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May 2017 Archives

30
2017

Aspiring vascular surgeons bring research to national stage

Class of 2020's Meg Reeves at national VSIG conference

M2 Meg Reeves presents her research poster at the Society for Vascular Surgery’s annual meeting. She was one of eight students from the medical school whose work was presented at the national conference.

In less than two years since its founding, the Vascular Surgery Interest Group at VCU is already making its mark on the national scene. Eight students had their original research presented at the Society for Vascular Surgery’s annual meeting, held May 30-June 3 in San Diego.

“We had the most medical student presenters of any institution,” says VSIG faculty adviser Michael Amendola, M’02, H’07, F’09, associate professor of surgery, VCU School of Medicine.

The Class of 2020’s Meg Reeves was among the student presenters. President of VSIG at VCU and a Rebecca Clary Harris M.D. Endowment Fund scholarship recipient, she presented at the moderated poster session.

“As a medical student who just recently completed my first year of school, this was my first conference (let alone national conference), first time presenting my research, first time to California — a whole lot of firsts,” she wrote in a blog for VSIG’s website. “But it was also an incredible learning experience.”

Amendola worked one-on-one with each student who had his or her poster presented at the national meeting. He also coordinated with Jeanine D. Guidry, who recently earned her Ph.D. from the medical school’s Department of Health Behavior and Policy and with whom he has ongoing research projects. As part of their collaboration, each student created recordings explaining his or her research project.

The students then included a code on their posters that meeting attendees could scan with their phones and listen to the audio recording, allowing them to hear about the research in the student’s own words (even if the student wasn’t present). VCU was the only school at the meeting to incorporate such an interactive technology.

Exposing students to vascular surgery and research opportunities early in their medical school careers is critical, Amendola says, as more integrated residencies require students to decide on a surgical specialty when they enter the residency match process in their fourth year of medical school.

“I want them to make the right career choice,” Amendola says. “It’s important that clinical faculty get involved very early on. It’s essential to the students’ development as scientists and physicians so they can make informed decisions related to their career choice.”

That’s where VSIG at VCU comes in, helping to connect students with vascular surgeons who can serve as mentors and answer questions about the field. Other chapter priorities include educational seminars, research and community outreach. The chapter’s success led to an invitation for Amendola to speak at this year’s annual meeting encouraging other medical students from around the country to start their own VSIG organizations.

“We are fortunate in the School of Medicine to have dedicated faculty who understand the value of sharing their wisdom and experience with the next generation of physicians,” says Peter F. Buckley, M.D., Dean of Medicine.

Amendola credits the organization’s grassroots beginnings — it was the brainchild of Grayson Pitcher, M’16, during his fourth year — for its popularity.

“It’s grown out of student interest,” he says. “All I’ve done is fanned the flame. These are students who do great work. It’s fun to mentor them.”

More information about VSIG at VCU is available on the organization’s website, where students post podcasts, blogs, research and other news for aspiring vascular surgeons on the MCV Campus and across the nation.

By Polly Roberts

19
2017

Through Your Eyes: A poem by Megan Shandelson Lemay, M’11

 

In the third grade, MEGAN SHANDELSON LEMAY, M’11, won her first writing contest, and she’s been hooked ever since. “Whenever I reflect about my experience with a patient, I always think of it as a story. I write a story in my head on the drive home from work and write it down later. It has helped me connect with patients to think of what their story has been, how it may conclude and what role I can play in their story.” Thoughshe usually writes prose, this poem is the result of a writing workshop at the end of her residency that prompted her with the word ‘redemption.’ She encourages her fellow alumni: “I have no formal training in writing. You don’t need to write well to reflect in pen and paper!”

Needle to Neck

I very nearly killed someone
the first time I put needle to neck.
The senior resident in my ear,
“We have to be quick. Go on, deeper.
Poke around. Get the flash.”
Twenty minutes later, the chest x-ray.
The pneumothorax.
The surgeon running in.
Swinging neck tie,
plunging tube into chest.
Intubation.
My mouth agape in the corner.
Five days later,
she’s awake.
I cry at her bedside, apologizing.
She asks me where her front tooth is.

This story first appeared in the spring 2017 issue of the medical school’s alumni magazine, 12th & Marshall. You can flip through the whole issue online.

I vow never to put needle to neck again.
Now they call me,
sometimes at 2 am.
“She can get the line. She’s really good.”
I tell all the interns
what I had to teach myself.
Needles can kill.
Measure twice.
Second guess.
Caution.
Always.

A difficult line.
Fourth attempt.
I place it now quickly, safely.
The nurse claps.
Daughter thanks.
The patient and I both cry.
All teeth are intact.

19
2017

Piece of the Past

With its powerful-looking hand crank and shiny copper wiring, Davis and Kidder’s Magneto-Electric Machine gave the impression it could cure any malady and relieve every ache and pain.

This story first appeared in the spring 2017 issue of the medical school’s alumni magazine, 12th & Marshall. You can flip through the whole issue online.Davis and Kidder’s Magneto-Electric Machine

But looks can be deceiving.

“This was 100 percent quackery,” says Andrew Bain, who manages the medical artifact collection of Tompkins-McCaw Library’s Special Collection and Archives. “We know this device had no clinical value.”

While it was not used or touted by physicians, the machine was incredibly popular around the home. People in cities and rural areas alike believed in its promise to relieve pain and cure mental and nervous conditions.

W.H. Burnap of New York City manufactured the machine from the 1850s through the 1880s, and the device did not change much over time. Simply turn a hand crank to spin a cogwheel and generate an electric current. How much current depends on how fast one turns the crank.

The electricity was then delivered to the patient through two metallic cords or wires. Patients usually held the cords, but they could be attached to any part of the body.

“It sounds bizarre,” Bain says. “At the time, harnessing electricity was a novel idea, so it was easy to convince people that it worked.” While the machine never lived up to its promises, it remains an important part of medical history. The item was donated to the Tompkins-McCaw Library in 1987 by the late Lucy Harvie, who served on the faculty of  the School of Pharmacy for more than 40 years. It is one of about 6,500 pieces in the school’s Medical Artifacts Collection. Of those, Bain said, more than 300 are home remedy products that are more aligned with pop medicine than real therapy.

“It’s important to understand our past,” he says. “It’s important to remember that science and popular understanding of that science don’t always move in sync with each other. It’s safe to say that some people then were desperate for a cure, especially for conditions  medicine didn’t yet have answers for.”

The device, featured in home goods catalogs, claimed to not only relieve everyday pain but cure deafness, heart disease, cancer, diabetes and spinal deformities. It also promised to treat mental conditions such as madness, hysteria, insanity and dumbness. Today, those symptoms might be diagnosed as autism, Down syndrome, schizophrenia or depression.

“Back then, this felt like a magic trick,” Bain says. “When people touched the device, they could feel something, so they theorized it must be working. Today, we all understand the limits of electricity, but then, it offered hope.”

By Janet Showalter

19
2017

Face Time: Alumnus returns to campus to discuss pioneering surgery

In 2005, surgeons in France completed the world’s first partial face transplant on a woman who lost her lips, cheeks, chin and most of her nose after she was mauled by her dog.

A dozen years and many lessons later, face transplantation has moved from possibility to reality, with surgeons refining techniques and transforming the lives of patients once considered beyond hope. Leading the way is Eduardo D. Rodriguez, M’99, considered one of the world’s pioneering surgeons in the field.

This story first appeared in the spring 2017 issue of the medical school’s alumni magazine, 12th & Marshall. You can flip through the whole issue online.Eduardo Rodriguez, M'99

EDUARDO D. RODRIGUEZ, M’99, returned to the MCV Campus last summer as the speaker for the 2016 S. Dawson Theogaraj Lecture. At the annual event, he described his team’s work to complete the most extensive face transplant ever. Rodriguez is the Helen L. Kimmel Professor of Reconstructive Plastic Surgery and chair of the Hansjörg Wyss Department of Plastic Surgery at New York University’s School of Medicine. The surgery, which took place at the NYU Langone Medical Center in August 2015, received extensive media coverage and cemented Rodriguez’s reputation in the field.

Patrick Hardison, a 41-year old firefighter from Mississippi who had received horrific facial injuries, received the face of David Rodebaugh who had died in a cycling accident. The operation included a number of milestone procedures including transplanting the donor’s eyelids and muscles that control blinking – which had not been previously performed on a seeing patient. In addition, the ears and ear canals were transplanted along with bony structures, including portions of the chin, cheeks and the entire nose.

Rodriguez credits his time in VCU’s School of Medicine for a solid foundation in medicine. Rodriguez earned a D.D.S. degree from New York University in 1992, then completed his residency in oral and maxillofacial surgery at Montefiore Medical Center/Albert Einstein College of Medicine.

“There are oral surgery programs that have affiliations with a medical degree, and I had colleagues who recommended that this was something I should do. I applied to all the medical schools in the country that had a relationship with an oral surgery program.” He ended up at VCU, condensing his medical degree into two years. After that, he trained in the plastic surgery program at Johns Hopkins Hospital/University of Maryland Medical Center and completed a fellowship in Taiwan.

“I thought VCU was the best education I ever received,” he said in a telephone interview from New York. “Those were the most enriching educational years of my life. I became a very good student. Living in Richmond, a smaller town, allowed me to focus on education and gave me a very strong foundation to be successful.”

Patrick's ProgressionRodriguez first became interested in the possibility of face transplants after hearing a lecture at Johns Hopkins about face transplants in rats. “My mentor at Johns Hopkins, the chief of plastic surgery, told me this is what I should be doing. I had no idea what that really meant, but I was fascinated by it.”

Before joining NYU Langone in 2013, Rodriguez was on faculty at R Adams Cowley Shock Trauma Center at the University of Maryland Medical Center in Baltimore. There he led a 2012 landmark surgery, the most extensive facial transplant at the time, of a Virginia man who had suffered a gunshot wound.

ENDOWED LECTURESHIPS SPARK NEW IDEAS AND APPROACHES

At the time of the death of S. Dawson Theogaraj, M.D., in 1984, a fund was established with gifts from a variety of sources to honor the life and work of the plastic surgeon who was known for his academic brilliance and dedication to teaching. The fund supports an annual lectureship program as well as an award to the plastic surgery resident who achieves the highest score on the plastic surgery in-service exams.

The lectureship is one of about two dozen in the medical school supported by endowed funds at the MCV Foundation. The funds carry the names of some of the school’s best-known faculty, alumni and friends including: renowned orthopaedic surgeon Richard Caspari, M.D., who advanced arthroscopic surgery and treated Mary Lou Retton six weeks before her gold-medal-winning Olympic performance; Clarence Holland, M’62, who served his community as a family physician for 42 years and as a Virginia state senator for more than a decade; and the pioneering medicinal chemist and faculty member Everette May, Ph.D., who synthesized an anti-malaria drug as well as a drug still used as an alternative to methadone treatment for opioid addiction.

The medical school’s lectureship endowments, totaling more than $2.7 million, enrich the MCV Campus’ learning environment for students, residents and faculty by bringing important topics and innovative thinkers to campus. In addition to Eduardo Rodriguez, M’99, serving as the Theogaraj Lecturer, recent years have seen highly regarded speakers from all over the country visit Richmond to share advances, technologies and perspectives that shape future approaches to patient care, scientific discovery and medical training.

Rodriguez notes that such transplants include health and mental risks that must be weighed against the benefits. Recipients deal with the psychological battles of living with someone else’s face, as well as lifelong reliance and side-effects of immunosuppressant medicines. As with other transplants, the body can reject a new face.

In such a developing field, he notes, there’s not yet a blueprint for success.

“Physicians and patients are on this journey together,” he says. “Once you’re successful and you see the patient doing well and you reflect on what we’ve achieved, and reflect on change in this individual’s life, you can’t help but be amazed by the complexity of the process.”

The Department of Defense and several research institutions, including NYU, have dedicated funding and resources to refining the procedure.

Rodriguez knows that the next decade will include improvements in transplantation and perhaps even some breakthroughs that seemed unimaginable in recent years.

“First, we have to keep working on trying to reduce the toxic effects of the anti-rejection medicines,” he says. He believes biomedical engineers will one day be able to create tissues specifically for patients needing transplants.

“It’s not just how many more transplants I can do. It’s how can we continue to improve the quality of face reconstruction and bring in different elements of science to provide these types of procedures safely, as well as improving the quality of these patients’ lives and shaping a better future for these individuals.”

By Lisa Crutchfield

19
2017

Vietnam, Revisited

For the New PBS Film Series THE VIETNAM WAR, a Doctor Tells His Story

On Nov. 30, 1967, HAL KUSHNER woke up to find himself hanging upside down by his seatbelt in a burning helicopter. The 27-year-old Army flight surgeon from the Class of 1966, not yet four months into his first tour of duty in Vietnam, had crashed into the south Vietnamese jungle. One crew member was dead. Another, badly injured, would soon die as well. A third, who went in hopes of finding friendly aid, would be shot and killed. When no help came, Kushner, alone and injured, the sole survivor, struck out into the jungle on foot. He had burns from the fire, a broken wrist and collarbone, lost and broken teeth, and wounds in his shoulder and neck from live rounds set off by the fire.

The Vietnam War, a 10-part, 18-hour documentary, will air in September on PBS stations nationwide.
For her part, Novick says that working on the film “has been the most challenging and the most rewarding experience I have ever had.” She expresses deep gratitude for the people, like Kushner, who shared their stories in the making of the film. “To get to know people who have had these remarkable experiences and to trust us enough to personally tell their story – it changes the way you understand the world and what it is to be a human being.”

Within hours he would be captured by the Viet Cong, shot and wounded again in the shoulder when he couldn’t raise his injured arm to signal surrender. It was Dec. 2, 1967, and Kushner was a prisoner of war, the ordeal to come foretold in the words of an English-speaking enemy officer he would soon encounter, who promised him, “You will find that dying is very easy. Living – living is the difficult thing.”

For more than three years he was held under horrific conditions, starving and ill in jungle camps in South Vietnam, a doctor helpless to save the men around him who died of hunger and dysentery and malaria and abuse, for want of food, or basic medicine, or hope. “Each day was a struggle for survival,” he told fellow veterans at a reunion many years later. “We often wanted to die.”

Somehow, Kushner survived. Eventually he was marched more than 500 miles to North Vietnam. He arrived in Hanoi weighing 88 pounds, and finally ended up in the notorious Hanoi Hilton, before at last, in March of 1973, he would be released to come home, 1,931 days after his capture.

This story first appeared in the spring 2017 issue of the medical school’s alumni magazine, 12th & Marshall. You can flip through the whole issue online.Hal Kushner, M'66

For many who served in Vietnam, leaving the place, the war and the suffering behind them proved impossible. Kushner, however, returned to his wife and two young children (his youngest born not long after Kushner’s capture), ready to move forward with his life and his career – a long and successful practice as an ophthalmologist in Daytona Beach, Florida. “My philosophy has always been to look forward, not backward, to consider the future rather than the past,” he told his fellow veterans at the reunion. The war did not haunt him.

But it has continued to haunt this country. The America Kushner came home to was not the one he’d left. It was a nation in tumult, fractured along countless fault lines by a war that even today, more than 40 years after its end, remains an unhealed wound and an unresolved trauma.

“It is one of the most painful, tragic, divisive, polarizing and misunderstood conflicts in U.S. history,” says documentary filmmaker Lynn Novick. “It reverberates in our lives, our politics and our culture to this day.”

It is because Vietnam is “unfinished business in American history,” says Novick, that she and fellow director Ken Burns began 10 years ago to conceive of the project that would become The Vietnam War, an exhaustive, 10-part, 18-hour film that will begin airing this September on PBS stations nationwide, and which, Novick says, is “the most ambitious and challenging project we have ever undertaken.”

The war, says Novick, is “deeply unsettled history,” and Novick and Burns “wanted to go back and take advantage of new scholarship, new perspectives from people who lived through it,” she says. “We wanted to represent many points of view.”

And so, over the course of six years of production on the film, more than 100 people were interviewed on camera, according to Novick – Americans and Vietnamese, veterans and anti-war protesters, survivors of those who died in the war, civilians whose lives were upended by it. And among them was retired Army colonel and former prisoner of war Dr. Hal Kushner. He might not necessarily have seemed the obvious choice at first; he had rarely spoken publicly about his experiences. Kushner says that it’s not that he has trouble talking about any of it, but that he has found that living by a philosophy of not looking backwards in anger or bitterness or regret was the positive path for his life. “It’s not who I am. I don’t define myself by that experience.”

However, he was friends with the veteran war correspondent Joe Galloway (co-author of the book We Were Soldiers Once…and Young), who was a consultant for the film. In the winter of 2011, Galloway recommended Kushner to Novick and Burns – who of course were seeking to include the POW perspective.

Hal Kushner, M'66, and Lynn Novick

Novick and Kushner spoke first on the phone. “Within five or ten minutes,” Novick says, “I certainly felt that having him in the film would be enormously important.” She flew down to meet him in Daytona Beach, and after their conversation there, he agreed to take part.

“I think she probably auditioned me covertly without me knowing it,” he says, amused, but he liked her very much. For Novick’s part, she says that the occasion was a “mutual get-to-know-each-other.” She and Burns were looking for people who had “something to say,” a story that was compelling, an ability to connect with viewers, and Novick saw that in Kushner and his story.

“I asked him to share his story not just with us but with millions of people who were going to see the film,” Novick says. “Because he is not someone who gives speeches or is well known as a former POW, we felt extraordinarily fortunate that he was willing to tell the story in our film, and at much greater length and more depth.”

The actual filming took place in Kushner’s home in Maine in July 2011. He was intrigued by his behind-the-scenes look at the process, as a full production crew descended on his house. “They came in and took photos of everything, then they moved everything around, the tables and chairs and furniture, and they put screens on the windows to filter the light.” After a long day of filming – Kushner seated in a chair with the camera on him as Novick sat opposite him – and only a brief break for lunch (peanut butter sandwiches, Kushner recalls), the crew consulted the photos they’d taken in the morning “to put everything back the way it was.”

Kushner sums up the day concisely as a “far-reaching interview.”

Novick, however, says that for her and the crew it was far more. The word she chooses is “profound.” “The day that we spent with him doing that interview was one of the most remarkable days on this project and one of the most remarkable days in my 25 years of doing documentaries,” she says. “It was such an incredible privilege to be in the room; I will never forget it as long as I live.”

Without going into the details that she wants viewers to experience watching the film, Novick describes Kushner’s story as riveting – not only for what happened, but also for how he chooses to tell it. “He describes things with a methodical scientific observation of the world, and he also brings poetry and humanity and a sense of humor,” she says.

In November of 2015, Novick and Burns invited Kushner, along with a number of others involved in the film, to New York City for a long weekend of viewing the documentary – at that point in its final stages of editing – in its entirety. Hundreds of hours of footage and interviews had been shot, in Vietnam as well as in the U.S. The production team had assembled a database of more than 20,000 still images gleaned from around the world. “There was a lot of stuff in this film that you will find nowhere else,” Kushner says.

The schedule was very rigorous over that weekend, Kushner says, long days of watching segments of the film and then engaging in discussion with everyone assembled in the room – which included former anti-war peace activists, retired military leaders, family members of someone who had died in the war and others, with often diverging perspectives. The conversations, though respectful, at times grew heated, Kushner acknowledges.

To Novick and Burns, that was a good sign – an indication of the kinds of “courageous conversations” that they hope the film will provoke among viewers. In a film that sought to be comprehensive and fair in representing “a very complicated story from many angles,” says Novick, the expectation is that there will be moments of discomfort for everyone watching it. “There are very intense feelings about the war and what it means,” she says.

Kushner agrees. “The Vietnam wound is still open,” he says. “I would hope that the film would provoke a national conversation about Vietnam and really bring some closure to the whole history.”

By Caroline Kettlewell

19
2017

Servant leadership promotes academic excellence

Dr. Peter Buckley’s Philosophy has Brought Him to the Medical School as Its New Dean

Peter F. Buckley, M.D., has arrived on the MCV Campus as the 24th dean of the VCU School of Medicine and executive vice president of medical affairs for VCU Health. A psychiatrist and expert in the neurobiology and treatment of schizophrenia, Buckley is a national leader in academic medicine and recognized internationally for his research. Most recently, he served for more than six years as dean of the Medical College of Georgia at Augusta University, where he had been recruited in 2000 to lead the psychiatry department. During his tenure as dean, the medical school expanded to become the ninth largest by class size, grew to encompass five regional campuses, built a new medical education home and acquired new endowed chairs and scholarships, including a $66 million gift to the medical school.

This story first appeared in the spring 2017 issue of the medical school’s alumni magazine, 12th & Marshall. You can flip through the whole issue online.

His previous academic appointments include serving on the faculty at Case Western Reserve University, where he rose through the ranks to become professor and vice chair of the psychiatry department. While in Ohio, he also served as medical director for Northcoast Behavioral Healthcare and its three state inpatient psychiatric facilities, leading it to become the best-rated psychiatric hospital in the state.

With 500 original articles, book chapters and abstracts to his credit, Buckley is senior author of a postgraduate textbook of psychiatry and also has authored or edited 16 books on schizophrenia and related topics. He serves as editor, associate editor or as a member of the editorial boards of more than a dozen psychiatric journals.

DEAN PETER F. BUCKLEY, M.D. SAYS …
The MCV Campus and VCU are gems in the commonwealth of Virginia, so I’m very pleased to join you here. Of course I’ve known about the School of Medicine and its reputation for many years. And specifically, a few years back, I had the opportunity to learn about it in much more depth, and I was very impressed by the talented faculty here.

Moreover, when I was dean at the Medical College of Georgia, I was involved in planning for a new curriculum and new facility, and so our team naturally visited Richmond to take a look at the remarkable McGlothlin Medical Education Center. They returned to Augusta and reported that it more than lived up to its reputation as a pioneering learning environment, and we built our facility and curriculum based on what we learned.

I’m Irish by birth, and traveled to the U.S. with my wife, Leonie, in the early 1990s. We’re very proud to be American citizens. As part of that, we feel a great onus to give back, and, in this instance, to work as dean of this great medical school to help improve the health of the citizens of the commonwealth and beyond.

Q: You’d been at Augusta University’s Medical College of Georgia since 2000 and had served as dean there for the past six years . What led to your move?
We enjoyed our time in Augusta and were well involved in the community. But life’s a journey, and it was time for us to take the next stage of our journey together. We were really drawn to Richmond and to this community. We’re energized by the medical school’s great collaborative spirit as well as by the science, both the basic science and the clinical translation science.

The impact of any academic medical center should be best felt in its own community. There’s not a better medical school or a university than this one to display how a university can positively impact the health care of the people in the region and the overall population’s wellbeing.

These attributes as well as the vibrancy of Richmond and warm welcome of the community drew us to enthusiastically make our new home here.

Q: What is your vision for the School of Medicine?
This school is extremely well poised, in terms of both its research profile as well as the foundation of funding, to increase its rankings in federal funding. I will be working with my colleagues to try to broaden the research portfolio and broaden the focus on community-based research that’s meaningful, that’s impactful, within the local region.

Presently, I am meeting people from our institution and community as I gain an understanding of the institution, its culture and our environment. It’s really a labor of love at this stage, and enjoying the support and help of others as I focus in on the strategic growth and development opportunities here into the future.

Q: Your own specialty is psychiatry. What shape has that taken over your career?  

I have specifically focused on schizophrenia because I consider the condition itself very disabling, as well as very intriguing from a neuroscience point of view. I’ve had the privilege and opportunity to work with some great colleagues over the years as we looked to try to understand its basic science. Can we predict how people relapse and what factors affect it? We’ve been fortunate to do work on how medications can forestall relapse and try to predict which medicines work better as well as understanding their
side effects.

More recently we have been studying the neurobiology of schizophrenia. Presently, we make an artificial distinction based upon symptoms as to whether someone might have a mood problem or schizophrenia. Some of our more recent collaborative work has suggested that there may be an underlying substrate that delineates these conditions in a different manner. We are working on federally funded collaborative research with major centers across the country to tease out the neurobiological “signature” of psychosis.

Peter Buckley, MD, and family>Q: What do you want the alumni body to know about you?
Several things. Firstly, Leonie and I are very pleased to be here and we have great respect and appreciation for the traditions of medicine. The impact of this university, and specifically the medical school on the community stretches back to 1838. It’s an amazing history and it also influences us daily and into our future. I see an excellence today in both research as well as in clinical care that makes me excited about the school’s remarkable momentum.

Of course, there are challenges now that weren’t here in 1838. Obviously, the finances of running a medical school that’s interconnected with a health system is a very complex situation of its own. It’s further complicated as we move to more value-based care.

But an opportunity comes with that, too. One of the things this university and this medical school have done fantastically is to train doctors and health care providers as a group. The MCV Campus’ enviable collection of schools provides an environment to train health care teams in a collaborative group. That’s essential today, and our impressive new curriculum earned flying colors from last year’s accreditation visit. Quality is not a singular doctor, or a nurse or an allied health provider. It’s a team event. In medicine, we are moving ever increasingly towards more team-based learning and team-based practice of care. To that end, we were also recognized this year as recipient of the Baldwin Award from ACGME, acknowledging our excellence in training, quality and humanism.

We have a great medical school: a remarkable legacy and an impressive momentum and future direction. There is much to do and we will do it together as we advance our medical school’s 179-year legacy of being innovative at the forefront of research, education and excellence in clinical care.