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28
2019

Alumnus turns making coffee into life-saving surgeries

The Class of 2015's Larry Istrail founded Pheo Coffee, where freshly ground coffee beans delivered to your door can directly fund someone's health care.

The Class of 2015’s Larry Istrail founded Pheo Coffee, where freshly ground coffee beans delivered to your door can directly fund someone’s health care. As author and cardiologist Eric Topol said on Twitter, “When coffee is good for other people’s health.”

The Class of 2015’s Larry Istrail has never lacked for curiosity. So during medical school when he discovered his attending also made a hobby out of roasting coffee beans, Istrail did what he often does: ask plenty of questions.

Pawan Suri, M.D., happily shared the process he had learned from a former colleague known for his sublime coffee. Two things stuck with Istrail: freshly roasted coffee is unparalleled in taste and doctors really, really love their coffee.

Now a hospitalist at Inova Fairfax Hospital in Northern Virginia, Istrail combined his passion for coffee and medicine to tackle another goal: funding medical care in developing countries. In 2018, he launched Pheo Coffee with the mission of using one of the most consumed beverages in the world to raise money for those who lack access to basic medical care due to cost.

Even as Istrail continues to pay off student loan debt, he has chosen to donate a portion of Pheo Coffee’s proceeds to Watsi, a nonprofit that uses 100 percent of its donations to crowd-fund medical and surgical treatments around the world.

The endeavor has earned Istrail praise in the Washington Post, The Washingtonian and Daily Coffee News, among others.

“We’re all physicians and artists,” says Suri, associate professor and emergency medicine-internal medicine residency program director. “We’re interested in humanity. That’s what inspires physicians to grow coffee, write or paint. I’ve always encouraged stimulating the right brain and it looks like Larry is one of those people who got a spark by it.”

Istrail shared with us more about that spark, Pheo Coffee and how his time on the MCV Campus influenced both.

First, tell us about the name. How did you come up with Pheo Coffee?
It started as a silly idea. I was on endocrine consults and we were seeing a patient with a pheochromocytoma. It is a rare condition in which your body releases far more adrenaline than is necessary, so it was memorable on its own. A ‘Pheo’ is a shorthand name of this condition and I remember walking out of the room thinking, “she looked like she had too many cups of coffee!” I mentioned it to my medical friends and they all loved the name.

How did your time in medical school play a role in Pheo Coffee’s creation?
My experience at VCU played a large part in the development of the business. I thought back to my time at VCU as a med student, when I was lucky enough to have Dr. Pawan Suri as my attending for a week. He was probably the most interesting, kind and inspiring attending I’ve ever had. So knowledgeable about so many topics, one of which is roasting coffee. He is the person who got me into the idea of buying unroasted coffee beans and roasting them yourself. I experimented with it briefly in medical school, but couldn’t get the taste right. But this new experience with the patient with Pheo inspired me to look into it again. I ordered more raw coffee beans and started roasting them in an iron skillet, and that is how Pheo Coffee started. Fortunately I have since outsourced the roasting to a local, professional roaster and the coffee is exponentially more delicious.

What are your fondest memories from medical school?
My favorite memories at VCU all revolved around the incredible classmates I had. Every day I was inspired by their work ethic and genuine, good-hearted nature. We were all in a four-year battle together to come out the other end as doctors, a time that was incredibly difficult but ultimately so rewarding. Most of the best friends I’ve made in my life came from VCU, and I’m really thankful for that.

Why is it important to you to make time for this business when you are already a busy physician helping others on a daily basis?
I LOVE start-ups. I also love medicine, but they stimulate different parts of your brain. Medicine is about hard work, analytical thinking and drawing from a vast knowledge base to treat one individual or a small group of individuals. At the same time, I really yearn for a more creative outlet toward achieving long-term goals. Start-ups offer the opportunity to be creative and develop things other people would want to use, with the hopes of helping a much larger group of people. The idea of starting a company with a medical angle is really the best of both worlds for me.

What inspired you to donate part of your profits to fund surgeries in developing countries?
I wanted to start a for-profit company that can help people in a tangible way. Ultimately, I believe creating a sustainable health care fund by tapping into the 400 million cups of coffee consumed per day in the U.S. is an innovative, elegant solution to helping the roughly one billion people around the world who lack basic funds to pay for life-saving surgeries.

Each order comes with a card introducing buyers to the person their coffee purchase has helped. What are some of the success stories of surgeries funded through Pheo Coffee?
All kinds of people from a 3-year-old from Tanzania in need of an orthopaedic surgery to a tooth extraction in Malawi to an Ugangan high schooler in need of a hernia repair. Probably the most memorable, though, was a teenager from Burma who was born with Tetralogy of Fallot, a congenital cardiac disease that can only be repaired with surgery. It is a classic cardiac disease we learn about in medical school, and I was surprised to see she had made it to her teenage years without a surgical repair. When I learned that she had gotten her cardiac surgery, in part due to Pheo Coffee sales, I was pretty emotional. Seeing a photo of her after the surgery with a huge smile on her face is all the motivation I need to keep going with this unorthodox endeavor.

By Polly Roberts

28
2019

The Class of 83’s Wayne Reichman continues his work in Haiti with a trio of fellow alumni

Michael Boss, M'06, H'08; Wayne Reichman, M'83, F'89; Paul McNeill, H'88, F'90; and Kenneth Collins, H'88, connect over their affection for their alma mater and a commitment to the citizens of Haiti.

Michael Boss, M’06, H’08; Wayne Reichman, M’83, F’89; Paul McNeill, H’88, F’90; and Kenneth Collins, H’88, connect over their affection for their alma mater and a commitment to the citizens of Haiti.

In 2013, Wayne Reichman, M’83, F’89, began transitioning from his role as a Baltimore vascular surgeon to the medical director for a free surgical clinic in Jacmel, Haiti.

His commitment to the Jim Wilmot Surgery Center, owned and operated by nonprofit Community Coalition for Haiti, inspired a trio of VCU School of Medicine alumni to join him in providing free surgical care to the country devastated by a 2010 earthquake. While each alumnus took a different path to Haiti, it was their ties to their alma mater that opened doors to an opportunity to help the less fortunate.

Anesthesiologist Michael Boss, M’06, H’08, first heard about Reichman’s work in an article in the medical school’s alumni magazine, 12th & Marshall. Later, the two physicians found themselves operating together at University of Maryland Medical Center, and Reichman invited Boss to join him on an October 2015 trip to Haiti.

Boss has been back twice a year ever since.

“I wouldn’t be doing this if it wasn’t for MCV and the people I worked with in residency and in medical school,” Boss says. “It was my first introduction to an underserved population. I had great attending physicians like Bob Kravetz, M.D., who opened a free clinic in Fredericksburg where I got to spend a little time.”

Michael Boss, M'06, H'08, trains a Haitian CRNA student to perform regional blocks under ultrasound guidance.

Michael Boss, M’06, H’08, trains a Haitian CRNA student to perform regional blocks under ultrasound guidance.

However, Haiti was his first experience traveling internationally to treat the underserved. “My first trip was pretty eye-opening to see the poverty and condition of the country. It was heartbreaking at times … Now, it’s more of a second home and the people there are like family.

“I’m excited to continue this work indefinitely,” Boss says, “and to have this attachment to MCV is such a special thing.”

Paul McNeill, H’88, F’90, and Reichman trained together as fellows on the MCV Campus and kept in touch at vascular surgery conferences over the years. In 2016, McNeill started coming to Haiti with Reichman once a year. It was McNeill who led Reichman to his fourth MCV Campus connection: urologist Kenneth Collins, H’88, who made his first trip to Haiti in 2017.

“It makes my life easier being able to rely on folks that I know will have the right skillset and personalities,” Reichman says. “They are all super and work well with the rest of the team.”

The four physicians traveled to Haiti together for the first time in fall 2017, solidifying their friendship as they connected after 14-hour days of operating by sitting on the rooftop of their guest house and reminiscing about their time on the MCV Campus.

“We shared some hilarious stories,” Reichman says. “It was quite a laugh.”

Details of those stories, however, are on strict “lockdown,” Boss laughs. “Old stories from residency, funny things that happened. Things functioned differently 20, 30 years ago, so it was fun to hear everybody’s take.”

The new Community Coalition for Haiti clinic opened in November 2018.

The new Community Coalition for Haiti clinic opened in November 2018 and allows for new services including cataract surgery, upper endoscopy, and general surgical and gynecological laparoscopic procedures.

In November, Boss and Reichman attended the grand opening for a new facility two years in the making. Spearheaded by Reichman, it’s twice the size of the previous facility and allows for new services including cataract surgery, upper endoscopy, and general surgical and gynecological laparoscopic procedures.

The new hospital also includes a larger recovery room, a small intensive care unit, six additional inpatient beds, three large operating rooms, more physical therapy space, primary care and wound clinics, a pharmacy and administrative offices. Two smaller, nearby buildings will house educational and community development programs.

In 2017, the Haitian government awarded the clinic full accreditation as a foreign health care provider, meaning it is now one of only a handful of foreign providers that can purchase medicine in the country and organize regional preventive care programs such as mobile cancer screenings and school-based health screenings.

Reichman says the surgical facility has expanded from 75 cases annually in 2015 to more than 300 in 2018. That’s not including the 20,000 patients who come through the clinic’s primary care unit each year and the 8,000 patients who receive physical therapy.

“My role now is to ensure that the surgical center is adequately staffed with recruiting and volunteers who can train Haitian physicians to do what we do,” Reichman says. “Our long-term goal is to train enough Haitian medical personnel to be able to take over and run the entire facility.”

Reichman says he’s most proud of the partnerships created with Haiti’s health ministry, the local hospital In Jacmel and numerous other clinics to better the country’s overall health care system. He encourages other physicians with public health interests to narrow their focus as they define how they want to make an impact.

Interested in volunteering with Community Coalition for Haiti?

Email Wayne Reichman, M’83, F’89, at wayne@cchaiti.org for details.

“There are many places around the world where you can volunteer,” he says. “But you can’t change the whole world and do everything for everyone. Pick one area and serve it well.”

And if you can find your spot and make an impact with your fellow alumni?

All the better.

By Polly Roberts

28
2019

Millennials ‘ideally suited’ to be doctors, says Class of 77’s David Adams

David Adams, M'77, specializes in treating challenging gastrointestinal disease. He recently returned to the MCV Campus for a guest lecture.

David Adams, M’77, specializes in treating challenging gastrointestinal disease. He recently returned to the MCV Campus for a guest lecture titled “Total Pancreatectomy with Islet Auto Transplantation — When, Why, How.”

David Adams, M’77, is weary of hearing about “the good old days.” From where he sits as a professor at the Medical University of South Carolina, the best is yet to come.

“Every generation is the greatest generation and every generation has its challenges,” says Adams, who has spent three decades at the Medical University of South Carolina. While Millennials often are criticized as work-shy and entitled, Adams sees it differently. “They are ideally suited to be the doctors of the future because they value meaningful work, they’re internationalists, they’re tech-savvy, they like feedback, they’re team-oriented and they’re collaborative.

“So all the things my generation complains about come naturally to Millennials.”

His feelings were reinforced on a recent visit to the MCV Campus when he joined VCU Health transplant fellows and residents on morning rounds. The coordination between the transplant and critical care teams impressed Adams, who hadn’t returned to campus since graduation.

“From what I saw, the future of surgery is bright,” Adams later told attendees at his guest lecture, “Total Pancreatectomy with Islet Auto Transplantation — When, Why, How.”

Adams specializes in treating challenging gastrointestinal disease and performs islet cell transplantation for patients with chronic pancreatitis. Marlon Levy, M.D., chair of the Division of Transplant Surgery and director of the VCU Hume-Lee Transplant Center, calls Adams one of the field’s senior surgeons.

“David Adams has had a long and very influential career,” Levy says. “His particular contributions to surgery for chronic pancreatitis patients underscore his thought-leader status in academic surgery.”

‘Colorful, smart characters’

During his return to the MCV Campus, David Adams, M'77 (right), visited with his mentor Walter Lawrence, M.D.

During his return to the MCV Campus, David Adams, M’77 (right), visited with his mentor, the beloved surgeon Walter Lawrence, M.D.

During medical school, Adams learned from favorite professors such as rheumatology’s Shaun Ruddy, M.D.; surgery’s Walter Lawrence, M.D., and H.M. Lee, M.D., H’61; pediatric surgery’s Arnold Salzberg, M.D., H’53; neurosurgery’s Harold Young, M.D., and gastroenterology’s Alvin Zfass, M’57.

“They were all colorful, smart characters,” Adams says. “Every chance I got, I would go to the operating room to watch Dr. Lawrence work because he’s such a beautiful surgeon.”

Lawrence enjoyed getting to know the young student as well, and the two continued a mentoring relationship over the next 40 years. “I knew when he was an M3 he was going to amount to something,” Lawrence says. “I’m so proud of the work he’s done and his whole career.”

Adams credits the School of Medicine for laying his foundation. “It was easy to transition to an intern after being a medical student here,” says Adams, who completed his residency at the Naval Hospital in Portsmouth, Virginia, where “they were all astonished when I showed up the day before I was to start my internship to get to know the patients. But that’s what you would do on the MCV Campus. You were responsible.”

And the medical students relied on one another.

“There was a great camaraderie among students,” Adams says. “Your rotations were difficult. There was a lot of hard work so you had to depend on others to share the work.”

‘Another mountain to climb’

Interested in visiting the MCV Campus?

Find out when your class will celebrate Reunion Weekend or contact the Office of Development and Alumni Relations at (804) 828-4800 or MedAlum@vcu.edu to schedule a tour.

Adams found his way to gastrointestinal disease thanks to Zfass, who would arrive in his blue corduroy suit and give “wonderful lectures. He made me realize we weren’t there to learn facts; we were there to learn how to think critically. That made it fun.”

After residency, Adams served as chief of surgery at the Naval Hospital in Guantanamo Bay, Cuba. He later transferred to the Naval Hospital in Charleston, South Carolina, where he worked with residents from the Medical University of South Carolina and rekindled his affection for academic medicine. He went on to spend 18 years performing traditional operations for chronic pancreatitis before transitioning to islet cell transplantation in the late 2000s.

“We weren’t always successful with traditional operations and frequently we were unsuccessful,” Adams says. “So we had to think of new ways to treat patients. One way to deal with the terrible pain was to remove the entire pancreas before patients have nerve damage and then, so they don’t become diabetic, transplant the islet cells into the liver.”

In medical school, Adams didn’t know his life’s work would lead him to fighting chronic pancreatitis. But his patients showed him the way.

“You serve the needs of where you are,” he says. “What became apparent to me was that chronic pancreatitis is and was poorly understood and these people suffered.”

Even with the latest progress, chronic pancreatitis remains a baffling disease with many unanswered questions. “That is what’s so exciting,” Adams says. “What’s the new frontier? Where are the new answers going to come from? There is always another mountain to climb.”

By Polly Roberts

08
2019

The Class of 87’s Thomas Eichler named ASTRO president-elect

Thomas Eichler, M'87, H'92, is president-elect of the American Society for Radiation Oncology.

Thomas Eichler, M’87, H’92, is president-elect of the American Society for Radiation Oncology, the world’s largest radiation oncology society.

Thomas Eichler, M’87, H’92, recently began his term as president-elect of the American Society for Radiation Oncology’s Board of Directors. ASTRO is the world’s largest radiation oncology society.

As president-elect and eventual ASTRO chair, Eichler will continue a career-long commitment to promoting radiation oncology as the leader in quality, innovation and value in multidisciplinary cancer care.

“I am honored and humbled to be elected as ASTRO’s next president and to work on behalf of ASTRO’s 10,000 members,” Eichler says. “I look forward to working collaboratively with my colleagues to advance the field of radiation oncology as we continue to seek advanced treatment options, address priority policy issues and advocate on behalf of all cancer patients.”

Eichler spent much of his career with Virginia Radiation Oncology Associates, where he served as president from 2006-16, and with the Sarah Cannon Cancer Institute in Richmond, Virginia. At the institute, he worked as the medical director of radiation oncology until scaling back his clinical responsibilities in recent years to spend more time volunteering with ASTRO.

His volunteer roles have ranged from chair of the ASTRO Health Policy Council and the ASTRO Political Action Committee to senior editor of the member magazine ASTROnews. Twice Eichler was named ASTRO’s grassroots activist of the year. He was named an ASTRO Fellow in 2013.

“Radiation oncology has a central role in discussions on safeguarding cancer patients’ access to high-quality, high-value treatments,” says ASTRO Board of Directors Chair Brian Kavanagh, M.D., M.P.H., FASTRO. “The dedicated leaders chosen by ASTRO’s 10,000-plus members will help drive these conversations and guide our field on the key issues of education, advocacy, quality and safety.”

A 1974 graduate of the University of Notre Dame with a degree in American Studies, Eichler worked as an orderly before taking pre-med classes at Le Moyne College in Syracuse, N.Y. After failing to gain admission to medical school, he accepted a friend’s offer to serve as the stage manager for First Street Theater in Dayton, Ohio. He later relocated to Northern Virginia with his future wife, Alison, and worked at the Folger Theatre as the box office manager.

But he hadn’t given up on his dream of a career in medicine and in 1983, he again applied to medical school and this time was accepted to the VCU School of Medicine.

“I just love the whole process of medicine,” Eichler shares in the fall 2017 issue of the medical school’s alumni magazine 12th & Marshall. “Being responsible for helping people, along with the rigor and discipline involved, really excites me.”

Eichler remains active in theatrical productions around Richmond and has taken on a wide variety of roles, including Kris Kringle in “Miracle On 34th Street,” Andrew Carnes in “Oklahoma!” and Hercule Poirot in Agatha Christie’s “Black Coffee.”

“This chapter of my life has been punctuated by revisiting my love of the theatre and subsequently embarking on a modest acting career that I expect to keep me busy in retirement,” he says. “It has also been an opportunity to expand my volunteer activities with ASTRO, unexpectedly culminating in the honor of being named president-elect.”

He will serve a one-year terms as president-elect, a year as ASTRO president beginning at September 2019’s Annual Meeting and then a year as chair of the board of directors starting in the fall of 2020.

08
2019

National honors for the Class of 1972’s James Patterson

James W. Patterson, M'72, H'76

James W. Patterson, M’72, H’76

For 18 years, James W. Patterson, M’72, H’76, called the MCV Campus home: first earning his medical degree and completing his residency, and later serving for a decade on the faculty. Now his career-long contributions have been honored at the annual meeting of the American Society of Dermatopathology in Chicago.

Patterson accepted the 2018 Founders’ Award on Nov. 9 in recognition of his outstanding original and significant contributions to the field of dermatopathology. The next day, he delivered the Elson B. Helwig Memorial Lecture that carries the name of his teacher and mentor.

Patterson was named to the Helwig Memorial Lectureship in recognition of his excellence in the field of diagnostic dermatopathology and for his significant contribution to the literature and to the education of fellows and colleagues. At the annual meeting he presented on Problematic Dermatopathology: What the Textbooks Don’t Teach, and discussed challenges that impact decision-making and patient care.

“The challenges presented by dermatopathology are not always in the realm of straightforward differential diagnosis,” Patterson says. “Mixed-up specimens, misleading clinical information, deficiencies in specimens or the manner in which they are handled, and confounding historical and laboratory data, occur all too frequently.”

Patterson has been a director of the American Board of Dermatology and served as its president in 2015. He also has served on the ACGME’s residency review committees for dermatology and dermatopathology. A past-president of the American Society of Dermatopathology and the Virginia Dermatological Society, he has authored or co-authored more than 250 scientific papers as well as six books, most recently the fourth edition of Weedon’s Skin Pathology, the leading textbook in the field. He is past editor-in-chief and now editor emeritus of the Journal of Cutaneous Pathology and has been a member of the editorial boards of numerous other journals.

After medical school and residency, Patterson served at Keller Army Hospital at the U.S. Military Academy in West Point, New York, and then trained at the Armed Forces Institute of Pathology in Washington, D.C., as a fellow in dermatopathology under the tutelage of Elson B. Helwig, M.D., and James H. Graham, M.D.

After serving at Fitzsimmons Army Medical Center in Aurora, Colorado, where he also was a clinical instructor in dermatology at the University of Colorado, Patterson returned in 1982 to his alma mater for his first faculty appointment in pathology and dermatology. He became a tenured professor and was the director of dermatopathology.

Patterson joined Dermatology Associates of Virginia in Richmond as a private-practice dermatologist and dermatopathologist in 1992 and, from 1996 to 2016, served as professor of pathology and dermatology and director of dermatopathology at the University of Virginia. He retired in 2016 and is now professor emeritus of pathology and co-owner of PRW Laboratories in Charlottesville, Virginia, where he works part-time as a dermatopathologist. He remains active in teaching and writing on topics in dermatopathology.

26
2018

Trio of alumni receive state honors for dedication to underserved

Three doctors who trained on the MCV Campus received state honors this fall for their dedication to the underserved and helping to create a world where people live healthier, happier lives.

Randy Merrick, M'85, named a 2018 Unsung Hero by the Virginia Health Care Foundation

Randy Merrick, M’85, named a 2018 Unsung Hero by the Virginia Health Care Foundation

Randy Merrick, M’85, was honored as a 2018 Unsung Hero by the Virginia Health Care Foundation, a public-private partnership dedicated to increasing access to primary health care for uninsured Virginians and those in underserved areas.

In 2006, Merrick cofounded the Orange County Free Clinic, which has gone on to serve nearly 1,000 patients. In addition to managing his private practice, Merrick volunteers at the free clinic as board president and medical director. He visits the clinic daily, treats patients every Tuesday evening (plus fills in for other doctors as needed) and makes house calls to patients without transportation.

As a preceptor for the School of Medicine, Merrick welcomes six to seven students per year to his practice for individual four-week rotations. He makes sure their time with him includes regular visits to the free clinic.

“Always quietly helping others, Dr. Merrick’s kindnesses abound,” VHCF says of Merrick in a video played at the awards ceremony. “He even paid for the Holiday Inn to house local homeless shelter residents when the shelter had to be fumigated for bedbugs. Known for his genuine character and compassion, it’s no wonder that this unsung hero is beloved by all.”

Virginia Family Physician of the Year

Housestaff alumnus Mitchell B. Miller, M.D., named Virginia Family Physician of the Year by the Virginia Academy of Family Physicians

Housestaff alumnus Mitchell B. Miller, M.D., named Virginia Family Physician of the Year by the Virginia Academy of Family Physicians

Mitchell B. Miller, M.D., H’82, who has practiced family medicine in Virginia Beach for more than 36 years, recently was named Virginia Family Physician of the Year by the Virginia Academy of Family Physicians.

While this is the first time Miller has received the Virginia Family Physician of the Year award, the Virginia Academy of Family Physicians in 2006 named him Volunteer of the Year for his work in Mississippi after Hurricane Katrina.

“My volunteer activities have been very important to me,” Miller says. “I recently returned from the Remote Area Medical event in Wise, Virginia, where we served the indigent patients from the Appalachian region.”

Michelle Whitehurst-Cook, M’79, H’82, senior associate dean of admissions in the medical school, recruited Miller to volunteer for RAM. The two trained together as family medicine residents on the MCV Campus in the early 1980s.

Like Merrick, Miller has served as a preceptor to VCU medical students during their family medicine rotation. He says he accepted the Virginia Family Physician of the Year on behalf of all family physicians in Virginia.

“It acknowledged the dedication that my colleagues show on a daily basis to taking care of the citizens of Virginia despite the many barriers to doing so — from regulations and insurance companies to financial and others — they place the well-being of their patients above all else,” Miller says. “So this award was really a celebration of the difference that family physicians can and do make.”

Salute to Service

Rebecca Sinclair, M'98, received a 2018 Salute to Service Award from the Medical Society of Virginia Foundation

Rebecca Sinclair, M’98, received a 2018 Salute to Service Award from the Medical Society of Virginia Foundation.

Internist Rebecca O. Sinclair, M’98, received the Medical Society of Virginia Foundation’s 2018 Salute to Service Award for Outstanding Service to the Uninsured and Underserved.

The foundation created a video highlighting her life’s work with the Prince William Area Free Clinic, where she served as medical director. Sinclair’s commitment resulted in the development of the county’s only free medical and dental program that provides comprehensive medical care to Prince William County’s low-income, uninsured residents.

Through her work and leadership, the clinic expanded from episodic care, housed in the health department, to a health center offering medical services by appointment 41 hours a week — affording county residents a true medical home.

“This woman is passionate, energetic, persistent, creative and appears tireless,” says Carol S. Shapiro, M.D., M.B.A., who has known Sinclair since she began her work with the clinic. “She truly cares about our community, the working poor and indigent. Words like ‘can’t’ or ‘impossible’ are not in her vocabulary.”

The MSV Foundation created the annual Salute to Service Awards in 2004 to recognize outstanding efforts of physicians, residents and medical students who are dedicated to creating and nurturing a caring health promotion and disease prevention environment by providing service on behalf of patients everywhere.

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Updated: 04/29/2016