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                    <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

&amp; 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&gt;A Hf.-\LTH:

Tire Buffalo General Hospital
The Children's Hospital of Buffalo
Millard Fillmore Gates Hospital
Millard Fillmore Suburban Hospital
C.iTIIOll&lt;

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 &amp; 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." &lt;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/.

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��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 ')

&lt;?

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

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�.,

-·

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

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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.

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�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

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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

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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

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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

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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-

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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.

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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

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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.

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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 &amp; 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

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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 &gt;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&gt;rda Phi&gt;, 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 &amp;
Mrs. Kelly Ellis

Dr. Glen E. Gresham &amp; Mrs.
Phyllis K. Gresham '85

Mr. &amp; 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 &amp; 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 &amp;
Mrs. Helen Chazan

Providence, RI

Martinsburg, WV

Williamsville, NY
Dr. Charles D. Bauer ' 46 &amp;
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 &amp; 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. &amp; Mrs. Jeremy Jacobs
East Aurora, NY
Mrs. Pamela Jacobs

Eggertsville, NY

Buffalo, NY

Dr. Pasquale A. Greco '41 &amp;
Mrs. Lois J. Greco

Mrs. Morris Lamer

Buffalo, NY
Dr. Phil Morey ' 62 and Mrs.
Colleen Morey

Williamsville, NY
Dr. Richard J. Nagel '53 &amp;
Mrs. Florence T. Nagel

Orchard Park, NY
Dr. Richard B. Narins ' 63 &amp;
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 &amp;
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 &amp;
Mr. John J. Sung
Clarence, NY
Dr. Philip B. Wels '41 &amp; 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 &amp;
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 &amp;
Mrs. Mary A. Bauer
Williamsville, NY
Mr. Sheldon M. Berlow
Buffalo, NY
Dr. Joseph G. Cardamone '65
&amp; Mrs. Susan G. Cardamone
'65
Eden, NY

Dr. Joseph Chazan '60 &amp;
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
&amp; Mrs. Sandra S. O'Connor
East Amherst, NY
Dr. Edward A. Rayhill '54 &amp;
Mrs. Joanne Rayhill
Grand Island, NY
Mr. Jerry Ritch
Piscataway, Nj
Dr. &amp; 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 &amp;
Mrs. Suzanne Bronk
Napa, CA

&amp; Mrs. Ruth Altshuler
Dallas, TX
Dr. &amp; 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 &amp; Mrs.
Lorain Bakshi
Buffalo, NY
Dr. George Bancroft '81 &amp;
Mrs. Susan K. Bancroft '79
Hamburg, NY
Dr. Kevin Barlog '82 &amp; Dr.
Elizabeth P. Barlog '82
Amherst, NY
Dr. Jared C. Barlow Sr. '66 &amp;
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 &amp;
Mrs. Andrea Berkson
Rancho Palos Verdes, CA

Mr. Jeremy M. Jacobs, Sr.
East Aurora, NY
Mrs. Pamela R. Jacobs
Buffalo, NY
Mr. &amp; 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 &amp;
Mrs. Joan Bernardino
Buffalo, NY
Dr. Robert Bernot '60 &amp; Mrs.
Carol Bernot
North Hills, NY

Dr. Theodore S. Bistany '60

&amp; Mrs. Undine Bistany
Buffalo, NY
Dr. Lawrence Bone '73
Orchard Park, NY
Mr. &amp; Mrs. William Bourke
Orchard Park, NY
Dr. Suzanne F. Bradley '81
Whitmore Lake, Ml

Dr. Timothy Bukowski '87 &amp;
Dr. Naomi J. Kagetsu '86
Chapel Hill, NC
Dr. Vern l. Bullough
Westlake Village CA
Dr. James P. Burdick '75 &amp;
Mrs. Sharon A. Burdick
East Amherst, NY
Dr. William M. Burleigh '67
Rancho Mirage, CA
Mrs. John W. Buyers
Williamsville, NY
Dr. Evan Calkins &amp; Dr.
Virginia Calkins
Hamburg, NY
Dr. David T. Carboy '63 &amp;
Mrs. Jacqueline G. Carboy
Lincroft, Nj
Dr. Nicholas C. Carosella '54
&amp; Mrs. Mary Carosella
Appleton, NY
Dr. Yung C. Chan '73
Draper, VA
Dr. Norman Chassin '45 &amp;
Mrs. Charlotte S. Chassin
Williamsville, NY
Dr. Charles Kwok-Chi Chow &amp;
Mrs. Patricia Chow
Hong Kong
Dr. Eugene Cisek &amp; Mrs.
Ruth Cisek
Buffalo, NY
Dr. Geoffrey E. Clark '68
Portsmouth , NH
Dr. Terence M. Clark '71
Clemson, SC
Mr. Michael J. Collins '90 &amp;
Dr. Kathleen A. O'Leary '88
Buffalo, NY
Dr. Mark Comaratta '85
East Amherst, NY

�Mr. Anthony Conde &amp; Mrs.
Janette Conde

Dr. Susan Fischbeck '82 &amp;
Dr. Patrick T. Hurley '82

Orchard Park, NY

East Concord, NY

Dr. Brian F. Connolly

Dr. Thomas D. Flanagan '65

East Amherst, NY

&amp; 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 &amp;
Mrs. Elaine Curtin

Orchard Park, NY
Dr. &amp; Mrs. Raymond
Dannenhoffer

Amherst, NY
Dr. David R. Dantzker '67 &amp;
Mrs. Shenye Dantzker

New York, NY
Dr. RogerS. Dayer '60 &amp; 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 &amp; Mrs.
Haya Farhi

Eggertsville, NY
*Dr. Thomas Hugh Feeley '96
&amp; Dr. Danielle Susan
Notebaert '95

Elma, NY

Dr. William A. Fleming '64 &amp;
Dr. Beth D. Fleming '67

Buffalo, NY

Dr. Herbert E. Joyce '45 &amp;
Mrs. Ruth Marie Joyce

East Aurora, NY

Lockport, NY

Dr. Frank A. Luzi '88 &amp; Dr.
Lori Luzi '88

Dr. Wendy A. Kaiser '85 &amp;
Dr. Roger E. Kaiser Jr. ' 79

Clarence, NY

Dr. Robert J. Patterson '50 &amp;
Mrs. Patricia M. Patterson

Snyder, NY
Dr. John H. Peterson '55

Clarence, NY

East Aurora, NY
Dr. James F. Phillips ' 47 &amp;
Mrs. Marcella Phillips

*Dr. Martin C. Mahoney '95

Buffalo, NY

Clarence, NY

Dr. Matthew Phillips '91

Dr. James R. Kanski '60 &amp;
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 &amp;
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 &amp;
Mrs. Barbara Klocke

Dr. Lawrence H. Golden '46

Williamsville, NY

&amp; 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 &amp;
Dr. Kaaren Metcalf ' 78

Dr. Kenneth John Raczka ' 72

&amp; Mrs. Rita Raczka
Amherst, NY

Williamsville, NY

Dr. &amp; Mrs. Richard A. Rahner
'58

Dr. William Mihalko

Erie, PA

Clarence Center, NY
Dr. Merrill L. Miller ' 71

Dr. Bert W. Rappole '66 &amp;
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 &amp; Mrs.
Margaret H. Mindell

Dr. Bernhard J. Rohrbacher
'83

Buffalo, NY

Williamsville, NY

Ann Arbor, MI

Getzville, NY

Dr. Eugene R. Mindell &amp; Mrs.
June A. Minden

Ms. Alice May Greer

Dr. Jacob S. Kriteman '67

Niagara Falls, NY

Danvers, MA

Dr. Robert T. Guelcher '60 &amp;
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 &amp; Mrs.
Cheryl Rosso

Dr. Andre D. Lascari '60 &amp;
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. &amp; Mrs.
Elenora M. Heffner

Dr. Dolores C. Leonard '87 &amp;
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 &amp; 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 &amp; Mrs.
Joelle Logue

Robert M. Jaeger, M.D. ' 47

Sylva11ia, OH
Dr. Masao Nakandakari '55

Dr. John Naughton

Mr. Paul F. Hohenschuh &amp;
Dr. Marjorie E. Winkler

Williamsville, NY

Orchard Park, NY
Dr. Edwin A. Salsitz ' 72

Dr. Marshall A. Lichtman '60
&amp; 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

&amp; Mrs. Georgia Rosenthal
Orchard Park, NY

Dr. Maynard H. Mires Jr. '46

Dr. Christopher Hamill '89

Dr. Fredric M. Hirsh ' 73 &amp;
Mrs. Donna A. Hirsh

Dr. Helen Marie Findlay '78
&amp; 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 &amp;
Mrs. Dorris M. Parker

Dr. Fred S. Schwarz ' 46

Latrobe, PA

Buffalo, NY

Dr. Margaret W. Paroski '80

Dr. Molly R. Seidenberg '53

&amp; 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
&amp; 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. &amp; Mrs. Robert G. Smith '49

Dr. Martin Terplan ' 55

Savannah, GA

San Francisco CA

Dr. Robert Smolinski '83 &amp;
Dr. Claudia Foskett '85

Dr. George Thorngate, IV '45

Orchard Park, NY

Dr. James C. Tibbetts '64 &amp;
Mrs. Elspeth Tibbetts '64

Pebble Beach, CA

E

W

S

Dr. James E. Wild '83 &amp; 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 &amp;
Mrs. Elizabeth Truax

*Ms. Sanda Yu '95

Orchard Park, NY
Dr. Melvin J. Steinhart '62 &amp;
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 &amp;
Mrs. Piera Zeplowitz

Los Altos, CA
Dr. Richard D. Wasson '58 &amp;
Mrs. Janet Wasson

Holiday, FL
Dr. Arnold Wax '76

Mercer lslarJd, WA

Henderson, NV

Dr. William C. Sternfeld ' 71

Dr. Paul H. Wierzbieniec '74
&amp; 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 &amp;
Mrs. Susan D. Ziegler

..........., ...........

...........,..........
Socletr ...... ..., .....

Williamsville, NY

Dr. &amp; 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 &amp;
Mrs. Eleanor Kurian

Sturgeon Bay, WI

Tucson, AZ

Dr. Robert Bernot '60 &amp; 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. &amp; Mrs. Richard A.
Rahner

Mrs. June M. Alker

Dr. Thomas F. Frawley

Dr. &amp; 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. &amp; 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 &amp; 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 &amp;
Mrs. Dione E. Maloney
Dr. Karl L Manders
Dr. &amp; Mrs. Ralph M. Obler

Dr. Pierce Weinstein
Dr. John R. Wright &amp; 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 &amp; 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 &amp; 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&amp;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&amp;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. Favorite medical

I

CONT I NUED O N P AGE 4 6

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• Equipment and supplies
• Tropical fish , gold fish &amp; Koi
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frogs, bottom feeders,
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• Imported livestock and
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• Wide selection of aquarium
accessories and decorative
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• Food, antibiotics and water
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• Aquatic plants (live &amp; artificial)
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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 &amp; 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.
&lt;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

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"The Ear is the Road
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(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

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                    <text>y

I

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SchoI ofMedi
cineandBiomedical
Sciences
, University
at uflalo

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Physician

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Dear Alun1ni nd Friend

or

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P E RI OD I

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the past few years, we have seen many
noted,"
i

hanges at the mcdi al chool. A _aul AJinsky

A Rr DIR ECT OR &amp; 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 &lt;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

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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: /&lt;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

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PIT A!.

C,.,.,,.,

\ ,.t.'terans Affuin

l\"r .(trrr~ . ·di'1l

Ne" ' rork H,•altl1wr&lt; &gt;·
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H EALTII:

The Buffalo G,·11eml Hospira
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of Bufjalo
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.\fil/ar,/ F,llmorr (,&lt;11,· , Ho,p•ta . 1
11111Ho&gt;/'''"
.\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&lt; '

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

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111nm IIIYIISltlII 11!Ill

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/\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 &lt;)' flra/1/1 \ys1t111
S,slers of U111ril)lfo .,p11t1I

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( ommu011..3tHHh.
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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&lt;,;,

,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&gt; 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 &gt;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&gt;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 &lt;.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 &lt;.'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 &lt; 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&lt;. and upcni d
the mm l' from th&lt;.'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&gt;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&lt; .enter
for Ho,pi1..e and P.1lliatl\e &lt;.m in
Buffalo, \,a hon rl.:'d by th LB
\lumni \ od.ition, \\ h1 h I re ented
him "ith it &lt; ,mmunit} I .idcr hip
\\,,ud at it ,rnnual clebrati lll of
I ullenl..C.'l&gt;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 &lt;,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
&lt;.:r.iu? of
th K.ilrida lkalth
tem. In 1993
h&lt;.: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&lt;.: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
&lt; lini.:al
Te,1 ·her Award from the lJB l&gt;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&lt;"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&lt;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&lt;.: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&lt;.:re,1son he wa &lt;..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&gt;•·"
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.

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Personaldigital assistantsenter medicalschool

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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

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end whichmodelthe Incoming

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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

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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

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\umm,

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"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&gt;

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/.

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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&gt;

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According
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matchservesasasnapshot
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U.S. seniorsfilled42percentofthefamily
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down
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year.U.S.seniorsfilled55.2percentoftheinternalmedicine
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in2003
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filled82.7percentofPGY·1
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positions.
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PGY
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filledatarateof97.8percent.
compared
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P111IAIHLPHIA,

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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

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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&lt;.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&lt;..,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&lt;..c, nd rdine thl'ir kills to provide
,afr and '-ompa. sionatl' patient c,irl'. Our n:,id&lt;nls .md facultv
wekoml' thi, ..hallenge."
Prcp,ir,1tion for thl' rl'view b&lt;'g,111in _ooo.culminatin • in :i
IL·ngth}' do&lt;..ument submitted to the,\( G:-.11'in August 2002. A
site re\ ie1H'r \ i,itl'd Bull,110 in Sq&gt;tl'mher 2002 ,md met \\ ith
m&lt;'mhcrs of the Consortium Rl' itknh ' ( ommiltl't'. tht· dl'an of

th&lt;' 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&lt;' LIB
s..·hool of I kdi ..ine and Biomedical, ciences Jo&lt;'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&amp;

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

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A

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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&lt;

! 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 &lt;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 . &lt;L&gt;

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 &lt;..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&lt;.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&gt;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&amp;
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

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CD

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• Importedlivestockand
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• Wide selectionof aquarium
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• Food, antibioticsand water
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• Aquatic plants (live &amp; artificial)
• Lighting accessones

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~ Beta Vase Plant Aquariums
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~ Set-Up and MaintenanceProgramsAva1labl
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OPEN:
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Sat 10al1Hipm;
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1 111111

Plrsicl11

\

11 m '"

,· r

2 0 0 J

~

D Tropical

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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 '&gt;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 !&gt;l'emed

philanthropic

Tut

school. Tho.

and L&gt;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

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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

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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&lt;'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&gt;

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//&lt;'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)
&lt;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&gt;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&lt;.' 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@&gt;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&lt;: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&lt;;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

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regarding your destination it)­
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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&gt;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&lt;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&gt; ·
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&gt;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&lt;U
agesummer
•empcratll'
Womed

:WNfl

Physicians

Here's whatwe'vegot!
TheBills.TheSabres
,
TheTorontoBlueJays
GoingoverNiagaraFalls
in a barrel

prefrtcrmplet

Suicidewingsat the
AnchorBar

llthealthcertffi

• familyupdates
• interestln&amp;'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&lt;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.
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hair adorned ,\;th the L'B

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�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

�-

-

--

---

---

~-~

~

-

~

-

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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,
'&gt; 1 "

LW Sl HOO! \

t

\R START'&gt;, 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

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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

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lu llal1 Ph ysiciu

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�•

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

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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

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1 2

�-

I

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-------- ---

---

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.

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�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 &amp;

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

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�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-

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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&gt;-'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."
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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

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�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

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MPH Degree Offered at UB
s

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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
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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

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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.
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�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.

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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

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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-

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�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

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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

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�wo of the most important diagnostic tools that physicians have are their

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hands, which allow them to detect subtle signs of disease or injury just
by touching a patient. Exercising that expertise has always required the

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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

�--

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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

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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

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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

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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&lt;.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'

: &gt;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

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BELIEVE THAT ;\lY CLASS;\IATES A, 'D

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I

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--

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~

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

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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
&lt;Ii)

luffale Physiciaa

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2 0 0 I

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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&gt;

111 Unil•crsity at Buffalo's
Hi • I&lt; 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.

�- --------------------

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DEVELOPMENT

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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&lt;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

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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 &amp; BESSIE G. ALPERT SCHOOL OF MEDICINE ScHOLARSHIP

MARVIN A. &amp; 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. &amp; 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 &amp; 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 &amp; 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 &amp; 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 . &amp; 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

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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

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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

�-- ·-

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--

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

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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

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--~-

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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

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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 &amp; 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

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--

-

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~---

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---

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

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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

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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

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24,2001.

ist Church, 230 Washington

Originally

Road, Barrington,

from Buffalo,

02806.

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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.

�</text>
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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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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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.&#13;
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&#13;
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&#13;
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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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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.&#13;
&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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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.&#13;
&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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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.&#13;
&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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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.&#13;
&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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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.&#13;
&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
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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.&#13;
&#13;
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.&#13;
&#13;
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&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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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.&#13;
&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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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.&#13;
&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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Complete details about the annual collections can be found in their respective finding aids.&#13;
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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.&#13;
&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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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.&#13;
&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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&#13;
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&#13;
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&#13;
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.&#13;
&#13;
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&#13;
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&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
Complete details about the annual collections can be found in their respective finding aids.&#13;
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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.&#13;
&#13;
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.&#13;
&#13;
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 .&#13;
&#13;
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.&#13;
&#13;
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