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14
2016

The Class of 72’s David Lorber: Just say ‘yes’ – to a nontraditional career path

David Lorber, M’72

“Most physicians practice medicine,” says David Lorber, M’72. “But it doesn’t mean you can’t do other things.”

David Lorber, M’72, rarely says no – it’s a trait that has worked out well for him. It’s led him into a career he never planned, but one which has been extremely rewarding, he says.

Lorber visited the MCV Campus this month to share stories with medical students about his nontraditional career that jumped from academia to a busy practice to industry … and almost to the South Pole. “Most physicians practice medicine,” he notes, “but it doesn’t mean you can’t do other things.”

After completing a fellowship at the University of Arizona, he first assumed he’d have a future in academia. But that wasn’t as fulfilling as he hoped, so he ended up in Albuquerque, New Mexico, becoming the state’s fourth pulmonary critical care physician. Despite a grueling schedule, Lorber kept doing more. “I volunteered for everything I could,” he recalls. “Whatever we needed, I always raised my hand.

“My objective was to learn everything I could about the business of health care and to be able to provide value.”

On the side, he started a consulting firm, worked in an emergency and urgent care department and began exploring options for a post-clinical career. Though medicine was rewarding, he says, after two decades, he was burned out on 100-hour work weeks and started looking for something else.

He didn’t have to look long, as all the extra knowledge he’d gleaned paid off in an understanding of all facets of the health care industry.

David Lorber, M’72

Lorber returned to the MCV Campus in November to talk with students about alternative careers in medicine.

A friend at Blue Cross/Blue Shield pointed him towards a job there; he ended up as medical director of Blue Cross Blue Shield of New Mexico, working in utilization management, disease management, provider relations, oversight of pharmacy and credentialing. He also served as medical director for the Indian Health Service Contract Health Services, managed by BCBS. After that, he joined the small company, PCS Health Systems, which eventually transformed into CVS Caremark, where Lorber became a vice president. When he left that job, he was snapped up by Walgreens. “I felt like you can impact the way health care is delivered in the U.S. more in industry than from the clinical side.”

Lorber is rarely content with just one job, and though he calls himself retired, he still works as consultant, entrepreneur, marketer and clinician. One of his side jobs he still loves is working as a consulting physician for National Geographic’s Lindblad Expeditions adventure cruise line.

As the company has grown, he’s become, in effect, the company’s chief medical officer, overseeing about 50 physicians who travel on Lindblad’s ships to remote corners of the earth.

“It can be gut-wrenching when you have something that in an emergency department would be a no-brainer and easy to do, but can become a catastrophe because of where you are,” he says. On a cruise to Antarctica, he once had to treat a patient with a bowel obstruction when the nearest hospital was days away. In Norway, he jumped in to treat a woman with an undiagnosed ectopic pregnancy; the nearest airstrip was on a small island 10 hours away. The patient survived, was treated on the mainland and returned to the ship several days later.

With Lindblad, Lorber has traveled to about 40 countries on all seven continents, allowing him to indulge his passion for photography (check out some of his travel photos below that appeared in the latest issue of the school’s 12th & Marshall magazine).

Lorber continues his routine of learning new skills and keeping an eye out for his next adventure. “You can’t have a five-year plan,” he muses. “You’ve got to be open to new things.”

Still, he says, his career hasn’t been totally random. It’s been about being prepared to be in the right place at the right time. “I really do believe you make your own luck.”

His advice for medical students?

“It’s about relationship building. While you’re in practice, get on committees, get involved politically and get involved any way you can. You’ve got to develop people skills, public speaking skills and the ability to negotiate.

“And learn everything you can. You never know when it’ll come in handy or may spark your interest.”

Always open to opportunities, David Lorber, M’72, said ‘yes’ to National Geographic’s Lindblad Expeditions adventure cruise line. As a result, he’s traveled to about 40 countries on all seven continents. It’s allowed him to indulge his passion for photography, like this shot that was taken in Montenegro. Click the images below for expanded views.

By Lisa Crutchfield

12
2016

M4 Andrew Percy honored with scholarship carrying name of surgeon Jim Brooks

The Class of 2017's Andrew Percy (left) met Stephen Yang, M'84, H'94

The Class of 2017’s Andrew Percy (left) met Stephen Yang, M’84, H’94, at the Southern Thoracic Surgical Association annual meeting in November. Yang helped establish the James W. Brooks Medical Student Scholarship in memory of his mentor, and Percy is the latest recipient.

Ask Andrew Percy, M’17, the key to a successful future and he will sum it up in one word.

Mentorship.

“No matter what field you go into, it helps to have someone guiding you,” he said. “Mentors have always been a special part of my life.”

That bond continues today. Percy was one of two students in the country to receive the James W. Brooks Medical Student Scholarship, which enabled him to attend the Southern Thoracic Surgical Association (STSA) annual meeting in Naples, Florida, Nov. 9-12.

“I was very humbled to be associated with an award in Dr. Brooks’ memory,” Percy said. “He was an important mentor to a lot of people. That’s the spirit of this scholarship. It inspires me to become a better clinician, researcher and person.”

Jim Brooks, M’46, H’55, joined the MCV Campus in 1957 as a thoracic and vascular surgeon and trained hundreds of residents and students. Even after retiring from the operating room, he continued to go into work each day to teach and serve on the admissions committee, communicating his love for the school to all the applicants he met. Appointed emeritus professor of surgery in 2000, he was active on campus until his death in 2008. He was the 23rd president of the STSA.

Jim Brooks, M'46, H'55

Longtime faculty member Jim Brooks, M’46, H’55. Courtesy of Tompkins-McCaw Library’s Special Collections and Archives

“Dr. Brooks had this aura about him,” said Stephen Yang, M’84, H’94, who trained under Brooks and now holds the Arthur B. and Patricia B. Modell Endowed Chair of Thoracic Surgery at Johns Hopkins. “You just loved the man. One of the things that impressed me the most was how much time he spent with his patients. He touched so many lives.”

To honor his memory, Yang helped establish the STSA fund in 2010 that supports the Brooks Scholarship.

“How do you repay the past?” Yang asked. “You want to honor those who trained you, who mentored you.”

Even though Percy never met Brooks, stories about the surgeon still abound on the MCV Campus. Percy has heard enough of them to know he would have loved him, too.

“It sounds like he was a remarkable individual,” Percy said. “He had a great sense of humor.”

Brooks is warmly remembered for not only his compassion, but his quirks. He wore his scrub pants backwards; his glasses hung near the end of his nose; a white towel was draped around his neck; and a bar of Dove soap was always at the scrub sink.

The stories also emphasize how Brooks valued mentorship.
“That’s so important,” Percy said. “I know I wouldn’t be where I am today without mentors.”

Percy’s parents and later his high school cross country coach provided guidance early on. While studying biology and philosophy at Bates College in Maine, Percy spent his summers doing research for the chief of cardiothoracic surgery at Yale. The two have published several papers together since then, and they are currently working on a research project focused on redefining the size cutoff in which surgery is warranted for aortic aneurysms. Percy is also writing a book chapter on the medical management of aortic aneurysms.

After graduating in 2008, Percy worked in research for four years at Beth Israel Deaconess Medical Center at Harvard Medical School and earned a master’s in medical sciences from Boston University. He has also conducted research in oncology and urology.

“I’ve been fortunate to have been involved in very interesting research projects across different disciplines because of mentors I had who gave me generous opportunities that they were under no obligation to give,” Percy said.

He found that same spirit at the STSA meeting, where he got to know some of the country’s leading cardiac surgeons, including Joseph Coselli, M.D., chief of adult cardiac surgery at the Texas Heart Institute, and Andrea J. Carpenter, M.D., Ph.D., president of the STSA and director of cardiac surgery at the UT School of Medicine in San Antonio.

“They were all so generous with their time,” Percy said. “I want to emulate that and become a mentor to others. I want to make a positive impact. One way to do that is by reflecting on all the help that you received along the way and then paying it forward throughout your career. ”

Do you want to help pay it forward? Learn more about our 1838 Scholarship Campaign aimed at increasing the number and size of available scholarships for the School of Medicine.

By Janet Showalter

11
2016

Face time: The Class of 99’s Eduardo Rodriguez returns to campus to discuss his pioneering transplant 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.

Class of 99’s Eduardo D. Rodriguez, MD, DDS

In August 2015, the Class of 99’s Eduardo D. Rodriguez, M.D., D.D.S., the Helen L. Kimmel Professor of Reconstructive Plastic Surgery and chair of the Hansjörg Wyss Department of Plastic Surgery at NYU Langone, led a team of more than 100 physicians, nurses, technical and support staff to complete the most extensive face transplant to date, and the first in New York State. PHOTO CREDIT: NYU Langone

Eleven 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 leading surgeons in the field.

He returned to VCU’s MCV Campus this summer as the speaker of the annual S. Dawson Theogaraj Lecture. 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.

In August 2015, Rodriguez led a team at the NYU Langone Medical Center that completed the most extensive face transplant ever.

Patrick Hardison, a 41-year old fireman from Mississippi who had received horrific facial injuries received the face of cyclist David Rodebaugh. The operation received extensive media coverage and cemented Rodriguez’s reputation as a pioneer in the field.

He 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.”

Class of 99’s Eduardo D. Rodriguez, MD, DDS

Eduardo D. Rodriguez, pictured with his face transplant patient Patrick Hardison at NYU Langone on Nov. 12, 2015. PHOTO CREDIT: NYU Langone

Rodriguez 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.”

In March, 2012, Rodriguez led a team in what was one of the most extensive facial transplants ever, from hairline to the neck of a Virginia man who had suffered a gunshot wound. The 36-hour operation involved more than 100 health care providers along with meticulous planning and execution.

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 life-long 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 shape a better future for these individuals.”

By Lisa Crutchfield

20
2016

Alumni host basic science students in Research Triangle Park

Jean Kim, PhD’10 (MICR)

Jean Kim, PhD’10 (MICR) welcomed students to RTI International where she is now a research microbiologist. Photography: Carrie Hawes

Career exploration hit the road when 38 students and four post-docs boarded a bus bound for Raleigh, N.C., to take part in VCU Career Services’ Rams’ Roadtrip program.

The graduate students and postdoctoral scholars from the School of Medicine and the School of Engineering spent two days meeting with researchers, publishers and clinicians to learn more about careers beyond the scope of academia. The goal was for students to walk away with a broader perspective on what they could accomplish after graduation.

Rams’ Roadtrip began because members of VCU Career Services noticed that graduate students were leaving VCU without understanding the breadth of available job opportunities. Many Ph.D. candidates overlook non-academic opportunities in favor of a traditional career trajectory that takes them from doctoral study to postdoctoral research to university faculty, a path where opportunities are in decline.

A 2011 study by the journal Nature noted a 150 percent increase in the number of postdocs from 2000 to 2012. At the same time, full-time, tenure eligible opportunities remained constant or declined. Carrie Hawes, the program’s organizer and assistant director at VCU Career Services, believes exposure through Rams’ Roadtrip helps to enhance students’ perspectives on potential career paths.

Basic science students visit Research Triangle Park

Research Triangle Park was the third stop in the Rams’ Roadtrip program that broadens students’ perspective on careers beyond the scope of academia. Photography: Carrie Hawes

North Carolina’s Research Triangle Park is known for its high concentration of organizations focused on pharmaceutical and biological sciences research and development. So it was an ideal destination in October when students visited Becton Dickinson, Research Square, QuintilesIMS and RTI International. They had the chance to tour the facilities, hear overviews of current research and meet with researchers from each organization.

“This was an awesome opportunity for someone like me in their second year of a Ph.D,” said Supriya Joshi, a Ph.D. student in the Department of Human and Molecular Genetics. “I still have some breathing room to look at opportunities and assess what things work in non-academic careers.”

Jean Kim, PhD’10 (MICR) welcomed students to RTI International where they met with members of the commercialization group to learn about monetizing research. At RTI, students also met Jenny Wiley, Ph.D., an alumna of VCU’s College of Humanities and Sciences and a former faculty member in the medical school’s Department of Pharmacology and Toxicology.

At Research Square, the students were exposed to careers in scientific publishing, meeting Jennifer Mietla, PhD’14 (BIOC), who is now quality control editor with the organization.

Throughout the trip, the students got a heavy dose of career advice from their hosts related to how to find their first job.

“People really got to see what others who had once worked in those exact same VCU labs are doing now,” Hawes said. “It was neat for the students to see what you can do come to life.”

This is the third time VCU Career Services has hosted the Rams’ Roadtrip program. In September 2015, the group took students to Bethesda, Maryland, for a look at science policy and consulting careers through visits to the National Institute of Health, American Society for Biochemistry and Molecular Biology, American Society of Microbiology and MedImmune. Students also visited the University of Richmond to explore teaching-focused careers at a liberal arts university.

Organizers say this hands-on program is providing graduate students networking opportunities and a greater awareness of potential career options. Seven students from last year’s trip found employment with non-academic research organizations after graduation.

By Brian Nicholas

15
2016

Medical Society of Virginia honors Robin Foster and Gene Peterson for service

The Medical Society of Virginia Foundation recently recognized two medical school faculty with Salute to Service Awards, which are given to Virginia physicians and medical students for their selfless services to others, impact to the health of the population served and commitment to health care excellence.

Robin L. Foster, M.D., won the service to the uninsured and underserved award and Gene Peterson, M.D., M.H.A., Ph.D., posthumously won the service for advancing patient safety and quality improvement award at the awards ceremony, which took place at the Hotel Roanoke and Conference Center in Roanoke, VA on Oct. 15.

Robin L. Foster, M.D., Robin L. Foster, M.D., was honored by the MSV for her service to the uninsured and underserved.

Robin L. Foster, M.D., Division Chairman of Pediatric Emergency Services, Director of the Child Protection Team, Associate Chairman of Emergency Medicine, Associate Professor of Emergency Medicine and Pediatrics

Dr. Foster’s award acknowledges her commitment and impact on the profession and the health of the population she serves. She was honored for her work in forming Richmond’s first Child Advocacy Center in partnership with Stop Child Abuse Now (SCAN) of Greater Richmond. The Child Advocacy Center coordinates activities across agencies to improve training for professionals in positions to defend and protect children in legal and social service interventions. Dr. Foster is also a founding member of Bridging the Gap, which uses adolescent hospital visits as a starting point for increased education, communication and engagement for violence prevention. Along with this work, she is an active leader of Reach Out and Read as well as Richmond Midnight Basketball League—both of which aim to help children and adolescents.

“Dr. Foster has dedicated her career to the prevention of child abuse and neglect, violence prevention and improved advocacy policy on behalf of the underserved population of at-risk children and adolescents and their families,” said nominator Jerome F. Strauss III, M.D., Ph.D. “She has played a key role in multiple significant projects that have positively impacted the lives of underserved and vulnerable children and adolescents in our community. From clinical care, to counseling, to making the most of any contact with the medical center, to changes in policy and law, she has led an unmatched spectrum of programs contributing to improved family life and child and adolescent health in vulnerable populations.”

Dr. Foster is a 1989 graduate of the VCU School of Medicine, which is where she returned as a faculty member in Emergency Medicine in 1996. She currently serves there as the Division Chair of Pediatric Emergency Medicine and Associate Professor in Emergency Medicine and Pediatrics. She is the co-founder and medical director of the Child Protection Team, which evaluates over 1,000 alleged victims of abuse and neglect per year.

Gene N. Peterson, M.D., Ph.D.Gene Peterson, M.D., M.H.A., Ph.D., was honored posthumously by the MSV for advancing patient safety and quality improvement

Gene Peterson, M.D., M.H.A., Ph.D. (awarded posthumously), Former Chief Safety Officer and Associate Dean for Medical Education

The Salute to Service Award for advancing patient safety and quality improvement acknowledges Dr. Peterson’s accomplishments as the first Chief Safety Officer at VCU, in a role that was unique within the country. Dr. Peterson was the first incumbent to receive the appointment to Professorship for Safety, Quality and Service in Resident Education at Virginia Commonwealth University. He set the foundation for resident and physician training with quality and safety initiatives at VCU by improving the safety of clinician training and leading the development of models that still serve VCU today. During the Ebola crisis in West Africa, Dr. Peterson immediately rose to the challenge to assist with the Unique Pathogens Unit.

“Because of Dr. Peterson’s vision and success in integrating resident and physician training with the quality and safety initiatives of the VCU Medical Center, his development of models of care delivery will sever patients and learners for years to come,” said nominator Abraham Segres, Vice President of the Virginia Hospital and Healthcare Association (VHHA). “Dr. Peterson left an indelible mark on all of his colleagues as well as the patients and communities served by VCU. He was truly a visionary leader, and his work integrating resident physician training with the quality and safety initiatives of the VCU/MCV Hospital Clinics has been the foundation for the future of VCU’s educational programs.”

During his time at VCU, Dr. Peterson was an active participant of several initiatives including the technical advisory panel for TeamSTEPPS, a program developed by the U.S. Department of Defense and Agency for Healthcare Research and Quality to improve patient safety as well as communication and teamwork skills among health care professionals. He also collaborated on the World Health Organization’s surgical safety checklist for 10 years. He showed a deep commitment to patient safety and encouraged all VCU employees to speak up if they saw something wrong or sensed a potential problem. He wanted to standardize safety measures during patient hand-offs between shifts and worked closely with the University of Virginia Patient Safety team to provide high quality and safe care.

Dr. Peterson died on Nov. 20, 2015. MSVF is honoring him with this award posthumously for his lifelong commitment to advancing the practice of medicine and to improving patient safety.

Announcement courtesy of the MSV Foundation, the philanthropic organization affiliated with the Medical Society of Virginia. MSVF develops sustainable programs and initiatives that equip the physician community to improve the health of Virginians. Building upon physicians’ deep, personal commitment to patient care, MSVF initiatives offer them the opportunity to lead and participate in programs that have direct impact on health care quality and access in Virginia.

29
2016

The lure of the track

The Class of 95’s John M. “J.” Salmon IVThe Class of 95’s John M. “J.” Salmon IV says a love of cars drive him and his dad into racing. His father, John M. Salmon III, DDS, is a 1965 graduate of the dental school.

Years ago, John M. “J.” Salmon IV, M’95, and his father John Salmon III, DDS’65, always talked about building a car together. It seemed a natural thing for a father known as “the fix everything guy” and his young son to set their sights on, but they never got around to it when J. was little.

Today, after finally building not one, but two cars with his father, J. Salmon has moved into the driver’s seat. Each year, he races sports cars at the Petit Le Mans in Braselton, Georgia, though he’s quick to point out that he’s not a professional. His job is to warm up the crowd, so to speak.

“It’s like going to see the Blue Angels at the air show in Virginia Beach,” J. Salmon says. “They’ll be lots of airplanes and activities before they appear. That’s what I do as part of the support race team at the Petit Le Mans. It gives people something to watch and serves as a stepping stone for young drivers.”

The Petit Le Mans is an annual sports car endurance race. Now in its 19th year, the event covers 1,000 miles or 10 hours of racing, whichever comes first, and features 41 entries across four classes of the International Motor Sports Association WeatherTech Championship competition.

Salmon’s event, the Mazda Prototype Lites series, gives him the opportunity to drive at speeds topping 140 mph in a world-class environment where he’s happy to finish within one second of the pack.

“I’m very happy if I’m not dead last,” he laughs. 2016 marks his third year of support driving at the Petit Le Mans.

The Class of 95’s John M. “J.” Salmon IV“Racing is so fast. It’s a blend of science and art. A lot of physicians are drawn to that.”

How it all started
About an hour from the Salmons’ homes in Lynchburg, Virginia, is one of the country’s top six road courses, the Virginia International Raceway. So it’s not surprising that their love of cars drove them into racing.

“It just sort of steamrolled,” J. Salmon says. “It took Dad and me about three or four years to finish our first car and while we were doing that, we’d spend time at the track. We’d go to the track like others went golfing. Most people don’t have a facility as nice as VIR so close to them. That helped contribute to my delinquency!”

A VIR racer himself, the elder Salmon tries to keep his speed these days under 125 mph. With a recent knee replacement surgery under his belt, he’s careful not to overdo. A trip back to the track during recuperation helped him gauge his abilities.

“The knee is in good shape, but I wanted to see how it performed at the track,” he says. “The only real pressure I have to use is on the brakes, that’s why I wanted to go see how it worked.”

Problem solving
Working with engines, suspensions and timing belts is a lot like problem solving in the health care field, explains J. Salmon who practices as a pathologist.

“Many times Dad and I would be working on a car trying to make it faster. We’d upgrade things if necessary. And yes, we blew up an engine. But we figured it out. Problem solving stems from medicine. In school, you’d see a problem and decide how to approach it. You come up with your own solutions. Racing is really immersive. It’s complex, challenging and a blend of science and art. A lot of physicians are drawn to that.”

But as drawn as he is to racing at the Petit Le Mans, J. Salmon is equally happy racing here in Virginia.

“I enjoy it more at the local track with friends,” he says. “I get to go home at night and be with my family.”

By Nan Johnson