial participant in the Human Genome Project. They're also applying their methods to a wide variety of other organisms, building libraries of the DNA of mice , rats , baboons , silkworms , the Legionnaire's disease organism Legionella, and the malaria parasite Plasmodi um vivax. They're even working with genetic material from a Doberman pinscher that suffers p hysician A u t v m n 1 9 9 7 �library and its copies occupy three tightly packed seven-foot freezers. "So, clearly, you can see that one of the things we need is technical improvements so the libraries will take up less space," de j ong says. The libraries are shipped to researchers all over the world. One of the biggest advantages of using a standardized library is that it provides a common reference system. lf, for example, a scientist identifies a disease gene made up of several fragments from de jong's DNA library, other researchers anywhere in the world can verify the work by placing an order with de jong for copies of those bacterial colonies. A LTER from narcolepsy, supported in part by a grant from the American Kennel Club. "ln this lab, you get calls from the strangest places," de jong says. CR EAT ING LIBRA RIES ln de jong's lab, human chromosomes are cut into pieces between 100 and 300 kilobases long, and the pieces are linked to fragments of artificially produced bacterial D A. The resulting circular chromosomes are made up of mostly human D A but also include important elements that allow them to "pass" as bacterial chromosomes when they are inserted into bacteria. One of these is a D A sequence that ensures that whenever the bacterium divides, it will produce copies of the artificial chromosome for the daughter bacteria. These bacterial artificial chromosomes, or BACs, are inserted into specially bred strains of the common bacteria E. coli. When the bacteria are properly cultured and separated, the result is an array of hundreds of thousands of separate bacterial colonies. Each colony, which is tagged with a unique identifying number, contains hundreds of copies of a unique fragment of human D A. Together, all the colonies are known as a library. Building the library is tricky work. At each step, many of the bacteria die from the unusual stresses imposed upon them. For example, electric shocks are used to punch holes in bacterial membranes so the BACs can enter-and the shocks are strong enough to kill a substantial portion of the bacteria. "At each step, we have a rather narrow window of opportunity," dejong points out. The library can be stored indefinitely by freezing in glycerol, or it can be copied by a "printing press" that dips a tiny metal spike into each colony, picks up bacteria, and touches a clean well of agar where the bacteria will grow and form a new colony of clones genetically identical to the mother colony. Dejong's lab makes 12 copies of each DNA library in order to accommodate requests from future researchers; a single ATE SYSTE MS IN v ENTED Although there are many ways to build aD A library, most have serious drawbacks. Some techniques package the human D A fragments into viruses, which then infect bacterial cells. But to fit in the viruses, the human DNA has to be cut into very tiny pieces; and since human genes may be as long as 1,000 kilobases, it's not very useful to have to cut the D A into fragments of only 15 kilobases or so. The invention of the yeast artificial chromosome, or YAC, overcame the size problem, but introduced other difficulties. YACs, which are grown in yeast, can be used for fragments of several hundred kilobases-large enough to contain an entire gene, or at least a substantial portion of one. However, up to 60 percent of these fragments are altered in unpredictable ways in the yeast. Sometimes, two or more pieces of human D A become inserted in the same YAC, making unrelated human D A sequences appear to be neighbors. Other times, the YAC D A gets rearranged or combines with other YACs inside the yeast. �~(~[ll[~ ~(~(~H~ Today, de Jong and many other scientists usc a system based on the bacterial artificial chromosome, or BAC. ABA can accept large fragments of human D A, and bacteria faith full} reproduce them without confusing rcarrangemcn ts or recombinations. Dejong also uses a libra[} system he invented several years ago, a variation upon the BAC called a PAC because it uses some fragments from an organism called the rl bacteriophage. His PAC librar) is being used b) researchers all o<.er the world, including the world's largest gene- equencing center, the Wellcome Trust Centre for Human Genetics, in England. "They sequence more than all the other centers put together, and they use our PAC libra[} exclusively," dejong says. ETHICAL TROUBLES RESOLVED The Human Genome Project was in full swing, with research APPLICATIONS I CA CER RESEARCH delving into four major D A libraries (including dejong's), Libraries from Roswell Park haw already been instrumental when an international dispute broke out about ethical probin Identifying the t\\o known breast-cancer genes and in lems involved in the collection of the D A samples. It was studying man} other cancers. discovered that the samples in the libraries were not taken In an example from Roswell Park , dcjong's PAC library is from a cross section of the population, but from a few donors helping to pin down precise information about the chromowho worked in the laboratories, and that these donors had somaltranslocations that cause leukemia. never signed informed-consent releases. Also, no measures Peter D. Aplan, M.D., a member of the Ros\\cll Park had been taken to safeguard their anonymity, leading to the faculty and a B assistant professor of pediatrics and of possibility that they could run into trouble obtaining health microbiology and immunology, says that many research insurance if any genetic anomalies were discovered. methods can provide some information about these transloThese problems arose when the researchers who were cations, but only molecular biology can pinpoint the exact building the libraries treated places where chromosomes the human samples as they break and rejoin. "We want to Some ethicists fear that genetic would samples from other ornarrO\> it down to the precise information will lead to the temptation ganisms. "The focus was not base pair ," he says. on the individual. It was on the Aplan and his colleagues to tinker with the human genome. species," de Jong says. compare D A from leukemia cicntists involved with the patients \l-ith DNA from de Human Genome Project also worried that they would be accused jong's PAC library. B} subjecting both to digestion \\Ith of elitism for studying only the genes of fellow scientists. restriction enzymes , and then comparing the patterns of In response to the findings, the ational Institutes of resulting fragments , the researchers can narro\\ down the Health awarded grants to build a new set of libraries that location of the break-point to a region of less than l ,000 base comply with strict guidelines. Dejong's group was awarded pairs. This region is small enough to be sequenced in an $1 million to build two new libraries, one of DNA from a automatic D A sequencer. woman's white blood cells, the other from a man's. Dozens of "Pieter' Pl clones provide a framework that we usc to volunteer rc ponded to an advertisement in the Buffalo map our findings onto ," Aplan sa)S. cws, and after screening by Roswell Park's genetic counseUsing methods like these, Aplan has identified and charlor, 20 men and20 women were selected as potential donors. acterized a nm·el gene that , when disrupted by translocaThe final selection of blood samples was made on a doubletions, apparently helps to cause T-cell acute lymphoblastic blind basis, so neither the volunteers nor the scientist know leukemia. He has also studied the mechanisms of action of whose genes are in the new library. distorted gene products im olvcd in other leukemias and has The male D A library hasjust been completed; the female proposed an explanation for ho\\ chemotherapy for a prione is next. Meanwhile, the old libraric may still be used mary cancer can trigger therapy-related acute myeloid leukemia many } cars later. because the donors signed consent form , de jong says. 0 B u f f a L 0 Physician A u t u m n 1 9 9 7 I �TH E PROMISE Cancer is not the only target. By studying inheritance patterns in an extended family, researchers at ew York University have narrowed down the location of a potential epilepsy gene to a region of aboutSOO,OOO base pairs on one chromosome. They can go no further with gene mapping, so they have approached dejong about making aD A library from a particular patient thought to have the gene. And many of the world's most prominent genetics research centers, including the Wellcome, the Whitehead Institute/MIT Center for Genome Research, and the Sanger Centre in England, are using dejong's libraries to sequence human D A as part of the Human Genome Project. Each segment of human D A is subdivided until it is small enough to be analyzed by an automated D A sequencer. Some 16,000 of the estimated 50,000 to 100,000 human genes have been mapped, but the function of many of these genes is still unknown. A comprehensive sequence of the human genome will reveal many more unknown genes, so the next step must be to investigate their function through such techniques as comparing them with homologous genes from other organisms. There are many questions about the best uses of the new genetic information. Some ethicists fear that it will lead to the temptation to tinker with the human genome for trivial or monetary reasons. But Thomas Shows, Ph.D., chair of the Department of Human Genetics at Roswell Park, is optimistic that complete information about human genes will focus medicine on what he calls "preventive maintenance." "We could become predictors of disease," he says. "Preventive medicine is so much less expensive than treating disease after the fact. " Prenatal testing can already identify more than 200 genetic disorders. Ultimately, Shows hopes, physicians will be able not only to identify potential problems but to prevent them. "Genetic testing might allow DNA library plates are stored us to find out what cards we're at -85 degrees Celsius. dealt with in the game of life," he says. "Do we have a royal flush , or a couple of two's? Whichever, we need this information to play the game." + For more informoHon obout BACs ond PACs, visit Pieter de Jong's Web site ot http/ jbocpoc.med.buffolo.edu. j essica Ancl1er, a Cleveland-based freelan ce writer, is tlte fann er editor of Buffa lo Physician. 1. Extract DNA Human white blood cells are embedded in agarose, then digested with enzymes, leaving the DNA behind in the agarose gel. How to Build a DNA Library: THE RECIPE 2. Cut up DNA The DNA is incubated with a dilute solution of restriction enzymes, which cut the chromosomes at specific nucleotide sequences, producing a pool of DNA fragments of different lengths. 3. Select fragments In gel electrophoresis, small DNA fragments embedded in a gel move through an electric field at speeds proportional to their size. In order to separate large fragments, the orientation of the electric field is changed every few seconds in a process known as pulsed-field gel electrophoresis. Fragments of the desired size-] 00 to 200 kilobases-can be isolated using this process. 4. Build artificial chromosomes The DNA fragments are linked with the vector DNA to make circular bacterial artificial chromosomes, or BACs. Naturally occurring enzymes are used to seal the pieces of DNA together. S. Insert into bacteria Ashock of a few thousand volts of electricity creates a hole in a bacterium's membrane that lasts long enough for a BAC to squeeze inside, a procedure called electroporation.ln order to create enough holes in enough membranes, the jolt must be strong enough to kill a substantial fraction of the cells. 6. Weed out failures Only a few of the surviving cells will have successfully taken up BACs. Each BAC has been constructed with agene that confers resistance to a particular antibiotic. By exposing the E. coli to that antibiotic, the researchers can kill off any cells that don't have a BAC inside. 7. Grow colonies of clones The surviving bacteria are spread thinly over plates of growing medium and allowed to reproduce. Each colony will be made up of the genetically identical descendants of a single bacterium. 8. Plant colonies Arobot identifies the round white colonies, picks asample from each, and plants the samples in the library plates. Each library plate, which is about the size of a large index card, has 384 tiny wells filled with growing medium and thus can support 384 clones. Each well is identified with a unique address, and each plate is labeled with a bar code. An entire human genome library will contain more than 500,000 clones and fill some l ,500 plates. 9. Store or reproduce The plates can be stored indefinitely at -85 degrees Celsius. The colony-picking robot can also act as a "printing press" to make copies of the plates. �MARTIN MAHOI\L\ \\'.\~ON Ill.,\\;\\ to a stellar career in the field of public health as an epidemiologist whose doctoral dissertation revealed higher-than-expected cancer rates among Seneca Indians and as director of ew York's cancer-surveillance program-all before he reached the age of 30. He also had teaching appointments in the School of Public Health at the State University of ew York at Albany and in the Roswell Park Cancer Institute's graduate division. Arthur Michalek, Ph.D., a leading cancer researcher at Roswell Park who first had Mahoney as a student, then later conducted groundbreaking research with him, recalls that he had the makings of "a leader in the field." So what is Mahoney, now 35, doing with a stethoscope around his neck, checking a youngster's sore throat, asking an elderly patient how that new medication is working, and seeing anyone who comes in the door of the family practice clinic at the relatively low-profile DeGraff Memorial Hospital in orth Tonawanda, ew York? Mahoney, who still carries the oversized shoulders of a competitive swimmer from his undergraduate days at Canisius College, smiles at the question. "It's something I always wanted to do," he says. He obviously wanted to do it pretty badly. 0 e u f f a 1 o phys ici an Autumn 1 9 9 7 �PHOTOS BY FRANK CESARIO �- FROM PUBLIC HEALTH TO PRIMARY CARE ~--------------------------------------~ WHEN HE FIRST APPLIED to the University at Buffalo medical school in 1983, after graduating with honors in history from Canisius, he was not accepted (true of about 90 percent of those who apply). His grades were good, his board scores were okay, and he had taken the necessary science courses despite his history degree. He just wasn't close enough to the front of the line. David Valai k , Ph.D., his history professor as well as his swim coach at Canisius, doesn't think much of a medical school admission committee that would reject Mahoney. Valaik couldn't have asked for a better student or swimmer. Last year Mahoney was the first swimmer since Canisius started its swimming program in the 1960s to be inducted into the college's sports hall of fame. "Martin never needed the lecture 1 give to some students," Valaik says. "He had it. " Without the option of attending medical school, Mahoney decided to study epidemiology, earning both a master of science degree and a doctorate at UB before going to work with the ew York State Health Department in Albany. As director of the state's cancer-surveillance programs, Mahoney found both rewards and frustrations in public health. He suddenly had access to millions of health records and powerful computers to analyze the data . He traveled throughout the state, looking at clusters of cancer and trying to find relationships . But as he discovered in May 1989 , there are limits to what an epidemiologist can do . Mahoney came from Albany to orth Tonawanda with the results of his latest study, a look at cancer cases near a plastics factory. A nine-year survey of local medical records showed cancer was not on the increase. lt was not what the hostile audience wanted to hear . "We are not going to buy that ," said the city's mayor at the time , Elizabeth C. Hoffman , who had ovarian cancer herself. " ot when people see house after house with people with cancer." Mahoney felt the call of medicine and its more immediate results even more strongly after he first gained the confidence of the Seneca Indians and then published his study showing that cancer rates were much higher among that ative American population than expected. The study, and later work by Mahoney , Michalek, and others, showed that while cancer deaths increased by 4 percent in the general population, they jumped by 10 percent among ative Americans, who have the poorest cancer survival rates in the United States. Yet health-care providers to these Indian populations gave cancer a lower priority behind alcoholism, diabetes , injuries , and cardiovascular disease. "As a researcher," Mahoney says, "l thought it would be easy to implement. But I didn't see anyone jumping on it. " So in 1990, Mahoney again applied to medical school and this time , armed with credentials that most medical schools would die for, was easily accepted. B u f f a l a Mahoney's first rejection was reall y not unusual, says Roseanne Berger, M.D., associate dean for graduate medical education at the UB Medical School. "Despite the questions in the press about whether we're training too many physicians or whether income is going down , the number of applications to medical schools continues to increase. The talent pool is really remarkable ." But going to medical school and interrupting a successful career to do so is difficult, as Mahoney found out. He and his wife, Ellen, were expecting their first child (their daughter Christine is now 6), and they had to sell their home in Albany and go apartment hunting in Buffalo. Mahoney also had to give up a good income with the state and face stiff tuition bills again. His wife was behind him all the way. "Why not do it? " he says. "I figured this was always going to haunt me if I didn't." To put it mildly , Mahoney was not your typical medical student. He kept his teaching appointments at SU Y/Albany and Roswell , continued his research with his mentor Michalek, and picked up a part-time job as a medical epidemologist with the Buffalo Otolaryngology Group. "T hey were sitting on a large amount of data from their patients over the years, and I helped set up a database," he recalls. Mahoney, who received one of the public-health industry's most prestigious honors in 1992-thejay S. Drotman Memorial Award-for his pioneering research with the Senecas, also started making a name for himself in national medical circles. He was elected first as a student representative, then later as a resident representative, to the American Academy of Family Physicians' Commission on Public Health. Then this past spring, he received the American Medical Association's Glaxo Wellcome Leadership Award, the resident's award from the ew York State Academy of Family Physicians, and the MeadjohnsonAward for graduate education in family practice. Described by those who know him as soft spoken but vocal when he needs to be , Mahoney seems almost embarrassed by the attention . "I guess I've just been fortunate to be recognized for some of my accomplishments," he says. Mahoney feels that his public-health background is invaluable when searching for the cause of a patient's illness in the clinic. Like epidemiology, he reasons , medicine is a case of examining a problem thoroughly and then reducing the odds. If it's not this, it could be that; if you eliminate this , it might be that. Physician Autumn 1 9 9 7 �FROM PUBLIC HEALTH TO PRIMARY CARE - ~--------------------------------------~ Practicing medicine, in the same way, is helping him with his research. While serving part of his residency in the Deaconess Hospital, where he saw a mostly minority, low-income population, Mahoney noticed that many of the new mothers were not nursing their babies. "Physicians are naturally inquisitive, and would probably notice this and say something about it to their fellow physicians or spouses," says Berger, the associate dean and Mahoney's ultimate boss during his residency. But Mahoney's public-health background gave him the expertise and confidence to follow his curiosity and develop a questionnaire and a database to further study the reasons behind this phenomenon, she says. Noting that the results are still coming in, Mahoney says that it appears that breast-feeding in these women is not something that is passed down from one generation to another, perhaps because they have children at such an early age and the generations pass so quickly. His work at Roswell Park Cancer Institute, where his research partners include Michael Cummings, Ph.D., one of the nation's preeminent antismoking experts, has led him to what he feels is one of his most exciting projects: Tar Wars. Conceived by two Denver physicians and run in past years on a shoestring budget, Tar Wars has been adopted and funded by the American Academy of Family Physicians. Mahoney serves on the Tar Wars board of directors and is its coordinator in Western ew York. ''I've really bought into this," Mahoney says. "I think it's a terrific program. "You can't tell kids that smoking is going to shorten their life and that they may die when they are 40, 50, or 60 years old," he said. "When they're l l or 12, they think they're going to live forever. So we mention the negative effectsbad breath , yellow teeth, smelly clothes. Plus smoking costs a lot of money. It begins to get them to focus on how advertisers set them up. You never see these effects of smoking, or ashtrays or burns in the clothes in the ads. We get them to figure out how much smoking costs, about 60 or $70 a month. That's a small fortune for a kid-that's three CDs and a in tendo game." Mahoney intends to hit the road this year to spread the message of the Tars Wars campaign in classrooms. It's not that he has a lot of free time. In addition to his work , Mahoney and his wife now have two other children, icholas (5) and Madeline (15 months). He also is the medical director for the Cantalician Center for Learning; a board member of the Allegany Regional Development Corporation, which helps serve the Seneca ation of Indians in Salamanca, Y; and a board member for the iagara Frontier Vocational Rehabilitation Services, a group that trains and finds jobs for disabled people. And for the past year, he has served as vice chair of the residents section s u f f a l a Physician representing family physicians on the national Council on Medical Specialty ocieties. He is a founding member and on the steering committee for the etwork for Cancer Control Research in American Indian and Alaska Native Populations. In addition, he serves as a referee for five professional journals, including the Intcmationaljou rnal of Epidemiology, and he i an author, coauthor, or contributor to 57 research projects. "My wife understands my work," he says. "She knows this makes me happy. I'm one of the luckiest people in the world." Mahoney has just completed his residency-he also was chief resident-and signed a contract with the medical school, one that allows him to practice medicine, teach medical students, and continue his research. 'Ttl spend 60 percent of my time in clinical work, supervising residents and seeing patients. Twenty percent of the time I'll teach, 10 percent for administration, and 10 percent for research. That doesn't sound like a lot of research, but right now I'm doing all my research on my own time." It would have been simpler, of course, had Mahoney gotten into medical school the first time. But now that he's completed the training for his dual careers, he wouldn't have it any other way. His former mentor, Michalek, who has developed a deep friendship with Mahoney, says his medical degree helps Mahoney bring a fresh perspective to the public-health field . "I think he'll have the best of both worlds," Michalek says. "An M.D. has a real appreciation for the clinical approach. Most people in public health may have a Ph.D., but they don't have an appreciation for disease. That clinical training gives him the ability to better evaluate the research ." It also has a beneficial side effect for Michalek: After all these years of teaching medical students, Michalek has finally chosen one to serve as his own personal primary-care physician-Or. Martin C. Mahoney, Ph.D., M.D. + .\1ichacl Beebe is a reporter for the Buffalo Autumn l 9 9 7 ews. �MEDICAL STUDENTS �"DOES THE WOMAN'S WAY OF SEEING AND DOING EVER HANDICAP HER?" BY CHRISTOPHER DENSMORE , 'E HtJNDRED YE-\RS> AGO , - on April 27, 1897, Dr. Maude j. Frye addressed the graduating class of the University of Buffalo School of Medicine on the subject of "The Woman's Place in Medicine." An 1892 graduate of the medical school, in 1897 Dr. Frye was on the faculty as a clinical instructor in the diseases of children. I am going to use Dr. Frye's address, along with the recollections of UB's first female medical school graduate, Dr. Mary Blair-Moody, and editorials of Dr. Austin Flint that appeared in the Buffalo Medical]oumal, to illuminate the experience of these pioneering ._. women medical students. I will use, as much as possible, their own words. First, Dr. Frye: "I WISH TO PRESENT to you tonight some thoughts concerning woman's place in medicine; the limit of her work, [and) the line which she will oftenest follow. "Whether we like to confess it or not, woman's physical organization necessarily sets a limitto her achievements ... [Here Dr. Frye refers to the proposal that women serve in the National Guard. She is a bit skeptical.] In reckoning the chances of woman's success when she comes into competition with man, the physical factor has always to be taken into account. That medical work which makes the least demand on woman's physique is, other things being equal, that in which she will best succeed." In looking at the past, it is sometimes apparent that beliefs can change. One of the hot topics of the medical literature of the 1890s was whether women should ride bicycles: Would the exertion harm them? Of possible relevance here is an illustration in the first UB yearbook (the Iris), in 1898, of a woman with a bicycle waving a UB pennant. ow back to Dr. Frye: "IT IS, HOWEVER, concerning a feature of woman's mental equipment for work in medicine that I wish especially to speak. I do not expect many of you to agree with me, yet I ask you to think on these things. We must acknowledge between the average man and the average woman an unlikeness of mental capacity comparable to their physical unlikeness, a sex in mind, if I may use the term. This is not equivalent to saying that man is superior to woman. There is equality with diversity. The elm is not better than the oak, nor the oak than the elm, but each is B u f f a l o Physician good of its kind. There are mental processes which are identical in the sexes, there are others which may oftentimes give advantage to the woman in the work of the physician. Does the woman's way of seeing and doing ever handicap her? Let us try to answer the question." lt was this last sentence that first got my attention. A gendered way of "seeing and doing?" Sounds like Men Are from Mars, Women Are from Venus, and other books of that ilk. The debate about whether men and women are essentially the same, or essentially different, has been going on for some time, with, so far as I can see, little chance of final resolution. But to return to Dr. Frye: "IN THE EARLY DAYS when the woman who began the study of medicine was of heroic type, her success was assured from the beginning, for the courage which dared to commence the struggle was equal to any hardship or any emergency which arose later. She has opened the way for the woman of average ability, the woman who but for her pioneer work would be teacher or nurse. The average woman has not, as a rule, the daring of an Elizabeth Blackwell." Dr. Frye is speaking to us from a century ago, 1897. Fifty years earlier, in the fall of 1847, Elizabeth Blackwell had become the first woman to study medicine in the United States when she entered Geneva Medical College. Or rather, she became the first woman to be recognized by the Autumn 1 9 9 7 �medical profession as a physician. Women have been studying and practicing medicine for a lot longer than 150 years. We are in fact talking about the institutional recognition of women as physicians by the medical profession. Elizabeth Blackwell's story is not unconnected with the history of the University of Buffalo. In 1847, many of the people who taught at Geneva in the fall came to Buffalo in the spring to lecture at the VB medical school. All of the teachers at Geneva mentioned by Elizabeth Blackwell in her autobiography were also on the faculty here at UB. One member of our faculty (who did not teach at Geneva) was Austin Flint, after whom Flint Road on the university's North Campus is named. Dr. Flint was the editor of the Buffalo Medical journal and an early supporter of what was then the novel experiment of educating women to be physicians. ln an editorial published in January 1848, Flint looked forward to seeing women as physicians, even though he also stated that "We should regret to see any innovations tending to lead woman from her appropriate sphere-the domestic hearth and the social circle-but we can perceive no good reasons why females whose duties are not prescribed by domestic or social relation should be denied ... exercising usefully their faculties in the capacity of medical practitioners, under proper limitations." To modern sensibilities, this may seem rather lukewarm support, but Flint did, in my e LimaLion, provide important upport to Blackwell by publishing her dissertation in the pages of the Buffalo Medical journal and by writing approvingly of her progress in the medical profession. But advances are not always sustained. Flint's successor as editor of the Buffalo Medicaljoumal was emphatically opposed to women doctors, and when Elizabeth Blackwell's sister Emily applied for admission to the VB medical school in ovember 1851, her application was rejected by the faculty. Women continued to be educated as physicians, but only in such institutions as the Female Medical College of Philadelphia and the ew England Female Medical College, not at the older male institutions. UB's true pioneer woman medical student was Mary Blair-Moody, whose application for admission to the medical school was accepted in 1874. In 1896 Dr. Blair-Moody's reOections on her own experiences were published in the Buffalo Medicaljoumal: "EARLY IN THE AUTUMN of 1874 the majority of the faculty of the medical department of the University of Buffalo decided to favorably consider an application made some years before by a woman resident of their ® B u f f a I o own city, to pursue the study of medicine in their classes on the same footing as the male students. Sex was to be left out of the question as much as possible. The minority, finding it difficult to wholly approve, yielded with true American spirit and also welcomed the innovator with what grace they could command. My youngest brother, then about passing out of his teens, having just previously decided to pursue the study of medicine in that institution, became a member of my family, and together we went into the search for the precious possibilities of the healing art. Every day we measured our work, not by what was required, but by what was possible to be done, making that also include the required. The personnel of the faculty at that time always recurs to my memory as being of a somewhat unusually high order. There was a keen love of truth among them for its own sake. "Two of them said to me, at different times in the course, 'Do not believe what we tell you in medicine or what anybody says until you prove it.' All did not teach in that way for obvious reasons, especially the demonstrator in anatomy.ltwould be impossible. Professor Hadley's classes in chemistry had been and continued always to be open to women. Not only so, women were cordially welcomed and encouraged to do the best work of which they were capable. Dr. Mason frequently had women visitors in his physiology classes and delighted in enlightening them on such practical points as choice of good respiratory mechanism, effects of certain nervous lesions, and similar branches of the subject. "After being well started in my work, and having become quite enthusiastic over the clearness and elegance with which the professor of surgery, Dr. Moore, instructed his classes, I chanced to be in one of the other professor's rooms when he entered without noticing me and exclaimed: 'How is it that we have a woman here?' Dr. Potter entered at that moment and replied: 'J assume the responsibility.' He was dean at the time, and one of them-1 do not remember whom-remarked: 'If we do not like it when she gets through, we can close the doors.' They have never been closed; but, nevertheless, it is my impression that it is liable to remain what it was in the beginning, a man's college, courteously conceding as a privilege to women advantages not taken into account by its charter members. "This has its uses; chivalry on one side and gratitude on the other are encouraged. It is like a bit of the romance of the Middle Ages dropped into the life of a wide-awake, not to say prosaic, American city. Some of the professors said when they decided to leave the doors open to women: 'It shall never be a woman's college. If they wish to study as the men do, well and good. We shall not advertise it as a college admitting women, nor make special arrangements for them, nor consult their convenience.' One of the professors who took this stand and maintained it expressed at one time a thought which is shared by too many and is Physician Autumn 1 9 9 7 �I = - - - - - -- - - -- - - - ------ - -~~-------~ ~ ~ -- --~----- --- mentioned for that reason: 'No lady will wish to study medicine, with the emphasis on lady.' "It was a question in my mind soon after entering how to manage ... I soon felt that there was a majority of the students that would intelligently sustain fair play in the matter. That was a great help to me. What I would have done had that sentiment not prevailed in the class Ido not know.! am sure that this sentiment also prevailed among the professors. There were a few rough fellows in the class who occasionally called my attention to themselves by cat-calls when I entered, excessive smoking at recess, close to my seat, and other manifestations of ill breeding. The class endured it for a while in silence, simply attempting to frown it down. It happened, however, one day that one of the ringleaders of this movement was discovered in some such trick, I do not know just what, and was doubled up and handed over the tops of the iron seats from one man to another from the back row right down to the desk and rolled over that in no gentle manner to the lecturer's usual place. The quietest, most scholarly, and most gentlemanly men in the class took hold with a will and received him with open arms as he was handed along too rapidly to help himself, starting as he did doubled up like a jackknife. This happened just before lecture time.lt was done quite sternly, almost silently, and ---- = and "Of course," recalled Dr. Blair-Moody, "he would not be just ready when I wanted to go home." " ... At graduation the announcement was received with rather more than the usual cheers and congratulations, six little pairs of hands in the gallery joining in the applause." By the time Dr. Blair-Moody penned her recollections, and when Dr. Frye gave her lecLUre, women medical students at UB were no longer an experiment. In the 1880s and 1890s, women made up as much as 15 percent of the graduating classes. Women would remain a minority until the 1970s, but their fitness to swdy medicine was no longer seriously questioned. On October 17, 1889, the women students at the University of Buffalo met to consider "the advisability of fonning a society of women students of the university." Since the time the college admiued women, and Mrs. Moody became a student, the effort of coeducation had been a success, and the time was now ripe for women to bind themselves to support one another to work, not as a few timorous individuals upon whom the world should frown disapprovingly, but as a sisterhood whose object should be mutual encouragement, support, and aid in matters social, educational, and professional. The organization founded , known only by the initials S.E.V., sponsored lectures, study sessions, and social events. Women were to some degree accepted, but continued to feel the need to create separate organizations for mutual support. Organizations by and for women at the university have now been functioning for more than a century. Returning to the remarks of Dr. Maude Frye in 1897: iiiiiiiiiiiiiiiiiiiiiiiiiiiiii must have noforce, small amount ofrequired muscular as he was not a slight fellow to whom this dose was administered. It amused me greatly, as the man seemed to shrink from attracting attention to himself in any way afterward ... "... John, the janitor, was my faithful friend through it all. He was always interested in my work, kind and helpful. Among the boys he had the reputation of being afraid of nothing, living or dead. He, too, liked to see fair play, at least so far as I was concerned, and occasionally so expressed himself to the students in his own inimitable way. 'She pays her money like the rest,' he said to one rough student one day. 'She has just as good a right here as anyone.' "But there were limits, by common consent apparently, to my privileges. It was to be fair play but no favor on account of sex. Our professor in medicine ... once overstepped the bounds, according to class sentiment. We were studying diseases of the chest under his instruction. A prize had been ... offered for the best report on a certain set of lectures on this subject. Perhaps to try the temper ofthe men and their opinions on the subject, he called me out at several successive clinics to make the chest examination, which was a coveted privilege and could not well be accorded to everyone. About the third time a hiss of disapproval was sufficiently expressive to convey the class sentiment of fair play and no favor ... " Mary Blair-Moody was what we now think of as a "nontraditional" swde nt~older, married , and with children of her own. When she entered the medical school, she was in her late 30s with six children. She doesn't mention her child-care arr;ngcments or support network, but occasionally at the end of a long lecture day her family came down to pick her up, and the children would sit with her in the upper seats of the lecture hall. One of her boys would take off his shoes and stockings, B u f f a 1 a Physician "THERE IS ONE quality which more than any other makes for success in certain lines of medical work. It is the type of courage more or less common to all men, rarely found in women-the courage which dares. It is the courage of the soldier, and the explorer. It is the courage which makes possible the great surgeon." ote here that Dr. Frye is talking about two forms of diversity in the mind: a diversity among women, between the heroic pioneers in the mold of an Elizabeth Blackwell and most women; and a generalized diversity between men and women. "ON THE OTHER HAND, through all time woman's genius has given this character to her work. It has not turned to great deeds but has contented itself with the humbler, often holier, tasks of the home, the school-room, and the sick chamber ... It is the courage whose other name is patient endurance ... "The lack of daring does not make a physician less trustworthy, nay rather she may be more worthy of trust, but the lack does not work to her material advantage. There are departments of medicine, notably bacteriology, for which not only woman's type of courage, but her whole manner of training, from her youth up, should eminently fit her, Autumn l 9 9 7 �and in such work as this I believe she will excel. But the woman who gains wealth and fame in the practice of general medicine or of surgery will be the woman who possesses, without necessarily losing anything of her outward womanliness, the masculine type of courage. She will be the woman who would rather be wrong than not try. The average woman would rather not try than risk being wrong. "There is a special message which I wish to give to the young women receiving their diplomas tonight. It is concerning your work among women. Whether you intend to be a gynecologist or not, every woman who enters your office expects you to be. Setting aside your right to do whatever you can and desire to do, the fact that women wish women physicians is the only reason for your being such. You will come to feel later the great power for good-not altogether in a professional way, but as friend and counselor-which is yours, for the good woman who is a good physician has before her, in teaching to her sex right ways of living and true views of life, a work which will bring satisfaction to herself and blessing to others. "... Except for the woman of unusual talent, wifehood and motherhood are of themselves a vocation. Because of this and because other occupations demanding less of her physically and mentally and offering quicker success are open to woman, the number of women physicians will always be few . Yet whether we ever occupy a great place in medicine or not, a place is ours. We are better women for the knowledge of humanity which our work has given us. May we not hope that humankind will be the better too, for our having wrought!" Dr. Elizabeth Blackwell continued as a pioneer in medical education for women in the United States and also in Britain, where in 1859 she was the first woman to "have her name entered on the Medical Register of the United Kingdom." She died in 1910. Dr. Mary Blair-Moody became the fir t woma n member of the Erie County Medica l Society, a fellow of th e America n Association for th e Advancement of Science, and a fo under of the [Buffalo] Women's Educational and Industrial Union. The union later (in 1916) gave their building to house the new College of Arts and Sciences and provided an endowment for the university. When asked for her opinion about th e uses of the endowment, Dr. BlairMoody recomm ended the establishment of a Departm ent of Preventive Medicine, "wi th a yo ung, able, gifted , and enthusiastic person as leader. Sex should not bar anyo ne fro m this chair. " She died in 1919. Dr. Maude Frye taught briefly at UB, then went on to a large and successful medical practice in Buffa lo. From 1922 to 1940 she also served as Medi ca l Adviso r for Women at th e Uni versity of Buffalo. She died in 1946. Change is so metim es slow. In the co urse of co ll ecting materials for this paper, I checked th e Medentian, a magazine published by the students of medicine and dentistry at UB in the 1940s. I was looking to see if it might have carried an article on Dr. Frye's retirement. Though I didn't find one, there was a regular monthly column written by women in the medical school under the ti tie "Hen-Med. " The first issue of the 1939- 40 school yea r, some 50 yea rs after Dr. Frye ente red the medi cal school, ended with the following observation : "THE SLIGHTING FACT that none of the physical diagnosis instructors at a hospital (quote) wants a woman in his group (unquote) ... The unflattering fact that women are politely excused from certain clinical procedures. The unsurmountable fact that too many hospitals have doors closed to women interns. Take all this, give it a quick glance, and pretend to forget about it. "Pretend. But do your share to prove your worth. Remember that the emancipation of women is still a thing of the future. And here in this school, as liberal and open-minded in its attitude toward women as any school in the country, among a group of genuine good fellows who are learning to accept you in spite of the remnants of their traditional distrust of you, is your chance to play a part in the great emancipation." + Magnificent BUILDING LOTS Dear Colleague: As a former president of the University at Buffalo medical school Alumni Association and a practicing surgeon in Western ew York for many years, I've come to understand what members of our profession desire in a home site - privacy, tranquility, fresh air, and pristine surroundi ngs. The Summit at Scherff is a truly extraordinary residential developme nt, un rivaled in Weste rn New York. Nestled in the hills of Orchard Park, this magni fice nt 81-acres has been subdivided into 50 estate-sized buildi ng lots surrounded by Chestnut Ridge Park and euman Creek in a very private enclave. Specifical ly as an escape from the fast- paced everyday life we lead, it's features include: ' Spectacular panoramic views of the Canadian shores, Lake Erie, and the Bulialo skyline ' Mature woods and secluded ravines • Oversized lots for your dream bouse ' Quick and easy access to the freeway systems leading to Bulialo and the city's northern suburbs ' Privacy, seclusion, and exclusivity The Summit promises to be one of the premier areas in Western ew York to construct your luxu ry residence. I invi te you to take a stroll through this picturesq ue setting. For ou r detailed brochure or a private showi ng please call (716) 667-2237 or (716) 472-3790. Sincerely yours, Ed mond J. Gicewicz, M. D. Past President, UB Medical Alumni Association THE Orchard Park, New York CIJristoplt e1 Densmore is tlte University at Buffa lo arcll ivi .st. B u f f a l o Phy si SUMMIT AT SCHERFF c i an Autumn I 9 9 7 �ou and Community Blue - a partnership based on a mutual goal of excellence. Our commitment includes finding solutions to the challenges that we all face in the ever-changing health care arena, and listening to the needs of those we work with and serve. For members, Community Blue offers innovative health coverage that gives members more choices and more flexibility, plus greater and more affordable access to the care they need. PARTNERED FOR EXCELLENCE. Providers benefit from Community Blue's growing enrollment and from the streamlined systems and procedures we're introducing. For employers, we provide a 12-month rate lock that gives rate stability and coverage that matches their business cycle. At Community Blue, we're proud of all we stand for in health care ... our innovative programs, our quality coverage and our financial stability. Most of all, we're proud of the long-standing partnership of excellence we have with the Western ew York medical HMO community. Blue Cross & Blue Shield of Western New York For information, call 887-7921. E .... An loderxn<km LKtnstt of 1he Blue Cross and Blue "'htekl Assoo:.auon The HMO that gives you more Buffalo Phys icia n A utumn 1 9 9 7 ���. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . [1] ~ I Mini med school ahit LAYPERSONS LEARN HOW EX C ITING AND UNDERSTANDABLE SCIENCE AND MEDICINE CAN BE tis 6:30 on an exquisitely beautiful summer evening in late july, and Butler Auditorium is already starting to fill. By 7:00, Alan Reynard, Ph.D., professor of pharmacology and toxicology, is well launched into his description of how R A polymerase forms mR A in order to copy D A. He is squeezing in the last few minutes of a lecture he began two weeks before, working his way to the consequences of mutation" ow, is a protein with an incorrectly placed amino acid a mutation? No." He presents clearly but quickly because Jerrold Winter, Ph.D., professor of pham1acology and toxicology, is waiting to present his scheduled lecture on the chemistry of the brain. Every UB medical school class for the past 30 years has sat in these seats and heard these lectures, although they have usually been given in more detail. But tonight the students are a retired electrician and his wife , a systems analyst, an office manager, a lawyer, 16-year-old Brandon Palumbo, whose grandfather wants him to get a taste of what studying medicine would be like, and 200 other men and women as unlike in their age and backgrounds as traditional medical school students are alike in theirs. This is the final night of the second six-week session of UB's Mini Medical School, developed by Harry Sultz, D.D .S., M.P.H., professor of social and preventive medicine and director of the medical school's Health Services Research Program. When he applied to UB's Office of Public Service and Urban Affairs for a start-up grant, Sultz knew that such programs had been successful elsewhere. The first was offered by the University of Colorado Health Sciences Center in Denver in 1990; since then, more than two dozen institutions have offered similar programs, including a four-week session for members of Congress sponsored by the ational Institutes of Health's Office of Science Education Policy. "The real question in our minds ," Sultz said recently, "was whether Buffalo , with its reputation for blue-collar interests, would respond the way other cities had. " a u f f a 1 o Buffalo and its environs responded. otice of the spring program consisted of one announcement on UB's FM radio station and an article in the Buffalo ews. More than 1,000 people called for the 287 seats. A second program was arranged for June and July to accommodate some of the overflow. A third program will run in September and October, supplemented by additional lectures-on alternative medicine, women's health , preventive medicine , and how to navigate the health-care system, among other topics-for those who have been through the basic course and want more. The curriculum for the basic course consists of two lectures each on the subjects of cardiology, neuroanatomy and neurosurgery , microbiology and infectious diseases , oncology, immunology, and pharmacological therapeutics of the mind. Sultz, who readily characterized the program as "pa rt lecture, part theater, " recruited a luminous faculty of volunteer lecturers . On the night of the last summer session, as Jerrold Winter describes Otto Loewi's discovery of the chemical transmission of impulses in the nerves, the Butler auditorium quiets to a dead hush . "The thing that surprises me the most," Sultz says, "is the interest the people have in pure science. They're fascinated by science, even if it doesn't have immediate practical application to their own health." Sultz set three goals when he proposed the program: to promote good relations between the community and the medical school, to make science and medicine more understandable and exciting to laypersons, and to increase participants' knowledge of health and disease so they could be more competent health-care consumers. Continued demand for the basic course and the interest of"graduates" in additional lectures suggests that he has Physician Autumn 1 9 9 7 �····································· ···· ·······.························· · ··· · ··········• · tM I I THE THING THAT SURPRISES ME THE MOST IS THE INTEREST THE PEOPLE HAVE IN PURE SCIENCE. THEY'RE FASCINATED BY SCIENCE , EVEN IF IT DOESN' T HAVE IMMEDIATE PRACTICAL APPLICATION TO THEIR OWN HEALTH. " met the first goal. "We have a number of science teachers taking the course," Sultz says, "and they've wanted to know if they can bring their students. So we're talking about creating a mini med school for science teachers and their students on a model developed by the University of orth Carolina." For Charles Gorder, a retired electrician from Clarence, NY, the evenings have been a taste of what might have been: "When I was a youngster, I worked as an assistant to a pharmacist. When I got drafted during the war, I hoped to be a corpsman but the avy made me an electrician. I've been an electrician all my life-and that's been good, don't get B u f f a l o me wrong. But I've always had the interest. I've learned more here in six hours than I did in my entire life in school. Look at tonight. Now I know that someone who's depressed may be suffering a chemical imbalance." Bill Kilinskas, a systems analyst from Amherst, Y, came because "at my age you start thinking about health. The knowledge of what a heart attack really is, what a stroke really is, is useful. " And the 16-year-old? "I think it's pretty interesting." During intermission, after Winter has finished diagramming receptors and explaining acetylcholinesterase, serotonin, dopamine, gamma-aminobutyric, and other features Physician Autumn 9 9 7 of brain chemistry, Palumbo buttonholes him at the back of the hall. After the first session, Sultz was approached by a local cable television system with an offer to tape and broadcast the lecture series, but he turned them down. "I don't want people to take this sitting in their living rooms. I want them to go to medical school." And he rounds out the experience with a mini graduation. Led by the traditional bagpiper, the robed faculty march to the well in Bu tier to close the sessions. Participants receive a certificate attesting to the completion of 12 hours of instruction in the medical sciences. + - J U D 5 0 N M E A D �• ·········································· · ···································· · ········ ~ I Paganelli named Distinguished Service Professor harles V. Paganelli, Ph.D., professor of physiology at the University at Buffalo, has been named a SU Y Distinguished Service Professor. A member of the UB faculty since 1958, Paganelli has served as interim chair of physiology since 1991, a position he also held from 1980 to 1982 and in 1986. In addition, he was associate chair of the department from 1976 to 1980 and from 1982 to 1991. Starting in 1970, Paganelli was named to several committees ofUB's Faculty of Health Sciences (made up of all five of the university's medical and health professions schools), in which capacity he helped shape the role of those schools in the university's mission. An active researcher, throughout his career Paganelli has brought more than $5.7 million in awards to the university. His research has taken him to locations that include the Marshall Islands , the Midway Islands , Alaska , and Hawaii. He has presented lectures in Denmark , France , Switzerland, Italy , Israel , Taiwan, Korea , and japan , as well as throughout the United State . Paganelli has published more than 70 articles in professional journals and is coeditor of the book Physiology Function in Special Environments. His professional memberships include the American Physiological Society and the Undersea Medical ociety. In 1995, he received the dean's award of the School of Medicine and Biomedical Sciences and the Student ational Medical Association Award. + try , and Rehabilitation Medicine, and the faculty of Social Sciences. Also participating is the Department of Veterans Affairs through the VA Western ew York Healthcare ystem. "T his award by the Cummings Foundation will allow us to continue mapping the critical pathways by which humans understand language ," says Lockwood. "By studying the links between sound and emotion centers in the brain , we may also be able to better understand hearing loss and disorders such as tinnitus or ringing in the ears, which is associated with adverse psychological symptoms like depression , ~ anxiety, and insomnia." a In addition, the study will examine ~ auditory attention systerns that require ~ more complex processing of aural information and will analyze how the brain handles language , including studies of reading, grammar, and syntax. Such tests have already proved useful in monitoring recovery from concussive brain injuries like the one suffered by former Buffalo Sabres player Pat LaFontaine. Using newly installed M Rl equipment and powerful computers in Buffalo's VA medical center, the researchers will combine the MRI and PET images to map the functions observed in the PET scans onto precise locations in the body indicated by the MRI images. Part of the funds provided by the Cummings Foundation grant will be used to upgrade the computer equipment and software to include this sophisticated image-fusion capability. The james H. Cummings Foundation , located in Buffalo, was established in 1962 through a bequest by james H. Cummings, who was a prominent manufacturer of pharmaceuticals with operations in Buffalo and Toronto, Ontario. The foundation has distributed more than $ 15 million in grants to further medical science, research, and education. + ~ UB medical school receives $107,000 grant from James H. Cummings Foundation he University at Buffalo has received a $107,000 grant from the james H. Cummings Foundation of Buffalo to fund a pioneering research project that will look at how the brain transforms the sounds we hear into information. This three-year study will combine images of brain activity formed using positron emission tomography (PET) scans with images of structures in the brain acquired through magnetic resonance imaging (MRI) to create a unique image that links neural activities to specific brain sites. Through the combined images, researchers hope to gain new insights into how sound relayed by the auditory system are understood. Directed by Alan Lockwood , M.D. , UB professor of neurology , the multidisciplinary project will involve the Departments of uclear Medicine and eurology, Communicative Disorders and Sciences, Linguistics , Psychia- - B u f f a I a Physician PAULA WITHERELL Autumn I 9 9 7 �HURWITZ & RNE, P.C. [ATTORNEYS AT LAW Put the best seat in the fwuse myourgarage. I Maggie Wright med school assistant dean,retires SERYICI G THE LEGAL aggie Saxon Wright, assistant dean for student affairs and director of minority affairs, retired in August 1997. She had served in the medical school's administration since 1981. Wright oversaw the academic and student affairs concerns of first- and second-year medical students and administered the core basic science program, including medical electives, the HLBI Summer Research Program, and the ational Medical Fellowship Program. She also provided support services to all medical student organizations and was advisor to the Minority Undergraduate Pre-health Organization. Active as director or advisor to many local and national programs, Wright has been honored both by medical educators and by the community as the recipient of, among other awards, the State of New York's United University Professions Excellence Award, the ational Medical Association Award, and the NAACP Medgar Evers Award. + NEEDS OF THE HEALTH Scm cEs COMMU ITY • Managed Care • Purchase & Sale of Practices • Business & Tax Planning • HCFA Safe Harbor Regulations and Physician Self-Referrals • Contracts with Private & Public Entities 1997 Buick Riviera • Employee Relations Please contact Robert P. Fine or Lawrence M. Ross at 716-849-8900 Riviera: the most sophisticated personal luxury car Buick has ever offered. It is designed to stir the spirit and excite the soul. We at Paul Batt Buick are proud to serve the people of Buffalo and its surrounding communities. For the last 43 years, we have offered the lowest prices possible, along with the very best in service. We value the professional and the hard working labor force in our community and will continue our efforts to maintain their loyalty. When you enter our showroom you will find helpful people, not pressure-so when you think of Buick sales and service, we know you'll think of us! Joseph R. Pera Paul V. Batt, Jr. 1300 Liberty Building 1717 Walden Ave. , Buffalo, NY Counseling • Fringe Benefit Programs • Representation Before Government Agencies on Audit & Business Issues • Facility Finance and Construction • Credentialing and By-Laws • Hospital/Medical Staff Issues 'ldut'!Jall7Jlliti Buffalo, 6 u f f a 1 o ew York Physician 891-5595 Autumn 1 9 9 7 �• ······························································· · ······ · ················· ~ I Key issues include relations between the medical school and the local medical community, relations between the BY ANDREW DANZO school and the university as a whole, and changes in patterns of medical practice and teaching. Underlying it all are the economic factors driving much of hey don't do it for the glory-the Dean's Advisory Council is the change-the decline of government a relatively unheralded group that prefers to meet outside the support, the rise of managed care. To preserve an atmosphere in which memspotlight. They certainly don't do it for the money-members bers speak freely, Wright hesitates to relate details of Advisory Council dispay their own way, even if they must take a cross-country cussions, but he will say that recent sessions have touched on such subjects flight to participate. as the importance to the school of its What they do for the chool of Medi- the council after having spent 24 years volunteer faculty and the planned mergcine and Biomedical Sciences, however, as chair of orthopedic surgery at UB. ers among institutions in Buffalo's teachis becoming increasingly valuable. With Bradley Aust, M.D., founding chair ing hospital consortium. a roster of senior alumni and faculty of the Department of Surgery at the Some Advisory Council members members, the Dean's Advisory Council University of Texas at San Antonio have already been through similar issues is helping the school position itself to and a member of the elsewhere. "They can maintain leadership in medical educa- UB Class of 1949, provide us with some DEAN 'S ADVISORY COUNCIL tion, biomedical research , and health- agrees: "We're happy of the scenarios and some of the things we care policy during a period of profound to try and be supJ. Bradley Aust, M.D. national change. need to pay allention Charles D. Bauer, M.D. portive in giving adMichael E. Cohen, M.D. "The Dean's Advisory Council is a vice. One of the to from the perspecS. Max Doubrava, M .D. tive of the medical forum to put forth provocative, poten- advantages of outJock C. Fisher, M.D. schoo I," Wright says. tially controversial ideas; to get a reac- side participation is James R. Konski Jr., M.D. "Experience is a wontion from individuals both inside and that we're at other Jerome P. Kossirer, M.D. outside this community," says interim universities and derful teacher. " (Con sultant ) dean and vice president for clinical af- medical schools: In February of Harry l. Metcalf, M.D. fairs John R. Wright, M.D. "I articulate There are some this year, the group Eugene R. Mindell, M.D. current issues facing the school, warts generic problems met in Boston at the Richard B. Norins, M.D. and all. I don't think I hold anything that cut across uniHoward Hughes Margaret W. Poroski, M.D. back ... and the Advisory Council is not versity boundaries, Medical Institute, Dorothy C. Rosinski-Gregory, M.D. reticent about providing advice." and we can tell [the where the Advisory Albert C. Rekote, M.D. Established two years ago by former dean] about our Robert N. Schnitzler, M.D. Council's honorary George W. Thorn, M.D. dean John P. a ugh ton, M.D., the coun- problems and how chair , UB Class (I lonon11y Clw ir) cil represents a broad range of experi- we solve them. " of 1929 member Philip B. Wels, M.D. ence. Members from the Buffalo area George W. Thorn, Wright sees the Franklin Zeplowitz, M.D. include faculty who are heavily involved council, M.D ., has served as which in the UB medical school and alumni meets three times a research director. who are active in the local medical com- year, as a combina"He talked about his munity. Other council members, many tion of expert panel and sounding board life," recalls Mindel!. "He gave us of whom hold distinguished academic to help the school grow stronger in an some suggestions about how our and research positions, are scallered unpredictable but rapidly evolving en- school can attract outstanding facaround the country. vironment. "It's a given that we're not ulty and how to pursue funding for "We would like to help the UB School going to stand still," he adds. "We're activities we're interested in. " of Medicine to move ahead," says Eu- going to have to think of different ways ext February council members will gene R. Mindel!, M.D., who serves on of doing things." travel to San Diego, where they will be Dean's Advisory Council ® B u f f o l o Physician .A. u t u m n I 9 9 7 �····················· · ·· · ··············· · ··· · ······· · ················· · ···· · ······ · ····· • I • ~ . I hosted by jack C. Fisher, M.D., a UB Class of 1962 member who is among the group's most active participants. A noted professor of surgery at the University of California at San Diego and former head of that school's Division of Plastic and Reconstructive Surgery, Fisher hopes to provide insight for developing strategies in Buffalo. "There are contrasts to what's happening in Buffalo with what I've experienced here in California," Fisher says. ''I'm planning to give [council members] the opportunity to meet with some of the administration from our medical chool and medical center to discuss how managed care has inOuenced our own graduate and undergraduate medical education. It's been hard. " Fisher, who devotes at least several days a year to Advisory Council meetings and preparation , sees it as a way of giving back to his alma mater. "Basically, I'm a graduate, and Buffalo is my home. I was honored to be asked, and I find it interesting." + Andrew Danzo , a Buffalo -based freelan ce writer, is a frcc1uent contributor to Buffalo Phys ician . INFINITI AUTO PLACE INFINITI 8129 MAIN ST., WILLIAMSVILLE 633-9585 East of Transit Rd., Near Eastern Hills Mall s u f f a 1 o UB first to complete Women's Health Initiative enrollment he University at Buffalo is the first of 40 sites in the nation to meet all its recruitment goals for the $625 million Women's Health Initiative (WHI), the largest clinical trial ever undertaken in the U.S. UB's Department of Social and Preventive Medicine was selected in 1993 to be one of the initiative's 16 Vanguard Clinical Centers. These sites established the study's design and developed the operating procedures for the remaining centers. A total of 4,000 women in Western ew York have volunteered to take part in this landmark study. The WHI's goal is to arrive at definitive answers concerning the relationship of hormone-replacement therapy and various aspects of diet on women's long-term health. A third aspect of the project, the observational study, involves tracking women over the 12year study period to determine lifestyle habits that are beneficial or harmful. Specifically, the study will seek to determine risk factors for heart disease, the largest killer of women; breast, colon, and endometrial cancers; osteoporosis; and Alzheimer's disease. The WHI eventually will involve 163,000 women nationally between the ages of 50 and 79. Karen Falkner, Ph.D., recruitment director for UB's Vanguard Clinical Center, says that being the first to reach its recruitment goals is a significant accomplishment for UB and a testament to the generosity and insight of the women in Western New York. "These volunteers are willing to devote a part of their lives for the next decade to helping improve the health of women for generations to come," she says. "They are part of a history-making adventure." The university's share of the grant forthe WHI study is $11 million spread over l2 years. Co-principal investigators on the trial are Maurizio Trevisan, M.D., professor and chair of the UB Department of Social and Preventive Medicine, andjean Wactawski-Wende, Ph .D. , UB assistant professor of gynecology and obstetrics. The university's recruitment success in this clinical trial will help make it a prime site for future investigations, Falkner says. + When the engineers at lnfiniti set out to create the new flagship Q45, they didn't ask each other, "What does a luxury car owner desire most in a luxury car?" They asked the luxury car owners themselves. In countless interviews, Infiniti asked questions like, "What catches your eye?", "What tickles your fancy?" and "What makes your heart pound?" The result? Styling that's the perfect blend of elegance and sportiness. Physician QX4 Autumn 1 9 9 7 I �• ························································································ Aword from the director of development BY LINDA J . CORDER. PH 0 .. C hanks to many generous medical graduates who celebrated a class reunion this past spring, the Medical School Reunion Giving Program for 1997 received a prestigious award from the SU Y Council on Advancement and Development. I had the felicitous responsibility of accepting this] udges' Citation on behalf of the school during the annual SU Y/CUAD Conference, held in Corning, Y, this pastjune. The entry of the School of Medicine and Biomedical ciences was one of 113 submitted for evaluation of excellence and improvement by a panel of experts. Of the programs or publications evaluated, there were eight recognized as "Best of Category" and 11 that received a "judges' Citation." Our program received a judges' Citation. Last fall , we analyzed the Medical chool Reunion Giving Program by the results it had obtained over the previous six years. The amount of reunion gifts given to the school during that time period wa slightly more than $575,000an average of 92,500 a year, or under $10,000 per class, per year. With the assistance of former dean Dr. john aughton, we recruited reunion gift cochairs for most of the classes celebrating reunions. As far as I have been able to a certain, this year was the first in which most class reunion chairs had a cochair to assist with their class gifts. We extended the definition of "reunion class" to include all living alumni who graduated in years ending in "2" and "7." This added four reunion classes within the "jubilee Emeritus" group. Two-the 55th and 60th year classes-took active roles in this year's reunion celebrations. ® We encouraged class members to make gifts to any fund that would benefit the School of Medicine and Biomedical Sciences. In the past, class members were asked to contribute to a specific reunion account, for a purpose decided by someone else. We also included a one-page survey in the initial mailing. This provided each class member with an opportunity to update the information on file in our office and that of the Medical Alumni Association, to rate their perceptions on various aspects of medical practice, and to s hare per onal information with their classmates. (A t press time, we are still working on the "class booklets" based on these survey . They will be finalized and mailed to each person who made a reunion gift, ca me to reunion weekend, B u f f o 1 o F . R E or took the time to complete and return the survey even if they could not come to the reunion or did not make a reunion gift.) These four program enhancements likely resulted in the increased reunion giving upon which the award was based. Several people made gifts based on Dr. aughton's suggestion of $100 for each year since graduation, and many additional individuals gave contributions of 1,000 or more that will result in their recognition as members of the james Platt White Society for 1997. Overall, reunion class members committed more than $136,000 to the school, with a participation rate of 33 percent. This amount is more than double the total of reunion gifts made in 1996 and it surpasses the average of the previous six years by $44,000-that's an increase of 48 percent!! Twelve additional reunion class members made pledges of unspecified amounts. Depending on the magnitude of these gifts, the percentage of increase may be even more significant. The reunion class with the highest gift total-more than $30,000-was the Class of 1942. This successful effort was led by Richard Ament, who established a Charitable Remainder Unitrust in honor of his 55th reunion . He designated the remainder amount for the Department of Anesthesiology. Two classes shared honors for the highest percentage of participation: More than half-58 percent--of the living class members of the Class of 1937 and the Class of 1947 made a reunion contribution. Above 40 percent were the Classes ofl967 and 1952, with 42 percent and 41 percent participation, respectively. Physician Autumn 1 9 9 7 �··· ··· ··· · ············· · · · ··· · · · ··· · ···· ·· · · · · ··· : ···· ··· ······ · · ···· ··········· · ·· ·· ··· · · · ~ I How does this compare with other academic medical centers? From one perspective, not very well. My evidence is anecdotal , primarily from UB graduates who completed their residencies elsewhere and receive anoth e r institution's alumni publications. A UB alumnus in Arizona told me of a friend from residency whose medical class made reunion gifts totaling more than a million dollars. nearly twice as much as all of our classes combined, over a sixyear period' However, that was a private institution, with a development program that is more than 100 years old. A California surgery professor, also a B alumnus , described a multimillion dollar annual philanthropic program at his university, of which the reunion gifts made up a significant percentage. Like UB , this is a publicly assisted institution , but with a much shorter history than UB's 150+ years. Yet that medical school was established with the knowledge of the need for-and expectation of-significant private contributions. So, what is the "right" perspective by which to assess our program7 For now, l come down on the side of the panel of judges for the SU Y/CUAD awards. We provide our own standard of comparison. In this first year of increased efforts and generosity, the classes celebrating reunions in 1997 made significant progress over previous results . Our improvement earned us a citation of merit. Our efforts this year will provide benchmarks for future years of this program. Over time, reunion gifts have the potential to transform the academic and clinical opportunities currently available to UB's medical students. Over time, more classmates will want to participate and to contribute at levels that will bring them increased personal recognition and enhance their alma mater in significant ways. Who knows? Within the next few years, the certificate earned this past spring may have a companion piecean award of excellence for best program in the development category! + Liuda j. Cordc1 is assist aut dcau aud dirccto1 of dcvclopmcuL Medical School Reunion Giving Program 1997 Class Year 6 u f Number in Class Number Who Gave Gift Amount Number Who Pledged Pledge Amount Total Number of Gifts and Pledges Total Dollar Amount 1937 '42 '47 12 32 48 6 9 26 $6,331 1,910 17,684 1 2 2 (l nspecijied) $28,625 550 7 11 28 $6,331 30,535 18,234 58% 34 58 '52 '57 49 56 19 17 13,735 3,400 1 4 1,650 700 20 21 15,385 4,100 41 38 '62 '67 58 95 20 31 11,343 9,830 2 9 8,650 1,645 22 40 19,993 11,475 38 42 '72 121 26 9,073 7 3,817 33 12,890 27 '77 125 28 5,830 10 1 245 38 7,075 30 '82 121 26 3,950 7 660 33 4,610 27 '87 111 21 3,172 12 1,900 33 5,072 30 '92 119 19 675 7 295 26 970 22 f a l o Phys i cian Class Participation Percentage (I inspecified) (2 Cnspecifled) (2 Cnspecijied) (2 lnspecifled) (2 { nspeci}ied) (I lnspecifled) (I lnspecifled) (I Cmpecijied) Autumn 1 9 9 7 I �.,, ,ar.l"'mllllll':'l '' l711 ~ 11 11~~ · · · · · · • · · · · · · · · • · · · · · · · · · • · · · · · · · · · · · • · · · · · · · · • · · · · · · · · · · · · • · · · · · · · · · · · · • · · • · • · • · • · · · · • · Mandeville's suggested transition-tointerview statement isn't terribly different from the one Dr. Manyon asked us to use in our preceptors' clinics: "So, what brings you to see the doctor today? " While Mandeville certainly doesn't give the patient room to expound upon his BY JUDITH TOSKI . CLASS OF 2 0 0 0 condition (Dr. Manyon would reprimand him for not using an open-ended question), it is noble that Mandeville tis the year 1300, and you are a provincial lord in France. You have and his contemporaries would even been coughing for days, ever since you somehow stumbled into speak to patients. There was little patient-doctor interaction in the earlier, some bad air while hunting your grounds. You send for the local pre-university Middle Ages. Prior to the physician. Along with your messenger you send a flask of your rise of the university system, physicians would instead receive the patient's urine, a you expect the doctor to have formulated an opinion urine and make a diagnosis from it alone, without ever seeing or speaking to regarding your prognosis before he arrives at your bedside. the patient. In medieval European iconography, versibly altered by the innovations of Other aspects of doctor-patient inthe urine flask was the universal science and technology, there is one teraction have also been retained symbol of medicine. It implied element of medical care that has not through the ages. The idea that the great understanding, much like changed quite as drastically: the art patient's trust in the physician is parathe long white coat suggests of doctor-patient interaction. mount is a concept that has been alive Henry de Mandeville, a physi- in some form since antiquity, when the medical expertise of A~~~!!~~ today's attending phycian and surgeon who Greek believers sought healing from sician. While the symwrote around 1315, de- the god Aesculapias. During the 14th bot has changed, the scribed a proper method century, Arabic texts from the early connotation has ofquestioningapatient- Middle Ages came into vogue in not. What imparted onewhich,inmanyways, Europe-including one by Qusta ibn power to the repremirrors the paradigm my Luqa, a writer on psychosomatic medisentation, both in the class was taught in cine. This treatise explained that magic Middle Ages and today, is Clinical Practice of spells and incantations cure illnesses the patient's belief that Medicine during our because patients want to believe in "this doctor is a person first year at UB. In them , and th e mind controls the body who can heal me. " The a descrip- to effect the remedy. The medical intion of the novators of 14th-century Europe took remedies of both eras refleet the scientific underp r o p e r this concep t one step further, indicatstanding of the time, and thus protocol for ing that physicians have the power to would be completely differentbringing in a cure because patients accept that they the provincial doctor would have consultant on have such power. In the absence of applied poultices of mustard and an ongoing case, extensive pharmacopoeia or advanced other materia medica to the lord's M o n d e vi I I e surgical techniques , the patient's beche t, while today's primary-care specified the lief in the ability of the physician to phy ician would most likely language that heal was essentially the only tool that auscultate his lungs and chashould be used with the doctors had available to them. Today, tise the lord for keeping up a patient. He recom- in spite of improvements in medical three-pack-a-day smoking habit. AI- mended that the patient be interviewed, technology and the wide range of drugs though aspects of the treatment and first saying: "Sir, I hope it will not offend available to physicians to help ameliophysical examination have been irre- you if I ask when your illness began?" rate disease, not every illness has been Doctor-Patient Interaction: Lessons from the Late Middle Ages ® B u f f a I o Physician A u t u m n I 9 9 7 �' =-----=---- ~-- --- ------- - ---- -- ----- --~ ------ ··············-·······························-········································· ~:m il Medicine has changed because the world around it has. Advances in scientific thought and innovations in technology have transformed how care is delivered in so many ways that it is inconceivable to us moderns that anything could have remained the same about it. And yet, some similarities do exist between our culture of physicianpatient interactions and that of the Middle Ages. The desire of the patient to have faith in the doctor and his cures has not been modified all that much, and the necessity of open communication between physician and patient is a concept that even today is being taught and reinforced in UB's medical curriculum-to our advantage as future physicians, and to the benefit of our current and future patients. + Details on medieval medical practices taken cured. In such cases we have the same tool available to us that Henry de Mandeville and h is contemporaries had: that is , our patient's belief that we will try to save him if it is at all within our power to do so. This is a skill that transcends wearing a white coat or schlepping a pager around. My mentor, Dr. julian Ambrus , taught me that trust must be earned and reinforced in each encounter with every patient. A physician can only obtain trust when he treats the patients with the honor he would accord a superior. from McVaugh, Michael R. "Bedside Manners in the Middle Ages." Bulletin of the History of Medicine, val. 71, no. 2, johns Hopkins UP, Baltimore, MD. judi tit Toshi It as a B.A. in history of medicine from Thcjoltns Hopllins University. NICHOLS MIDDLE SCHOOL • Challengi ng, innovative curriculum • Outstanding preparation for high school • Average class size of 14 students • Interscholastic sports • Comprehensive visual and performing arts program • Dedicated, caring faculty • Financial aid available For further information, call: HOOL, 175 Nornngham Terr. B u f f a l a Physi NICHOLS UPPER SCHOOL, 1250 Amher>t ci an A utumn L 875,8212 1 9 9 7 NICHOLS SCHOOL --~ �Tone Johnson J[ '75: Alum earns belated decoration for bravery "When 1 got back, the very people I thought 1 was defending didn't like me very well. And that had nothing to do with being black-it was any soldier who was in Vietnam." Johnson said he dealt with the adjustment by disappearing into the colBY VIVIENNE HEINES lege environment. After graduating from Grambling College, earning his M.D. from UB, and completing his residency, uring a three-day period in 1965, a 19-year-old U.S. Army he served two more years in the military private named Tonejohnson found himself in a Vietnam jungle, and two years with the U .. Public Health Service before entering civilian life as a surrounded by dead or dying companions and hostile orth family practitioner. ow married and the father of five, Vietnamese regulars. Johnson runs his own practice and has that it is not uncommon for soldiers to recently opened two drug treatment As the American came under inreceive awards many years after they centers. As a lieutenant colonel in the creasingly heavy mortar fire, they ran out of ammunition and nearly lost any served. Congress also expanded the U.S. Army Reserve Medical Corps, he eligibility hope of surviving. Most didn't. Of the 35 runs a comrules for commen in his unit,Johnson was one of five bat medical ""IT WOULD HAVE BEEN EASY TO JUST bat veterans who lived through what became one of training proGIVE UP. BUT ABOVE ALL. I BELIEVED the worst battles of the Vietnam Warto receive gram to teach THAT MY FELLOW TROOPS WERE GOING TO decorations la Drang Valley, ovember 14- 17, 1965. ordinary solCOME . AND THEY DID ."" in 1996. "We ran out of ammunition at about diers prin one in the morning. We were only saved Johnson ciples of first by what we fondly called 'Puff the Magic attributes the award to the research of war aid and emergency medical care in the Dragon' [rapid-firing gun hip aircraft] correspondentJoseph L. Galloway, who field of combat. and the Air Force," John on recalled. described the horrors of Ia Drang in We ln the la Drang Valley battle,Johnson An American plane arrived, fired nearly Were Soldiers Once ... and Young, the was wounded in several places. An exatop the soldiers, and dropped napalm 1992 book he coauthored with retired plosion gave him a concussion and around them. Lt. Gen. Harold G. Moore . knocked him unconscious. He woke up "That really cleared them out. l was Johnson , now a family practice doc- in the middle of the shooting to find a close enough that 1 could feel the heat tor in Corpus Christi, aid the award is orth Vietnamese soldier sitting on his significant to him. from the names, but it wasn't close chest and eating his C-rations, he once enough to actually burn me," Johnson "lt means my country cares. Above told an interviewer from the ueces all things, it means my country cares," Valley Medical Society newsletter. said. "Frankly, I was glad they did [drop he said. the napalm], because a little longer and "This ticked me off," he said. we would have been goners." Like many Vietnam veterans , WhenJohnson moved, he startled the In ovcmber 1996, the 51-year-old John on returned to an American pub- soldier, who jumped up and shot him in Johnson received the Bronze Star for lic that was neither appreciative nor the armpit before being killed in the meritorious achievement in recognition accepting of the horrors he had experi- intense fire that ensued. Johnson also of his efforts to repulse the enemy durenced. Because of his race, he felt the suffered injuries to the face and knee. ing the bloody battle at la Drang Valley. adjustment even more keen!)'· The scar on his face is barely visible The award was pre en ted at a ce remony "As a black person in the war, it was today, but shrapnel wounds cost him in the ational Guard Armory in Corkind of tortuous. At home , we were the peripheral vision in his right eye. pus Chri ti, T . undergoing racial conOict. Then , in the "As I took care of the other soldiers war, we were undergoing that kind of during the night, a few of them said, A spokeswoman for the Army Personnel Agency, in Alexandria, VA, said armed conOict," Johnson recalled . 'Let's just give up. We're all worn out, B u f f a I a Physician Autumn 1 9 9 7 �we don 't ha\c an\ thing. ' The) had been wounded , and some were blccchng quite badl) and were ma) be a liulc bit delirious," johnson recalled . johnson got through the night b) maimaining his faith in God and in his fellow soldiers. '"A ll I could thmk was, 'The} 'll be here. ' And through the night, as we prayed about it, I knC\\ the) 'cl be here . It would ha\ e been caS) to just give up . But aboYe all, I believed that 111) fcllO\\ troops \\ere going to come. And the) did. " johnson said he has goucn past his nightmares about the \\ar, but it has changed him in other ways. " People ~a) , ''r ou 're so calm.' I sa), 'If you\e been through hell once, it's easy B u f f a I o to li-,:c in America .' Lillie things don't bother me nO\\. " Reprinted b) pctnih>ionfmmtlicCotpus CI111Sli (Tnm) Caller- Times. + ~ 1998 SCD plans I Plans for the 1998 Reunion Weekend and Spring Clinical Day (April25, 1998) are already well under way. This year's program is chaired by Dr. John Bodkin. The following reunion chairs held their organizational meeting September 11 : the 50th Year Class of '48, Dr. Daniel Fahey and Dr. Harold Graff; the Class of '53, Dr. Michael Sullivan; the Class of '58, Dr. Alfred Stein and Dr. Michael Genco; the Class of '63, Dr. Anthony M. Foti; the Class of '68, Dr. Robert Milch and Dr. Thomas Cumbo; the 25th Year Class of '73, Dr. Michael Sansone and Dr. Arthur Mruczek; the Class of '78, Dr. David Marchetti; the Class of '83, Dr. Richard Collins; the Class of '88, Drs. Andrew and Helen Cappuccino; and the 5th Year Class of '93, Dr. Michael Aronica. Physician Autumn 1 9 9 7 0 �• ···· ·· ······· · ·· ·········· ········ ····· ···························· · ······················ I 1 9 4 0 s daring surgery. The idea was to increase the collateral circula- bany, Pensacola, FL, writes: "There's tion to the ischemic cardiac from chair of Dept. of ObGyn, nothing like a sentimental enco- muscle. After a couple of hours Albany Medical Center, after 16 mium to stir fond memories. So of holding retractors, one be- years. iL was when I read of the death of came lax. Dr. Stewart always had and chair the board of Maternal JOSEPH H. MELANT '43 , of M Y R ON G O R DO N '48 , of AI- the same poignant question: Infant etwork of the Capital Re- 4, 1996) in Buffalo Physician. 'Doctor, are you holding those gion, and chair the Committee on Fifty-five years ago I had the retractors, or are those retrac- Medical Schools and Graduate good fortune to assist this gifted tors holding you?' He was the Medical Education of MSS Y. man in the first open-heart sur- embodiment of integrity and the Looking forward to 50th next year. gery performed in Buffalo, at sui generis of his time. " Skip Zola, Bill Bloom , and Dan a senior in medica l school, thus I had the honor of being his fourth assistant (there wasn't room at the table for any more!). It was a period when opening the pericardia! sac and dusting some talcum powder into it was SAMUE L CASSARA Rochester, '44 , of versity of California at Irvine. 1 ow teach, office practice, Dr. John D. Stewart (September Meyer Memorial Hospital. I was (addiction medicine) at the Uni- Y, writes: "Stepped down 9 LANCE 6 s 0 FOGAN ' 65 , of Valencia, CA, writes: "!took full early retirement from the Southern California Permanente Medical Group on July 31, 1997. I spent my entire practice career at the Kaiser Permanente Medical Center in Panorama City, Miller were here in Albany in April CA, beginning in july 1971. My for our son Seta's bar mitzvah. " last 16 years I served as chief of Y, writes that he the eurology Department. I ex- retired May 30, 1997, after 48 MAX A . SCHNE I DER '49 , years of pediatric practice, at the Orange, CA, has been elected pect to pursue my many inter- chair of the board of the ests happily and full time." age of 78 years. ext? "I will of a- write an autobiography of my tiona! Council on Alcoholism life and times. " and Drug Dependence. He is a IRVING S . KOLIN '65 , recently appeared on Channel9 in Miami, clinical professor of psychiatry If you come loolting for a car, you'll be a\vfully disappointed. HOWEVER, there's little chance you'llleave tl1at way. BECAUSE at tl1e Land •, Rover Centre, we have tl1e world's most impressive 4x4s. AND people who can answer any of your questions about driving. A4x4, of course . Amherst A NORTHTOWN AUTOMOTIVE COMPANY 3560 Sheridan Drive Amherst, New York 14226 (716) 831-3100 • (716) 835 FAXX (3299) ® B u f f a l o P hysician A utumn 1 9 9 7 �-- ··················· · · ····· ··· ······· ·········· · ·········· · ···· · ············ ·· ········· ·· ··• • I FL, to discuss psychological trauma in victims of child kid- the Southern California Kaiser publications are Sexual Investi- Permanente Health Care Pro- gation (NYU Press, 1996); Sex, who joins jacqueline (7), Alex (5), and Eric (3). Marc is direc- napping, and ADHD and the Ritalin controversy. gram. The department has a staff Love, and Friendship (Rodop, 1997) ; The Philosophy of Sex thalmology at Florida Health ( Rowman, 1997); and The Pili- Care Plans in Daytona Beach, FL. JOHN E . SHIELDS '68, of Delhi, Y, writes that his son john JOHN E . KNIPP '72 , of Washingtonville, Y, is presi- losoph) of Sex and Love (Paragon House, 1997). JENNIFER L. CADIZ '87 writes: M. Shields has ajD/MBA degree dent and chief of staff of the with honors, and Gregory P. Cornwall Hospital, Cornwall, hields is a freshman at Univer- Y, and president-elect of the of 80 MDs and ER As. sity of Arizona. He adds that he is Orange County Medical Soci- at Russell Sage College in Albany. ety, Orange County, Y. He is in the private practice of internal 1 9 7 0 5 DONALD H . MARCUS '71 , of Sepulveda, CA, has been appointed chief of anesthesiology at the Kaiser Foundation Hospital in Los Angeles. The L.A. Hospital is the tertiary hospital for WNY's medicine and gastroenterology. ALAN S OBLE '72 (M.A. Pharmacology), of ew Orleans, LA, writes: "l have recently been promoted to full professor ( 1990) and to research professor (1994). Among my latest tor of the Department of Oph- ''I've moved to Harrisburg, PA, 1 9 8 0 5 to begin life as a civilian. I'll be practicing with one of the local KEVIN S . F ERENTZ '83 , of hematology/oncology groups." the Pikesville section ofBaltimore, MD, has been installed as the LA URA POST '87, of Saipan, 49th president of the Maryland has been appointed chair of the Academy of Family Physicians (MAFP). Department of Psyc hiatry at Commonwealth Health Center, in Saipan. Her first book, Back- MARC J . KOBLICK '84. of Ormond Beach, FL, and his wife, Helene, announce the birth of stage Pass: Interviews with Women in Music, has just been published by ew Victoria Publishers. their fourth c hild, Reid Jayson , - Exclusive - BMW Retailer THOSE LOOKING FOR MORE CONTROL IN THEIR LIFE CAN NOW FIND IT ON SLIPPERY PAVEMENT. THE ULTIMATE DRIVING MACHINE.® MSRP s64240 F. G. DOWNING Towne BMW 3030 Orchard Park Rd. Orchard Park, New York 14224 Phone: 675-2550 s&99 1998 BMW 740i While the road of life may throw you an occasional curve, at least our All Season Traction helps you handle the particularly slippery ones. 30 mo. Lease FREE SCHEDULED MAINTENANCE ALL SEASON TRACTION PMT based on 5500 cap cost reduction (or trade). 12,000 miles per year. 15 cents charge per mile lor excess miles. First and last PMT, taxes and plate fees due at inception Residual $43040 Service Loaners Available..• Minutes From Rich Stadium s u f f a l o Physician Autumn 1 9 9 7 ® �• ····························· · ···· ·· ····· . I THE ULTIMATE DRIVING MACHINE. JOHN AKER '88 , oflndianapo- ANTH ONY R . RICOTTONE lis, I . writes: "I finally finished '91 , of Cheektowaga. my plastic surgcl) fellowship at " "vly wife, Deborah, and I arc YU, and am now in private practice in Indianapolis. ) . \Hites: pleased to announce the birth of our daughter. Marisa. Our son Kathleen and I were recently Dommie recent!) turned 2. I ha\ e blessed by our second child, recently joined KeY in Barloc, Rt- Zachery Alexander." charJ Gilbcrt,andJohn Gri~wold at Buffalo Medical Group tn the of DEBRA M . OMIATEK '89 , Lewiston, practice of urolog\." Y, is celebrating her first year in private solo prac- CAROL ANN KILLIAN '94 ti ce. She is president of the THOMAS M . BURNETTE '94 , iagara County Chapter of Family Practice (AArP). of Sleep; Hollo"', 9 9 0 5 and GALE of Baltimore, PETEF<BLOOM '90 emergenc\ 111 MD, write that Peter has recently Westchester Count} , ni- Ann has accepted a JOb as an rD versity of Maryland; he i working on research on infectious County Medical Center and Tom dysentery at the Center for Vac- has begun working as an inter- 111 the \ Vestchcstcr cine Development in Baltimore. nist in the Mount Kisco Medtcal Gale just received her master's in Group. The; keep in close con- public health from The Johns tact with Barb Kearnq, \\ ho Hopkins School of Hygiene and married Paul Stcfantck tn '>ep- Johns Hopkins in a CD -funded is finishmg her patholog\ resi- sexuall y transmitted diseases. Gale spent this past spring in tiful bah) girl named South Africa, where she consulted rebruar) 1997. health services. atalt e low to mid 20's; leases starting at $299 per month. MIKE J . PELECHAGY JR . ' 94 , of Orchard Park, ) , \Hites: * According to the Insurance "\\ c've .Just accepted a fellowship position at Roswell Park 111 hema- GULATI '92 announce the birth tology/oncology , starting Juh l , of their son Suneel S. Ram on 1997. Also, '' e had another bah) Feb. 21 , 1997. Ragh u has joined girl, OliYia Paige. We're glad to he Kenmore Family Medicine, a back in the Buffalo area. r or those new group practice in Kenmore, on the Internet, look up m) nc\\ Y. Neeva is completing her rP [-mail address either at ..,,,Itch- niversity at board or 411. Institute for Highway Safety (IIHS), the Saab 9000 has the lowest fatality rate of any production car on the market. SOUTHTOWNS SAAB 3580 Southwestern Blvd (1 Mile east of Rich Stadium) 716) 662·8008 Buffalo this year. ® higher education level than any other car owner group. * Saab purchase prices starting NEEVA re idency at the f;'\d ~01.1r OW'\ road. * Fact: Saab owners have a 111 and RAGHU RAM '90 AND CALL ME IN THE MORNING! tember 1994. Thev continue to dency. Barb and Paul had a beau- develop ado lescent- friend!) TAKE TWO ... reside in Tonawanda while Barb position to conduct research on for a rural district to help them Your WNY Leasing Specialist Serving WNY proudly tor 33 years ) . Carol attending Public Health and is working at 836-2033 respccti\cly, at the L.,niYersit\ of joined the faculty of the Division of Gastroenterology at the 487 Kenmore Avenue Buffalo, NY 14223 medicine and mternalnu·dtctnc, Pittsburgh. The} hm·c mo,·ed back close to thetr families to BURSTEIN '90 , Sales and Service nte that the) ha,·e completed thetr three) car res1denctcs 1 '\J), ' ' and Checkpoint Foreign Car, Inc. B u f f o l o Physician Autumn 1 9 9 7 �... . ..... UBMICRO COMPUTER SALES www.ubmicro.buHalo.edu Call 645· 554 t ..............• 11 . g Out A Non-Profit University at Buffalo Se ice Program - ' OBITUARIES MARTI N A . ANGELO '36 , of Fort Lauder- dale, FL, died May 28, 1997. The retired Advertise in one of the finest publications in Western New York ... Buffalo neurosurgeon was 85. He was on the staff of most area hospitals until retiring in 1976 and moving to Florida. Born in Buffalo, he sold newspapers and shined shoes during the Depression to help support his Buffalo Physician family and pay for his education. In World War II, he was commanding officer of an ~ u~ ~ ~ l~ Army hospital train unit stationed in France. He was a member of the American Medical f" ~ ~ \ t \ "~ Association, the Harvey Cushing Society, the Congress of Neurological Surgeons, and the Baccelli Club of Buffalo. Angelo is sur- YOU ARE ELIGIBLE vived by hi wife of 55 years, Marie Ruth for academic pricing on••. SanFilippo Angelo; a daughter; two sons; a sister; and nine grandchildren. Acer • Adobe • Apple • Corel • Dell • Hewlett Packard • Microsoft • Texas Instruments &much more ... Delivery & Setup in your home or office available! HAROLD Williamsville, BERNHARD ' 49 , of Y, former chief of service and medical director for gastroenterology at Millard Fillmore Health System, died june 19, 1997, at his home. He was 70. He Give us a call: practiced gastroenterology for the past 45 (716) 645-6933 Computer Workshops years and was one of the first physicians here to introduce the technique of gas- Michael J. Baranski trointestinal endoscopy; he was also a clini- Marketms Representative cal associate professor of medicine at UB. Call 645-3560 to have a brochure mailed to you. He recently was named Master of the American College of Gastroenterology, one of the most prestigious awards in his field, in • On-Site Private Training available. • Scheduled workshops start at $59. • 1/2 day miniclasses target specialized topics. recognition of his medical expertise and service to the professional group. He served as a trustee and secretary of the American College of Gastroenterology, governor of the college's orthern ew York chapter, and president of both the GastrointestinalLiver Society of Western Western ew York and the ew York Society for Gastrointes- tinal Endoscopy. Bernhard is survived by his wife of 48 years, the former G loria Summer hours: Mon thru Fri I 1-5 ~~~-·~~.[111'[+] BARANSKI u f f a l o grandchildren. ADVERTISING A non-profit University program tor students_ faculty & staff The commons . North Campus • (1t6) 645· 3554 • Fox: 645-3884 B Grossman; two daughters; and three Physician Due to space collstmillts, some Class11otes recei\ eel forth is issue ofBuffalo Physician will appear i11the next issue. -Eel. 146 Stepping Stone Lane Orchard Park, NY 14127 Autumn 1 9 9 7 �To consult with someone truly concerned with your financial come to KEY PRIVATEBANK Key. Your Key Private Banker heads a team of professionals, who can help you achieve your financial goals with surgical precision. Call Marv Madison at 84 7-2341. It may be one of the most important appointments you make. We know medical professionals' financial needs like the dorsum of our metacarpus. <>-w Key. For a new America~ ® Buffalo Physician Autumn 1 9 9 7 �Who says there's nothing good on TV? As busy as they are, physicians and other health care providers always take the time to watch MLMIC's top-rated risk management education programs. • When they tune into high quality programming broadcast over our satellite network, viewers know what they see will help enhance patient safety and reduce injuries. They also appreciate the policyholder discounts available to participating physicians. MLMIC programming is sponsored by the largest Risk Management Department of any professional liability insurer in the state. Policyholders also enjoy the protection of one of the country's largest and most experienced professional liability Claims Departments. Most importantly, MLMIC has successfully defended more physicians than all other available insurers combined. These are some of the reasons why MLMIC is the only medical liability insurer approved by the Medical Society of the State of New York. • To find out more, call1-800-356-4056 in Upstate New York, or 1-800- ASK-MLMIC in the New York metropolitan area. Ask for free copies of our risk management MLM~C ~ \lt'IKal Uahtlil; \fuluallnsurani,. (ompany guide for office practices. • Our defense never rests. 2 Park Avenue New York, NY 10016 2 Clinton Square Syracuse, NY 13202 90 Merrick Avenue E. Meadow, NY 11554 C1996 MM ca .aPi ty 1nsursnu: Ccmpsny Mutua l �BUFFALO PHYSICIAN Non-Profit Org. STATE UNIVERSITY OF NEW YORK AT BUFFALO U.S. Postage PAID 3435 MAIN STREET Buffalo, NY B UFFALO NEW YORK 14214 Permit No. 311 ADDRESS CORRECTION REQUESTED Planned Giving to UB. Tax deduct,ons and on 1ncome for fe ore on'y port ;Jf the benefits you con recetve w th planned g1v1ng to the LB and B omediCOI sc,ences weo 1thy o a School of Med c ne Yot.. needn I be norc1o ger uo All you need s to make a gft And hove o de~ to he1p today s budd,ng gen ses mo e the wor o a better p oc.e n 50 years. For mo e nf Corder PhD mot or contact Ly~ CFRE of 716 8292773 or vo e-mo' of I]C.Order@ocsu buf a o.ed UNIVERSITY AT BUFFALO S!alt l "niz·eni{J' qf . \ i•zt· JiJd, � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/04b0e3e59d8eb9c6dc6dd52b05eddd9f.pdf 878a086bb473a87802435ea1299cf63e PDF Text Text �Dear Alumni and Friends, BUFFALO PHYSICIAN \ olumr 31 '\umhcr 3 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY SERVICES Dr ( ;.uolt "'mlth Pt•tro DIRECTOR OF PUBLICATIONS h.athn n \."a\\ ncr EDITOR Jr ...... ila \n<.:krr ART DIRECTOR \l,m J 1-;egkr PRODUCTION MANAGER \nn Ras::mann Bn)\\ n STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr John R. \\ nght lntt:l rru Dnm wul 1·;" Prnulnli{<H Clu1iwl \ffw" EDITORIAL BOARD Dr Bcnram Portm Cha1r Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr \larun Brecher Harold Brod1 R1chard L Coll11" Lmda J. Corder .I ian J Dnnnan James Kansk1 Barhara \laJrrom Llizahrth Ohmtrd Ch.trlrs Paganelli Stephen Spauldmg BradiC\ T Trua"' Roy \ 'ongtama Dr I ranklm Zcplo11 liz THIS I''L r or Bt FHW P11n1c 1.\\ marks a significant change for the school. After nearly two years as editor of Buffalo Phvsician, jessica Ancker has accepted a new opportunity elsewhere. \\"e all wish her well and thank her for her many outstanding contributions to this publication. During our search for her successor. judson Mead, editorial manager of the lJB Publications Office. will sene as interim editor. On May 11 , 1997, we celebrated the medical school's l5lst commencement, graduating l-+6 men and women as doctors of medicine and 37 as doctors of philosophy; four received bo th degrees simultaneously. At the ceremon), an honorary doctor of science degree was awarded to Dr. james Holland. a distinguished former member of the Roswell Park Cancer Institute and of the university. Our incoming medical student class is now complete, and we look forward to greeting this group a few short months hence. \\"e are also welcoming new house officers. many of them our own recent graduates. The new chief residents also begin their final year of residency and, along with the ne\\ residents. will participate in comprehensive orientation programs orgamzed by the Graduate Medical Dental Education Consortium, a legacy of former dean john Naughton ably directed b) associate dean Dr. Roseanne Berger. The introductory programs pro\·ide incoming residents with the latest medical, legal, and administrative updates and teaching! evaluation skills, as well as basic and advanced life-support training. Much credit is due to Dr. Berger for her commitment and dedication to this effort. As we continue to struggle through the fiscal maze so commonplace in today's medical schools and universities, we arc deeply grateful to you, the alumni and friends of this uniwrsity·. for your generous sharing of time, energy, and yes, worldly goods, to this noble cause. Please accept this sincere thank-you for your help. /f John R. Wright, M.D. /ntaim Dean, School of .\lcdic111c and Biomedical Sncncrs lntnim Vice President for Clinical A/fails TEACHING HOSPITALS AND LI A ISONS The Buffalo (,rnrral llospllal \fulwd ~~~"'' The Children's llospnal of Buffalo Ene Counl\ \lrdtcal Center \lerCI llralth ''stem \Iiiiard 1 Hlmore llealth ~ystrm l·ranlz S£1HI '\iagara l·alls \lrmonal \lcd!cal Center Ro~wcll Park ( <.lnccr ln-,ttlutc Sisters of Charll\ llospllal Dntnis \frCatth\ \'eteran!-, .\.ff..l irs \\·estern ~ew York Hcahhcare '-,ystcm ([)The ~tate UniH·rslly of :'\e\\ York at Buffalo Buffalo PI"'""'" IS published quanerh h) the State Lmversilv of ~e" \ork at Buffalo School of \1cdicinc and Biomedical Sucnccs and the Off<ce of Puhhcat10ns. It " sent, free of charge, 10alumni. facultY . students. residents. and friends. The staff reserves the nghtto cdll all cop) and submtssiono.; accepted for publication . .:\ddress questions, comments. and subnu,;10ns to The E:dllor, Bt<{falo Phrskian, State Lmvcrsny of !'Jew York at Buffalo, Office of Puhhcat!Ons. 136 Crofts Hall. Buffalo. '\\ 1-+260 Send address changes Ia: Buffalo Plll\«i<lll 1-+6 CFS .\dduwn H35 Mam Street Buffalo,"' 1-+21-t Greetings! A., THL ~EI\ t 1 LUCTED PRE,IDE"'f of the Medical Alumni Association, I am honored, proud, and humbled when I consider the quality of the individuals this organization represents. The 60th annual alumni weekend and Spring Clinical Day was a resounding success, thanks in no small part to Richard L. Collins, M.D., who put together an outstanding program. New York State commissioner of health Barbara DeBuono, M.D., M.P.H., updated attendees on the political and legislative aspects of managed care in New York State. john Friedlander, president and CEO of CGF Health System, presented the case for mergers. Steven R. Peskin, M.D. , talked about the evolution of managed care across the country. Irene S. Snow, M.D., spoke about practicing medicine under managed care. As a recent past president of the Eric County Medical Society, she has a unique perspective. She emphasized her personal involvement with patients, associates, and local, state, and national medical and specialty societies. Highlighting the program was the induction of two honorary medical alumni-john '\Iaughton, M.D., our recently retired dean of 22 years, and john Richert, Ed. D., our recently retired associate dean for medical alumni affairs. Each of them played a major role in making the school and the alumni association what they are today. There are some special people who deserve recognition for their support of this association: Nancy Druar, our administrative assistant; Bertram Portin, M.D. , our new associate dean of medical alumni affairs; and jack F. Coyne, M.D., our past president. We also wish to thank our interim dean, john R. Wright, M.D., for his support and participation. With the continuing support of these individuals, I am looking forward to a successful and enjoyable year. Sincerely, ~,d::Mf'~ Pres1dcnt, \lediwl Alumni Assocwtion �- --- - -~- -~- -- - ---- - -- -----.--- - VOLUME - - 31, NUMBER 3 S UMMER 1 i i i j Sp~ing 2 Clinical Day THREE PRESENTATIONS LOOK AT DIFFERENT ASPECTS OF CHANGE IN HEALTH CARE. 8 UB's New Specialty Dental Clinics DENTAL MEDICINE AND MEDICINE OFTEN CONVERGE IN St;IUIRE HALL . 10 D~. Cong~essman DAVE WELDON ' 8 1 IN THE HOUSE I S SAYS LIFE LIKE BEING AN INTERN YEAR-ROUND. by Clare O'Shea by Rosemary E. Frei Medical School News MATCH DAY . TWO FORMER FACULTY REMEMBERED. NEW CHA I R OF PEDIATRICS. t-1AMES PLATT WHITE HONOR ROLL. Commencement '97 PIONEERIN G THE Alumni News CLINICAL CURRICULUM. THE PICTURES SAY IT ALL! NEW ALUMNI ASSOCIATION RESIDENCY SLOTS. OFFICERS. HONORS FO R AStudent's Perspective LE ARNING ABOUT ASTHMA FO UR. 60TH ALUMN I WEEKEND. AT STREET LEVEL. by Michael Kane, Class of 1998 Classnotes THE QUOTE ON THE <OVER is hom ·APhysicion'sOoth; odoptedfromonewrittenby louislnsogno, M.D., deon of the Sockler School of Groduote Biomedical Sciences ond deon for ocodemic offoirs of the Tufts University School of Medicine. As port of commencement exerc~es eoch yeor, groduotes of the UB School of Medicine ond Biomedical Sciences rise ond formally sweor to fulfill, to the best of their ability ond judgment, this covenant. In oddiHon, three yeors ogo onew tradition wos born ot the UB medicoIschool: On the first doy of orientoHon eoch yeor, the ooth is reod ond discussed with students os omeons of impressing upon them the full significance of the program they ore obout to undertake. The complete text of the ooth is featured in the Autumn 1996 issue of Buffalo Physician. s 5 J':J~l ~ �SPRING SI X T ANNUAL I ETH ALUMNI WEEKEND CLINICAL DAY'97 Health commissioner discusses state P9licy in B y JESSICA Stockton Kimball Lecture ANCKER are creating tensions between private conscience and public policy, and nowhere are those tensions more obvious than in the office of New York State commissioner of health Barbara A. DeBuono, M.D., M.PH. CHANGES IN AMERICA HEALTH CARE DeBuono, who delivered the annual Stockton Kimball Lecture as part of the 60th Spring Clinical Day on April26 at the Buffalo Marriott hotel , plays a pivotal role in the development of the state's health policy. That often puts her in a tough position, as she illustrated by describing a case that recently reached her desk in Albany, Y. A patient received a diagnosis that indicated a Whipple procedure (pancreaticoduodenectomy), DeBuono said. His insurer, a managed care organization, supplied the names of three surgeons in his city qualified to do the procedure. But the patient, seeking what he felt would be the best possible treatment , underwent surgery at Memorial SloanKettering Cancer Center. His HMO refused to pay the bill or even to cover what the approved doctors would have charged. The patient appealed to the state health commissioner. On the one hand , DeBuono points out, the patient broke the agreement he made when he enrolled in his HMO. That agreement allowed the insurer to control its costs (and his premiums) by controlling where he could seek medical care. On the other, the patient wanted the best possible care. "And why shouldn't he get the best? " DeBuono asked. But there's no concrete evidence that the procedure performed at Sloan-Kettering was of substantially better quality than what the local surgeon would have done. While it is PHOTOGRAPHY 0 universally accepted that surgeons who perform high volumes of cardiac surgery have better outcomes, there is no comparable body of research on Whipples. When it comes, DeBuono's decision may have broad economic and political ramifications. If she decides in the patient's favor , will millions of ew Yorkers get the message that they can go out of plan whenever they want? But if she decides in favor of the insurer, could that lead to further restrictions on care? And how will the patient at the core of the case pay his bill? This case was one of the manypublidprivate health-care issues DeBuono discussed at Spring Clinical Day. DeBuono received her M.D. at the University of Rochester and completed her residency at the ew England Deaconess Hospital in Boston. She then earned a master's degree in public health from Harvard University and served as a fellow in infectious diseases at Brown University Medical School before becoming director of health for the State of Rhode Island. DeBuono was named New York State commissioner of health by Governor George Pataki in 1995 , becoming the first woman to hold the job. During her address at Spring Clinical Day, DeBuono said that the state had balanced cost-cutting with social responsibility in its Health-Care Reform Act of 1996, which deregulated BY DON HEUPEL ---------------------------------------------------------------------------------------B u f f a 1 a Physician Summer 1 9 9 7 �----------------~----- SIXTIETH A NNUAL __ ---- -.-- - - - ALUMNI hospital rates and created unique funding pools for graduate medical education and charity care. However, she noted, there's a lot more for state government to accomplish. As a member of a Republican administration that is in principle dedicated to reducing state regulation, DeBuono sounded reluctant to draft legislation to deal with minute details of health-care delivery. But legislation to cope with the "growing pains" of managed care, such as denials of care and physicians being deselected from networks without good reason, seems inevitable, she said. DeBuono also cited examples of insurers delaying reimbursing hospitals for service worth millions of dollars until the Department of Health intervened. "I don't want to have to legislate that," she added. "I wish the industry would do it voluntarily." The goal is to make sure that medical decisions are made for medical reasons, not economic ones. "The more managed care and indemnity insurance take decisions out of the hands of providers, the more frustrating it is for doctors and patients," DeBuono said. "We've got to fix that problem." An important step, she said, was the state Managed Care Omnibus Act of 1996, which has been praised by the American Medical Association for protecting providers and patients. It bans gag orders; ensures that managed care plans disclose their coverage, referral, and emergency care policies; allows doctors to appeal deselection; and establishes a patient grievance procedure. Legislation alone is unlikely to solve all the problems. DeBuono's story about the Whipple procedure grievance shows that some of the toughest deci ions may continue to be made on a case-by-case basis. "I still haven't decided what to do ," DeBuono confessed about the case. "If anyone has any ideas, let me know." + B u f f a l o Physician summer , 9 9 7 0 ~ �SIXTIETH ANNUAL ALUMNI Practicing medicine under anaged he thoughts I share with you today are mainly personal, and are geared toward our responsibility in patient advocacy and the preservation of our profession in managed care. The failure of managed care When managed care first came into being, it is my understanding that it was supposed to give less expensive care to people who couldn't afford conventional insurance. It is hard to argue that the first goalless expensive care-has indeed been achieved. Health-care premiums have risen at or below the inflation rate for two years, but most industry experts predict more increases. The multifactorial reasons for this include: 1. the need ofHMOs to satisfy stockholders after delivery of low profits last year; 1. the consolidation of HMOs into fewer and larger entities, eliminating competition and allowing prices to rise; 3. more expensive technology and an aging population; 4. demand from consumers for more access to specialists and point-of-service plans; and S. federal and state legislation that make it difficult for managed care to control costs. Managed care has also been a resounding failure in providing coverage to the uninsured and the underinsured. It is estimated that by the year 2002, the number of uninsured will reach 45.6 million, up from 39.5 million in 1995. The health-care reform agenda empowered managed care, and managed care failed to deliver the goods. What is quality care? The most abused and misused phrase of the '90s, in my opinion, has been "quality care." What exactly is quality care? Ask any of the four players in health care-employers, insurers, providers, or patients. Instantly, we have a problem. Patients and health professionals tend to think differently about what constitutes quality of care. Patients judge quality by very personal experiences, such as how long their proBY 0 IRENE B u f 5 f a . l care vider spends with them, how easy it is to access specialty care, and the range of health benefits provided. Professionals, on the other hand, tend to rely on populationbased performance measures, such as outcomes of cancer treatment over time. Employers concern themselves with such data as cost, time lost from work, and employee satisfaction as demonstrated by complaints to their human resources departments. Insurers declare their own quality measures. The ational Committee for Quality Assurance ( CQA) , the organization set up to measure quality of care given by managed care plans, has come under attack for not being independent enough. As of 1996, CQA got 40 percent of its funding from HMOs. The Health Plan Employer Data and Information Set (HEDIS) that CQA uses has been widely criticized by physicians for tallying up easy-to-administer tests rather than getting at core issues of what constitutes quality medical care. HEDIS doesn't measure quality: It measures the number of Pap smears or immunizations given. To confuse this picture even further, the development of quality measures has proven to be philosophically contentious, technically difficult, and politically delicate. Physicians must act Finally, some answers. This is a perfect place for physicians to take a leading-edge position by demanding relevance, objective research, and appropriate application. Physicians and managed care organizations need to work together to establish treatment guidelines patients can trust. Wide-ranging collaborative efforts led by academic researchers would be the most promising in outcomes research and treatment guidelines. And we must be at the table either individually or through our subspecialty societies when outcomes data is analyzed and implemented. just as we must be willing to accept report cards on our performance, we must demand more in-depth surveys of HMOs. Physicians should push for public disclosure and comparisons of HMOs regarding their performance in treating serious or chronic illnesses, how often and why out-ofplan referrals are denied, and ease of access to specialty care, among other things. SNOW o WEEKEND . Phys M . D ici . " 80 an Summer 1 9 9 7 �-~-- - - ----- - - - - - - - -- - - - SIXTIETH ANNUAL --- - --- -- ALUMNI I must admit that when I think of managed care, I feel like Albert Finney in the movie Network when he opens his window and shouts out, "I'm mad as hell and I'm not going to take it anymore!" In my more rational moments, however, I do believe that doctors who fight managed care at every turn will find themselves in a losing battle. We should take the lead in health-care delivery by admitting that we are dealing with finite resources. But physicians need to be a blaring trumpet section in our argument that we are better at making medical decisions and more compassionate than utilization review clerks. Doctors must take a stand against economics driving ethics and insist that ethics drive the economics. While accepting the principlesofpracticingcosteffective medicine , we must be able to challenge certain managed care rules that we feel compromise patient care. While on the topic of ethics and economics, I am philosophically opposed to the concept of capitated agreements. Simply stated, I just wasn't raised to be rewarded for work I haven't done. Under capitation, if you manage patients efficiently and effectively you stand to gain. The potential abuse of this system is glaringly obvious and extremely frightening. As patient advocates, we should not allow a system that poses this kind of potential threat to patient care to gain momentum. Capitation places providers-already in need of tort reform-in legally indefensible positions. In potential errors of omission, it will not take a Perry Mason to ask, "So, Dr. X, did you stand to gain financially by not ordering testY? " Yet capitation is here, thriving, and soon I will find myself practicing within it. However, I hope its prognosis is poor! Capitation in its pure form, without adequate oversight and regulation, is a consumer activist's next cause, and in my opinion, rightfully so. Hold HMOs responsible We must encourage regulators, employers, and consumers to insist on greater public disclosure of HMO financial results. - - - WEEKEND George Anders, a Wall Street journal reporter, said it better than I can in his book Health Against Wealth: HMOs and the Breakdown of Medical Trust. Anders commented that the big profits and compensation packages of some HMO industry executives can be seen as "uncomfortable hypocrisy for an industry that publicly preaches the virtues of austerity." o discussion of how physicians practice in any environment would be complete without mentioning the need for tort reform. In this regard, I mean that HMOs need to be held accountable for their mistakes. HMOs need to be "I question how long I will be able in good conscience o practtce economically driven me 1c1ne." subjected to the same malpractice restitution methods that physicians and other professionals face. Perhaps it is time for us to renew our commitment to the professional oath, ethical principles, and ongoing education process of a vocation that has always been dedicated to the betterment of mankind. The practice of medicine is in a state of unrest, which has the potential to bring out the best or worst in our profession. We must have the courage to speak out against any system that jeopardizes our legal right and moral obligation to practice good medicine. When historians record how we responded to these challenging times, it is my hope that we will be remembered for our commitment to our patients, our colleagues, and our principles. + ~------------------------------------------------------------------------------------------------------~ B u f f a t o P hysician summer 1 9 9 7 0 ~ ��with all of tne diseases of. dentistry, bexond dental caries and tne cracl<s oetween aentistry ommunities extenaing Pennsylvania Alfredo Aaulrre of the Orel Madlall .. Cllnlo (top lettll ......_..A. utlunen of the TeiiiP......,._n......,.Dieor...,.. end OICifacaMI Pain Cllnlo (bottol8 lettll Leurle c.re.r of . . . Orel ..... Me Mai&DIIII Dl&gnaetlo . . . . . . . Cllnlo , ........... ,.,.,,. A d&ld81 X ...... {G&IIIIarltllat •U lllla..e atena&la ln . . . oa:o8d,_D ......... . ., a &Ia , ............ , arrtWWj. in the ��Specia cinic takes haitosis senousy "Some people have joked, 'Maybe you could sell gift certificates,"' says Mirdza Neiders, D.D.S., M.S., head of the Breath Disorders Clinic in UB's Department of Oral Diagnostic Sciences. "Because most of our patients are referred by another person, like their spouse." The Breath Disorders Clinic is one " The best of six Special Care Clinics that specialdetector ize in diagnosing and treating dental or medical difficulties that most pracis still the titioners don't usually treat. They fill human in the gray areas between medicine nose." and dentistry, including psychological and social concerns that affect many Americans. All kidding aside, halitosis is one such serious social problem, as evidenced by the millions of dollars spent in the U.S. and Canada on breath mints, toothpastes, and mouthwashes. Some people are so concerned about their breath that they build their lifestyles around avoiding people. They may be referred to the clinic by someone close to them, or else a physician or dentist. While some cases of halitosis are truly medical, many can be alleviated relatively easily. The first step for patients coming to the Breath Disorders Clinic is for the clinician to determine whether the person truly has bad breath and, if so, to track down the origin of the problem. "The best detector is still the human nose," admits eiders. "If the person does have bad breath, treatments can then be designed to tackle it. If they don't, I sometimes refer them to Dr. Gale to help them overcome their social inhibition." In most cases, bad breath is caused by anaerobic bacteria on the surface of the tongue; these bacteria can simply be scraped away with a flexible, dull object, such as the edge of a plastic spoon. Prescription antiseptic mouthwash can also be helpful in some cases. If the odor is being emitted by an infection under an old crown or between teeth, repair of these defects is the best medicine. + 1 9 9 7 0 �43-year-old physician takes leave for his other calling by CLARE O ' SHEA "Can you hold on a second? " DAVE WELDO '81 PUTS THE PHO E DOW and rushes off again. We had been discussing his neuroanatomy professor at UB, the intense summer he spent immersed in microbiology and pharmacology, the way the snow would settle on the evergreen outside his tiny apartment off Hertel Avenue. But those memories are 15 years old, and right now Weldon doesn't have much more than 15 minutes for nostalgia. Voices on the other end of the line are calling him to the floor of the U.S. House of Representatives. It's time to vote on public housing. ® Buffalo Physician Summer 1 9 9 7 �unruffled, quietly picking up where he left off and continuing his train of thought from the House cloakroom, his refuge between votes. In many ways he sounds less like a doctor than, well, a politicianbut Weldon finds a lot of similarities between the two vocations. "The general skills a physician has transfer well into the political arena," he says. "My background gave me a lot of experience in relating to people, solving problems, and explaining complex issues to people in terms they can understand." While Weldon has become comfortable on Capitol Hill, he remains committed to his first calling. "I don't see myself as a career politician," he says. When he was elected in 1994, he pledged to honor an eight-year term limit. "I definitely identify myself as a doctor-a doctor temporarily on leave to serve Congress." Being on leave has only meant shifting to a higher gear, however. life in Congress, says - - - - - - - - - - - - - - - - - - - - --t"lm--- Weldon, is "like These days Weldon is better known as "Honorable" than "Doctor." For the being an intern "The general skills a physician past three years Weldon, a 1981 graduyear-round." In a has transfer well into the political ate of the UB School of Medicine and sense, Weldon Biomedical Sciences, has been serving arena. My background gave me a lot of has been running as a Republican representative. Instead at that pace since experience in relating to people, oflooking after patients, he's been lookhe left his home ing after the needs of Florida's 15th on long Island solving problems, and explaining Congressional District. Instead of mediand enrolled in complex issues to people in cal cases, he's been caught up in welfare the accelerated reform, balancing the federal budget, terms they can understand." medical program and school-choice legislation. at UB. He had "Okay, now where was I? I was in the accelerated program planned to work his way through medical school, but when at UB, and ... ." We'll be interrupted five times by the end of he realized how demanding the program would be he applied our conversation, but the 43-year-old congressman remains for an Army Health Professions scholarship. Then he got s u f f a l a Physician Summer 1 9 9 7 �''I'm not expecting heaven on earth-there will still be a lot more worl< to do when I leave.'' Weldon also serves on the House Science Committee and engaged to ancy, whom he'd met when they were both the House Banking and Financial Services Committee. And students at the State University of New York at Stony Brook. his commitment to health-care issues has not been forgotten. "l went through this grueling summer curriculum, took my finals, then ran back to Long Island, got married , and went on "We did pass important health insurance reform in the last Congress that will restrict the ability of insurance companies my honeymoon, " he says. "It was a whirlwind, but those were wonderful years. I was newly married , studying like crazy, and to exclude people because of preexisting conditions," Weldon notes. "I was very pleased with that. But I think there's a lot working with some of the finest people I've ever known. " Weldon graduated from UB in 1981 and spent the next more that can be done to make insurance more accessible and three years at the Letterman Army Medical Center in San affordable. l'd also like to see medical malpractice reform, Francisco, where he completed his internship and residency although the President has been an adamant opponent of it. " Because Weldon in internal medicine. He and his family spend was then assigned to a part of every month three-year tour of duty at "I began to become concerned with what I in Washington , it is Winn Army Community saw as a bad direction that we were impossible for him to Hospital in Fort Stewart, GA. The highlight? Workhave regular patients. heading in as a nation. I was particularly ing with General orman But he continues to disturbed by the high degree of family Schwarzkopf. see patients at the "He was the division Melbourne medical breakdown and the general erosion commander when I got group 's Saturday of traditional values." there ," Weldon recalls , walk-in clinic. He "and I was his wife's also is on call on occasional weekends at a community hospital in Melbourne. doctor and a good friend of his aide-de-camp. " "l really did like practicing medicine, and I had reservaBy the end of his army duty in 1987, Weldon and his wife tions about giving it up. That played a strong role in my were in love with the South. They moved to Melbourne , FL, decision to serve only eight years. My plan is to return to where Weldon was in private practice only a few years when he started thinking seriously about getting involved in politics. private practice in 2002. !look forward to that. The pace is so "I began to become concerned with what I saw as a bad much slower than this-can you hold on a second'" direction that we were heading in as a nation ," he explains. "I Weldon puts the phone down again and goes off to cast his was particularly disturbed by the high degree of family breakvote against an amendment (proposed by Rep. joseph down and the general erosion of traditional values. And I Kennedy, D-Mass .) to a bill to repeal the United States thought it was terrible that our congressional leaders in WashHousing Act of 1937 and deregulate the public housing ington were just borrowing money year in and year out. " program. "These are amendments that usually just make it easier for people to get public housing, " Weldon says. "That's First he threw his support behind local candidates whose generally the trend. Mr. Kennedy has a vision that's very vision he shared. Then one day in 1993, a colleague suggested that Weldon would make a better congressman than any of much opposite to what the Republican majority vision is. " the candidates running for election the next year. Coupled Welfare reform and a savings of $50 billion in government with his concern about the Clinton health-care plan-like spending are among the initiatives that Weldon sees as signals of positive change since he went to Washington. ln the next many physicians, Weldon is skeptical about the federal five years, he hopes to contribute to a crackdown on crime and government's ability to run the health-care system drug abuse and to continue to push for a smaller federal efficiently-that suggestion "pushed me over the edge," government and lower levels of taxes. "The process of change he says. Weldon won the election in 1994 and was reelected has been slow," he says, "but I think we're making headway. " to a second term in 1996. And if the world hasn't changed enough by 2002, will Since his district includes the Kennedy Space Center, Weldon be able to give up politics? Weldon devotes substantial time to space issues. His medical ''I'm not expecting heaven on earth-there will still be a lot expertise has proved useful here, as well. "''m a big supporter more work to do when I leave," Weldon says. "But l don't of the space program," he says, "and there's a lot of exciting think l could totally walk away from politics after this. lt's science research that is performed on the shuttle, like gotten into my blood." + microgravity research. " B u f f a 1 a Physician Summer 1 9 9 7 �Sandra A. Block Internal Medicine, UB Graduate Medical Dental Education Consortium, Buffalo , Y Match Day 1997 Adrienne D. Bonham Obstetrics and Gynecology, University of wo-thirds ofUB's graduating medical students were placed Rochester/Strong Memorial Hospital , Rochester, Y in primary care residencies in this spring's Match Day. The Timothy P. Braatz Internal Medicine (prelim ), University of Maryland , Baltimore, MD; Radiology-Diagnostic , University of Maryland , Baltimore, MD ational Residency Matching Program results were announced March 19 by associate dean Dennis Angela M. Camasto Pediatrics, University Hospitals of Cleveland, ' Cleveland, OH adler. Eighty-six percent of the students got their first, second, or third choice of placements. Almost one-third will stay in Buffalo to train in the Graduate Medical Dental Education Consortium, while 48 percent will go out of state. In the primary care specialties, 28 students were placed in internal medicine, 2 7 in pediatrics, 21 in family medicine, and 7 in medicine-pediatrics. This is the first year that ew York State has considered obstetrics-gynecology one of the primary care specialties. Fourteen students were matched to OB-GY residencies. "We're very pleased with the outcome of the match, especially with respect to the number of students who chose residencies in primary care," adler said. "We've worked very hard to achieve this goal." Jared C. Barlow lntemal Medtcine (prelim ), ew Rochelle Hospital , New Rochelle , NY; Anesthesiology, Mount Sinai Hospital , ew York , NY Drew H. Barzman Psychiatry, Duke University Medical Center, Durham , NC Juan P. Abonla Pediatrics , UB Graduate Medical Dental Education Consortium, Buffalo, NY B u f f a l o p h y s c a S u m Edward L. Chan Pediatrics, UB Graduate Medical Dental Education Consortium, Buffalo, y Alexander W. Chen Medicine/ Pediatrics, Duke University Medical Center, Durham, C Kristen M. Chimileskl Pediatrics, University of Chicago Hospital, Chicago, IL Ronlka D. Choudhary Family Practi ce, Highland Hospital of Rochester, Rochester, NY Joseph L. Chow Family Practice, Highland Hospital of Rochester, Rochester, NY Gonzalo M. Bearman Intemal Medicine, UB Graduate Medical Dental Education Consortium, Buffalo, Y Ravl K. Desai Internal Medicine, UB Graduate Medical Dental Education Consortium , Buffalo, NY Terl Beers Obstetrics and Gyn ecology, UB Graduate Medical Gregory DIFrancesco Emergency Medicine, UB Graduate Medical Dental Education Consortium , Buffalo, Y Cassann N. Blake Surgery , SU Y Health Science Center, Brooklyn, y m Patricia A. Cawley Pediatrics, Morristown Memorial Hospital , Morristown , J Catherine C. Costello Pediatrics , Albert Einstein College of Medicine!Montefiore Medical Center, Bronx, NY Altagrace Belmar Pediatrics (primary), Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY Sharon Baratz Internal Medicine, George Washington University, Washington , DC Jason M. Andrus Psychiatry, University of Hawaii , Honolulu , HI y Kathleen M. Batt Family Practice, Halifax Medical Center, Daytona, FL Dental Education Consortium , Buffalo, NY Jean S. Bae Psychiatry, University of Wisconsin Hospital and Clinics, Madison , WI Jeffrey A. Cassidy Surgery (prelim), UB Graduate Medical Dental Education Consortium , Buffalo, Y; Orthopedics, UB Graduate Medical Dental Education Consortium, Buffalo, e 9 9 Andrew Dmytrljuk lttternal Medicine, George Washington University, Washington , DC Jacqueline A. Dombrowski Medicine/Pediatrics , UB Graduate Medical Dental Education Consortium, Buffalo, Y �Morris P. Elevado Internal Medicine, University of Massachusetts Medical Center, Worcester, MA Clarlsa R. Gracia Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, PA Paul J. Kerner Orthopedics, Allegheny University, Central City, PA Thomas R. Elmer Internal Matthew J. Gutierrez Internal Medicine (prelim), Alton Ochsner Medical Foundation, New Orleans, LA; Ophthalmology, Louisiana tate University Eye Center, ew Orleans, LA Medicine, University of Vermont! Fletcher Allen Health Care, Burlington, VT (prelim), University Hospital, Stony Brook, Y; Radiology-Diagnostic, SU Y Health Science Center, Brooklyn, Y Paul A. Guttuso Family Practice, Peter W . Kim Internal Medicine, St. Mary Hospital, Lubbock, TX Simone P. Elvey Internal Medicine Taj A. Hadee Pediatrics, Medical College of Virginia, Richmond, VA (prelim), UB Graduate Medical Dental Education Consortium, Buffalo, NY; Radiology-Diagnostic, University of Rochester/Strong Memorial Hospital, Rochester, NY Children's Memorial Hospital, Chicago, IL Peter S. Ercollno Pediatrics, Asra Khan Internal Medicine Randy S. Fagin Surgery (prelim), UB Graduate Medical Dental Education Consortium, Buffalo, Y Pamela R. Haefner Pediatrics, Electra C. Martin Emergency Mediciue, SUNY Health Science Center, yracuse, Y and Gynecology, UB Graduate Medical Dental Education Consortium, Buffalo, Y Andrew Klapper Plastic Surgery, Paul J. Mason Orthopedics, Henry Eric J. Hanauer Internal Medicine Benjamin 0 . Koenig Emergency Medicine, William Beaumont Hospital , Royal Oak, Ml Janine M. McAssy Internal Suchltra Koneru Family Practice, M. Angela Mclellan Obstetrics and Gynecology, UB Graduate Medical Dental Education Consortium, Buffalo, Y ew York University Medial Center, New York, Y Jennifer T. Hanauer Obstetrics (prelim), Albert Einstein College of Medicine!Montefiore Medical Center, Bronx, Y; eurosurgery, Albert Einstein College of Medicine!Montefiore Medical Center, Bronx, NY and Gynecology, Rochester General Hospital, Rochester, NY James B. Gaul Medicine/Pediatrics, University of Minnesota Hospital and Clinic, Minneapolis, M Agnes A. Gelder Family Practice, iagara Falls Memorial Medical Center, Niagara Falls, Y Jennifer P. Gennuso Pediatrics, Kathleen P. Gillan-Lundgren Pediatrics, Children's National Medical Center, Washington, DC Louisiana State University School of Medicine, Shreveport, LA Armond M. Lapine Internal Medicine, niversity of Utah Affiliated Hospitals, Salt Lake City, T Peter M. McNeela Family Practice, Hamot Medical Center, Erie, PA Peter S. McQulller Anesthesiology UB Graduate Medical Dental Education Consortium, Buffalo, NY Manal Hegazy Surgery, ew ew Rochelle, y Research, Buffalo, NY Lisa M . Mendonza Family Practice, UB Graduate Medical Dental Education Consortium Buffalo, NY Janice M . Lee Internal Medicine, Wenchun Hsu Emergency Mediciue, Emory University chool of Medicine, Atlanta, GA t. Louis University School of Medicine, t. Louis, MO Michael D. Merrill Internal Jeffrey M . Legrett Internal Medicine (primary), UB Graduate Medical Dental Education Consortium, Buffalo, NY Mediciue, UB Graduate Medical Dental Education Consortium, Buffalo, NY Daniel C. Metrick lntemal Medicine, Mount Auburn Ho pita!, Cambridge, MA Kenneth A. Levey Obstetrics and Gynecology, George Washington University, Washington, DC Claudia Jaramillo luternal Medicine (primary) , UB Graduate Medical Dental Education Consortium, Buffalo, Y Jennifer A. Meyer Pediatrics, Timothy N. Llesching Internal y Akron General Medical Center/ EOUCOM, Akron , OH; Ophthalmology, Case Western Reserve University, Cleveland, OH Joseph F. Lopes Surgery (prelim), Dartmouth-Hitchcock, Lebanon, NH; Urology, DartmouthHitchcock, Lebanon , NH Medicine, UB Graduate Medical Dental Education Consortium, Buffalo, NY Loren S. Kane Internal Medicine, Andre L. Lopez Family Practice, University of Medicine East Carolina-Pitt County Memorial Hospital , Greenville, C Stephan J. Mllback Family Practice, aval Hospital, Camp Pendleton , CA Medical University of South Carolina, Charleston, SC Jeannie Kao Physical Medicil1e and Rehabilitation, William Beaumont Hospital, Royal Oak, Ml 0 Alex Mompoint Internal Medicin e (prelim) , Sisters of Charity Hospital , Buffalo, Y; Physical Medicine and Rehabilitation, University of Texas outhwestern Medical Center, Dallas, TX UB Graduate Medical Dental Education Consortium, Buffalo, y Iuternal Medicine, UB Graduate Medical Dental Education Consortium, Buffalo, Y B Lori A . Michael Emergency Andrew J. Luisi Internal Mediciue, Brian M . Karaszewski B Graduate Medical Dental Education Consortium, Buffalo, Medicine, Deaconess Hospital, Boston, MA Thomas J. Joly Transitional, Y Mediciue, University Health Center, Pittsburgh, PA Frank M . Lee Emergency Medicine, Obstetrics and Gynecolog) , Our Lady of Mercy Medical Center, Bronx, NY (prelim), UB Graduate Medical Dental Education Consortium, Buffalo, NY UB Graduate Medical Dental Education Consortium, Buffalo, Thomas E. Hansen Orthopedics, Rochelle Hospital, Ford Health Science Center, Detroit, Ml University of Maryland, Baltimore, MD Ayanna Angela L. James Jennifer L. Geiger Surgery Pathology, UB Graduate Medical Dental Education Consortium, Buffalo, Y University of Wisconsin/St. Mary's Medical Center, Madison, WI Eric I. Finkelstein Surgery University of Rochester/Strong Memorial Hospital, Rochester, NY Dori R. Marshaii-Hobika Gregg E. Kissel Family Practice, Lorna Linda University, Lorna Linda, CA Medicine, UB Graduate Medical Dental Education Consortium, Buffalo, NY David R. Frels Internal Medicine, Pediatrics, University Health Center, Pittsburgh, PA Akron City HospitaVNEO COM, Akron, OH (prelim), University of Rochester/ Strong Memorial Hospital , Rochester, Y; Neurology, niversity of Rochester/Strong Memorial Hospital, Rochester, Y Michael A. Filice Emergency Alexander Marcus Regina Y. Kim Family Practice, Sabrina R. Hammett Obstetrics University of orth Carolina Hospital, Chapel Hill , C Paul M. Maggio Surgery, Rhode Island Hospi tall Brown University, Providence, Rl Cozzette Lyons Internal Medicine, University Hospitals of Cleveland, Cleveland, OH 0 p y 5 c o n 5 m m e 9 9 �Jonathan A. Morgan Internal Medicine (prelim), Long Island jewish Medical Center, ew Hyde Park, NY; Radiology-Diagnostic, Thomas jefferson University, Philadelphia, PA Christopher M. Pieczonka Surgery (prelim) , UB Graduate Medical Dental Education Consortium, Buffalo, NY; Urology, UB Graduate Medical Dental Education Consortium, Buffalo, Shrini T. Mukkamala Surgery (prelim), B Graduate Medical Dental Education Consortium, Buffalo, Y David M. Pllati Surgery, University of North Carolina Hospital, Chapel Hill , C Tracey L. O'Connor Intemal Medicine, University of Rochester/ Strong Memorial Hospital, Rochester, NY Mount Sinai, Flushing, NY Gina L. Parlato Family Practice, orth Colorado Medical Center, Greeley, CO Emmanuella Paul Family Practice, Emory University School of Medicine, Atlanta, GA Christian W. Rochoii intemal Medicine (prelim), niversity of Vermont/Fletcher Allen Health Care, Burlington, VT Philip S. Piasecki Intemal Medicine (prelim), Sisters of Paul Rosen Pediatrics (pri mmy), Mount Sinai Hospital, ew York, a a Y p Matthew Smith, D.D.S. Surgery (prelim), B Graduate Medical Dental Education Consortium, Buffalo, Y Gavin N. Somersel Obstetrics and Gynecology, Albany Medical Center y 5 c a n s u m Matthew Taberski Internal Medicine, Hospital of the niversity of Pennsylvania, Philadelphia, PA Evan S. Taragano Pediatrics, University Health Center, Pittsburgh, PA Andrea L. Torsone Obstetrics and Gynecolog), University of North Carolina Hospital, Chapel Hill, NC Meryl Y. Tucker Obstetrics and Gynecology, UB Graduate Medical Dental Education Consortium, Buffalo, NY Usha Vaidyanathan Internal Medicine, University Hospitals of Cleveland, Cleveland, OH Joseph H. Wandass Ill Medicine/ Pediatrics, UB Graduate Medical Dental Education Consortium, Buffalo, Y John J. Welch Pediatrics, Georgetown University Hospital, Washington, DC Dayo N. Wilson Medicine/ Pediatrics, B Graduate Medical Dental Education Consortium, Buffalo, Y Noelle M. Stevens Family Practice, SU Y Health Science Danielle A. Woodall Internal Medicine, Albert Einstein College of Center at Syracuse/St. joseph's Hospital Health Center, Syracuse, y Sarah K. Storm Pediatrics, North Shore University Hospital, Manhasset, Y Gary A. Styn Family Practice, B Graduate Medical Dental Education Consortium, Buffalo, NY m Julie A. Szumigala Obstetrics and Gynecology, UB Graduate Medical Dental Education Consortium, Buffalo, NY louise Z. Spierre Pediatrics, University of Cincinnati Hospital , Cincinnati, OH Y y h Nicole L. Symons Family Practice, University of Medicine East Carolina-Pitt County Memorial Hospital , Greenville, C William M. Wind StJrgery (prelim), UB Graduate Medical Dental Education Consortium, Buffalo, Y; Orthopedics, UB Graduate Medical Dental Education Consortium, Buffalo, Y Hospital, Albany, Vitaly Raykhman Surgery (preli m), UB Graduate Medical Dental Education Consortium, Buffalo, Y; Umlog), B Graduate Medical Dental Education Consortium, Buffalo, Y Maryann M. Parietti-Scharf Family Practice, Highland Hospital of Rochester, Rochester, Y u Monica J. Simons Obstetrics and Gynecology, Queens Hospital! Pamela P. Rath Transitional, Hennepin County Medical Center, Minneapolis, M ; Ophthalmology, University of Minnesota, Minneapolis, M John Panagiotopoulos Intemal Medicine, Winthrop-University Hospital , Mineola, Y B Jimmy Y. Sim Pediatrics, Thomas jefferson University/Dupont Institute, Philadelphia, PA Jennifer M. Ragi Intemal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA lesley A. Orman Pediatrics, Eastern Virginia Medical School, orfolk, VA Charity Hospital , Buffalo, Charles M. Severin, Ph.D. faculty, Department of Anatomy and Cell Biology, UB Graduate Medical Dental Education Consortium, Buffalo, Y John C. Radford Emergency Medicine, UB Graduate Medical Dental Education Consortium, Buffalo, NY Medical Center, Merced , CA Jennifer F. Sussal, M.P.H. Pediatric Psychiatry, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, Y Craig M. Senzon Intenwl Medicine (prelim), Beth Israel Medical Center, New York, Y; Neurology, Albert Emstein Medical Center, Bronx, NY Bobbie l . Pustelny Surgery (preli m), University of California at Los Angeles, Los Angeles, CA Christopher M. Occhino Family Practice, Merced Community Noah D. Sabin Surgery (prelim), Abington Memorial Hospital, Abington, PA; RadiologyDiagnostic, Albert Einstein College of Medicine(Jacobi Medical Center, Bronx, Y y Catherine F. Przystal Medicine/ Pediatrics, University of Rochester/ Strong Memorial Hospital, Rochester, Y David J. Novak Internal Medicine (prelim), Georgetown University Hospital , Washington, DC Paniti Sukumvanich Obstetrics and Gynecology, niversity Health Center, Pittsburgh, PA Tami S. Seaman Family Practice, UB Graduate Medical Dental Education Consortium, Buffalo, Aisha K. Prim Pediatrics, Children's ational Medical Center, Washington, DC Manyan Ng Pediatrics, Thomas jefferson University/Dupont Institute, Philadelphia, PA James J. Runfola Family Practice, West jersey Health System, Trenton, J Patrick V. Scott, D.D.S. Surgery (prelim), UB G•aduate Medical Dental Education Consortium, Buffalo, Y V. Chowdry Pinnameneni Intemal Medicine (prelim), New York Methodist Hospital , Brooklyn. Y Gerardo Negron Internal Medicine, UB Graduate Medical Dental Education Consortium, Buffalo, Y Lisa S. Sufrin Pediatrics, University of Cincinnati Hospital , Cincinnati, OH Thomas E. Schenk Pediatrics, UB Graduate Medical Dental Education Consortium, Buffalo, Y y James P. Murray Medicine/ Pediatrics, University of Texas Medical School, Houston , TX Mary E. Ross Pediatrics, St. Louis Children's Hospital , St. Louis, MO e 9 9 7 Medicine(Jacobi Medical Center, Bronx, NY Denise C. Woodall Pediatrics, Eastern Virginia Medical School, orfolk , VA Carolyn M. Young Psychiatry, UB Graduate Medical Dental Education Consortium, Buffalo, Y �.. . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . [1] ~ I Rettred surgery professor dies BY WORTHINGTON G . SCHENK n September 4, 1996, surgery lost an outstanding leader with the death of john D. Stewart, M.D. Stewart earned a B.A. from the University of Virginia and graduated cum laude from Harvard Medical School in 1928. He and Henrietta Rhees were married in 1937 and had two daughters and one son. Their son, David, became a surgeon, but tragically, died quite young of undiagnosed overwhelming sepsis. Stewart completed an internship at the Huntington Memorial Hospital and a residency at Massachusetts General Hospital. He did research and further JR . , M . D . work at Massachusetts General and Harvard before being appointed professor of surgery at UB and chief of surgery at the E. ]. Meyer Hospital (now Erie County Medical Center). In 1943, he was commissioned a major in the U.S. Army Medical Corps and a year later was promoted to lieutenant colonel. He served on several national research committees, including the surgery section of the ationa! Institutes of Health. After serving a term on the American Board of Surgery, he became its chair in 1956. Stewart also Nobelist dies at 94 ir john Carew Eccles, a abel Prize-winning neuro- physiologist and a former member of the UB faculty, died in May at his home in Switzerland, the ew York Times has reported. He was 94. In 1963, Eccles shared the obel Prize for Medicine or Physiology with Alan Hodgkin and Andrew Huxley for describing the electrochemical communication system between nerve cells. Eccles showed that excited nerve cells release a substance (acetylcholine) that enlarges pores in a neighboring cell's membrane, allowing positively charged sodium ions to enter the cell, reverse the polarity of the electric charge in the cell, and transmit the nerve impulse. He also found that in other types of synapses, the excited nerve cell induces the neighboring cell to discharge potas- sium ions, which reinforces its existing polarity and inhibits the transmission of the nerve impulse. Eccles was the author of a number of books, including The Physiology of erve Cells (1957), The Inhibitory Pathways of the Central ervous System (1969) , The Understanding of the Brain (1973), and The Human Psyche (1980). Born in Melbourne, Australia , Eccles earned his bachelor's and medical degrees from Melbourne University, and his master's and doctorate from Oxford University under a Rhodes scholarship. B u f f a l o Phys i served as president of the American Surgical Association and was active in many other professional groups. His interests were not limited to surgery. The family kept cattle and working horses on ranches in South Carolina and Florida. In 1965,john retired from his medical school and hospital positions and moved to Boca Raton, Fl. During his professional career, he trained 20 surgeons, most of whom became chief surgeon at their institutions. Few surgeons made the breadth of contributions to the profession as did john D. Stewart. + Worthmgwn G. Schenh jr., trai ned with Dr. Stewart and later succeeded him as ch1ej of surgery at E.). Meyer Hosp1tal. He conducted the research that led to the obel in the 1950s while at the john Curtin School of Medical Research of the Australian ational University in Canberra. Eccles was knighted by Queen Elizabeth II in 1958. Other honors included membership in the Pontifical Academy of Sciences and a four-year term as president of the Australian Academy of Science. He and his first wife, Irene, had nine children. In 1966, Eccles came to the U.S. to head the American Medical Association's Institute for Biomedical Research in Chicago. Two years later, he moved to Buffalo to direct UB's Center for theStudyof eurobiology. He was named a SU Y Distinguished Professor in 1975. After his retirement in 1975, Eccles and his second wife, Helena, settled in Switzerland. + cian Summer 1 9 9 7 �- - - ------ -~-----~-~ ---- - ~~~- - -= ························································································•· Mlfl I I Morin appointed chair of pediatrics rederick C. Morin III, M.D., has been appointed chair of UB's Department of Pediatrics after serving as interim chair for a year. A UB professor of both pediatrics and physiology, Morin was also appointed pediatrician-in-chief at Children's Hospital of Buffalo. He has been chief of the hospital's Division ofNeonatalogy, which is internationally recognized for its research on treatments for lung failure, including surfactant replacement therapy, inhaled nitric oxide, and liquid ventilation. Morin succeeds F. Bruder Stapleton, M.D., who is now chair of pediatrics at the University of Washington. After earning his M.D. at Yale University, Morin completed his residency at Stanford University and held a research FREDERICK C MORIN Ill fellowship in neonatalogy at the Cardiovascular Research Institute of the University of California at San Francisco. He directed the Intensive Care ursery at the University of Rochester before joining the UB faculty in 1986. He is board certified in both pediatrics and peri nata 1/neona ta 1 medicine. + WNY's Largest Volume BMW Dealer THE ULTIMATE DRIVING MACHINE~ THOSE LOOKING FOR MORE CONTROL IN THEIR LIFE CAN NOW FIND IT ON SLIPPERY PAVEMENT. F. G. DOWNING s&99 1997 BMW 740i 27 mo. Lease Towne BMW 3030 Orchard Park Rd. Orchard Park, New York 14224 Phone: 675-2550 While the road of life may throw you an occasional curve, at least our All Season Traction helps you handle the particularly slippery ones. FREE SCHEDULED MAINTENANCE ALL SEASON TRACTION PMT based on 5000 cap cost reduction or trade, 10,000 miles per year. 15 cents charge per mile for excess miles. First and last PMT, taxes and plate fees due at inception. Service Loaners Available ... Minutes From Rich Stadium B u f f a 1 o Physician summer 1 9 9 7 �COMMENI 1 9 9 7 Commencement ceremony honors cancer researcher Internationally hnown cancer researcher James F. Holland, M.D., was awarded a State University of ew York honorary doctorate in science at the 151st commencement of the UB School of Medicine and Biomedical Sciences on May 11. Holland , whose work helped shape modern treatments for leukemia and other cancers , also delivered the annual D. W. Harrington Lecture on May 12, on the topic of "The Search for HMTV, Human Mammary Tumor Virus." Commencement ceremonies were held in the Center for the Arts on the UB orth Campus. SUNY Trustee Edward . elson conferred the honorary degree on Holland. One hundred forty-six students received their M.D.s during the ceremony, and 37 received Ph.D.s. Four received M.D./Ph.D.s. The ceremony served as the conclusion of the university's 18-month sesquicentennial celebration. Holland, CU Y Distinguished Professor and chief of the Division of eoplastic Diseases at Mount Sinai School of Medicine , served as chief of medicine at Roswell Park Cancer Institute for more than 20 years. A graduate of Princeton University and Columbia University College of Physicians and Surgeons, he spent a year at the ational Cancer Institute before coming to UB and Roswell Park Cancer Institute in 1954. He was named chief of medicine at Roswell in 1956, serving until 1973. During much of that time , he also served as director of Roswell's Cancer Clinical Research Center and became a research professor of medicine at UB. In 1972, Holland received the prestigious Lasker Award for his work in chemotherapy. + ® B u f f a l o p h y �-----~-- ---~- - -------- - -~-....--- - - liCE ME NT On with joy to new challenges: Twin sisters Drs. Danielle and Denise Woodall (center); Dr. joseph Lopes with daughter Olivia (top, page 18); UB President William Greiner hooding, then congratulating, Dr. james Holland (below, page 18); Interim Dean john Wright, presiding (top, page 19); Dr. Lisa Mendonza with family friends (above); Dr. Regina Kim signing the Book of Physicians (immediate left); and Class Speaker Dr. Charles Severin (below). ~ �• ··················································· · ···································· ~ I Aword from the director of development BY LINDA J . CORDER. PH . D. , C.F.R.E . n this issue of the Buffalo Physician, the school honors and thanks members of the james Platt White Society. Several times since becoming a development officer in the School of Medicine and Biomedical Sciences, I have been asked about the history and evolution of this honorary recognition organization. The short answer is, it provides a vehicle to thank those who generously contribute their personal resources to enhance and advance the School of Medicine and Biomedical Sciences. Each donor decides where his or her gift will go. Many give to the school's General Fund, which is disbursed at the discretion of the dean. It is not an exaggeration to say that the General Fund is the most important current gift fund. The caliber of our faculty continues to increase, in part, because of the flexibility this fund provides in support of searches and faculty dt.velopment. Other uses for the fund include recruiting promising students, supporting the minority high school research apprentice program, and underwriting the Medical Scientist Training Program seminar series. Some donors choose to designate their gifts for endowed funds, including endowed scholarships and endowed faculty chairs. Others make gifts to special projects, such as UB's euroanatomy Museum, or to departmental funds, which are disbursed at the discretion of the department chair for such uses as research seed money or student medical association activities. Gifts to any of these funds-as well as annuities, charitable trusts, or bequestsqualify a donor for membership in the james Platt White Society. The society offers two types of recognition: annual and lifetime. An annual gift of $1,000 or more results in a year's membership in the society. An individual or a couple is granted lifetime membership in the Founders' Circle of the society when cumulative contributions reach $50,000. Recognition in the james Platt White Society confers recognition in the University's President's Associates (annual) and University Founders (lifetime) honorary organizations. When the james Platt White Society was established in 1986, memberships went to ® B u f f a l o those who donated $10,000 payable over a period of ten years to any fund that benefited the school. Larger gifts guaranteed recognition for a specified number of years. A few "special members" are still recognized, due to those early agreements. Several years ago, the recognition categories were changed to the current annual and lifetime memberships. The category "Special Membership" is no longer offered, and will expire for current members at the end of 1999. The recognition category "In Memoriam" was added to recognize those whose thoughtful foresight included arranging major bequests or gifts from testamentary trusts for the school's enhancement. Individuals and couples who support the medical school at an outstanding level are seen as its closest friends, and so they receive additional information throughout the year, invitations to certain medical school and university events, and special recognition by the school. Best of all, this is an open and expanding group. The more "best friends" the school has, the more excellent it becomes. All are welcome to contribute and be recognized for their support. The entry level for the society has never been raised. In fact, it has actually been lowered for recent graduates. "Graduates of the Last Decade" (GOLD) are recognized for annual contributions of only $500 or more. The Executive Committee wants to encourage all medical alumni, and especially the GOLD graduates, to support their school at a level commensurate with their resources. We are deeply appreciative of all gifts to the medical school, especially those that have the potential to make a transforming difference in the quality of medical education and residency training offered at UB. I invite you to read through the roster of members that follows, and to thank your friends and colleagues listed there for their outstanding support. If you are not yet in this group, please consider increasing your contributions to the school. The executive committee would like to see this honorary group double in size by the end of the century.+ Linda). Corder became the direcror of development for the School of Med1cine and Biomedical Sciences this year. She had previously sen·cd the school as major gifts coordinaror. Physician Summer 1 9 9 7 �- -- --~-----~~~~-- -- - - ---- - - ~~-~ -- -= ·············· · ·········································································• · ~ I Dean ' s Circle james Generous gifts of $25,000 to $49,999 qualify individuals or couples as members of the Dean's Circle. Platt White Society Dr. Kenneth M. and Mrs. joan Alford Chair Buffalo, NY Dr. Charles D. and Mrs. Mary Bauer Byron A. Genner Ill, M.D. Williamsville, NY Potomac, MD I Founders ' Circle Individuals or couples whose cumulative lifetime contributions total $50,000, or whose irrevocable deferred gifts total $100,000 or more, are honored as permanent members of the Founders' Circle. Their names are also repeated in an annual category, at the appropriate level, in any year that they make a new gift to the School of Medicine and Biomedical Sciences. Dr. Elizabeth P. Olmsted Ross Buffalo, I Y Cheste1jield, MO Orchard Park, NY Dr. Orvan W. Hess Dr. Richard B. and Mrs. Ellen Narins North Haven, CT Dr. Richard B. and Mrs. Ellen B. arins Williamsville, NY Philip B. Wels, M.D., and Mrs. Elayne Wels Eggertsville, NY Buffalo, NY I Dr. George M. Ellis Jr. and Mrs. Kelly Ellis Connersville, IN Lakeview, NY Mrs. Catherine Fix Martinsburg, WV Dr. Thomas F. Frawley Chesterfield, MO p h Annual Members Individuals or couples whose annual gifts total $1,000 or more are honored in the year the gift is made, at the level indicated by the total amount of contributions made during the period specified. The following lists recognize this year's annual members, some of whom are also honored as members of the Founders' Circle. Mrs. Grant (Evelyn) Fisher y 5 c I a n 5 m Circle Gifts of $5,000 to $9,999 are given due recognition in the Professors' Circle. Central to a great university is a strong faculty. Likewise, central to the future of our school is the dedication of a cadre of supporters within the Professors' Circle. Miss Thelma Sanes Dr. Kenneth H. Eckhert Sr. and Mrs. Marjorie Eckhert Dr. Thomas]. Kufel Marilla, Y Dr. Charles]. McAllister Clearwater, FL Buffalo, NY I Scholars ' Circle One strength of an outstanding institution is the caliber of those who study there. Scholars within the james Platt White Society have made gifts to the school totaling $1,000 to $2,499 during the past year. These marked with an asterisk(*) are young scholars, graduates of the past decade who qualified with gifts of $500 to $999. Dr. Bruce M. Abramowitz Glenview, IL Dr. Kenneth Z. Altshuler Dallas, TX Dr. Richard Ament I Professors ' Buffalo, NY Providence, R1 o Longboat, FL Dr. Elizabeth P. Olmsted Ross Snyder, NY l Dr. Benjamin E. Obletz Hilton Head Island, SC Dr. Willard and Mrs. Clarice Bernhoft a East Aurora, NY Dr. Albert C. and Mrs. Linda Rekate Y Chairs ' Circle Dr. Thomas F. Frawley Richard]. Nagel, M.D. and Mrs. Florence Nagel Dr. joseph and Mrs. Helene Chazan Y just as a department chair earns recognition for leadership of an academic program, donors who make leadership gifts in the range of $10,000 to $24,999 are given special recognition by the james Platt White Society. East Aurora, NY Williamsville, Dr. joel M. Bernstein Dr. Richard W. Munschauer Dr. Eugene R. and Mrs. june A. Mindel! Dr. Charles D. and Mrs. Mary Bauer f Dr. Thomas]. and Mrs. Barbara L. Guttuso Mrs. GraceS. Mabie Orlando, FL Buffalo, NY f Buffalo, NY New York, NY Dr. Kenneth M. and Mrs. joan Alford u Buffalo, NY Mrs. Morris Lamer Williamsville, NY B Dr. Eugene R. and Mrs. June A. Mindel! East Amherst, NY Mrs. june M. Alker Circle Fellows within the school are recognized for the added depth they bring to postgraduate study. Within the james Platt White Society, fellows are honored for gifts made during any one year that total $2,500 to $4,999. Williamsville , NY Dr. and Mrs. Pasquale A. Greco Buffalo, I Fellows ' I Dr. William S. Andaloro Caledonia, NY Dr. George Bancroft Hamburg, NY Drs. Kevin and Elizabeth P. Barlog Dr. Willard H. and Mrs. Clarice Bernhoft Amherst, NY Snyder, NY Dr. jared C. and Mrs. Barbara A. Barlow Dr. Harold]. and Mrs. Arlyne Levy Grand Island, NY Amherst, NY Dr. Robert M. Barone Dr. Edward Shanbrom Santa Ana, CA Buffalo, NY e 9 La]olla, CA Dr. Paul D. Barry Dr. and Mrs. james]. White Jr. m Williamsville, NY 9 7 Aiea, HI �• ························································································ Dr. Ronald E. and Mrs. Kathleen Batt Lancaster, NY Dr. Mark and Mrs. Kathleen Comaratta East Amhnsl, ry Gerard T. Guerinot, M.D. , and Mrs. Geri Guerinot Dr. Edwin j. and Mrs. Phyllis E. Manning Rochester, Snyder, NY Y Dr. Ralph T . Behling Dr. Lyn Corder Dr. Eugene J. Hanavan Jr. Dr. Michelle j. Marinello San Mateo, CA Buffalo,, Y Blljfalo, 'Y Williamsville, Y Dr. Richard A. Berkson Dr. and Mrs. Daniel E. Curtin Mrs. Gilda L. Hansen Dr. William L. Marsh Rancho Palos Verdes, CA Orchmd Park, NY Williamsville, NY Bethesda, MD Dr. Theodore . Bistany Mrs. Joan D'A rrigo, in memory of Dr. Pete r . D'A rrigo Dr. Reid R. and Mrs. Elenora M. Heffner Dr. Don L. Maunz Buffalo, NY Dr. john . Bivona Jr. Newbu rgh, NY Dr. Willard H. Boardman Buffalo, Buffalo,, Y Bangor, ME Y Dr. Merrill L. Miller Dr. William j. Hewett Richard H. Daffncr, M.D., and Mrs. Alva K. Daffne r Hamilton, NY West Hartford, CT Mrs. Edwina Mincks in memory of Dr. Charles B. Mincks Jr. Robert M.jaeger, M.D. Winter Park, FL Ptllsbwgh, PA Dr. Dennis L. Bordan Port Washmgton, NY Dr. David R. and Mrs. Sherrye Dantzkcr Dr. Suzanne F. Bradley Roslyn, NY Whitmore Lake, ,\1/ Dr. RogerS . and Mrs. Roberta Dayer Dr. Charles A. joy Dean Mitchell , M.D. Bt;Jfalo, NY fairview, PA Cortla nd, Y Gerard]. Diesfeld , M.D. Dr. Stephen T. Joyce Dr. joseph F. Monte Arcade, NY Buffalo, \JY Buffalo, Dr. Thomas A. Donohue Dr. and Mrs. James R. KanskiJr. Dr. james]. Moran Lexington, KY Eggertsville, Santa Monica, CA Dr. Ronald l. Dozo retz Drs. Julian R. and Mayenne A. Karelitz Dr. Thomas W. Bradley Tonawanda, NY Dr. Martin Brecher Amherst, Y Dr. Harold and Mrs. Anne Brody Amherst, Y Dr. James B. Bronk Napa,CA Dr. Melvin M. and Mrs. Elaine S. Broth man Snyder, NY Dr. August A. Bruno Amherst, NY Dr. William M. Burleigh Rancho Mtrage, CA Dr. Washington Burns Ill Berkeley, CA Drs. Evan and Virginia Calkins Hamburg, l\Y icholas J. Capuana New Hartford, Y Dr. Dr. Nicholas C. Carosella Appleton, Y Dr. Yung C. C han Drapc1, VA Dr. Michael E. Cohen Williammlle, NY Dr. D. Jackson Coleman Ha worth, Nj Allenl01vn, PA Dr. Maynard H. MiresJr. Moun/am Lakes, Nj Norfolk, VA Georgetown, DE Y Dr. Thomas W . Morgan Dr. Robert B. Kaufman North Brunswick, Nj Ontano, Potomac, \tiD Dr. and Mrs. Kenneth K. Kim Roanoke, VA Clinton, Dr. jack C. Fisher Dr. Arthur C. Klein Lajolla, CA Los Angeles, CA Dr. Penny A. Gardner Dr. Robert A. Klocke Los Altos, CA Williamsville, NY Dr. Kenneth L. Gayles Dr. Paul S. Kruger Manhasset , , Y Y Dr. Arthur W Mruczek Sr. Medina, NY Dr. Richard L. Munk Sylvania, OH Dennis A. Dr. Lawrence H. Golden Dr. Paul A. C. Greenberg Y Dr. Kim Griswold Lockport, NY Ri chard]. agel, M.D. and Mrs. Florence agel Dr. Gordon R. Lang Orchard Park, Poestenkill, Dr. Masao 1 Y Eric, PA f f a l o akandakari Drs. Robert G. and Lillian V. jamestown, Carlisle, PA Dr. Robe rt T. Guelcher Y Honolulu, HI Dr. Stanley B. Lewin Fort Myns, FL adler, M.D.* Velvedccr- Tiburo, CA Dr. Andre D. Lascari Dr. Edward F. Gudgel a PaulL. Drs. joseph L. and Marie L. Kunz Chicago, IL Btiffalo, \'Y adler, M.D. East Amherst, NY Watertown, NY Eggertsville, NY Y Dr. John D. Mountain Dr. John A. and Mrs. Karen Feldcnzer Buffalo, NY Y Dr. Philip D. Morey Williams1·illc, Y Los Angeles, CA Dr. Robert Einhorn New York, Mukilteo, WA Dr. Kenneth L. and Mrs. Jane Jewel ey Y Dr. jack and Inez Lippes Dr. Thomas P. and Mrs. Sandy O'Connor Buffalo, Y East Amherst, Y p h y c a n S u m m e 9 9 7 �······················· · ······ · ································· · ······················· · ·' ~ I Mrs. Marguerite T. O'Gorman Dr. Joseph I. Schultz Dr. Bradley Truax Dr. Myron E. Williamsjr. Eden, NY San Pedro, CA Lewiston, Y Batavia, XY Dr. Rudolph Oehm Fred and Peggy Schwarz Dr. Alvin Volkman Dr. Richard G. Williams Walnut Creek, CA Williamsville, NY Greenville, NC Clearfield, PA Drs. Dean E. and Donna W. Orman Roy E. Seibel, M.D. and Mrs. Ruth H. Seibel Dr. Arnold Wax Dr. Lester E. Wolcott Henderson , V Lt1bbock, TX East Amherst, NY Eggertsville, NY Dr. JohnS. and Mrs. Dorris Parker Dr. Molly R. Seidenberg Dr. Harold J. Weinstein Gregory E. Young, M.D. Van Nuys, CA Holland, NY Dr. Arthur M. Seigel Drs. Charlotte C. and Hyman Weiss Ca nandaigua, NY Guilford, CT Highland Park, Dr. Elizabeth G. Serrage Dr. Paul H. Wierzbieniec Dr. Franklin and Mrs. Piera Zeplowitz Portland, ME Amherst, NY Buffalo, NY Dr. John B. Sheffer Dr. Gary J. Wilcox Williamsville, Carlsbad, CA Dr. David C. and Mrs. Susan D. Ziegler Rochester, NY Latrobe, PA Dr. Robert J. Patterson Snyder, NY Dr. Norman L. Paul Lexington, MA Dr. joel H. Paull Buffalo, NY Dr. Victor L. Pellicano Niagara Falls, NY Y Dr. Timothy S. Sievenpiper Dr. Charles E. Wiles East Aurora, NY Ha111es City, FL Dr. A. john Piccoli Drs. RobertJ. Smolinski and Claudia Fosket Fort Myers , FL Orchard Park, NY Dr. and Mrs. Herbert S. Pirson Dr. William L. Sperling Orchard Park, NY San Diego, CA Dr. Cary A. Presant Dr. John E. Spoor San Marino, CA Laurens, NY Dr. Bert W. Rappole JohnJ. Squadrito, M.D. jamestown, NY Troy, NY Dr. Frederic D. Regan Dr. William C. Sternfeld Staten Island, Y Sylvania, OH F. T. Riforgiato, M.D., and Mrs. Mary-Cecina W. Riforgiato Middleport, NY 8 Dr. David W. Butsch Montpelier, VT Eugene M. Sullivan Jr. , M.D. Dr. Richard R. Romanowski Ms. Janet F. Butsch Aurora, CO Boston, NY Williamsville, NY Dr. Michael A. Sullivan Dr. Charles H. Rosenberg Buffalo, NY Mr. Barry Swartz Dr. and Mrs. JeffreyS. Ross Dr. and Mrs. Marvin Z. Kurian Amherst, NY Albany, NY Willtamsville, NY Wayne C. Templer, M.D. Dr. Albert G. Rowe Harry L. Metcalf, M.D. , and KaarenJ. Metcalf, Ph.D. Corning, NY Tonawanda , NY Dr. David M. Rowland Dr. and Mrs. James C. Tibbetts Jr. East Aurora, Y Madison, WI Dr. Eric J. Russell Dr. Charles S. Tirone Chicago, IL Williamsville, NY Dr. Adolphe J. and Mrs. L. SchoepiTin Green Valley , AZ a l o Williamsville, Y Dr. john Naughton Buffalo, Y Mrs. Marvin (Helen) Winer Sarasota, FL Dr. George Toufexis ancy Williamsville, NY p h y 5 a n s In Memoriam - The following individuals left generous bequests or made arrangements for gifts from testamentary trusts to be given to the School of Medicine and Biomedical Sciences during the past year. Dr. Russell F. Brace Randolph, Y Dr. Richard J. Kenline Tonawanda, NY Dr. Thomas A. Rodenberg Hollywood, FL Dr. Mark W. Welch Rochester, :-JY Dr. John L. Butsch Williamsville, NY Stamford, CT ecial Members A few individuals and couples were granted multiyear memberships based on generous gifts made between 1989 and 1993. They will receive special recognition through December 1999. At that time all memberships in the society will be made on an annual basis, including ongoing recognition for Founders' Circle members as they reach 550,000 in cumulative gifts. Elizabeth A. Storch Buffalo, NY f Wa lnut Creek, CA Las Vegas, NV Hamburg, NY f ~ Dr. Wende W. Young Dr. Roger M. Simon Dr. Harry Petzing B I u m m e 9 9 We have made every effort to ensure accuracy in these lists. Please contact Dr. Linda) . Corder, Ms. Catherine Williams, or Mrs. janet Parker in the Medical School Development Office if we have made an error or if you would like your name(s) to be listed differently in fut ure recognition documents. Send mail to: Room 141 Biomedical Education Building, UB School of Medicine and Biomedical Sciences, 3435 Main Street, Buffalo, NY 14214-3013. Phone: (716) 829-2773. Fax: ( 716) 829-3395. E-mail: <ljcorder@acsu.buffalo.ed u>. �• ········· · · · ··················································· · · ·· ···· · ··············· Clinical curriculum traces its roots to Buffalo BY S COTT T HOM A S t was half a lifetime ago, at the beginning of their careers . But for five pioneering medica l educators who came together once again to reminisce, the memories remain as sharp as a new scalpel. A "Celebration of Medical Education" honored the five former UB faculty members who created the Project in Medical Education, an innovative effort from 1955 to 1959 to expose beginning medical students to clinical experience and small-group teaching. The project was revolutionary for its time, and not without controversy. Previously, medical students had spent almost all of their first two years in the lecture hall. The Project "we should bring together medical educators and professional educators to see if there was something we could learn from them-and perhaps even they could learn from us." The idea evolved, Miller said, into a series of courses taught jointly by professors in medicine and education, and programs for visiting professors to spend time in both the School of Education and the medical school. 'The colonization began there, but in the course of the next few decades it has spread worldwide," he said. "All these schools have to acknowledge that the seeds of this movement began at the [then] University of Buffalo." Stephen Abrahamson, Ph.D., Ed.D., was on the School of Education faculty at the time; his career has since taken him to the University of Southern CaliLeft to right: Miller, Abrahamson, Rosinski, Jason, and Becker fornia, where he is now professor emeritus. He said he had one proviso when agreeing in Medical Education got them into hospitals and working with patients, an approach that to co-direct the Project in Medical Education: has become the standard for medical educa- " o gross anatomy, and no operating room. " Abrahamson noted the rise of "a bottomtion in the United States. At an April 24 presentation, the five pio- line mentality" with the advent of managed neers shared thoughts on why the project care; he also pointed with hope to the enorsucceeded so thoroughly, and where medical mous amounts of material now widely education might be going in the years ahead. available through the Internet. "In my 35 years of medical education," George E. Miller, M .D., co-director of the project, went on to the University of he added, "''ve tried to learn not a damn Illinois Medical School and is now professor thing about medicine. And the little I have learned has made me pray for health. " emeritus there. Edwin F. Rosinski, Ed.D., earned his docHe spoke of how Stockton Kimball, dean ofUB's medical school at the time, agreed that torate at UB while working on the project. B u f f a l o P Since then, his career has taken him to the Medical College of Virginia; the U.S. Department of Health, Education, and Welfare; the University of Connecticut; and the University of California at San Francisco, where he is now professor emeritus. Rosinski predicted a greater emphasis on outpatient and primary care-the latter a strength ofUB's medical school curriculum, which has become a national model. Hilliard Jason, M .D., Ed.D., earned his medical degree and his doctorate in education from UB. He now directs the Center for Instructional Support, in Boulder, CO, and is clinical professor of family medicine at the University of Colorado Medical School. jason recalled an initial disillusionment with medicine, due to a histology professor who "insisted that we spend hours peering through a microscope at tissues and putting dots on paper to match the shading of what we saw. " That changed with the Project in Medical Education. "I was so excited that there was somebody here who was challenging the status quo. There was this other side of the school that was enormously exciting and enriching." jason sees a plus side to managed care. "The arrival of the bottom-line mentality brings with it the notion of accountability. We have not had that in medical education. " Donald Raymond Becker, M.D., taught surgery at UB until1980, then went to the University of Connecticut at Hartford. ow emeritus there, he teaches at the University of California at Davis. "There have been so many changes in medicine in the past 40 years," he said. "Humanism courses and biomedical ethics committees; AIDS; more women and minorities in the profession. Some say medicine has become too cold, too remote, too impersonal, too unavailable, too money-hungry. "But when students today ask me if I would do it all over again, my answer is still: 'In a flash! ' Why should it matter to me who pays me or how much paperwork I have to do? There will always be the sick who need healing. " hysician + Summer l 9 9 7 B �Put tfze best seat in tfze fwuse myourgarage. ·······················································•· ~ I Residencyslotstobecut by 20 percent overfive years 1997 Buick Riviera Riviera: the most sophisticated personal luxury car Buick has ever offered. It is designed to stir the spirit and excite the soul. We at Paul Batt Buick are proud to serve the people of Buffalo and its surrounding communities. For the last 43 years, we have offered the lowest prices possible, along with the very best in service. We value the professional and the hard working labor force in our community and will continue our efforts to maintain their loyalty. When you enter our showroom you will find helpful people, not pressure-so when you think of Buick sales and service, we know you'll think of us! Joseph R. Pera Paul V. Batt, Jr. 'ldat'JJaff7lllll1 1717 Walden Ave., Buffalo, NY 891-5595 B u f f a l o he number of medical residents trained in Buffalo will be reduced by about 20 percent over the next five years in response to a Medicaid incentive program and cuts at the Veterans Administration. The Graduate Medical Dental Education Consortium of Buffalo had 687 Medicaid-funded residents in training in 1996. That number will be reduced to about 545 by the year 2001 , said Roseanne Berger, M.D., UB associate dean for graduate medical education. The cuts are part of an incentive program for ew York State hospitals offered by the federal Health Care Financing Administration, which runs Medicaid. During the five years of the cuts, HCFA will ease the transition by paying the participating hospitals a percentage of the money they would have received had they continued to train residents at 1996 levels. At the same time, the Veterans Administration is also cutting back on residency training. The Buffalo consortium now trains about 101 VA-funded residents; over five years, this figure will be cut to about 89, according to Gerald Logue, M.D., chief of staff at the Veterans Affairs Western ew York Healthcare System at Buffalo. The result will be a reduction in the number of Buffalo-area medical residents from 788 to 634. Also, a larger percentage of the remaining residencies will be in primary care areas. "Residencies are paid for with public money, so the numbers and types of residents should be driven by what the country needs," Logue said. Nationally, there is a concern that schools are training too many doctors, and specifically, too many specialists. There's also concern about the high cost of medical education, which contrib- Physician summer 1 9 9 7 I utes to the overall expense of health care. For example, federal budget officials have predicted that the Medicare Trust Fund, which is the source of much of the country's GME funding, will have a $600 billion deficit by 2002. As long as residency training provided income for hospitals, there was a strong incentive to create more residency positions and use the residents to take care of indigent patients. Sometimes, residents found themselves performing procedures not because they were required for board certification but because the hospital had no one else to do them. The trend has resulted in many more residency positions than can be filled by graduates of American medical schools, leading hospitals to recruit international medical graduates (IMGs). The changes are likely to start reducing the number of IMGs in the U.S., and Roseanne Berger residents may soon be able to select the types of hospital work they need in order to meet their own educational priorities rather than doing what is needed to care for patients. In addition to the changes in the two federal sources of GME funding, more changes are afoot at the state level due to the ew York State Health-Care Reform Act of 1996. Details remain to be worked out. However, Berger said these changes probably won't result in deeper cuts in Buffalo's programs. The changes provoke a variety of reactions at UB. Some feel that residents will end up better off: "I think this has the potential to strengthen many of our residency programs, " Berger said. "Many of our faculty see it as an opportunity." + - JESSICA ANCKER �_, ............ . . . .................................. . ..................................... . lEI Asthma in the urban community BY MICHAEL CLASS KANE , OF 1998 NOW I KNOW IT'S NOT THAT SIMPLE lenty of studies show that asthma is a growing concern of the inner city. The challenge that I am seeing early in my medical career is making the transition from textbooks, algorithms, and studies to actually helping people with asthma manage their condition outside the physician's office. Over the past two years, I have had the chance to see up close the environIn addition, I learned the importance the opportunity to work with Carlos ments in which Lower West Side asth- of being sensitive to the financial rejaen, M.D., and the Center for Urban matics live. sources of patients. Physicians often tell Research and Primary Care (CURE PC) Of the asthmatics we studied, 80 per- asthmatics to vacuum frequently to reon a comprehensive asthma study done cent were Hispanic, two-thirds received duce the level of dust, or to get rid of in Buffalo's Lower West Side. We iden- public assistance, and more than half cockroaches. But some patients can't tified asthmatics in the community and were exposed directly or indirectly to afford a vacuum cleaner, and they may gathered information about their medi- environmental tobacco smoke. Fewer have no choice but to live in cockroachcal management and knowledge of than half of the adults had a high school infested subsidized housing. asthma, their home environment, their education. More effort has to be put into smokexposure to environmental tobacco My eyes have been opened to many of ing prevention/cessation programs. smoke, and their socioeconomic status. the problems physicians face I joined the research team in per- when treating a chronic disease forming more than 800 home inter- in an urban community. One views in this poor, urban community. I of the most obvious problems became aware of the many sociopolitical was communication. I speak problems of this area, and of many asth- very little Spanish. Sitting in matics' poor understanding and man- patient interviews with a biagement of their condition. lingual researcher, I imagined The a tiona! Asthma Education Pro- what it must be like for a gram publishes guidelines for managing panish-speaking patient who asthma, ranging from the use of corti- enters an emergency room and costeroids, bronchodilators, and peak gets maybe 30 seconds of inflow meters, to the elimination of envi- struction for preventing the ronmental irritants, such as dust, pets, next acute asthma attack- in or tobacco smoke. English. When l first read those guidelines, I gained a better appreciathe management of asthma seemed easy tion of explaining things in enough. I thought that there was noth- plain language. Before I studied ing about asthma that couldn't be ex- asthma, I had no idea what a plained and brought under control after " nocturnal exacerbation " a few 15-minute visits to the clinic. was- it just sounded ow I know it's not that simple. Dr. serious. But that's the kind of term a Almost all the people we interviewed jaen tells his medical students, "In order doctor is Iikely to use when describing a knew that tobacco smoke can make to practice good medicine, you must night-time asthma attack. It's no won- asthma worse , but many still lived in a know the community in which you prac- der some patients-whether they speak smoke-filled environment. One home tice." My experience with him gave me English or not- don't understand. we visited had four children under the ® B u f f a 1 o Physician Summer 1 9 9 7 �UBMICRO COMPUTER SALES A Non-Profit University at Buffalo Se ice Program age of seven with asthma. one of the children were on any sort of treatment plan, and each of the parents smoked two packs of cigarettes a day. I asked what they did when their children had trouble breathing. The parents replied , "Take them to the emergency roomwhat else? " Besides the asthmatics who had no medications to take , there were others who took potentially harmful medications incorrectly. In one home , I interviewed a girl and her grandmother, both with asthma. During the interview , the girl began wheezing. She took an albuterol nebulizer treatment, and when that brought only partial relief, she went to her grandmother's medicine tray and took one of her grandmother's prescription 300 mg theophylline tablets. When I asked about it , the granddaughter explained that she some- Letter to the Editor times had to take her grandmother's medication because it was stronger. I took the opportunity to tell her that these medications-and others-can be dangerous iftaken inappropriately. I urged her to talk to their physician about a medicine review. But even though we both were speaking English , I suddenly got the feeling that I was speaking a foreign language. It is very easy to feel that these sorts of problems are out of the physician's hands, and that people will do whatever they want. However , after working on the CURE PC project, I know that I am going to try my best to confront many of these problems and work with patients for a better quality of life. That, after all , is what the patients really want. + Mi chael Kan e, who wi ll sLa rl hisfatmh yem of medi cal school this f all, is C0 11 sideri11g el!l cringfamil) medi cin e. Buffalo Phys ician received this letter in respo nse to Mike Merrill's www.ubmicro.l)uHalo.edu Call 645· 554 YOU ARE ELIGIBLE for academic pricing on... Acer • Adobe • Apple • Corel • Dell • Hewlett Packard • Microsoft • Texas Instruments & much more ... Delivery &Setup in your home or office available! "A Student's Perspective" column in our Winter 1997 issue. Computer Workshops May 6 , 1997 Call 645-3560 to have a brochure mailed to you. Dear Mike, • On-Site Private Training available. • Scheduled workshops start at $59. • 1/2 day miniclasses target specialized topics. 1 thought you 'd be interested that a guy as far away as Oklahoma really enjoyed your article "Medicine is a Game of Power" in Buffalo Physician. Thirty years ago, I took a watered-down version of the Oath of Hippocrates, which I suppose you will soon do. But keep in mind the spirit of the original . And the violations of it. In my opinion, in spite of "powerful enemies, " the intrinsic value of a good physician is tremendous and will prevail. Water finds its level. Third-party pay is inherently corrupt. You will be more valuable than you think. r Cordially, Summer hours: Mon thru Fri I 1-S Ed Ellis , M . D . Rowland Ellis Flatt Clinic Antlers, Oklahoma A non-profit UnivefSIIy program for students, faculty & staff The Commons • North Campus • (716) 645-3554 • Fax : 645-3884 B u f f a I o P hysician Summer 1 9 9 7 �• · · ··· · · · ·············· · ········ ··· ·· · ······· · ·· · · · ···· · ········ ·· ··· · ·· · ··· · · · ·········· New Alumni Association ollicers elected ared C. Barlow, M.D. , was elected president of the Medical Alumni Association at Spring Clinical Day on April 26. Barlow, an anesthesiologist, is medical director and administrator of the Millard Fillmore Surgery Center in Williamsville, Y, and serves as chair of anesthesiology for the Millard Fillmore Health System. A UB clinical associate professor of anes- Jared C. Barlow thesiology, he graduated from the medical school in 1966. Barlow was recently appointed to a three-year term on the New York State Committee on Quality Measurement, which develops quality measures and promotes research on clinical practice guidelines. He succeeds Jack F. Coyne, M.D ., as president of the Medical Alumni Association. Elizabeth L. Maher, M.D., becomes vice president of the Medical Alumni Association. Maher is a 1985 graduate of the medical school and a UB clinical instructor of medicine. A specialist in family medicine , she is an emergency department Elizabeth L. Moher attending physician at Medina Memorial Hospital. Richard Collins, M.D. , a primary care physician with the Buffalo Medical Group, is the new treasurer of the Medical Alumni Association. He also served as program director for Ri(hord Collins Spring Clinical Day. + Alumni Association honors four our prominent alumni were honored with Lifetime Achievement Awards from the Medical Alumni Association at Spring Clinical Day. Pictured below, from left to right, they are Jack Lippes '4 7, Eugene Marvin Sigman '52, Ross Markello '57, and Richard Ament '42. Of Lippes' research into reproduc- Left to right: Lippes, Sigmon, Morkello, and Ament tion and contraception, his best known work is the invention of the S-shaped intrauterine device known as the Lippes Loop. His biochemical studies of oviductal fluids have also been instrumental in developing treatments for infertility. A UB professor of gynecology and obstet- ® rics , Lippes has served as an international family-planning consultant to the World Health Organization, as well as numerous countries. He serves on the IUD committee of the International Planned Parenthood Federation. Sigman held positions in the Departments of Urology and Surgery at UB, Buffalo General Hospital, and Roswell Park Cancer Institute before moving to the University of Connecticut as professor of surgery and chair of urology. In 1985 , he became dean of the University of Connecticut School of Medicine, a position from which he recently retired. Markello , a former chair of anesthesiology at UB and E. J. Meyer Hospital (now Erie County Medical Center), recently retired as associate medical director of Independent Health of B u f f a I a Western ew York. He served UB as assistant dean for graduate medical education from 1978 to 1981. Markello has held a Sloan Fellowship through the Massachusetts Institute of Technology School of Management's Health Executive Development Program. Among numerous other professional honors and activities , Markello served from 1980 to 1981 as associate project director of the Love Canal Cooperative Health Study for the Centers for Disease Control and Prevention . Ament , a clinical professor of anesthesiology at UB , is a past president of both the American College of Anesthesiologists and the ew York State Society of Anesthesiologists. He also served on the executive committee of the World Federation of Societies of Anesthesiologists and as secretary of the Council of Medical Specialty Societies. An active member of the American Medical Association , he has testified on medical issues before Congress and the U.S. Justice Department. + -J.A. Physician Summer 1 9 9 7 �Reunions at 60th annual Alumni Weekend 1 9 4 7 First row (left to right): Ferdinand Paohm, Hallie Buchanan Mont, Peter Juhan, Robert Ehrenreich Second row (left to right): james Philhps, james Stagg, Arthur Schaefer, Daniel Curtin, Phihp ReitZ, Donald Nuwer, Ste\'en Cline, William Baker, Harold Pescovitz, David ichols, Elbert Hubbard Ill Third row (left to right): Robert jaeger, Robert Segal, Robert Dean, john Sheffer, Hans Kipping, Frederick Whiting, john Waite, john Weiksnar First row (left to right): Oli\·er Steiner, Burton tulberg, Bern1e Dm•1s, Phoebe aturen, Kurt Wegner, james Szabo Second row (left to right): eil Fuhr, Eugene Sigman, Donald Dohn, Victor Panaro, Ralph Obler, joseph Gene\~ich, Melvin Oyster, Alfred Lazarus, Wilbur Schwanz, S. Aaron Simpson, Robert Baumler, Donald Sprecker 1 9 5 7 First row: Roberta Gilbert Second row (left to right): George R. Tzetzo, David Carlson, Anthony Markello, joseph Armenia, Arnold Lubin Third row (left to right): jack Fisher, Sebastian Fasanello, Paul Loree, Owen Bossman, Robert Klocke, john Cudmore, Philip Morey First row (left to right): Charles O'Connor, Gregory Thorsell, Ben Celniker, Bronson Berghorn, Ross Markello, Richard Miller, Hilliard jason Second row (left to right): Bernard Wakefield, james Lasry, Robert Carpenter, Germante Boncaldo, john Parker B u f f a l o p y s c a n 5 u m m e 9 9 7 �[ll 1 9 6 7 First row (left to right): Thomas Augustine, Laird Quenzler, John Treanor Second row (left to right): Margaret Brown, Thomas Sheehan, John Menchini, Douglas Sirkin, Adele Gottschalk, Linda Young, Richard Young, John Anderson, Ronald Josephson, Barry Epstein Third row (left to right): Frank Perlroth, Rocco Venuto, Michael Phillips, William Burleigh, Trevor Robinson, Jonathan Ehrlich, Harvey Schwartz, Alan Saltzman, Arthur Sosis, Donald Miller, Thomas O'Connor, James Giambrone, David Fugazzotto, Anthony LoGalbo First row (left to right): Dennis Gross, Virginia Hawley, Robert Einhorn, Linda Kam, Joseph Oliver Second row (left to right): Alan Ast, Stuart Rubin, Robert Folman, Ian Frankfort, Martin Brecher, Murray Morphy, Richard Rivers, Russell Elwell First row (left to right): Eugene Paul, Thelma Caison-Sorey, lldiko Kondray, Antoinette Wozniak Second row (left to right): Alan Kuritzky, Howard Lippes, Albert Schlisserman, Steven Stone, Helen Marie Findlay, Kevin Greenidge, Nedra Harrison, Gregory Young, Janice Williams, John Norlund, Richard Terry, Michael Kressner First row (left to right): Gerald Harster, Michael Cesar, Joseph Leberer Second row (left to right): Timothy Gee ring, Joseph Gelormini, Mary ® B u a 0 Kelly, Elizabeth Barlog, Kevin Barlog, David Kurss, Michael Bartlett Third row (left to right): Joseph Gioia, R. Scott Crandall, Philip Stegeman, Benjamin Contessa, Joseph Wayne p y a s m m e 9 �First row (left to right): Beth Wutz, Elizabeth Conroy, Katharyne Sullivan, jack Hsrao, Patricia Reddin Vories, Marie Longo, E\·elyn Coggins, Stephanie Fretz Second row (left to right): Randall Loftus, Mark Swetz, Cynthia jensen, George Pancio, Mrchael Longo, Paul Paterson, Atle Skattebol (Identification not ava ilable befo re publication) If you come loolting for a car, you'll be a~vfully disappointed. HoWEVER, there's little chance you'llleave that way. BECAUSE at the Land Rover Centre, we have the world's most impressive 4x4s. AND people who can answer anyof your questions about driving. A4x4, of course . •, Amherst A NORTHTOWN AUTOMOTIVE COMPANY 3560 Sheridan Drive Amherst, New York 14226 (716) 831-3100 • (716) 835 FAXX (3299) B u f f a l o P hysic i an summer 1 9 9 7 �• ......................................... . THE ULTIMATEDRIVING MACHINE: • 9 1 3 0 5 ogy and was named McAllen's of "1996 Honoree. " Kuhl moved Y, writes, "From the to south Texas after complet- forgotten '30s: Last time 1 ing his residency in dermatol- HENRY H . Snyder, HAIN ES ' 33 , checked, there were ten M.D.s ogy and serving in the U .. from 1933. 1 sent a letter to all and was immediately informed Army and the Public Health Service. In addition to his prac- there were nine still alive. Some tice, Kuhl helped found a clinic are still healthy, one with a for Hansen 's disease and Checkpoint Foreign Car, Inc. Sales and Service 487 Kenmore Avenue Buffalo, NY 14223 stroke, me with two bypas es worked in the county venereal and cataracts, but still ambula- disease clinic. A past president tory. I'm still registered, for of the Texas Dermatological Society and a member of the 836-2033 etc.), but retired. 1 turned 90 City Health Authority, he year old on May 4." served as clinical associate pro- Your WNY Leasing Specialist Serving WNY proudly for 33 years convenience (prescriptions, fessor at the University of Texas 1 9 IV A N W. 4 0 K UHL ' 45 , 5 of McAllen , TX, recently retired from his practice of dermatol- Science Center for 17 years. With his wife, Ruth , he raised nine children, two of whom have become physicians. TAKE TWO~ -.. AND CALL ME IN THE MORNING! f;'\d )o ... r OW'\ roaE * Fact: Saab owners have a higher education level than any other car owner group. * Saab purchase prices starting low to mid 20's; leases starting at $299 per month. * According to the Insurance Institute for Highway Safety (IIHS), the Saab 9000 has the lowest fatality rate of any production car on the marl<et. ''The best m a de line in America" since 1913" 300 CRESCENT STREET • JAMESTOWN, N.Y. 716 664-5260 SOUTHTOWNS SAAB -Our Only Location- 3580 Southwestern Blvd (1 Mile east of Rich Stadium) Open Monday - Saturday 10-4 • MasterCard & Visa Accepted Take Thruway Exit 59, then Rt. 60 south to Jamestown. In Jamestown follow Rt. 394 east to Winsor Street; turn left on Crescent. Buy direct from our factory at wholesale prices. Save at least 50%. (?16) 662·800~ 8® 8 u f f 0 l 0 Physician Summer 1 9 9 7 �······································· · ··················································• HI ' 1 9 5 0 5 JAMES E . YOUKER '5 4 , of FRANKLIN ZEPLOWITZ '58 , in May. His new bride, of Buffalo, Margarita (whom he met in medicine.Iwillbeteachingstudents and residents in the ambulatory setting. Y, is the new Hartland, WI, received the president of the Bogota on Project World Gold Medal of the Association Medical Society Health), graduated in 1996. of University Radiologists at its of the County of They matched in Seattle for 45th annual meeting in Dallas, Erie. He suc- neurosurgery and family practice, respectively. David Sherer system chair of pediatrics for Atlantic Health System in annually to an outstanding ceeds Russell Bessette '76. '69 has been hospitality king radiologist for long-term Zeplowitz during the interviews." contributions to education, the TX. The honor is awarded is 1 9 7 0 cago, IL, has been elected vice and is chair of the radiology as a clinical instructor of sur- president of the American Soci- ERIC RUSSELL '74 , gery at UB. Lackawanna, classmate Rasinski julius Jr. '59, of Durango, CO, retired early in 1996 as a family practitioner. He had he will be re- of Chi- Sandra Fernbach, M.D., was el- Victor system chair, sponsible for merging all pediatric care un- ety of euroradiology. His wife, College of Wisconsin. 9 of ], has been named 5 director and chief of staff at 1 FELD '79 , J. As the first Our Lady of Victory Hospital in Lackawanna, NY, and serves of Y, writes: "Our Randolph, medical research, and patient care. DANIEL C . KOZERA '59 , LEONARD G . Florham Park, Youker practices at Froedtert Memorial Lutheran Hospital department at the Medical 6 0 5 evated to the executive council of the American Roentgen Ray WILLIAM E . ABRAMSON '60 , of Baltimore, MD, recently Society. KAREN tification in addiction medicine from the American Society of Addiction Medicine. der one department for the hospitals and the outpatient facilities. Atlantic Health System serves as a major teaching affiliate for both passed the examination forcer- been the team physician for GLASGOW '76 , of ew jersey Medical School and Co- Columbus, OH, writes, '·Re- lumbia University. Feld has been cently, I left a multidisciplinary chief of pediatric nephrology, director of the Children's Kid- group practice to become the the California Angels ever MOIRA J . of assistant program director of ney Center, and professor and since the team was founded. Tampa, FL, writes: "Two new internal medicine at Riverside vice chair of pediatrics at UB and He also served as team physi- physicians have been added to Methodist Hospital in Colum- the Children's Hospital of Buf- bus, where my husband, Pat Hayes '76, practices emergency falo since 1983. cian for the L.A. Rams." BURK E '69 , my family. My son, Brendan, graduates from medical school NICHOLS MIDDLE SCHOOL • Challenging, innovative curriculum • Outstanding preparation for high school • Average class si:e of 14 students • Interscholastic sports • Comprehensi,·e visual and performing arts program • Dedicated, caring faculty • Financial aid available For further information, call: 875--8212 B I u f f a l a p 1 c i a n 5 m m e �• •••••••••••••••••••••••• . HURWITZ & FINE, P.C. I [ 1 EDWARD 9 A. 8 TORIELLO 0 ATTOR EYS AT LAW I I N F I N IT I 5 S ERVICING '80, of Brooklyn, THE L EGAL NY, was appointed to the board of directors of the American Academy of Orthopaedic Surgeons at the organization's 64th annual N EEDS OF THE meeting in February in San Francisco. He is H EALTH S cm cEs chieJ of the Department of Orthopaedic Surgery at Wyckoff Heights Medical Center in Brooklyn, and is attending orthopaedic surgeon at St.john's Queens Hospital , Catholic C OMMU ITY Medical Center, in Queens. Toriello also serves on the board of directors of the New York State Orthopaedic Society and as a • Purchase & Sale of Practices The f ront-wheel Jrive lnj initi® 130n 1 • Managed Care • Business & Tax Planning delegate for the Medical Society of the State of ew York. An titterior more .•paciotM than a Roll• Royce Sil<•er Spur 11!. An e:rceptionally gmmllt.J li.<t of .<fanJard lu.-rury feature,<. A 190-hp V6 mpable 4 out-acceleratin,q many lu.mry v&•. AnJ of cour.<e, the ,</andard-,<elling performance and ,<erl'ict of lnfiniti. • HCFA Safe Harbor Regulations SJ99 mo. 56 mo. lean $999.00 dOII'n and Physician Self-Referrals LYNDA KARIG HOHMANN '81 , of Albany, Y, writes that she joined the Capital Dis- • Contracts with Private trict Physicians Health Plan as associate medical director. Prior to that, she had been & Public Entities medical director of a local addictions pro- • Employee Relations gram for four years. "Heather, my daughter, turns 21th is year and plans to go to medical Counseling school in another year." JANET • Fringe Benefit Programs '84 and JOHN '84 , of Morgantown, WV, WILL I AMS BARBACCIA • Representation Before Government Agencies on announce the birth of their fourth child, Nicholas Andrew. He joins Katie (5), Matthew (3), and Thomas (1).john is residency Audit & Business Issues • Facility Finance director for the Department of Anesthesiology at West Virginia University; janet is research director in the university's Department of Emergency Medicine. and Construction • Credentialing and By-Laws MARTHA PAVLAKIS ln t r ouu cing tbe a ll n ew 97' QX4® f r om SJ5,550. 00 in an lnfiniti® QX-1®, one of tbe fit-.<1 !bing.< you'll e,<cape 1~1 tbe mtmdane. Becau.1e !be QX-1 i.1 not your typical lu.-rury .<portuttlity l'tbicle. lflbi/.e it 1!{/erd all tbe l'tr.latility you e:rpect from a l'ebicle of it.< kint), tbe QX-1 offer.~ .Jome/ bin.9 you Jon 't e.~flecl: tbe lu.~·ury of an lnfiniti. '88 , of Stanford, CA, • Hospital/Medica l Staff Issues is an assistant professor of medicine (nephrology) at Stanford niversity Medical Center. "My clinical work is in kidney and pancreas transplantation, and my research Please contact Robert P. Fine or Lawrence M. Ross at 716-849-8900 interests are acute rejection and gene expression in transplant dysfunction. " I N F I N IT I AUTO PLACE INFINITI 8129 MAIN ST. , WILLIAMSVILLE 633-9585 '88 and MARY DAVITT Y, write, "We are proud to M ITCHELL TUB LIN '88 , of Albany, East of Transit Rd., Near Eastern Hills Mall announce the birth of our third son, Andrew james Tublin , on October 15 , 1996. Andrew joins Daniel (4) andjoshua (18 months) in ® 1300 Liberty Building Buffalo, New York B u f f a L o ( 130-$450). Bank fee + tax and license due at mception. 12,000 annual mileage. $.15 per m1le in excess. Physician Summer 1 9 9 7 �.........................................................• 11 ' Advertise in one of the finest publications in Western New York ... the Tublin gang! Mitch is assistant professor of radiology at Albany Medical Center; Mary state, and national levels." He had served for four years as the student representative to is practicing pediatrics, also at Albany Medical Center." the medical society's advisory council, and as student councillor to the ew York State Medical Society's governing council. He is CAROL V. R . DECOS T A ' 89 , of Brooklyn, NY, writes, "I was recently promoted to associate director of outpatient rehabilitation at the Staten Island Univer- Buffalo Physician sity Hospital. My practice also includes sports medicine. I was one of the physicians who covered the volleyball players during the Centennial Olympic Games in Atlanta last summer. " RUff"tU f"~S\[\"" 9 9 0 5 MARY RITA MURPHY '90, ofMarshalltown, lA, has moved from Tucson, AZ, to Iowa and will be in private practice with a partner starting in October. She writes that she is happily married and has three sons, ages 5112, Jih, and 18 months. (716) 645-6933 Michael J. Baranski Marketing Representative ADVERTISING 146 Stepping Stone Lane Orchard Park, NY 1412 7 a u t f o 1 o P hysic Levey is starting a residency in obstetrics and gynecology at George Washington University. RESIDENTS A . SWIANTEK ('73-'76), of Williamsville, Y, is in the process of pat- enting an instrument for prostate surgery called the ortech Sled. The instrument allows surgeons to perform electro-surgical vaporization for soft-tissue resection and desiccation. He writes that the procedure resects through soft tissue, prevents postoperative bleeding, and yields high-quality of Vienna, VA, tissue samples for pathological analysis. writes: "I have been appointed to one of the chief resident positions in the Georgetown OBITUARIES CRAIG CHEI FETZ ' 95 , Internal Medicine Program. I have recently won an award as a finalist at the Washington Regional American College of Physicians meeting for a poster presentation on Rhodococcus equi pulmonary infections. I have been elected to serve on the ACP Washington, DC, Regional Associates Council." REGINA Y. K I M '97 . of Akron, OH, is starting her family medicine residency program at Akron City Hospital!NEOUCOM . "I got married on October 12, 1996, in Rochester, NY, to Edward B. Yoon , M.D. , who is a fourth-year OB-GY resident at Akron City Hospital. We have a new yellow Labrador pup named Scout." BARANSKI also an alternate delegate from the AMA Medical Student Section to the American Medical Association's House of Delegates. PHILIP 1 Give us a call : I K E NN ETH L E V E Y '97 , ofBuffalo, Y, was honored by the Medical Society of the County of Erie at its annual meeting in May. He was recognized for "being an enthusiastic representative of organized medicine at the local, o n 5 m m e 9 9 7 ROBERT OEH L ER ' 38 , of Amherst, NY, died May 23 , 1997, after a long illness. The retired surgeon and veteran of World War II was 82. Born in Buffalo, he attended School 53 and was a graduate of East High School. After earning his medical degree, he completed his residency at Buffalo General Hospital. He entered the U.. Army in 1941 , serving until1946. His assignments during the war included duty on the Aleutian islands off Alaska. Oehler returned to Buffalo after the war to open his surgical practice and was on staff at Buffalo General Hospital and Children's Hospital until his retirement in 1979. He was a member of the American College of Surgeons, the American Medical Association, the Buffalo Surgical Society, and the Gross Medical Club. An avid fisherman and hunter, he was also a member of the Buffalo Athletic Club. He is survived by his wife of 4 7 years, the former jean Yeo. �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [1] Magnificent BUILDING LOTS . I of Williamsville, Y, died March 23, 1997. A pioneer in alcohol rehabilitation, he helped the American Urologic Association. Among his honors were election to fellowship in both the American and the Royal Canadian publicize the concept of alcoholi m as a di ease and a public health problem. In Colleges of urgery. He served as president of the iagara County Medical Society and 1948, he started and directed the first alcohol rehabilitation center in ew York State. He also worked with Alcoholics Anonymous in treating patients. Born in Buffalo, the Buffalo Urological Society, and was an enthusiastic teacher as an assistant profes- KENNETH GOLDSTEIN ' 39 , Goldstein was the 1932 Buffalo Evening ews city tennis champion and state doubles champion. After earning his M.D. , he completed a residency at the former E. j. Meyer Memorial Hospital , and served as a major in the Army Medical Corps during World War II. Goldstein practiced internal medicine and gastroenterology in Buffalo, teaching at UB as a clinical professor and serving on the staffs of Millard Fillmore Hospital and E.]. to Tucson . He was hired by THMEP to serve as chief of urology and director of the urology training program at the County and Kino Community Hospitals from 1975 to 1983. After a brief retirement, Baer served eight years as the first urologist of the Salt Lake City FHP Medical Group before re- Medical Alumni Association. He is survived oughly enjoyed his full life with his family, by his wife, Loraine, and a son, Harvey R. his varied medical practice experiences, and his love of golf, traveling, sailing, and skiing. He is survived by his wife of 50 years, Babette; his three children, David (of Pied- BAI SC H '45 , of La jolla, CA, died last year at the age of 74. A surgeon, he was certified by the American Board of Surgery and the American Board of Thoracic Surgery. The Summit at &herff is a truly extraordinary residential development, unrivaled in Western New York. estled in the hills of Orchard Park, this magnificent 81-acres has been subdivided into 50 estate-sized building lots surrounded by Chestnut Ridge Park and Neuman Creek in a very private enclave. turning again to Tucson to retire. ever the type to consider retirement an all-ornothing event, Baer then served as a cruise physician for Society Expeditions. He thor- BRUCE F O RDIN G As a former president of the University at Buffalo medical school Alumni Association and a practicing surgeon in Western ew York for many years, I've come to understand what members of our profession desire in a home site · privacy, tranquility, fresh air, and pristine surroundings. sor of surgery and urology at the University at Buffalo. In 1975 Baer and his wife moved Meyer. He was a past president of the UB Goldstein, M.D., UB Class of'77. Dear Colleague: Specifically as an escape from the fast-paced everyday life we lead, it's features include: • Spectacular panoramic views of the Canadian shores, Lake Erie, and the Buffalo skyline mont, CA), Laurence (of Laurel, MD), and janet Elisabeth (of Brookline, MA); and his • Mature woods and secluded ravines ten grandchildren; as well as by his brother, Howard (of Plant City, FL). • Quick and easy access to the freeway systems leading to Buffalo and the city's northern suburbs • Oversized lots for your dream house • Privacy, seclusion, and exclusivity R ICHARD A . BAE R '46 , of Saddlebrook, AZ, died March 26, 1997. He was born in iagara Falls, Y, on August 5, 1921. After graduating from the University of Michigan and the University at Buffalo medical school, he served a year's internship at Sisters of Charity Hospital in Buffalo before joining the U.S. Navy. He spent two years on the medical staff of the Great Lakes Training Center Hospital and then completed further training in surgery and urology at Mt. Sinai Hospital , Metropolitan Hospital, and Western Reserve University in Cleveland, OH. Baer then returned to iagara Falls, where he practiced urology for 22 years. He was a diplomate of the American Board ofUrology and a member of ® of Orlando, FL, died injanuary of cancer. Born in J O HN L AWR E N CE MU SSER ' 51 , The Summit promises to be one of the premier areas in Western New York to construct your ltLxury residence. 1 invite you to take a stroll through this picturesque setting. For our detailed brochure or a private shmving please call (716) 667-2237 or Buffalo, Musser served as a sergeant in the .S. Army from 1941 to 1945 in the orth African campaign of World War II before going to medical school. In 1958, he and his family moved to Hawaii , where he practiced (716) 472-3790. at the Hawaiian State Hospital in Paavilo Sincerely yours, and served as chief of psychiatry for Hilo Hospital and Institution of Mental Health. Musser also served in the Peace Corps. After returning to Western ew York in 1965, he Edmond J. Cicewicz, ~1.0. Past President, UB Nl.edical Alumni Association practiced psychiatry in Mayville, Y. He moved to central Florida in 1986 and worked for the Seminole County Public Health Department. He is survived by his wife, orma, THE SUMMIT AT SCHERFF and three daughters. 6 f f 0 l 0 O rcha rd Pa rk, New York p h y s I o n S u m m e 9 9 7 �Who says there's nothing good on TV? As busy as they are, physicians and other health care providers always take the time to watch MLMIC's top-rated risk management education programs. • When they tune into high quality programming broadcast over our satellite network, viewers know what they see will help enhance patient safety and reduce injuries. They also appreciate the policyholder discounts available to participating physicians. • MLMIC programming is sponsored by the largest Risk Management Department of any professional liability insurer in the state. Policyholders also enjoy the protection of one of the country's largest and most experienced professional liability Claims Departments. Most importantly, MLMIC has successfully defended more physicians than all other available insurers combined. • These are some of the reasons why MLMIC is the only medical liability insurer approved by the Medical Society of the State of New York. • To find out more, call1-800-356-4056 in Upstate New York, or 1- 800-ASK- MLMIC in the New York metropolitan area. Ask for free copies of our risk management MLM~C ~ledical ~ Uabinl\ \lutuallnsur.mi't> Company guide for office practices. • Our defense never rests. 2 Park Avenue New York, NY 10016 2 Clinton Square Syracuse, NY 13202 90 Merrick Avenue E. Meadow, NY 11554 @1996 Me :::.tl abi ty M tual M'!M.Inlr!G'- ..omp•ny �Non-Profit Org. BUFFALO PHYSICIAN U.S. Postage STATE UNIVERSITY OF NEW YORK AT BUFFALO PAID Buffalo, NY 3435 MAIN STREET BUFFALO NEW YORK 14214 Permit No. 311 ADDRESS CORRECTION REQUESTED Planned Giving to UB. Tax deductions and on ncome for l·fe ore only port of the benefits you con receive with planned g;v;ng to the UB School of Medic ne and Biomed·col Sciences. You needn't be wealthy, or a financial genius. All you need is to make a gift. And hove a desire to help today s budding geniuses make the wor 1d o beller place in 50 years For more information, contact Lyn Corder Ph D., CFRE, at (716) 829-2773, or v1o e-mail ot ljcorder@ocsu buffolo.edu. UNIVERSITY AT BUFFALO tate L"niwsity rf.\ ew l iJ1k � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Spring Clinical Day UB's New Specialty Dental Clinics Dr. Congressman Medical School News Commencement '97 A Student's Perspective Alumni News Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-09 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v31n03 Extent The size or duration of the resource. 40 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LB_HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 1997 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/abe8d2d36bce3f6b3ca187a1f61c17d8.pdf cb90bb359762e6121c6a816e3fd32b20 PDF Text Text L �BUFFALO PHYS I CIAN Volume 31, Number 2 ASSOCIATE V ICE PRESIDENT FOR UN IVERSITY SERVICES Dr Carole Smith Petro DIRECTOR OF PUBLICATIONS Kathryn A. Sawner EDITOR jessica Ancker ART DIRECTOR/DESIGNER Alan]. Kegler PRODUCTION MANAGER Ann Raszmann Brown STATE UN IVERSITY OF NEW YORK A T BUFFAL O SCHOOL OF MEDIC INE AND B IOMEDICAL SC IENCES Dr john Wright, lntenm Dean, V1cc President for Clinical Affcurs EDITORIAL BOARD Dr Bertram Portin Dr Martin Brecher Dr. Harold Brody Dr. Richard L. Colhns Dr. Jack F. Coyne Dr. AlanJ Drinnan Brian Duffy Dr James Kanski Dr Barbara MaJeroni Dr. Ehzabeth Olmsted Dr. Charles Paganelh Dr. Stephen Spaulding Dr Bradley T. Truax Dr. Franklin Zeplowitz TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospital .\1icharl Shaw The Children's Hospttal of Buffalo Erie County Medical Center Mercy Hospital Millard Fillmore Health System Franh Sam Niagara Falls Memorial Medtcal Center Roswell Park Cancer Institute Sisters of Charity Hospital Dear Alumni and Friends, THIS REPRESENTS MY FIRST OPPORTL,NITY as interim dean to communicate with you through the medium of the Buffalo Physician. During my tenure in this position, we will be presented with opportunities to build upon the many accomplishments fashioned in thejohn Naughton era, but we will also need to break new ground as we address new challenges. Managed care will, in whatever form it ultimately takes in Western New York, require significant changes and adaptations not only for the medical school but for the entire health-care delivery system in the Western New York region. Most of you are aware of the merger discussions between the Buffalo General, Children's, and Millard Fillmore Hospitals (see the Winter 1997 Buffalo Physician). As the reorganization unfolds, we may be presented with unique opportunities to reconfigure our programs at these institutions and elsewhere, and, in the process, maximize the distribution of faculty in a way that will enhance not only efficiency but also academic creativity. There is probably no single model that will address these needs. The process will not only be complex but likely driven by considerations beyond our control, and, in some instances, completely unanticipated. Provost Thomas Headrick recently circulated a major discussion document, "Planning UB's Academic Future: A Report to the UB Community," which outlines a number of bold new considerations for the university at large. The document is actually a "work in progress," and during the next few months, the provost and president William Greiner will be meeting with the faculties to discuss some of the concepts and proposals contained therein. Some of the suggestions for the medical school are new to this geographic region, but most are being considered or implemented in many other parts of the country. One of the most challenging ideas involves rethinking the traditional departmental structure and possibly reorganizing at least some of the faculty around interrelated disciplines. UB boasts 28 departments, significantly more than many other schools, including such icons of medical progress as johns Hopkins. Whether other configurations are right for Buffalo remains to be seen, but at the least, they merit our serious consideration and study. All in all, these will be challenging and exciting times. We will keep you updated through the Bllffalo Physician and through our meetings with faculty, alumni, and friends of the university through the months ahead . ~ W right, M.D. lntenm Dean, School of Medicine and Biomedical Sciences Interim Vice President for Clinical Affairs Dennis ivtcCarthy Veterans Affairs Western New York Healthcare System ©The State Uniwrsity of New York at Buffalo Buffalo Physician is published quarterly by the State Unl\-ersny of New York at Buffalo School of Medtcine and Biomedical Sciences and the Office of Puhhcations. It ts sent, free of charge. to alumni, faculty, students, residents and friends. The staff reserves the right to edn all copy and subm<ssions accepted for publication. Address questtons, comments and submisstons to: The Ednor, Buffalo Physician, State Lmversny of New York at Buffalo, Office of Publtcations. 136 Crofts Hall, Buffalo. N) H260 Send address changes to: Buffalo Physician, H6 CFS '\ddttion, 34 35 Main Street. Buffalo NY l42H Dear Fellow Alumni, As THE SNOW MELTS and the crocuses try to bloom, we find ourselves with new leadership at UB. A towering, gentle man, john Wright, M.D., serves as the interim dean of the School of Medicine and Biomedical Sciences. He is not only blessed with administrative skills, but is also an outstanding teacher. I met him when I was a second-year medical student, and found that he was one of the few teachers who could make medicine come alive. Like many in our class, I was rejuvenated. I wanted to get out there and cure the world, or at least, learn as much as possible now so we could someday make a difference. john generated this enthusiasm in many of us. It's because of role models such as john that UB offers outstanding programs like the Master Clinical Teaching Fellowship, developed by Diane G. Schwartz, Sheila Brodnick, and Richard Sarkin , M.D. As a graduate of this fellowship program, I am excited to share it with you in the pages of Buffalo Physician. l found it an immensely valuable experience for teaching students in my clinical practice. And thank you, Dr. Wright, for your inspiration as a teacher, researcher, and individual. We have exciting, challenging times before us, and no one better to lead us. Sincerely, ~y~DC'~ /'?~ President Med1ca/ Alumn1 Assooat:10n �VOLUME 31 , NUMBER 2 SPRING 8 Teaching on the Fly: US HELPS DOCTORS COMBINE TEACHING WITH 14 OB-GYN today PHYLLIS LEPPERT , M . D ., R . N. , PH . D ., IS THE PRACTICE DEPARTMENT'S INTERDISCI- by Nicole Peradotto PLINARY NEW CHAIR photos by Frank Cesario by Jessica Ancker 18 97 Amedical mission to Kathmandu by Donald P. Copley, M.D. '70 08-GYN yesterday RANDALL AND WINKLER REUNITED A DI V IDED DEPARTMENT New faculty by Ronald E. Batt, M.D. '58 VICTOR .JAMES HERNANDEZ , PH.D ., AND MARIA LAURA A V ANTAGGIATI , M.D. Research news TOSHIBA FOUNDS Astudent's perspective: STROKE RESEARCH MEDICINE IS A CENTER. MILD CONCUS - OF POWER SIONS CAUSE LASTING BY MICHAEL MERRILL , PROBLEMS . SURGERY REMAINS AN OPTION FOR GAME CLASS OF Medical school Alumni WPW SYNDROME. PARENTS ' 1 997 COUNCIL FRANKLYN KNOX SUPPORTS STUDENTS . Hospital news ROSWELL PARK FACES CHANGE. PAROSKI BECOMES ECMC MEDICAL DIRECTOR . HCP REORGANIZES. COMBINES RESEARCH BUCK AND WRIGHT WITH LEADERSHIP. RECEIVE HONORS. TWO HARRINGTON LECTURE ALUMNI GIFTS. NEW FOCUSES ON DEGREE OFFERED. MEL PHYSIOLOGY . DIEDRICK DIES . Classnotes �World-class stroke research center established at UB with $3.6 million gift of Toshiba imaging equipment esearchers are getting down to work in a new world-class stroke research center established at UB with a $3.6 million gift of equipment and services from Toshiba America Medical Systems. Toshiba has donated its most advanced cerebral angiography equipment to help researchers study stroke and perfect new minimally invasive neurovascular surgery techniques. "What's exciting about this center is that it provides researchers with the same kind of super-high-tech equipment that we're using in the hospitals," says L. Nelson Hopkins, M.D., director of the new center and chair of UB's Department of Neurosurgery. "So the research we're doing is only months away from use on patients-not years." Phase one of the project was completed in December with the installation of one of Toshiba's top-of-the-line angiographic x-ray machines in the center on the fourth floor of UB's Biomedical Research Building. The Toshiba machine can show blood vessels as small as a half a millimeter across, and can make video images at a rate of thirty frames per second (about the same speed as a standard video camera). In phase two, Toshiba will donate a model of its next generation of angiographic equipment, which will have three-dimensional capabilities and be able to take even faster images. "We'll have the first one in the world," says Hopkins. That means that UB researchers will be developing the techniques that will be used by physicians around the globe. Such equipment is necessary for some of the newest endovascular surgery techniques, which depend on maneuvering flexible microcatheters through the maze of cerebral blood vessels. The donated angiographic equipment includes positioners and focus tubes, cameras, digital video recorders and interfaces, generators, computer software, and workstations. "Minimally invasive procedures will dominate surgery in the 21st century," Hopkins says. "Tomorrow's neurovascular technology will be developed, tested, and perfected here. We know of no other research center with comparable equipment and capabilities." Installation of the equipment was aided by a grant from the Wendt Foundation, which helped offset the cost of essential structural alterations. Another grant from an anonymous donor will help cover operating expenses. A pioneer in endovascular surgery and chief of neurosurgery for the Millard Fillmore Health System, Hopkins was instrumental in developing the new partnership with Toshiba. He was recently a lead researcher in clinical trials of the Guglielmi Detachable Coil, the first product to receive approval from the U.S. Food and Drug B u f f a l a Phys i Administration for treating intracranial aneurysms considered too high risk for traditional surgery. UB'sstroke researchers at the Toshiba center will have three priorities. One, under the guidance of radiologist Stephen Rudin, Ph.D., is to achieve even better imaging with the lowest possible x-ray dosage. Rudin's new procedures should increase resolution capabilities from half a millimeter to a tenth of a millimeter, Hopkins says. In an unusual collaboration, Barry Lieber, Ph.D., an aerospace engineer who specializes in the dynamics of air cian S p r I n g l 9 9 7 �- ---- - ~-~- - ,~------ ······································ · ····· ·· ············ · ············ · ···· · ········· ··· · m . flow, is working with neurosurgeon Ajay Wakhloo, M.D. , Ph.D. The two scientists are combining their expertise to investigate the dynamics of blood flow, using full-scale models of cerebral blood vessels. Finally, Lee Guterman, M.D., Ph.D., is researching new techniques and de- viding funding to support graduate student stipends and an exchange program between japanese and American researchers. "Further, since any area of the body can be accessed through the vascular system, other departments, such as cardiology, surgery, and radiology, will have the option of conducting studies using the Toshiba angiographic equipment," u.w~ ..... . , . .................... Hopkins says. In addition to research, the center will provide unique educational opportunities. "We currently offer working courses in endovascular techniques for treatment of experimental aneurysms. The Toshiba Stroke Research Center will enable us to expand and diversify our offerings, attracting course participants from around the globe," Hopkins says. "The flow of personnel and information between the center and other international research centers in the U.S. and Asia will offer unique educational opportunities to UB students and faculty and the Western vices to treat and prevent stroke, espe- New York research comcially minimally invasive endovascular munity at large." Toshiba selected UB surgical procedures. Techniques used by UB 's neurosurgeons include because of "the clinical microcatheter injection of thrombolytic expertise, commitment, drugs to break up clots and stents to and research" of Hopprovide permanent support for nar- kins and his colleagues, says Jeffrey T. Dillon, rowed vessels. The Toshiba research facility will sales manager with also be used by researchers developing Toshiba America Medi new treatments for conditions other cal Systems. Toshiba America than stroke, and will serve as an educaMedical Systems, based tional center for students from UB and around the globe. Toshiba is also pro- in Tustin, California, is . _........" / B u f f a 1 a Physician 5 p r I n g 1 9 9 7 .. . .. a subsidiary of the international Toshiba Corp., one of the world's largest manufacturers of electrical and electronic equipment, with annual sales of more than $48 billion. Toshiba America Medical Systems' line of medical imaging systems includes diagnostic x-ray, xray computed tomography, diagnostic ultrasound, and magnetic resonance imaging. "This new stroke research center will capitalize on all the best strengths of UB's School of Medicine and Biomedical Sciences-pioneering research, outstanding clinical care, and exceptional teaching," says UB president William R. Greiner. "We are absolutely delighted to have Toshiba as a partner in this center. With an international corporate leader like Toshiba generously supporting the work of a first-class researcher and surgeon like Dr. Hopkins, we think that's a recipe for success. Most importantly, the creation of this center promises better health and fuller recovery for millions of people. And we think that's the real success." + - LOIS BAKER AND JESSICA ANCKER 0 �11 ............................................................... . . . . . . . . . .. . . . . . . . . . . . . . . . . ' I Surgery remains an option for some with WPW syndrome hree catheter ablations failed to correct Clayton Broussard's WolffParkinson-White syndrome, and he continued to suffer debilitating attacks of tachycardia. So his family brought fourteenyear-old Clayton from Louisiana to Buffalo where he could be operated on by Gerard M. Guiraudon, M.D., a pioneer in the treatment of cardiac arrhythmias and one of the few surgeons in the world who has remained an expert in epicardial surgery for Wolff-Parkinson-White syndrome. The operation was a complete success. "Even the best horse-drawn wagon had to be replaced with a motor car," Guiraudon says. "But once in a while, the horse still works better." In Guiraudon's metaphor, his epicardial surgical approach to arrhythmia is the horse cart, while the newer catheter ablation techniques are the motor cars. Surgery for Wolff-Parkinson-White syndrome was pioneered in 1968. But in the early 1980s, while at the University ofWestern Ontario in London, Ontario, way for a change in technology. By relying on Guiraudon's techniques to pinpoint the accessory pathways, surgeons were able to use catheter radio frequency ablation to fix most Wolff-ParkinsonWhite cases. Guiraudon himself helped train the new generation of catheter surgeons. Since 1990, catheter ablation has become the method of choice for treating Wolff-Parkinson-White syndrome. "I went from 120 of these patients a year to just five or ten," Guiraudon says. Today, he performs the surgery on patients like Clayton, who have undergone catheter ablations without success, or on patients who are scheduled to undergo open-heart surgery for other reasons. In a 1994 review article in the Annals of Thoracic Surgery, Guiraudon lightGuiraudon led an international team of heartedly focused a "retrospectroscope" surgeons in developing safer epicardial on the surgical treatment of Wolffsurgical techniques. Avoiding cardioParkinson-White syndrome. He conpulmonary bypass, they worked on the cluded that "a large body of scientific beating heart using surgical dissection, knowledge and skill was brought to cryoablation, or lasers. light by this experience and, of even For nearly ten years, Guiraudon's apmore importance, passed on for best use proach was the first choice for Wolffto the catheter surgeons." Parkinson-White patients. "Everybody But Guiraudon is not ready to retire visited this man and learned from him, yet. Born and trained in France, he was and everybody sent patients to see him," a professor of surgery in Paris before says Tomas Salerno, M.D., the director accepting a position at the University of of cardiothoracic surgery at the Buffalo Western Ontario and University HospiGeneral Hospital. "Getting Gerard tal in London, Ontario, at age fifty. Now, Guiraudon to come to Buffalo was like at sixty-five, he has become an immiputting a little hook in the ocean and grant again, moving to Buffalo to becatching a huge fish." An accomplished valve surgeon who come UB 's associate chief of developed what has become the stan- cardiothoracic surgery and the chief of dard approach to the mitral valve, cardiovascular and thoracic surgery at Guiraudon has also authored classic pa- Millard Fillmore Health System. His wife, pers on cardiac arrhythmias that are Corette M. Guiraudon, M.D. , remains referenced in such texts as Harrison's in London, Ontario, as the hospital's chief of pathology. Principles of Internal Medicine. "If you move, you do better," he says. Guiraudon and his colleagues also "You look at things in a new way, not in did extensive work in mapping the aca preconceived way. I moved to London cessory pathways that cause Wolffbecause I thought I could have a fruitful Parkinson-White syndrome. "Our goal collaboration with my colleagues there, was not just to do the surgery, but also and I did. Now, I hope I can do someto understand the pathophysiology." That new understanding paved the thing new here." + JESSICA 0 B u f f a l a Physician S p r I n ANCKER g l 9 9 7 �m ·························································································· m .. . ' . Mild concussions can cause lasting abnormalities in brain esearchers at UB have shown that a concussion results in abnormal brain activity that can last for months. This activity correlates with patient complaints of physical and emotional discomfort early on, and with various cognitive impairments later, the researchers found. Richard Linn, Ph.D., assistant professor of rehabilitation medicine, led a multidisciplinary research team which uncovered the abnormal brain activity in a small group of patients with recent concussions, using PET scans taken at the PET Center in the Buffalo Veterans Affairs medical center. The abnormalities were invisible to MRI. "In the first few weeks post-injury, some of these patients may experience headache, irritability, dizziness, or fuzzy thinking," Linn says. "They may have an MRI scan, which typically shows no abnormalities. Many may come away still feeling that their thinking isn't right, but they don't know why. "We now are able to show that these symptoms are related to a definite change in brain activity, and that these patients are not merely imagining their symptoms. The abnormalities in the brain reflected how well patients performed on cognitive tests. The greater the abnormality, the worse the patient's performance." Linn, program director of the UB T raumatic Brain Injury Rehabilitation System, is one of only a few researchers in the country who are using PET to study mild traumatic brain injury. Linn's research is funded by the National Institute of Disability and Rehabilitation Research. PET scans were administered to six victims of concussion two to three weeks after the injury and again three to four months later. The scans revealed small B u f f a I a but significant areas of increased glucose metabolism in the anterior cingulate, more pronounced in the right hemisphere than the left. All the patients had had normal MRis and showed few signs of injury. The increased use of glucose may be a sign that the cells are repairing themselves after injury, or that their ability to function is diminished and they need more energy to perform the same work, Linn says. In the early stages after injury, this abnormal activity correlated with patient complaints, such as headache, irritability, anxiety, depression, dizziness, and lack of concentration-symptoms collectively dubbed post-concussive syndrome. physician 5 p r I n g 9 9 7 ' . The studies showed that after three to four months, the areas of abnormal activity had enlarged somewhat and were correlated with impaired attention span, verbal memory, motor function, and information processing, but not with post-concussion symptoms. "Patients need to know they aren't going crazy, and that what they are experiencing may be a normal part of the recovery process," says Linn, who is now recruiting patients for a larger study. According to Linn, the only treatment for mild traumatic brain injury is patience. "People just have to wait it out. More than 50 percent of them are back to normal by six months; more than 95 percent are fully recovered in a year." + L o 5 B A K E R 0 �~············· · · · ····· · ······· · ···· · ······················ · ··· · ···························· ~ Roswell Park Cancer Institute faces change BY ANDREW DANZO s managed care's relentless expansion forces medical institutions to behave more like businesses, adaptation has become the watchword. At Buffalo's venerable Roswell Park Cancer Institute, however, change doesn't come easily. The 99-year-old institute is part of state government, and that, according to many people inside and outside the institution, has hobbled its ability to compete in the new healthcare marketplace. New York State officials have proposed spinning Roswell Park off as an independent non-profit entity. The plan is greeted enthusiastically by those who believe the institution will benefit from increased flexibility, but it has others worried that Roswell Park may jeopardize its tradition of groundbreaking cancer research in its rush to become self-supporting. Robert Hinckley, public affairs director for the state Health Department, points out that being a part of the state hampers Roswell Park in some of its everyday activities. "They can't develop networks, partnerships, mergers, et cetera, and react quickly to this changing health care environment," Hinkley says. "They can't do a lot of things that the Buffalo General Hospital can do. To get a $5,000 contract approved they have to go through this department, the Division ofBudget, and the Comptroller's Office. 0 CHANGE IF IT IS TO Buffalo General doesn't have to do that." Anderson Cancer Center at the UniverGov. George Pataki this year proposed sity of Texas in Houston. For example, that Roswell Park be allowed to change he would like greater flexibility to creits governance structure, possibly be- ate new types of positions. "We need coming a not-for-profit enterprise or af- managedcare specialists and case manfiliating with another health-care institu- agers," he explains. "The current systion. Approval is required from the state tem takes an enormous amount of time Legislature, and details remain to be and effort when we need to move worked out. One strong supporter of the quickly. This is an institution that needs plan is the institute's new president, David to reinvent itself." C. Hohn, M.D. He succeeds Thomas B. But Pataki's proposal for a governance Tomasi, M.D., who left last year after change has been greeted skeptically by running the institute for a decade. unions. "We think some of the cost "I think Roswell must change if it is to issues can be addressed within the conthrive and survive," says Hohn, who text of a public institution," says Richarrived in February from the M. D. ard E. Casagrande, executive director of B u f f a l a 5 p r I n g 1 9 9 7 �~ ---~== '~-~--- - - - ·································· · ······ · ··········································· · ···· [I I ] ' ' Lll] the Public Employees Federation, which represents 845 physicians, research scientists, nurses, and technicians at Roswell. "We see privatization as being really radical surgery. I think the primary gain, when you cut through the fluff and the sweet talk, is that they think that the public employees make too much." Hinckley says the plan is not an attempt to void state union contracts. "We've told them that we will abide by the collective bargaining agreements they have," he says. "Certainly, because of their expertise, any not-for-profit would need the vast majority of the employees." Some staff members worry nevertheless that Roswell could lose itself in the transition. "Roswell is not simply another hospital," says a senior scientist who asked not to be named. Without financial support from the state, he fears that Roswell will begin to lose research grants and become trapped in a downward spiral. "Roswell was never supposed to compete with a normal hospital, because it doesn't offer the same product," the researcher says. "You don't go to Roswell Park to get the same care as at Buffalo General. You go to Roswell Park because that's where we're developing new treatments that no one in their right mind is paying for." Through the Graduate Medical Dental Education Consortium, Roswell Park trains 26 UB residents. In its capacity as a UB graduate division, the institute also trains about 300 graduate students. The 25-acre Roswell Park campus is in the midst of a $245 million construction project. The institute's fortunes, however, have been slipping in the increasingly competitive health-care industry. Despite its National Cancer Institute designation as one of only 28 comprehensive cancer centers in the nation, Roswell has seen insurers steer many patients B u f f a l o elsewhere, and Buffalo General now handles a greater portion of the region's cancer cases. The institute's deficit is put at about $70 million, and it has been unable to join hospital systems being formed by Buffalo General, Millard Fillmore Health System, and other Western New York institutions. For his part, Hohn says he is dedicated to maintaining Roswell's status as a premier center for research and teaching, as well as for treatment and prevention. "I think acquisition is unlikely and probably not desirable," he adds. "This is not about unloading Roswell on someone else. I would not have come here if that was the intent. It is about the ability to affiliate, because health care is organizing into networks and systems. But the exact governance that would be put into effect has not been established." The governor's proposal also includes an additional $70 million for Roswell Park in each of the next three years. Some of that would be used to begin a 20-year plan to repay the state for the institute's deficit. Roswell Park's new president expects to become a familiar face in Albany over the coming months. ''I'm absolutely committed to building the case for ongoing state support for education and research," Hohn says. He also plans to step up the pursuit of grants and philanthropic support. "My vision of Roswell is for a growing and thriving institution," he adds. "I think we're really talking about building a brighter future." + HealthCarePlan reorganizes ealthCarePlan, Western New York's oldest HMO , is moving away from its roots as a staffmodel HMO. The 90 doctors who work for HealthCarePlan are leaving the HMO to form their own group, Medi- Physician 5 p r I n g 1 9 9 7 cal Partners of Western New York, which will continue to care for HCP's patients as a contractor. Patients will notice little or no change. The decision has been described by both sides as mutually amicable. Richard Battaglia, M.D., who will become medical director of Medical Partners, said the move will benefit the physicians because they will be able to accept payment from other insurers as well as from HCP. Medical Partners, which will be largely primary care doctors, is also exploring the possibility of merging with practices that contain more specialists, including the Buffalo Medical Group, he said. + UB alum appointed ECMC medical director argaret Paroski M.D . '80, of Buffalo, NY, has been appointed medical director of Erie County Medical Center. In this position, she oversees the medical operations of the ECMC Healthcare Network. The network includes the medical center, the Erie County Home, and a growing group of community health centers. Paroski is the former clinical director of ECMCs Department of Neurology. She is also a past president of the UB Medical Alumni Association. In addition to maintaining her Margaret Paroski, M.D. medical practice and her administrative roles, she continues to be an active researcher. + 0 �BY NICOLE PERADOTTO • In e UB HELPS DOCTORS COMBINE TEACHING WITH PRACTICE c E s "Teaching is about being a good role model. Inspiring people is a part of teaching." A R 0 - Pediatrician Richard Sarkin, M.D. 0 B uff al o P hy si cian Spring 1997 �IN THE MIDDLE AGES, teachers were known as "doctors ," a word derived from the Latin verb docere, to teach. By definition, then, a doctor is a teacher. And at clinics, offices, and hospitals around the world, many doctors take that definition very seriously B Take, for example, Kerryann Broderick, M.D., site residency director for emergency medicine at Erie County Medical Center. At 9:00a.m. one weekday, Broderick and fourth-year UB medical student jacqueline Dombrowski interpret a patient's chest x-rays for signs of tuberculosis. At and Biomedical Sciences. Ask students why, in addition to clinical courses, they shadow physicians in their scant free time , and they respond that there's no such thing as too much clinical exposure. Such learning allows them to leave the lecture hall, to leap 9:30, Broderick asks Dombrowski to help document a ninetynine-year-old woman's death, and then ushers her off to the quiet room to watch a resident break the news to the family . Half an hour later, the physician offers the student tips on how to debride a chemical burn and how to present a diabetic patient to the patient's primary care physician. Then Broderick listens to Dombrowski's presentation of a man complaining of intense pain in his left foot. Upon seeing the patient herself, Broderick congratulates her student for correctly diagnosing that the man did not in fact suffer from an infected toe naiL Welcome to "Teaching on the Fly 101 "-clinical instruction. Physicians find many ways of folding the education of students into their own practice of medicine. Under a physician's supervision, students can take histories , diagnose, and even treat patients. Clinical instruction represents more than half of the coursework at UB's School of Medicine from the hypothetical textbook case to a patient on a gurney. For many students, clinical experience helps determine specialties and build confidence. For the preceptors-many of whom volunteer their timethe benefits of teaching may not seem so obvious. Teaching takes time. Balancing patient care with student instruction can be exhausting. Being a preceptor can be demanding in other ways , too; students often expect teachers to serve as career counselors and personal advisors in addition to fulfilling their role as instructors. Yet those who teach insist that its rewards offset its demands. Teaching is as enlightening an experience for them as it is for their charges, and it makes them finer physicians. "Students require a lot of energy," says Broderick, assistant professor of emergency medicine. "They ask tons of questions and need a lot of supervision, especially early on. u f f a I a P hySICia n 5 p r I n g 1 9 9 7 0 �"More and more schools have been expanding their But I get challenged by them, and they're just so eager to learn clinical medicine offerings over the last couple of years and do small things. "They keep me really fresh, particularly at the basic because it is necessary," explains Dennis Nadler, M.D., science level. They'll ofassistant professor of ten ask, 'Why did you do clinical pediatrics and something that way?' associate dean at the "Spending a lot of time in lecture halls and That makes me question medical school. "Spendlaboratories can bring students down. Its why I chose that way and ing a lotoftimein lecture wonder, 'Is there another halls and laboratories can helpful for them to have (clinical) way? Is there a better bring students down. It's way?'" helpful for them to have exposure, to see whats coming down the In the emergency dethis exposure , to see partment, where time is what's coming down the line and to maintain their enthusiasm. " of the essence and line and to maintain their unpredictability is the - UB Associate Dean Dennis Nadler, M.D. enthusiasm." norm, Broderick is well At the clinical level, UB aware that persistent incounts 1,512 volunteer • quisitiveness can be too much of a good thing. In such instances she arms herself with options for students who threaten to slow the pace of operations. "Sometimes I try to sneak in to see a patient before a student does. Then I can come out and set things up that need to be done, like drawing blood. Sometimes, if I don't think they're quite ready to do a certain procedure, I say, 'You have to back off and watch what I do,' or I give them less acute tasks to perform." "You really have to learn how to switch gears very quickly. You have to assess a student's level, get to it, and then explain things at that level." faculty and 807 geographic, full-time faculty. Ehsan Afshani, M.D., clinical associate professor of radiology, falls intaA..he second category.In 1990 and again in 1996, Afshani received a louis A. and Ruth Siegel Teaching Award, an honor based on student nominations. Among the teaching duties Afshani considers most important is fostering critical thought. It's a skill that some students, dazzled by high-tech diagnostic tools and insecure of their own abilities, have a tendency to neglect. "In medicine you don't deal with x-rays alone , and students in radiology must be reminded of that. Sometimes students prefer just looking at x-rays and taking tests instead of what's so important: Talking with patients. Whenever they want to order a test, I say, 'Is it worth doing because it's going to help you come up with a diagnosisor because protocol tells you to do it? '" It's not just that Afshani appreciates the Socratic method. He wants his students to appreciate health-care costs, too. Clinical experience in the curriculum New to UB's curriculum this year is a two-year introductory clinical block that begins during the freshman year. Among the skills taught are history taking, diagnosing, cardiopulmonary recuscitation, and infection control. ® B u f f a l o Physician 5 p r 1 n g 1 9 9 7 �and throat. He organized his fourth-year schedule with a rotation in pediatrics at year's end, recognizing that it would provide him with ample opportunity to examine a host of sore throats, runny noses, and aching ears. "That four-week experience absolutely turned my life around. I had the most wonderful teacher (Mary Cruise, M.D., who is now retired), and she helped me realize that pediatrics was for me. There is no question in my mind that she, more than anybody else, was responsible for my decision. " And that's something preceptors must consider, as well, Nadler emphasizes . "Students take extra time, and at teaching sites, extra time is provided. But managed-care organizations don't want to pay a physician to see twenty patients a day when he or she can see thirty patients a day for the same amount of money. This is something we have to think about, and we'll be discussing it more in the future . And it's not just managed care. If there's a guy in a solo practice, his entire base is the number of patients he sees. But I don't know anyone who has made a conscious decision not to teach because of economics." That's often the case because physicians remember the teachers who nurtured them when they were students and residents, and they want to continue the tradition. When he was a medical student in 1970, Nadler planned to do a residency in surgery followed by one in ear, nose, 0 Consider you r goals and objectives, and communicate them to your learner. 0 Discover enthusiasm for your subject and for you r lea rners. 0 B u f 0 0 Take you r teach ing and their learning seri ously- plan, teach, reflect. 0 0 a l a 0 Get to know your learners as people, not just as learners. @ Promote self-directed learning. Provide frequent, timely, constructive feedback. Consider how you know if your learners are learn ing what you want them to be learning. Make your teaching and their learning fun . From "Sharpeni ng the Saw: Improving Preceptor Teac hing 0 Make you r learners as active as possible. f Becoming a good teacher Not every doctor is a good teacher. Even the best doctors can make simple mistakes when they start teaching. They may be disorganized. They may fail to give students feedback, or be unable to give clear descriptions of protocols and procedures. Some may take students' physician Skills," a handout written by Admit your own limitations. Re-learn how to say, " I don 't know." S p r I n g 1 9 Richard Sarkin, M.D. 9 7 �"The more approachable you are as a teacher, the more abilities for granted; others may underestimate students. comfortable students will be around you, and that's a positive As one doctor puts it, "There are a number of physicians them to learn in," says Sarkin. "I think there's atmosphere for I would want to treat my kid-but not to teach him. " In a very thin line beother words, even a tween a demanding physician esteemed teacher and a teacher by colleagues and "You really have to learn how to switch who intimidates, and liked by patients the latter model is may lack essential gears very quickly. You have to assess a pervasive in medical teaching skills. schools. UB has initiated student~ level, get to it, and then explain "Another problem several programs through the Priis that most people mary Care Resource think that when things at that level." Center to help docthey' re teaching , tors become better they're telling some- Emergency physician Kerryann Broderick, M.D. teachers. The cenbody something. But ter, directed by Riit's questionable chard Sarkin, M.D. , is a joint program of the Departments of Internal Medicine, Family Medicine, Pediatrics, Social and Preventive Medicine, and Obstetrics/Gynecology. One of the center's programs, the Master Clinical Teaching Fellowships, offers selected community physicians a stipend to attend an eight-month workshop series on clinical teaching. A second, the Teaching Effectiveness Program, offers faculty a choice of workshops on specific practical questions, such as, How does a preceptor handle a bright but condescending student? What's the best way to introduce students to patients? How can a preceptor criticize students without disheartening them? Sarkin, a clinical associate professor of pediatrics, teaches many of the workshops. A movie buff, he shows clips from such films as Footloose, Mr. Holland's Opus, and The Paper Chase when discussing the qualities of a capable teacher. ® B u f f a l o whether the person they're talking to is learning or not. We're trying to expand the whole notion that teaching is providing information. Teaching is about being a good role model. Inspiring people is a part of teaching. So is promoting self-directed learning, where students aren't so much provided information but motivated to learn on their own. " At the Children's Hospital Ambulatory Pediatric Clinic, doctors wear animal toys wrapped around stethoscopes, and patients stop by a drawer filled with stickers at the end of their visit. Here, Sarkin practices what he preaches. One afternoon he discusses a hypothetical patient suffering from persistent headaches with a handful of residents and a third-year medical student. Then the group turns their attention to a dozen or so real patients- youngsters sitting in the waiting room suffering from the flu , runny noses, or other winter ailments. After seeing his first patient of the day, medical student Phys icia n 5 p r I n 9 1 9 9 7 �Anand Singh talks with Sarkin. "His mother says he has cold symptoms that are coming and going. The cough is not producing anything, and he's tugging on his ears. I tried looking in his ears, but he started crying." "So, he looked sick and uncooperative?" "Yeah. He stuck his fingers in his ears when I tried to look in them." "Did you make him say 'Ah ?"' "Well, by that time he was crying." "That's an 'Ah,' isn't it?" Doctor and student discuss potential diagnoses and treatments before they walk down the brightly lit hall to room 7. There, a boy no taller than a kitchen stool sits glumly in his mother's lap. As Sarkin turns to address the toddler, his voice changes. Suddenly the fast-talking pediatrician paces his words extra slowly. His tone mellows; the pitch of his voice rises. He sounds like a narrator for a children's movie. "Are these your hands, Taylor? Oh, these are very nice hands. Can the nice doctor see your tummy?" At first the two-year-old doesn't protest when Sarkin pulls up his sweatshirt. When he starts whining, Sarkin encourages him to touch the stethoscope. This holds the boy's interest for a few seconds. Now it's time for the ears. "If I promise not to hurt your ears, can I look at them?" Taylor shakes his head. "OK," Sarkin says as he gently tugs the boy's fingers from his ears, peers inside them, and spots signs of a middle-ear infection. Singh raises his eyebrows and grins. He has learned a skill that no textbook-no matter how comprehensive-can teach. + UB provides support for clinical teaching Because more medical education today takes place in community physicians' offices, UB is placing a greater emphasis on helping doctors become good teachers. UB's Primary Care Resource Center offers a number of programs that promote effective teaching in different ways. Master Clinical Teaching Fellowships pay selected community physicians a stipend to attend an eight-month series of seminars on effective teaching practices. The program carries Category I Continuing Medical Education credits. The next "class" of fellows will start the program in September. The Teaching Effectiveness Program sponsors workshops to provide formal training in effective teaching techniques. These workshops, which generally attract UB's regular clinical faculty and residents, focus on specific teaching issues and carry Category I CME credits. The Master's Degree in Health Professions Education, designed for clinical instructors, combines Graduate School of Education courses with independent study. Community Academic Practice grants support independent medical practices that participate in graduate medical education. Among the activities eligible for funding by the grants: renovations to provide space for students, or the purchase ofjoumals or equipment for students. The program also provides each site with computers and access to electronic resources, such as Medline. For more information about any of these programs, contact the Primary Care Resource Center at (716) 829-3176. B u f f a l o physician S p r I n g l 9 9 7 + �Interdisciplinary Phyllis Leppe rt , R.N ., M.D., Ph.D., is the new department chair BY JESSICA ANCKER PHYLLIS LEPPERT FIGHTS a many-fronted war on behalf of maternal and child health. In the course of the battle, she has acquired an impressive array of academic credentials, published unique research, and worked to build a new ethic of collaboration among different types of health-care professionals. Mecca Cranley, Ph.D., dean of UB's School of Nursing, served on the search committee that recruited Leppert as the new chair of UB's Department of Gynecology and Obstetrics. "My agenda was to get someone committed to interdisciplinary education and practice," Cranley says. "I didn't realize we were going to find someone who was herself so interdisciplinary! That was a bonus." Leppert first trained as a nurse and then became a doctor. But instead of abandoning her first profession in favor of her more prestigious second one, she has worked to break down cultural barriers between the two. Leppert loves lab research and earned a Ph.D. while studying the physiology of the cervix. While committed to what she calls "bench research," she has also continued to work on such medical practice issues as raising health professionals' awareness of cultural differences. "It all comes together when you think that our goal is to reduce the number of low-birthweight babies and problems in pregnancy," Leppert says of her varied career. "We have to work on a number of fronts--biochemical, obstetrical, socialall at the same time." An interdisciplinary career Leppert earned her master's in nursing from Columbia University and practiced as a public health nurse in Harlem before receiving her midwifery certification in 1964. She studied at the Maternity Center Association in New York City, which offers one of the nation's oldest midwifery training programs. ® "I had wanted to be a physician since fifth grade, but it was a time when women weren't encouraged to do that," Leppert recalls. "But when I was in my thirties, I took a look at what I was doing and said, 'Why don't I just go to medical school?"' She did just that, earning her M.D. from Duke University School of Medicine in 1973. Leppert completed residencies in pediatrics and in obstetrics and gynecology and was a Robert Wood johnson Clinical Scholar at Duke before accepting a fellowship in maternal-fetal medicine at Columbia University's College of Physicians and Surgeons. She taught at Columbia for ten years. Though Leppert chose to pursue medicine, she has remained involved with midwifery training and practice and continues to value the knowledge and attitudes she learned as a midwife. For instance, she says, in normal births midwives favor a "high-touch" approach with minimal medical or surgical intervention. Obstetric education focuses on problems in pregnancy and delivery, an essential field of knowledge, but one which sometimes can bias obstetricians to favor a more high-tech, interventionist approach than is necessary for a given situation. "Both approaches are needed, but we're not always very good at figuring out which woman fits in which category," Leppert says. "We need to approach the question scientifically, deter- B u f f a I o mine who needs the interventions, and then make sure they get them." Firm grounding in research Leppert believes that all medical care must be firmly grounded in science-in both laboratory and epidemiological research. Her own love affair with research began in medical school. After a course in immunology, she worked in Duke's Laboratory of Pediatric Endocrinology under Stuart Handwerger. "That is something that really influenced my career," she says. She took advantage of her years at Columbia to do research on the role of cervical elastin in gestation and parturition, obtaining a Ph.D. from the Department of Pathology. She has continued to publish research on the physiology and endocrinology of the cervix and uterus. "It's essential that everyone in medi- Physician S p r I n g I 9 9 7 �cine have a strong grounding in science," Leppert says. "But in this country we have tended to put bench research on a pedestal and pooh-pooh community medicine. My experience has taught me that all of it is important. You can't break these areas apart-you have to be excellent in all areas. "That's one reason I think UB is such a good school-it has shown that primary care is important without neglecting research. " In Rochester, New York, Leppert held positions in obstetrics-gynecology, nursing, and community and preventive medicine at the University of Rochester, and was chief of obstetrics and gynecology at Rochester General Hospital. She has also served as a consultant to the federal Women's Health Initiative and recently completed a Robert Woodjohnson Foundation study aimed at reducing sociocultural barriers to health care. She co-edited a textbook, Primary Care for Women, published this year by Lippincott-Raven Publishers. ("I just had time to call them and change my title on the frontispiece from professor at Rochester to chair of the department at Buffalo! " she says.) The text is designed to provide information for any primary care practitioners who take care of women, including nurse-practitioners, physician-assistants, and physicians in different specialties. The book covers a variety of women's health issues, such as reproductive health, pregnancy and delivery , and menopause. It also provides an introduction to a wide range of primary care issues, such as cardiovascular disease, derma to logic disorders , and psychiatric problems, and describes how these conditions manifest in women and what impact they may have on pregnancy. Other chapters cover social issues, such as "cultural competency," the working knowledge of other cultures needed to care for a broad spectrum of patients. ing that way while they're in training, it might be easier to start working that way in practice. " There are other changes she would like to make. "We have to rethink residency education so it's not so rigid, and incorporate principles of adult learning. We have to do more animal labs and computer simulations and telecommunication. That way, by the time they get to the patient the residents are more polished and prepared." New ideas for medical education Collaborative practice While at Rochester General, Leppert brought together medical and midwifery education by putting student midwives in the same learning situations as medical students and residents. She also helped integrate midwives into the hospital's obstetrics practice. She has similar plans for Buffalo. She is bringing Children's Hospital's four nurse-midwives into University Gynecologists and Obstetricians, the UB practice plan incorporated last year. With Dean Cranley's support, she is also hoping to integrate the education of nursing students and medical students, and to award some of the midwives faculty appointments in the School of Nursing. LuAnne Brown, R.N., believes both doctors and nurses will benefit from Leppert's program. "Her idea is very good," says Brown, the nursing coordinator for maternalneonatal services at Children's Hospital. "It fosters the idea of teamwork. If you get doctors and nurses to start think- Leppert once worked in a neurology rehabilitation unit that provided what she calls an ideal example of collaborative practice. Each patient was cared for by a team of doctors, nurses, nutritionists, occupational therapists, and physical therapists. "The neurologist was about to discharge one patient when the occupational therapist pointed out that the man was still having trouble doing the kinds of everyday activities he would need to live independently. And the physician listened. " Building on this model, Leppert has been involved in collaborative obstetrical practices in which different professionals cooperate to supervise cases, and follow the leadership of whoever is most qualified for each case. High-risk situations may be supervised by a physician; lower-risk ones by a nurse-midwife. "It's sometimes hard for physicians to work this way. We've been taught that we're the king of the hill," she says. "That's an attitude I would like to see changed. We have to respect each other. "+ ...THE CHILDBEARING EXPERIENCE Is an intense, memorable event that lasts at least nine months. The health· care team must provide a nourishing relationship during this time, and because of complex knowledge and the different skills of various professions, a health-care team works best.... 1 believe that no one person should be the "captain" of the team. Leadership is dynamic and fluid and is based on expertise. For instance, in the case of a pregnant woman with Class C diabetes, the matemallfetal medicine specialist is the team leader; in a case of straightforward moderate preeclampsia, the leader might be a family practitioner; In the term twin delivery, the team would be led by an obstetrician; while in a normal birth the team leader could be the nurse-midwife. In the area of discharge planning, the social worker and family are the leaders. Different geographic regions of the U.S.A. could and should develop unique matemlty care Excerpt from "Developteams, just as women and their families should have the right to a team of their choice.... ing sound team relation1believe that the future of matemity care is in a team approach. It will succeed to the extent ships among maternity that we emphasize the positive aspects of the health-care team. Developing sound relation· care professionals," in Prelude to Action II: ships calls for mutual respect, openness, and an absolute refusal to carve out territory. The Reforming Maternity most important feature in the development of sound team relationships on the matemity care Care, 1995, a publication team is a focus on the patient. We always need to ask, "What is best for this particular woman the Maternity Center of and her family?" Only then are team relationships sound and the team approach a success. Association. B u f f a l o Physician 5 P r I n g 1 9 9 7 �OB-GYN yesterday RANDALL AND WINKLER REUNITED A DIVIDED DEPARTMENT AT BY R ON A L D E . BA TT , UB M . D . ' 58 N THE YEARS BEFORE WORLD WAR II, the University of Buffalo's Department of Gynecology and Obstetrics had become divided into an obstetrics department chaired by Francis Goldsborough and a gynecology department headed by James King. This academic division reflected tensions both within the department and within the medical community. But when the two rival chairmen stepped down in 1942, they left heirs who ushered in a new era of cooperation. Clyde L Randall and Edward G. Winkler served as ideal cochairmen of the Department of Gynecology and Obstetrics for eighteen years. They respected each other, and their interests were complementary, benefiting both the department and the practice of obstetrics and gynecology in Buffalo and Western New York. Winkler brings new surgical techniques Edward Godfrey Winkler (1901-1960) went to Georgetown Medical School and did residency training in obstetrics, gynecology, urology, breast surgery, and gynecologic oncology. After returning to his hometown, he honed his skills as a chief resident in obstetrics, gynecology, and urology for two years at the Buffalo City Hospital, under Goldsborough. The two became very close, almost like father and son. Winkler entered practice in 1932 at the depth of the Depression. He ® went to Chicago to learn the Heany technique of vaginal hysterectomy directly from H. P . Heany. He and Robert O'Connor worked night and day to build the obstetric-gynecologic service at Buffalo City Hospital. Winkler introduced low forceps and episiotomy for routine deliveries, and extraperitoneal cesarean section to replace classic cesarean section. Later, he introduced a low-flap- transverse procedure to replace extra peritoneal section, and finally low-segment-vertical cesarean section to reduce the chance of injury to the uterine vessels. Winkler was the first in Buffalo to do total abdominal hysterectomy and introduced the Heany technique of vaginal hysterectomy and repair. In contrast to the teachings of one of their influential predecessors (Irving W. Potter), Winkler and O'Connor taught that no internal podalic version and extraction should be performed until the cervix was fully dilated. 6 u f f 0 l 0 Recognizing the value of breast milk to the survival of premature infants, they introduced frozen breast milk. The breast milk was put into little cake tins, set on dry ice to freeze, and then stored in the refrigerator for use. They reduced premature infant loss from 60 to 10 percent. Randall focuses on research Clyde Lamb Randall (1905-1990) graduated from the University of Kansas Medical School and did residency training in gynecology, general surgery, and pathology. While working together in Buffalo, King and Randall formed a close relationship. Physician 5 p r I n g 1 9 9 7 �THE N "I think that the most important thing I learned from King was to try to be decent to people," Randall said. "He was exceedingly kind to his patients. He liked his patients and he treated them accordingly." However, King's insistence on strict routine irritated Randall. In 194 2, Winkler and Randall declined offers of full-time positions at Buffalo City Hospital and Buffalo General Hospital, respectively. Winkler succeeded Goldsborough as UB professor of obstetrics and gynecology, and Randall succeeded King as professor of gynecology. As co-chairs of the department, they alternated responsibilities on an annual basis. They developed similar but separate three-year residency programs which rotated through the gynecology, gastrointestinal surgery, and breast services at Roswell Park Memorial Institute. Both Randall and Winkler were excellent surgeons, with remarkable respect for tissues. City-wide cooperation During World War II , many physicians were called into the armed forces , and Winkler and Randall experienced huge growth in their clinical practices. They frequently met, often in the middle of the night, while attend- B u f f a I o A N D w _N 0 ing patients in labor. They also met socially in each other's homes to discuss academic matters and curriculum, but never once did they go to each other's hospitals. Out of these meetings they began to hold monthly combined meetings of their residents and attending surgeons at the Park Lane Restaurant on Gates Circle. Soon they added Herbert Burwig's service from the Deaconess Hospital and Louis Mclean's from the Millard Fillmore Hospital. Such collegiality greatly ameliorated the extremes that had marked recent obstetric practice (e.g., the conservative management of natural delivery promoted by Goldsborough, and the routine internal podalic version and extraction practiced by Potter) . The city-wide meetings led directly to the formation of the Buffalo Gynecologic and Obstetric Society in 1946. Different teaching styles Winkler gave medical students and interns a firm grounding in obstetrics and gynecology to prepare them for general practice. Robert Patterson observed: "Dr. Winkler was very demanding of the medical students. We had to sit with the patient during labor with our hand on the abdomen, and we really learned about labor. " Winkler trained his residents as general obstetrician-gynecologists, able to treat all problems encountered , including breast cancer. The large clinics that he and O'Connor had built up at Buffalo City Hospital during the Depression were invaluable for this education. The program was highly structured; residents learned one surgical technique to treat each condition encountered . After mastering the techniques , the residents were encouraged to broaden their experience. Winkler was directly responsible for training ___Q]:)stetrician-gynecologists and then physician 5 p r I n g I 9 9 7 placing the work in their hands by drawing up regulations to limit the privileges of general practitioners doing obstetrics. Randall's residency program was loosely structured. He allegedly never performed an operation the same way twice and encouraged individualized training of his residents so that they could develop and expand their special interests and talents. Complementary interests During the tenure of these men as co-chairmen of the department, the quality of medical education in obstetrics and gynecology for medical students, interns, and residents reached an extremely high level. For example, in the late 1950s, outside examiners of the residency program thought that the medical students were residents. During this period, the University of Buffalo graduated a higher percentage of students into obstetrics and gynecology training programs than most other nonsectarian medical schools in the country. Winkler concentrated on medical student education, standardized resident training, and local medical politics, whereas Randall focused on individualized resident training, the development of subspecialists, and leadership in the National Board of Obstetrics and Gynecology and the American College of Obstetricians and Gynecologists. Together they combined community and university resources for optimal patient care and teaching. When Winkler died in February 1960, Randall became UB's first full-time chairman of obstetrics and gynecology. He later served as the medical school's vice president for health sciences, acting dean, and executive officer, before moving to Maryland as director of education of the johns Hopkins Program in International Education for GynecologyObstetrics. + ® �" BACK IN FAMILIAR SURROUNDINGS, I'M STILL SEElNG THINGS THROUGH A NEPALI TINT ... I CATCH MYSELF PESTERING MY FRIENDS ABOUT HOW LUCKY WE ALL ARE, IN AND OUT OF MEDICINE, WITH SUCH A WEALTHY AND EFFICIENT CIVILIZATION TO GIVE US MORE THAN JUST SURVIVAL." Rmedical mission to BY DONALD P. COPLEY , M.D . ' 70 J l �T MY TWENTY-FIFTH medical school reunion last year, while trading boasts about conquests and crises, I wondered what, after all, is truly meaningful in this life. I turned to a favorite classmate, Brendan Thomson, now a pulmonologist in Phoenix, Arizona, and asked, "What is the most worthwhile thing you've done since graduation?" Without hesitation he answered, "NepaL" Of course I knew that Mount Everest is in Nepal-I'd even day-dreamed of someday seeing the world's tallest mountain-but beyond that I drew a blank. Brendan had traveled to Nepal six times since 1985 on a variety of medical missions. The country, which is the size and population of New York State, is strikingly beautiful from jungle to grand peak, mostly agrarian, and painfully poor. With an average yearly income of only $250 and a literacy rate of about one-third, Nepal needed lots of help, Brendan told me. On his first visit there, Brendan met a young Nepali physician named Buddha Basnyat who was intent on an internal medicine fellowship in the United States. Brendan placed Buddha at a Phoenix hospital and invited the young man to stay at his home during the three-year fellowship. The two have remained close, exchanging visits almost yearly. Since then, Brendan has acted as a travel agent for American students and doctors going to Nepal to study or teach, and he has helped Nepali doctors come to America to take board exams. And when Brendan visits Nepal, he takes other physicians along to teach and practice. ''I'd love to do something like that," I said , with visions of trekking in the Himalayas. "You know what?" said Brendan. "You can!" He needed a cardiologist for an advanced life-support course planned for the next visit. It wasn't long before I was dashing off a check for airfare to the other side of the world. Getting there It took thirty grueling hours for my wife, Andrea , and me to fly from Buffalo to Hong Kong, where we linked up with Brendan's small contingent of American doctors and nurses. After two days of orientation, we flew on to the burgeoning city of Kathmandu, 500,000 people nestled into a story-book valley turned deep green by the recent rainy season. As our jet banked over a shrine to land, I caught a glimpse of a giant figure of Buddha with its life-like tempera eyes squinting through the smog created by cheap Indian gasoline. We headed off in eighty-degree weather on a kamikaze taxi ride into the city, careening crazily on the British side of the road. We passed big-wheeled bicycles piled high with produce, smoky motorcycles buzzing by like mechanized mosquitoes, and little blue vans stuffed with people, like fraternity Volkswagens. The sweet smell of this sewerless city was intermittently obscured by clouds of dense diesel exhaust. At a roadside gutter, a woman washed her family's clothes near an array of fresh vegetables piled on the ground for sale. We were greeted everywhere with the Nepali gesture of "hamaste" (pronounced "hom-a-STAY"), palms together in a prayerful and humble pose, the height of the hands indicating the level of respect. A Nepali hospital About the size of a small community hospital in the U.S., Kathmandu's Patan Hospital was built a decade ago entirely from church donations , and it is still run by missionaries. Chief of Medicine Mark Zimmerman has been there since the day the hospital opened, when he arrived fresh from his U.S. residency. His work has been subsidized every year by a Methodist church in Syracuse, New York. He relishes what would be intolerable to most of us: a smothering rush of seriously ill patients who often arrive too late to be cured, sometimes even dying on the hospital's doorstep. He loves the challenge of functioning with ludicrously limited resources, for next to no pay, with little distinction between work and rest. Smiling and joking gently, he always looked calm and content amidst the hubbub. People, sometimes a thousand in a single day, walk for miles to queue up at an outpatient window. The sickest patients stay in one of Patan's 150 ward beds. We toured the hospital through corridors darkened by J �power outages. Although the hospital was fairly clean, the doors and windows were often left open, without screens, to let the breeze take care of necessary ventilation. Through a door open to an operating room, a smiling patient waved to me as his inguinal hernia was being repaired. Latex gloves , considered disposable in the U.S., were being washed and hung to dry on a large wooden rack, evidence that the Patan staff wastes nothing. The hospital survives on donated medical equipment. Much of it, such as the EKG machines and resuscitation equipment, came from Brendan and his colleagues. As we walked by one of Brendan's old cardiac defribrillators, he whispered, "Think of the lives we've saved by sending this over!" The medical wards bustled with patients and their relatives , the latter providing constant nursing care while the R.N.s attended to technical work. At Patan, the patient's family must purchase all drugs and supplies themselves from a nearby pharmacy. Tuberculosis is the number-one killer in Nepal; pollutioninduced lung disease is the most common non-infectious problem. Exotic infectious diseases abound: leishmaniasis, leprosy, rabies. Many Nepalis smoke-especially the youngsters , who idolize the American Marlboro image-which gives the cigarette industry a chance to "make a killing. " I saw more patients with rheumatic heart disease than with heart attacks , ® B u f f a l a but Nepali physicians expect that increased levels of smoking and urban stress will soon cause a coronary epidemic. Our students, twenty Nepali resident doctors and thirty nurses, were hungry for the critical-care knowledge we taught. We caused some consternation when we challenged traditional Nepali gender roles by putting male doctors and female nurses together in the same room and having them listen to our female nurse lecturers. We taught basic and advanced life support, the mechanics of chest compression and the Heimlich maneuver , cardiac diagnosis and EKG analysis, defibrillation, and drug treatment. Our students asked perceptive questions, the kind that come from people who have seen a lot. They beamed with pride when we handed out diplomas on the last day. Time for touring e made brief excursions into the countryside to learn about its beauty-and its poverty. On a 2,500-foot hike into the foothills of the Himalayas, we puffed like choo-choos while young children hurried past us up the paths, carrying cinder blocks in backpacks supported by forehead straps. Other youngsters begged us for American ballpoint pens to use at school. Finally, Mount Everest! A chartered plane took us northwest from Kathmandu , playing hide and seek with lowhanging clouds. Suddenly, there it was , fully visible from its tropical base at 2,500 feet to its snow-capped peak at 29,000 Physician S p r i n g 1 9 9 7 �The si&fttof a man perusing a newspaper 1s not common, as only about a durd of the Nepali population can read ThiS set of donated equipment 111 a fishing tackle box at Patan Hospital is not fancy, but it IS adequate to handle most emergencies. A father gneves at a child's funeral pyre. Doctors in Singapore work mostly in solo practice, without managed-care headaches, yet they still feel cost-containment pressures directly from their patients. For example, angioplasty is favored over coronary bypass surgery because it's cheaper, and patients are willing to return two or three times a year for repeat procedures. "For my patients, it's like going to the dentist," said one local cardiologist. I found Singapore doctors busy and independent, wealthy and content, with a touch of arrogance-similar in many respects to American doctors of a generation ago. Back in familiar surroundings, I'm still seeing things through a Nepali tint, or what's called "perspective." I catch myself pestering my friends about how lucky we all are, in and out of medicine, with such a wealthy and efficient civilization to give us more than just survival. Now I understand why Brendan keeps going back. He and I are sure to talk about Nepal at our next reunion dinner as we contrive another excuse to return. + ' feet. Microscopic villages were scattered at its toes like the patterns of a fine Tibetan rug. My cherished unlikely dream had become a reality, thanks to Brendan's perseverance. On the way home, we stopped in Singapore, an Oz-like city with gleaming skyscrapers and spotless, antiseptic streets. We had received an invitation from the U.S. Ambassador to Singapore, Timothy Chorba, whose younger brother, Terence, is a 1979 alumnus of UB's School of Medicine and Biomedical Sciences. In Singapore, per-capita income exceeds $16,000, and there is no unemployment. We lectured at Mount Elizabeth Hospital, which is about the same age as Patan Hospital but ages apart in appearance and technology. About the size of the Buffalo General Hospital, Mount Elizabeth sparkles from yearly renovations and is blinking with the latest medical machines and computers. Most patients pay out-of-pocket for their medical services, while those few with limited resources get a lesser level of care at a subsidized government facility. B u f f a l a physician 5 p r Donald P. Copley, M.D., practices cardiology and cardiac rehabilitation in Kenmore, New York. Brendan Thomson, M.D., practices pulmonary care in Phoenix, Arizona. Both are members of UB's Class of 1970. For more information about participating in a Nepal exchange, contact Thomson at 5251 West Campbell, Phoenix, Arizona 85031, (602) 247-7725. I n 9 9 9 7 �............. .. . .. ............. . . . ........ . ................ . ............... Tumor viruses and stressed-out bacterta B Y A N D R E W 0 A N Z 0 or the UB School of Medicine and for a pair of promising researchers at the National Institutes of Health, 1995 was a pivotal year. It was the year that the Lucille P. Markey Charitable Trust awarded $1 million to expand UB's young but already internationally recognized Center for Microbial Pathogenesis. And it was the year that Victor James Hernandez, Ph.D ., and Maria Laura Avantaggiati, M.D., crossed the Atlantic to take their wedding vows in Rome. This year, UB is using part of the Markey grant to bring the couple to Buffalo. "This is, from our point of view, a perfect package," says Microbiology chair Ian Hay, Ph.D. "They both bring to the group expertise that we need, and they're both superb. We consider ourselves very fortunate to have them here." The Center for Microbial Pathogenesis is an interdisciplinary unit with some two dozen investigators who come from both clinical and basic science backgrounds. Formed several years ago out of collaborative efforts that began in the early 1980s, the center has garnered widespread attention for its work in such areas as molecular parasitology, sexually transmitted diseases, and pediatric infectious diseases. Avantaggiati and Hernandez arrived in early February and promptly set up shop in UB's recently opened Biomedical Research Building, where they will continue work they were pursuing at the NIH. Avantaggiati is interested in tumor viruses and cell growth; Hernandez is studying stress response and adaptation in bacteria. "There is no drug that will work against bacteria forever. They will all become ineffective, " says Hernandez. "So our hope is to now find the next generation of antibiotics that will sustain us for the next fifty years. It's my premise that these stressresponse systems within bacteria will be very potent targets for future antibacterial chemotherapeutics." Hernandez, a native ofEl Paso, Texas, received his Ph.D. in cell and molecular biology from the University of Texas at Dallas in 1991. For the next five years, he worked as a postdoctoral fellow in the Laboratory of Molecular Genetics at the National Institute of Child Health and Human Development. Nearby, in the NIH's Laboratory of DNA Replication, Repair, and Mutagenesis, Avantaggiati was studying interactions between viral and cellular proteins. Born in Naples, Italy, she had come to Bethesda after three years as a postdoctoral fellow at the University of Rome, where she had already earned her M.D. "I wanted to do research, " she recalls. "In Italy, it's very good, but it's not the center. Certainly the most important things are going on here." For about three years, Avantaggiati and Hernandez would pass in the hall, exchange a polite hello, and go on to their respective labs. "It had always been a very formal relationship until one day I made a conscious choice to go in and talk to herandget to know her," recounts Hernandez. "We got to know each other better and began dating. It was a whirlwind romance." Onjune 1, 1995, they were married in Italy. "We had a grand party in Rome," Hernandez says. That same year, Avantaggiati moved to the National Cancer Institute, where she focused her work on cellular interactions that appear to have a role in tumor development. Hernandez pressed ahead with efforts to disrupt the ability of bacteria to adapt to stresses. UB, meanwhile, had already begun using the Markey grant to recruit new faculty to the Center for Microbial Pathogenesis. When UB used the grant to make an offer to the pair, they had already received other offers. But they selected UB because they were impressed by both the university and the city. "For us, things like crime are important, because we want to start a family," Hernandez says. Avantagiatti agrees. "The city's very nice. The people are very kind," she says. "The weather I still have to adjust to!" + Physician s p r I n g 1 9 9 7 , �.. . . ...... .. . .. ... .. . . . .. . .. . . . . . .. ... ... . .. . . . . . ......... ... .. . . . ... . ......... • ••••••• •• ~ I Germaine Buck, R.N., Ph.D. Epidemiologist appointed to board of national research agency , ermaine Buck, R.N ., Ph.D., associate professor of social and preventive medicine, has been appointed to a three-year term on the board of the Institute of Medicine's Medical Follow-up Agency, an arm of the National Academy of Sciences. The agency conducts epidemiologic research on the health status of veterans. Founded shortly after World War II to conduct follow-up studies of the wartime experience, the agency now bases its studies on records from the military and the Department of Veterans Affairs . The agency's board is composed of fourteen physicians and researchers from universities and research centers across the country. Buck has won national recognition for her epidemiologic research in human reproduction and fetal and earlychildhood health. In 1995 , she was appointed to a three-year term on the B u f f a 1 o National Research Council Committee on Toxicology , which provides expert advice to government agencies on toxicologic issues and problems. A prolific researcher, she holds a three-year fellowship from the Merck Company Foundation and the Society for Epidemiology Research to conduct a long-term study of the safety and effectiveness of tubal ligation. She holds master's and doctoral degrees in epidemiology from UB. She is a member of the American College of Epidemiology, the Society for Epidemiologic Research , and the Society for Pediatric Epidemiologic Research , and is a fellow of the American Academy of Cerebral Palsy and Developmental Medicine . + Wrtght honored for minortty education achievements aggieS. Wright, Ph.D., assistant dean for minority affairs , has received the Outstanding Contribution to Medical Education Award for 1996 from the National Association of Minority Medical Educators. Wright was assistant Physician 5 p r I n g 1 9 9 7 I dean for student affairs and director of minority programs for the medical school before assuming her current position. During her tenure, she has been director of the Minority High School Research Apprentice Program, the Science and Technology Enrichment Program for talented minority college students, and the Health Careers Opportunity Program. A former teacher, Wright earned master's and doctoral degrees in counseling from UB and worked at the University Counseling Center before taking her position at the medical school. Her recent honors include the Sojourner Truth Award from the National Association of Negro Business and Professional Women's Clubs; the award for leadership in meeting the challenges of children with special needs from the Robert Warner Rehabilitation Center Division of Human Genetics; the award from the Buffalo chapter of the National Medical Association for leadership, commitment, and service; and the award for outstanding contributions to medical minority education from the northeast region of the National Association of Minority Medical Education. + �,. In honor of John Naughton, M.D., the university has installed a bronze bust of the former dean in the Biomedi(al Researth Building. Shown here on the O((asion of its unveiling; UB President William Greiner, Houghton, S(ulptor Jeff Slomba, University Coundl (hair Philip B. Wels, and Provost Thomas E. Headri(k. Museum receives $50,000 gift $50,000 gift from an alumnus will help support UB's Neuroanatomy Museum. Willard H. Bernhoft, M.D. '35, and his wife, Clarice L. Bernhoft, made the gift in honor of Harold Brody, M.D., Ph.D., SUNY Distinguished Teaching Professor in the Department of Anatomy and Cell Biology, who helped establish the museum. "Dr. Brody is a sincere, hardworking gentleman who has been an inspiration to a lot of medical students and colleagues at UB," says Bernhoft, UB emeritus professor of colo rectal surgery. "He devoted much time to this project and even traveled to Denmark to learn how to create a neuroanatomy museum. " After earning his bachelor's and M.D. ® from UB, Bernhoft served from 1942 to will join him in supporting UB. 1946 as a neurosurgeon in the U.S. Army, "New York State doesn't provide the and traveled to the Philippines and Ja- financial resources needed by the unipan. When he returned to Buffalo, he versity. With the right impetus-that opened a private practice in colorectal being support from UB alumni and surgery, from which he retired last year. friends-the university can continue to The Bernhofts hope their gift will be one of the best in the country." + attract similar contributions by other medical alumni to help establish an endowed chair in anatomy in honor of Brody. Bernhoft, who has also been a strong supporter of UB's Willard Bernhoft and Carlo DeSantis Library of Anatomy, Cell Biology, and Neuroanatomy, says he hopes other alumni Clari(e L. Bernhoft and Willard H. Bernhoft, M.D. '35 B u f f a l o P hysician 5 p r I n g l 9 9 7 r �····· · ····· · ····· · ·········· ·· ····· · · · · ··· ················ · ··· ·· ····· · ········ · ··· · ····· • · ~ I ,. r Anesthesiology research to be funded by gift from alumnus Mefford Diedrick UB'sfirst medical illustrator, dies $50,000 gift from Richard]. Nagel, M.D. '53, has established the first endowed fund to support research in UB's Department of Anesthesiology. "Although the university offers excellent clinical experiences for its medical students studying anesthesiology, research in this area is something that I believe requires more attention," says Nagel, UB emeritus professor of anesthesiology. "Supporting research now will allow me to see some results from new UB studies, and it opens up many opportunities for students to Jearn from these experiences. I also hope my gift will encourage others to offer their support to this fund." Nagel joined the medical school faculty in 1955 and retired in 1995 . He also served for four years on the medical school admissions committee. He was chair of the Department of Anesthesiology at Mercy Hospital for fifteen years, and served as chair of anesthesiology at Our Lady of Victory Hospital in Lackawanna, New York. A retired lieutenant colonel of the U.S. Army Reserves, Nagel is the president of the South Towns Tennis Center in Orchard Park, New York. + elford D. Diedrick, UB's first trained medical illustrator , died on January 24, 1997, in Queenstown, Maryland, where he had lived since 1982. He was eighty-four. Diedrick, who was profiled in the fall1996 issue of Buffalo Physician, was the first director ofUB's Department of Medical Illustration. A native of Buffalo , he studied art at the Rochester Athenaeum and Mechanics Institute (now the Rochester Institute ofTechnology) in the early 1930s. Later , he studied at Johns Hopkins University under Max Broedel, who is considered the father of medical illustration in the United States. Upon returning to Buffalo, Diedrick worked in various capacities at area hospitals and at the B u f f a l o Physician 5 p r i n g 1 9 9 7 I medical school until he was hired by UB as a full-time illustrator. With his training in both art and anatomy, Diedrick produced innumerable illustrations for publications and teaching. He also illustrated medical stories for newspapers and television. Among his larger projects~e three surgical atlases. His last major project was the 11lustration o Surgery , by former UB faculty members David H. Nichols, M.D., and Clyde L. Randall , M.D., a text that is now in its fourth edition. Diedrick helped found the nationa l Association of Medical Illustrators in 1945, and served as its president in 1963. The association recently honored him with a Life time Achievement Award. Diedrick, whose wife, Bertha, died in 1995, is survived by his two sons, five grandchildren, and one great-grandson . His remains were donated for medical research. + �• ········································ · ······ · ···· · ·· · ····· · ··········· · ·· · ···· · ·· ···· ~ I Parents'Council aids medical students BY hey drove their children to Little League, checked their homework, and kept them in line. Now that their children have grown, some parents are still finding ways to remain active in their children's lives through the Medical Students Parents' Council, which raises money and provides unique support services to UB's medical students. Robert and Elaine Heichberger, the parents of third-year student Lisa Heichberger, are the council's copresidents. "We both have been teachers all our lives. When teaching is in your blood, this type of thing is a natural progression," Elaine Heichberger says. "We are interested in medical education, have a great deal of pride in UB, and have an interest in our daughter's education." They view the council as a support post for the students. "The support your children feel when you are involved with their medical education, even when they are married, means a great deal to them," Elaine Heichberger says. "That is discussed at the meeting on many occasions, and the students are very appreciative." The council has provided many things to make students' experiences at UB more pleasurable. The parents helped to renovate and furnish the student lounge, supplied the hardware for the electronic mail system, donated a fax machine and a copy machine, and created an annual grant of $5,000 for the computer laboratory. But their assistance is not limited to tangible items. According to associate dean Dennis Nadler, M.D., "the Parents' Council also VICTOR FILADORA provides support for educational missions and activities which benefit the student body as a whole." For example, the group sponsors student travel to national meetings, which Nadler believes has a ripple effect that strengthens the entire class. Also, during every holiday season, council members invite UB students who can't be with their own families into their homes for support and companionship. The council, which is unique among medical schools, was founded ten years ago by former dean john Naughton, M.D., as a way for parents to get involved in their children's education. One of the group's most popular activities is the annual Gala Dinner Dance for the graduating seniors on the evening before graduation. The council pays for dinner, dancing, a boutonniere or corsage, and a gift for each graduate. Parents are recruited during Parents' Weekend, and they receive a directory describing the responsibilities and priorities of the council. During the spring session, the school solicits donations from the members. Between $15,000 and $20,000 is donated annually; these funds go directly to student support. "Reinforcement from the home front gives students the backing they need so that they know they are not alone," says Elaine Heichberger. "The parents realize that it is the little things they can do which provide extras that students would otherwise have to do without. " Although correcting homework and carpooling to sports practices are no longer required, the emotional, educational, and financial support of parents still enriches each medical student's experience and makes medical school at UB much more enjoyable. + Victor Filadora is a fourth-year student at the School of Medicine and Biomedical Sciences. ROBERT AND ELAINE HEICHBERGER, THE PARENTS OF STUDENT LISA HEICHBERGER, ARE THE CQPRESIDENTS OF A UNIQUE PARENTS' GROUP AT UB. B u f f a I o S p r I n g 1 9 9 7 �.......... . .. . . .. ..... ............... ...................... ...... . ..... .. . . . .. . ..... . .. get in the way. But that periphery is made up of human souls, which have a bunch of that subterranean anger, and an agenda. And they are the people who BY M IKE M ERRILL , CLASS OF 1 9 97 pay us . They are trying to get into the examination room, trying to tell us that the ower, says the I Ching, must be fused with justice. same patients who want us to heal them "When one understands this," the 3,000-year-old Chi- also don't want their families hobbled by huge insurance premiums. These nese book says, "one understands the meaning of people are trying to tell us that we need to change the way we do things . everything that happens in heaven and on earth." We ignore them , or fight them , at It's quite a point for contemplation: worker bee in times of layoffs. our peril. They will shape our future , Then I went to medical school, or they will , I think, find someone else power exercised without justice can only lead to instability, in a government or a plunged into an environment of entitle- to do our work. business or a family . It leads in the ment and ego and suffering. The excesses and injustices of the powerless to a subterranean anger that I kept working partadministrative and may build to a destructive explosion. time at HCP, and I noinsurance systems, These thoughts bring a new light to ticed a change, a subtle "LITTLE ACTIONS just like those of evthe hospitals and clinics. It's easy to distance between me erything else, eventuAND WORDS CAN underestimate one's power: watch the and some of my old ally will be blunted patients at Erie County Medical Center acquaintances. I have and balanced. They RESONATE DOWN A deferentially get out of the way of the become one of the obare unstable and so white coats. Little actions and words jects that the anxiety will not last, as the I CHANNEL OF TIME IN can resonate down a channel of time in fixes upon. Ching says. UNFORESEEN WAYS. " But l think the unforeseen ways: one elderly patient I don't like it, but I physician's role will refused CTs because a doctor once said can't undo it. only remain powerful it would "make slices of the stomach." As a doctor, it might to the extent that we In a way, the I Ching is right. What we be easy to forget the learn to incorporate, see going on here in all of human life is fear of losing my job, in a dignified manner, the working out of the correct way to the worry about how the indirect financial to pay for groceries, the exercise power among humans. concerns of the paof unemhorrible maw Nowhere have I seen this so clearly as and the contients , at HealthCarePlan, where I have worked ployment, the anxiety cerns of the adminisof being without for six years. trative environs. I started there in 1991 as, basically, a health insurance. But Medicine now has high-level secretary, continuing as are- these are the fears of powerful enemies. my co-workers. When search assistant for a year, then entering It's the latest incartheir bosses get angry, medical school in 1993. nation of the same old and their world shakes I was of low rank in the Guaranty cycle: power concentrembles. When a secBuilding in downtown Buffalo that around justice, trates retary is fired, it breaks houses HCP's headquarters. I didn't even justice dissipates , and the leg of her family. need to wear a suit; it would have been I know the world of power leaves. + silly. The secretaries and clerks looked the patient will call me. on me as something of an equal, When I'm in the examination room, Mih e Merrill, afonnerj ournali sl, is a fourth-year though a bit of an anomaly. I made a wherever I end up, support staff and medical st udent at UB wlwsecolumns appear regulot of friends , heard the gossip , and insurance companies will seem merely larly in the Buffa lo News. He will begin a resishared the helpless anxiety of the peripheral entities that had better not dency in internal medicin e in Buffalo next year. Medicine is agame of power 8 u f f a 1 o P hysician 5 p r I n g 1 9 9 7 �Aleader in research and in academic administration FRANKLYN KNOX or many academics, stepping into administration means abandoning research. Not for Franklyn Knox. Internationally known for research on the physiology of the kidney (work that he began thirty-five years ago while still a graduate student in UB's Department of Physiology), Knox has also helped lead one of the nation's most highly respected medical institutions through a period of expansion and change. He is a recipient ofUB's Distinguished Medical Alumnus Award, and this February Knox was awarded an honorary degree from UB during the "Kidney Performs Under Pressure" symposium on renal physiology. A native of Rochester, New York, Knox earned his bachelor's degree in pharmacy from UB in 1959. In 1965, he became the first UB student to earn an M.D. and a Ph.D. concurrently. "I had entered medical school with the idea of a career in research and teaching, and it became evident to me that I needed further training in research, so I embarked on the Ph.D.," he recalls. "My decision to pursue renal physiology had more to do with my mentor, Don Rennie, M.D., than with the kidney itself. I first met him when he taught the medical school physiology course, and then I did research in his laboratory in the summers. "One of his many research interests was kidne y function . But under Hermann Rahn's leadership, the Department of Physiology largely focused on respiratory physiology. As a result, we studied respiration of the kidney." Knox worked for three years at the ® ,.. '65 , DISTINGUISHED INVESTIGATOR AT THE MAYO FOUNDATION accomplishment I point to with the greatest degree of pride," Knox says. Before 1982, the Mayo's medical and Ph.D. degrees were granted through the University of Minnesota. Under Knox's leadership, the Mayo became accredited to take full responsibility for both degree programs. "In some sense, the change was a 'truth-in-labeling' issue, because all the medical curriculum was being taught here at the Mayo anyway, " Knox points out. "The decision for us to independently grant Ph.D . degrees, as well as M.D.s, has resulted in much stronger basic science education here." He has also been involved in other major changes at the Mayo. The Mayo established full clinics in jacksonville, Florida, and Scottsdale, Arizona , in order to make its service and reputation more national in scope. It has also instituted a series of changes in response to National Heart Institute's Laboratory of Kidney and Electrolyte Metabolism, moving to the Department of Physiology at the University of Missouri School of Medicine in 1968. Two years later, he joined the Mayo Clinic and entered its Department of Physiology and Biophysics, which he later chaired. He was then appointed Dean of •= the Mayo Medical • School as well as director for education of the Mayo Foundation, with huuu hu responsibility for supervising undergraduate and resident medical education, the Ph.D. programs, and the health-related science programs, as well as continuing medical education. "The establishment of the Mayo as a degree-granting institution in its own right is the Interim medical school dean John Wright, M.D., with Franklyn Knox . B u f f a l a Physician 5 p r I n g 1 9 9 7 �················· · ······································································• James E. Springate; joey P. Granger, of the University ofMississippi; University of Alabama professor james A. Schafer, the president of the American Physiology Society; and the society's president-elect, Allen W. Cowley Jr., of the Medical College of Wisconsin. Knox spoke about his recent research on the kidney's natriuretic response to increased blood pressure. Two observations-that patients who take non-steroidal anti-inflammatory drugs ( SAIDs) over a long time increase their risk of hypertension, and that NSAIDs block prostaglandin synthesis-raised the question of how prostaglandin is involved in natriuresis, Knox said. He traced the sequence of events through which, in healthy individuals, increased blood pressure is reflected in increased renal interstitial pressure, which triggers pressure natriuresis to help lower blood pressure. In hypertension, a number of factors can interfere with this cascade. Knox's experiments showed that lanJESSICA ANCKER thanum ions crossed the epithelium of the proximal tubule via the tight junctions between the epithelial cells. Knox used these findings to argue that prostaglandin helps maintain the permeability of the tight junctions, and D. that this permeability accounts for a he kidney's regulation of blood substantial fraction of the transepithelial pressure relies on the paracellular transport of water and electrolytes. Thus, transport of water and sodium in he said, prostaglandin synthesis amplithe proximal tubules, Franklyn fies the natriuretic effect of increased Knox argued in February's D. W. blood pressure. The D.W. Harrington Lecture series Harrington Lecture. brings distinguished scientific speakers Knox's lecture was the cornerstone UB twice a year. The series is funded to of the "Kidney Performs Under Presendowment created by Harrington, by an sure" renal physiology symposium at a member of UB's class of 1871. + UB's Center for the Arts in February. -].A. The other speakers included UB's managed-care pressures, including developing its primary care network and affiliating with a network of hospitals and clinics. Knox credits the Mayo's strong administrative support structure with allowing him to continue being an active researcher throughout his administrative career. "Also, there's an expectation that administrative responsibilities will rotate, so people are encouraged to maintain their professional research roles throughout different administrative jobs." He now holds the title of Mayo Foundation Distinguished Investigator and Head of the Nephrology Research Unit of the Mayo Clinic and Foundation. He has served on numerous national and international editorial and advisory boards, and is a past president of the American Physiological Society and of the Federation of American Societies for Experimental Biology. His recent research focuses on the regulation of phosphate metabolism and the role of blood pressure in controlling electrolyte and water excretion. + 1kw Y• S Hwl COIIIIIIISSIOII 8arltara A. De8uono, H.D wl be the keylole speaker at DB's 60dl Annual $pMg OilicaJ Day OD April 26, ID a pni&IUI eatided "1lle blienillg of llealdl Care.. The pregnll at tile Buftalo Marriott IS designed to Dlfer physicials ilsigllts and answers to the prolllems ucl epportunltleS of medial practKe, aCtOnllng to program chair Richard Collins. H.D '83. 8 a.m. Welcome and Introduction Jadt f Coyle. H.D '85, presideat. "edial Alumni Association ~ L Wright. M.D., 111ten11 dean. Schoel of ltediCIIe ud lioiiHal Scieltes ' lidtanl L Colas. "0 '83, prop~ dlair Paracellular transport in the kidney: the W. Hanington Lecture B u f f o I o physic i an S p r I n g I 9 9 7 Fw more ln(onnotlon about Sprinc ClniaJI OCiy Gild ocher Alumni Weeltend Cldlwflies, , . _ coneoct die Medical AUnnl Alsodar.ton CJt 7111-129-2778 �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . [1] . HURWITZ & RNE, P.C. [ATTORNEYS AT LAW I I 1 S ERVICING T HE L EGAL N EEDS OF THE H EALTH S CIENCES C OMMUNITY • Managed Care 9 JOHN D. 4 s 0 WHITE '40 , of]acksonville, 1 FL, has moved with his wife, Dorothy, to Cypress Village, a retirement community next to the Mayo Clinic. He continues to be active in low-vision counseling and community affairs. He writes: "I would like to know why we don't have news of the '40s classes. I can't believe that they are all dormant. If you get to Florida, I'd like to see any of you!" • Purchase & Sale of Practices THEODORE W . KOSS '41 , of Smithville, • Business & Tax Planning • HCFA Safe Harbor Regulations and Physician Self-Referrals TN, has had a good recovery from both a total hip replacement and a coronary occlusion last fall. ''I'm doing exceptionally well, fishing and following the market." 9 6 s 0 MORTON PAUL KLEIN '62 , of Boynton Beach, FL, is retiring from ob/gyn after 28 years. He plans to travel through the United States and Canada in his new motor home. HARVEY LIEBESKIND '63 , of Jackson- ville, FL, writes: "Although I continue to practice psychiatry part-time in Jacksonville, most of my time over the past 20 years has been devoted to the thoroughbred horseracing and breeding industry as an owner. I attend all the major thoroughbred auctions and race principally in New York, Kentucky, and Florida. Two of my three sons are in the business with me. I'm looking forward to our 35-year reunion in 1998." • Contracts with Private & Public Entities • Employee Relations Counseling • Fringe Benefit Programs • Representation Before Government Agencies on Audit & Business Issues • Facility Finance and Construction • Credentialing and By-Laws • Hospital/Medical Staff Issues Please contact Robert P. Fine or Lawrence M. Ross at 716- 849- 8900 HAROLD PESCOVITZ '47 , of Cincinnati, OH, has retired from his practice of surgical oncology. "I winter in Boyton Beach, FL, and summer in Cincinnati, so 1see no snow." of Buffalo, NY, received the Senior Honor Award Cer- ARTHUR J . SCHAEFER '47 , tificate for his many years of service to the American Academy of Ophthalmology and its scientific and continuing education programs. The award was granted at the academy's 100th Anniversary Meeting in Chicago on Oct. 25, 1996. At the meeting, Schaefer was one of five past presidents of the American Society of Ophthalmic Plastic and Reconstructive Surgery who gave a three-hour instruction course, "Refinements in Surgical Techniques in the Treatment of Ptosis, Entropion, and Ectropion of the Eyelids." STEPHEN C . SCHEIBER ' 64 , MARC COEL '68 , of Kailua, HI, is chair of nuclear medicine at the University of Hawaii School of Medicine and director of nuclear medicine at Queens Medical Center. He writes: "I have had a nuclear medicine text (atlas) published by Saunders. 1 would be interested in hearing from members of the class of'68living in Hawaii. I live in Kailua, across the mountains from Honolulu, where I work ... a bit warmer than Buffalo this time of year." s . K. Bosu '69, of Anaheim, CA, has been C .J . PARKER '58, writes that he has moved from Detroit, MI, where he was an associate professor of biochemistry, to Hayes, VA. 1300 Liberty Building Buffalo, New York appointed director of the N.I.C.U. and clinical chief of pediatrics at Southern California Permanente Medical Group in Orange County. He was also recently elected to a two-year term as president of the Association of Nigerian Physicians in the Americas, a 2,000-member professional association. ® of Deerfield, lL, was elected chair of the Committee of Board Executives and Representatives of the American Board of Medical Specialties. He was also approved for membership in the Benjamin Rush Society and the University Club. Scheiber is secretary of the Group for the Advancement of Psychiatry and treasurer of the American College of Psychiatrists. B u a a p 5 c a 5 p n g 9 �.................................................................. I N FIN I T I 1 9 s 0 7 ARTHUR R . GOSH IN THOMAS ARNO '70, of Buffalo, NY, was selected by the Academy for International Health Studies to travel to jerusalem for a '78, of Meadville, PA, was awarded the 1996 D'Angelo Excellence in Heart Care Award by Hamot Medical Center. Arno is medical director and chief of cardiology at Meadville Medical Center. He was honored for improving cardiac care and week of study of the Israeli health-care system. He joined a delegation of 18 American health-care leaders that met with Israeli raising public awareness about heart disease. Among his accomplishments were adding new services at the hospital, writing medical columns for the local newspaper, Minister of Health joseph Matza; members of the Brookdale Institute; the mayor of Jerusalem; and the chair of the board of Israel's largest HMO, which has 3.4 million members. Goshin is president and CEO of Buffalo's oldest HMO, HealthCarePlan. He is also board chair and appearing on the radio to raise awareness of heart disease, and helping in the annual Heart Fund Drive. 1 9 8 s 0 '82, of Los Alamitos, CA, was recently advanced to fellowhip in the American College of Physicians and continues to practice pulmonary and critical care medicine in Orange County, CA. Having '74 , of Seattle, WA, writes: been promoted to the rank of commander in the Navy Reserve Medical Corps, he has attained qualification in surface warfare medicine on the U.S.S. Kitty Hawk and was recently awarded the Navy Commendation Medal. He and his wife, Pina Wong, M.D., have one daughter, Christen Marie, who is experiencing the 'terrible two's. ' "I have joined the Richmond Clinic and am starting an internal medicine practice. I will be living in North Seattle with my wife, Claudia, my daughter, Nicole, and my granddaughter, Samantha." RICHARD AL TESMAN '76 , of White Plains, NY, writes: "After 10 years in the private sector, I've returned to academia as director of the acute division of New York Hospital-Cornell Medical Center in Westchester County. I still maintain my psychiatric consulting practice." TAWNI ANN FRANK '76 ,ofCharlesCity, VA, writes: "After eight years working as a general practitioner and ER doc, I found my true calling in psychiatry. I am now an assistant professor in the Department of Child Psychiatry at the Medical College of Virginia in Richmond." MIKE NEANDER '76 , of Oneonta, NY, is practicing child, adolescent, and adult psychiatry in rural upstate New York, and works monthly in Washington, DC. He works with families with multiply behaviorally challenged children. e 0 0 p y c An interior more Jpaciou,l than a Ro//.1 Royce Silo•er Spur Ill. An e.-cceptionaffy generow liA of ,1tandard Lu.-wry featured. A 190-hp V6 capahle of out-acceleraltizg many Lnxury V8J. And of courJe, !he Jtandard-Jetting performance and Jervice oflnfiniti. $599 mo. 36 mo. LeaJe $999.00 down MARK CHUNG CEO of Vytra Healthcare, a HealthCarePlan subsidiary on Long Island. JOHN J . FIN A The fro nt-wheel drive I nfiniti® /50™ '82, of Grand Island, NY, is director of laboratories and chief of pathology at the Niagara Falls Memorial Medical Center. He has been granted voluntary recertification by the American Board of Pathology. Gioia is board-certified in anatomic and clinical pathology and is a clinical assistant professor at UB. JOSEPH F . GIOIA '83, of Memphis, TN, writes: "After a decade in academic medicine, including the last two years as chief of the division of geriatrics at the University of Tennessee at Memphis, I will begin a new adventure this year. I am joining St.j oseph's Hospital in Memphis to become the medical director of a MedWise Center. MedWise is run by GeriMed of America, a national company providing primary care for older adults throughout the continuum of care. " ROBERT BURNS o n 5 p n 9 9 9 I ntrouucing the all neov 9 7' QX4® from Sj5,550.00 In an ln/inili® QX4®, one of the firJt lhingJ you 'If eJcape iJ the mundane. Beca11Je the QX4 iJ not your typical La.xury .1porl utility l'e!Jicle. While it offet~' all the verJatility you e.-..:pect from a l'ehicle of it,, kino, I he QX4 offeN .wmething you don't e.-..:pect: the Lu.-..:ury of an infiniti. I N F I N IT I AUTO PLACE INFINITI 8129 MAIN ST. , WILLIAMSVILLE 633-9585 East of Transit Rd., Near Eastern Hills Mall ( 130-$450). Bank fee + tax and license due at inception. 12,000 annual mileage . $.15 per mile in excess. �& WILLIAM J . MAYER '83 , of Portage, MI, was recently appointed president and gen- THE ULTIMATE DRIVING MACHINE= eral manager of the Functional Foods Divi- Advertise in one of the finest publications in Western New York ... Buffalo Physician ~ Uf\"tj v"~ s \ [ \ "" Checkpoint Foreign Car, Inc. sion of Kellogg Company. He also served on an Institute of Medicine study committee that published Improving Health in the Community. He and his wife, Annie Fainsinger, have two sons, joshua (5) and Adam (2). EDWARD A . ZANE '84 , of ew Milford, CT, writes: "After serving as chairman of the Department of Anesthesiology, I have been elected to serve as president of the medical staff of ew Milford Hospital. Our three children-Alexandra (8), Erica (6) , and Mauhew (4)-bring endless joy to Debbie and me." OONNICA L. MOORE '86 , of Sales and Service eshanic Station, NJ, has been elected vice president for membership of the • American Medical Women 's Association. 487 Kenmore Avenue Buffalo, NY 14223 Moore, a gynecologist, has Give us a call: 836-2033 (716) 645-6933 • Michael J. Baranski Marketing Representative also been named president of Sapphire Women 's Health Group, which provides consulting services to companies and organizations interested in enhancing their position in women's Your WNY Leasing Specialist Serving WNY proudly for 33 years health. She will also serve as the program chair for the Fifth Annual Congress on Women's Health in Washington, DC, in june. She writes, "I hope to see many alumni there! " JOHN BARBACCIA '88 and JANET WILLIAMS '88, ofMorgantown, WV, announce the birth of their son, icholas Andrew, on Dec. 31, 1996. He joins three older siblings: Katie (5), Matthew (3), and Thomas (1). 1 BARANSKI ADVERTISING 146 Stepping Stone Lane Orchard Park, NY 14127 ® s u f f a l o P 9 9 s 0 PAMELA A . CLARKE '90, of Prospect, KY, writes: "I finished my pediatric endocrinology fellowship in june 1996 and accepted a position as assistant professor at the University of Louisville in the Division hysician 5 p r I n g 9 9 7 �················ · ······································ · · · ········ · ······················ • II ' of Pediatric Endocrinology. My husband, begin a two-year fellowship in pediatric oto- Mike, and I have been keeping busy build- laryngology at Emory University in Atlanta ing our dream home." this July. GLEN M . GINSBURG '90 , of Omaha, JONATHAN WEINSTEIN I '93, of Alexan- NE, was appointed assistant professor of dria, VA, writes: "I have finished my resi- pediatric orthopedic surgery and clinical dency in pediatrics at Children's director of the Motion Analysis Laboratory Medical Center in Washington, DC, and ational at the University of Nebraska Medical Cen- have joined a large practice in Fairfax ter after completing a fellowship in pediatric County, VA. I love living in this area and orthopedics at the University of Southern California. take advantage of the many sights and activities. I just finished my second Marine Corps Marathon-with my father! Ed Math LINDA D . LORENZANI - FRANCIS '91 , of Washington, NC, writes: "I finished my and I keep in touch frequently and occasionally I hear from Andy Corsello. " psychiatry residency at Sheppart Prall Hospital in Baltimore in 1995, and I've joined RESIDENTS the faculty at East Carolina University School of Medicine's Department of Psychiatric Medicine in Greenville, NC. " W I LLIAM A . PULLEN ( 1982- 85) , of Los Angeles, CA, was chosen as one of the best physicians in Los Angeles by Los-Ange- MATTHEW J . PHILLIPS '91 , of Snyder, NY, writes: "My wife, Toula, and I are proud les Magazine. Pullen is married to JoAnn C. Pullen '83. to announce the birth of our son, Mauhew John Phillips Jr., on Nov. 9, 1996. He joins his brothers James (3) and Michael (2). " of Amherst, NY, is completing the last year of her otolaryngology residency at UB and will PHILOMENA MUFALLI BEHAR '92 , MANDEEP KAUR RAI ( 1992-95), of Chagrin Falls, OH, was awarded an educational grant from the National Foundation for Infectious Diseases to attend the 1996 lnterscience Conference on Antimicrobial Agents and Chemotherapy last fall in ew Orleans. Rai is a fellow in infectious diseases at Prompt Care and the Cleveland Clinic Foundation. NICHOLS MIDDLE SCHOOL • Challenging, mnovative curriculum • Outstanding preparation for high school • Average class size of 14 students • Interscholastic sports • Comprehensive visual and performing arts program • Dedicated, caring faculty • Financial aid available For further information, call: NICHOLS MI DDLE SCHOOL, 175 Nottingham Terr. B f f 0 0 p h y s NICHOLS UPPER SCHOOL, 1250 Amherst St. c 0 5 p 9 875~8212 9 9 ® �• ·············· · ···· · ········· · ····· · ··········· · · · ···· · ············ · ·· · ········ · ······ · ··· I OBITUARIES STEVEN PIERI '36, of Fort Myers, FL, died on Dec. 18, 1996, after a long illness. After graduating from UB, he received further training from the People's Hospital in Akron, OH, and the Belmont Hospital in Chicago. In 1939, he started a group practice in Corning, Y, and worked there until his retirement in 1981. He was also a member of the staff at the Corning Hospital and was active in the Steuben County Medical Society. He is survived by his wife and classmate from UB, Doris Pieri '36. JOHN L. MUSSER '51 , of Orlando, FL, diedjan. 19. He had been battling cancer. He is survived by his wife, Norma. JEFFREY J . SEYMOUR '93 , of Ilion, NY, died jan. 6 as a result of injuries sus- tained in a car accident. He was 31. Seymour was completing his residency in emergency medicine at Albany Medical Center, where he had become chief resident. He earned his bachelor's degree from Cornell University after attending Herkimer County Community College. He graduated from UB School of Medicine and Biomedical Sciences with honors. In 1995, he married Pina Sanelli, UB Class of '94, who is now a resident in radiology at Albany Medi- This photo of Jeffrey Seymour and Pina Sanelli appeared in the 1993 Iris, UB' s medical student yearbook. cal Center. If you come loolring for a car, you'll be awfully disappointed. HoWEVER, there's little chance you'llleave that way. BECAUSE at the Land Rover Centre, we have the world's most impressive 4x4s. AND people who can answer anyof your questions about driving. A4x4, of course. 3560 Sheridan Drive Amherst, New York 14226 (716) 831-3100 • (716) 835 FAXX (3299) ® a f f a l a P h y s I a n 5 p n 9 9 9 �Put tfte best seat in tfte fwuse myourgarage. 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APPLE ScHOOL REwARDS Purchase any qualifymg Macmtosh desktop computer, Apple dtsplay (if sold separately), and Apple printer through 1119197 and earn pom~ for any school of your choice (to be redeemed for Apple products) !OMEGA REBATE OFFER Purcha~e an Iomega Zip OM.,, and rerei"' by mail either a $50 rebate, OR more than a $150 value "Game Pack-to-Go" Purcha~e an Iomega Zip D~k 10-pack and recei"' by mail either a $20 rebate, OR more than a $60 value "Net Stuff Organizer" See Iomega mail-in certificate at UBMicro for details. Rebate through 1/31/97. $50 HP DESKjET 340 SERIES REBJITEOFFER through 3131/97. See HP mat!-in certificate at UBMicro for detai~. CoMPUTER WoRKSHOPS Call 645-3560 to have a brochure mailed to you. 7Jai' J Jaff 7Jalc1 1717 Walden Ave. , Buffalo, NY Open Mon thru Fri 11-5; Wed & Thurs 11-6:30 Celli for currr:nt pricmg and aw.ulablllll·, Priers subji'CI to chon!{t' ~·ahout notfU 11m • •11[+] 891-5595 A non-profit UnivetS!ty program for students, tocuhy & staff The Comm ons • North Campus • (7 16)645-3554 • Fox: 645-3884 B u f f a l o Phy s i c i an s p r I n g l 9 9 7 NAME (please pnnt) DAYTIME PHONE VISA MASTERCARD SIGNATURE MedtcaVDental diploma frame (fits 20"x 16" diplomas) U.S. shtpptng charges per frame (allow 6-8 weeks) TOTAL $ S e nd your order with pa yme nt t o: USAB Dtploma Frames c/o Office of Alumm Relat1ons UniverSity at Buffalo 3435 Main Street, 109 Allen Hall Buffalo, NY 14214-3003 Fax: 716-829-390 I Phone: 716-829-2608 or 1-800-BUILD UB �TAKE TWO ... TheDollar AND CALL ME IN THE MORNING! Doctor... f;'\d ~O<tr Information Insights Opinions Finances Stocks & Bonds Call in Listen In OW'\ ro(l[ * Fact: Saab owners have a higher education level than any other car owner group. * Saab purchase prices starting low to mid 20's; leases starting at $299 per month. * According to the Insurance Institute for Highway Safety (IIHS), the Saab 9000 has the lowest fatality rate of any production car on the market. WWKB, 1520 Saturdays 9:05 to 10:00 am SOUTHTOWNS SAAB @~P!2~~~11 3580 Southwestern Blvd (1 Mile east of Rich Stadium) Member: American Stock Exchange, NASD, SIPC (716) 662·8008 237 MAIN STREET Tel: 854-7541 WNY's Largest Volume BMW Dealer THE ULTIMATE DRIVING THOSE LOOKING FOR MORE CONTROL IN THEIR LIFE CAN NOW FIND IT ON SLIPPERY PAVEMENT. MACHINE~ F. G. DOWNING Sfi99 While the road of life may throw you an occasional curve, at least our All Season Traction 1997 BMW 740i helps you handle the particularly slippery ones. 27 mo. Lease Towne BMW 3030 Orchard Park Rd. 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Policyholders also enjoy the protection of one of the country's largest and most experienced professional liability Claims Departments. Most importantly, MLMIC has successfully defended more physicians than all other available insurers combined. • These are some of the reasons why MLMIC is the only medical liability insurer approved by the Medical Society of the State of New York. • To find out more, call1-800-356-4056 in Upstate New York, or 1-800-ASK-MLMIC in the New York metropolitan area. Ask for free copies of our risk management MLM~C ~ \ledJCal uabilit\ \lutual Ins=ie Compan) guide for office practices. • Our defense never rests. 2 Park Avenue New York, NY 10016 2 Clinton Square Syracuse, NY 13202 90 Merrick Avenue E. Meadow, NY 115S4 Ci1''96M~d allab 1ty M~.Jtuallnt~urance Company �Non-Profit Org. U.S. Postage PAID Buffalo, NY Permit No. 311 BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET BUFFALO NEW YORK 14214 ADDRESS CORRECTION REQUESTED PLAN'l'ING A TREE UNDER WHICH You WILL NEVER Srr DR. DEVILLO W. HARRINGTON, class of 1871, knew how to make his money grow. In fact, this man who in 1905 provided $5,000 through his will for the University at Buffalo School of Medicine, is still supporting UB today through the endowment his bequest created. THIS PERMANENT endowment in Dr. Harrington's name has grown to over $300,000 and today it supports the famous Harrington lecture Series, which twice a year brings distinguished scientific speakers to the School of Medicine and Biomedical Sciences. DR. HARRINGTON'S LEGACY to UB is just one of many bequests which have established permanent and important endowed funds at the school. They enable UB to provide scholarships ·to outstanding students, enhance scientific research, support excellence in teaching and meet the ever-changing needs of the school. YOU TOO can provide the School of Medicine with a measure of permanence through a bequest. Proper estate planning helps you develop a smart financial plan. Acharitable bequest provides the satisfaction that comes from planting a tree under which you will never sit, but which will bear fruit for generations to come. FOR ACONfiDENTIAL consultation on making a bequest to the UB School of Medicine and Biomedical Sciences, or to receive materials to share with your attorney or estate planning advisor, please contact STEPHEN A. EBSARY, JR. I Assistant Dean and Director of Development, School of Medicine and Biomedical Sciences UNIVERSITY AT BUFFALO (716) 829-2773 UNIVI!ASITY AT BUFP'ALO SCHOOL OF MI£DICINII!: l50 I 5 0 Y £ A R S 18415-1998 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1997 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1997-Spring Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v31n02-1997-Spring Table Of Contents A list of subunits of the resource. Teaching on the Fly OB-GYN today OB-GYN yesterday A medical mission to Kathmandu Research news Hospital news Medical school New faculty A student's perspective Alumni Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2019-01-09 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v31n02 Extent The size or duration of the resource. 40 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Rights Holder A person or organization owning or managing rights over the resource. Copyright 1997 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/036b61aa5ed92170adcc2621130b772d.pdf 6e9fd3da5c49d53bd021792690850f6a PDF Text Text State University of New York at Buffalo School of Medicine and Biomedical Sciences, Winter 1997 �BUFFALO PHYSICIAN Volume 31, umber l ASSOCIATE VICE PRESIDENT FOR UN IVERSITY SERVICES Dr. Carole Smith Petro DIRECTOR OF PUBLICAT IONS Kathryn A. Sawner EDITOR jessica Ancker ART DIRECTOR/DES IGNER Alan j. Kegler PRODUCTION MANAGER Ann Raszman n Brown STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MED IC I NE AND BIOMEDICAL SCIENCES Dr. john Wright, Interim Dean , Vice President for Clinical Affairs EDITORIAL BOARD Dr. Bertram Portin Dr. Martin Brecher Dr. Harold Brody Dr. Richard L. Collins Dr. jack F. Coyne Dr. Alanj. Drinnan Brian Duffy Dr. james Kanski Dr. Barbara Majeroni Dr. Elizabeth Olmsted Dr. Charles Paganelli Dr. Stephen Spaulding Dr. Bradley T. Truax Dr. Franklin Zeplowitz Dear Alumni and Friends, UB's SESQUICENTENNIAL EVENTS WILL END with the award by the SUNY Board of Trustees of an honorary doctor of science degree to Dr. james Holland at commencement on May 11, 1997. Dr. Holland, the Distinguished Professor of eo plastic Diseases and the director of the Cancer Center at the Mount Sinai School of Medicine and Hospital will also participate in teaching students in medicine, and will present a Harrington Lecture during the course of the weekend. Between now and the closing events of May 11, two additional special activities are planned. The first, on Feb. 21-22, 1997, will be held in connection with University Founders Day. Franklyn Knox, M.D. '65, Ph .D. '65, formerly dean of the Mayo Medical School and director for education of the Mayo Foundation, will be honored by a special symposium coordinated by the UB Department of Physiology. He will present a Harrington Lecture, entitled "The Kidney Performs Under Pressure." The SUNY Board of Trustees will also confer the honorary doctorate of science degree upon him as part of the sesquicentennial festivities. A very special event will focus on advances in medical education. It will be held on April25, 1997, the day before the annual Spring Clinical Day meeting. Four major leaders in medical education who had their roots at UB will return to join other faculty with whom they had worked, in addition to the current generation of medical education leaders at the medical school, to discuss the past, present, and future of medical education. The four are Dr. George Miller, Dr. Steven Abrahamson, Dr. Edwin Rosinski (Ed.D. '58), and Dr. Hilliardjason (M .D. '58, Ed.D. '62) . As the sesquicentennial activities draw to a close, it is my observation that each served to reconfirm the medical school's commitments to the intent of its founders and to provide excellence and leadership in education, research, patient care, and community service. As medical education and health care enter into a new, challenging era, UB stands ready to maintain its professional integrity, while preparing to make its contribution to the necessary growth in knowledge and needed advances that lie ahead. ~·'~.~ TEACHING HOSPITALS AND LIAISONS The Buffalo General Hospital Michael Shaw The Children's Hospital of Buffalo Erie County Medical Center Mercy Hospital Millard Fillmore Health System John Naughton , M.D. Vice President for Clinical Affairs Dean, School of Medicine and Biomedical Sciences Frank Sava Niagara Falls Memorial Medical Center Roswell Park Cancer Institute Sisters of Charity Hospital Dennis McCarthy Veterans Affairs Western Healthcare System ew York ©The State University of New York at Buffalo Buffalo Physician is published quarterly by the State University of New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. It is sent, free of charge, to alumni, faculty, students, residents and friends. The staff reserves the right to edit all copy and submissions accepted for publication. Address questions, comments and submissions to: The Editor, Buffalo Physician, State University of New York at Buffalo, Office of Publications, 136 Crofts Hall , Buffalo, NY 14260 Send address changes Ia: Buffalo Physician, 146 CFS Addition, 3435 Main Street, Buffalo, NY 14214 Dear Fellow Alumni, WELL, IT'S WI TER IN BUFFALO ONCE AGAIN. We brace ourselves for the cold weather ahead, and follow our Bills. But something is different. Things are not the same. Someone is not here. It is the individual who has directed and guided our medical school for the past 21 years, Dean john Naughton, M.D. When I was talking with him about some of his accomplishments, he quickly turned the discussion to one of h is favorite interestssearching his family tree. As he speaks of his travels through Ireland and the Northeast, you see a glimpse of the passion with which he engineered this medical school into the 21st century. He follows no model, but creates innovative ways to reach his goals. Hence, the reason why the Robert Woodjohnson Foundation has provided UBgrants fo r primary care, and why he currently chairs the New York State Council on Graduate Medical Education. His medical education interests have centered on reform of graduate medical education, medical student education, and collaborative and regionalized models of health care and education. It's hard to envision our future without Dr. aughton's leadership. He will be tru ly missed, but his legacy will live on in the students he has touched. Today's health care system has certainly benefited and will continue to benefit from his vision, passion, and dedication. Thank you, Dr. aughton! Cover photo by K.C. Krall Sincerely, ~cf2C'~~D Jack F. Coyne, M.D. President, Medical Alumni Association �VOLUME 31 , NUMBER 1 WINTER 4~~~~ ~,~~~~~~~"~.0. 8 C~unch ~me THE MANAGED CARE NAUGHTON DISCUSSES HIS REVOLUTION GOES INTO CAREER FROM SPORTS HIGH GEAR IN BUFFALO WRITER TO CARDIAC by Jessica Ancker 12 97 Making histo~y in the histo~y of medicine U 8'S TREASURES ON DISPLAY photos by K.C. Kratt RESEARCHER TO DEAN. II ..JOHN R. WRIGHT, M.D. NAMED INTERIM DEAN 2 Then and Now WHEN THE GERM THEORY WAS STILL A THEORY by George F. Haddad, M.D. '94 3 Research Alumni RADIOLOGIST WENDE W. LOGAN-YOUNG , GRANTS FOR BREAST GENOME RESEARCH. LIJ:¥UID VENTILATION . 2 Medical School News Astudent's perspective NEW BOSNIA PARTNERSHIP • A ..JOHN BORDER, M.D. IDEALISM INTO PRACTICE PRIMARY CARE EXTERNSHIPS. by Christopher J. DiMaio, Class ..JOHN KOLEGA, of 2000 PH.D. THE NPR CAREER OF US's MIRIAM SHUCHMAN, '61. ..JACK RICHERT RETIRES. CANCER AND HUMAN POLICE SUICIDES. M.D. M.D. CHANCE TO PUT 3 Classnotes �. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . .. . . . . [1] I ' I " . $1.6 million funds study of alcohol and breast cancer an drinking alcoholic beverages increase the risk of developing breast cancer? If the answer is "yes," as many scientists suspect, what are the mechanisms involved, and are some women genetically more susceptible to the risk than others? University at Buffalo scientists will attempt to answer these and other questions about alcohol through a $1.6 million grant from the U.S. Army's special program for breast cancer research . The study was led by] o Freudenheim, Ph.D., UB associate professor of social and preventive medicine. "There is a fair amount of evidence that alcohol may be related to breast cancer, but most research has used inadequate measures of alcohol intake," Freudenheim explains. "We will be making careful measures of lifetime alcohol consumption, as well as collecting data on diet, physical activity, and reproductive history. The researchers also will assess genetic differences in the way individuals metabolize alcohol, and will compare breast cancer rates among "fast " and "slow" metabolizers . A specimen bank will be created to store blood samples for current and future research . The study group will be composed of 1 ,350 women from western New York with breast cancer and 2,030 randomly selected Jo Freudenheim, Ph.D 0 healthy women to serve as controls. Participants will be between the ages of 35 and 79. Researchers theorize that alcohol may influence the development of breast cancer by changing the body's steroid hormone levels or by increasing oxidation. These mechanisms are among those that will be investigated in subgroups of the study population. The research is an offshoot of an $8 million investigation of alcohol and its relationship to chronic diseases being carried out jointly by UB's Center for Preventive Medicine and the Research Institute on Addictions in Buffalo. + L o 5 B A K E R UB liquid ventilation study proves eiTectiveness artial liquid ventilation is safe and effective for premature infants, according to research from UB that appeared as the lead article in theSept.l2 , 1996, issue of the New England journal of Medicine . A five-center trial of partial liquid ventilation to treat lifethreatening respiratory distress syndrome in extremely premature infants has shown that the procedure is safe and effective , and that it improves lung function in some children who failed to respond to conventional treatment, increasing their chances of survival. Corrine Leach, M.D., UB assistant professor of pediatrics , headed the multi-center investiga- a u t t a t a P tion of the procedure, which was developed by Bradley Fuhrman, M.D ., UB professor of pediatrics. Both practice at Children's Hospital of Buffalo. Respiratory distress syndrome , the leading cause of death in premature infants, develops when the lungs of these tiny babies are unable to secrete surfactant to prevent the air sacs from collapsing. Partial liquid ventilation (PLV) involves introducing an oxygen-rich liquid called perflubron into the baby's lungs . The liquid allows the lungs to inflate and permits oxygen and carbon dioxide to pass through the air sacs and into the blood stream more easily and efficiently. "The successful introduction of liquid into the lung and the ability of infants to breathe with liquid allow us to ventilate the lung at lower pressure , which causes less damage ," Leach explains. "If we can decrease the amount of lung injury , we can greatly improve the patient's outcome and perhaps prevent chronic lung disease." The pilot study involved 13 infants born between 24 and 34 weeks of gestation. All had failed to respond to conventional therapy and were at risk of death . Carbon dioxide levels improved in all patients while on PL V; lung functioning improved in 11 infants. Seven of the 13 critically ill infants survived. Of those who died , three succumbed to their acute lung disease, and one to bronchopulmonary dysplasia. Two patients died of nonrespiratory complications of prematurity. Clinical trials using PL V to treat children and adults with severe respiratory distress syndrome are now under way. Results are promising, Leach says. + hysician o L W 5 1 n t 8 e r K A 1 E 9 R 9 7 �- - . - ~ -~ - - . ~. ~ --- ~- - - . .. - - - - -- - - Reorganizing the Human Genome Project Former trooper studies police suicide rates a pretty good indicator of what's going on out there ." Results appeared in the American]our- s part of a nationwide project to combat ethical and image problems with the Human Genome Project, the federal government has given Roswell Park Cancer Institute researchers a grant to build a new human gene library. The same Roswell Park research group , which is led by Pieter Dejong, Ph.D. , also won a grant to begin gene sequencing. They will share the $2 million Department of Energy pilot grant with a team at the University of TexasSouthwestern. The National Center for Human Genome Research decided there was a need for new gene libraries after finding problems with the way researchers had obtained DNA samples in the older libraries. The federal administrators found that most of the DNA in the four best gene libraries (including Dejong's) came from only four people, rather than from a diverse group of donors. They also found that some of the subjects may not have been fully informed of what their donation would be used for, and that several of the donors were known to the researchers and so were not anonymous. Under new ethics guidelines, researchers will recruit a larger pool of donors and follow procedures to ensure donors' anonymity and to obtain their informed consent. They will also follow additional rules to combat image problems. For instance, researchers may not donate their own DNA (because it might appear "elitist") or ask junior lab members to do so . They must also recruit a substantial number of women donors. According to Dejong, a UB associate research professor, sequencers will continue working on the old libraries during the two years it will take to create the new ones. + olice officers are eight times more likely to die by their own hand than by homicide, a study by University at Buffalo epidemiologists has shown. They also take their own lives at a much higher rate than other municipal employees, the findings indicated. The study is one of the few empirical analyses of police officers' risk of suicide, homicide , and accidental death, and the only study to compare their risk to that of other workers. "We are hoping this study will make the police community aware that suicide is a problem, not a myth , not something that should be shrugged aside, " says lead author john M. Violanti, Ph.D., a UB assistant clinical professor who is himself a 23-year veteran of the New York State Police. Violanti, along with john E. Vena , Ph.D. , and other colleagues from the UB Department of Social and Preventive Medicine, analyzed mortality data for the 138 Buffalo police officers and other municipal workers who died between 1950 and 1990 of external causes. According to Violanti, the Buffalo statistics mirror those of police departments around the country. "We looked at five other cities, and all five departments were higher in suicide than other occupations . I think this is The researchers identified a number of potential factors in the police suicide rate, including continuous exposure to human misery, an overbearing police bureaucracy, shift work, social strain, marital difficulties , inconsistencies in the criminal justice system, alcohol problems, physical illness, impending retirement, and lack of control over work and personal life. Easy access to handguns and the lack of confidential counseling may also be factors , says Violanti. "Police officers are even more hesitant than the average citizen to get help for emotional problems," he notes. "Because of their role and their job, they mistrust many things , and they especially mistrust mental health professionals. The other half of the problem is , confidential help isn't always readily available. "Departments should include some sort of suicide awareness training in their stress management program," Violanti adds. "The New York City Police Department has such a program and suicides went down after it was instituted. The Buffalo department now also has a program in place. " The research was supported by a grant from the National Institute of Mental Health. + -JESSICA B u f f a l a ANCKER Physician w 1 n t e r 1 9 9 nal of Industrial Medicine. - 7 L o s B A K E R 0 �Naughton discusses his career from sports writer to cardiac researcher to dean at UB As]OHN NAUGHTON, M.D., 63,stepsdownafter21 eventful years as dean of the medical school, he can be certain he's secured his place in UB history. Conversely, UB can be sure it has secured its place in Naughton's own eventful history, which began far from Buffalo or any other academic center. John Naughton grew up about 80 miles from Oklahoma City in Lawton, OK, at the time a town of 14,000 people. Lawton's business community, including the Naughton family's restaurants, depended on servicemen visiting from the nearby Fort Sill military post and training center. Young jack, as he was called, did well in school and also worked hard at a number of different jobs. Helping out at his father's restaurants , the Chuckwagon and jack's White House Cafe, "taught me just about everything there was to know in the restaurant business." He also worked part time as a sports and news writer for the Lawton Constitution. "I was a good writer-my strong point was writing lead sentences," he remembers with pride. Naughton earned an associate's degree from Cameron State College, a two-year school in Lawton where he was the editor of the student newspaper. But he had higher aspirations: he went on to St. Louis University to earn a B.S. in preparation for medical school. "My interest in medicine, I think, came from my mother. She had been a nurse before she was married, and always wanted to have a doctor in the family," Naughton says. "At the same time , my father , as an independent businessman who was very active in each community he lived in , gave me an appreciation of the importance of community service. That's something I consider to be part of medicine, too. " When he entered college, Naughton found that he was far behind some of his contemporaries in basic science education. "Lawton was a very small community, and we didn't have a lot of kids who went into academic fields. "Looking back on it, I appreciate Lawton, because I grew up among real people who sometimes academics and medical students don't have a chance to know," he says. bx !essica Ancker 0 B u f f o l o P Naughton earned his M.D. from the University of Oklahoma, did a mixed medical internship at George Washington University, and completed a residency and post-doctoral work at the University of Oklahoma Medical Center where he remained until 1968 as an assistant professor. While his early research interest was the effect of emotional stress on the heart, he soon began investigating the effects of physical stress and ways to rehabilitate patients after heart attacks. "In a time of national emphasis on fitness during John F. Kennedy's presidency, we were looking at broad national questions , not just the effects of hysician w I n t e r l 9 9 7 �-- --- tests on individuals. Our question was , in an unfit society, could unfit people be reconditioned and would it improve the quality of life? " a ugh ton then moved to the University of Illinois, where he became an associate professor and the director of the school's Rehabilitation Center. Later, at the George Washington University Medical Center, he became director of both the Division of Rehabilitation Medicine and the Regional Rehabilitation and Training Center. He also directed the ational Exercise and Heart Disease Project, a national study that he continued to head until its final report in 1983. It was at George Washington that B u f f a I a Phys i c - -- - --- Naughton got his first taste of administrative life , becoming dean of academic affairs in 1973. "Even though I loved being a researcher, I had also always been interested in teaching and in broader areas of medical education," he explains. Heremembers being trained to be a first-rate internist, with only secondary emphasis on developing a specialty. By the time he joined the University of Illinois, emphasis on the core of medical education was already disappearing in favor of training specialists. "That alerted me that there were interesting issues in medical education. My interest was in providing a medical Ia w I n t e r 1 9 9 7 - - �''I am lool<ing forward to education that served a broader need in society." Naughton accepted the deanship of UB's School of Medicine and Biomedical Sciences in 1975 at the age of 42. He was eager for the chance to lead a school, and he describes a mix of other reasons that made UB's offer intriguing. First, he says, he wanted to join a public university, with its commitment 0 to serving the people of its state. He also liked the fact that UB was an integral part of the Buffalo community. "Medical education should be serving the community in some way." Also, Naughton said he immediately felt that UB had never taken full advantage of the resources at its fingertips. For example, UB's outstanding faculty weren't getting recognition at the national level, and they were rarely invited to join state Health Department committees. "Things other people saw as disadvantages, I saw as opportunities. That probably comes from my rehabilitation career!" Coming on board at a time of sagging morale, low prestige, limited research funding, and uncertain priorities in the wake of the merger with SUNY, Naughton helped raise the school to national stature. One achievement that will always be linked with Naughton's name is the creation of the Graduate Medical Dental Education Consortium of Buffalo. More than just coordinating resident education, the consortium has become a symbol of the cooperation among the hospitals, which have reduced duplication, saved money, and concentrated their expertise by designating certain hospitals to develop into regional centers of specialty services. Interestingly, Naughton also counts as a success his hospital consolidation study, which stirred public controversy and was never implemented. He had been invited by Buffalo General Hospital, Children's Hospital of Buffalo, and the former E. ] . Meyer and Deaconess hospitals to head a study on the feasibility of mergers. The resulting report recommended a series of consolidations to cut down on unused beds and costly duplication of services. The plan failed by one vote to pass in the Erie County legislature, due to opposition from community groups, politicians, and some parts of the medical community. "However, that study served to create the image of the medical school as a B u f f a l a leader in Buffalo's medical community. It was also the first opportunity to bring people from the different hospitals together in a more cooperative way. It set the stage to found the consortium." Naughton is credited with many other accomplishments at UB, including beginning the Primary Care Resource Center, winning the Robert Wood johnson Generalist Physician Initiative grant, building and renovating university buildings, and establishing a strong affirmative-action policy. The dean is looking forward to returning to research, teaching, and men to ring new generations of students and doctors. "The things I came to UB to accomplish, I think I have accomplished. You get a certain thrill and high out of that," he says. "We now have a sense of institution. We have stature as a medical school, and it's not just dependent on one or two outstanding individuals. "I am looking forward to the next few years as an academic." + Physician w I n t e r 1 9 9 7 �INTERIM DEAN APPOINTED ohn Wright, M.D., will serve as interim dean and vice president for clinical affairs until a new dean is appointed. Wright, the chair of the Departments of Pathology at UB and Buffalo General Hospital, earned his M.D. at the University ofManitoba in 1959. He completed a residency at the Buffalo General Hospital and then held a National Institutes of Health fellowship in endocrinology there. Between 1965 and 1967 he held a Buswell Fellowship at UB. Wright taught at johns Hopkins University School of Medicine before joining the UB faculty in 1974. Among many other appointments, Wright has served as interim director of Roswell Park Cancer Institute and as director of the university pathology residency program. Wright says he hopes to continue john Naughton's initiatives in reorganizing the Faculty Practice Plan, reorienting medical education toward a primary care perspective, and providing support for the student body. He also hopes to keep the medical school involved in the merger negotiations between the Buffalo General, Children's, and Millard Fillmore hospitals. + B u f f o l o Physician w I n t e r 1 9 9 7 �BY JESSICA The managed care revolution goes into high gear in Buffalo lue Cross and Blue Shield of Western New York set off a firestorm of criticism last year when it introduced Community Blue Advantage, a plan that lets patients opt for lower copays and more services in return for a more limited selection of hospitals and doctors. In another city, this might have been accepted as just another insurance option. In Buffalo, it was considered outrageous. One state legislator accused the company of a "callousness" that was "frightening," and the county medical society at one point demanded an immediate halt to the plan's marketing campaign. Reaction might not have been so strong if doctors and hospitals hadn't already been feeling squeezed by fastmoving changes in Buffalo's health-care economy. Two factors here are compressing and accelerating a market evolution that is familiar to much of the rest of the country. First, a statewide Health-Care Reform Act is changing the playing field for New York State hospitals in 1997. New York had been one of two holdout states that still set hospital reimbursement rates for most insurers; now, all 0 insurers are free to negotiate these rates . Second, managed care is rapidly coming of age in Western New York. While about 30 percent of New York State's population is enrolled in managed care plans, the rate is almost 50 percent in Buffalo. The figures will increase, particularly because state officials hope to enroll 2.5 million Medicaid recipients in managed care in the second step of health-care reform. So the state has stripped hospitals of some protected rates at the same time that managed care is driving down hos- Buffalo ANCKER • pitalization rates. And looking ahead, both insurers and providers fear that for-profit companies will soon move into Western New York. These converging forces have produced a burst of competition in the health-care field . Patient care is rapidly moving out of the relatively expensive hospital setting, hospitals are facing low occupancy rates, and insurers are finding new ways to manage care and to share financial risk with doctors. "It took southern California 20 years to be changed by managed care. It took about eight years for Boston. We're going to do it in 18 months ," predicts jack M. Sieber, a health-care consultant at Ernst&: Young, LLP. "I think we're going to leapfrog some of the steps that other regions went through," agrees Robert V. Stanek, chief executive officer of Mercy Health System of Western New York. "That's a double-edged sword. On one hand, we learn from what's happened elsewhere. On the other, the rapidity of the change will be difficult. " These are some of the changes Buffalo will see in the near future : of? A wave of hospital mergers that could consolidate nearly half of the region's hospital beds into two systems; of? Reimbursement systems that split risks between insurers and providers; Physician W 1 n t e r 1 9 9 7 �-- - - - - - - - - - -- - - -- - - 7 Less money for residency training, which may translate into fewer residency slots; t" More interest by doctors in group practices and other sorts of cooperative arrangements that help them provide patient advocacy and negotiate better deals from payers. Stages of economic change The national health-care economy is changing in fits and starts, and it's different in every city. William L. Kissick, M.D., Dr.P.H. , has a unique perspective on the issue. The author of Medicine's Dilemmas: Infinite Needs versus Finite Resources, Kissick is a professor in the University of Pennsylvania Medical Center as well as Penn's Wharton School of Business. In the 1960s, he served as a staff member to the federal task force that created Medicare. In a recent lecture in Buffalo, Kissick outlined four stages of evolution in the health-care market. The first stage is the traditional system as many doctors fondly remember it. Doctors practiced independently or in small groups and were paid by insurers. There was not much push for lower costs on the part of employers. Kissick cites Syracuse, NY, as an example of a community that is still in this early stage of development. The second stage of market evolution begins when managed-care plans attract more enrollment, and hospitals therefore find themselves contending with lower rates of admission. Providers begin affiliating in loose networks, but are often still reimbursed on a discounted fee-for-service basis. According to Kissick, Buffalo is rushing into stage three. Managed-care providers have become larger, hospitals are merging, and integrated systems are beginning to link health-care financing with health-care delivery. Stage four , he predicts, will feature more highly managed care, fully integrated health-care delivery and finance systems, a high demand for primary care doctors, and leaner times for specialists. B u f f a 1 o - - - - ----- - - ---- Merging to save money Western New York's seven Catholic hospitals are well on their way to becoming an integrated system. They are likely to include Niagara Falls Memorial Hospital as an affiliate. In addition, Millard Fillmore Health System, the Buffalo General Hospital, and Children's Hospital of Buffalo are continuing talks toward a merger. They have released few details about the negotiations except to announce that john Friedlander has stepped down from his position as Buffalo General CEO in preparation for leading the new merged entity. "The health-care industry is going down the same path as the banking, railroads, and airline industries-we're undergoing consolidation to provide a better product from cost and quality standpoints," says Stanek, the Mercy Health System CEO. The mergers offer the potential to save money through consolidations and economies of scale. All the players agree that a considerable fraction of the 4,700 hospital beds in the Buffalo area are unnecessary, although estimates of the figure range from 15 to 35 percent. The mergers could also put hospitals in a stronger negotiating position with payers because insurers won't be able pit one hospital against another or ignore a system that serves a crucial geographic region. Erie County Medical Center is pursuing another strategy, expanding to form its own system with a network of community primary-care facilities to attract more insured patients. Creating a system (through mergers or through expansion into the community) puts hospitals in a better position because they can offer payers a full range of services, better geographic coverage, Physician w 1 n t e r 1 9 9 7 -- and more direct control of costs, according to Sieber. Some health-care experts also say that in the future, full-service healthcare systems may contract directly with large employers, bypassing insurers altogether. A more immediate incentive for mergers is a fear that New York State will drop its longstanding ban on for-profit hospitals. "There's a concern that if the law is changed, a big national provider could come in and scoop up whoever's not involved in a system," says Sieber. "Most people here would rather see community involvement and community control of the health-care system." In addition, for-profit insurers from New York City and from other states have been putting out feelers in the region. Increased competition on top of the state deregulation ofhospital rates would have prompted mergers in any case. The process is being speeded up by the fact that managed care in Buffalo is already so strong. "It's a big change, to take away that protection for hospitals at the same time that managed care is mature," says Arthur Goshin , M.D., president of Buffalo's oldest managed care group, HealthCarePlan. "In other states, either there was no regulated reimbursement, or managed care grew slowly." State law changes the rules New York's health-care reform package does more than just deregulate hospital rates. Among other things, it creates new funding pools for graduate medical education (GME) and for charity care. The changes are intended to stop the 0 �common practice of using GME dollars to help support a hospital's charity care and bad debt. They are also an attempt to reduce the number of residents trained in New York and bring the number closer to the national average of30 to 35 residents per 100,000 population. As a result, Western New York hospitals , which train 40 to 45 residents per 100,000 people, will face a $13.9 million loss in GME dollars, according to] ohn P. Naughton, M.D., who recently retired from his position as dean of the School of Medicine and Biomedical Sciences. While there is concern about how the reforms will affect the future of medical education, doctors are welcoming other parts of the health-care reform law that protect patients and doctors . Among the law's provisions: an absolute ban on "gag rules;" guarantees that qualified doctors will be involved in decisions about whether to cover specific procedures; and grievance procedures for patients denied care and for doctors dropped from insurance plans. Doctors share risk in new payment schemes Buffalo's managed care entities-mostly Independent Health Association , HealthCarePlan, and Community Bluetogether enroll almost 50 percent of the area's population (80 percent of the commercially insured population) . But until quite recently, Sieber says, most managed care companies in New York State have operated through discounted fee-for-service systems, so they weren't that different from indemnity companies. "We called it 'managed care lite."' "It's really been 'indemnity in drag,"' agrees UB's chair of family medicine, Thomas Rosenthal, M.D. As the market grows more competitive, managed care groups are altering theirreimbursement plans. For example, Independent Health Association, an independent practitioner association/managed care organization, has introduced a new system of modified capitation (prepayment on a per-patient basis). HealthCarePlan continues to reimburse physicians on a 'withhold' system, in which the insurer prepays doctors up ® to 85 percent of agreed-upon fees , but withholds the remaining 15 percent until the end of the fiscal year. Doctors who worked within their budgets then get the entire 15 percent; higher costs are deducted out of the withheld money. As an additional incentive, says president Arthur Goshin, physicians will be told the rates charged by hospitals. That will give doctors a reason to prefer hospitals where HCP has negotiated low rates. Blue Cross and Blue Shield negotiates different types of reimbursement with different providers, says Nora McGuire, the executive director of Community Blue, the insurer's HMO. Sieber says there is room for a variety of reimbursement systems. "Capitation is the buzz word today, but it's only one form of sharing risk. It's quite possible that no single method will dominate the market. " Companies are also creating new types of plans. HealthCarePlan, originally a staff-model HMO, recently added a preferred-provider network called Choice Care. But for many physicians, it was Blue Cross and Blue Shield's new HMO product that came to symbolize a threatening level of change. In essence, the company divided its HMO, Community Blue, into two parts. One is the traditional HMO in which patients are responsible for copays for a range of services. The alternative, Community Blue Advantage, offers additional dental, optical, and other services, lower copays, and medical care from a subset of the plan's doctors and hospitals. Patients can go to doctors outside the network for an additional fee . McGuire , the plan's executive director, says hospitals were chosen to participate in Advantage based on the rates they negotiated with the plan. The plan selected doctors based on factors that included cost, geographic distribution, and hospital affiliation. The plan resulted in complaints from hospitals and doctors not included in this abridged roster, although Community Blue managed to soften the criticism after adding ECMC to the Advantage plan and holding talks with the Medical Society of Erie County. B u 1 I a l o Best practices Insurers are also doing more to manage care by trying to standardize the way different doctors practice. In part, they do this by providing outcomes data and other research . Doctors and insurers both agree that doctors are eager to help set best-practice guidelines, and that, if they are convinced of the value of the guidelines, they willingly comply. The desire to better serve patients, as well as peer pressure from fellow doctors, can both play a role. "Doctors want to know the data because they want to use it in their decision making," says Gosh in, president of HealthCarePlan. "Physicians are scientists, and if we direct those energies into getting the best practices, we'll get the best outcomes," says Buffalo Medical Group medical director Richard M. Peer, M.D. "If it's imposed upon them, they will rebel. If they understand the process, and have input, they get enthused." But that doesn't mean that insurers and doctors will agree on what the best practices are. Doctors are concerned that insurance companies' business goals will win out over quality concerns. Insurers suspect that doctors don't appreciate the importance of controlling costs. In some cases, physician organizations can give doctors a greater say in how insurers regulate practice. And physician groups can also help doctors negotiate better deals . As a result, Buffalo's doctors are becoming more interested in cooperative arrangements, such as group practices , physicianhospital organizations, and independent practitioner associations. "Physicians in New York haven't been very organized, but we're starting to see more of that," Sieber says. One of the area's largest and oldest multi-specialty group practices is the Buffalo Medical Group. It was formed in 1946 as a way to pool resources and practice in an atmosphere of professional cooperation, but gradually its business role has become more important. The group now handles all billing, negotiates contracts with insurers, and scrutinizes contract language. Physician W I n t e r 1 9 9 7 �- - -~ ---- - -~-- - - ~- -- --~ - - "If we feel it is to our benefit and to care doctors and giving them a strong economy by realizing the possibility of our patients' advantage, we will partici- financial incentive not to use specialty cost savings in insurances. pate in an insurers' plan as an entire care, money is budgeted for primary In 1984, there were 33 hospitals in group," says Peer, a vascular surgeon care and for different types of specialty the Twin Cities. Within four years, eight who serves as the medical director. care based on usage of specialty services hospitals closed and most of the others A different type of physicians' orga- in past years. Additional financial and had merged into three systems. HMOs nization is the University Medical Group, professional incentives are intended to also merged and consolidated, and phyformed to organize UB's 400-plus physi- encourage specialists to follow certain sician groups grew larger in reaction. cian faculty members. Its chief adminis- practice guidelines and to underspend The result is a variety of networks of trative officer, Greg Brodnick, came to their pool's budget. physicians, HMOs, and clinics that have UB after a career with several Blue Cross ''I'm not suggesting this is the perfect shifted the provision of health care from and Blue Shield plans in New York and way to pay doctors, but we also know hospitals into community-based offices Pennsylvania. the pitfalls of the fee-for-service sysand clinics. A new state program, "I certainly know the other side's phi- tem," Tronolone says. "At this point in MinnesotaCare, provides coverage for losophy," says Brodnick. "That's what the health-care system, there is going to the uninsured. makes me valuable in this situation." be an economic policeman. The patients Buffalo may evolve along similar lines, The group's bargaining strength would be best served by having people or it may find its own solutions, Kissick comes from its diversity of generalists with medical knowledge do that, rather says. One of the critical factors is how and specialists. Also, many of the fac- than the 'bean counters."' doctors engage in the process. ulty practice in the downtown hospitals lawrence McCullough, Ph.D., a Baylor that care for most of Buffalo's Medicaid What nowt College ofMedicine professor who spoke patients. This makes the doctors more Minneapolis was one of the first regions at UB's symposium on ethics and values attractive to insurers who enter the Med- where the health-care economy began in health care, urged doctors to be more icaid managed care market, because the to change, and it's one of the few that has assertive in their response to managed insurers have to enroll enough doctors reached Kissick's fourth stage of ecocare. "I refuse to accept the victimology to care for their new subscribers. nomic evolution, managed competition. language. Physicians are the most pow"Whenever you have big numbers, The area has some similarities to erful, well-organized profession in the you have strength," Brodnick says. "Our Buffalo. Like New York State, Minnecountry. It's time to stop complaining goal is to get our doctors signed on with sota prohibits for-profit hospitals. Minand start acting." all the third-party payers. We can say, neapolis' population of 2.6 million is He told doctors to accept the fact that 'Either you take all of us, or you get none about twice that of the Buffalo-Niagara all payment schemes would include fiof us."' County region. However, unlike Bufnancial incentives, but urged them to Another sort of physician group is the falo, Minneapolis has a core of powerful fight to ensure that the incentives do not Independent Practitioners Association of Fortune 500 companies, which spurred cripple clinical judgment, that ethical Western ewYork, which comprises the much of the change in the health-care components are included in quality indoctors who work for Indicators, and that patients dependent Health. The are fully informed about IPA is so integrally contheir insurance plans. nected with Independent Kissick urges providHealth that the insurer ers and insurers to work essentially pays capitatogether to ensure such Carrie B. Frank has been appointed intion money to the docsocietal goods as conterim president and chief executive officer tors' organization, which sumer choice, low-cost of the Buffalo General Health System. then pays physicians. The care, and organized She succeeds John E. Friedlander, who IPA's president, Michael practice. has stepped down to lead the developTronolone, M.D.,says the "To manage or be ment of a merged health care system that IPA gives doctors a strong managed, that is the quesmay include Buffalo General, Children's voice in the plan. tion," he says. "Whether Hospital of Buffalo, and Millard Fillmore Tronolone says the 'tis nobler in the mind to Health System. doctors' group negotisuffer the slings and arFrank had been Buffalo General's exated a form of capitation rows of outrageous forecutive vice president and chief operating Carrie B. Frank that spreads financial tune, or to take up arms officer since March 1993. Before that, she risk among all types of against a sea of troubles, had served in a number of financial roles, including vice president practitioners. Instead of and by opposing end of finance and chief financial officer. capitating the primary them." + New CEO named for the Buffalo General Hospital a u f f a l a Physician w 1 n t e r t 9 9 7 �by Jess ca Ancker B photos u f f a l o P hysici by a n K.C. W Kratt I n t e r 1 9 9 7 �-- - - -- ----- ~ - - - - ·- -- - - - • ____n • the isto~ of medicine In UB\ RoBERT L. BROW\! HISTORY OF MEDICINE COLLECTION HAS BECO:YIE A LITTLE RICHER. A first edition of a 16th-century obstetrical text donated to the collection this fall became the University Libraries' 3 millionth volume. And a $500,000 endowment by the History of Medicine Collection's strongest supporter will enable the library to expand its unique collection. Volume number 3,000,000 is a 1554 first edition of Jakob Rueffs De GALEN PERGAMUM, 0 one of the most famous physicians of antiquity, practiced in Rome in the second century of the Christian era. His texts dominated medicine in Europe , Byzantium, and the Arab countries for more than 1,000 years. This book, Galeni Pergameni omnia, quae extant, in latinum sermonem con versa (The surviving writings of Galen ofPergamum, translated into Latin), is a compilation of his writings published in Basel in 1561. The detailed hand-coloring of the frontispiece evinces the respect accorded to Galen's name even at this date. B u f f a l o conceptu et generatione hominis. The Rueff book was presented to the University Libraries by George M. Ellis, M.D., class of 1945. It builds on the strengths of the collection, which was started by james Platt White, M.D. (1811-1881), a founder of the UB medical school and its first professor of obstetrics. White's collection of more than l ,000 medical texts was bequeathed to the university and became the nucleus of the History of Medicine Collection. The late Robert L. Brown, M.D. '44, was a strong supporter of the History of Medicine Collection throughout his 25-year career in the medical school. Brown, who at one point served as acting dean and later became the school's first associate dean, supervised the merger with the State University of New York. He also served as the medical school archivist, locating and preserving historical records that otherwise would have been lost. In 1985, the year of his retirement, the History of Medicine Collection was named after him. Brown's $500,000 endowment to the collection is one of the largest ever received by the library system. The 12,000-volume History of Medicine Collection already houses a trove of unique books, the oldest dating to 1493. In this issue of Buffalo Physician, we introduce a few of them to readers. Physician W I n t e r 1 9 9 7 �MAKING ANDREAS HISTORY THE HISTORY OF M E D ICI E VESALIUS of Brussels revolutionized the study of anatomy in the 16th century with detailed descriptions and illustrations drawn from his own dissections. He generally suspended his specimens from a pulley, so the organs and tissues in his illustrations often appear to be dangling from the cadaver. Because his observations updated and sometimes contradicted those of the ancient authority Galen, Vesalius came under fire from some critics who accused him of disregarding tradition. While the original sketches may have been made by Vesalius himself, the woodcuts, some of the most famous images in medical history, are thought to have been carved by assistants to the artist Titian. Two hundred seventy-seven wood blocks were created for the 1543 first edition of De Humani Corporis Fabrica (Of the structure of the human body) and an accompanying abridged edition called the Epitome. Some of the original illustrations were replaced by copies in later editions. UB's History of Medicine Collection owns one of these, a fourth edition (the closed book shown above). The original blocks were lost and rediscovered several times over the next few centuries as they passed through the hands of collectors , artists, and librarians. The New York Academy of Medicine and the Library of the University of Munich printed what would become the book' s fin al edition in 1934, a copy of which is shown above and at right. The blocks were destroyed in the Allied bombing of Munich in World War II. B u f f a l o Physi c la W I n t e r 1 9 9 7 �-- - - -- MAKI ~-- ~ - ~ THE G HISTORY DE c 0 N c E PT U ET GENERAT I 0 N E -- ~ ~- - - -- HISTORY OF MEDICI - E H 0 MIN Is (Of the conception and generation of men) was published by Swiss obstetrician Jakob Rueff in 1554. The book's Latin text covers contemporary knowledge about conception, fetal development, uterine anatomy, birth, and care of mother and infant. Rueff is believed to be the first author to recommend the use offorceps in live births . The woodcuts, although in many cases derived from illustrations by Andreas Vesalius, also correct some flaws in Vesalius' representations of the fema le reproductive organs. The woodcuts were carved by Jost Amman, who was also noted for his Biblical scenes. Shown here are depictions of abnormal presentations of the fetus. Presented to UB this year by George M. Ellis, M.D., UB class of 1945, De conceptu became UB 's 3 mill ionth library volume. B u f f o 0 p h y c o n w e 9 9 �MAKING THE HISTORY HISTORY OF MEDICINE SURGEON BRITISH William Cowper published the first edition of his popular Myotomia reformata, or an anatomical treatise on the muscles of the human body only three years after he entered the practice of medicine. The 1724 edition shown here, with its beautiful copperplate illustrations and capital letters, was published posthumously. During his career, Cowper identif ied the bulbourethral gland and the fascia pectinea ligament, both of which are now named after him . He also published other works on hardening of the arteries and surgery of the maxillar sinus. One of Cowper's publications, The Anatomy of Humane Bodies, became the focus of a plagiarism scandal. Scholars believe he bought the copperplates to Anatomia Humani Corporis, published in Amsterdam by Govert Bidloo, and republ ished them with his own English text and a new appendix. Lacking modern copyright protect ions, Bidloo retaliated by publishing a scathing attack calling Cowper a literary crimina l. ® B u f f o l o Phys i cian w I n t e r 1 9 9 7 �- -- -- - MAKI --- - -- G HISTORY WILLIAM HUNTER'S TheAnatomyof - -- - - -- - - - - TH E O F MED I C I erus ex eHum 1 - E ite! in figures reveals both his expertise in medicine and the value he placed on art. Hunter and his artists and engravers worked for 30 years to create this book, which was published in 177 4 by John Baskerville. Born in Scotland , Hunter practiced obstetrics and surgery in London . He opened his own School of Anatomy and lived on its premises , teaching and building his collections of anatomical specimens, rare books , coins , and paintings . B u f f a t o Phys l c l a W I n t e r 9 9 7 �MAKING "LET THERE BE A THE HISTORY T t STD UT ASS I STA HISTORY OF MEDICINE hold the pa ient's head firmly, and let others put their hands on his arms and knees." Such practical advice for surgery before the advent of anesthesia is found in Bell's Great Operations of Surgery, published in 1821 by the British surgeon Sir Charles Bell , who made a special study of the nervous system and was the first to describe Bell 's palsy. In his Great Operations, Bell detailed the tools and procedures used in such operations as trephining the skull, correcting hernias, amputating limbs, and removing bladder stones. An accomplished artist, he also illustrated his own book. In his advice to young surgeons, Bell draws on the experience he earned during his career in London and Edinburgh: "The extraction of the [bladder] stone most requires patience, and a disregard to what spectators are thinking of you, especially fools with watches in their hands." According to an inscription on the flyleaf, this copy of Bell was given to Roswell Park, M.D., in 1882 as a Christmas present. Park's own signature also appears on the title page. ~ I ® 6 u f f 0 l 0 Physlclo w I n t e r 1 9 9 7 �- --- - - ---- - - MAKI -- ~-- -- - - --- ~ G HISTORY - --- - a stonemason , was admitted to the hospital on March 20 , 1854, with debilitating faintness and lack of appetite. He died the next day. This hand-colored lithograph portrait of lveson in Thomas Addison 's 1855 book On the Constitutional and Local Effects of Disease of the Supra-Renal Capsule, illustrates the patient's overall pallor and some smoky skin discolorations on his face and chest. Addison was the first to link the discolorations, the faintness, and the weak pulse with autopsy findings of diseased supra-renal capsules (the adrenal glands). The disorder, called Addison's disease , is now known to occur when tuberculosis or autoimmune problems destroy the adrenal cortex and result in deficiencies of aldosterone and cortisol. This edition of Addison is exceptionally valuable because it was presented to the History of Medicine Collection by George M. Thorn, M.D. , UBclass of1929, who was one of the developers of the treatment for Addison 's disease. The book is inscribed to Thorn by " a grateful patient. " u f f a l a Physician -- - - ~ TH E HISTORY O F ME DI C I IVESDN, e - W i n t e r 9 9 7 - E �• ····· ·· ···························· ···· ······················ · ················ · ········· . I New faculty member is a regular voice on NPR hroughout her career, Miriam Shuchman, M.D., has drawn on her medical expertise to write articles for the popular press and to create broadcast commentaries and documentaries. Today Shuchman, a member of the psychiatry departments at UB and the Erie County Medical Center, is also a regular medical commentator on NPR's "Medical Rounds." A graduate of the University of Connecticut Medical School, she completed her residency in psychiatry at Massachusetts General Hospital and Harvard Medical School. Fellowships at Dartmouth-Hitchcock Medical Center inN ew Hampshire and the Robert Wood johnson Clinical Scholars Program at the University of California at San Francisco allowed her to pursue her interests in consultation psychiatry and medical ethics. She has also worked as a psychiatrist at San Francisco General Hospital. Since moving to Buffalo in 1995, Shuchman has been spending three days a week at ECMC and the rest of the week in Toronto with her husband, Don Redelmeier, a physician on the faculty of the University of Toronto, and their son, 2-year-old Daniel. Some of Shuchman's work for the popular media has been in collaboration with Michael Wilkes, M.D., Ph.D., one of her classmates from both high school and medical school who now teaches at University of California at Los Angeles Medical School. In their first collaboration, an article for the Hartford Courant newspaper written while they were in medical school, they discussed the medical school socialization process that helps turn a student into a doctor. Later, in regular columns for the Los Angeles Times and the New York Times, Shuchman and Wilkes educated readers about such medical issues as clinical depression, back pain, smoking cessation, and vaccines. Their writing caught the attention of a National Public Radio executive, who invited them to create their monthly program for Weekend Edition Sunday. Their close professional relationship shows in the smoothness of their fastpaced discussions on the radio program. One of them may begin an explanation of the day's topic, and hand it over to the other to complete, as in a well-rehearsed duet. They translate medical terms into simpler language that will be familiar to a lay audience. When they disagree, they do so politely but unapologetically. In the week before each broadcast, Shuchman, Wilkes, and NPR host Liane Hansen hold a telephone meeting to choose a headline-grabbing topic. Shuchman then prepares herself with a blitz of research. She combs through professional journals and news clippings and interviews experts around the country. She may ask professional societies, such as the American Psychi- B u f f a I o atricAssociation, to provide background material, or seek the help ofNPRstaffin collecting relevant news articles. On a recent "Medical Rounds ," Wilkes and Shuchman discussed nonsteroidal anti-inflammatory drugs such as Aleve. They pointed out that these drugs can cause serious side-effects, including ulcers. Hansen asked whether self-medication was dangerous. ''I'm not sure that medicating oneself when it's a matter of having pain is such a bad idea," Shuchman said. "You don't want to always have to call your doctor and say, 'I have this pain again, what do you think I should do?' It does make it easier for people that they can walk into the drug store and talk to the pharmacist and say, 'I know that there are a number of these drugs which are over the counter. What do you suggest?"' "I think I've got to disagree, Miriam," Wilkes responded. "I think that few people talk to the pharmacist when they buy over-the-counter drugs. I'm worried about how many people end up in the hospital with serious complications like ulcer disease, etc., and even death, as a result of taking too many of these drugs. " The pair said later that the issue was one on which they have long disagreed. "Michael tends to wear a public health hat, and I tend to wear an individual patient hat," Shuchman said. "I really think there's a limit to how much people want to be protected from thingswhether it's in medicine or in something else, like the speed limit on the highway. We know that a 55 mile-perhour speed limit is safer, but people want to drive faster. " Much of Shuchman's media work focuses on mental health, including such topics as the impact of violence on children who witness it and the value of talk therapy and medication in the treatment of depression. She is working on a radio documentary on schizophrenia for the Canadian Broadcasting Corporation to be aired in spring 1997. Physician W I n t e r 1 9 9 7 �Why Jtay home for the holUJayJ? Tbefront-wbeel orive Infinitt-® /30TM Miriam Shuchman, M.D. Shuchman won the 1996 Media Award from the Northern California Psychiatric Society. It's unusual to get such praise for her journalism work, Shuchman says. "Far more often, you get a letter from someone who disagrees with you or is offended by something you said." But, she says, she appreciates even these letters. She recalls one example, a "Medical Rounds" program on a Supreme Court ruling that protected patient-psychotherapist confidentiality. "It's a stigma for people to find out you've been in therapy. It can often prevent you from being promoted at your job," Shuchmansaid on the air. "So the court was recognizing that people have to know that what they say to a therapist will be confidential in order to feel that they can even go into therapy." Shuchman also pointed out that religious confessions are generally considered privileged, and she described the public outcry over an Oregon case in which prison officials secretly recorded a murder suspect's confession to a priest. Within hours of the broadcast, Weekend Edition Sunday received an e-mail from an Oregonian. "Dr. Shuchman pronounced the name of this beautiful state, Ore-gawn," he wrote. "As every Oregonian knows, and as every easterner who's never been here seems never to know, IT IS PRONOU CED ORYGUN!!! as in 'He may have a knife OR A GUN!! ' Incidentally, people in Eugene are often B u f f a 1 a offended when people say YOU-gene rather than the correct pronunciation: you-GE E. So, let's all say together, 'The taped Catholic confession happened in you-GE E, Orygun."' Although the letter may have been a bit embarrassing, it did turn out to be a learning experience. In a later "Medical Rounds," Shuchman discussed state measures on managed care, including a proposition on the Oregon ballot. "Listeners might not have agreed with me, but at least I pronounced the name of the state correctly! " She adds, "If I get letters that are very moving, where people share their personal stories or have been offended or hurt by something I said, I'll often call back or e-maiL" In one case, after a program on mastectomies and lumpectomies, she spent several hours on the phone with a listener who had lost his wife to breast cancer. Shuchman sees her two careers, medicine and journalism, as closely intertwined. Being a physician gives her the credibility to influence the public's understanding of medical issues. "I keep getting grabbed by stories, coming from my patients, or my students, or the ideas that come up in practice." + "Medical Rounds" is broadcast once a month as part of NPR's Weekend Edition Sunday, which is heard in Buffalo on Sundays from 8 a.m. to noon on WBFO-FM. Physician w I n t e r 1 9 9 7 An interior /TUJre Jpaciou.J than a Rnli.J Royce Sif.,er Spur Ill. An exceptionally genermu lut of JtaniJariJ fu:r:ury featuru A 190-hp V6 capable of out-accelerating mo.ny lu:r:ury V&l. AniJ of courJe, the JtaniJaru-utting performo.na and Javia of 1nfiniti. SJ99 mo. ]6 mo. feaJe 1999.00 dou•n Intro ducing tbe all n ew 97' QX4® f rom 1]5,550.00 In an lnfiniti® QX4®, one of the firJt thingJ you 'll eJcape i.J the mundane. BecaUJe the QX4 i.J not your typical lu.:-cury Jporl utiliiy vehicle. Whdt: it o/ferJ all the verJatility you e:r:pect from a vehicle of itJ l::iniJ, the QX4 offerJ Jomething you IJon 't e.:r:pect: the lu:r:ury of an I nfiniti. I N FIN IT I AUTO PLACE INFINITI 8129 MAIN ST., WILLIAMSVILLE 633-9585 East of Transit Rd ., Near Eastern Hills Mall ( 130-$450). Bank fee + tax and license due at inception. 12,000 annual mileage. s.15 per mile' in excess. �Trauma surgeon John R. Border dies ohn R. Border, M.D., an internationally known researcher whose pioneering work continues to save thousands of accident and injury victims from multiple-system organ failure, died on Monday, ov. 11, of a heart attack at his South Wales, NY, home. He was 70. Border, who joined the UB faculty in 1965 as a member of the Department of Surgery, was director of the trauma service at Erie County Medical Center and director of UB's Trauma Research Program from 1968 until his retirement in 1991. In the early I970s, he led nized and treated as soon as a team of UB researchers in possible after the original developing treatment plans trauma," he emphasized. to prevent the stress of seMuch of the lifesaving vere, multiple trauma from research over the years was producing a chain of biofunded through grants chemical events that, if not from the National Institreated with combination tute of General Medical protein and glucose therapy, Services. could lead to death. Although officially retired, Ina 1982 interview, BorBorder continued his work, both locally and internationder explained that when the John R. Border, MD . . body does not receive adally, to improve the treatequate amounts of protein to meet in- ment of trauma patients. Wearing his creased demands to maintain function trademark fire-engine-red suspenders, and begin repair of damaged tissue, it white shirt and tan slacks, he regularly draws on its own resources from muscle visited his office at ECMC. and other vital organs. The modest, soft-spoken Border "The fatal sequence-multiple- trained hundreds of UB medical stusystem organ failure-must be recog- dents and residents during his career, WNY's Largest Volume BMW Dealer THE ULTIMATE DRIVING IF BEING STARED AT MAKES YOU BLUSH, PLEASE CONSIDER YOUR CHOICE OF COLORS ACCORDINGLY. MACHINE~ F. G. DOWNING Towne BMW 3030 Orchard Park Rd . Orchard Park, New York 14224 Phone: 675-2550 $29 320 ' 1996BMWZ3 With a plethora of colors to choose from, you'll want to pick a roadster that goes with the crimson hue you 'll be sporting each time you take it for a spin . Service Loaners Available ... Minutes From Rich Stadium a u f f a l a Physician W I n t e r 1 9 9 7 �- - - --- -----~~- - - --~-- --- - - - HURWITZ & RNE, P.C. [ ATTOR EYS AT LAW I inspiring them by his example to not only be good surgeons, but to practice the art of the profession. It was not unusual for him to sleep overnight in his office at ECMC in case a patient he was especially concerned about needed him during the night. A 1956 graduate of Harvard Medical School, he did his undergraduate work at Harvard College and Indiana University. He served in the U.S. Navy Submarine Service from 1944-48. He and his wife, the former Donna Orvedahl, traveled on the Great Lakes and down the East Coast on their sailboat, Don]on II. + SERVICING THE LEGAL NEEDS OF THE HEALTH SCIENCES C OMMU ITY • Managed Care • Purchase & Sale of Practices • Business & Tax Planning • HCFA Safe Harbor Regulations and Physician Self-Referrals • Contracts with Private & Public Entities • Employee Relations Counseling • Fringe Benefit Programs "It's ok to ploy!" said Ringling Bros. clown John Lynch. Lynch, the son of on endocrinologist, discussed humor in medicine with students in Butler Auditorium while the circus was visiting Buffalo in November. • Representation Before Government Agencies on Audit & Business Issues • Facility Finance and Construction • Credentialing and By-Laws • Hospital/Medical Staff Issues Please contact Robert P. Fine or Lawrence M. Ross at 716-849-8900 Fourteen physicians have completed UB's first Master's Teaching Fellowships, which offer training in clinical teaching and precepting. Bock row: Thomas Scanlon; Michael Terranova; Jock Coyne; Richard Carlson; Joe Lanigan; Sanford Levy; Anthony Vetrano. Front row: Tim Siepel; Donald Robinson; Colleen Mottimore; C.V.P. Varma; David Novelli; Thomas Gerbasi. Not pictured: Richard Ruh. 6 u f f a l o Phys ician w I n t e r 1 9 9 1300 Liberty Building Buffalo, New York 7 �TAKE TWO. I I AND CALL ME IN THE MORNING! f;"\d ~o..,r OW"\ ro(l[ * Fact: Saab owners have a elebrate the higher education level than any other car owner group. * Saab purchase prices starting low to mid 20's; leases starting at $299 per month. • * According to the Insurance . lfl Marrtott Institute for Highway Safety {IIHS), the Saab 9000 has the lowest fatality rate of any production car on the market. SOUTHTOWNS SAAB tyle! 3580 Southwestern Blvd (1 Mile east of Rich Stadium) (716) 662·8008 From elegant parties to informal get-togethers, let the Buffalo Marriott host a celebration filled with warm fellowship and gracious hospitality. TheDollar Doctor... 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BUFFALO.,\\arnott. 1340 Millersport Highway Amherst, NY 14221 (7 16) 689-6900 (800) 334-4040 FAX (7 16) 689-0483 WWKB, 1520 Saturdays 9:05 to 10:00 am ~~P!:,!:~~IJ Member: American Stock Exchange, NASD, SIPC 237 MAIN STREET Tel: 854 -7541 ® 6 u f f 0 l 0 Phys ici an W I n t e r 1 9 9 7 �·--- - - --~ ~ - - TRACING THE MOVEMENTS OF CELLS When walls between research disciplines break down, the change opens up new opportunities and new ways of looking at old problems, according to cell biologistjohn Kolega, Ph.D. B u f f a 1 o muscle cells; specifically, the migration of the endothelial cells that line blood vessels. These cells migrate during normal development when blood vessels are formed, and also during wound healing, tumor growth, and diabetic blindness caused by blood vessels forming in the retina. Kolega is attempting to establish how and when cells organize and distribute the motor protein myosin II, and how cells regulate the function of the protein. To watch cells move in three dimensions, Kolega places them in a collagen gel. Careful observations of moving cells are revealing how this molecule might act to move different parts of a cell as it crawls. A related project that examines how electrical stimuli affect the permeability of a sheet of cells may shed more light on cellular mechanisms of blood vessel leakage. Although some of the molecular structure and mechanisms are beginning to be understood, it's not known how they all work together. Visual imaging may provide some of the answers, Kolega says. For example, he uses fluorescent imaging to examine spe- Physician W I n t e r ~ cific proteins within living cells as they move. "One of the things that is exploding in my field is the imaging technology-the whole battery of different forms of microscopywhich is allowing us to visualize things in the cells that we could never see before. Things that were worked out by biochemists in test tubes are starting to be seen within the living cells. That is going to take the tremendous advances in molecular biology and translate them into real biological behaviors. We can now start to watch these things happening." New discoveries in the field are likely to be applicable to all cells, Kolega says. "I happen to be working on endothelial cells, in part because it's easier to get funding for something with clinical applications, but I like to think that my work will help answer the basic question of how non-muscle cells migrate." + John Kolega, Ph.D. Cell Biologist "It's no longer good enough to know everything about molecules or cells or organisms," he says. "The really interesting things are going on at the interfaces between the old disciplines, where you have people with different expertise looking at a system from different levels." Thanks to this new interdisciplinary emphasis in research and education, Kolega is now delivering human anatomy lectures to firstyear medical students, in addition to working with endothelial cells in the lab. Kolega, 38, earned his doctorate at Yale and held post-doctorate positions at the National Institutes of Health, New York University Medical Center, and Carnegie-Mellon University. Upon joining the Department of Anatomy and Cell Biology at UB, Kolega took a crash course in human anatomy so that he could share the responsibility of teaching basic preclinical courses. He spent virtually every day of his first year at UB in the anatomy lab. "I was just one step ahead of the students," he groans. When not lecturing or supervising dissections, Kolega continues his research into cell migration. His field is the locomotion of non- - - -JESSICA 1 9 9 7 ANCKER �• ............... . ... . ................ . . . ....... ~ I Extemships provide a taste of the real thing ven with today's emphasis on clinical experience in medical education , it's not every second-year student who gets to do an abdominal paracentesis or a flexible sigmoidoscopy. Clayton Polowy did. "I had some serious hands-on experience as far as procedures went," Polowy recalled of his 1996 experience in UB 's Primary Care Summer Externship program. "It's basically primary care medicine and preventive medicine at its highest degree ." Polowy, now a third-year student, was one of 7l first- and second-year students in the program last summer. The externship, which pays students to spend the summer working with a primary care doctor, was developed in 1993. Of the 55 externship participants who have graduated from medical school, more than two-thirds have gone on to residencies in primary care. "It's designed to give students a taste of reality in Geraldine Kelly, M.D., supervises as student extern Mark Oberlies terms of primary care mediexamines a patient. cine," said Kim Crooks, who coordinates the program at UB's Primary Care Resource Center. "A certain. The current budget comes from lot of programs are modeled after this one. a variety of sources, including the mediI get calls from all around the country." cal school, the Robert Wood johnson The six-week externship remains un- Foundation, and the state Department usual in the large number of students it of Health. The Independent Health enrolls and in the stipend it pays: $1 ,200 Foundation has also provided support for first-year students and $2,000 for since 1995, and it recently decided to those in their second year. That helps make a significant contribution for 1997. push the annual cost to $125 ,000, but it "The goal of the foundation is to immakes it possible for more students to prove the quality of health in the combenefit from the full-time externship ex- munity, and we feel strongly that if perience. ''I'm maxing out my loans," there is a large pool of primary care said Polowy. "It was nice to feel that I physicians in the area, we're going to be didn't have to work on top of doing that. " able to accomplish that," said joanne Because it has no guaranteed source Way, the executive director of the founof funding , the program's future is un- dation, which is connected with the ADMISSIONS TEST January 11 and February 8, Upper and Middle Schools March 8 and April 26, Middle School • Exceptional college placement record • Challenging curriculum with the most Advanced Placement courses in Western New York • Average class size of 14 students • More than 60 athletic teams • Comprehensive visual and performing arts program • Financial aid available For further information, call: 875~8212 ICHOLS MIDDLE SCHOOL, 175 Nott ingham Terr. NICHOLS SCHOOL NICHOLS UPPER SCHOOL, 1250 Amherst St. B u f f a l o P hysician w I n t e r 1 9 9 7 �- - - -- ~~-- -· - managed care company Independent Health Association. In addition, the Millard Fillmore Health System, the Millard Fillmore medical staff, and the Howard Wilding Memorial Fund of the Millard Fillmore Health Education and Research Foundation have made donations totaling $30,000. The externship is a way of introducing students to clinical medicine and the Buffalo medical community, said TimothyGabryel, M.D., vicechairmanofmedicine at Millard Fillmore. "It helps them to see that what they went to medical school for really exists," he explained. "The best feedback for us is when we see the enthusiasm in the students," said TonyBarthalomew, M.D., who with his partner, jay Bishop, M.D., has been an externship preceptor since the program started. It was at their Fredonia practice that Polowy got his experience. "In six weeks you really get to see a lot," Polowy said. "One time, I did a joint injection." He recalled how his preceptors would take the time to pull a book off the shelf before discussing a procedure, or would provide an immediate critique of the way he interviewed a patient or made a presentation. "I was always treated by the staff and the physicians as a colleague," the student said. Emily Calkins, another third-year student, was inspired by her 1996 externship with Deborah Richter, M.D. , in Buffalo's Geneva Scruggs and Mercy health centers. "She was just a great role model for me , which I needed during medical school," said Calkins. "You see so many social problems , and she handled them so well. For many of these patients she was the only place they could turn for help. I keep her in the back of my head at all times , wondering, 'What would Dr. Richter do? "' Mark Oberlies, a third-year student who has had two summer externship experiences, said he was already interested in primary care, but he had a nagging uncertainty about whether any B uffalo - - - physician could truly master the scope of practice encountered by generalists. "As a medical student you feel so utterly clueless when there's so much coming at you, " he said. "You just think, 'I've got to get to my little area of medicine and learn everything I can about it. ' At the same time you've got people telling you to be a famil y doc and take care of everything. I needed to see if I could do that. " Oberlies spent the first summer working with geriatric patients under June Chang, M.D., and the second summer with Geraldine Kelley, M.D., at Mercy Hospital. "I take a lot of comfort from the examples of these people," Oberlies concluded. "I have a lot of respect for the people I've met in both externships. The greatest success of the program for me was that it showed me that primary care is doable. People can do it, and do it well. " + - AN DREW D A N Z 0 - & THE ULTIMATE DRIVING MACHINE ~ Checkpoint Foreign Car, Inc. Sales and Service • 487 Kenmore Avenue Buffalo, NY 14223 UB and Buffalo General announce new partnership with Bosnia 836-2033 fficials from UB met at the White House on Oct. 2l for a ceremony to announce a partnership to help Bosnia rebuild its health-care system after years of war. Leaders from UB, the Buffalo General Hospital, and the city of Buffalo were guests of Hillary Rodham Clinton. Buffalo General has had an informal relationship with Tuzla Clinical Center for two years, through the efforts o[Jacob Bergsland, M.D. , a cardiothoracic surgeon and UB associate professor of surgery. The new project, funded by $2 million from the United States Agency for International Development, will offer educational programs and the exchange of clinical personnel. Nearly 120 healthcare professionals have already enrolled in the program at the clinical center in Bosnia-Herzogovina. + Your WNY Leasing Specialist Serving WNY proudly for 33 years Physician W I n t e r 1 9 9 7 • - • ~AR ® �THEN ~~AND~ N 0 W When the germ theory was still atheory BY GEORGE HADDAD, eorge Haddad, M.D. '94, is pursuing a doctorate in the Department of the History of Science and Medicine at Yale University. In his paper "Germ Theories, Scientific Medicine, and the Buffalo Medical Community," Haddad argues that there were numerous kinds of germ theories before Robert Koch's discovery of the tuberculosis bacillus, and that much of the local scientific debate was actually a "fixing of the meaning" of the phrase "germ theory." He also shows that scientific advances did not move, ready packaged,from European and American academic centers to peripheral communities like Buffalo. Instead, these smaller communities underwent their own periods of debate and upheaval before reaching consensus. The following excerpts from Haddad's work focus on the writings of one outspoken opponent to the germ theory. Haddad's full paper, along with other articles on western New York medical history, is being published in Medical History in Buffalo 1846-1996: Collected Essays, by the Friends of the Health Sciences Library and the University at Buffalo School of Medicine and Biomedical Sciences. Copies are available from History of Medicine curator Lilli Sentz at (716) 829-3024. Fighting the new theory F rederick R. Campbell was born in Niagara County in 1860. He graduated from the Buffalo Medical College at age 24 and later joined the medical department of Niagara University, where he taught "Hygiene" and "Materia Medica and Therapeutics." In addition to medical acumen, he had literary and historical interests, and his schol- M D arly output included a book entitled The into a certain lineage of medical theories, Campbell opened the germ theory Language of Medicine. In june of 1885, Campbell wrote an to criticism that other theories also faced. Two years after Robert Koch's discovarticle entitled "Chemical vs. Germ Theories of Disease" in which he offered ery of the tubercle bacillus, Campbell a historical account of the dialectic be- realized that the role of doctors in the new tween the "chemical-humoral" and germ theory world was about to change. "germ-parasitic" theories of disease. just "When the germ theory becomes an esas the history of philosophy had experi- tablished fact," he scoffed, "the true phyenced a dialectic between idealism and sician will become a mere manipulator of materialism, Campbell believed that germicides, and the pathologist a student of microscopic medicine, too , had botany." a specific sort of This did not dialectic between mean Campbell different theories of was opposed to an disease. He wrote: "There was a huideal of scientific progress in medimoral pathology of cine. On the conthe Ancients, estrary, he saw sentially a chemichemical theories cal theory of disof disease and orease, replaced by ganic chemistry as the vegetable parathe legitimate heirs sitic hypothesis of to the scientific traVallisneri, dition. He claimed Hauptmann, and that there were Linaeus. Then "many honest sciStahl proposed a entific men who purely chemical are unwilling to theory of disease, accept, in their but this has been Frederick R. Campbell, M.D., in a portrait present state, the followed by the published posthumously in the BuHalo Medical views of the germ theory, sug- and Surgical Journal. 'bacteriologists.'" gested by the revIn his comparison of chemical and elations of the microscope, and brought to its present stage of development by germ theories, Campbell exploited the such men as Virchow, Pasteur, Tyndall, optical limits of microscopy and offered and Koch. " a large number of well-articulated obBy placing the germ theory within a jections to a germ theory. For example, genealogy of medical theories, Campbell microscopes of the time could not disstressed the contingency and contro- tinguish between bacteria associated versial nature of a germ theory of dis- with very different diseases, and so, as ease. Moreover, by placing a germ theory far as Campbell knew, they were identi- B u f f a 1 o Phys ician w 1 n t e r 1 9 9 7 �- ~ -- - - ~--------, -- - - - - -- T H E N ..A'NDII N 0 w cal to each other. However, Campbell and antisepsis were mediated through thought it was nonsensical to blame chemical processes. The germ theo"identical" bacteria for varying diseases. rists, according to Campbell, had He also asserted that "bacteria and serendipitously, through erroneous theories, fallen micrococci are always found on the upon the proper surfaces of mucous methods of surmembranes and gical antisepsis. these organisms In a translation differ in no respect and commentary from those found in upon a French ardiseases." Moreticle published in over, he denied the the Buffalo Medical clayo al<l, •llowiloc 'I" ...... contagiousness of and Surgical jourtuberculosis and in- This laboratory sketch of cholera germs under the nal, Campbell exsisted that tubercu- microscope was published in the BuHalo Medical pressed his concern losis could be and Surgical Journal by George W. Lewis, M.D., about the social caused by a number a contemporary of Campbell's who defended costs of accepting of different, non- Koch's germ theory. At the time, it was rare for the germ theory of bacterial "irritating the journal to print any drawings or visual aids. disease: substances." "As to the social Campbell's "chemical theory," on the consequences, they have been seen in the other hand, explained infectious dis- recent epidemics in Italy and the south of ease by insisting that the introduction of France, where scenes of barbarism befit"some chemical substance" can result in ting another age were enacted. In Italy, it disease. He believed that chemical poi- appears proprietors demand that persons, just like drugs or bacteria, could sons suspected of having phthisis [tuberhave "selective powers." Moreover, culosis] shall vacate their property." In this piece, Campbell asserted that Campbell believed that chemical theories offered a "more rational basis of laboratory scientists do not do as much treatment than germ theories." Ulti- for practical medicine as "those who mately, Campbell believed that a chemi- pass their lives surrounded by diseases." cal theory of disease would be estab- Campbell's belief that he and the other lished as fact once scientists studied opponents of a germ theory were depathological chemistry as well as patho- fenders of "true clinical medicine" reflects the cleavage in medical identity logical anatomy. Campbell ended his diatribe against that the germ theory controversy progerm theories by rhetorically equating duced. Campbell drew a clear line bebacteriologists with alchemists. Bacteri- tween the practice of traditional bedside ologists "have already given the world medicine and the laboratory dabblings many valuable discoveries," he began. of the new medical scientists. In another Buffalo Medical and Surgi"] ust as the alchemists of old, while seeking the philosopher's stone and the elixir cal journal contribution, Campbell vitae, brought forth what was even more scoffed at bacteriologists for claiming valuable to mankind, modern chemistry, that they had discovered the true nature so the microscopists have paved the way of disease and reminded them that they, for the greatest discovery of modern medi- just as past believers in systems of medicine, were susceptible to new discovercine, surgical antisepsis." By this, Campbell did not suggest ies and revisions: "Were not the astrologists, the that antisepsis relied on a germ theory of disease. He firmly believed that sepsis humoralists, and the solidists of old ----...... ... ...................._ ""'..._·_ B u f f a 1 o PhUSICian W I n I e r 1 9 9 7 equally as certain as the modern bacteriologists, that they had discovered the true nature of diseases? Who can say that some writer in years to come will not ridicule those 19th century doctors who believed that microorganisms, like the demons of old, produced diseases in man?" A laudatory obituary of Campbell appeared in the same issue of the journal. His life ended at age 28. "He fell victim to typhoid fever, after a sickness of over a month," wrote the editors, who then tactfully commented, "Indeed it may be said that his death was the result of overwork enfeebling a physical system not robust and making it an easy prey to disease." Through modern hindsight, Campbell may appear hopelessly unprogressive, but he can also be cast in a sympathetic light. He did not study in Europe, and he, like most other American medical school graduates, did not have extensive training in microbiologic techniques. He saw a germ theory as a threat both to traditional medical practice and to his own sense of professional identity. His opinions did not fall along expected generational lines, nor did his opposition to a germ theory mean that he was against a scientific ideal in medicine. In fact, Campbell repeatedly made the claim that his "chemical theory" was the true heir to the scientific tradition. In addition to his theoretical and practical objections, Campbell saw a germ theory as a threat to traditional sources of professional identity. Campbell believed that true doctors spend their lives surrounded by the sick rather than peering into a microscope. His turn to the analysis of medical history may just have been an idiosyncrasy of his personality. However, it may reflect a greater tendency of physicians to make sense of changing values and meanings by turning to the study of medical history. + �I Achilllce to put idealism into practice BY CHRISTOPHER J. DIMAIO have wanted to become a doctor since I was a child. I did not have any life-altering experiences that led me to choose this career. I simply loved science and wanted to indulge myself in the highest level of science possible- human medicine. Thus I find myself in the middle of my first year of medical school, and I am loving it. But let's face it. My life is not as rosy as I may make it out to be. Ask any medical student, myself included, a seemingly harmless question like, "How's it going? " and you will find that you have just set yourself up for a formidable avalanche of complaints and frustrations about "how much work I have ," "how far behind I am, " and the ever-popular, "I need more sleep! " I can only compare the experience to trying to finish a plate of food only to have the waiter bring out another serving. just when you're wiping your mouth clean with the napkin, two more plates come out. And just when you thought you couldn't eat another crumb, the waiter decides to bring out the main course. Not hungry? Well , too bad, because the chef is just getting started. To be honest, I feel that all of the hard work and sacrifice is worth the effort. My experiences in the past four months have been unlike any others. Every day I get to ask the question , "How does the body work? " and every ® day I get another answer. My experiences go way beyond those in the classroom, though. I will never forget the rush of adrenaline I experienced when I made my first incision on a cadaver, or when I was firs tasked to do a physical examination on a patient. new cases, and how we should learn from the cases we have seen in the past. Most important, we are beginning to learn how to feel like doctors: how, when we are presented with a new case, we realize that this isn't simply patient #6578463, but rather Mr. Thomas O'Donnell who lives around the corner, has a wife and three children, and one day hopes to retire to Florida. The knowledge and information I will have gained from my years at UB will be with me for the rest of my life, and will allow me to carry on a tradition of treating those who are ill, and protecting those who are not. It is a dedication that will allow me to realize my noble thoughts of what a career in medicine should be. In each issue, Buffalo Physician invites a medical student to write a column about a topic of his or her own choice. A member of the Class of 2000, Christopher]. DiMaio is in the middle of his first year of medical school. It is exciting to know that this is only the beginning of my medical career, and that a lifetime of similar experiences awaits me. I stated my idealistic views of medicine in my application essay: "I truly enjoy helping people, and would like to have a career that allows me to make a difference in the lives of those who seek it." Today, my visions are being realized. We are learning how to think like physicians, how we should approach B u f f a l a Physician W I n t e r 1 9 9 7 I �Put tfze.best seat in tfze fwuse myourgarage. UB:MICRO CDMPUIERSALES A Non-Profit UNIVERSnY AT BUFFAIDS Yl PRoGRAM Advertise in one of the finest publications in Western New York ... Call 645-3554 www .computer-store. ubmicro.buffalo.edu Buffalo Physician YOUAREEUCJBTE ~Uff"lj for educationalpricing f " ~ s\ t \ " " DflL•COMPAQ•ZfNIIH APPlE•ACffi llXASINSIRUME\Tf Cl:l!:!!~ HEWIEIT9I(J(ARD - MICROSOFf•CORFl•ADOBFAND MUQI i\Om 1997 Buick Riviera Riviera: the most sophisticated personal luxury car Buick has ever offered. It is designed to stir the spirit and excite the soul. We at Paul Batt Buick are proud to serve the people of Buffalo and its surrounding communities. For the last 43 years, we have offered the lowest prices possible, along with the very best in service. We value the professional and the hard working labor force in our community and will continue our efforts to maintain their loyalty. When you enter our showroom you will find helpful people, not pressure-so when you think of Buick sales and service, we know you'll think of us! Joseph R. Pera Paul V. Batt, Jr. 'ldut7Jau-7Jtdd 1717 Walden Ave., Buffalo, NY Give us a call: (716) 645-6933 Phys APPLE ScHOOL REwARDS Michael J. Baranski Marketing Representative Pun:hase any qualifymg \lacintosh desktop computer, Apple display (if sold separately), and Apple printer through 1119/97 and earn poin~ for any school or your choice (to be redeemed for Apple products) IOMEGA REBATE OFFER Purchase an Iomega Zip Ori\'e, and recei\'e by mail either a $50 rebate, OR more than a $ISO >'alue "Game Pack-to-Go" Pun:hase an Iomega Zip Disk Ill-pack, and =i>< by mail eother a $20 rebaie, OR more than a $6o value "M Stuff Orpnizer". See Iomega maol-m renoCicate at l'BMocro for details. Rebate through 1/31/97. $so HP DEsK}ET 340 sERIEs REBA1EOFFER through 3/31197 See HP mail-on rertiOcaie at UB\Iocro for details CoMPUTER WORKSHOPS Call 645-3560 to have a brochure mailed to you. BARANSKI Open Mon thru Fri 11-5; Wed & T hurs 11-6:30 Coli for curr~nr priCin~ and Q\'(jifabilm·, Pnas subJ~Ct to dmnR~ witlwut noiiCt' ADVERTISING 891-5595 Buffalo Pun:hase any qualifymg Macintosh desktop computer. Apple display (if sold separately), and Apple printer through 1/19197 and rereire a $150 mail-in rebate. ician 146 Stepping Stone Lane Orchard Park, NY 1412 7 W I n I e r 1 9 A non-profit University program for students, faculty & staff The Commons • North Campus • (716) 645· 3554 • Fax: 645-3&84 9 7 �Aman who touched aenerations of students JACK RICHERT , ASSOC IATE DEAN FOR ALUMN I AFFAIRS , RETIRES ack Richert left many in the UB community with fond memories when he retired Nov. l from his position as associate dean for alumni affairs. It's no wonder, because he has touched the lives of hundreds of students- doing everything from helping them finance their education to keeping in touch after graduation. "I've met wonderful people in all my sions, student affairs , curriculum, medidifferentpositionsatUB," he says. "Now, cal school publications, and financial I can go to any major city and look in the aid. He also served as coordinator of Medical Alumni Directory and find post-graduate advisement and director people I know. It's a great feeling ." of the U.S. Foreign Medical Graduate He first came to UB to earn a master's program. In the latter capacity, he won in counseling psychology and a doctor- a $226,000 grant from the U.S . Departate in academic administration. The ment of Health, Education, and Welfare medical school hired him in 1970 as to create a pilot program for these transfer students. registrar and assistant to the dean. Former associate dean Leonard Katz, It was a time of rapid transitions. The dean who had hired him, Leroy A. Pesch, M.D., worked with Richert to bring stuM.D., left in 1971. Clyde L Randall, dent affairs and curriculum together in M.D., and F. CarterPannill, M.D. , served the new Office of Medical Education in as acting deans in quick succession. It 1975. "jack took the lead in student affairs ," Katz rewasnotuntil1975, members . "He with the arrival of was also extrajohn. P. Naughton, " IT'S BEEN GREAT TO SEE ordinary at arM.D ., that the SO MANY STUDENTS WHO school had a perranging events . CAME INTO MY OFFICE ON manent dean. For example, at Naughton credgraduation he THE FIRST DAY OF CLASS its Richert with added color with GROW AND MATURE AND BE helping to shore up a huge UB banthe administration ner , arranged for SUCCESSFUL ." music, and added during this period. other touches to "It was a very tough make ita wonderfew years, and jack was one of three ful pageant and a people who served as the 'glue' to hold great celebration." He took over the alumni affairs office services together for the students," he in 1984, and soon became associate dean says. In 1972, he was promoted to assis- and director of medical alumni affairs. tant dean. At various times in the folHe has had a profound impact on the lowing years , he led the offices of admis- Medical Alumni Association. When he B u f f a l a first became involved with the group , it sponsored only a few activities a year. I oday, as a result of innovations he introduced or facilitated , it is active yearround, offering events, lectures, awards , and educational programs for alumni and current students. He also helped expand the annual Spring Clinical Day program into an entire reunion weekend. The new Distinguished Alumni Awards and Alumni Achievement Awards recognize outstanding accomplishment. Receptions at national medical meetings make UB alumni feel welcome everywhere. The Medical Alumni Association has also become much more active in student life. The association donated money to furnish the medical student lounge, and it participates in student and resident orientations. It also sponsors scholarships, student travel to scientific meetings, and travel to work in developing countries. The association's Community Physician Program invites doctors to give luncheon talks to medical students about career choices, types of practice, and lifestyles. Richert also chaired the Buffalo Physician editorial board, where he helped the dean choose board members that represented the entire UB community, and was sensitive to readers' desires about the look of the magazine , according to fellow board member Bradley Truax, M.D. '74. "jack wanted to make this magazine something that the alumni would enjoy and look forward to getting rather than just throw in the wastebasket," Truax says. One of Richert's accomplishments was the creation of the james Platt White Society, which honors alumni who make annual gifts to the school of $1 ,000 or more. Philanthropy was not the only Physician w I n t e r l 9 9 7 �..L_ - -- - - - -- - - - - - - - - - . . .. .. . . . . . . . . . . . . . . .. -~ • goal of the organization. "My goal in creating the society was to help our alumni reconnect with UB ," he explains. "There had been something of a breach between the people who graduated from the private University of Buffalo and those who graduated from the public University at Buffalo (after the 1962 merger of the university with the SUNY system). We had graduates who lived nearby and had never been back to the school. We needed to bring them back, reconnect them with the school, and show them that they were still part of our community." "None of these good ideas would have come to fruition without jack," says alumni association past president Margaret Paroski, M.D. '80, who met Richert when she was a student and he was assistant dean for student affairs. "He has a real knack for persuading people to participate, take on responsibilities, and get things done, and he's always understood how important volunteerism is to the school and to medical teaching in general. " Richert's engaging manner , good memory for names and faces , and gift for B u f f a l o building friendships have been key to his success at UB---and will make him missed. "I was accepted just four days before school started, so I showed up with no idea about where to stay," recalls jack Coyne, M.D. '85 , Medical Alumni Association president. "jack put together a whole list of possibilities, and found ways for me to fund my education, too. Physician w I n t e r 1 9 9 7 He took a personal interest-it was more than just a job. " In retirement, Richert plans to catch up on reading and research ("There are a lot of libraries I have neglected for too long! ") , get involved with volunteer activities, work on his century-old house in Buffalo, and spend more time with his wife and their daughter. "As I retire, I think what a nice time it was. There were obviously peaks and valleys , but I think the peaks outnumbered the valleys ," he says. "It has been wonderful to watch the school move into national prominence. "I also think about the pleasure I've had in meeting so many fine people who have become my personal friends. And it's been great to see so many students who came into my office on the first day of class grow and mature and achieve and be successful." Recruited by admissions director Thomas]. Guttuso, M.D., Richert will also serve as a volunteer member of the medical admissions committee. And so , even in retirement, he will continue making connections with new members of the UB medical school community.+ -JESSICA A NCKER �Wende W. Logan-Young, M.D. '61 FOUNDER AND DIRECTOR OF THE ELIZABETH WENDE BREAST CLINIC BY ANDREW DANZO ack in the mid-l970s, a diagnostic radiologist had a radical idea. Armed with emerging breakthroughs in imaging technology, Wende W Logan-Young, M.D., felt that radiologists should move out from behind their x-ray viewboxes to play a more central role in the fight against breast cancer. In pursuit of this vision, Logan-Young founded the Elizabeth Wende Breast Clinic in Rochester, NY. Now radiologists at her clinic and similar ones in other cities are giving women more timely and compassionate answers to some of their most fearful questions and reducing the need for surgical biopsies. "Ours was the first clinic where the radiologist intervened and started doing more of what the surgeon did ," ® Logan-Young recalls. "Before, the traditional role of the radiologist was to sit down at the end of the day and look at the image made earlier by a technician. There was no patient contact. " Logan-Young named the clinic after her mother, who taught her the kind of compassion she tries to bring to her own work with patients. "She was my role model , just a fabulous person," Logan-Young says. B u f f a I o P Logan-Young has been a pioneer in the use of a multiprocedural approach that stresses the importance of taking a good patient history and conducting a thorough breast examination, in addition to utilizing ultrasound and 14-gauge needle gun biopsies. With her associate , Nancy Yanes Hoffman , M.S., she published Breast Cancer: A Practical Guide to Diagnosis in 1994. The book is to be the first ofthree volumes; she is currently working on the second. "The book is a distillation of 20 years of what worked best," Logan-Young says. Those years represent a second, perhaps third , career for Logan-Young, who is one of a long line of Buffalo physicians and UB alumni. During her time at UB, she was married to classmate] onathan Logan, M.D. '61, and was called Wende Logan. "It was a hell of a good school," Logan-Young recalls. "I still have very good feelings about the university. " She originally entered internal medicine. After having four children, however, she couldn't keep up with the demands of the practice and switched to radiology. She joined the University of Rochester School of Medicine faculty and got involved in testing new lowdose x-ray films. If it could be perfected, she realized, low-dose mammography could open new doors in breast cancer screening and diagnosis. She also noticed how grateful women were when she told them their results on the same day. "This was considered heresy in 1975," she said. At the time, and not uncommonly even today, radiologists were supposed to report only to the referring physician, a protocol that she said caused delay and anxiety. "It sounds like a small point, but it isn't, " she says. She became convinced that there was a need for radiological practices devoted to breast cancer. "I went around to every group in Rochester and begged them to take me hysician W I n t e r 1 9 9 7 �--- ----- - - - - - -- - - - -- -- - - - -- - "O~RS~IWAS~~ili HE!!IIF.IRSli C l.!! INIC!J,,W8ERE:!!,~ili 8E RADIOI!OGISlijiiiNliERVENED AND STARli ED)~DOING~IMORE O F.: WHAli il'~ili HE S~RGEONn EIDE W. loau·YOUIG, with that concept," she says. "They all said I was crazy. So I opened my own office." As she was setting up, she read an article about using an ophthalmic ultrasound scanner for breast exams. Researchers had reported promising results with ultrasound breast imaging since the 1950s, and by the mid-1970s several physicians around the country were using ultrasound for breast exams, but there was still no commercially available machine designed explicitly for that purpose. Logan-Young bought one of the ophthalmic units. "At that point," she says, "there wasn't a radiologist in the country who was combining ultrasound and radiology." By bringing the best tools for breast cancer detection- clinical examination, ultrasound, and mammography-under one roof, Logan-Young felt that the techniques could complement one another to more accurately identify real cancers and to reduce the number of surgical biopsies on masses that proved benign. But there were problems to be resolved with the low-dose film. LoganYoung organized national meetings on that and related issues at Roswell Park Cancer Institute in 1977 and 1979. "A lot of the equipment changes that came out resulted from those meetings," she recalls. Logan-Young continued publishing her results with low-dose mammography and ultrasound. She also traveled the country demonstrating techniques for clinical breast cancer diagnosis. Her practice, however, was slow to take off. "We spent a lot of time modifying the equipment," she says. B u f f o l o IDID ." M.D. Eventually it paid off. The Elizabeth Wende Breast Clinic now has a staff of 80 and sees 50,000 patients a year, some from as far as Watertown and Binghamton, NY. "They like the ambiance of the office and they like having the results the same day," explains Logan-Young, who took her current name after remarrying six years ago. A major part of her quest to expand the radiologist's role was fulfilled in 1993 when she acquired the first 14gauge needle biopsy unit in western New York. The needle biopsy technique was developed years earlier in Sweden, but it was only recently perfected by a Colorado radiologist who added a new - needle design and computerized guidance that yielded results comparable to surgical biopsy. "The development of the 14-gauge needle was the last step that the radiologist needed to prevent unnecessary surgery, to keep us from doing too many biopsies," Logan-Young says. Nationally, she added, only one out of every five surgical breast biopsies confirms a cancer, while the rate for her patients is one out of 1.3. Equipment and technique are not the entire equation. "This sounds real corny, but from the beginning we tried to make the office look more like a home than an office," Logan-Young says. "I always hated the sterile white jackets. We put in antique chairs and flowered wallpaper. " Three of the 14 chapters in her 1994 book are devoted to interacting with patients. "Once you become the one to make the diagnosis, you do a lot of the counseling that the surgeons would have done." + Grover Wende, Class of 1889 Wende Logan- Young's great-grandfather's brother wrote an early text on dermatology George H. Westinghouse, Class of 1896 Logan- Young's grandfather Walter David Westinghouse, Class of 1931 George Westinghouse's son was Logan- Young's fath er Wende Westinghouse Logan-Young, Class of 1961 Physician Walter David Westinghouse, Class of 1964 Her brother is a San Diego cardiologist Andrea Westinghouse, Class of 1989 Her sister entered medicine as a second career and is now a pediatrician in Eden, NY w I n t e r 1 9 9 7 �• · ··· ·· ···· · · ····· ··· · · · ·· · · · ·· ······ · · ·· ··· ·· · · ·· · ·· ······· ·· ··· · ···· · ···· · · ·· ···· ·· · · · · ·· I 1 9 5 0 s DONALD R . HAULER '57 , of Pensacola, FL, has retired from the U.S. Navy after more than 36 years of active duty. His rank at retirement was captain. He was awarded the Legion of Merit at a Washington Navy Yard retirement ceremony. He moved from McLean, VA, to Pensacola in In April 1997, Jason, along with Edwin Rosinski (Ed.D. '58) and former UB faculty members Stephen Abrahamson and George Miller, will be honored by the UB medical school for their pioneering work in medical education, which began while they were all at UB together. September. 1 JEROME P . KASSIRER '57 , of Weston, MA, was named Distinguished Internist of 1996 by the American Society oflnternal Medicine for contributions to the social and economic environment of the practice of medicine. A kidney specialist at the Tufts University School of Medicine and the New England Medical Center, Kassirer is the editor-in-chief of the New England journal of Medicine. HILLIARD JASON ' 58 , 9 6 s 0 RICHARD H . DAFFNER '67 , of Pittsburgh, PA, writes: "I have just published my fifth textbook, the second edition of Imaging Strong Memorial Hospital in Rochester, NY. He and his wife are both clinical professors of family medicine at the University of Colorado School ofMedicine.Jason is also co-director of the Center for Instructional Support and co-director for education for the Society of Laparoendoscopic Surgeons. ® also serves on the board of the New York State Department of Health's Office of Professional Medical Conduct. He and his wife, Sharon, have two daughters, Gretchen and Julie 1 of Vertebral Trauma . I am currently professor of radiologic sciences at MCP-Hahnemann School of Medicine at Allegheny University. I am based at Allegheny General Hospital in Pittsburgh." ED .D . '62, of Boulder, CO , and his wife, Jane Westberg, Ph.D ., recently published their sixth book, Fostering Learning in Small Groups. It is part of both the Springer Series on Medical Education and the Springer Series on Nursing Education. Jason earned his education doctorate while completing medical school and his residency at director of anesthesia services at Millard Fillmore Suburban Hospital in Buffalo. He is a member of the Millard Fillmore Health System board of directors and president-elect of the system's medical staff. A UB assistant professor, he is also chair of the school's quality assurance committee for anesthesia. Burdick 9 8 s 0 DAVID S . KOUNTZ '85 , of New Brunswick, NJ , has been named associate dean for postgraduate education and chief of the division of primary care at UMDNJ-Robert Wood Johnson Medical School. PEGGY ( MOREY) STAGER of Cleveland Heights, OH, writes that she and her husband, Richard, "announce the birth of our beautiful boy, Samuel Robert, on April 1, 1996." She is practicing adolescent medicine at MetroHealth Medical Center in Cleveland. '88 , 1 9 7 s 0 MICHAEL BARON '71 , of Bristol, TN , writes: "I have relocated to private practice in Bristol in pulmonary critical care medicine. The hospital is two and a half years old and is state of the art, and managed care is just beginning. I am an assistant clinical professor of medicine at East Tennessee State University School of Medicine." JAMES P . BURDICK '75 , of East Amherst, NY, was installed as president of the New York State Society of Anesthesiologists in December. Burdick is B u f f a l o U.S. ArmyinfantryinApril194l. On Dec. 7, when the Japanese attacked Pearl Harbor, Secrist was on guard duty on the island of Oahu, five miles away. In combat duty in Europe, Secrist was wounded in action and received the Purple Heart. He left the Army with the rank of first lieutenant after five years of service. Secrist returned to school on the GI Bill, earning a bachelor of arts degree from Columbia University in 1947 and his M.D. from UB in 1951. Secrist made house calls to patients all over Buffalo and developed a reputation for treating patients regardless of their ability to pay. A member of the Erie County and New York State Medical Societies and the American Medical Association, he was board-certified in internal medicine. He was a member of the American College of Chest Physicians. OBITUARY ROBERT SECRIST '51 , clini- cal associate professor emeritus at the School of Medicine and Biomedical Sciences, died Nov. 5 in his hometown of Lockport. He was 78. Secrist attended Cornell University for three years before leaving to work at Bethlehem Steel. He was drafted into the p h y 9 e a n w n I e 9 9 7 �Who says there's nothing good on TV? As busy as they are, physicians and other health care providers always take the time to watch MLMIC's top-rated risk management education programs. • When they tune into high quality programming broadcast over our satellite network, viewers know what they see will help enhance patient safety and reduce injuries. They also appreciate the policyholder discounts available to participating physicians. • MLMIC programming is sponsored by the largest Risk Management Department of any professional liability insurer in the state. Policyholders also enjoy the protection of one of the country's largest and most experienced professional liability Claims Departments. Most importantly, MLMIC has successfully defended more physicians than all other available insurers combined. These are some of the reasons why MLMIC is the only medical liability insurer approved by the Medical Society of the State of New York. • To find out more, call1-800-356- 4056 in Upstate New York, or 1- 800- ASK- MLMIC in the New York metropolitan area. Ask for free copies of our risk management MLM~C ~ledical ~ Liab1lity :-lutuallnsurance Company guide for office practices. • Our defense never rests. 2 Park Avenue New York, NY 10016 2 Clinton Square Syracuse. NY 13202 90 Merrick Avenue E. Meadow, NY 11554 el996 Ml"..d ..:.1 L at> ity Mutua! ln~r,gnc~ Company �BUFFALO PHYSICIAN Non-Profit Org. U.S. Postage PAID Buffalo, NY Permit No . 311 STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET BUFFALO NEW YORK 14214 21 4 'fED.LC L HISTO. IC~ ADDRESS CORRECTION REQUESTED PLAN'fiNG A \3 JT T LldR ~y TREE UNDER WHICH Ll w-~IHLS A Y D-~T You WILL NEVER SIT DR. DEVILLO W. HARRINGTON, class of 1871, knew how to make his money grow. In fact, this man who in 1905 provided $5,000 through his will for the University at Buffalo School of Medicine, is still supporting UB today through the endowment his bequest created. THIS PERMANENT endowment in Dr. Harrington's name has grown to over $300,000 and today it supports the famous Harrington Lecture Series, which twice a year brings distinguished scientific speakers to the School of Medicine and Biomedical Sciences. DR. HARRINGTON'S LEGACY to UB is just one of many bequests which have established permanent and important endowed funds at the school. They enable UB to provide scholarships to outstanding students, enhance scientific research, support excellence in teaching and meet the ever-changing needs of the school. YOU TOO can provide the School of Medicine with a measure of permanence through a bequest. Proper estate planning helps you develop a smart financial plan. Acharitable bequest provides the satisfaction that comes from planting a tree under which you will never sit, but which will bear fruit for generations to come. FOR ACONFIDENTIAL consultation on making a bequest to the UB School of Medicine and Biomedical Sciences, or to receive materials to share with your attorney or estate planning advisor, please contact: STEPHEN A. ESSARY, JR. I Assistant Dean and Director of Development, School of Medicine and Biomedical Sciences UNIVERSITY AT BUFFALO U N IVIE: R S I TY AT I!I UFFAl.O SC H OOL O F M ED I CI N E l5~ 1 5 0 YEARS (716) 829-2773 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1997 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Copyright 1997 University at Buffalo, State University of New York Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). https://digital.lib.buffalo.edu/files/original/0f398d8e93b4093e754ecd5a751e5e2b.pdf fd716ff75fda5971dc3bbf631ad69b56 PDF Text Text State University of New York at Buffalo School of Medicine and Biomedical Sciences, Summer 1996 oes me 1c1ne deal with death? �BUFFALO PHYSICIAN \olume 30. Number 3 ASSOCIATE VICE PRESIDENT FOR UNIVERSITY SERVICES Dr Carole '>nuth Petro ACTING DIRECTOR OF PUBLICATIONS Kathryn \ Sawner EDITOR Je>SICa Ancker ART DIRECTOR \ian J Kegler ASSISTANT DESIGNER Julie Gmten PRODUCTION MANAGER \nn Raszm~1nn Brown STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES Dr John Naughton, Dean , \ ·"c Ptcsidcrll fo• Cliniwl A{f<111 s EDITORIAL BOARD Dr John A RIChert . Cluurmmt Dr Martm Brecher Dr llarold Brod) Dr. Rtchard L. Collms Dr. Jack f Co) ne Dr. Alan J Dnnnan Brian Dufh Dr James Kanskt Dr Barbara MaJerom Dr Elizabeth Olmsted Dr Charles Paganelli Dr Stephen Spaulding Dr BradiC\· T. Truax Dr r rankltn Zcplowttz Dear Alumni and Friends, THE SESQviCENTE:-o'\IAL E\E'\TS during the first two weeks of May truly rel1ected the commitment of the school's alumni, faculty, and friends to its missions and accomplishments. A major highlight was the opportunity to have Helen Ranney, M.D., deliver a stellar Harrington Lecture, receive an honorary Doctor of Science degree, and give very warm, well-directed remarks to the 1996 graduates. The commencement was also highlighted by the attendance of 29 members of the class of 1946, gowned and hooded and sitting on the stage with other faculty and distinguished guests. Spring Clinical Day was a resounding success in its own right. It drew probably the largest gathering of medical school alumni ever to attend this annual event. The session focused on issues related to preparation for death, the theme of this issue of Buffalo Physician. For me, it was amazing to experience the warmth and humaneness exhibited by a UB alumnus, Robert Milch, M.D., the medical director of Hospice Buffalo and an organizer of the session. He, with Ms. judith Skretny, set a tone which served to galvanize the audience into a cohesive, concerned, attentive group which ensured a successful learning experience for the entire day. The program was further highlighted and enriched by a singularly gifted presentation by the Stockton Kimball lecturer, Sherwin Nuland, M.D. As I rel1ect on the school's focus on its 150-year history, it is indeed rewarding and a pleasure to see a renewed awareness ofUB's successes and its willingness to commit itself to another 150 years of dedication to educate outstanding physicians and biomedical scientists. Sincerely, ~~. John Naughton, M.D. Vice President for Clinical Affairs Dean, School of Medicine and Biomedical Sciences TEACHING HOSPITALS AND LIAISONS fhe Buffalo (,eneral llospttal \ftdwd )lww I he Chtldren·s Hospttal of Buffalo [ne Count\· Medtcal Center Mercy llospttal 'vltllard fillmore llealth System Dear Distinguished Alumni, fnmll.Sa\'a Ntagara Falb Memonal Medtcal Center Ro"sell Park Cancer lnstilllte St>te" of Chanty lio>pnal DCillll\ \f<Cmllt) \eterans Aff.m> Western '-Oew York lleahhcare sy,tem © The State L·rmnSit) of '\ess York at Buffalo Buff<~lo Phnrcwn " publtshed quarterly b\ the !>late Lmve"nv of Ness York at Buffalo School of \.1cchunc and Biomcd1c.:al Science~ and the Offtle of Publtcallons It rs sent , free of charge.toalumm , faculty , student; , re;tdents and fnends. fhe staff r._enes the nghtto edn all cop) and submi.,c,lons accepted for puhltcallon. 4\ddrcss questions , comments and >ubmisstOns to: The [dnor, Buf{lllo Ph)-\itian. '-,tate Uni\·cr'-tll\. of r\e\\ York at Buffalo . Office ·o r Publt callon; , 136 (rafts I tall , Buffalo, '\1) 14260 Send address changes to: Buff<~ln Phl;t<illn, 1-!6 CFS Addnton , H35 \lam Street , Buffalo, 1\Y 1-!2 H (over Image: Scala/Art Re;ource. 1\Y Fdsard \lunch , Thr Dc<tth Chwnbcr , Munch Museum , Oc,lo, r\orway. THA'\K YOL FOR the opportunity to serve as the president of the Medical Alumni Board of Directors. Much gratitude is due to Margaret Paroski, M.D., whose shoes I need to fill-a task that will be hard to accomplish. She served with vision and commitment, and was an example to our students of a caring, effective teacher and clinician. Also, congratulations to Beth Maher, M.D., for an outstanding Spring Clinical Day program, "The End of Life: The QualityofDeath." The program attracted more than 300 physicians and was one of the best attended Spring Clinical Days ever. 1 It is with great pleasure that we continue the celebration of the sesquicentennial anniversary of our medical school with the Distinguished Medical Alumni Award, to be presented this Septemberto Elliott C. Lasser, M.D., class of 1946. Dr. Lasser's research in radiology has been the cornerstone of some of our present-day diagnostic techniques. This recognition is a source of pride for all our alumni. Plans for the 1997 Spring Clinical Day are already under way. Richard Collins, M.D. , is planning a program addressing the impact of managed care on the physician and the patient. The Alumni Association will also continue to sponsor a wide range of activities for medical students, including the community physician program, the senior reception, orientation events, and receptions at national medical meetings. As your new Alumni Association president, I look forward to this year, and I ask for your support and any ideas to better serve you and our future physicians. Sincerely, ~if C'~ /W:J Jack F. Coyne, M.D. President, Medical Alumni Association �V OL UME 30 , 3 NUMBER SUMMER Buffalo Hospice 5 A TEAM THAT CARES FOR DYING P ATIENTS TAKES ON A NEW ROLE: EDUCAT- 10 Physician-Assisted Suicide How FAR SHOUL D DOCTORS GO? by Jessica Ancker lNG YOUNG DOCTORS. 18 1996 The End of Life and the Quality of Death U S 'S S PRING CLINICAL DAY OPENS DISCUSSION ON CARING FOR THE by Andy Danzo TERMINALLY ILL. by Scott Thomas Research Medical School News BUFFALO GENERAL DISTINGUISHED GETS KUDOS. ALIENS AND ASTHMA . HELPER DOGS . PROFESSORS . ROBERT N. SPENGLER . EUGENE MINOELL. MATCH DAY . GIFTS TO UB . Alumni News LYNNETTE NIEMAN ' 7 8 OF THE History of Medicine NATIONAL INSTITUTES OF NATIONAL MEETINGS HELD HEALTH. THREE GENERA- IN TIONS AT UB . BUFFALO . AStudent's Perspective " I HAD NEVER KNOWN SO MUCH ABOUT ANYBODY. " BY CHRIS SCHAEFFER, CLASS OF 1 998 . Classnotes �! l··· ·· · ·· ······· · ········· · ·· · ··· · · ··· ······· · ··· ··· ········· · ·· ·················· · ········ Dogs can help people with impaired mobility ervice dogs promote independence and high self-esteem among individuals with impaired mobility, and they can also save money, according to UB researcher Karen Allen, Ph.D. The research by Allen and her colleague,Jim Blascovich, Ph.D., found specially trained dogs more cost-effective and useful at performing certain tasks for people with severe mobility problems than human helpers. They reported their findings in the April 3 issue of thejoumal of the American Medical Association. The ubjectsofthestudy suffered from muscular dystrophy, muscular sclerosis, spinal cord injury, or traumatic brain injury, and had used wheelchairs for mobility for at least two years before the study. The dogs were trained to pull wheelchairs, carry parcels, help with daily dressing, open and close doors, assist in getting in and out of cars, and pull people up from lying or sitting positions. They were even trained to pull their owner to safety in an emergency. Some canines have learned to assist with as many as 100 tasks, Allen said. Twenty-four of the individuals were given the trained animals one month after the study began. The other 24 received their canine helpers 13 months later. In both groups , the dogs' assistance cut the amount of time required by human helpers by approximately one half within six months. Also , the subjects' self-esteem scores nearly doubled in six months, and tripled by the end of the two-year study. The 0 individuals reported newfound independence, increased psychological well-being, and positive effects in other areas of their lives. At the end of the study, 40 out of the 48 subjects were able to get pan-time employment, and 18 of the subjects started school. A service dog costs about 5,000 to train and about $1 ,100 to maintain annually, far less than the cost of home health aides or other assistants , Allen said. While seeing-eye dogs are well-accepted and covered by many insurers, other types of service dogs are often not covered. However, the state of Montana is providing Medicaid coverage on a trial basis as a result of this study, Allen said. Allen , a member of the psychology department, is the former assistant director of UB's Center for Behavioral and Social Aspects of Health. + H E R 5 C H E L E M E L 5 0 N Buffalo General honored by national accreditation group he Buffalo General Hospital has been awarded a three-year accreditation with commendation by the joint Commission on Accreditation of Health Care Organizations for the first time in its history. Accreditation with commendation recognizes excellence and places Buffalo General in the top 12 percent of the 5,200 accredited hospitals in the country. joint Commission members reached their conclusion after spending about three weeks last December conducting surveys at Buffalo General, its Community a u f f o t o Mental Health Center, and its long-term care facility at the Deaconess Center. "Buffalo General is to be commended for its commitment to providing quality care to the people in its community and region," said Dennis S. O'Leary, M.D. , president of the joint Commission. "You have a lotto be proud of: superb people, excellent staff really doing a great job. It's clear they really care," said joint Commission surveyor Robert eher. "The quality of the programs really stands out. " + Aliens and asthma n innovative experiment involving a popular children's movie may have pinned down the neurological pathway by which unpleasant emotions constrict airways in asthmatic children. UB pediatric psychiatry researchers Bruce Miller, M.D., and Beatrice Wood, Ph.D. , reported their results at the annual meeting of the American Psychosomatic Society, March 7-10 , in Williamsburg, VA. The researchers invited 24 asthmatic children ages 8 to 18 to watch the video of "E.T.- The Extraterrestrial," while their heart rates , respiration rates , and blood oxygen saturation were monitored . Airway reactivity and pulmonary function were tested before and after the movie by spiro metry and methacholine challenge tests. The researchers were particularly interested in the children's physiological responses during a highly emotional scene in which the young hero , Eliot, talks to what appears to be the dead body of his friend , E.T. -then discovers that E.T. is alive. The mood shifts suddenly from hopelessness to relief and joy. Results showed that during the sad scene, heart rate and oxygen saturation became unstable, reflecting airway con- Physician Summer t 9 9 6 �··· · ···· · ······· · ······· · ·· · ··· · ····· · ··· · · · ·········· · · · ······· · ········ · ··· ·· ···· · · · ···· • . striction. During the happy scene, heart rate and blood oxygen stabilized , indicating open airways. In addition , the researchers noted that changes in activity of the vagus nerve , known to influence both heart rate and airway constriction, correlated closely with changes in the children's emotional responses . They believe the finding points to the vagus nerve as one pathway by which emotions affect asthma symptoms. "These findings are clinically important because they suggest that emotional conditions, such as depression and hopelessness, may be important triggers of airway constriction in asthmatic patients," Miller said. "Knowing that the vagus nerve is a specific pathway for inducing these psychophysiologic responses, we can now target this pathway for treatment intervention. " Miller suggested that antidepressant medications with strong anticholinergic properties may be the best choice for treating depression in asthmatic children. "These medications may have the dual effect of treating depression, while at the same time lessening vagal responsivity , which would directly improve asthmatic symptoms, " he said. "We need to point out to physicians that treating the depression can improve asthma symptoms , as well as mood. " The "E.T ." study is part of a long-term collaborative effort by Miller, the director of pediatric psychiatry at Children 's Hospital and a UB associate professor of psychiatry and pediatrics , and s u f f 0 l 0 P hys i Wood , the assistant director of the pediatric psychiatry department and a UB assistant professor. The two came to UB last year from the University of Rochester. An earlier study published by the two colleagues in 1994 found that children who experienced more intense physiological reactions and described their emotional experiences in more intense terms also experienced decreased pulmonary function and heightened airway reactivity. Miller and Wood believe that in this subgroup of asthmatic children, strong emotions activate a specific pathway in the autonomic nervous system that causes or aggravates asthma. In the long run, Miller and Wood hope their work will help bring the study of the body a little closer to the study of the mind. "We believe that's where medical education needs to go . It's stilted and artificial to practice psychiatry in a vacuum , or to practice medicine in a cian 1 9 9 6 '. vacuum ," Miller said. Wood adds that health care professionals must also include a concern for the patient's family and social setting. "It's no good to treat the child individually. It's important to engage the family , and see how that impacts the child's physiological functioning. " She hopes , too, to begin to develop a model for health , not just for illness. "We need to look more at the positive ways families impact on physiology, not just the negative ways. " Miller established his reputation in the field with a benchmark 1987 study on the links between depression and fatalities from asthma. He conducted in-depth interviews with families of asthmatic children who had died from their disease and with the families of others who had survived near-death experiences. He found that the children who had died were much more likely to have experienced psychological stress and family turmoil , such as a divorce or an impending separation . Also, around the time of their death , they were much more likely to have experienced feelings of despair and wishes to die. "My clinical practice had suggested this link long before, but this was the best-designed study to establish the link ," says Miller, who practiced family medicine for several years before specializing in psychiatry. Wood joined Miller's research after studying the impact of family stress on children with Crohn's disease . + -LOIS Summer .. . B AKER �nt How does medicine deal with death? DoES MEDICAL SCHOOL ADEQUATELY PREPARE DOCTORS to treat dying patients? Is it always possible .. .. to control pain, or to facilitate a dignified death? What should the law say about a dying patient who asks a doctor for a lethal dose of drugs? These are some of the topics brought up for discussion at UB's Spring C lin ical Day, held May I I on the topic of "The end of life: The quality of death." This issue of Buffalo Physician further explores these questions in several re lated articles. The first, "Hospice Buffalo," follows medical students and young doctors as they leam about palliative care in UB's new hospice education program. "Physician-assisted suicide: How far should doctors go?" explains recent developments in the legal and social debate about assisted suicide, and tries to put them in ethical perspective. Our Spring Clinical Day coverage includes excerpts from a panel discussion about dying patients, their families, and their doctors, and a story about the Stockton Kimball Lecture delivered by Sherwin Nuland, M.D., author of How We Die. In our new student column, third-year student Chris Schaeffer reflects on how death robbed him forever of the chance to know one fascinating and mysterious patient. We hope that this special issue will invite discussion and reflection on these difficult questions. -The Ed ito r 0 B uffalo P hysician Summer l 9 9 6 �• ICe by Andrew Danzo Photos by K.C. Kratt A team that cares for the dying takes on a new role: educating young doctors 0 CAR PIEDAD, M.D., was still getting used to people calling him "doctor" when he visited some old friends at Hospice Buffalo in late spring. At the nurse's station there were hugs for the young bear of a physician, freshly graduated and preparing to leave for a residency down south. Here he was still Oscar. Piedad looked at the Family Room, decorated with soothing pastels and simple, comfortable furnishings . He recalled the Christmas party there. The family pets that came for visits. The meetings with spouses and children to discuss final arrangements. He seemed "IT OPE:\lED M\ EYES TO Buffalo Physician A to miss it. \\'HOLE NE\\ C0:'KEPT OF MEDICINE," he explained. Summer l 9 9 6 0 �HOSPICE BUFFALO lN THC 18 'v10 HIS Physicians have a since Hospice Buffalo hard time saying became a clinical "enough," according training site for the UB to Thomas Raab, School of Medicine M.D., clinical assoand the Graduate ciate professor of Medical Dental EdumedicineatUB. "We cation Consortium of are trained to treat, Buffalo, some 70 residiagnose, and evalu- ____dent and lJ) medical ate; and if we don't students have shared know what's going an exposure to palliaon, we treat, diagtive medicine that is nose, and evaluate still relatively unsome more," he said. usual. They have "We must compaslearned about pain management, symptom sionately communicate to the dying patient management, and working in interdiscipliand the family when medical technology "You learn a nary teams. They have comforted dying padoesn't have any more to offer them and it's tients-some calm, some haunted by nighttime to stop. So many times, doctors don't lot of loving mares. They have made house calls. Overall, do that. " they have learned something about accepting the inevitability of death , and maximizHospice as Education and caring ing the quality of the life remaining. "Doctors just don't get good trammg in "There are a lot of life issue you have to caring for patients at the end of their lives," that before address," said Piedad. "For the family memsaid Raab. "It's sad what we do to some bers, too. The spouses and the children. people at the end of their lives. " They have to go through the dying process, The hospice educational program began you might too ... You learn a lot of loving and caring under the state-funded Indirect Medical Eduthat before you might only have shown to cation Demonstration Project. It now inonly have your own family." cludes lectures at the medical school and Advances in medical techniques and techconsortium hospitals by Hospice Buffalo nology have raised troubling questions about medical director Robert Milch, M.D., and shown to when efforts to save a life merely prolong a short- and long-term rotations for residents and medical students. painful death. The Robert Wood Johnson your own Foundation recently funded a study to deRotations include rounds of the inpatient termine whether better prognostic informaunit and home visits with a social worker or tion and patient-physician communication a clergy member. Students also work with family." would prevent overtreatment and pain at the the bereavement staff, who keep up with end of life. families for l3 months after a loved one's Dishearteningly, the "SUPPORT" study, reported death in order to provide support for the first-and in the ov. 22/29, 1995 issue of the Journal of the hardest-year of loss. American Medical Association, found that the interThe official hospice training program began in late ventions did little or nothing to improve care or 1994, but two students paved the way more than a year outcomes. The study documented that fewer than earlier. The first was Piedad, whose father , also named half of physic ians knew when their patients did not Oscar, is a retired general surgeon in Buffalo. want CPR,-cand half of conscio us patients were in The other was Maria Bruno, M.D., then a secondmoderate to severe pain before they died. The article year student. states that physicians "p rovide more extensive treat"I had some family members with cancer and bad ment to seriou ly ill patients than they would choose illnesses, and I knew people who just weren't satisfied for themselves." with the way they were treated. I wasn't sure if it was the 0 a u f f a 1 o Physician Summer 1 9 9 6 �HOSPICE physicians, or the system in general," said Bruno, who has just finished her internship in internal medicine in Buffalo. " ow I think it's the system in general." Bruno remembered her grandmother's death in the 1970s. "It was one of those situations where they opened her up , found cancer and closed her up without telling her ," she said. She thinks the doctors didn't want to upset her grandmother, but the result was sending her home without preparing her for the pain that would come. Bruno did a summer fellowship at Hospice Buffalo between her second and third years. Once the training program was up and running, Bruno returned for an elective rotation in her fourth year. She also researched the literature on physician-patient communication , and assembled a presentation that is still given to students and residents at the beginning of their hospice rotations. The presentation is entitled "Talking about Difficult Subjects: A Survival Guide for Giving and Getting Bad News. " "Medicine isn't all about science," Bruno said. "Hospice medicine is about the art of medicine as well as the science of medicine. " The training program got into full swing when Hospice Buffalo opened its Mitchell Campus, a complex of low cream-colored buildings in the Buffalo suburb of Cheektowaga. The campus includes a lObed unit for hospice patients in the final stage of disease, a lO-bed nursing unit for AIDS patients, and a 30-bed skilled-nursing residence for both hospice and non-hospice patients with advanced illness. It also includes a 220-seat auditorium for conferences and educational activities. UB residents in family medicine , internal medicine , and geriatrics now routinely visit Hospice Buffalo as part of their training, ac- B u f f a l o Physician BUFFALO "We must cording to Liora Ziv, R. ., Ed. D. , the organization's director of education. For other residents, the hospice rotation is available as an elective. Medical students can also choose hospice rotations as third- or fourthyear electives. compassionately communicate to the F r o m T h eo ry to P ra c ti ce Medical student oelle M. Stevens spent a week at Hospice Buffalo last summer. She remembers visiting a woman who had no family. The woman had put off seeing a doctor about the growing hardness in her breast, and by the time she did, the cancer had spread. "She wasn't going to benefit from chemotherapy, " Stevens recalled. "She was living alone in her apartment and wasn't even able to get up and go to the kitchen." The hospice team brought her back to the Mitchell Campus. Before the woman died, she confided to the student her surprise at the warmth of the Hospice staff. "She was one of the reasons why I would like to go into geriatrics, and why I would also like to continue working with Hospice in the future, " Stevens said. The opportunity came sooner than she had expected. During a hospital clerkship later in the year, Stevens became friendly with an elderly woman who had been admitted after a seizure. A CT scan and an MRI revealed that a cancer had metastasized to the brain, but its origin wasn't clear. "The medical team was really set on trying to figure out what the cancer was, " Stevens said. "They had a surgical consult coming in , and they were focused on trying to cure her. But they were not focused on what her wishes were." The woman, a retired nurse, insisted that she didn't want surgery or chemotherapy, and the family agreed. Stevens became the interme- dying patient and the family when medical technology doesn't have any more to offer them and it's time to stop. So many times, doctors don't do that." Summer 1 9 9 6 0 �HOSPICE BUFFALO diary between the patient and the medical team. Stevens advised the family to make their wishes known to the oncologist, and gave them the Hospice phone number. The woman ended up spending her last days at Buffalo Hospice. "I won't forget this lady," Stevens said. unsettling. You don't know where to sit ... You find yourself looking at disease in a totally different way. You look at the faded pictures on the wall. At the things on the coffee table. At the picture in the wedding dress. And then you see the patient in bed, and you see what the disease has done. " The Life Students are Hesitant Qua lit y of When the hospice lessons click, medical stuStudents and residents aren't exactly breakdents and residents no longer feel a sense of "When you go ing down the doors for hospice electives. futility in the face of serious illness. Instead, They often call for information, then call they have the skills and the desire to improve into a patient's back and say they've changed their mind. the quality of the life that remains. "In hosLauren Michalakes, M.D., isn't surprised. pice you don't have the expectation that people She remembers being an internal medicine are going to get better, so you don't have that home, you're resident a decade ago, intrigued by the techsense of failure that you have in a hospital," nology and intellectual challenge of the hossaid Robert Patterson, M.D. , who heads the on their turf. It pital. "We used to love intensive care," she lO-bed inpatient unit. recalled. "You'd feel like you were doing a Pain management is a key component of lot, and you'd write up these wonderful can be the hospice training. At the start of rotations, three-page reports. Being so busy technostudents and residents complete a 39-queslogically, you really didn't have to talk with tion test to assess knowledge and attitudes unsettling... the patient." about pain, drugs, and addiction. Clinical During five years of private practice, howpractice guidelines are also distributed. "In You find ever, her views changed. medical school you talk about 15 milligrams "In the hospital, people die in double of morphine as a therapeutic dose," said blaring rooms with strangers and with C Patterson. "Sometimes we use up to 4,000 yourself lookon the other TV," she said. "They die with milligrams of morphine a day to control pain, their clothes pulled off and hooked up to and the patients are still responsive; they can ing at disease things and all alone." talk. " Michalakes remembers sitting with an A former professor and associate chair of elderly woman at her home when she died. in a totally the OB/G department at UB, Patterson has "I just watched her in her big post bed with been volunteering at Hospice since retiring all her Ouffy pillows and her daughter and from obstetrical practice three years ago at age different way." husband and her poodle," Michalakes re70. Some days, after putting ina morning at the called. "What's wrong with that? I felt like I hospice inpatient unit, he goes home and spared her something. I felt a sense of accomplishment babysits his grandchildren and great-grandchildren. that I hadn't felt in medicine before. " "In my practice as an obstetrician, I dealt a lot with She now works full-time at Hospice Buffalo. families, " he said. "That was one of the joys of mediMichalakes thinks it's important for students to visit cine. Surprisingly, I feel the same about this .. .. It's two patients at home. "When you go into a patient's home, things that happen to all of us-we're born, and we die. you're on their turf," Michalakes explained. "It can be Hopefully, we can help at both ends." B u f f o l o Phys ician Summer 1 9 9 6 �HOSPICE BUFFALO A Sp iri t ual P la ce "You hydrate a healthy patient, you don't do it for a Buffalo Hospice medical director Robert Milch started dying patient," explained Ziv, the education director. "You his career as a general surgeon with a philosophical bent can really cause more suffering and pain in exchange for and a nagging discomfort about modern medicine. He's maybe prolonging for a few hours the life of the patient." been increasingly involved in Hospice Buffalo since it Tchernov said this aspect of hospice went against his original training. "In my Russian medical school, the started in 1978, and he gave up private practice several years ago to serve as its first full-time medical director. preserving of life as long as possible was the philosophy. We would never let a patient dehydrate." "There's something that hearkens to why you became a physician in doing this kind of work," Milch said. "It's Stude n ts F i nd Men t o r s not about dying. It's about how we live." During his recent visit to Hospice Buffalo, Piedad spotted Life and death are tightly interwoven at the hospice Patterson down the hall. He campus. After traversing a remembered the older brick walkway dotted with mephysician's manner, the way morial stones to former pahe touched and talked with tients, visitors arrive at an inis as much a philosophy as a facility gravely ill patients. "just his formation desk, where they voice, you could see them right can buy shirts, baseball caps, HosPICE BuFFALO ISBASED at the Mitchell Campus, a away calming down," Piedad and other souvenirs with the $6 m Ilion complex on 20 wooded acres, part of a hospice logo. There's a sunlit recalled. "I remember one pnvate nature preserve in Cheektowaga. chapel, usually the scene of time, a patient was very close But Hospice IS as much a philosophy as a facility. memorial services, but also the to the end. He went into the More than three-quarters of hospice pat1ents are place where a patient's daughand held her by the hand. room cared for 1n the1r own homes. Medical, nurstng, ter had her wedding this year. He told her not to be afraid." counseling, and pastoral serv1ces are prov1ded Then there's the bulletin board In a letter to the hospice through Hospice Buffalo and a networl< of affiliated outside Milch's office, where non-profrt agenoes under the umbrella of the Hosstaff after his rotation, Piedad someone has tacked up a dyp1ce Assooat1on. Serv1ces are also prov1ded in area wrote: "I was introduced to an nurs1ng homes and hosp1tals. ing patient's joke. aspect of patient care I had Medicare, Medica1d and maJor nsurance plans "They say the hearing is the never seen before. Pet therapy, will pay for hosp1ce care, and Hosp1ce Buffalo last thing to go. It's not. It's the music therapy, birthday paroffers a sliding payment scale for the uninsured. sex," the woman quipped. A ties, Christmas gifts, family According to med1cal director Robert Milch, dinners, decorated rooms, and few days later, she revised her M.D., bereavement serv1ces are an important part evaluation: "You know what I the list goes on. I began to of hospice care. "It doesn't stop when the mon1tor realize that the facility treated was saying about the hearing. stops. It goes on, and you've got to take care ofthe more than pain; their treatI think maybe I was wrong. " surv1vors." Bereavement care, wh1ch lasts 13 months Death itself, however, is ment involved quality of life, after a death, includes counseling and support groups. resolution of life, family innot trivialized. "It's a very spiritual place," said Andrei volvement, staff involvement, G. Tchernov, M.D. , who bereligious beliefs, personal life decisions, and bereavement ... I have never seen a team on lieves the hospice rotation he completed as a resident will help him in his family medicine practice. His a unit work so cohesively and with so much heart." experience also forced him to change his views on Piedad is now doing his residency in family medicine and sports medicine at Richland Memorial Hospital in practicing medicine. Columbia, SC. Shortly after his visit, Liora Ziv reflected For example, he learned that hospice professionals are on the impact of the educational program. "I don't think willing to withhold interventions that would postpone we can say yet that we've made a big difference," she an inevitable death. A hospice patient who suffered a concluded. "But I think we have made a dent in the stroke, for example, might use the physical therapy room surface if people like Oscar come back and say they'll at the Mitchell Campus to regain the ability to lift a fork. take what they learned here into their practice." + But patients near death and with no hope of recovery Buffalo j ournalist Andrew Danza, a frequent contributor to Buffa lo Physiwould be unlikely to receive antibiotics if they develop cian, also works as a writer for UB's Department of Family Medici ne and the pneumonia, or water if they become dehydrated. L_ _ _ _ _ _ __J ew Yorh Ru ral Health Research Center. e u t t a l o Physic i an Summer l 9 9 6 0 �Choices at the end o f Ii f e • • 1an Sl SSI How far shouldsdoctors go? COURT DECISIO S, SE SATIO AL CASES, STATE REFERENDA, and one-cause crusaders are dragging the intensely controversial issue of physician-assisted suicide out of the closet and into the public arena . ... Whether or not the nation's legal landscape is irrevocably altered as a result of the controversy, the public mind has already changed. A topic once taboo is now dissected on editorial pages and joked about on talk shows. Polls demonstrate increasing support for the idea of physician-assisted suicide during a terminal or unbearable illness. The new openness about DNR orders, health-care proxy appointments, and withdrawal of life-sustaining technologies may also be making it easier to discuss all sorts of end-of-life decisions. For the majority of Americans, the figure who has done more than any other to turn assisted suicide into a public issue is retired pathologist jack Kevorkian. By May of this year, Kevorkian had admitted auending 28 deaths, and had been acquiued in his third trial for assisting in a suicide. At about the same time, a nationwide Gallup poll showed that 75 percent of respondents favored allowing a doctor to end an incurably ill patient's life at the patient's request. "Public relations-wise, Kevorkian's done a tremendous job-he's converted a huge egment of the public," said rightto-die activist Derek Humphry, author of the how-to suicide book Final Exit. It's the kind of public relations most of the medical community would rather not have. Many doctors-even those who support physician-assisted suicide-believe Kevorkian is not qualified to perform it. They object that he had no experience treating patients during his career as a pathologist, and that he does not know BY P H 0 T 0 his clients well, does not try to manage their pain, and does not adequately screen them for clinical depression. In the end, what many doctors, nurses, and ethicists dislike the most about Kevorkian is that he does not appear to reflect at all about his individual cases. Because he believes so strongly that assisted suicide should be available, they say, he distributes his treatment without seeming to ask himself if this option is the right one for this person at this moment. "Physician-assisted suicide shouldn't be easy. It should always be a hard decision," said Timothy Quill, M.D., the Rochester, Y internist who opened a professional dialog on the subject in 1991 with an admission in the ew England journal of Medicine that he had prescribed a lethal dose of barbiturates to a dying patient. In his account of his eight-year relationship with "Diane," Quill described diagnosing her leukemia, discussing her desire for suicide, and asking her to consult her psychologist. Only when he was convinced that she was acting rationally on the basis of an unwavering wish, and only after wrestling with his own emotions, did he prescribe the drugs she requested. There is no consensus on the morality of physician-assisted suicide. While activists like Kevorkian and Humphry want to make the practice widely available on compassionate grounds, opponents argue that it is wrong under any circumstances to take a life. Many doctors also believe that their very mission prohibits assisting in death. "It's absolutely appalling that a doctor would take deliber- .JESSICA 8 S B u f y f F a l R o A ANCKER N K Phys CESARIO ici an Summer 1 9 9 6 �"A SUICIDE THREAT IS A CRY FOR HELP. OUR ANSWER MUST BE TO PROVIDE THAT HELP, NOT TO HELP THEM COMMIT SUICIDE. " Denise Hanlon, R.N., member, NYS Task Force on Life and the Law ate steps to end someone's life," said Evan Calkins, M.D., a member of the Buffalo Medical Group and UB professor emeritus. "It violates the Hippocratic oath to do no harm , and it weakens the ethical standing of the medical profession. We are a healing profession, not a killing profession." Other doctors take a middle view. They feel that before the American medical establishment considers assisted suicide , it should learn how to provide good end-of-life care for all dying patients. If assisted suicide is to be an option, they say, it should be decided as Quill and "Diane" decided it; not in the courts or on the editorial pages, but one case at a timecarefully, deliberately, and with anguish. Even some opponents respect Quill. "If all doctors were like Quill , then this wouldn't be a great concern," said Denise Hanlon, R.N. , an opponent of physician-assisted suicide who serves on the ew York State Task Force on Life and the Law. "Or if all patients were like 'Diane.' But they're not. " The l aw The courts and state legislatures are the current forums for debate about physician-assisted suicide. The 1994 Oregon "Death with Dignity" law is the first in the country to explicitly condone physician-assisted suicide, although legal challenges have so far prevented it from going into effect. In March 1996, the Ninth Circuit Court of Appeals, a federal court in San Francisco, overturned a State ofWashington law that banned assisting in a suicide. The plaintiffs were four physicians, three terminally ill patients who died before the ruling, and a non-profit organi- B u f f a l o P hysician zation called Compassion In Dying. The court broke new ground by determining that the U.S. Constitution guarantees a "right to die;" that is, to choose the manner and time of one's own death. Depriving patients of that right therefore violates the due process clause of the 14th Amendment. The court wrote that doctors should be able to prescribe life-ending medication for terminally ill, competent adult patients who want to hasten their own deaths. The judges said that their decision , in essence, removed them from the issue. "We are following the constitutional mandate to take such decisions out of the hands of the government, both state and federal , and to put them where they rightly belong, in the hands of the people. " The ruling has the potential to affect California , Washington , and Oregon, which all fall under the jurisdiction of the Ninth Circuit Court. In a similar ruling on April 2, the Second Circuit Court of Appeals, with jurisdiction over ew York, Vermont, and Connecticut, struck down part of ew York's ban on assisted suicide. The case was brought by three terminally ill patients and three doctors, one of whom was Quill. The patients all died before the ruling. The judges ruled that a doctor can prescribe drugs to hasten the death of a competent, terminally ill patient at the patient's request. They explained their decision in commonsense language: "What interest can the state possibly have in requiring the prolongation of a life that is all but ended? And what business is it of the state to require the continuation of agony when the result is imminent and inevitable?" legally, the rationale was more complicated. It was de- Summer 1 9 9 6 �"IF WE DON'T HAVE ANY LEGAL WAY TO DO TH I S, THEN IT TURNS INTO ONE DOCTOR MAKING THE HARDEST TREATMENT DECISION POSSIBLE IN A VACUUM - WITHOUT CONSULT I NG ANYBODY , WITH- OUT DISCUSSING IT . THAT TO ME IS NOT GOOD MEDICINE. " Timothy Quill , M.D., plaintiff in Quill v. Vacca cided that the ban violated the equal protection clause of the 14th Amendment. All patients already have the right to hasten their own death by refusing medical treatment. However, the argument goes , terminally ill patients who were not being kept alive through medical intervention had no comparable way to hasten their own death . lf patients can essentially commit suicide by refusing treatment,Justice Roger]. Miner wrote, "they should be free to do so by requesting appropriate medication to terminate life during the final stages of terminal illness. " Stil l a crime While these rulings are being appealed to the U.S. Supreme Court, and while Oregon's law remains entangled in the courts, it remains a crime for doctors to assist in suicides. Yet it's clear that they are doing it anyway. An anonymous survey recently published in the journal of the American Medical Assodation found that a small percentage of doctors in Washington state had helped terminal patients who wanted to die. A survey of Oregon doctors published in the N E]M in February showed that 7 percent of respondents had assisted in a suicide. Forty-six percent of the respondents said they might be willing to assist in suicides if the practice were legal, and 31 percent said they would refuse on moral grounds. "l think the issue at this point is how to respond to physician-assisted suicide , not whether it's going to happen ," said Stephen Wear, Ph.D ., co-director of UB's Center for Clinical Ethics and Humanities in Medicine. "Whether or not the legal situation allows it, it's happening, and in some jurisdictions it's likely to become legal. " B u f f a l a Does the law matter? Timothy Quill firmly believes that liberalizing the law is necessary to protect doctors like himself who choose to help patients die. But jack Freer, M.D. , chair of Millard Fillmore Hospital's ethics committee, uses Quill's case to prove that the law is already practically powerless to touch doctors. After Quill's E]M letter, prosecutors referred the matter to a grand jury, which refused to indict him. "They couldn't indict Quill. Kevorkian is unconvictable," Freer said. "lf that's the case, if you can't be convicted, then [the legal decisions] don't matter because you don't need extra protection. If a doctor acts in good faith, if it is clear that someone is suffering and asks for help, then that physician is unlikely to be prosecuted, anyway. "There would have to be a compelling need in order to justify such a sweeping change in the status quo. l don't see that need, especially when the change would jeopardize so many vulnerable people who have not availed themselves of good palliative treatment," Freer added. P u b lic debate? Quill and some other activists argue that since the practice is happening, it is important to discuss it. His purpose in writing the NE)M letter and joining the Second Circuit Court lawsuit was to open up discussion on what he felt was a widespread practice. "lf we don't have any legal way to do this, then it turns into one doctor making the hardest treatment decision possible in a vacuum-without consulting anybody, without discussing it. That to me is not good medicine," Quill said in a recent interview with the Buffalo Physician. Physician Summer 1 9 9 6 �Choices at the end o f "IT'S ABSOLUTELY APPALLING THAT A DOCTOR WOULD TAKE DELIBERATE STEPS TO END SOMEONE'S LIFE. WE ARE A PROFESSION, NOT A Iif e HEALING KILLING PROFESSION." Evan Calkins, M.D., UB professor emeritus ew Yo rk State Attorney General Dennis Vacco (UB Law School class of 1978) is leading the appeal because he feels allowing doctors to take life is wrong, and that vulnerable patients could be pressured into suicide for economic or other reasons. He also fears that ew York could become home to a sort of cottage industry of commercial death clinics. But even if he succeeds in getting the U.S. Supreme Court to uphold the ban on assisted suicide, Vacco does not plan to launch a drive to prosecute doctors- such as Quill- who have admitted doing it. "I don't think we need to change the prosecutorial scheme," he told this magazine. "No law can eliminate proscribed behavior, but the deterrent would discourage a sufficient number of professionals from engaging in this conduct. "I think that the system we had until this decision was working well. " Public po li cy Doctors, nurses , lawyers, ethicists, and members of the clergy from around ew York State meet once a month as part of the ew York State Task Force on Life and the Law to wrestle with some of the hardest questions in health care. Some of the task force's recommendations have led to ew York's health-care proxy law and the Family Care Bill, which has not yet been passed into law. The group's 1994 report When Death is Sought recommended against decriminalizing physician-assisted suicide. Some members of the task force felt that it was inherently wrong to take a life. Others felt that it was unethical for a doctor to do so. A third group felt that in some cases, providing a quick death for a terminal patient who asked for help would be B u f f a 1 o P hysici a n S compassionate and ethical. The task force was in agreement, however, in concluding that legalizing physician-assisted suicide would be dangerous public policy. The cost of health care and the perceived value of the patient could come to bear on who ends up committing suicide , they cautioned. They were also concerned that patients would not be properly referred for psychiatric or palliative care, and that attitudes about assisted suicide might become casual. "Over time, as the practices are incorporated into the standard arsenal of medical treatments, th e sense of gravity abo u t the practices would dissipate," the task force warned. Also opposed to physician-assisted suicide are professional medical societies, including the American Medical Association, which say that it violates a doctor's mission, and some religious groups. "It's a non-negotiable with us," said Sister Sally Maloney, a vice president at Mercy Health System of Western ew York, a Catholic hospital group. "It's completely opposed to our commitment to life. The ethical directives by the Catholic bishops are very clear on that. " Good end-of-l i fe care Since 1978, Hospice Buffalo has cared for more than 13 ,000 dying patients. Only one has committed suicide, according to medical director Robert Milch, M.D. "It's not unusual for us to go into a patient's home and hear that patient say, 'Look, doc, if things get too bad, I've got the ummer 1 9 9 6 �Choices at the end o f Ii f e usually they're looking forreassuram:e on rwo-points: one, that you can take care of their symptoms and their pain; two, that they will not be alone." "These fears are what drive people to consider suicide. lf you support patients and families, if you address their needs and fears, then the urge to do self-harm essentially disappears," he said. However, study after study has shown that doctors often fail to control patients' pain. "lf l make someone uncomfortable enough, put them in enough pain, l can convince them of anything," Milch said. "That is the principle of torture. "l would rather establish as a standard that the presence of unassessed, unmanaged pain is prima facie evidence of incompetence on the part of the physician," Milch continued. "lf physicians can't manage physical suffering, why would we give them the ability to do omething even bigger-end a life? " For Milch, and many other , physician-assisted suicide is at best a glamorous distraction from discussion of the real needs of terminal patients, and at worst a quick fix that society finds easier than spending the time, money, and emotional energy necessary for good care of the dying. "A suicide threat is a cry for help," said Hanlon, an adjunct professor at the UB School of ursing. "These people are in an impo iblesituation and they don't know what to do. They fear the unknown, and they fear that they won't get the help they need. Our answer must be to provide that help, not to help them commit suicide." But for Stephen Wear, the lack of good palliative care itself becomes an argument in favor of legalizing assisted suicide. "lf we can make people feel that they won't be needlessly overtreated and that their pain will be managed-and right now that is nota reasonable expectation, and people know it-then we should agree with Milch. lf we can't, then for compassion's sake we should be with Kevorkian and Humphry-and I loathe saying that," Wear said. "But it isn't enough to make philosophical arguments against assisted suicide. Doctors have to change their practice so assisted suicide is no longer the compassionate alternative." Even in the best scenario, where palliative care eases symptoms of terminal disease and hospice-type programs support patients and their families, many people believe that there will still be patients who cannot be helped by medicine. "ln most patients we can relieve their suffering, and we have to get better at doing that," Freer said. "But l also think it's clear- and most doctors agree-that there are people whose suffering cannot be relieved. There are people whose suffering can only be relieved by ending their lives." A s l i ppe r y slope The recent legal decisions on assisted suicide have made a distinction between helping a patient take his or her own life, and actively taking the life of a patient through euthanasia. But many fear that condoning one will lead to the otherand worse, to euthanasia of patients who are incapable of consent. ln the etherlands, euthanasia is illegal, but is not prosecuted if doctors demonstrate that the patient explicitly requested euthanasia, document their actions, and stay within other guidelines established by the national medical society. "IF PHYSICIANS CAN'T MANAGE PHYSICAL SUFFERING, WHY WOULD WE GIVE THEM THE ABILITY TO DO SOMETHING EVEN BIGGER-END A LIFE?" Robert Milch, M.D., med1cal director, Hospice Buffalo ® B u f f a l o Physician Summer 1 9 9 6 �"THE PROBLEM WITH THE PHYSICIAN-ASSISTED SUICIDE QUESTION IS THAT IT DISTRACTS FROM REAL ETHICAL DILEMMAS IN MEDICINE, AND COMPASSIONATE CARE OF DYING PEOPLE. " jack Freer, M.D., ethics committee chairman, M illard Fillmore Hospital Law might be the group that could provide leadership on the issue ," said Quill. Hanlon responded, "We will investigate any topic the governor tells us to, but we have already looked at this topic and come up with recommendations on it. " The task force's report warned that it would be impossible to draw up guidelines that could not be bent or broken. However, at least one study there has shown that more than one-fourth of euthanasia deaths occurred without a specific request from the patient. Many argue that this proves legalizing assisted death for consenting patients can lead to officially sanctioned euthanasia of patients who are incapable of consent. Also, Milch points out, "Nothing in medicine is a sure-fire bet. " If some physician-assisted suicide attempts fail to kill the patient, he asks, would that lead to sanctioned euthanasia? "Whose responsibility will it be to administer the coup de grace? " W h o w ill dec i de ? For the moment, the courts are making the decisions. If they decide to decriminalize physician-assisted suicide , the resulting legal void could open up more questions than it answers. The medical profession and American society as a whole will then have to decide how to handle the new freedom-to use it, abuse it, or reject it. "We're a complex society , a society of tensions, and there are not very many things that have a clear 'yes' or 'no' answer anymore, " Wear said. Also remaining to be solved is the issue of giving the proper care to dying patients-educating doctors and allocating resources. Whatever their opinion on physician-assisted suicide, observers believe that improving end-of-life care would drastically reduce the number of patients who find life so unbearable that they would choose suicide. "The problem with the physician-assisted suicide question is that it distracts from real ethical dilemmas in medicine , and compassionate care of dying people ," said Freer. "It's just such a simplistic way of dealing with such a small number of people, when the focus should be on the vast majority whose pain we just are not treating. " + jessica Andur is the editor of Buffalo Phy sician . T i me for gu i de li nes ? Some believe that the potential loosening of assisted-suicide laws means that it is time for medical professionals and patient advocacy organizations to cooperate in setting up guidelines to provide direction and protection for both groups. "We need guidelines and rules so people know that if they dot their i's and cross their t's, they can do this out in the open ," Quill said. His recommendations for safeguards include ensuring that a patient who elects suicide is terminally ill and not clinically depressed; that the patient is not pressured into the decision; that the wish to die is not a transient one; that there is proper access to palliative care; and that a second opinion is sought from an independent practitioner who has expertise in caring for dying patients. Quill's first concern is that palliative treatment and hospice care be extended to all who need it. "Hospice care must have failed , or not be acceptable to patients , before they should be able to choose assisted suicide. " He suggests that safeguards would have to be passed into law at the state level. "The state Task Force on Life and the B u f f a l a p h y c a 5 m m e 6 �Shades ofGr by Scott Thomas Four Buffalo doctors discuss the care of the dying BLACK A D WHITE aren't options for the physician caring for a patient in the final stage of life. All decisions are made in the gray zone in between. These shades of gray were the topics of a panel discussion, "Confronting Difficult Emotional and Ethical Issues in the Care of the Dying" at the 59th annual Spring Clinical Day, moderated by Elizabeth L. Maher, M.D. '85. The panelists were: Martin Brecher, M.D. '72, chairman of pediatrics at Roswell Park Cancer Institute and chief of hematology oncology at Children's Hospital. Jack P. Freer, M.D. '75, an internist and ethicist at Millard Fillmore Hospital who teaches at UB Medical School. Ross G. Hewitt, M.D., medical director and principal investigator for Erie County Medical Center's immunodeficiency services. Robert A. Milch, M.D. '68, medical director of Hospice Buffalo. Case No. I: A 36-year-old HIVpositive homosexual man. Following complications of AlDS, he began to develop memory loss . He made his partner his health care proxy and told his family in Wisconsin of his illness . When he was hospitalized for PCP pneumonia, his mother demanded that he be intubated for respiratory distress over the proxy 's objections. Hewitt: When the family is not aware of the diagnosis until much Buffalo Physician Summer 1 9 9 6 �Care of the dying later in the course of the disease, it puts patients and perhaps their significant others literally years ahead in terms of acceptance of the situation, coming to grips with their loss, the realities of having AIDS. They've gone through that process and are probably at a better stage to make health care proxy-related decisions on CPR and life support. So now the family is faced with going through all of those same processes that the patient has already been through years earlier. That very often leads to conOicts regarding care at the end of life. I think it's very possible in this particular case that the mother is still in shock and not able to listen to the facts that we might present in terms of what the prognosis is. Freer: This also points out the importance of a health care proxy, particularly in situations where there may be a number of different friends and family who may have conOicting views about what is best for the patient. This is in part because of the legal climate and the popular culture both presuming that people would want everything done to keep them alive as long as possible unless they've said otherwise . With that presumption, if you had somebody like the parent coming in and saying 'yes , you'd better intubate that person,' that is in keeping with this predominant view within the hospital culture and the courts, and there- B u f f o l 0 Physician fore it's important to have somebody who has the legal authorization to make decisions like this. Milch: Sometimes it's helpful to word things just a little bit differently. I've always been uncomfortable with defining ventilation and things like that as "life support." I think the connotation of discontinuing "life support" weighs heavily down the road, and if we redefine them as "function supports"-that's what we're doing with the ventilator is supporting the failed function-then perhaps that could be part of the first step over the bridge. Case No. 2: A 4-year-old boy with Stage 4 neuroblastoma. After chemotherapy, he had remission until age 6, and with a bone marrow transplant did well for another 18 months. At this point the mother requested no aggressive therapy. He was hospitalized for seizures, and required progressively larger doses of Phenobarbital to control them; hospital staff objected to giving such massive doses, and reported the case to administrators. Brecher: When a family faces potential loss of a child, perhaps this is the greatest tragedy that one can face in life. The family is really never the same thereafter. The parents are faced with this overwhelming tragedy in their lives; the siblings, who are sometimes forgotten elements in all of this , are profoundly affected by the parents' full attention on the sick child. The grandparents sometimes feel left out of the loop, and of course they're heavily emotionally involved. There's a tremendous impact on all the family. After the child dies , this family is going to have to live with what went on for many years to come and hopefully feel comfortable, not with the death of the child, but with what went on, that everything that should have been done was done correctly. There is such a loss of control when something dreadful happens to your child. After all, these are parents who used to decide what their kid would wear in the morning, what they would eat at lunch, Summer 1 9 9 6 �and suddenly it seems like everything has spun out of control and they have no impact at all on the course of their child's life. And to be able to bring that into the care-giving aspect of things , to have the child at home with as much support as they need , makes them feel that they have an important pan in this and gives them more comfort about a terminal situation. tain level , we relieve some of their bone pain, we improve their exercise tolerance or what have you. Brecher: The issue of the emotional impact on the care-givers is an important one. The longer you work with a child and a family , and the more you get to know them , the more they become a part of your life and the more difficult it is if there's suddenly a bad turn of events. Freer: Cases like thi also raise an important point for l think the after is important, too , sticking with the people involved in medical education. These are very family. I've had families tell me that not only was losing complex, difficult cases in terms of medical managethe child difficult, but they ment, in terms of commuhad devoted so much of their nication, in terms of settime and so much of their ting where the patient is life energies for months or going to be cared for. And years to the care of this child yet there is still that rem"I'VE HAD FAMILIES TELL ME that suddenly there was this nant of the old medical incredible void , when even education system where THAT NOT ONLY WAS LOSING though they might have cases like this are not inthree other kids, they didn't teresting, they're not good know what to get up for in teaching cases. l still get THE CHILD DIFFICULT , BUT the morning. infuriated when l see patients drop off the teach Milch: Even our choice of THEY HAD DEVOTED SO MUCH ing curve when they go to words is significant. On the hospice or a palliative care one hand we have "do not plan. These are very comOF THEIR TIME AND SO MUCH resuscitate, " on the other plicated management ishand we have "aggressive. " sues, and maybe we have Why would we refer to it as to emphasize this in trainOF THEIR LIFE ENERGIES FOR an aggression, rather than ing. trying to examine it as someMONTHS OR YEARS TO THE Milch: The issue of whether thing that may or may not a patient does or does not be appropriate to a certain have a do-not-resuscitate clinical setting7 l am as CARE OF THIS CHILD THAT order is but a small commuch troubled by standing orders of daily blood draws . ponent in his overall plan To what end? lt doesn' t imfor care, and should really SUDDENLY THERE WAS THIS pact our therapies. Then be kept to the side of deciperhaps it's appropriate to sion-making. The plan of INCREDIBLE VOID. " examine that. CAT scans, care is daily reassessed , MRls, other procedures ofeven hourly reassessed . ten do little more than docuYes , we would transfuse Martin Brecher, M.D. ment the natural progrespatients with metastatic sion of disease and do not prostate cancer, for example , if in getting their affect our decision-making hemoglobin up to a cerprocess. + e u f f a l o Physi c ian Summer l 9 9 6 �Care of the dying se in uland explains how we die by Scott Thomas OTHI G E~E," said Sherwin B. uland, M.D., "we should teach them that they must never let their patients lose hope." Hope-an elusive concept, and one that might seem to have more to do with poetry than with the science of medicine. Yet uland, who delivered the Stockton Kimball Memorial Lecture at the 59th annual Spring Clinical Day on May 11, told a large luncheon audience that hope is a most critical component of care at the end of a patient's life. As death approaches, he said, the role of healer and counselor is most important, not the science of T-cells and high-tech machines. Nuland, a clinical professor of surgery at the Yale University School of Medicine, is best known for his 1994 book How We Die, a frank and anecdotal account of life's last chapter as he has seen it played out in his family and his patients. The book won the ational Book Award for nonfiction and the Book Critics Circle Award, and was a finalist for the Pulitzer Prize. Though the ideas of hope and approaching death may seem irreconcilable, uland offered three ways in which a dying patient can be given the gift of hope. He was once asked, "What is the worst way to die?" His response was, "Alone"-whether physically alone or emotionally isolated. "Hope becomes a promise," he said, "that we will let no one die alone." Second, uland said, hope is the promise that no extraordinary measures will be taken that will make things worse. And finally, he said, physicians can impart the hope for immortality. "I don't believe in an afterlife," he said, "but I do believe in immortality. There are, for each of us, maybe one, maybe five people whose lives are dependent on what we are. We can share with them what their existence means for us. That's the kind of immortality that I would cherish." A person's actions and life affect loved ones for years and perhaps generations. Thus, a life well lived confers immortality. uland also quoted Czech President Vaclav Havel: "Hope is not the belief that things will turn out well. It is the belief '"lr \\ E TE \CH a u f f a 1 OLR qt_,DE TS o Physician that things will make some sense however they turn out." Nuland recounted the circumstances that led him to write How We Die-a persistent literary agent, a family history touched by many early deaths. "Death had been part of the lore of my family," he said. "Going to medical school meant learning to understand, to take part of the mystery away." In his practice he realized that most of his patients had no concept of what life's final stage was like, medically or emotionally. Romanticized Hollywood images of the family patriarch dispensing pithy wisdom from his deathbed, or the beautiful young woman going peacefully into that good night, are all we have to go on, he said. Hence his unflinching collection of stories about how real people die, sometimes easily and quietly, sometimes in pain or unable to resolve their life's unfinished business. uland pleaded for his fellow physicians to pay close attention to comfort care for their dying patients. "How did physicians forget that even more important than saving life is the duty to relieve pain?" he asked. "When did we begin converting every ethical and moral decision into a clinical decision? How have we begun to value triumphs of technique over triumphs of reason?" He traced the genesis of that attitude to the entrance of molecular biology into medicine. "We began teaching our students that one can learn more about a patient through the proper tests than by developing a real relationship with the patient. We moved farther and farther away from the fellow human beings who came to us for help, and before we knew it, we no longer knew who they were." But, uland argued, it benefits the practitioner as well as the patient to embrace a more human connection. "Among the greatest rewards we derive from medicine," he said, "are those we derive when we get emotionally involved with the people who come to us for healing." + Thomas, a frequent contributor to Buffalo Physician, is an editor and freelance writer with specialties in medicine, the arts, and religion. Summer l 9 9 6 �The historic context ot medicine Nationwide history of m edicine meetings draw scholars to Buffalo B Y JESSICA ANCKER for thousands of years, but in every age societal prejudices have colored their interpretations of th ose observations. H EALERS HAVE MADE ACCURATE MEDICAL OBSERVATIO S This lesson was a recurrent theme at the national meeting of the American Association for the History of Medicine, which was held in Buffalo May 9-12 in honor of UB's sesquicentennial. The event drew more than 400 scholars from around the country to the Hyatt Regency Buffalo. In the keynote address, Thomas Benedek, M.D., a rheumatologist and the president of the a sociation, discussed medical theories on the occurrence of gout in women. "The story of gouty women is an example of the interaction of science and the society in which it is practiced. It should not be considered unique," Benedek cautioned. "Despite our tremendous advances in science and technology, an unexpected stress makes us retreat to moralizing." Gout is caused by high levels of uric acid, which is produced by the metabolism of purine. The disease is characterized by sudden attacks of pain, swelling, and stiffness of the joints, often in the feet and legs. Inheritance, overeating, and alcohol can play a role in triggering the illness. Because estrogen help women excrete uric acid more efficiently than men, premenopausal women rarely suffer from gout. Ever since the 4th century B.C., Benedek said, healers have noticed that gout is rare among women. The earliest known pronouncement on the disease"A woman does not take the gout unless her menses be stopped"-is attributed to Hippocrates himself. The Roman writer Seneca blamed the disease on licentious and intemperate lifestyles. While these activities may have been regrettable in men, Benedek said, they were considered despicable in ® women. "Because of their vices, women have ceased to deserve the privilege of their sex; they have put off their womanly nature and are condemned to suffer the diseases of men ," Seneca wrote in a passage echoed by doctors for centuries. An 18th-century comic poem played on the alleged connection with lechery: "Where does one see a wife irate Because her spouse suffers gouty feet? In hot passion's embrace, as e\·e1yone /mows, Tl1 e gouty most often arc mighty heroes!" Doctors trying to explain gout in apparently blameless men and women offered alternate explanations. A few speculated that gout could be inherited from ancestors. Others held that gouty symptoms were not always gout. One doctor wrote that slender women with symptoms of gout were really suffering from hysteria. In the 18th century, the prestigious Philadelphia doctor Benjamin Rush absolved a respectable woman patient of the imputation of indelicate behavior by calling her gout rheumatism. "The cultural response to gout meant that women with gout were scorned: doctors often believed it was due to their unacceptable behavior," Benedek said. "The same thing happened when AIDS appeared. That shows how helpful it is for doctors to know something about the history of medicine-it helps them better analyze new problems that they encounter." The 69th annual meeting of the American Association for the History of Medicine drew 66 papers. The Society for Ancient Medicine, the AIDS History Group, the American Veterinary History Society, the American Association for the History of ursing, and seven other affiliated history societies also held their meetings in Buffalo the same weekend. Papers covered a multitude of topics, including fetal alcohol syndrome, the treatment of insanity in the 19th century, medical scholars in medieval Paris, traditional Korean medicine, the polio vaccine and public health policy, and dissections in the paintings of Rembrandt. + UB history professor Jomes Bono, Ph.D. (left), coordinated local affairs for the national meeting of the American Association for the History of Medicine, May 9-12 in Buffalo. Thomas Benedek, M.D. (right), of Pittsburgh, PA, is the association president. B u f f a l o Phys ici an Summer 1 9 9 6 �.......... . ............ . ............ . ........... . . . .. . .... . ...... .. .. . ... . ... •••••••••• ••• ~ I Dean Naughton to stay for additional six months ohn P. aughton, M.D. , the dean of the medical school and vice president for clinical affairs, has agreed to keep his current posts until the end of the year. aughton said he had planned to retire in June, but agreed to stay on for an additional ix months while the search for his successor continues. "As always, I appreciate your everwillingness to respond to the needs of the university," Provost Thomas Headrick told the dean. "UB greatly appreciates John's dedication and willingness to serve the university," UB President William Greiner said. After his retirement, aughton will John Naughton likely be as busy as ever. He plans to teach, do research in cardiology, and get involved in other educational projects. "''ve begun my transition by teaching a course in health care organization, and I'm continuing my activities in graduate medical education reform, and immunology and heart disease," he said. + Endowment established for scholarships and awards \ J director of admissions and the scholarship committee, I see the tremendous financial need of nearly 50 percent of the school's medical students. It made me realize how crucial financial assistance is to these students. " + ophthalmology. Recipients will be chosen on the basis of academic standing and financial need. "1 owe my success in medicine to UB, and 1 appreciate the opportunities I received when 1 was a student," saidGuttuso " ow, as Thomas Guttuso Registrar Dick Jones organizes the 1996 graduates in the Center for the Arts atrium. Twenty-nine members of the doss of 1946-who graduated during UB's centennial-returned to help the school celebrate its sesquicentennial. scholarship and award fund for UB medical students has been established through a gift of residential property from Thomas]. Guttuso, M.D. '60, the medical school's director of admissions, and his wife, Barbara. The Dr. Thomas ]. and Barbara L. Guttuso Scholarship and Award Fund will provide an annual scholarship for four medical students, as well as an award for a senior with an interest in B u f f a l a Physician Timothy Y. Jordon, M.D., was the class speaker at commencement. Summer 1 9 9 I 6 �• ································································ . I Match Day 1996 UST U DER HALF ofUB's graduatin g class ( 49 percent) were placed in primary care residencies in this spring's Match Day, putting the university within a hair of its 50 percent goal. The ational Residency Matching Program results were announced March 20 by associate dean Dennis adler at the Lord Amherst Motor Hotel. Eighty-two percent of the 136 graduating UB students got their first, second, or third choice of residency. Thirty-one percent will remain in Bu ffalo to train in UB's Graduate Medical Dental Education Consortium, while 53 percent will go out of state. JOHN l. BUTSCH, Stngfl), Rush- Presbyterian-St. Luke's Medical Center, Chicago, IL LAWRENCE R. CANFIELD, Famil) Practice, niversity of ew Mexico, School of Medicine, Albuquerque, M RICHARD E. CHARLES, lnccmal Medicine, The list below includes fou r additional students who were matched on UB Graduate Medical Dental Education Consortium, Buffalo, NY KATHERINE B. CHATIGNY, Psychiauy, Umversity of ew Mexico, School of Medicine, Albuquerque, NM Match Day but were not graduating seniors. Of the primary care specialties, 15 students went into internal medicine and four chose internal medicine-primary care. Twenty-two students chose BASIL CHERPELIS, Internal Medicine (P1clim.), orth Shore Universit) Hospital, Manhasset, Y KRISTEN M. CHRISTIAN, Pediatrics, S Y Y Health Science Center, Syracuse, pediatrics, 21 went into family medicine, and seven chose med!peds. EILEEN (Primal) Ca1c), Emory Universit)' School of Medicine, Atlanta, GA Universi ty of Michigan Hospitals, Ann Arbor, Ml SARAH BALLOW, Pediatrics, KIMBERLY M. BONISCH, Pediatrics, Graduate Medical Dental Education Consortium, Buffalo, NY Jo ANNE ARNOLD, Obstetrics & Gynecology, UB Graduate Medical Dental Education Consortium , Buffalo, NY PETER AUGUSTINOS, Surgery, St. Elizabeth's Medical Center, Boston, MA UB Graduate Medical Dental Educauon Consortium, Buffalo, Y JOHN P. BARRETT, Obstetrics & Education Consortium, Buffalo. Gynecology, Womens and Infants Hospital, Providence, Rl MARY(. BOPP, Pcdiauics, UB Graduate Medical Dental Education Consortium, Buffalo, Y RENIER J. BRENTJENS, lntcmal Medicine, University of Virginia, Charlouesville, VA MICHAEL BEECHER, Medicine/Pediatrics , UB Graduate Medical Dental Education Consortium, Buffalo, NY SUSAN E. BEHR, Pediatrics, Univer it)' of B u f f a l o TIMOTHY M. ComR, Diagnostic Radiology, Univcrsit) of Chicago Hospital, Chicago, IL HOLLY H. CROMWELL, TlansJtional, Cook County Hospital, Chicago, IL F. DAVIS, Internal Medicine, LOS Hospllal, Salt Lake Cit)', UT ALLEN GINA R. BRESCIA, lntcnwl Medicine, BRADLEY R. DAVIS, SurgCI), University of Yale- ew Haven Hospital, New Ha,·en, CT (P1immy Care), University of Rochester, Strong Memorial Medical Center, Rochester, NY SALVATORE BIANCO, Family Practice, Spartanburg Regional Medical Center, Spartanburg, SC Y Yale- ew Haven Hospital, ew Haven, CT PAUL C. BURNS, lntcnwl Medicine Texas Medical chool. Houston, TX Radiolog), Universit) of Rochester, Strong Memorial Hospital, Rochester, Y STEPHEN R. COOK, ,\fcdicinc/PcdJatrics, UB Graduate Medical Dental MATIHEW f. BARTELS, Pediatrics, DAVID ANDERSON, Surgery (P1elim.), UB M. BOBEK, Emergency MediciltC, ONEIL BAINS, lntcmal ,'1-fcdicine mversity Health Center, Piusburgh, PA JOSEPH E. CHRUSCICKI, Diagnostic Phys ici an Cincinnati Hospital, Cincinnati, OH JOSEPH S. DEJAMES, Family P1actice, UB Graduate Medical Dental Education Consortium, Buffalo. NY MANNY A. DELUCCA, Pediatrics, Medical College of Virginia, Richmond, VA Summe r 1 9 9 6 �········································•~ ··· I I ;; :.•> u ~ z Rhode Island Hospital, Prolidence, Rl (LARA E. KIM, lntemal Medicine, University of Nonh Carolina Hospital, Chapel Hill, NC MEEGHAN A. HART, Pediatrics, UB Graduate Medical Dental Education Consortium, Buffalo, Y ANDREW B. KLAFTER, Psychiatry, Thomas jefferson University, Philadelphia, PA STEVEN G. HEINTZ, Family Practice, ANTHONY J. LANGONE, lntemal Medicine, University of Vermont, College of Medicine, Milton, VI Baylor College of Medicine, Houston, IX JASON K. Ho, Family Practice, KEUNG W. LEE, In/ental Medicine, Yale- Glendale Adventist Medical Center, Glendale, CA MATTHIAS K. LEE, Psychiatry, Stanford BRIAN HANLON, lntemal Medicine, ROB L. DEMURO, lntmwl Medicine Dermatology, Stony Brook Teaching Hospitals, Stony Brook, NY (Primar) Care), Bassett Healthcare, Cooperstown, 'Y JAMES W. FOIT, Family Practice, UB DAVID J. D'SOUZA, Diagnostic Graduate Medical Dental Education Consortium, Buffalo, NY RadwlogJ, UniYersity of Texas Medical School, Houston, IX KATHLEEN M. DYSON, Pediatncs, UB RICHARD A. EDWARDS, Obstetncs & Gynecolog_1, UB Graduate Medical Dental Education Consoruum, Buffalo, NY LLEWELLYN A. FOULKE, Patlrologj, Hospital of the University of Pennsyh·ania, Philadelphia, PA UniYersity of Cincinnau Hospital, Cincinnati, OH MICHAEL J. ENDL, /rue mal ?lfedrcinc (Prelim.), Sisters of Charity Hospital, Buffalo, NY; and Dwgnostic Radiolog) , Duke Uniwrsil) Medical Center, Durham, C JOSHUA J. FISCHER, /ntemal Medicine, Universit) of Virgmia, Charlonesnlle, VA SAMUEL GOODLOE, Surgery• (Prelim.), UB Graduate Medical Dental Education Consortium, Buffalo, Y Gynecology, SU Y Health Science Center, Syracuse, NY THOMAS J. GUTTUSO, lntemal Medicine Einstein College of Medicine, Montefiore Medical Center, Bronx, y ERIK J. JENSEN, lntemal Medicine, UB Graduate Medical Dental Education Consortium, Buffalo, NY PATTI A. HAMERNIK, Pediatrics, UB TIMOTHY JORDEN, General Surger), GINA l. FLORES, Far111/; Practice, New STEPHANIE C. HAN, lrllcntal Medicine Hampshire-Dartmouth Famll) Practice, Hanover, H (Prelim.), UB Graduate Medical Dental Education Consortium, Buffalo, Y; and Radiation Oncolog), Yale- e\\ Haven Hospital, New HaYen, CT (Prelim.), Ston) Brook Teachmg Hospitals, Ston) Brook, Y; and B a 0 p y PAULY. JEE, lmemal Medicine, Alben (Prelim.), University of Rochester, trong Memorial Hospital, Rochester, NY; and 1 curolog), University of Rochester, trong Memorial Hospital, Rochester, Y Hospital at Queens, Flushing, NY SCOTT L. FLUGMAN, lmernal Med1cine BABAK JAHAN-PARWAR, Research Fellowship, Swgical Pa!holog), Roswell Park Cancer Institute, Buffalo, Y CHRISTOPHER JAYNE, Obstetrics & Graduate Medical Dental Education Consortium, Buffalo, 1Y DORNA E. FLASH, Transitional, New York Graduate Medical Dental Education Consortium, Buffalo, NY Graduate Medical Dental Education Consortium, Buffalo, NY Universil) of Virginia, Charlonesville, VA DAVID J. FIORELLA, lntcmal Medicine THOMAS F. HUGHES, Family Practice, UB MARK JAJKOWSKI, Surgery, UB THOMAS J. GENNOSA, Family Practice, (Prelim.), UB Graduate Medical Dental Education Consortium, Buffalo, NY; and Oplttlralrrwlog_\, Louisiana tate niYersity Eye Center, Ne" Orleans, LA MICHAEL S. LEONARD, Pediatrics, UB RAJIV K. JAIN, Medicine/Pediatrics, Duke UniYersity Medical Center, Durham, NC TIFFANY B. GENEWICK, Obstetrics (.-. Gy necoiOg)', UB Graduate Medical Dental Education Consortium, Buffalo, Y GARY J. ELKIN, /ntcnwl Medrcrne, Health Service, Stanford, CA Gynecologj, Temple University Hospital, Philadelphia, PA Louis University School of Medicine, St. Louis, MO (Prelim.), i ter of Charity Hospital, Buffalo, Y; and Diagnostic RadiologJ, johns Hopkins Hospnal, Baltimore, MD Graduate Medical Dental Education Consortium, Buffalo, NY JEAN(. HSIAO-WANG, Obstetrics c~ Yu-LUEN Hsu, lntenwl Medicine, St. BRIAN J. FORTMAN, /ntcnwl Medicine c a 5 m (Prelim.) Madigan Army Medical Center, Tacoma, WA WALTER J. KANTOR, Emergency Medicine, University Health Center, Pittsburgh, PA DAVID KAUFMAN, Pathology, Mt. Sinai Hospital, m New Haven Hospital, New Haven, CT e ew York, 9 9 Y Graduate Medical Dental Education Consortium, Buffalo, NY KWOK Ll, lntenwl Medicine (Prelim.), UB Graduate Medical Dental Education Consortium. Buffalo, Y; and Ophthalmology, Louisiana State University Eye Center, ew Orleans, LA DOMINIC R. LIPOME, ln!enwl Medicine (Primary Care), UB Graduate Medical Dental Education Consortillln, Buffalo, NY HAROLD I. LITT, lrHemal Medicine (Prelim.), Mt. Auburn Hospital, Cambridge, MA; and Diagnostic Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA CHENG H. Lo, Surgery, Stony Brook Teaching Hospital, Stony Brook, Y JIADE J. Lu, Internal Medicine (Prelim.), Sisters of Charity Hospital, Buffalo, Y; and Radiation Oncolog), jackson Memorial Hospital, Miami, FL BETH M. MACDONALD, Family Practice, Southwest Washington Medical Center, Bush Prairie, WA MICHAEL A. MANKA, Emergency Medich1e, UB Graduate Medical Dental Education Consortium, Buffalo, NY DEBORAH J. MANN, Emergency Medicine, UB Graduate Medical Dental Education Consortium, Buffalo, NY CHRISTOPHER (. MASCIA, Pediatrics, Medical College of Virginia, Richmond, VA �• ·········· ·· ··············· · ············ ~ I L. WALK, Family Practice, Highland Hospital Program, Rochester, NY PAULS. MAll, Pcdiatncs, Children's JOHN P. PATTI, \1rdiclllc/Pediatrics, UB KARIN A. SELVA, Graduate Medical Dental Education Consortium, Buffalo, NY Pcdtatrics, Uni,·ersity of ew Mexoco, School of Medocine, Albuquerque, M LISA Hospital of Pholadelphoa, Philadelphia, PA L. MCNALLY, Surgery (Prelim.), University of Rochester, Strong Memorial Hospital, Rochester, NY: and Urology, niversity of Rochester, Strong Mcmonal Hospital, Rochester, N'r OSCAR E. PIEDAD, Family PracL!cc, Richland Memorial Hospital, Columboa, SC EDWARD SILVERMAN, Obstctncs & G_\IICcolog_\, Mamwnodes Medical Center, Brooklyn, N'r JAMES G. WAXMONSKY, FREDERICK J. PIWKO, Fanlll) PnJctice, \\ olllamsport Hospital and Medocal Center, Wolliamsport, PA INDRANI SINHA, Pedtatrics, Unovers1ty of Florida, Shands Hospital, GameS\ille, rL KEE Y. WEE, KATHRYN A. MCVICAR, Pcdwtrics, JONATHAN W. SIRKIN, Psychiatl}, UB NAOMI D. WEINSTEIN, f.,Gynecology, Unl\erslt) of Rochester, Strong Memonal Hospotal, Rochester, NY STEVEN R. POSNER, urger\, Unoversit) of Michigan Hospitals, Ann Arbor, Ml JOHNS. PULVINO, Obstetrio & G) necology, Mmne Medical Center, KAREN A. SNELL, Obstetrics f.,Gynecology , Ba)'State Medical Center, Springfield, MA WILLIAM J. MEDWID, KAVITHA T. RAM, Obs!Cims MELANIE Presbytenan Ho pita!, Ne" York, Y THOMAS P. MEAD, Obslrtms Family Practice, Beverly Hospital, Danvers, MA PracL!ce, t.;B Graduate Medocal Dental Education Consortium, Buffalo, NY KIMBERLY E. METZ, Fanuly DAVID T. MILLER, Surge'} (Prclun.), UB Graduate Medocal Dental Education Consortium, Buffalo, Y: and Orthopedtcs, B Graduate Medocal Dental Education Consoruum, Buffalo, Y Emergency Medicine, Long Island jew1sh Medical Center, Long Island, NY PINAKI MUKHERJI, DWAYNE A. NARAYAN, Psychiatry, noverslty of Virgmia, Roanoke,\ A Obstru 1c; f_,Gynecology, noverslty of Texas Southwestern Medocal School, Dallas, TX EMMEKUNLA K. NYLANDER, NAYOMI E. OMURA, Internal Medicine (Prclun.), George Washmgton University, Washmgton, DC J. 0STEMPOWSKI, Orthopedics, Universit)' of Cincinnati Hospital, Cincinnati, OH MICHAEL CHRISTOPHER PACE, Urology, Unoversit) of Texas Southwestern Medical School, Dallas, TX Emngency Medtchtc, UB Graduate Med1cal Dental Education onsortlum, Buffalo, 'r PARAS PANDYA, Medtwoc, Unoversoty of Connecticut, Farmington, CT NEIL N. PATEl. Internal ® C" G\IICcolog_v, LB Graduate Medocal Dental Education Consortium, Buffalo, Y SUNG Y. SoN, Fwmlv TranstL!ollal, Evanston Hospital, Ch1cago, IL Graduate Medical Dental Education Consortium, Buffalo, Y J. RIEGEL, llllernal \trdicine, St. Elizabeth's Medical Center, Boston, MA KRISTIN A. STIEVATER, Psychiatt) , UB Fwnily Practice, UB Graduate Medocal Dental Education Consortium, Buffalo, N'r MICHAEL(. STONER, H. WILLIS, JR., i\eurosurgery, CleYeland Clinic Foundation, Cleveland, OH BYRON MARY M. WILSCH, Obstetrics & Gynecology, University of Rochester, Strong Memorial Hospital, Rochester, Y Graduate Medical Dental Education Consortium, Buffalo, NY KRISTEN M. ROBILLARD, ARLENE S. ROGACHEFSKY, Dw11a!Oiogy. Cle,·eland Clinic Foundation, Cleveland, OH JOSEPH(. WITIMANN, Pediatrics, UB Surgcty, Medical College of VIrginta, Richmond, VA Graduate Medical Dental Education Consoruum, Buffalo, Y Obstcutcs & G\nrcology, Albany Medical Center Hospital, Albany, NY TOVA R. STRAM, l. WRAZEN, Pedialt ICS, Oregon Health Sciences ni\-ersity, Portland, OR JENNIFER Medicine! Pechatms, Baystate Medical Center, pnngfield, MA SUSAN M. SZIMONISZ, Practice, LB Graduate \ted1cal Dental Education Consortium, Buffalo, Y MARY A. RYKERT, Fanul_1 Practice, Niagara Falls Memorial Hospital, Ntagara Falls, Y CHARLES YATES, FamilJ Pedtautcs, B Graduate Medical Dental Education Consortium, Buffalo, Y MAXINE E. SZUMIGALA, STARLEEN (. SCHAFFER, \lcdicine/ Pediatncs, Jackson Memonal Hosp1tal, Moamo, FL MARK R. ZAMBRON, Medicinc/Pediallics, UB Graduate Medical Dental Education Consortium, Buffalo, NY Emergency Mcdicme, UB Graduate Medical Dental Educauon Consortium, Buffalo, ) RENATE TREADWAY, DAVID F. SCHMITZ, Fcuml) Practice, Famoly Practice ResidenC) of Boise, Boise, ID Fanuly Practice, Niagara Falls Memonal Hospital, iagara Falls, Y DANIEL W. ZORICH, Obs!CIIics f., Gynecology, UB Graduate Medical Dental Education Consortium, Buffalo, NY MILLICENT H. TREVETT, J. SCHROT, Surget) (Prelim.), t. Louis niverslty chool of Medicine, St. Louis, MO RUDOLPH J. SCHUECKLER, Orthopedics, McGaw Medical Center, orthwestern Uni,·ersity, Chicago, IL JON UDWADIA, Pccliatr tcs, UB Graduate Med1cal Dental Education Consortium, Buffalo, N) EROL VEZNEDAROGLU, Surgcl) (Prelun .), Thomas jefferson UmverSll), Philadelphia, PA: and 1\eurosurget) , Thoma jefferson UmverS!l), Philadelphia, PA DOUGLAS A. SCHULTZ, 0 + Pediatrics, UB Graduate Medical Dental Education Consortium, Buffalo, NY OTTO 0 lntetnal Medicine (Prelim.), St. Mary's Medical Center, Long Beach, CA: and Radiation Oncology, Stanford University Hospital, tanford, CA Scan S. WILLIAMS, PATRICK J. STEIN, Psychiatl), UB BRIAN f Pediatrics, University of South Florida, College of Medicme, Tampa, FL Ptactice, Lancaster General Hospnal, Lancaster, PA EILEEN B. REILLY, u Dtagnostic Radiolog_\, Uni\·ersll\ Hospitals of Cleveland, Cleveland, OH Graduate Medocal Dental Education Consortmm, Buffalo, NY Portland, ME B Psychiall), UB Graduate Medical Dental Education Consortium, Buffalo, NY p s o n S u m m e 9 9 6 �··················································· ·· ···································• · · ~ •• New UB Chair honors professor HE U IVERSITY HAS HONORED a respected faculty member, Eugene R. Mindell, M.D., with the establishment of the Eugene R. Mindell M.D. Chair in orthopedic surgery. Mindell, UB professor emeritus and chair of the department of orthopedics from 1964 to 1988, conducts research in orthopedic oncology and bone pathology. Eugene Mindell He is particularly interested in new treatments that avoid total amputation. For example, Mindell takes pride in saving the arm of a 19-year-old woman with osteogenic sarcoma just above her wrist. After the cancer was removed, along with part of the radius, the patient's bone was reconstructed with bone from a bank. Ten years later, the patient has a good arm with an excellent grip, and no recurrence of disease. After interning at the Cincinnati General Hospital, Mindel! was stationed as a naval officer at the Veteran's Hospital in Columbia, SC. He completed his residency at the University of Chicago Clinics. Mindell met his wife of 50 years, june A. Mindell, while he was a medical student and she was an undergraduate at the University of Chicago. They have four children and three grandchildren. Robert Gillespie, M.D., chair of UB's Department of Orthopedic Surgery, said of Mindell: "He is a man of great charm and obvious integrity and leadership qualities. His greatest accomplishments are his dedication to the residency program and his work as a teacher. He is a true academic surgeon." The chair is funded by a charitable remainder trust commitment from Byron A. Genner III, M.D., UB class of 1954. Further gifts toward the chair are being sought. Genner's gift places $825,000 in real estate in trust for the medical school, while still generating income for Genner during his lifetime. The school will seek more money to bring the total funding for the chair to between $1 million and $1.5 million. "UB provided me with an outstanding undergraduate and medical education," said Genner. "This became evident during my internship and orthopedic surgery residency. It was satisfying being as well or better prepared than my peers in my academic endeavors." Genner spent 15 years on active duty in the U.S. Air Force, retiring as a lieutenant colonel. His career includes posts as associate clinical professor at George Washington University and assistant clinical professor at Georgetown University. He continues a part-time orthopedics practice, along with an active + medical-legal consulting service. -8 Y P A U L A W I T H E R E L L As part of UB's sesquicentennial celebration, these plaques were installed in downtown Buffalo to commemorate the first three homes of the medical school. B u f f a I a Physician Summer 1 9 9 6 �Robert N. Spengler, Ph.D. Neuroimmunologist WORKING AT THE INTERSECTION OF IMMUNOLOGY AND NEUROBIOLOGY IT' 5 o sEcRET that the mind has a profound effect on healing. Quantifying that relationship and examining it at the molecular level is the work of Robert Q) sity of Michigan, where he also did postdoctoral work in pathology. He joined UB as an assistant professor of pathology in 1989. His primary area of interest is cytokines, a class of immune system hom10nes that serve as cellto-cell communication signals. Once thought to be active only in the immune system, cytokines have been found to have many functions in the nervous system, as well. This has led researchers to believe that cytokines participate "We're looking for a better understanding of how the brain controls body functions , and the other way around-how cells associated with the immune system control neuronal functions," says Spengler, assistant professor of pathology. "Each system is interdependent on the other. " Spengler, 4l,isparticularlywell qualified to explore the fruitful intersection of immunology and _Eeurobiology. He earned his Ph.D. in pharmacology from the Univer- B U f f o . Spengler, Ph.D. l o Physician in neuro-immune communication and may even act as neurotransmitters in certain situations. Spengler is particularly interested in tumor necrosis factor. Like many other cytokines, it was first identified and named for its connection with an immune function (killing tumor cells). ow researchers believe it also has neurologic functions. Because the concentration of tumor necrosis factor often governs how it functions in different disease states, much of Spengler's work focuses on investigating how the body regulates the release of the substance. Another of Spengler's research areas is psychotropic drugs. He has investigated the biochemical activity of antidepressant drugs and how cytokines may be linked to depression. He also studies the use of antidepressant drugs to alleviate neurological pain, which occurs when a disorder such as arthritis causes chronic pain that creates a continuous circuit in the brain, causing the sensation of pain even without any further stimulus from the site of the disorder. Drugs that affect neural behavior may do so by regulating cytokine expression or sensitivity, according to Spengler. "We use drugs as a tool to understand a disease, " he explains. "Drugs are used because they work, not because we know how they work." Spengler is also beginning experiments on a second group of cytokines, the interleukins, which seem to perform many of the same functions as tumor necrosis factor. This redundancy, he theorizes, shows how important these functions are. "It's clearly the body's way of backing itself up," he says. + Summer 1 9 9 6 �·· · ··· · ········· · · · ·········· · ·········· · ··· ·· · · ···· · ··· · ········· ··· ·· · ···· · ···· · ··· · · ·• · · ~ I Two D~tinguished Professors named wo members of UB's medical fac- a department-wide commitment to upulty have been named to the rank holding the policy. It is largely through of Distinguished Professor, the his work that UB has been recognized highest rank in the State University as a national leader in recruiting and of ew York system, by the SU Y retaining students and facBoard of Trustees. ulty from traditionally James P. olan, M.D. , was named underrepresented groups. Distinguished Service Professor, awarded olan has been a memin recognition of extraordinary service to ber of the Governor's the community, state, or nation. Council on Graduate Perry Hogan, Ph.D., was named Perry Hogan Medical Education, and Distinguished Teaching Professor , has served as president of the ew York an equivalent honor that recognizes State chapter of the American College of outstanding teaching competence. Physicians. olan, who recently stepped down Hogan teaches cardiovascular physiafter 16 years as chairman of the Depart- ology, cell membrane phenomena, and ment of Medicine, is an internationally the electrophysiology of excitable cells. recognized expert in For many years he has taught cardiac liver function, liver and circulatory physiology to first-year disease and injury, medical and graduate students. and endotoxins. Hogan received the Louis A. and Ruth His efforts in the Siegel Award for Outstanding I eacher in 1970s led to a the Preclinical Sciences five times during full and fair affirma- a 16-year period. The award is given by tive action policy and medical students and fellow faculty. + James Nolan I UB microbiology professor dies at 76 ugene A. Gorzynski, Ph .D. '68, of Homburg, NY, a professor of microbiology and pathology at UB and chief of the microbiology section at the Buffalo VA Medical Center, died May 16 after a lengthy battle with cancer. He was 76. In 19 55, Gorzynski and the late Erwin Neier, an internationally known bacteriologist, were the first to describe enteropathogenic f. coli bacteria as a toxin producer that could cause severe diarrhea in infants and young children. Aveteran of World War II, Gorzynski served as director of bacteriology with the Army General Hospital in England. While there, he met his future wife, Ruth Repp, an Army nurse and Missouri native. She died in 1992. At different times, Gorzynski worked at the VA, Children's Hospital, and Roswell Pork Cancer Nielsen and Nolan Win Alumni Association Awards Institute, and served as an assistant director oft he ancy H. ielsen, M.D., a 1976 and serves as regional medical director graduate of the medical school for the Board of Professional Medical and a former member of the SU Y Conduct in the ew York State DepartBoard of Trustees, has been given ment of Health. A specialist in internal medicine the Samuel P. Capen Award , the and infectious disUB Alumni Association's most ease, she is a clinical prestigious award. assistant professor of The award recognizes alumni who medicine at UB. have made "notable and meritorious The Alumni Ascontributions to the university and its sociation also gave family ... influencing growth and imthe Walter P. Cooke provement of UB and stimulating othAward to James P. ers to give their active interest and olan , M.D. The material support to the university. " honor recognizes ielsen was the first woman to be exceptional service elected president ofThe Buffalo General to UB by a nonHospital medical staff. She is past presialumnus . + dent of the Erie County Medical Society Nancy Nielsen B u f f a I o P hysici a n Summer 1 9 9 6 Erie County Health Department. He hod taught at the UB School of Nursing and Erie Community College as well as at the UBmedical school. Amember of the UB-based Ernest Witebsky Center for Immunology, he served on the admissions committee of the School of Medicine and Biomedical Sciences. An amateur violinist, Gorzynski performed with the Amherst and Orchard Park Symphony orchestras for more than 30 years. He also was commanding officer of the 365th General Hospital for the U.S. Army Reserves in Amherst from 1966-69. He retired as a colonel in 1979. + ® �••••••••• • • 0 •••••••••• • ••••••••••••••• •• •• • • 0 ••••••••••••••• "I had never known so much about someone " ••• BY CHR I S SCHAEFFER , UB MEDICAL SCHOO L C LASS OF 1998 n the summer of 1995, after my first year of medical school, I spent six weeks at The Buffalo General Hospital's Outpatient Clinic. The story of that externship is the story of the 100 people I saw. I was fascinated by their stories, by their problems, by the factthatl was sitting in the room with them, wearing a white coat and writing it all down. Of all the stories that I came across that summer, one will always stay with me. Mr. R was a 54-year-old man, divorced, with one son. His face had the look of worn shoe leather. He was gaunt, with uncut white hair and skinny legs inside cowboy boots. In our first interview, during a checkup, Mr. R gave me the gist of his complaints. But what fascinated me was that his life had been so different from mine. He was poor, he had grown up without any of my advantages, and he had taken pleasure where he could find it. Later, my preceptor, Dr. Richard Schifeling, explained alcoholic cirrhosis and the attendant problems Mr. R was having-ascites and hemorrhoids, to name two. Mr. R returned the next week, before his scheduled appointment, complaining of pain and worsening ascites. I waved to him in the hall, oddly glad to see a familiar face in the crowd. ext week Mr. R was back. This time I asked to see him. In the sea of everchanging, ever-similar complaints, Mr. R seemed like a rock of certainty- ! already knew what was wrong with him. I talked to Mr. R about his belly and how things were going at home. Frankly, I was curious about how his life had come to this point. He could barely move himself around the examining room. I wanted to know, 'Who is this person who has done this to himself?' I put all of my empathy and listening skills to work, and for my efforts learned only that he lived with "a woman friend" and had just decided to give up drinking. Mr. R asked me to take off his boots becau e it hurt too much to bend over. That day, Dr. Schifeling recommended a transjugular intrahepatic ponosys-temic shunt, or TIPS, to bypass his failing liver. Mr. R looked at us, then looked away, and consented by saying, "Whatever you got to do.l just want to get this over with." When Mr. R was admitted, I thought, "Hah! He'll be here all the time-now he'll have to talk to me. " My increasing familiarity with his medical condition made my complete lack of understanding of him bother me more and more. When I visited, we chatted about nothing-the nurses, the food, the TVs remote control. What I really wanted to know was if he was nervous about the surgery, if he really had kept drinking even with his liver destroyed. I left without answers. Mr. R went from poor to worse. His kidneys began to fail , so he couldn't • •••••••••••••••••• • •••••••• have the surgery after all. Over the next two weeks I saw a myriad of people in the outpatient clinic, but every morning and evening I visited Mr. R. We tried everything we could to help, including multiple abdominal taps to relieve his ascites. One memorable day I stood with an attending, a resident, an intern, and a fourth-year student as the intern began an abdominal tap. After the initial excitement, everyone left except the intern and myself. The intern looked at me, considered his aching arms, and asked ifl would like to finish the tap. The next thing I knew, the intern had left, I was holding a needle somewhere inside Mr. R's belly, and Mr. R was talking on the telephone. All I could think was, "What is going on?? I hope nothing goes wrong! " Every day he was in the hospital, I saw his complete medical report, from his blood and urine to how he had slept the night before. I had never known so much about someone. In the final weeks of my externship it became clear to me (long after it had become clear to everyone else) that Mr. R was going to die, and die soon. Whenever I saw him, I waited quietly so he could bring up anything he wanted to talk about. I asked how he felt, I joked with him. Nothing changed. He still complained about his roommate, his girlfriend, his son. I never got to know Mr. Rduring our talks. He stayed private and separate from me. Knowing his prognosis, Mr. R decided to go home. He tried to cheer our blank faces by joking that he'd come to the clinic, "just like before." He left on Friday. When I got to work on Monday, Dr. Schifeling took me aside and told me that Mr. R had died over the weekend. + Chr-is Schaeffer, l-..ho will enrcr h1s !hird year a! L'B School of \.fed1cme and Biomedical Sciences 1h1s fall, is the secretan- of tht' \.1edical Studen! Polit\ s u f f a I o Phys i cian Summer t 9 9 6 �1996 reunion portraits en classes were honored at this year's Reunion Weekend festivities as they gathered in Buffalo to remember old times and renew acquaintances. FIRST ROW:john Crissey, Raymond Trudnowski, Stanley Cyran, William Walsh, Myron Williams, john Allen, Annabel Irons, Edward Gudgel, Donato Carbone. SECOND ROW:Lawrence Golden, William Marsh, orman om of, Harry Petzing, Fred Schwarz, Charles Bauer, Harold Levy, Herbert Pirson, Ross Imburgia, Thomas Morgan, R. joseph aples, Maynard Mires, Albert Rowe, Eugene Marks. THIRD ROW: Raymond Osgood, Richard Munschauer, Bernard Groh, Carllmpellitier, Willis Allen, Guy Hartman, Charles joy, W. William Tornow, Amo Piccoli, Frederick Musser. B u f f a l o P hysician FIRST ROW: Lester Wolcott, August Bruno, Donald Pinkel, Leonard Danzig. SECOND ROW: Alvin Volkman, james LoVerde, Allen Goldfarb, Milton Robinson, Eugene Leslie, Marvin Pleskow, Eugene Teich, Carl Conrad, Edward Shanbrom, Harold Krueger. Reunion Classes Continued on page 30 Summer l 9 9 6 �~ -········· ··· ·· · · · · · ························ · · ··· · · ··························· · ········· lEI FIRST ROW: Peter Goergen, Bernard Sklar, Helene Buerger, Sue McCutcheon,john Bartels, Robert Reisman, Fred Lee, Herman Schoene. SECOND ROW:john Hodson, joseph Kunz, Fred uessle, Robert Corretore, Paul Ronca, john Walters, Hugh 0' eill, Carl Schueler, jean Haar. THIRD ROW:Edmond Gicewicz, Mark Dentinger, Fred GoldsteinGretan, Erick Reeber, Dennis Heimback, George Christ. FIRST ROW: Eugene Cimino, Harold Brody, Michael Cohen, james Markello. SECOND ROW:joel Bernstein, William Hewett, A. Thomas Pulvino, Thomas Ciesla, Washington Burns Ill, Sylvia Kennedy, ]. Anthony Brown, Wende Young, Henry Goller, Edwin Manning,Jonathan Logan,joseph Fermaglich, Howard Wilinsky. FIRST ROW: Edwin jenis, Murray Yost, Robert Barone, jared Barlow, Cary Presant. SECOND ROW: Roger Seibel, jeffrey Kahler, Virginia Rubinstein, David Buchin, Rudolph Oehm, Ross Guarino , William Sperling, Frank Barbarossa, james Cuffe. THIRD ROW:Harold Grunert, David Wallack, Eugene Spiritus, H. john Rubinstein, Michael Weintraub, Louis Antonucci, Thomas Bradley, Wayne Fricke, Marcella Fierro, james Moran, john LaDuca. FIRST ROW: Colleen Livingston, Annie Terry English. SECOND ROW: Marvin Stein, Askold Mosijczuk, Dennis adler, Scott Kirsch, David Rowland, David Bloom, Sigmund Gould, Roy Oswaks, Allen Berliner, Robert Kaufman, Richard Manch, joel Paull. THIRD ROW:jay Harolds, Donald Marcus, David Hoffman, Martin Mango. FOURTH ROW:Manny Christakos,] ames McCoy,] ohnAntkowiak. FIFTH ROW: Charles Yeagle. B u f f a l o Physician Summer 1 9 9 6 �FIRST ROW: Gregg Broffman, Arnold Wax, Linda Wild, Susan Barde, Robin Lazar-Miller, Patrick Hayes, Karen Glasgow, Louise Isenberg-Dallaire, Stephan Levitt, Hartwig Boepple, Paul Schwach. SECOND ROW: Martin Barron, Grant Golden, Daniel Wild, Jon Yerby, Christopher Barde, Melvin Pohl. THIRD ROW: David Myers, Christopher Brandy, William Bishop, Dennis Pyszczynski, John Bodkin. FIRST ROW: Suzanne Bradley, Beth Heitzman Donahue, Betty Wells. SECOND ROW:George Bancroft, ToddJacobson, Pablo Rodriguez, Stanley Bukowski, Daniel Castellani, Pano Yeracaris. FIRST ROW (KNEELING AND SITTING): Carmen Todoro, Katrina Guest, Donnica Moore, Sanford Levy, Molly 0'6-orman, Paul Holmwood, Deborah Puckhaber, Mary Bennett. SECOND ROW: Megan Farrell, Shirley Anain, William Beneke, Andrew Giacobbe, Edward Stulik, Lance Besner, Riyaz Hassanali, Leonard Portocarrero, Karin Choy, Sean O'Brien, Mark Vickers, Deborah Richter. FIRST ROW: Alison Koehler, Kathylynn Southard, Susan Littler, Grace Alessi, Mary Bonafede, Rosalind Nolan Sulaiman, Elissa Bookner. SECOND ROW: Kinga Tibold, Joseph Barrocas, Joseph Bonafede, Steven Abbey, Richard Alessi, Jennifer Ferraro. B u f f a l o P hysician Summer 1 9 9 6 �Treating children from around the world LYNNETTE NIEMAN , '78, CLINICAL DIRECTOR OF THE NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT ynnette Kaye Nieman, M.D., values the knowledge and practical experience she carried from UB to her career at the National Institutes of Health (NIH). However, one thing she hasn't found a use for was an adage she was taught here: in medicine, if you hear hooves, it's more likely a horse than a zebra. "Around here, that just isn't true: hooves mean it's probably a zebra," explained ieman, 43, clinical director of the ational Institute of Child Health and Human Development, one of 16 component institutes at NIH. Nieman encounters the exotic and uncommon every day as she studies and treats afflicted children who come from throughout the world to the Institute's Bethesda, MD, clinic for treatment of rare endocrinological disorders. "Simply put," ieman explained, "we get to see weird things from all over the world." ieman oversee patient care, protocols, credentialing and medical education at the Institute , administering a 36bed inpatient unit and large outpatient clinic. More than 70 physicians, from fellows and trainees to experienced, board-certified experts , provide direct care through affiliation with the Institute. Young doctors who complete fellowships at the Institute are frequently recruited into academic medicine, the pharmaceutical industry or regulatory posts, including the Food and Drug Administration, A Buffalo native, ieman is board-certified in endocrinology and internal medicine. She obtained her undergraduate degree in molecular and cellular biology at Smith College and attended UB School of Medicine and Biomedical Sciences between 1974-78. She performed her residency in Buffalo as well , rotating between Buffalo General, the VA hospital, and what is now ECMC. She rose to chief resident during her third residency year. ieman served as an endocrine fellow in Buffalo for a year before joining IH explains ieman. Although the federal government has tightened its belt in recent years, ieman says that IH still enjoys relatively stable funding. Independence from constant grant-garnering enables IH clinicians and researchers to pursue "more high-risk research where there might not be a clear-cut payoff," explains ieman . Some of the work the Institute does in vaccine development is "really cutting edge," she added. Field trials take place all over the world , including current projects in Vietnam, Egypt and Israel. in 1982. ieman has authored more than 100 major journal articles and book chapters, most on Cushing's Syndrome or female reproductive anatomy. Cushing's Syndrome is a rather uncommon disease which ieman has researched , written about , and spoken on extensively. A natural overproduction of cortisone by the adrenal system, Cushing's comes in varying degrees of severity. Although relatively treatable, early Cushing's symptoms can be difficult to distinguish from more com- ® B u f f o l o Physician summer l 9 9 6 �Cushing's. In addition, she has examined other potential uses for the drug, which the FDA is now examining. "The drug seems to have potential for reducing fibroids and stalling endometriosis ," she explained. Thirty million women a year experience these problems, which are the most common reasons for hysterectomies, according to ieman. Dr. "Pepper" Davis, ieman's first attending physician in Buffalo, deserves credit for steering her toward endocrinology, she recalled. "I was mon ailments, ieman explains. "The early signs, such as weight gain, hypertension and interested in gynecology, but we talked a lot and he mood swings, are frequent even among the general popula- introduced me to the idea of medical endocrinology." ieman also credits UB medical school for showing tion," she said, "so we do a lot of work teaching clinicians how her how to examine philosophical and bio-ethical conto distinguish Cushing's from more common ailments." siderations during her training, tools Later stages of Cushing's, however, are which she has now revisited in dealing unmistakable. Patients will develop round, 11 with the RU 486 research. Simply put1 we reddened faces and weight gain in the center ieman, her husband and their two of the body, with purple stretch marks around children live in Bethesda. After years the midsection. Fully developed Cushing's get to see weird dedicated to the study of endocrinologican be fatal. Generally, victims succumb to cal change , ieman is occasionally ancillary problems including hypertension, tempted to "treat" her 13-year-old son infection, or adrenal cancer. things from all for puberty. "His mouth definitely went ieman's research into Cushing's has into puberty before the rest of him," says brought unique opportunities to study potenNieman. "There are those days, when I tial uses for RU 486, the controversial drug over the world." tell my husband , 'You know, I could used in other countries as an "abortion pill." cure this!"' ieman has found that RU 486 is an + effective cortisone blocker in treating B u f f a l a Physician Lynn ette Nieman, M.D. Summer 1 - 9 9 6 STEVE COX �SURF THE NET! Three generations of UB doctors he University at Buffalo's sesquicentennial celebration serves as a special milestone for the Levy family. It will mark the 50th anniversary of the graduation from B of Harold]. Levy, M.D., and the lOth anniversary of the graduation of his son, Sanford H. Levy, M.D. It will also be the Slst anniversary of the graduation of Harold's father, Sidney H. Levy, M.D., a radiologist who started the Levy line of UB physicians. Sidney, who died in 1945, received his M.D. in 1915 from the then-private nivcrsity of Buffalo, interned at the old Eric County Hospital, and then served as aU .. Army medical officcrduringWorld War 1. When idncy opened his practice in diagnostic radiology, he was only the second physician to render such services in post-World War I Buffalo. "When he started his practice, some hospital did not have radiologic equipment, o the patients were brought to my father's office in ambulances for such ser- vices," said Harold, a Buffalo psychiatrist. Harold graduated with honors from the UB medical school in 1946 at the young age of 21, and served for a short time in the U.S. Army Medical Corps. ln 1948, Harold was recalled to active duty and served as chief of psychiatry at army hospitals in Korea and Hawaii. Later, Harold entered the growing field of psychosomatic medicine. ow, at age 71, Harold, a life fellow of the American Psychiatric Association, continues his private practice at Psychiatric Associates of Western ew York and serves as a clinical associate professor at UB. Exactly 40 years after Harold received his medical degree, he watched his son, anford, graduate with highest honors. 'Tve wanted to be a doctor for as long as I can remember," recalled Sanford, an internist at Sisters Amherst Health Center. "Seeing my father working in medicine and the strong relationship he had with patient had a positive influence on me. Even today, my father continues to teach me." A fellow in the American College of Physicians, an ford is also an authority on alternative and complementary medicine. Following his father's lead, Sanford also teaches and mentors UB medical students and residents at Sisters Hospital. Harold is a member of the james Platt White ociety, a past president of the Medical Alumni Association , and reunion co-chair for the class of 1946. "I have an extreme sense of pride both as an alumnus ofUB and as a physician," he said. "Medicine is the highest calling and i one of the most commendable professions to enter. There is no greater sense of satisfaction and gratification than to serve your fellow man and improve his + quality of life. " The Levys ® • INTERNET SOFTWARE Many Titles!! PC Anywhere ENOR10N IOCANYWIIIll£ DOS ... 67 Windows... $69 • America Online \ lac & \\'indows...S21.-l9 • lnlcrncl Starter Kit Windo"~...$3-t49 \lac... 3-4.95 • Prodig) \lac & Windo"s... 15.95 • ~ctscar>e "~I' igator for \\ indows...$32 Can '1connect from home ll'ithout one! INTERNAL STARTING AT $84.95 EXTERNAL STARTING AT $94.95 Many Brands-' • Supra • US Robotics • Boca Modems • Practical Peripheral • Global Villiage BOOKS 20 % off Retail Using the Internet.............$15 The User-Friendly Reference Easy Internet................ $18.95 Using the Internet.............$29 Special Second Edition INTERNET WORKSHOP Learn How to Use the Internet! Feb 7 & 8 ......$99 CUSTOMIZED WORKSHOPS These private workshops are tailored to your needs. They are available and very affordable. Call 645-3560 for information! Prices sllmw1 iuclude a 2l1 discounl for cash payments Open .\1011. Tues, Fri 1/am-Spm. ned & Tlwrs llam-6pm (ij': l"". . . II~tel M .. . . .. A non-profit UnwefSJfy program for students faculty & staff The Commons • North Campus • (716) 645·3554 • Fax: 645-3884 P B u A f U f L a A l W o ITHERELL Phys i cian Summer 1 9 9 6 �........ . .. Reunion classes support UB his year's reunion classes made generous donations to the medical school during the annual Spring Clinical Day and Reunion Weekend festivities. In all, $130,030 was pledged to the medical school to be used for scholarships for worthy students. Following is a list of participating class members and class totals. Dr. Thomas]. Murphy Dr. Edward A. Penn CLASS OF 1946-$58,900 Dr. john G. Allen Dr. Charles D. Bauer Dr. Robert A. Brown Dr. Donald P. Pinkel Dr. Marvin j. Plcskow Dr. john T. Crissey Dr. Robert E. Ploss Dr. Stanley j. Cyran , Jr. Dr. Milton Robinson Dr. Maier M. Driver Dr. Lawrence H. Golden Dr. Gerard E. Schultz Dr. Edward Shanbrom Dr. Bernard F. Groh Dr. Edward F. Gudgel Dr. Eugene M. Teich Dr. Alvin Volkman Dr. Guy L. Hartman Dr. Lester E. Wolcott Dr. Charles A. joy CLASS OF 1956-$3,050 Dr. Elliott C. Lasser Dr. M. David Ben-Asher Dr. Harold J . Le,·y Dr. Robert B. Corretore Dr. Eugene M. Marks Dr. Joseph j. Darlak Dr. Dennis P. Heimback Dr. William L. Marsh Dr. Arthur T. Skarin Dr. Lawrence D. Lubow Dr. Donald H. Marcus Dr. Merrill L. Miller Dr. Elizabeth Donahue Dr. Paul D. Fadale Dr. jonathan Gewirtz Dr. Wende W . Young Dr. Richard L. Munk Dr. joanne G. Gutliph Dr. Denms A. Nadler Dr. LyndaM. KarigHohmann Dr. Todd A. jacobson CLASS OF 1966-$13,825 Dr. Paul M. Ness Dr. Louis]. Antonucci Dr. joel H. Paull Dr. Robert E. Kaplan Dr. Frank j. Barbarossa Dr. Dadd W. Potts Dr. Girard E. Robinson Dr. jared C. Barlow Dr. Douglas S. Richardson Dr. Daniel P. Schaefer Dr. Robert M. Barone Dr. Da,·id M. Rowland Dr. Anne Shain Dr. Thomas \V. Bradley Dr. Richard I. Staiman Dr. Evan B. Shap1ro Dr. james j. Cuffe . Jr. Dr. William C. Sternfeld Dr. Ross A. Sih erstein Dr. james D. Felsen Dr. Melvin f'ox Dr. Annie Terry-English Dr. Da,·id Small Dr. Harold Trief Dr. Lloyd D. Stahl Dr. Harold F. Grunert . Jr. Dr. Edwin H. jenis Dr. Francis j. Twarog Dr. Roberta C. Szczurek Dr. Stephen . . Vogel Dr. David M. Thomas Dr. jeffrey L. Kahler Dr. Bennett G. Zier Dr. Frederick L. Williams Dr. Georgianne ZigarowiCz Dr. KcnnethV. Klementowski CLASS OF 1976-$6,300 Dr. ~tichael L. Aaron Dr. Serafin C. Anderson CLASS OF 1986-$4,920 Dr. Laurel A. Bauer Dr. William j. Beneke Dr. Donald M. Pachuta Dr. Cary A. Presant Dr. Dr. Dr. Dr. Dr. Ben W. Rappole Dr. james F. Shaffer Dr. Michael R. Bye Dr. Anthony Camilli Dr. William L. Sperling Dr. John E. Spoor Dr. David Wallack Dr. Michael !. Weintraub Dr. Paul B. Cotter. Jr. Dr. David A. Della Porta Dr. Geraldme K. Kelley Dr. james Kern Dr. Sean T. O'Bnen Dr. Dr. Dr. Dr. R1chard j. Lederman Charles H. Michalko james]. Moran john j. O'Connor Dr. joseph L. Kunz Dr. Maynard H. Mires, Jr. Dr. Thomas W. Morgan • Dr. Paul Stanger Dr. Ronald H. Usiak, Sr. Dr. Martin E. Leber Dr. Annabel M. Irons - ~ Deborah Beller Marlene Bluestein Christopher f' . Brandy Soma Y. Burgher Dr. Michele]. Armenia Dr. Mary K. Bennett Dr. john H. Bloor Dr. Marsha E. Brooks Dr. Lucy A. Campbell Dr. Timothy E. Frey Dr. Katrina A. Guest Dr. Camille Hemlock Dr. Thomas]. Kufel Dr. Sanford H. Le,·y CLASS OF 1971-$17,225 Dr. Richard W . Munschauer Dr. Fred Lee Dr. Sue A. McCutcheon Dr. jennifer S. Kriegler Dr. john Y. Lambert Ill Dr. Micha Abeles Dr. Stephan M. Ledtt Dr. janice j. Pegels Dr. R. joseph Naples Dr. Frederick C. Dr. john M. Antkowiak Dr. Nancy H. Nielsen Dr. Roslyn R. Romanowski Dr. Norman Nomof Dr. Jordon S. Popper Dr. Michael B. Baron Dr. Christine Privitera Dr. Mark E. Schweitzer Dr. Raymond W . Osgood Dr. Paul D. Barry Dr. Denms R. Pyszczynski Dr. Rita R. Sloan Dr. Harry Petzing Dr. Paul C. Ronca Dr. Herman R. Schoene Dr. Allen I. Berliner Dr. Thomas L. Ritter Dr. joy D. Steinfeld Dr. Amo j. Piccoli Dr. Matthew W. Szawlowski Dr. David A. Bloom Dr. Paul Schwach Dr. William H. Stephan uessle Dr. Herbert S. Pi rson Dr. jerald A. Bovino Dr. Carole Shear Dr. Edward j. Stulik Dr. Alben G. Rowe CLASS OF 1961-$9,250 Dr. Barry G. Brotman Dr. \Varren Thau Dr. Carmen M. Todoro Dr. Fred S. Schwarz Dr. Richard H. Baker Dr. Kenneth A. Burling Dr. George Toufexis Dr. Michael \V . Wood Dr. W. William Tornow Dr. Nicholas j. Capuana Dr. Bernard M. Wagman Dr. Richard j. Valone Dr. Harold Brody Dr. Washington Burns Ill Dr. Kenneth j. Clark , Jr. Dr. Arnold Wax Dr. William P. Walsh Dr. Michael E. Cohen Dr. Manny E. Cristakos Dr. Linda Wild Dr. Myron E. Williams. Jr. Dr. H. Howard Goldstein Dr. Arthur C. Cronen Dr. Herbert S. Wolfe Dr. Henry F. Goller Dr. Lawrence]. DeAngelis CLASS OF 1981-$5,915 Dr. Paul L. Nadler Dr. Thomas G. DiSessa Dr. George Bancroft Dr. Anthony T. CLASS OF 1951-$9,645 Dr. William j. Hewett Dr. Howard M. Hochberg Dr. Pasquale D. Baratta Dr. Michael D. Plager CLASS OF 1991-$1,000 Dr. jennifer f. Hen kind Ferraro Dr. Colleen A. Mattimore g Dr. Carl R. Conrad Dr. Leonard S. Danzig Dr. Sylvia R. Kennedy Dr. Sigmund S. Gould Dr. Harvey Greenberg Dr. Andrea C. Bracikowski Dr. Philip j. Rados Dr. Seymour j. Liberman Dr. jay A. Harolds Dr. Suzanne F. Bradley Dr. Barry D. Shaktman Dr. Allen L. Goldfarb Dr. jonathan Logan Dr. Barbara I. Karpel Dr. james B. Bronk Dr. Mitchell K. Spinnell Dr. Mark E. Heerdt Dr. Edwin j. Manning Dr. Robert B. Kaufman Dr. Stanley L. Bukowski Dr. Harold P. Krueger Dr. Dave B. Olim Dr. Scott D. Kirsch Dr. Daniel A. Castellani Dr. Eugene V. Leslie Dr. Saar A. Porrath Dr. Stanley B. Lewin Dr. James j. Czymy Dr. james V. LoVerde Dr. A. Thomas Pulvino B a 0 p h y c a 5 u m m e 6 �~ -··································· · · · ··· · ············· · Why c~tay home for lEI the holiiJayc~ ? Medical Alumni Awards The front-wheel urive Infinitt-® I 50"' An interuw more .•paciow thana Rolf,, RL>yce Silm· Spur 11/. An e:>:ceptionally .fJetzerOild IL:•t of dtanJarJ lu.."l.·wy feat/ire.•. A 190-hp V6 capah!e ofout-acceleratin.lJ many lll.Ylli:J V&•. tlnd of cour.•e, the ,ltandarJ-,,etting pet:formance anJ .•erl'ice of lnfiniti. The Medical School Alumni Association presented three Lifetime Career Achievement Awards at Spring Clinical Day on May ll. The awards are given to alumni/alumnae in honor of lifelong achievements in important areas of medical Like e<'ery lnfiniti, llu G20 come.• ll'ith an e;t:/en,lil'e liA of .•tanJard !u.-wry feature,•; tl -1-year/ 60,000 mile Ba.•ic Nell' Vehicle Wtzrranty; 2-1-hour RoaJ.Jitle tl.•.•t:ttance Program Trip interruption Benefit.•; anJ our Free Serl'ti:e Loan Car Pro_qram. $3 ]9 mo. endeavor, such as teaching, research, 50 mo. !ea.Je $0 down practice, or community service. Michael E. Cohen, M.D. '61 (top left), is a neurology professor at UB. IN FIN IT I Robert E. Reisman, M.D. '56 (top right), is an allergist in Buffalo. Edward Shanbrom, M.D. '51 (bottom), is retired from his internal medicine AUTO PLACE INFINITI 8129 MAIN ST., WILLIAMSVILLE 633-9585 practice in Santa Ana, CA. All are pictured with Margaret Paroski, M.D., East of Transit Rd. , Near Eastern Hills Mall the outgoing president of the Medical Alumni Association. G20 42 moJ130 42 mo. lease with cash or trade equity down. (G20-$495) (130-$450). Bank fee + tax and license due at inception. 12,000 annual mileage. $.12 per mile 1n excess. ® B u f f a l a Phys ician Summer 1 9 9 6 �--~- -~ ---~- - - Spring Clinical Day and Reunion Weekend '96 SALE OR LEASE CONTEMPORARY MEDICAL OFFICES Spring Clinical Day (May 11) kicked off a lively reunion weekend. Alumni from the past SO years attended the Stockton Kimball lecture, CME panel discussions, and poster exhibits at the Buffalo Marriott. But the weekend's social events, receptions, and dinners also provided plenty of time for meeting old friends and making new ones. 4800 sq. ft. onNiagam.PallsBlv4.inAmhent Close to l-290 • Ample Parking • Handicapped Accessible Competitive Rent 3,000 sq.ft.Delaware Awnue a: \'irginillStreet Plenty of Parking • Can be divided or expanded ALANT.HASTINGS • 847-1100 • HXT.286 ~ ?~\~t?~ B u f f a t o P hysician Summer 1 9 9 6 �• ·························································· ; HURWITZ & RNE, PC. I I 1 9 3 0 5 CARLJ . STREICHER '35 , of Lake Havasu City, AZ, ha retired from his ophthalmology-otolaryngology practice. He writes, "After a direct experience with insertion of a stent into a coronary artery, I am now as active as a golrer rive days a week can be, and hope to continue in this career for some tune! " BERNARDS . STELL '36 , FRANKL. TABRAH '43, SERVICI G in the Department of Physiology at the Uni- THE LEGAL versity of Hawaii's School of Medicine, and H EALTH Straub Clinic and Hospital. recognized with a plaque from the Hidalgo• Managed Care Starr County Medical Alliance for his lifetime dedication to the citizen ofHidalgo and Starr • Purcha e & Sale of Practices • Business & Tax Planning 1 9 5 0 WILLIAM J . SULLIVAN '55 , 5 of los Angeles, CA, is self-employed in forensic psychiatry. will be memorable: in May will be the 60th anniversary of the granting of my M.D. de- He is president ofW.j. Sullivan, M.D., Inc. gree; the 50th anniversary of my having earned an Cd.M. degree from the Millard . of Buffalo; the 50th • HCFA Safe H arbor Regulations 1 9 6 HARRIS FAIGEL '60 , 0 5 of Waltham, MA, anniversary of my induction into Phi Delta Kappa, honorary education fraternity; and pediatrics at Tufts School of Medicine and the 50th anniversary of my membership in was elected to the boards of the American the American Psychiatric Association." College Health Foundation and the American College Health Association. One son, 9 4 5 Douglas, is Hnishing a GI fellowship and taking a position at the Portland (OR) VA '40, ofjacksonville, FL, was Hospital and Oregon Medical School; Faigel's awarded a special citation by the American other son, jordan, is a vice president at Association of Retired Persons in appreciation Paine Webber in New York City. JOHN D . WHITE 0 and Phys ician Self-Referrals • Contracts with Private was appointed associate clinical professor of 1 Scm CES CoMMU ITY of McAllen , TX, was ciety of America. Stell adds, "The year 1996 Fillmore College at N EEDS OF THE director of th e Baromedicine Center at the IVAN W . KUHL '45 , I of Honolulu, HI , of Sun Cit), AZ, the tereo Division of the Photographic So- AT LAW is emeritus professor of community health Counties through his medical practice. won the Master Stereographer Award from ATTORNEYS & Public Entities • Employee Relation Counseling • Fringe Benefit Programs • Representation Before Government Agencies on Audit & Bus iness Issues • Facility Finance and Construction of outstanding service to the community. of Pittsburgh , PA, was elected president of the Pennsylva- • Credentialing Hills, Ml , received the second annual Grad iva Award from the ational Association for the nia Academy of Ophthalmology at its an- and By-Laws Advancement of Psychoanalysis and the Biglan is director of ophthalmology at ALBERT W . BIGLAN '68 , ALEXANDER GRINSTEIN '42 , of Beverly nual meeting in Pittsburgh March 29-30. American Board of Accreditation in Psycho- Children's Hospital of Pittsburgh, and con- analysis for his book The Rcmwlwblc Bcatrix sults for the Neonatal Intensive Care Potter. The Gradiva Award, named for igmund Freud's 1907 work, Delusions and Dreams in jensen's "Gradiva," honors poets, ery at Magee-Women's Hospital , the Veteran'sAdministration Hospital , the West- artists, writers, and others who create works Rehabilitation Institute of Pittsburgh. urs- ern PA School for Blind Children, and the • H ospital/Medical Staff Issues Please contact Robert P. Fine or Lawrence M. Ross at 716-849 -8900 that advance psychoanalysis. Grinstein's of Orchard book won in the category of childhood- BERNARD C . MUSCATO '69 , related books. He was presented with the Park, NY, has been appointed chair of Mercy award on Apri l 20 at the annual Hospital's Department of Obstetrics and Gy- conference in ew York City. AAP necology. He is past president of Mercy 1300 Liberty Building Buffalo, New York Hospital's medical staff and is serving a six- ® B u f f a l o Ph ysician Summer 1 9 9 6 �••••••••••••••••••••••••• II 0 BARANSKI ADVERTISING • I THE ULTIMATE DRIVING MACHINE= year term on the hospital's board of directors. Since 1974, he has been in private p ractice at Hambu rg Gynecological and Obstetrical Group. 1 9 WILLIAM J. 7 0 5 was appointed FIDEN '70 , clinical director of Erie Countr Medical Center's Department of Familr Medicine. He also serves a clinical assistant professor at UB. A colonel in the ew York Air a- tiona! Guard, he is clinic commander of the 107th Medical Squadron in iagara Falls, Checkpoint Foreign Car, Inc. NY. He and his wife, Susan, live in Buffalo. Sales and Service Medical College of Wisconsin . His daughter Lisa, a sophomore at Duke University, will Your advertising presents your c o mp a ny image t o the public .. . and to prospective cli ents a nd c ust o me rs. At Baranski A dvertising, we are proud to represent some of the finest publications in Western ew York, publications where your advertising message is sure to reach a quality audience. LAURENCE J . POHL '72 , of San Diego, CA, recently received an M.P.H. from the be taking herMCATin August1996, follow- • ing in her father's foots teps. Pohl writes that his classmate, Michael Gordon '72, is the 487 Kenmore Avenue Buffalo, NY 14223 most successful ophthalmology physician in San Diego, do ing radial keratotomy. 836-2033 ERIC J . RUSSELL '74 , of Chicago, ll, currently serves as acting chair of the Department of Radiology at • orthwestern Univer- sity Medical School and was elected treasurer of the American Society of Neuroradiology. Your WNY Leasing Specialist Serving WNY proudly for 33 years His wife, Sandra K. Fern bach, M.D., recently completed her term as president of the Chicago Radiological Society. CALL US TODAY REBECCA JACKSON SCHEITERLE '79 , (716) 645·6933 of Olean, Y, is doing full-time emergency medicine and is ER director at Olean General Hospital. She has four children: Stacy (18), Zachary (10), Jonathan (8), and MICHAEL J. BARANSKI Kathryn (7). She was remarried injuly 1995 to Rick Scheiterle. Marketing Representative 1 9 8 0 SU S AN STEPH E NS-GROFF '82 , P. S. We did this book! 5 of Phoe- nix, AZ, pediatrician for Maricopa County (AZ) Regional Schools, was honored as an outstanding healer by the YWCA ofMaricopa County at its third annual Tribute to Women B u f f o l 0 P hysician summer l 9 9 6 ® �• ···· · ··· · ······························· · ; Ifyou thought you knew us... do J.OU know I luncheon. She was chosen for her extensive efforts to provide medical services to the poor, especially her work running the clinic at the Thomas j. Pappas Regional counseled their parents about the limitations and possibilities of their children's conditions. She was the widow of RussellS. Kidder, M.D. Center for homeless children. ROBERT C . BAHN '4 7 diedApril 1 9 9 0 s 30, 1995,at his home in Rochester, M . He was 69. He was emeritus ROBERT P . P ITERA '90 , of Holbrook, Y, recently com- consultant in pathology and anatomy at the Mayo Clinic. He earned a Ph.D. in pathology from pleted a lecture series at the Beijing Hospital in the People's the University of Minnesota in 1953. He had a longterm interest Repub lic of China for the hospital's 75th anniversary. "My in the application of computers to medicine and belonged to the lectures focused on sports medicine with emphasis on diagnosis and treatment." The series drew over 100 physiatrists from all parts of China. Interested alumni Mathematics Association of America and the Association for Computing Machinery. Bahn also played trombone and tuba with local groups, including the Rochester can contact him at the Empire State Building, 350 Fifth Ave., Civic Music Concert Band and Suite 6606, New York, Y 10018 (212-293-7800), or at his home, what's NE.W? ~"~~ ., s~"s 'loJ· ._;;.~""'os"<'" • 14,000 sq. ft . of flexible ~~"~~ ~<:• 'b-~ e'-' meeung space on property ~ ~ 'o"<:PLUS direct access to an .,;::.f) {"~0 additional 250,000 sq. ft . 'r>" { 0~~ with state-of-the-art capabilities. "~(('X ;;."s;;. • Superb catering and innovative <1$"s~'~{ 'Q~s' theme dinners PLUS expert ~\'l ~ ~'l 0~ planning assistance from .,;::.f) ._~{;;.'<:pre-event through closing. <.0 Trombones Anonymous. His wife, Miriam Ruth Huer, died in 1992. 405 Sadd le Rock Road, Holbrook, NY 11741 (516-5638346). "It was great seeing everyoneatourfifth reunion. Keep in touch and keep smiling." And Your Choice To Stay In WNY! Buffalo Physician is on e-mail! OBITUARIES RUTH F . KRAUSS-KIDDER '4 3 , a respected member of the Children's Hospital staff and the UB faculty, died March 29, 1996, at the iagara Lutheran Home. She was 75. Before • A first-class hotel with outstanding amenities, comforts and conveniences - centrally located at the University at Buffalo Complex. Our new address for classnotes is Rooms bpnotes@pub.buHalo.edu. associate professor of pediatrics in UB's department of neurology. After graduation from UB's medical school, she interned at the former news about your fife, career, or famay. Don't forget to include your name, your home BUFFALO~affiOft address, and the year you E.]. Meyer Memorial Hospital. She joined Children's medical staff in earned your MD from UB. 1340 Millersport Highway, Amherst, Y 14221 (7 16) 689-6900 or (800) 334-4040 At the University at Buffalo Complex 1945. As a pediatric neurologist, she not only treated patients but ® B u f f a li.1r Congrarulations to The University at Buffalo School ofMedicine & Biomedical Studies on celebrating I 50years ofteaching, healing and research.' FromTN'f-~ Please send us the latest her retirement, she was director of electroencephalography at Children's Hospital and clinical ,t\'ail.tbl~: lJ B Alumni W~:~:k~:nd Oc.tob~:r ·1-6, I 'J'J6 l a P hysician Summer 1 9 9 6 �The jury is out. Your practice and assets are on the line. This is not the time to be second-guessing your choice of professional liability insurance companies. In a similar situation, a MLMIC policyholder remains confident, knowing he or she is protected by a company that already has successfully defended more physicians than all other available insurers combined. 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U.S. Postage PAID Buffalo, NY Permit No. 311 STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET BUFFALO NEW YORK 14214 ADDRESS CORRECTION REQUESTED 1 77 3 ri £ 1-1L l H ~C E CE S St:R LS Dt:PT B TT ti l I.,. r - PLANT'ING A TREE 'Z'S' ·= UNDER WHICH You WILL NEVER SIT OR. OEVILLO W. HARRINGTON, class of 1871, knew how to make his money grow. In fact, this man who in 1905 provided $5,000 through his will for the University at Buffalo School of Medicine, is still supporting UB today through the endowment his bequest created. THIS PERMANENT endowment in Or. Harrington's name has grown to over $300,000 and today it supports the famous Harrington Lecture Series, which twice a year brings distinguished scientific speakers to the School of Medicine and Biomedical Sciences. DR. HARRINGTON'S LEGACY to UB is just one of many bequests which have established permanent and important endowed funds at the school. They enable UB to provide scholarships to outstanding students, enhance scientific research, support excellence in teaching and meet the ever-changing needs of the school. YOU TOO can provide the School of Medicine with a measure of permanence through a bequest. Proper estate planning helps you develop a smart fi nancial plan. A charitable bequest provides the satisfaction that comes from planting a tree under which you will never sit, but which will bear fruit for generations to come. FOR A CONFIDENTIAL consultation on making a bequest to the UB School of Medicine and Biomedical Sciences, or to receive materials to share with your attorney or estate planning advisor, please contact: STEPHEN A. EBSARY, JR. Assistant Dean and Director of Development, School of Medicine and Biomedical Sciences UNIVERSITY AT BUFFALO (716) 829-2773 U N I V I!:IIISITV AT .UFFALO SCHOOL 01" MEDI C INI!: I li 0 1848 Y ll · A R 5 1998 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1996 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1996-Summer Relation A related resource MIcFilm LD701 .B42 M5 no. 268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_v30n03-1996-Summer Table Of Contents A list of subunits of the resource. Buffalo Hospice Physician-Assisted Suicide The End of Life and the Quality of Death Research Medical School News History of Medicine A Student's Perspective Alumni News Classnotes Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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